Moab Regional
Moab Regional in Moab, UT publishes cash prices for 380 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Utah median for 303 of 328 procedures and above it for 21. By typical cash price it ranks #2 of 16 Utah hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
450 Williams Way, Moab, UT 84532 Collected Sep 22, 2026 Source price file (435) 719-3500
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 461302 · CMS hospital register NPI 1770513236
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Utah | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE X RAY COMPLETE BIL | $281.82 | $462.00 | $220.00–$440.00 | 12% below | 39% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE X RAY COMPLETE LT | $281.82 | $462.00 | $220.00–$440.00 | 12% below | 39% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE X RAY COMPLETE RT | $281.82 | $462.00 | $220.00–$440.00 | 12% below | 39% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE X RAY COMPLETE BIL | $281.82 | $462.00 | $220.00–$440.00 | — | 39% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE X RAY COMPLETE RT | $281.82 | $462.00 | $220.00–$440.00 | — | 39% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE X RAY COMPLETE LT | $281.82 | $462.00 | $220.00–$440.00 | — | 39% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NON-INVAS PHYSIOLOGIC STD EXTR | $250.10 | $410.00 | $205.00–$410.00 | 69% below | 39% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NON-INVAS PHYSIOLOGIC STD EXTR | $250.10 | $410.00 | $205.00–$410.00 | — | 39% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM | $485.56 | $796.00 | $379.00–$758.00 | 27% below | 39% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHOGRAM | $485.56 | $796.00 | $379.00–$758.00 | — | 39% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NMED BONE SCAN | $747.25 | $1,225.00 | $583.00–$1,166.00 | 74% below | 39% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NMED BONE SCAN | $747.25 | $1,225.00 | $583.00–$1,166.00 | — | 39% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BRST RT | $404.43 | $663.00 | $315.50–$631.00 | 18% below | 39% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BRST LT | $404.43 | $663.00 | $315.50–$631.00 | 18% below | 39% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BRST RT | $404.43 | $663.00 | $315.50–$631.00 | — | 39% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BRST LT | $404.43 | $663.00 | $315.50–$631.00 | — | 39% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST, LIMITED BILATERAL | $301.34 | $494.00 | $235.00–$470.00 | — | 39% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST, LIMITED RT | $301.34 | $494.00 | $235.00–$470.00 | 21% below | 39% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST, LIMITED LT | $301.34 | $494.00 | $235.00–$470.00 | 21% below | 39% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST, LIMITED BILATERAL | $301.34 | $494.00 | $235.00–$470.00 | — | 39% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST, LIMITED RT | $301.34 | $494.00 | $235.00–$470.00 | — | 39% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST, LIMITED LT | $301.34 | $494.00 | $235.00–$470.00 | — | 39% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST (NON-CORO | $2,277.13 | $3,733.00 | $1,777.50–$3,555.00 | 39% below | 39% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA THORACIC AORTA | $2,277.13 | $3,733.00 | $1,777.50–$3,555.00 | 39% below | 39% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST (NON-CORO | $2,277.13 | $3,733.00 | $1,777.50–$3,555.00 | — | 39% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA THORACIC AORTA | $2,277.13 | $3,733.00 | $1,777.50–$3,555.00 | — | 39% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HRT CORNRY ART/BYPASS GRFT | $996.13 | $1,633.00 | $777.50–$1,555.00 | 21% below | 39% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HRT CORNRY ART/BYPASS GRFT | $996.13 | $1,633.00 | $777.50–$1,555.00 | — | 39% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING EXAM | $305.00 | $500.00 | $250.00–$500.00 | 342% above | 39% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIUM SCORING EXAM | $305.00 | $500.00 | $250.00–$500.00 | — | 39% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PLVS W/OUT | $2,483.31 | $4,071.00 | $1,938.50–$3,877.00 | 61% below | 39% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PLVS W/OUT | $2,483.31 | $4,071.00 | $1,938.50–$3,877.00 | — | 39% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PLVS W/ | $3,230.56 | $5,296.00 | $2,521.50–$5,043.00 | 39% below | 39% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PLVS W/ IV CONT ONLY | $3,230.56 | $5,296.00 | $2,521.50–$5,043.00 | 39% below | 39% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PLVS W/ IV CONT ONLY | $3,230.56 | $5,296.00 | $2,521.50–$5,043.00 | — | 39% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PLVS W/ | $3,230.56 | $5,296.00 | $2,521.50–$5,043.00 | — | 39% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDM & PLVS COMBO | $3,641.70 | $5,970.00 | $2,842.50–$5,685.00 | 61% below | 39% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDM & PLVS COMBO | $3,641.70 | $5,970.00 | $2,842.50–$5,685.00 | — | 39% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONT | $1,687.87 | $2,767.00 | $1,317.50–$2,635.00 | 62% below | 39% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ CONT | $1,687.87 | $2,767.00 | $1,317.50–$2,635.00 | — | 39% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O | $1,298.69 | $2,129.00 | $1,013.50–$2,027.00 | 59% below | 39% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O | $1,298.69 | $2,129.00 | $1,013.50–$2,027.00 | — | 39% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIL FACIAL WO | $1,163.88 | $1,908.00 | $908.50–$1,817.00 | 43% below | 39% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS-LTD | $1,163.88 | $1,908.00 | $908.50–$1,817.00 | 43% below | 39% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS-COMPLETE | $1,163.88 | $1,908.00 | $908.50–$1,817.00 | 43% below | 39% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS-LTD | $1,163.88 | $1,908.00 | $908.50–$1,817.00 | — | 39% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXIL FACIAL WO | $1,163.88 | $1,908.00 | $908.50–$1,817.00 | — | 39% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS-COMPLETE | $1,163.88 | $1,908.00 | $908.50–$1,817.00 | — | 39% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O | $1,167.54 | $1,914.00 | $911.00–$1,822.00 | 64% below | 39% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN W/O | $1,167.54 | $1,914.00 | $911.00–$1,822.00 | — | 39% |
| CT scan of the head with contrast CPT 70460 CT BRAIN W | $1,573.80 | $2,580.00 | $1,228.50–$2,457.00 | 59% below | 39% |
| CT scan of the head with contrast inpatient CPT 70460 CT BRAIN W | $1,573.80 | $2,580.00 | $1,228.50–$2,457.00 | — | 39% |
| CT scan of the head without and with contrast CPT 70470 CT BRAIN COMB | $1,793.40 | $2,940.00 | $1,400.00–$2,800.00 | 60% below | 39% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN COMB | $1,793.40 | $2,940.00 | $1,400.00–$2,800.00 | — | 39% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SP W/O | $1,383.48 | $2,268.00 | $1,080.00–$2,160.00 | 58% below | 39% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SP W/O | $1,383.48 | $2,268.00 | $1,080.00–$2,160.00 | — | 39% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SP W/O | $1,436.55 | $2,355.00 | $1,121.00–$2,242.00 | 56% below | 39% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SP W/O | $1,436.55 | $2,355.00 | $1,121.00–$2,242.00 | — | 39% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W | $1,624.43 | $2,663.00 | $1,268.00–$2,536.00 | 59% below | 39% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W | $1,624.43 | $2,663.00 | $1,268.00–$2,536.00 | — | 39% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID | $699.06 | $1,146.00 | $573.00–$1,146.00 | 55% below | 39% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID | $699.06 | $1,146.00 | $573.00–$1,146.00 | — | 39% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $263.52 | $432.00 | $205.50–$411.00 | 46% below | 39% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS | $263.52 | $432.00 | $205.50–$411.00 | — | 39% |
| Chest X-ray, single view CPT 71045 XRAY CHEST SGL VIEW | $216.55 | $355.00 | $169.00–$338.00 | 46% below | 39% |
| Chest X-ray, single view inpatient CPT 71045 XRAY CHEST SGL VIEW | $216.55 | $355.00 | $169.00–$338.00 | — | 39% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL | $699.06 | $1,146.00 | $545.50–$1,091.00 | 47% below | 39% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL | $699.06 | $1,146.00 | $545.50–$1,091.00 | — | 39% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DNSTY STUDY 1/> SITES | $425.78 | $698.00 | $332.00–$664.00 | 31% below | 39% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DNSTY STUDY 1/> SITES | $425.78 | $698.00 | $332.00–$664.00 | — | 39% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HEEL BONE DENSITY | $285.48 | $468.00 | $222.50–$445.00 | 13% below | 39% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HEEL BONE DENSITY | $285.48 | $468.00 | $222.50–$445.00 | — | 39% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB COMP FETAL ANATOMY | $722.24 | $1,184.00 | $563.50–$1,127.00 | 13% below | 39% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB COMP FETAL ANATOMY | $722.24 | $1,184.00 | $563.50–$1,127.00 | — | 39% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO | $1,330.41 | $2,181.00 | $1,038.50–$2,077.00 | 60% below | 39% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO | $1,330.41 | $2,181.00 | $1,038.50–$2,077.00 | — | 39% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONT | $1,638.46 | $2,686.00 | $1,279.00–$2,558.00 | 58% below | 39% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONT | $1,638.46 | $2,686.00 | $1,279.00–$2,558.00 | — | 39% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO, BILATERAL | $321.47 | $527.00 | $250.50–$501.00 | — | 39% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO, BILATERAL | $321.47 | $527.00 | $250.50–$501.00 | — | 39% |
| Diagnostic mammogram, one breast both sides CPT 77065 MAMMO ADD. VIEWS BILATERAL | $584.99 | $959.00 | $150.50–$301.00 | — | 39% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO UNILATERAL RT | $193.37 | $317.00 | $150.50–$301.00 | 43% below | 39% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO UNILATERAL LT | $193.37 | $317.00 | $150.50–$301.00 | 43% below | 39% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO I.E. CAD; UNILATERAL | $193.37 | $317.00 | $150.50–$301.00 | 43% below | 39% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO ADD. VIEWS LT | $292.80 | $480.00 | $150.50–$301.00 | 14% below | 39% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO ADD. VIEWS RT | $292.80 | $480.00 | $150.50–$301.00 | 14% below | 39% |
| Diagnostic mammogram, one breast inpatient both sides CPT 77065 MAMMO ADD. VIEWS BILATERAL | $584.99 | $959.00 | $150.50–$301.00 | — | 39% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO UNILATERAL RT | $193.37 | $317.00 | $150.50–$301.00 | — | 39% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO UNILATERAL LT | $193.37 | $317.00 | $150.50–$301.00 | — | 39% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO I.E. CAD; UNILATERAL | $193.37 | $317.00 | $150.50–$301.00 | — | 39% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO ADD. VIEWS LT | $292.80 | $480.00 | $150.50–$301.00 | — | 39% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO ADD. VIEWS RT | $292.80 | $480.00 | $150.50–$301.00 | — | 39% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US ARTERIAL DOP. | $455.67 | $747.00 | $373.50–$747.00 | 70% below | 39% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US ARTERIAL DOP. | $455.67 | $747.00 | $373.50–$747.00 | — | 39% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS-BILAT | $714.31 | $1,171.00 | $585.50–$1,171.00 | — | 39% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 READING OF DUPLEX SCAN, VEINS, | $122.00 | $200.00 | $585.50–$1,171.00 | 91% below | 39% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS-BILAT | $714.31 | $1,171.00 | $585.50–$1,171.00 | — | 39% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 READING OF DUPLEX SCAN, VEINS, | $122.00 | $200.00 | $585.50–$1,171.00 | — | 39% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TTHRC R-T 2D W/WOM COMPL, | $1,889.78 | $3,098.00 | $1,549.00–$3,098.00 | 56% below | 39% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO TTHRC R-T 2D W/WOM COMPL, | $1,889.78 | $3,098.00 | $1,549.00–$3,098.00 | — | 39% |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS BIL | $275.11 | $451.00 | $214.50–$429.00 | 12% below | 39% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RT | $275.11 | $451.00 | $214.50–$429.00 | 12% below | 39% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LT | $275.11 | $451.00 | $214.50–$429.00 | 12% below | 39% |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS BIL | $275.11 | $451.00 | $214.50–$429.00 | — | 39% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RT | $275.11 | $451.00 | $214.50–$429.00 | — | 39% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LT | $275.11 | $451.00 | $214.50–$429.00 | — | 39% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRA SOUND APPENDIX | $473.36 | $776.00 | $369.50–$739.00 | 56% below | 39% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD/APPEND LTD. | $473.36 | $776.00 | $369.50–$739.00 | 56% below | 39% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRA SOUND APPENDIX | $473.36 | $776.00 | $369.50–$739.00 | — | 39% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD/APPEND LTD. | $473.36 | $776.00 | $369.50–$739.00 | — | 39% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN (IDCT) FLUNG | $695.40 | $1,140.00 | $542.50–$1,085.00 | 46% above | 39% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LOW DOSE CT SCAN (IDCT) FLUNG | $695.40 | $1,140.00 | $542.50–$1,085.00 | — | 39% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI-JOINT LOW EXTREM W/O BIL | $2,163.06 | $3,546.00 | $1,688.50–$3,377.00 | 5% below | 39% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-JNT LOW EXTREM W/O RT | $2,163.06 | $3,546.00 | $1,688.50–$3,377.00 | 5% below | 39% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-JOINT LOW EXTREM W/O LT | $2,163.06 | $3,546.00 | $1,688.50–$3,377.00 | 5% below | 39% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI-JOINT LOW EXTREM W/O BIL | $2,163.06 | $3,546.00 | $1,688.50–$3,377.00 | — | 39% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-JOINT LOW EXTREM W/O LT | $2,163.06 | $3,546.00 | $1,688.50–$3,377.00 | — | 39% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-JNT LOW EXTREM W/O RT | $2,163.06 | $3,546.00 | $1,688.50–$3,377.00 | — | 39% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI-JNT LWR EXT COMBO BIL | $2,979.24 | $4,884.00 | $2,325.50–$4,651.00 | at median | 39% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-JNT LWR EXT COMBO LT | $2,979.24 | $4,884.00 | $2,325.50–$4,651.00 | at median | 39% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-JNT LWR EXT COMBO RT | $2,979.24 | $4,884.00 | $2,325.50–$4,651.00 | at median | 39% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI-JNT LWR EXT COMBO BIL | $2,979.24 | $4,884.00 | $2,325.50–$4,651.00 | — | 39% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-JNT LWR EXT COMBO LT | $2,979.24 | $4,884.00 | $2,325.50–$4,651.00 | — | 39% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-JNT LWR EXT COMBO RT | $2,979.24 | $4,884.00 | $2,325.50–$4,651.00 | — | 39% |
| MRI of the abdomen without contrast CPT 74181 MRI ABD W/O CONT | $2,216.13 | $3,633.00 | $1,730.00–$3,460.00 | 49% below | 39% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD W/O CONT | $2,216.13 | $3,633.00 | $1,730.00–$3,460.00 | — | 39% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD COMBO | $3,261.06 | $5,346.00 | $2,545.50–$5,091.00 | 45% below | 39% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD COMBO | $3,261.06 | $5,346.00 | $2,545.50–$5,091.00 | — | 39% |
| MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN+STEM W/O CONT | $2,292.99 | $3,759.00 | $1,790.00–$3,580.00 | 49% below | 39% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI-BRAIN+STEM W/O CONT | $2,292.99 | $3,759.00 | $1,790.00–$3,580.00 | — | 39% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN COMBO | $3,154.31 | $5,171.00 | $2,462.00–$4,924.00 | 46% below | 39% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN COMBO | $3,154.31 | $5,171.00 | $2,462.00–$4,924.00 | — | 39% |
| MRI of the lower back, no contrast dye CPT 72148 MRI-SPINE/LUMBAR W/O | $2,417.43 | $3,963.00 | $1,887.00–$3,774.00 | 43% below | 39% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-SPINE/LUMBAR W/O | $2,417.43 | $3,963.00 | $1,887.00–$3,774.00 | — | 39% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI-LUMBAR COMBO | $3,303.76 | $5,416.00 | $2,579.00–$5,158.00 | 45% below | 39% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI-LUMBAR COMBO | $3,303.76 | $5,416.00 | $2,579.00–$5,158.00 | — | 39% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI-SPINE/THORACIC W/O | $2,340.57 | $3,837.00 | $1,827.00–$3,654.00 | 45% below | 39% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI-SPINE/THORACIC W/O | $2,340.57 | $3,837.00 | $1,827.00–$3,654.00 | — | 39% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL COMBO | $3,258.62 | $5,342.00 | $2,543.50–$5,087.00 | 45% below | 39% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL COMBO | $3,258.62 | $5,342.00 | $2,543.50–$5,087.00 | — | 39% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI-SPINE/CERVICAL W/O | $2,277.13 | $3,733.00 | $1,777.50–$3,555.00 | 53% below | 39% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI-SPINE/CERVICAL W/O | $2,277.13 | $3,733.00 | $1,777.50–$3,555.00 | — | 39% |
| MRI of the pelvis without and with contrast CPT 72197 MRI-PELVIS COMBO | $3,233.61 | $5,301.00 | $2,524.00–$5,048.00 | 46% below | 39% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI-PELVIS COMBO | $3,233.61 | $5,301.00 | $2,524.00–$5,048.00 | — | 39% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI-PELVIS W/O CONT | $2,172.21 | $3,561.00 | $1,695.50–$3,391.00 | 48% below | 39% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI-PELVIS W/O CONT | $2,172.21 | $3,561.00 | $1,695.50–$3,391.00 | — | 39% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI-JNT UPR EXTR W/O BIL | $2,148.42 | $3,522.00 | $1,677.00–$3,354.00 | 6% below | 39% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-JNT UPR EXTR W/O RT | $2,148.42 | $3,522.00 | $1,677.00–$3,354.00 | 6% below | 39% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-JNT UPR EXTR W/O LT | $2,148.42 | $3,522.00 | $1,677.00–$3,354.00 | 6% below | 39% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI-JNT UPR EXTR W/O BIL | $2,148.42 | $3,522.00 | $1,677.00–$3,354.00 | — | 39% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-JNT UPR EXTR W/O RT | $2,148.42 | $3,522.00 | $1,677.00–$3,354.00 | — | 39% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-JNT UPR EXTR W/O LT | $2,148.42 | $3,522.00 | $1,677.00–$3,354.00 | — | 39% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NONOBSTRC W/IMAGE DO | $152.50 | $250.00 | $25.00–$50.00 | 77% below | 39% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LTD. | $336.72 | $552.00 | $25.00–$50.00 | 49% below | 39% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LTD W/TRANS VAG | $336.72 | $552.00 | $25.00–$50.00 | 49% below | 39% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NONOBSTRC W/IMAGE DO | $152.50 | $250.00 | $25.00–$50.00 | — | 39% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LTD. | $336.72 | $552.00 | $25.00–$50.00 | — | 39% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LTD W/TRANS VAG | $336.72 | $552.00 | $25.00–$50.00 | — | 39% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS | $505.08 | $828.00 | $394.00–$788.00 | 58% below | 39% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMPLETE/TRANS VAG A | $505.08 | $828.00 | $394.00–$788.00 | 58% below | 39% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS | $505.08 | $828.00 | $394.00–$788.00 | — | 39% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS COMPLETE/TRANS VAG A | $505.08 | $828.00 | $394.00–$788.00 | — | 39% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US EX OB BY PHYS | $563.03 | $923.00 | $439.50–$879.00 | 52% below | 39% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB > 14 WEEKS | $563.03 | $923.00 | $439.50–$879.00 | 52% below | 39% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US EX OB BY PHYS | $563.03 | $923.00 | $439.50–$879.00 | — | 39% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB > 14 WEEKS | $563.03 | $923.00 | $439.50–$879.00 | — | 39% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US US PREGNANT UTERUS 14 WK TR | $228.75 | $375.00 | $47.50–$95.00 | 65% below | 39% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 WEEKS | $467.87 | $767.00 | $47.50–$95.00 | 29% below | 39% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14 WKS W/TRANS VAG | $467.87 | $767.00 | $47.50–$95.00 | 29% below | 39% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US US PREGNANT UTERUS 14 WK TR | $228.75 | $375.00 | $47.50–$95.00 | — | 39% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB <14 WKS W/TRANS VAG | $467.87 | $767.00 | $47.50–$95.00 | — | 39% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 WEEKS | $467.87 | $767.00 | $47.50–$95.00 | — | 39% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD.CHECK POSITION/AFI | $453.84 | $744.00 | $354.00–$708.00 | 49% below | 39% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LTD.CHECK POSITION/AFI | $453.84 | $744.00 | $354.00–$708.00 | — | 39% |
| Screening mammogram, both breasts CPT 77067 SCR MAMMO, BILTRL 2-VIEW/CAD | $209.84 | $344.00 | $163.50–$327.00 | 43% below | 39% |
| Screening mammogram, both breasts inpatient CPT 77067 SCR MAMMO, BILTRL 2-VIEW/CAD | $209.84 | $344.00 | $163.50–$327.00 | — | 39% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER X RAY BIL | $286.70 | $470.00 | $223.50–$447.00 | at median | 39% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER X RAY RT | $286.70 | $470.00 | $223.50–$447.00 | at median | 39% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER X RAY LT | $286.70 | $470.00 | $223.50–$447.00 | at median | 39% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER X RAY BIL | $286.70 | $470.00 | $223.50–$447.00 | — | 39% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER X RAY LT | $286.70 | $470.00 | $223.50–$447.00 | — | 39% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER X RAY RT | $286.70 | $470.00 | $223.50–$447.00 | — | 39% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANS VAGINAL NON OB | $490.44 | $804.00 | $37.50–$75.00 | 51% below | 39% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANS VAGINAL NON OB | $490.44 | $804.00 | $37.50–$75.00 | — | 39% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANS VAG OB | $467.26 | $766.00 | $364.50–$729.00 | 26% below | 39% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANS VAG OB | $467.26 | $766.00 | $364.50–$729.00 | — | 39% |
| Ultrasound of the abdomen, complete CPT 76700 US GALLBLADDER | $719.19 | $1,179.00 | $561.00–$1,122.00 | 51% below | 39% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE | $719.19 | $1,179.00 | $561.00–$1,122.00 | 51% below | 39% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US GALLBLADDER | $719.19 | $1,179.00 | $561.00–$1,122.00 | — | 39% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE | $719.19 | $1,179.00 | $561.00–$1,122.00 | — | 39% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTAL | $553.27 | $907.00 | $431.50–$863.00 | 52% below | 39% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTAL | $553.27 | $907.00 | $431.50–$863.00 | — | 39% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD & NECK | $516.06 | $846.00 | $402.50–$805.00 | 52% below | 39% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD & NECK | $516.06 | $846.00 | $402.50–$805.00 | — | 39% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 BARIUM SWALLOW | $556.93 | $913.00 | $434.50–$869.00 | 44% below | 39% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 BARIUM SWALLOW | $556.93 | $913.00 | $434.50–$869.00 | — | 39% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS | $491.66 | $806.00 | $444.50–$889.00 | 42% below | 39% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS-UNILAT LT | $542.29 | $889.00 | $444.50–$889.00 | 36% below | 39% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS-UNILAT RT | $542.29 | $889.00 | $444.50–$889.00 | 36% below | 39% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VENOUS | $491.66 | $806.00 | $444.50–$889.00 | — | 39% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS-UNILAT LT | $542.29 | $889.00 | $444.50–$889.00 | — | 39% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS-UNILAT RT | $542.29 | $889.00 | $444.50–$889.00 | — | 39% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST X RAY BIL | $271.45 | $445.00 | $211.50–$423.00 | 10% below | 39% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST X RAY LT | $271.45 | $445.00 | $211.50–$423.00 | 10% below | 39% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST X RAY RT | $271.45 | $445.00 | $211.50–$423.00 | 10% below | 39% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST X RAY BIL | $271.45 | $445.00 | $211.50–$423.00 | — | 39% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST X RAY LT | $271.45 | $445.00 | $211.50–$423.00 | — | 39% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST X RAY RT | $271.45 | $445.00 | $211.50–$423.00 | — | 39% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 PELVIS W/ 1 VIEW HIP BIL | $127.49 | $209.00 | $152.50–$305.00 | 55% below | 39% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2-3 VIEWS, UNILATERAL BIL | $127.49 | $209.00 | $152.50–$305.00 | 55% below | 39% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 PELVIS W/ 1 VIEW HIP RT | $140.91 | $231.00 | $152.50–$305.00 | 50% below | 39% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 PELVIS W/ 1 VIEW HIP LT | $140.91 | $231.00 | $152.50–$305.00 | 50% below | 39% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2-3 VIEWS, UNILATERAL LT | $195.81 | $321.00 | $152.50–$305.00 | 31% below | 39% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2-3 VIEWS, UNILATERAL RT | $195.81 | $321.00 | $152.50–$305.00 | 31% below | 39% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 PELVIS W/ 1 VIEW HIP BIL | $127.49 | $209.00 | $152.50–$305.00 | — | 39% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2-3 VIEWS, UNILATERAL BIL | $127.49 | $209.00 | $152.50–$305.00 | — | 39% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 PELVIS W/ 1 VIEW HIP LT | $140.91 | $231.00 | $152.50–$305.00 | — | 39% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 PELVIS W/ 1 VIEW HIP RT | $140.91 | $231.00 | $152.50–$305.00 | — | 39% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2-3 VIEWS, UNILATERAL RT | $195.81 | $321.00 | $152.50–$305.00 | — | 39% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2-3 VIEWS, UNILATERAL LT | $195.81 | $321.00 | $152.50–$305.00 | — | 39% |
| X-ray of the abdomen, 1 view CPT 74018 KUB RAD EXAM ABD 1 VIEW | $259.86 | $426.00 | $202.50–$405.00 | 46% below | 39% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 KUB RAD EXAM ABD 1 VIEW | $259.86 | $426.00 | $202.50–$405.00 | — | 39% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS BIL | $191.54 | $314.00 | $149.50–$299.00 | 20% below | 39% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LT | $191.54 | $314.00 | $149.50–$299.00 | 20% below | 39% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RT | $191.54 | $314.00 | $149.50–$299.00 | 20% below | 39% |
| X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS BIL | $191.54 | $314.00 | $149.50–$299.00 | — | 39% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RT | $191.54 | $314.00 | $149.50–$299.00 | — | 39% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LT | $191.54 | $314.00 | $149.50–$299.00 | — | 39% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER X-RAY LT 5TH DIGIT | $223.26 | $366.00 | $174.00–$348.00 | 6% below | 39% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER X-RAY RT THUMB | $223.26 | $366.00 | $174.00–$348.00 | 6% below | 39% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER X-RAY LT THUMB | $223.26 | $366.00 | $174.00–$348.00 | 6% below | 39% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER X-RAY RT 5TH DIGIT | $223.26 | $366.00 | $174.00–$348.00 | 6% below | 39% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER X-RAY RT 4TH DIGIT | $223.26 | $366.00 | $174.00–$348.00 | 6% below | 39% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER X-RAY RT 3RD DIGIT | $223.26 | $366.00 | $174.00–$348.00 | 6% below | 39% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER X-RAY RT 2ND DIGIT | $223.26 | $366.00 | $174.00–$348.00 | 6% below | 39% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER X-RAY LT 4TH DIGIT | $223.26 | $366.00 | $174.00–$348.00 | 6% below | 39% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER X-RAY LT 2ND DIGIT | $223.26 | $366.00 | $174.00–$348.00 | 6% below | 39% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER X-RAY LT 3RD DIGIT | $223.26 | $366.00 | $174.00–$348.00 | 6% below | 39% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER X-RAY LT 5TH DIGIT | $223.26 | $366.00 | $174.00–$348.00 | — | 39% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER X-RAY LT 3RD DIGIT | $223.26 | $366.00 | $174.00–$348.00 | — | 39% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER X-RAY LT 2ND DIGIT | $223.26 | $366.00 | $174.00–$348.00 | — | 39% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER X-RAY RT 4TH DIGIT | $223.26 | $366.00 | $174.00–$348.00 | — | 39% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER X-RAY RT 2ND DIGIT | $223.26 | $366.00 | $174.00–$348.00 | — | 39% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER X-RAY RT 5TH DIGIT | $223.26 | $366.00 | $174.00–$348.00 | — | 39% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER X-RAY LT THUMB | $223.26 | $366.00 | $174.00–$348.00 | — | 39% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER X-RAY LT 4TH DIGIT | $223.26 | $366.00 | $174.00–$348.00 | — | 39% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER X-RAY RT THUMB | $223.26 | $366.00 | $174.00–$348.00 | — | 39% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER X-RAY RT 3RD DIGIT | $223.26 | $366.00 | $174.00–$348.00 | — | 39% |
| X-ray of the foot, 2 views CPT 73620 FOOT XRAY 2 VIEWS BIL | $252.54 | $414.00 | $197.00–$394.00 | at median | 39% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT XRAY 2 VIEWS LT | $252.54 | $414.00 | $197.00–$394.00 | at median | 39% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT XRAY 2 VIEWS RT | $252.54 | $414.00 | $197.00–$394.00 | at median | 39% |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT XRAY 2 VIEWS BIL | $252.54 | $414.00 | $197.00–$394.00 | — | 39% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT XRAY 2 VIEWS RT | $252.54 | $414.00 | $197.00–$394.00 | — | 39% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT XRAY 2 VIEWS LT | $252.54 | $414.00 | $197.00–$394.00 | — | 39% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT X RAY BIL | $266.57 | $437.00 | $208.00–$416.00 | 13% below | 39% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT X RAY RT | $266.57 | $437.00 | $208.00–$416.00 | 13% below | 39% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT X RAY LT | $266.57 | $437.00 | $208.00–$416.00 | 13% below | 39% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT X RAY BIL | $266.57 | $437.00 | $208.00–$416.00 | — | 39% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT X RAY RT | $266.57 | $437.00 | $208.00–$416.00 | — | 39% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT X RAY LT | $266.57 | $437.00 | $208.00–$416.00 | — | 39% |
| X-ray of the hand, 3 or more views CPT 73130 HAND X RAY BIL | $279.99 | $459.00 | $218.50–$437.00 | 12% below | 39% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND X RAY RT | $279.99 | $459.00 | $218.50–$437.00 | 12% below | 39% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND X RAY LT | $279.99 | $459.00 | $218.50–$437.00 | 12% below | 39% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND X RAY BIL | $279.99 | $459.00 | $218.50–$437.00 | — | 39% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND X RAY LT | $279.99 | $459.00 | $218.50–$437.00 | — | 39% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND X RAY RT | $279.99 | $459.00 | $218.50–$437.00 | — | 39% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 2 VIEW BIL | $246.44 | $404.00 | $192.00–$384.00 | 4% above | 39% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW LT | $246.44 | $404.00 | $192.00–$384.00 | 4% above | 39% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW RT | $246.44 | $404.00 | $192.00–$384.00 | 4% above | 39% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 2 VIEW BIL | $246.44 | $404.00 | $192.00–$384.00 | — | 39% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 2 VIEW RT | $246.44 | $404.00 | $192.00–$384.00 | — | 39% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 2 VIEW LT | $246.44 | $404.00 | $192.00–$384.00 | — | 39% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE, LUMBAR LTD | $314.76 | $516.00 | $245.50–$491.00 | 49% below | 39% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE, LUMBAR LTD | $314.76 | $516.00 | $245.50–$491.00 | — | 39% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE, LUMBAR COMPLETE | $509.35 | $835.00 | $397.50–$795.00 | 49% below | 39% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE, LUMBAR COMPLETE | $509.35 | $835.00 | $397.50–$795.00 | — | 39% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE, THORACIC | $314.15 | $515.00 | $245.00–$490.00 | 40% below | 39% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE, THORACIC | $314.15 | $515.00 | $245.00–$490.00 | — | 39% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES X RAY | $314.15 | $515.00 | $245.00–$490.00 | 47% below | 39% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES X RAY | $314.15 | $515.00 | $245.00–$490.00 | — | 39% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE-CERVICAL 3V | $323.91 | $531.00 | $252.50–$505.00 | 41% below | 39% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE-CERVICAL 3V | $323.91 | $531.00 | $252.50–$505.00 | — | 39% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 VIEW | $253.76 | $416.00 | $198.00–$396.00 | 53% below | 39% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 VIEW | $253.76 | $416.00 | $198.00–$396.00 | — | 39% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX X RAY | $292.19 | $479.00 | $228.00–$456.00 | 53% below | 39% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX X RAY | $292.19 | $479.00 | $228.00–$456.00 | — | 39% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Utah | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $45.14 | $74.00 | $37.00–$74.00 | 62% below | 39% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT | $45.14 | $74.00 | $37.00–$74.00 | — | 39% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $45.14 | $74.00 | $37.00–$74.00 | 62% below | 39% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT | $45.14 | $74.00 | $37.00–$74.00 | — | 39% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $274.50 | $450.00 | $214.00–$428.00 | 53% below | 39% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $274.50 | $450.00 | $214.00–$428.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WESTERN RAGWEED | $9.15 | $15.00 | $92.50–$185.00 | 90% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY IGE | $9.76 | $16.00 | $728.50–$1,457.00 | 89% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RICE IGE | $9.76 | $16.00 | $728.50–$1,457.00 | 89% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OATS IGE | $9.76 | $16.00 | $728.50–$1,457.00 | 89% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN IGE | $9.76 | $16.00 | $728.50–$1,457.00 | 89% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE | $9.76 | $16.00 | $728.50–$1,457.00 | 89% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER IGE | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLAM IGE | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHOLE EGG | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT IGE | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PECAN-FOOD IGE | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED IGE | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND IGE | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA-LACTALBUMIN | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BETA-LACTOGLOBULIN IGE | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT-FOOD IGE | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINE NUT | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT-FOOD IGE | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT, SWEET | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RICE IgE | $10.37 | $17.00 | $92.50–$185.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY IgE | $10.37 | $17.00 | $92.50–$185.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN IgE | $10.37 | $17.00 | $92.50–$185.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALMON IGE | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH IGE | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SQUID IGE | $10.37 | $17.00 | $728.50–$1,457.00 | 88% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EASTERN SYCAMORE, IGE, SERUM | $10.98 | $18.00 | $728.50–$1,457.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT, IgE | $10.98 | $18.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN, IgE | $10.98 | $18.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OATS IgE | $10.98 | $18.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TROUT IgE | $10.98 | $18.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK, IgE | $10.98 | $18.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BUDGERIGAR FEATHERS, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PIGEON FEATHERS, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FINCH FEATHERS, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FIREBUSH (KOCHIA) IGE | $10.98 | $18.00 | $728.50–$1,457.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALE, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH MARSH ELDER, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMB'S QUARTER, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKLEBUR, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE, IGE, SERUM | $10.98 | $18.00 | $728.50–$1,457.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEEF, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANARY FEATHERS, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS, IgE | $11.59 | $19.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FIREBUSH (KOCHIA) IgE | $11.59 | $19.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKLEBUR, IgE | $11.59 | $19.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BUDGERIGAR FEATHERS, IgE | $11.59 | $19.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMB'S QUARTER, IgE | $11.59 | $19.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FINCH FEATHERS, IgE | $11.59 | $19.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH MARSH ELDER, IgE | $11.59 | $19.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PIGEON FEATHERS, IgE | $11.59 | $19.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALE, IgE | $11.59 | $19.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEEF, IgE | $11.59 | $19.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANARY FEATHERS, IgE | $11.59 | $19.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EASTERN SYCAMORE, IgE, SERUM | $11.59 | $19.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE, IgE, SERUM | $11.59 | $19.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE, IgE | $11.59 | $19.00 | $92.50–$185.00 | 87% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 QUEEN PALM IGE | $15.86 | $26.00 | $728.50–$1,457.00 | 82% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DATE TREE IGE | $15.86 | $26.00 | $728.50–$1,457.00 | 82% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HORSE DANDER, IGE | $18.91 | $31.00 | $728.50–$1,457.00 | 78% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WILLOW, IGE | $18.91 | $31.00 | $728.50–$1,457.00 | 78% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN. IGG | $18.91 | $31.00 | $728.50–$1,457.00 | 78% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WORMWOOD, IGE | $18.91 | $31.00 | $728.50–$1,457.00 | 78% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MESQUITE, IGE | $18.91 | $31.00 | $728.50–$1,457.00 | 78% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SILVER BIRCH, IGG | $18.91 | $31.00 | $728.50–$1,457.00 | 78% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WILLOW, IgE | $20.13 | $33.00 | $92.50–$185.00 | 77% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SILVER BIRCH, IgG | $20.13 | $33.00 | $92.50–$185.00 | 77% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MESQUITE, IgE | $20.13 | $33.00 | $92.50–$185.00 | 77% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN. IgG | $20.13 | $33.00 | $92.50–$185.00 | 77% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HORSE DANDER, IgE | $20.13 | $33.00 | $92.50–$185.00 | 77% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WORMWOOD, IgE | $20.13 | $33.00 | $92.50–$185.00 | 77% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED. IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MULBERRY, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ELM, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST MITES/DP, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST MITES/D.F.,1GE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD, 1GE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH, 1GE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM, 1GE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT EPITHELIUM, 1GE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BOX ELD/MAPLE, S, 1GE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX, 1GE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED. IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CORN-FOOD, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAB IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MELONS. IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENUIS, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT. IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COD FISH IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO. IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOPS IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TUNA IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHORT RAGWEED, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RED SORREL, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE EPITHELIUM, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE-TREE, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GREY ALDER, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | 66% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE EPITHELIUM, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED. IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GREY ALDER, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENUIS, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BOX ELD/MAPLE, S, 1gE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT EPITHELIUM, 1gE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM, 1gE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH, 1gE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD, 1gE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST MITES/D.F.,1gE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST MITES/DP, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ELM, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MULBERRY, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE-TREE, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RED SORREL, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHORT RAGWEED, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TUNA IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOPS IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO. IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COD FISH IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT. IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MELONS. IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAB IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CORN-FOOD, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED. IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK, IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX, 1gE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO IgE | $31.72 | $52.00 | $92.50–$185.00 | 64% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FEATHER PANEL #2 | $42.70 | $70.00 | $92.50–$185.00 | 51% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD PANEL | $45.14 | $74.00 | $728.50–$1,457.00 | 48% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD-GRAIN PANEL | $46.97 | $77.00 | $728.50–$1,457.00 | 46% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD-SEAFOOD PANEL | $46.97 | $77.00 | $728.50–$1,457.00 | 46% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JUNIPER WESTERN | $71.37 | $117.00 | $92.50–$185.00 | 18% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HACKBERRY (CELTIS OCCIDENTALIS | $79.30 | $130.00 | $728.50–$1,457.00 | 9% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALFALFA (MEDICAGO SATIVA) IGE | $79.30 | $130.00 | $728.50–$1,457.00 | 9% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE (PER ALL | $82.35 | $135.00 | $728.50–$1,457.00 | 6% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOLD PANEL | $82.35 | $135.00 | $728.50–$1,457.00 | 6% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC (PEANUT ALLE | $82.35 | $135.00 | $728.50–$1,457.00 | 6% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALFALFA (MEDICAGO SATIVA) IgE | $83.57 | $137.00 | $92.50–$185.00 | 4% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD-NUT PANEL #2 | $84.79 | $139.00 | $728.50–$1,457.00 | 3% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD-NUT PANEL #1 | $84.79 | $139.00 | $728.50–$1,457.00 | 3% below | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKATIEL FEATHERS, IGE | $99.43 | $163.00 | $728.50–$1,457.00 | 14% above | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SAGE (ARTEMISIA SPP) IGE | $99.43 | $163.00 | $728.50–$1,457.00 | 14% above | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PARROT AUS (BUDGERIGAR) FEATHE | $99.43 | $163.00 | $728.50–$1,457.00 | 14% above | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKATIEL FEATHERS, IgE | $104.92 | $172.00 | $92.50–$185.00 | 20% above | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SAGE (ARTEMISIA SPP) IgE | $104.92 | $172.00 | $92.50–$185.00 | 20% above | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHOLE. IGE | $107.36 | $176.00 | $728.50–$1,457.00 | 23% above | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHOLE. IgE | $112.85 | $185.00 | $92.50–$185.00 | 29% above | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ANNATTO SEED (BIXA ORELLANA) I | $143.96 | $236.00 | $728.50–$1,457.00 | 65% above | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA. IGE | $143.96 | $236.00 | $728.50–$1,457.00 | 65% above | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA. IgE | $151.28 | $248.00 | $92.50–$185.00 | 73% above | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD PANEL #2 | $267.18 | $438.00 | $728.50–$1,457.00 | 205% above | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD-FRUIT PANEL | $267.18 | $438.00 | $728.50–$1,457.00 | 205% above | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WEED PANEL #3 | $278.77 | $457.00 | $92.50–$185.00 | 219% above | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TREE PANEL #1 | $278.77 | $457.00 | $92.50–$185.00 | 219% above | 39% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MAMM MEAT ALGY PROFILE | $888.77 | $1,457.00 | $728.50–$1,457.00 | 916% above | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WESTERN RAGWEED | $9.15 | $15.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY IGE | $9.76 | $16.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN IGE | $9.76 | $16.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OATS IGE | $9.76 | $16.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RICE IGE | $9.76 | $16.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT IGE | $9.76 | $16.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACADAMIA NUT | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED IGE | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OYSTER IGE | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT IGE | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT-FOOD IGE | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA-LACTALBUMIN | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHOLE EGG | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN IgE | $10.37 | $17.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE NUT | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON IGE | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY IgE | $10.37 | $17.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH IGE | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SQUID IGE | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT-FOOD IGE | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN-FOOD IGE | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND IGE | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM IGE | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHESTNUT, SWEET | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RICE IgE | $10.37 | $17.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BETA-LACTOGLOBULIN IGE | $10.37 | $17.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT, IgE | $10.98 | $18.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NETTLE, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN, IgE | $10.98 | $18.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK, IgE | $10.98 | $18.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FINCH FEATHERS, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT TREE, IGE, SERUM | $10.98 | $18.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH MARSH ELDER, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIGEON FEATHERS, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALE, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB'S QUARTER, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TROUT IgE | $10.98 | $18.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIREBUSH (KOCHIA) IGE | $10.98 | $18.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUDGERIGAR FEATHERS, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OATS IgE | $10.98 | $18.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKLEBUR, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EASTERN SYCAMORE, IGE, SERUM | $10.98 | $18.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANARY FEATHERS, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS, IGE | $10.98 | $18.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUDGERIGAR FEATHERS, IgE | $11.59 | $19.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT TREE, IgE, SERUM | $11.59 | $19.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EASTERN SYCAMORE, IgE, SERUM | $11.59 | $19.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIREBUSH (KOCHIA) IgE | $11.59 | $19.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANARY FEATHERS, IgE | $11.59 | $19.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FINCH FEATHERS, IgE | $11.59 | $19.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF, IgE | $11.59 | $19.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH MARSH ELDER, IgE | $11.59 | $19.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NETTLE, IgE | $11.59 | $19.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB'S QUARTER, IgE | $11.59 | $19.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALE, IgE | $11.59 | $19.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIGEON FEATHERS, IgE | $11.59 | $19.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKLEBUR, IgE | $11.59 | $19.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS, IgE | $11.59 | $19.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 QUEEN PALM IGE | $15.86 | $26.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DATE TREE IGE | $15.86 | $26.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE DANDER, IGE | $18.91 | $31.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENGLISH PLANTAIN. IGG | $18.91 | $31.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MESQUITE, IGE | $18.91 | $31.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WORMWOOD, IGE | $18.91 | $31.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SILVER BIRCH, IGG | $18.91 | $31.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WILLOW, IGE | $18.91 | $31.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MESQUITE, IgE | $20.13 | $33.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SILVER BIRCH, IgG | $20.13 | $33.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WILLOW, IgE | $20.13 | $33.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WORMWOOD, IgE | $20.13 | $33.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE DANDER, IgE | $20.13 | $33.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENGLISH PLANTAIN. IgG | $20.13 | $33.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN-FOOD, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED. IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUCOR, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX, 1GE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATO IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTONWOOD, 1GE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST MITES/D.F.,1GE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST MITES/DP, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BOX ELD/MAPLE, S, 1GE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT EPITHELIUM, 1GE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUGWORT, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM, 1GE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH, 1GE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER SEED. IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MULBERRY, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OLIVE-TREE, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIUM, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE EPITHELIUM, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH PIGWEED, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RUSSIAN THISTLE, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED SORREL, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHORT RAGWEED, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOPS IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO. IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COD FISH IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREY ALDER, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA TENUIS, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT. IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK, IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELONS. IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB IGE | $29.89 | $49.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATO IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MULBERRY, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUGWORT, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST MITES/DP, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX, 1gE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUCOR, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST MITES/D.F.,1gE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED. IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OLIVE-TREE, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN-FOOD, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIUM, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTONWOOD, 1gE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOPS IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH, 1gE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM, 1gE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH PIGWEED, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT EPITHELIUM, 1gE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BOX ELD/MAPLE, S, 1gE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RUSSIAN THISTLE, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELONS. IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA TENUIS, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO. IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREY ALDER, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER SEED. IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED SORREL, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHORT RAGWEED, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COD FISH IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE EPITHELIUM, IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT. IgE | $31.72 | $52.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FEATHER PANEL #2 | $42.70 | $70.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD PANEL | $45.14 | $74.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD-GRAIN PANEL | $46.97 | $77.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD-SEAFOOD PANEL | $46.97 | $77.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JUNIPER WESTERN | $71.37 | $117.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HACKBERRY (CELTIS OCCIDENTALIS | $79.30 | $130.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALFALFA (MEDICAGO SATIVA) IGE | $79.30 | $130.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOLD PANEL | $82.35 | $135.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC (PEANUT ALLE | $82.35 | $135.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE (PER ALL | $82.35 | $135.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALFALFA (MEDICAGO SATIVA) IgE | $83.57 | $137.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD-NUT PANEL #1 | $84.79 | $139.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD-NUT PANEL #2 | $84.79 | $139.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKATIEL FEATHERS, IGE | $99.43 | $163.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SAGE (ARTEMISIA SPP) IGE | $99.43 | $163.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARROT AUS (BUDGERIGAR) FEATHE | $99.43 | $163.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SAGE (ARTEMISIA SPP) IgE | $104.92 | $172.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKATIEL FEATHERS, IgE | $104.92 | $172.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHOLE. IGE | $107.36 | $176.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHOLE. IgE | $112.85 | $185.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TILAPIA. IGE | $143.96 | $236.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ANNATTO SEED (BIXA ORELLANA) I | $143.96 | $236.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TILAPIA. IgE | $151.28 | $248.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD PANEL #2 | $267.18 | $438.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD-FRUIT PANEL | $267.18 | $438.00 | $728.50–$1,457.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WEED PANEL #3 | $278.77 | $457.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TREE PANEL #1 | $278.77 | $457.00 | $92.50–$185.00 | — | 39% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAMM MEAT ALGY PROFILE | $888.77 | $1,457.00 | $728.50–$1,457.00 | — | 39% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CONNECTIVE TISS DISEASE CASCAD | $139.08 | $228.00 | $114.00–$228.00 | 8% below | 39% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE ( | $139.08 | $228.00 | $114.00–$228.00 | 8% below | 39% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CONNECTIVE TISS DISEASE CASCAD | $139.08 | $228.00 | $114.00–$228.00 | — | 39% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE ( | $139.08 | $228.00 | $114.00–$228.00 | — | 39% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (PANEL ONLY) | $26.84 | $44.00 | $102.50–$205.00 | 84% below | 39% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR ANTIBODY | $125.05 | $205.00 | $102.50–$205.00 | 27% below | 39% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 AP-ASO | $125.05 | $205.00 | $102.50–$205.00 | 27% below | 39% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $125.05 | $205.00 | $102.50–$205.00 | 27% below | 39% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $125.05 | $205.00 | $102.50–$205.00 | 27% below | 39% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CONNECTIVE TISS DISEASE CASCAD | $125.05 | $205.00 | $102.50–$205.00 | 27% below | 39% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE AB | $125.05 | $205.00 | $102.50–$205.00 | 27% below | 39% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA (PANEL ONLY) | $26.84 | $44.00 | $102.50–$205.00 | — | 39% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $125.05 | $205.00 | $102.50–$205.00 | — | 39% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 AP-ASO | $125.05 | $205.00 | $102.50–$205.00 | — | 39% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE AB | $125.05 | $205.00 | $102.50–$205.00 | — | 39% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $125.05 | $205.00 | $102.50–$205.00 | — | 39% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR ANTIBODY | $125.05 | $205.00 | $102.50–$205.00 | — | 39% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CONNECTIVE TISS DISEASE CASCAD | $125.05 | $205.00 | $102.50–$205.00 | — | 39% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $195.20 | $320.00 | $161.50–$323.00 | 28% below | 39% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP NATRIURETIC PEPTIDE | $197.03 | $323.00 | $161.50–$323.00 | 27% below | 39% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE | $195.20 | $320.00 | $161.50–$323.00 | — | 39% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP NATRIURETIC PEPTIDE | $197.03 | $323.00 | $161.50–$323.00 | — | 39% |
| Basic metabolic panel (blood test) CPT 80048 CHEM 7 | $74.42 | $122.00 | $56.50–$113.00 | 44% below | 39% |
| Basic metabolic panel (blood test) inpatient CPT 80048 CHEM 7 | $74.42 | $122.00 | $56.50–$113.00 | — | 39% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY PREP LVL IV | $87.84 | $144.00 | $255.50–$511.00 | 82% below | 39% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW INTERPRET | $311.71 | $511.00 | $255.50–$511.00 | 36% below | 39% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATHOLOGY PREP LVL IV | $87.84 | $144.00 | $255.50–$511.00 | — | 39% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW INTERPRET | $311.71 | $511.00 | $255.50–$511.00 | — | 39% |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD | $144.57 | $237.00 | $118.50–$237.00 | 49% below | 39% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD | $144.57 | $237.00 | $118.50–$237.00 | — | 39% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PHLEBOTOMY-BLOOD DRAW | $33.55 | $55.00 | $27.50–$55.00 | 15% below | 39% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PHLEBOTOMY-BLOOD DRAW | $33.55 | $55.00 | $27.50–$55.00 | — | 39% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE TEST | $19.52 | $32.00 | $33.00–$66.00 | 81% below | 39% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, BLOOD | $40.26 | $66.00 | $33.00–$66.00 | 61% below | 39% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE TEST | $19.52 | $32.00 | $33.00–$66.00 | — | 39% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, BLOOD | $40.26 | $66.00 | $33.00–$66.00 | — | 39% |
| Blood lead test CPT 83655 LEAD, CAPILLARY, W/ DEMOGRAPHI | $25.62 | $42.00 | $127.00–$254.00 | 76% below | 39% |
| Blood lead test CPT 83655 ASSAY OF LEAD (PANEL ONLY) | $35.38 | $58.00 | $127.00–$254.00 | 67% below | 39% |
| Blood lead test CPT 83655 LEAD | $154.94 | $254.00 | $127.00–$254.00 | 46% above | 39% |
| Blood lead test inpatient CPT 83655 LEAD, CAPILLARY, W/ DEMOGRAPHI | $25.62 | $42.00 | $127.00–$254.00 | — | 39% |
| Blood lead test inpatient CPT 83655 ASSAY OF LEAD (PANEL ONLY) | $35.38 | $58.00 | $127.00–$254.00 | — | 39% |
| Blood lead test inpatient CPT 83655 LEAD | $154.94 | $254.00 | $127.00–$254.00 | — | 39% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG TEST | $65.88 | $108.00 | $54.00–$108.00 | 29% below | 39% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG TEST | $65.88 | $108.00 | $54.00–$108.00 | — | 39% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TYPE | $51.24 | $84.00 | $63.00–$126.00 | 74% below | 39% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO DISCREPANCY | $76.86 | $126.00 | $63.00–$126.00 | 61% below | 39% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TYPE | $51.24 | $84.00 | $63.00–$126.00 | — | 39% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO DISCREPANCY | $76.86 | $126.00 | $63.00–$126.00 | — | 39% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $87.84 | $144.00 | $73.50–$147.00 | 50% below | 39% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $89.67 | $147.00 | $73.50–$147.00 | 49% below | 39% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $87.84 | $144.00 | $73.50–$147.00 | — | 39% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP | $89.67 | $147.00 | $73.50–$147.00 | — | 39% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF; MOL | $174.46 | $286.00 | $143.00–$286.00 | 9% above | 39% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF; MOL | $174.46 | $286.00 | $143.00–$286.00 | — | 39% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMANTIGE | $183.61 | $301.00 | $150.50–$301.00 | 42% below | 39% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMANTIGE | $183.61 | $301.00 | $150.50–$301.00 | — | 39% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMANTIGE | $337.33 | $553.00 | $276.50–$553.00 | 4% above | 39% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMANTIGE | $337.33 | $553.00 | $276.50–$553.00 | — | 39% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 RNA - MAYO | $106.75 | $175.00 | $87.50–$175.00 | 43% above | 39% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 RNA - CEPHEID | $106.75 | $175.00 | $87.50–$175.00 | 43% above | 39% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 RNA - ABBOTT | $106.75 | $175.00 | $87.50–$175.00 | 43% above | 39% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 RNA - QUEST | $106.75 | $175.00 | $87.50–$175.00 | 43% above | 39% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 RNA - QUEST | $106.75 | $175.00 | $87.50–$175.00 | — | 39% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 RNA - ABBOTT | $106.75 | $175.00 | $87.50–$175.00 | — | 39% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 RNA - CEPHEID | $106.75 | $175.00 | $87.50–$175.00 | — | 39% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 RNA - MAYO | $106.75 | $175.00 | $87.50–$175.00 | — | 39% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 FPE CHLAMYDIA STI LAB TEST | $32.33 | $53.00 | $110.00–$220.00 | 84% below | 39% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH PROBE TE | $134.20 | $220.00 | $110.00–$220.00 | 35% below | 39% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 FPE CHLAMYDIA STI LAB TEST | $32.33 | $53.00 | $110.00–$220.00 | — | 39% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH PROBE TE | $134.20 | $220.00 | $110.00–$220.00 | — | 39% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $95.16 | $156.00 | $72.50–$145.00 | 52% below | 39% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $95.16 | $156.00 | $72.50–$145.00 | — | 39% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF | $59.17 | $97.00 | $48.50–$97.00 | 12% below | 39% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFF | $59.17 | $97.00 | $48.50–$97.00 | — | 39% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $56.73 | $93.00 | $46.50–$93.00 | 67% below | 39% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $56.73 | $93.00 | $46.50–$93.00 | — | 39% |
| Comprehensive metabolic panel (blood test) CPT 80053 CHEM 12 PROFILE | $134.20 | $220.00 | $103.00–$206.00 | 23% below | 39% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHEM 12 PROFILE | $134.20 | $220.00 | $103.00–$206.00 | — | 39% |
| D-dimer blood test (blood clot marker) CPT 85379 FDP | $111.02 | $182.00 | $91.00–$182.00 | 25% below | 39% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FDP | $111.02 | $182.00 | $91.00–$182.00 | — | 39% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $148.84 | $244.00 | $123.00–$246.00 | 39% below | 39% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $150.06 | $246.00 | $123.00–$246.00 | 38% below | 39% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $148.84 | $244.00 | $123.00–$246.00 | — | 39% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $150.06 | $246.00 | $123.00–$246.00 | — | 39% |
| Estradiol blood test CPT 82670 ESTRADIOL | $206.18 | $338.00 | $169.00–$338.00 | 3% below | 39% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $206.18 | $338.00 | $169.00–$338.00 | — | 39% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM, HORMONE | $156.77 | $257.00 | $128.50–$257.00 | 21% below | 39% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM, HORMONE | $156.77 | $257.00 | $128.50–$257.00 | — | 39% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $144.57 | $237.00 | $118.50–$237.00 | 74% below | 39% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $144.57 | $237.00 | $118.50–$237.00 | — | 39% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $100.65 | $165.00 | $82.50–$165.00 | 29% below | 39% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $100.65 | $165.00 | $82.50–$165.00 | — | 39% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM (PAN | $27.45 | $45.00 | $100.00–$200.00 | 84% below | 39% |
| Folate (folic acid) blood test CPT 82746 FOLATE, SERUM | $122.00 | $200.00 | $100.00–$200.00 | 30% below | 39% |
| Folate (folic acid) blood test inpatient CPT 82746 ASSAY OF FOLIC ACID SERUM (PAN | $27.45 | $45.00 | $100.00–$200.00 | — | 39% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE, SERUM | $122.00 | $200.00 | $100.00–$200.00 | — | 39% |
| Free T3 thyroid hormone test CPT 84481 TRIIDOTHYRONINE T3 FREE | $189.10 | $310.00 | $155.00–$310.00 | 12% above | 39% |
| Free T3 thyroid hormone test inpatient CPT 84481 TRIIDOTHYRONINE T3 FREE | $189.10 | $310.00 | $155.00–$310.00 | — | 39% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 BY DIALYSIS | $65.27 | $107.00 | $78.50–$157.00 | 57% below | 39% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T-4 | $95.77 | $157.00 | $78.50–$157.00 | 37% below | 39% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 BY DIALYSIS | $65.27 | $107.00 | $78.50–$157.00 | — | 39% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T-4 | $95.77 | $157.00 | $78.50–$157.00 | — | 39% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $36.60 | $60.00 | $123.00–$246.00 | 75% below | 39% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $59.17 | $97.00 | $123.00–$246.00 | 59% below | 39% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $36.60 | $60.00 | $123.00–$246.00 | — | 39% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE | $59.17 | $97.00 | $123.00–$246.00 | — | 39% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $283.04 | $464.00 | $220.50–$441.00 | 48% below | 39% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL-LIMITED | $301.34 | $494.00 | $247.00–$494.00 | 45% below | 39% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL-COMPLETE | $303.78 | $498.00 | $247.00–$494.00 | 44% below | 39% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $283.04 | $464.00 | $220.50–$441.00 | — | 39% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL-LIMITED | $301.34 | $494.00 | $247.00–$494.00 | — | 39% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL-COMPLETE | $303.78 | $498.00 | $247.00–$494.00 | — | 39% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 INTREPID GLUCOSE LIPID | $74.42 | $122.00 | $61.00–$122.00 | 44% below | 39% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GESTAT. DIABETES | $74.42 | $122.00 | $61.00–$122.00 | 44% below | 39% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GESTAT. DIABETES | $74.42 | $122.00 | $61.00–$122.00 | — | 39% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 INTREPID GLUCOSE LIPID | $74.42 | $122.00 | $61.00–$122.00 | — | 39% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE, 1-2HR | $114.68 | $188.00 | $94.00–$188.00 | 42% below | 39% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE, 1-2HR | $114.68 | $188.00 | $94.00–$188.00 | — | 39% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 FPE STI LAB TEST (GC/CT) | $32.33 | $53.00 | $109.00–$218.00 | 83% below | 39% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE | $132.98 | $218.00 | $109.00–$218.00 | 31% below | 39% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 FPE STI LAB TEST (GC/CT) | $32.33 | $53.00 | $109.00–$218.00 | — | 39% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE | $132.98 | $218.00 | $109.00–$218.00 | — | 39% |
| H. pylori antibody blood test CPT 86677 H. PYLORIE | $160.43 | $263.00 | $131.50–$263.00 | 20% below | 39% |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORIE | $160.43 | $263.00 | $131.50–$263.00 | — | 39% |
| H. pylori stool antigen test CPT 87338 INFECT AGENT-H. PYLORI/STOOL | $204.96 | $336.00 | $168.00–$336.00 | 58% below | 39% |
| H. pylori stool antigen test inpatient CPT 87338 INFECT AGENT-H. PYLORI/STOOL | $204.96 | $336.00 | $168.00–$336.00 | — | 39% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA DETECT & QUANTIFICAT | $290.36 | $476.00 | $613.50–$1,227.00 | 17% below | 39% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QNTFCTN W/RFLX HIV-1 | $290.36 | $476.00 | $613.50–$1,227.00 | 17% below | 39% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA DETCT & QUANT, PRENA | $290.36 | $476.00 | $613.50–$1,227.00 | 17% below | 39% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA, PCR | $748.47 | $1,227.00 | $613.50–$1,227.00 | 115% above | 39% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QNTFCTN W/RFLX HIV-1 | $290.36 | $476.00 | $613.50–$1,227.00 | — | 39% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA DETCT & QUANT, PRENA | $290.36 | $476.00 | $613.50–$1,227.00 | — | 39% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA DETECT & QUANTIFICAT | $290.36 | $476.00 | $613.50–$1,227.00 | — | 39% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA, PCR | $748.47 | $1,227.00 | $613.50–$1,227.00 | — | 39% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 AND HIV 2 | $122.00 | $200.00 | $100.00–$200.00 | 27% below | 39% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 AND HIV 2 | $122.00 | $200.00 | $100.00–$200.00 | — | 39% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 & HIV-2 ANTIBODY CONF/DI | $57.34 | $94.00 | $82.00–$164.00 | 22% below | 39% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV ANTIG & ANTIB/PRENATAL SCR | $57.34 | $94.00 | $82.00–$164.00 | 22% below | 39% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 AG & AB SCREEN | $100.04 | $164.00 | $82.00–$164.00 | 36% above | 39% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 Ag & Ab SCREEN | $105.53 | $173.00 | $86.50–$173.00 | 43% above | 39% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 & HIV-2 ANTIBODY CONF/DI | $57.34 | $94.00 | $82.00–$164.00 | — | 39% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV ANTIG & ANTIB/PRENATAL SCR | $57.34 | $94.00 | $82.00–$164.00 | — | 39% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/2 AG & AB SCREEN | $100.04 | $164.00 | $82.00–$164.00 | — | 39% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/2 Ag & Ab SCREEN | $105.53 | $173.00 | $86.50–$173.00 | — | 39% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV W/GENOTYPING | $76.25 | $125.00 | $62.50–$125.00 | 62% below | 39% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPVG PCR W/PAP REFL,THIN PREP | $76.25 | $125.00 | $62.50–$125.00 | 62% below | 39% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV W/GENOTYPING | $76.25 | $125.00 | $62.50–$125.00 | — | 39% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPVG PCR W/PAP REFL,THIN PREP | $76.25 | $125.00 | $62.50–$125.00 | — | 39% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN | $65.27 | $107.00 | $53.50–$107.00 | 43% below | 39% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN | $65.27 | $107.00 | $53.50–$107.00 | — | 39% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 EMS HEP B, HCV, HIV TESTING | $107.36 | $176.00 | $88.00–$176.00 | 36% below | 39% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SUR AB | $107.36 | $176.00 | $88.00–$176.00 | 36% below | 39% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SUR AB | $107.36 | $176.00 | $88.00–$176.00 | — | 39% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 EMS HEP B, HCV, HIV TESTING | $107.36 | $176.00 | $88.00–$176.00 | — | 39% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN HBAAG EX | $52.46 | $86.00 | $72.50–$145.00 | 41% below | 39% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN HBaAG EX | $55.51 | $91.00 | $45.50–$91.00 | 37% below | 39% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG | $88.45 | $145.00 | $72.50–$145.00 | at median | 39% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN HBAAG EX | $52.46 | $86.00 | $72.50–$145.00 | — | 39% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN HBaAG EX | $55.51 | $91.00 | $45.50–$91.00 | — | 39% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG | $88.45 | $145.00 | $72.50–$145.00 | — | 39% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBDY SCRN W REFLEX HC | $112.24 | $184.00 | $113.00–$226.00 | 55% below | 39% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODY EXP | $114.68 | $188.00 | $113.00–$226.00 | 54% below | 39% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $137.86 | $226.00 | $113.00–$226.00 | 45% below | 39% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTIBDY SCRN W REFLEX HC | $112.24 | $184.00 | $113.00–$226.00 | — | 39% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTIBODY EXP | $114.68 | $188.00 | $113.00–$226.00 | — | 39% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $137.86 | $226.00 | $113.00–$226.00 | — | 39% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DETECT/QUANT | $256.20 | $420.00 | $380.50–$761.00 | 22% below | 39% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRUS RNA QNT W/RFLX, HC | $464.21 | $761.00 | $380.50–$761.00 | 41% above | 39% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA DETECT/QUANT | $256.20 | $420.00 | $380.50–$761.00 | — | 39% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRUS RNA QNT W/RFLX, HC | $464.21 | $761.00 | $380.50–$761.00 | — | 39% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPES 1 AND 2 AB | $31.72 | $52.00 | $88.00–$176.00 | 72% below | 39% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPES 1 AND 2 Ab | $33.55 | $55.00 | $27.50–$55.00 | 70% below | 39% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY; HERPES SIMP 1 | $107.36 | $176.00 | $88.00–$176.00 | 5% below | 39% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPES 1 AND 2 AB | $31.72 | $52.00 | $88.00–$176.00 | — | 39% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPES 1 AND 2 Ab | $33.55 | $55.00 | $27.50–$55.00 | — | 39% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 ANTIBODY; HERPES SIMP 1 | $107.36 | $176.00 | $88.00–$176.00 | — | 39% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPES 1 AND 2 AB | $31.72 | $52.00 | $95.50–$191.00 | 77% below | 39% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPES 1 AND 2 Ab | $33.55 | $55.00 | $27.50–$55.00 | 76% below | 39% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY; HERPES SIMP 2 | $116.51 | $191.00 | $95.50–$191.00 | 16% below | 39% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPES 1 AND 2 AB | $31.72 | $52.00 | $95.50–$191.00 | — | 39% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPES 1 AND 2 Ab | $33.55 | $55.00 | $27.50–$55.00 | — | 39% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 ANTIBODY; HERPES SIMP 2 | $116.51 | $191.00 | $95.50–$191.00 | — | 39% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HSCRP | $81.13 | $133.00 | $82.50–$165.00 | 64% below | 39% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN, H.S. | $100.65 | $165.00 | $82.50–$165.00 | 55% below | 39% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HSCRP | $81.13 | $133.00 | $82.50–$165.00 | — | 39% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN, H.S. | $100.65 | $165.00 | $82.50–$165.00 | — | 39% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE, TOTAL, PLASMA | $38.43 | $63.00 | $83.00–$166.00 | 84% below | 39% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $101.26 | $166.00 | $83.00–$166.00 | 57% below | 39% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE, TOTAL, PLASMA | $38.43 | $63.00 | $83.00–$166.00 | — | 39% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE | $101.26 | $166.00 | $83.00–$166.00 | — | 39% |
| Insulin blood test CPT 83525 INSULIN, SERUM | $74.42 | $122.00 | $61.00–$122.00 | 45% below | 39% |
| Insulin blood test inpatient CPT 83525 INSULIN, SERUM | $74.42 | $122.00 | $61.00–$122.00 | — | 39% |
| Iron blood test (serum iron) CPT 83540 IRON | $56.73 | $93.00 | $46.50–$93.00 | 46% below | 39% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $56.73 | $93.00 | $46.50–$93.00 | 46% below | 39% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $56.73 | $93.00 | $46.50–$93.00 | — | 39% |
| Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON | $56.73 | $93.00 | $46.50–$93.00 | — | 39% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON + TOTAL IRON - BINDING CA | $74.42 | $122.00 | $61.00–$122.00 | 34% below | 39% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON, BINDING CAPACITY | $74.42 | $122.00 | $61.00–$122.00 | 34% below | 39% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON + TOTAL IRON - BINDING CA | $74.42 | $122.00 | $61.00–$122.00 | — | 39% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON, BINDING CAPACITY | $74.42 | $122.00 | $61.00–$122.00 | — | 39% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTIONAL PANEL | $107.36 | $176.00 | $83.50–$167.00 | 27% below | 39% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTIONAL PANEL | $107.36 | $176.00 | $83.50–$167.00 | — | 39% |
| LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE | $172.02 | $282.00 | $141.00–$282.00 | 46% below | 39% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE | $172.02 | $282.00 | $141.00–$282.00 | — | 39% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $69.54 | $114.00 | $57.00–$114.00 | 45% below | 39% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $69.54 | $114.00 | $57.00–$114.00 | — | 39% |
| Liver function blood test panel CPT 80076 LIVER PROFILE | $91.50 | $150.00 | $71.00–$142.00 | 30% below | 39% |
| Liver function blood test panel inpatient CPT 80076 LIVER PROFILE | $91.50 | $150.00 | $71.00–$142.00 | — | 39% |
| Lyme disease antibody test CPT 86618 LYME DX EUROPEAN AB | $38.43 | $63.00 | $120.00–$240.00 | 80% below | 39% |
| Lyme disease antibody test CPT 86618 LYME TITRE | $146.40 | $240.00 | $120.00–$240.00 | 24% below | 39% |
| Lyme disease antibody test inpatient CPT 86618 LYME DX EUROPEAN AB | $38.43 | $63.00 | $120.00–$240.00 | — | 39% |
| Lyme disease antibody test inpatient CPT 86618 LYME TITRE | $146.40 | $240.00 | $120.00–$240.00 | — | 39% |
| Magnesium blood test CPT 83735 MAGNESIUM, U (PANEL ONLY) | $29.89 | $49.00 | $104.00–$208.00 | 71% below | 39% |
| Magnesium blood test CPT 83735 MAGNESIUM, 24HR URINE | $40.26 | $66.00 | $104.00–$208.00 | 61% below | 39% |
| Magnesium blood test CPT 83735 MAGNESIUM, F (PANEL ONLY) | $75.64 | $124.00 | $104.00–$208.00 | 28% below | 39% |
| Magnesium blood test CPT 83735 MAGNESIUM | $100.04 | $164.00 | $104.00–$208.00 | 4% below | 39% |
| Magnesium blood test CPT 83735 LACTOSE, URINE; QUALITATIVE | $126.88 | $208.00 | $104.00–$208.00 | 21% above | 39% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $126.88 | $208.00 | $104.00–$208.00 | 21% above | 39% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, U (PANEL ONLY) | $29.89 | $49.00 | $104.00–$208.00 | — | 39% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, 24HR URINE | $40.26 | $66.00 | $104.00–$208.00 | — | 39% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, F (PANEL ONLY) | $75.64 | $124.00 | $104.00–$208.00 | — | 39% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $100.04 | $164.00 | $104.00–$208.00 | — | 39% |
| Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM | $126.88 | $208.00 | $104.00–$208.00 | — | 39% |
| Magnesium blood test inpatient CPT 83735 LACTOSE, URINE; QUALITATIVE | $126.88 | $208.00 | $104.00–$208.00 | — | 39% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA SCREEN | $106.75 | $175.00 | $87.50–$175.00 | 34% below | 39% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA SCREEN | $106.75 | $175.00 | $87.50–$175.00 | — | 39% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY | $73.81 | $121.00 | $60.50–$121.00 | 56% below | 39% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $73.81 | $121.00 | $60.50–$121.00 | 56% below | 39% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST | $73.81 | $121.00 | $60.50–$121.00 | — | 39% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODY | $73.81 | $121.00 | $60.50–$121.00 | — | 39% |
| Obstetric blood test panel CPT 80055 PRE-NATAL SCREEN | $247.05 | $405.00 | $192.50–$385.00 | 41% below | 39% |
| Obstetric blood test panel inpatient CPT 80055 PRE-NATAL SCREEN | $247.05 | $405.00 | $192.50–$385.00 | — | 39% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA; FREE | $156.77 | $257.00 | $128.50–$257.00 | 15% below | 39% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $156.77 | $257.00 | $128.50–$257.00 | 15% below | 39% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA | $156.77 | $257.00 | $128.50–$257.00 | — | 39% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA; FREE | $156.77 | $257.00 | $128.50–$257.00 | — | 39% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA; TOTAL | $158.60 | $260.00 | $130.00–$260.00 | 29% below | 39% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA; TOTAL | $158.60 | $260.00 | $130.00–$260.00 | — | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP DIAGNOSTIC | $56.73 | $93.00 | $79.00–$158.00 | 58% below | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP SCREEN | $56.73 | $93.00 | $79.00–$158.00 | 58% below | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER DIAGN | $56.73 | $93.00 | $79.00–$158.00 | 58% below | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP SCR HPV REFLEX | $56.73 | $93.00 | $79.00–$158.00 | 58% below | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP DIAGNOSTIC HPV REFLE | $56.73 | $93.00 | $79.00–$158.00 | 58% below | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HPV CYTOLOGY REFLEX | $56.73 | $93.00 | $79.00–$158.00 | 58% below | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER SCREEN | $56.73 | $93.00 | $79.00–$158.00 | 58% below | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH/CERVICAL-VAGINA | $96.38 | $158.00 | $79.00–$158.00 | 28% below | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER SCREEN | $56.73 | $93.00 | $79.00–$158.00 | — | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP DIAGNOSTIC | $56.73 | $93.00 | $79.00–$158.00 | — | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP SCREEN | $56.73 | $93.00 | $79.00–$158.00 | — | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER DIAGN | $56.73 | $93.00 | $79.00–$158.00 | — | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP SCR HPV REFLEX | $56.73 | $93.00 | $79.00–$158.00 | — | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP DIAGNOSTIC HPV REFLE | $56.73 | $93.00 | $79.00–$158.00 | — | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HPV CYTOLOGY REFLEX | $56.73 | $93.00 | $79.00–$158.00 | — | 39% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH/CERVICAL-VAGINA | $96.38 | $158.00 | $79.00–$158.00 | — | 39% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $251.93 | $413.00 | $206.50–$413.00 | 2% below | 39% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE | $251.93 | $413.00 | $206.50–$413.00 | — | 39% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-PARTIAL THROMBO. | $69.54 | $114.00 | $57.00–$114.00 | 50% below | 39% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-PARTIAL THROMBO. | $69.54 | $114.00 | $57.00–$114.00 | — | 39% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Q NATAL | $7,694.54 | $12,614.00 | $6,307.00–$12,614.00 | 403% above | 39% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Q NATAL | $7,694.54 | $12,614.00 | $6,307.00–$12,614.00 | — | 39% |
| Progesterone blood test CPT 84144 PROGESTERONE LEVEL | $135.42 | $222.00 | $111.00–$222.00 | 3% below | 39% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE LEVEL | $135.42 | $222.00 | $111.00–$222.00 | — | 39% |
| Prolactin blood test CPT 84146 PROLACTIN, UNPRECIPITATED | $53.68 | $88.00 | $117.00–$234.00 | 73% below | 39% |
| Prolactin blood test CPT 84146 PROLACTIN TOTAL | $53.68 | $88.00 | $117.00–$234.00 | 73% below | 39% |
| Prolactin blood test CPT 84146 PROLACTIN | $142.74 | $234.00 | $117.00–$234.00 | 29% below | 39% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN TOTAL | $53.68 | $88.00 | $117.00–$234.00 | — | 39% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN, UNPRECIPITATED | $53.68 | $88.00 | $117.00–$234.00 | — | 39% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $142.74 | $234.00 | $117.00–$234.00 | — | 39% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $12.20 | $20.00 | $36.50–$73.00 | 86% below | 39% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $12.20 | $20.00 | $36.50–$73.00 | — | 39% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN QUAL; MULTIDRUG CL | $56.73 | $93.00 | $46.50–$93.00 | 59% below | 39% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 FENTANYL SCREEN, URINE | $75.64 | $124.00 | $46.50–$93.00 | 45% below | 39% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN QUAL; MULT DRUG CL | $75.64 | $124.00 | $46.50–$93.00 | 45% below | 39% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN QUAL; MULTIDRUG CL | $56.73 | $93.00 | $46.50–$93.00 | — | 39% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 FENTANYL SCREEN, URINE | $75.64 | $124.00 | $46.50–$93.00 | — | 39% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN QUAL; MULT DRUG CL | $75.64 | $124.00 | $46.50–$93.00 | — | 39% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID FLU SWAB | $20.74 | $34.00 | $68.00–$136.00 | 51% below | 39% |
| Rapid flu test (influenza antigen) CPT 87804 FLU A/B | $82.96 | $136.00 | $68.00–$136.00 | 97% above | 39% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID FLU SWAB | $20.74 | $34.00 | $68.00–$136.00 | — | 39% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 FLU A/B | $82.96 | $136.00 | $68.00–$136.00 | — | 39% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP TEST | $15.86 | $26.00 | $48.50–$97.00 | 86% below | 39% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS, GROUP A | $34.77 | $57.00 | $48.50–$97.00 | 69% below | 39% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP TEST, DIRECTOGEN | $59.17 | $97.00 | $48.50–$97.00 | 47% below | 39% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP TEST | $15.86 | $26.00 | $48.50–$97.00 | — | 39% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREPTOCOCCUS, GROUP A | $34.77 | $57.00 | $48.50–$97.00 | — | 39% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP TEST, DIRECTOGEN | $59.17 | $97.00 | $48.50–$97.00 | — | 39% |
| Rheumatoid factor (RF) test CPT 86431 RA | $43.31 | $71.00 | $35.50–$71.00 | 65% below | 39% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA | $43.31 | $71.00 | $35.50–$71.00 | — | 39% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER | $92.11 | $151.00 | $75.50–$151.00 | 21% below | 39% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER | $92.11 | $151.00 | $75.50–$151.00 | — | 39% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $112.24 | $184.00 | $92.00–$184.00 | 43% below | 39% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS | $112.24 | $184.00 | $92.00–$184.00 | — | 39% |
| Stool ova and parasites exam CPT 87177 CONCENTRATION | $134.20 | $220.00 | $110.00–$220.00 | 59% below | 39% |
| Stool ova and parasites exam inpatient CPT 87177 CONCENTRATION | $134.20 | $220.00 | $110.00–$220.00 | — | 39% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT, GUAIAC | $12.81 | $21.00 | $37.00–$74.00 | 79% below | 39% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES, OTHER SCR | $42.70 | $70.00 | $37.00–$74.00 | 31% below | 39% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCULT BLOOD FECES NEOPLASM SCR | $45.14 | $74.00 | $37.00–$74.00 | 27% below | 39% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD OCCULT, GUAIAC | $12.81 | $21.00 | $37.00–$74.00 | — | 39% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES, OTHER SCR | $42.70 | $70.00 | $37.00–$74.00 | — | 39% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCULT BLOOD FECES NEOPLASM SCR | $45.14 | $74.00 | $37.00–$74.00 | — | 39% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLD OCCLT FCL HGB DTR IA QUAL | $54.90 | $90.00 | $293.00–$586.00 | 51% below | 39% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLD OCC FECAL HGB DTR IA QUAL | $78.08 | $128.00 | $293.00–$586.00 | 30% below | 39% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCLT, BLD, CLRCTL, CANC | $357.46 | $586.00 | $293.00–$586.00 | 219% above | 39% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLD OCCLT FCL HGB DTR IA QUAL | $54.90 | $90.00 | $293.00–$586.00 | — | 39% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLD OCC FECAL HGB DTR IA QUAL | $78.08 | $128.00 | $293.00–$586.00 | — | 39% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCLT, BLD, CLRCTL, CANC | $357.46 | $586.00 | $293.00–$586.00 | — | 39% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, SPINAL FLUID | $15.25 | $25.00 | $52.00–$104.00 | 78% below | 39% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $57.34 | $94.00 | $49.50–$99.00 | 16% below | 39% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR SCREEN W/REFLEX TITER | $60.39 | $99.00 | $49.50–$99.00 | 11% below | 39% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, SPINAL FLUID | $15.25 | $25.00 | $52.00–$104.00 | — | 39% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $57.34 | $94.00 | $49.50–$99.00 | — | 39% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR SCREEN W/REFLEX TITER | $60.39 | $99.00 | $49.50–$99.00 | — | 39% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON | $270.84 | $444.00 | $222.00–$444.00 | 11% above | 39% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON | $270.84 | $444.00 | $222.00–$444.00 | — | 39% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $14.64 | $24.00 | $131.00–$262.00 | 92% below | 39% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $36.60 | $60.00 | $131.00–$262.00 | 81% below | 39% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $14.64 | $24.00 | $131.00–$262.00 | — | 39% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL | $36.60 | $60.00 | $131.00–$262.00 | — | 39% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICROSOM | $43.92 | $72.00 | $263.50–$527.00 | 58% below | 39% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODIES | $61.61 | $101.00 | $263.50–$527.00 | 41% below | 39% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES; LIVER-K | $158.60 | $260.00 | $263.50–$527.00 | 53% above | 39% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY | $158.60 | $260.00 | $263.50–$527.00 | 53% above | 39% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL AUTOANTIBODIES | $321.47 | $527.00 | $263.50–$527.00 | 210% above | 39% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER/KIDNEY MICROSOM | $43.92 | $72.00 | $263.50–$527.00 | — | 39% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID ANTIBODIES | $61.61 | $101.00 | $263.50–$527.00 | — | 39% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES; LIVER-K | $158.60 | $260.00 | $263.50–$527.00 | — | 39% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY | $158.60 | $260.00 | $263.50–$527.00 | — | 39% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL AUTOANTIBODIES | $321.47 | $527.00 | $263.50–$527.00 | — | 39% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH-SENSITIVE, SERUM | $93.94 | $154.00 | $78.50–$157.00 | 53% below | 39% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMUL, HORMONE | $95.77 | $157.00 | $78.50–$157.00 | 52% below | 39% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH-SENSITIVE, SERUM | $93.94 | $154.00 | $78.50–$157.00 | — | 39% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMUL, HORMONE | $95.77 | $157.00 | $78.50–$157.00 | — | 39% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS | $58.56 | $96.00 | $112.50–$225.00 | 9% below | 39% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA, MAL | $66.49 | $109.00 | $360.00–$720.00 | 3% above | 39% |
| Trichomonas test (NAAT) CPT 87661 IADNA TRICH VAG AMP PROBE (PAN | $130.54 | $214.00 | $360.00–$720.00 | 103% above | 39% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS BY NUCLE | $439.20 | $720.00 | $360.00–$720.00 | 582% above | 39% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS | $58.56 | $96.00 | $112.50–$225.00 | — | 39% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RNA, MAL | $66.49 | $109.00 | $360.00–$720.00 | — | 39% |
| Trichomonas test (NAAT) inpatient CPT 87661 IADNA TRICH VAG AMP PROBE (PAN | $130.54 | $214.00 | $360.00–$720.00 | — | 39% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS BY NUCLE | $439.20 | $720.00 | $360.00–$720.00 | — | 39% |
| Uric acid blood test CPT 84550 URIC ACID | $49.41 | $81.00 | $40.50–$81.00 | 53% below | 39% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $49.41 | $81.00 | $40.50–$81.00 | — | 39% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS, COMP | $66.49 | $109.00 | $51.50–$103.00 | 37% above | 39% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS, COMP | $66.49 | $109.00 | $51.50–$103.00 | — | 39% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, AUTOMATED, W/O MIC | $12.81 | $21.00 | $10.50–$21.00 | 87% below | 39% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, AUTOMATED UC | $12.81 | $21.00 | $10.50–$21.00 | 87% below | 39% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS, AUTOMATED, W/O MIC | $12.81 | $21.00 | $10.50–$21.00 | — | 39% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS, AUTOMATED UC | $12.81 | $21.00 | $10.50–$21.00 | — | 39% |
| Urinalysis without microscope exam, manual CPT 81002 CDL URNLS DIP STICK/TABLET | $12.81 | $21.00 | $10.50–$21.00 | 79% below | 39% |
| Urinalysis without microscope exam, manual CPT 81002 URNLS DIP STICK/TABLET RGNT W/ | $12.81 | $21.00 | $10.50–$21.00 | 79% below | 39% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS, DIP ONLY/SP | $74.42 | $122.00 | $10.50–$21.00 | 21% above | 39% |
| Urinalysis without microscope exam, manual CPT 81002 URINE, SP. GRAV. | $74.42 | $122.00 | $10.50–$21.00 | 21% above | 39% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URNLS DIP STICK/TABLET RGNT W/ | $12.81 | $21.00 | $10.50–$21.00 | — | 39% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CDL URNLS DIP STICK/TABLET | $12.81 | $21.00 | $10.50–$21.00 | — | 39% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS, DIP ONLY/SP | $74.42 | $122.00 | $10.50–$21.00 | — | 39% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE, SP. GRAV. | $74.42 | $122.00 | $10.50–$21.00 | — | 39% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE TESTING | $56.73 | $93.00 | $46.50–$93.00 | 44% below | 39% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE, URINE | $56.73 | $93.00 | $46.50–$93.00 | 44% below | 39% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE TESTING | $56.73 | $93.00 | $46.50–$93.00 | — | 39% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE, URINE | $56.73 | $93.00 | $46.50–$93.00 | — | 39% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST, BY VISUAL COL | $23.18 | $38.00 | $19.00–$38.00 | 78% below | 39% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST, BY VISUAL COL | $23.18 | $38.00 | $19.00–$38.00 | — | 39% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN VITAMIN B-12 (P | $28.06 | $46.00 | $93.50–$187.00 | 81% below | 39% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $114.07 | $187.00 | $93.50–$187.00 | 21% below | 39% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN VITAMIN B-12 (P | $28.06 | $46.00 | $93.50–$187.00 | — | 39% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $114.07 | $187.00 | $93.50–$187.00 | — | 39% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL (25-OH VIT D-3) | $204.96 | $336.00 | $168.00–$336.00 | 4% below | 39% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL (25-OH VIT D-3) | $204.96 | $336.00 | $168.00–$336.00 | — | 39% |
| Zinc blood test CPT 84630 ZINC | $96.38 | $158.00 | $79.00–$158.00 | 15% below | 39% |
| Zinc blood test inpatient CPT 84630 ZINC | $96.38 | $158.00 | $79.00–$158.00 | — | 39% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HUMAN CHORIONIC GONADOT Q | $65.27 | $107.00 | $119.50–$239.00 | 48% below | 39% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN | $145.79 | $239.00 | $119.50–$239.00 | 16% above | 39% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUANTITATIVE HCG | $145.79 | $239.00 | $119.50–$239.00 | 16% above | 39% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA-HUMAN CHORIONIC GONADOT Q | $65.27 | $107.00 | $119.50–$239.00 | — | 39% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN | $145.79 | $239.00 | $119.50–$239.00 | — | 39% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 QUANTITATIVE HCG | $145.79 | $239.00 | $119.50–$239.00 | — | 39% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Utah | Off list |
|---|---|---|---|---|---|
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY FRUPTURED APPENDI | $1,496.33 | $2,453.00 | $1,226.50–$2,453.00 | — | 39% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDEC RPTD APPENDIX ABSC/PRITONITIS | $32,623.80 | $53,481.64 | $26,740.82–$53,481.64 | — | 39% |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 APPENDECTOMY FRUPTURED APPENDI | $1,496.33 | $2,453.00 | $1,226.50–$2,453.00 | — | 39% |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 APPENDEC RPTD APPENDIX ABSC/PRITONITIS | $32,623.80 | $53,481.64 | $26,740.82–$53,481.64 | — | 39% |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $1,196.82 | $1,962.00 | $981.00–$1,962.00 | — | 39% |
| Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY | $1,196.82 | $1,962.00 | $981.00–$1,962.00 | — | 39% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRO AID ANTR CRCT LIGMNT AU | $2,906.04 | $4,764.00 | $2,382.00–$4,764.00 | — | 39% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ | $46,165.24 | $75,680.72 | $37,840.36–$75,680.72 | — | 39% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHRO AID ANTR CRCT LIGMNT AU | $2,906.04 | $4,764.00 | $2,382.00–$4,764.00 | — | 39% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ | $46,165.24 | $75,680.72 | $37,840.36–$75,680.72 | — | 39% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY SHOULDER W/ROTATOR | $2,011.78 | $3,298.00 | $1,649.00–$3,298.00 | — | 39% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHROSCOPY SHOULDER W/ROTATOR | $2,011.78 | $3,298.00 | $1,649.00–$3,298.00 | — | 39% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRST PNC-NDL CORE IMG GDNC | $3,426.37 | $5,617.00 | $2,808.50–$5,617.00 | 15% above | 39% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BRST PNC-NDL CORE IMG GDNC | $3,426.37 | $5,617.00 | $2,808.50–$5,617.00 | — | 39% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOTX DISTAL FIB FX W/O MANIP | $444.69 | $729.00 | $364.50–$729.00 | at median | 39% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 DISTAL FIB FX; W/O MANIP | $444.69 | $729.00 | $364.50–$729.00 | at median | 39% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOTX DISTAFIB FX WO | $983.93 | $1,613.00 | $364.50–$729.00 | 121% above | 39% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOTX DISTAL FIB FX W/O MANIP | $444.69 | $729.00 | $364.50–$729.00 | — | 39% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 DISTAL FIB FX; W/O MANIP | $444.69 | $729.00 | $364.50–$729.00 | — | 39% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOTX DISTAFIB FX WO | $983.93 | $1,613.00 | $364.50–$729.00 | — | 39% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOTX METATARSAL FX W/O MANIP | $311.10 | $510.00 | $255.00–$510.00 | 2% below | 39% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLO METATARSAL;WO MAN EA | $311.10 | $510.00 | $255.00–$510.00 | 2% below | 39% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLO METATARSW/O MAINP EA | $528.87 | $867.00 | $255.00–$510.00 | 66% above | 39% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLOTX METATARSAL FX W/O MANIP | $311.10 | $510.00 | $255.00–$510.00 | — | 39% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLO METATARSAL;WO MAN EA | $311.10 | $510.00 | $255.00–$510.00 | — | 39% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLO METATARSW/O MAINP EA | $528.87 | $867.00 | $255.00–$510.00 | — | 39% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRJ HALLUX VALGUS W-W/O SESM | $1,468.27 | $2,407.00 | $1,203.50–$2,407.00 | 82% below | 39% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 CORRJ HALLUX VALGUS W-W/O SESM | $1,468.27 | $2,407.00 | $1,203.50–$2,407.00 | — | 39% |
| Bunion correction with removal of part of the big toe joint CPT 28292 BUNIONECTOMY | $1,011.38 | $1,658.00 | $829.00–$1,658.00 | — | 39% |
| Bunion correction with removal of part of the big toe joint inpatient CPT 28292 BUNIONECTOMY | $1,011.38 | $1,658.00 | $829.00–$1,658.00 | — | 39% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVER/ELEC ELECTIVE | $279.99 | $459.00 | $1,274.50–$2,549.00 | 88% below | 39% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERS ELEC CONVERS OF ARR | $289.14 | $474.00 | $1,274.50–$2,549.00 | 87% below | 39% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVER/ELEC/ELECTIVE | $1,554.89 | $2,549.00 | $1,274.50–$2,549.00 | 32% below | 39% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVER/ELEC ELECTIVE | $279.99 | $459.00 | $1,274.50–$2,549.00 | — | 39% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERS ELEC CONVERS OF ARR | $289.14 | $474.00 | $1,274.50–$2,549.00 | — | 39% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVER/ELEC/ELECTIVE | $1,554.89 | $2,549.00 | $1,274.50–$2,549.00 | — | 39% |
| Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY & TRANSPOS MEDIAN | $1,221.83 | $2,003.00 | $1,001.50–$2,003.00 | — | 39% |
| Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | $7,950.72 | $13,033.96 | $6,516.98–$13,033.96 | — | 39% |
| Carpal tunnel release, open surgery inpatient CPT 64721 NEUROPLASTY & TRANSPOS MEDIAN | $1,221.83 | $2,003.00 | $1,001.50–$2,003.00 | — | 39% |
| Carpal tunnel release, open surgery inpatient CPT 64721 NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | $7,950.72 | $13,033.96 | $6,516.98–$13,033.96 | — | 39% |
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $4,273.94 | $7,006.46 | $3,503.23–$7,006.46 | 25% above | 39% |
| Cataract surgery with lens implant inpatient CPT 66984 XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $4,273.94 | $7,006.46 | $3,503.23–$7,006.46 | — | 39% |
| Cervical biopsy CPT 57500 BX OF CERVIX SGL MLT W &WO FLG | $202.52 | $332.00 | $166.00–$332.00 | 75% below | 39% |
| Cervical biopsy inpatient CPT 57500 BX OF CERVIX SGL MLT W &WO FLG | $202.52 | $332.00 | $166.00–$332.00 | — | 39% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 ROUTINE CARE, CESAR SECT, PP C | $3,111.00 | $5,100.00 | $2,550.00–$5,100.00 | — | 39% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $20,817.03 | $34,126.28 | $17,063.14–$34,126.28 | — | 39% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 ROUTINE CARE, CESAR SECT, PP C | $3,111.00 | $5,100.00 | $2,550.00–$5,100.00 | — | 39% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $20,817.03 | $34,126.28 | $17,063.14–$34,126.28 | — | 39% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION, EXEPT NEWBORN | $863.76 | $1,416.00 | $708.00–$1,416.00 | 65% below | 39% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION AGE >28 DAYS | $8,998.77 | $14,752.09 | $7,376.05–$14,752.09 | 264% above | 39% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISION, EXEPT NEWBORN | $863.76 | $1,416.00 | $708.00–$1,416.00 | — | 39% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISION AGE >28 DAYS | $8,998.77 | $14,752.09 | $7,376.05–$14,752.09 | — | 39% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION | $122.00 | $200.00 | $100.00–$200.00 | 16% below | 39% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION CLAMP NB | $427.61 | $701.00 | $100.00–$200.00 | 193% above | 39% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION | $122.00 | $200.00 | $100.00–$200.00 | — | 39% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION CLAMP NB | $427.61 | $701.00 | $100.00–$200.00 | — | 39% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE | $289.75 | $475.00 | $237.50–$475.00 | — | 39% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION NEONATE | $289.75 | $475.00 | $237.50–$475.00 | — | 39% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 DISTAL RAD FX; W/O MAN | $416.02 | $682.00 | $341.00–$682.00 | — | 39% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOTX DISTAL RADIAL FX W/O MAN | $416.02 | $682.00 | $341.00–$682.00 | — | 39% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLO DIST RAD W/O MANIP | $732.61 | $1,201.00 | $341.00–$682.00 | — | 39% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOTX DISTAL RADIAL FX W/O MAN | $416.02 | $682.00 | $341.00–$682.00 | — | 39% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 DISTAL RAD FX; W/O MAN | $416.02 | $682.00 | $341.00–$682.00 | — | 39% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLO DIST RAD W/O MANIP | $732.61 | $1,201.00 | $341.00–$682.00 | — | 39% |
| Colonoscopy with polyp removal CPT 45385 CLN, POLYP REM, SNARE | $850.34 | $1,394.00 | $697.00–$1,394.00 | 52% below | 39% |
| Colonoscopy with polyp removal CPT 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $1,926.68 | $3,158.50 | $1,579.25–$3,158.50 | 10% above | 39% |
| Colonoscopy with polyp removal inpatient CPT 45385 CLN, POLYP REM, SNARE | $850.34 | $1,394.00 | $697.00–$1,394.00 | — | 39% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $1,926.68 | $3,158.50 | $1,579.25–$3,158.50 | — | 39% |
| Colonoscopy with tissue sample CPT 45380 CLN W/BX | $660.02 | $1,082.00 | $541.00–$1,082.00 | 69% below | 39% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $1,879.08 | $3,080.46 | $1,540.23–$3,080.46 | 13% below | 39% |
| Colonoscopy with tissue sample inpatient CPT 45380 CLN W/BX | $660.02 | $1,082.00 | $541.00–$1,082.00 | — | 39% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $1,879.08 | $3,080.46 | $1,540.23–$3,080.46 | — | 39% |
| Colonoscopy, diagnostic CPT 45378 CLN, DIAG | $600.24 | $984.00 | $492.00–$984.00 | 70% below | 39% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,872.74 | $3,070.07 | $1,535.04–$3,070.07 | 8% below | 39% |
| Colonoscopy, diagnostic inpatient CPT 45378 CLN, DIAG | $600.24 | $984.00 | $492.00–$984.00 | — | 39% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,872.74 | $3,070.07 | $1,535.04–$3,070.07 | — | 39% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP | $381.25 | $625.00 | $312.50–$625.00 | 85% below | 39% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 BX OF CERVIX W/SCOPE LEEP | $381.25 | $625.00 | $312.50–$625.00 | — | 39% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY OF THE CERVIX W/BX | $350.75 | $575.00 | $287.50–$575.00 | 10% below | 39% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY OF THE CERVIX W/BX | $350.75 | $575.00 | $287.50–$575.00 | — | 39% |
| Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP | $4,560.26 | $7,475.83 | $3,737.91–$7,475.83 | 35% above | 39% |
| Complex cataract surgery with lens implant inpatient CPT 66982 XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP | $4,560.26 | $7,475.83 | $3,737.91–$7,475.83 | — | 39% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $3,468.22 | $5,685.61 | $2,842.80–$5,685.61 | 20% above | 39% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY | $3,468.22 | $5,685.61 | $2,842.80–$5,685.61 | — | 39% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C | $507.52 | $832.00 | $416.00–$832.00 | 85% below | 39% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&C | $507.52 | $832.00 | $416.00–$832.00 | — | 39% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT FIRST PREMALG LESION | $93.33 | $153.00 | $76.50–$153.00 | 51% below | 39% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT FIRST PREMALG LESION | $93.33 | $153.00 | $76.50–$153.00 | — | 39% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 RMVL CERUMEN IRRIGATION/LAVAGE | $30.50 | $50.00 | $25.00–$50.00 | 80% below | 39% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACTED CERUMEN, IRR/LAVA | $66.49 | $109.00 | $25.00–$50.00 | 57% below | 39% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 RMVL CERUMEN IRRIGATION/LAVAGE | $30.50 | $50.00 | $25.00–$50.00 | — | 39% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REM IMPACTED CERUMEN, IRR/LAVA | $66.49 | $109.00 | $25.00–$50.00 | — | 39% |
| Earwax removal with instruments, one ear CPT 69210 RMVL IMPACTED CERUMEN | $221.43 | $363.00 | $39.00–$78.00 | 54% above | 39% |
| Earwax removal with instruments, one ear inpatient CPT 69210 RMVL IMPACTED CERUMEN | $221.43 | $363.00 | $39.00–$78.00 | — | 39% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX | $181.78 | $298.00 | $149.00–$298.00 | 22% below | 39% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BX | $181.78 | $298.00 | $149.00–$298.00 | — | 39% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $1,862.08 | $3,052.59 | $1,526.30–$3,052.59 | 41% above | 39% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $1,862.08 | $3,052.59 | $1,526.30–$3,052.59 | — | 39% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION PROCEDURE | $416.02 | $682.00 | $1,189.00–$2,378.00 | — | 39% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 KOPELL/INJ LUM/SAC-JNTNV | $555.71 | $911.00 | $455.50–$911.00 | — | 39% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECT PARAVERT FACET LUMSAC S | $1,450.58 | $2,378.00 | $1,189.00–$2,378.00 | — | 39% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $1,614.44 | $2,646.62 | $1,323.31–$2,646.62 | — | 39% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ DIAG THER; PAVAVERT 2ND LE | $2,688.88 | $4,408.00 | $2,204.00–$4,408.00 | — | 39% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJECTION PROCEDURE | $416.02 | $682.00 | $1,189.00–$2,378.00 | — | 39% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 KOPELL/INJ LUM/SAC-JNTNV | $555.71 | $911.00 | $455.50–$911.00 | — | 39% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJECT PARAVERT FACET LUMSAC S | $1,450.58 | $2,378.00 | $1,189.00–$2,378.00 | — | 39% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $1,614.44 | $2,646.62 | $1,323.31–$2,646.62 | — | 39% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ DIAG THER; PAVAVERT 2ND LE | $2,688.88 | $4,408.00 | $2,204.00–$4,408.00 | — | 39% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 ANT ABD HERNIA, 1ST RDC 3-10CM | $1,504.26 | $2,466.00 | $1,233.00–$2,466.00 | 82% below | 39% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $23,669.44 | $38,802.36 | $19,401.18–$38,802.36 | 183% above | 39% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 ANT ABD HERNIA, 1ST RDC 3-10CM | $1,504.26 | $2,466.00 | $1,233.00–$2,466.00 | — | 39% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $23,669.44 | $38,802.36 | $19,401.18–$38,802.36 | — | 39% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 ANT ABD HERNIA, 1ST RDC >10CM | $1,626.26 | $2,666.00 | $1,333.00–$2,666.00 | — | 39% |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 ANT ABD HERNIA, 1ST RDC >10CM | $1,626.26 | $2,666.00 | $1,333.00–$2,666.00 | — | 39% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 ANT ABD HERNIA, 1ST RDC <3CM | $1,382.26 | $2,266.00 | $1,133.00–$2,266.00 | 75% below | 39% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $18,210.55 | $29,853.36 | $14,926.68–$29,853.36 | 233% above | 39% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 ANT ABD HERNIA, 1ST RDC <3CM | $1,382.26 | $2,266.00 | $1,133.00–$2,266.00 | — | 39% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $18,210.55 | $29,853.36 | $14,926.68–$29,853.36 | — | 39% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY | $179.34 | $294.00 | $147.00–$294.00 | — | 39% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY | $179.34 | $294.00 | $147.00–$294.00 | — | 39% |
| Gallbladder removal, laparoscopic CPT 47562 LAP CHOLECYSTECTOMY | $1,842.81 | $3,021.00 | $1,510.50–$3,021.00 | 81% below | 39% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY SURG CHOLECYSTECTOMY | $7,210.11 | $11,819.86 | $5,909.93–$11,819.86 | 24% below | 39% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAP CHOLECYSTECTOMY | $1,842.81 | $3,021.00 | $1,510.50–$3,021.00 | — | 39% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPY SURG CHOLECYSTECTOMY | $7,210.11 | $11,819.86 | $5,909.93–$11,819.86 | — | 39% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP CHOLE, W/CHOLANGIOGRAPHY | $1,994.70 | $3,270.00 | $1,635.00–$3,270.00 | 76% below | 39% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY | $13,119.42 | $21,507.24 | $10,753.62–$21,507.24 | 57% above | 39% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAP CHOLE, W/CHOLANGIOGRAPHY | $1,994.70 | $3,270.00 | $1,635.00–$3,270.00 | — | 39% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY | $13,119.42 | $21,507.24 | $10,753.62–$21,507.24 | — | 39% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 OPEN CHOLECYSTECTOMY | $1,526.22 | $2,502.00 | $1,251.00–$2,502.00 | — | 39% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 OPEN CHOLECYSTECTOMY | $1,526.22 | $2,502.00 | $1,251.00–$2,502.00 | — | 39% |
| Hammertoe correction surgery CPT 28285 CORRECTION HAMMER TOE | $697.84 | $1,144.00 | $572.00–$1,144.00 | — | 39% |
| Hammertoe correction surgery inpatient CPT 28285 CORRECTION HAMMER TOE | $697.84 | $1,144.00 | $572.00–$1,144.00 | — | 39% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY, INTERNAL, BY | $290.36 | $476.00 | $238.00–$476.00 | 70% below | 39% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY, INTERNAL, BY | $290.36 | $476.00 | $238.00–$476.00 | — | 39% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY INT & EXT, SI | $963.82 | $1,580.04 | $790.02–$1,580.04 | — | 39% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY INT & EXT, SI | $963.82 | $1,580.04 | $790.02–$1,580.04 | — | 39% |
| Hysterectomy through an abdominal incision (total) CPT 58150 HYSTERECTOMY, TOTAL, ABDOMINAL | $2,089.86 | $3,426.00 | $1,713.00–$3,426.00 | — | 39% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 HYSTERECTOMY, TOTAL, ABDOMINAL | $2,089.86 | $3,426.00 | $1,713.00–$3,426.00 | — | 39% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH AND INTRO OF CONT SAL INF | $844.24 | $1,384.00 | $692.00–$1,384.00 | 27% above | 39% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATH AND INTRO OF CONT SAL INF | $844.24 | $1,384.00 | $692.00–$1,384.00 | — | 39% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, W/ BX | $1,089.49 | $1,786.05 | $893.02–$1,786.05 | 69% below | 39% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | $6,216.27 | $10,190.61 | $5,095.31–$10,190.61 | 78% above | 39% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY, W/ BX | $1,089.49 | $1,786.05 | $893.02–$1,786.05 | — | 39% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | $6,216.27 | $10,190.61 | $5,095.31–$10,190.61 | — | 39% |
| IUD insertion (the device itself billed separately) CPT 58300 FPE IUD INSERT | $41.56 | $68.13 | $34.06–$68.13 | 56% below | 39% |
| IUD insertion (the device itself billed separately) CPT 58300 INSRT OF INTRAUTERINE DEVICE ( | $233.02 | $382.00 | $34.06–$68.13 | 148% above | 39% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 FPE IUD INSERT | $41.56 | $68.13 | $34.06–$68.13 | — | 39% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSRT OF INTRAUTERINE DEVICE ( | $233.02 | $382.00 | $34.06–$68.13 | — | 39% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INC AND DRAIN, SIMPLE | $130.54 | $214.00 | $107.00–$214.00 | 60% below | 39% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D SIMPLE | $130.54 | $214.00 | $107.00–$214.00 | 60% below | 39% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE | $371.49 | $609.00 | $107.00–$214.00 | 13% above | 39% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $13,061.44 | $21,412.20 | $10,706.10–$21,412.20 | 3867% above | 39% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INC AND DRAIN, SIMPLE | $130.54 | $214.00 | $107.00–$214.00 | — | 39% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SIMPLE | $130.54 | $214.00 | $107.00–$214.00 | — | 39% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SIMPLE | $371.49 | $609.00 | $107.00–$214.00 | — | 39% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $13,061.44 | $21,412.20 | $10,706.10–$21,412.20 | — | 39% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 RPR ING HERNIA, 5+ REDUCIBLE | $991.25 | $1,625.00 | $812.50–$1,625.00 | 84% below | 39% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $11,128.89 | $18,244.09 | $9,122.05–$18,244.09 | 76% above | 39% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 RPR ING HERNIA, 5+ REDUCIBLE | $991.25 | $1,625.00 | $812.50–$1,625.00 | — | 39% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $11,128.89 | $18,244.09 | $9,122.05–$18,244.09 | — | 39% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SGL TENDON SHEATH LIGAMENT | $113.47 | $186.01 | $93.00–$186.01 | 72% below | 39% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TRIGGER POINT INJS | $212.89 | $349.00 | $93.00–$186.01 | 47% below | 39% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SGL TENDON SHEATH LIGAMENT | $113.47 | $186.01 | $93.00–$186.01 | — | 39% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TRIGGER POINT INJS | $212.89 | $349.00 | $93.00–$186.01 | — | 39% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHO MAJ JNT SHLDR, KNEE, HIP | $125.66 | $206.00 | $103.00–$206.00 | 73% below | 39% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT LARGE JNT BIL | $863.15 | $1,415.00 | $707.50–$1,415.00 | 87% above | 39% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCEN/ASPIR LRG JNT | $903.41 | $1,481.00 | $103.00–$206.00 | 96% above | 39% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $1,637.54 | $2,684.49 | $1,342.24–$2,684.49 | 255% above | 39% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJECT LARGE JNT LT | $863.15 | $1,415.00 | $707.50–$1,415.00 | 87% above | 39% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJECT LARGE JNT RT | $863.15 | $1,415.00 | $707.50–$1,415.00 | 87% above | 39% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHO MAJ JNT SHLDR, KNEE, HIP | $125.66 | $206.00 | $103.00–$206.00 | — | 39% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECT LARGE JNT BIL | $863.15 | $1,415.00 | $707.50–$1,415.00 | — | 39% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCEN/ASPIR LRG JNT | $903.41 | $1,481.00 | $103.00–$206.00 | — | 39% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $1,637.54 | $2,684.49 | $1,342.24–$2,684.49 | — | 39% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 INJECT LARGE JNT RT | $863.15 | $1,415.00 | $707.50–$1,415.00 | — | 39% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 INJECT LARGE JNT LT | $863.15 | $1,415.00 | $707.50–$1,415.00 | — | 39% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 FPE IMPLANT INSERT | $47.42 | $77.73 | $38.87–$77.73 | — | 39% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT, NONBIODGR DRUG(IMPLANO | $117.12 | $192.00 | $38.87–$77.73 | — | 39% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 FPE IMPLANT INSERT | $47.42 | $77.73 | $38.87–$77.73 | — | 39% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT, NONBIODGR DRUG(IMPLANO | $117.12 | $192.00 | $38.87–$77.73 | — | 39% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHOCENT INT JT WRI/ | $113.47 | $186.01 | $93.00–$186.01 | 71% below | 39% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECT INTERMED JNT BIL | $234.24 | $384.00 | $192.00–$384.00 | 39% below | 39% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTRMD JT | $417.85 | $685.00 | $93.00–$186.01 | 8% above | 39% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 INJECT INTERMED JNT RT | $234.24 | $384.00 | $192.00–$384.00 | 39% below | 39% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 INJECT INTERMED JNT LT | $234.24 | $384.00 | $192.00–$384.00 | 39% below | 39% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHOCENT INT JT WRI/ | $113.47 | $186.01 | $93.00–$186.01 | — | 39% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJECT INTERMED JNT BIL | $234.24 | $384.00 | $192.00–$384.00 | — | 39% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INTRMD JT | $417.85 | $685.00 | $93.00–$186.01 | — | 39% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 INJECT INTERMED JNT LT | $234.24 | $384.00 | $192.00–$384.00 | — | 39% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 INJECT INTERMED JNT RT | $234.24 | $384.00 | $192.00–$384.00 | — | 39% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHOCENT SM JT FING | $106.14 | $174.00 | $87.00–$174.00 | 76% below | 39% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHOCENT SM JT FING/ | $106.14 | $174.00 | $87.00–$174.00 | 76% below | 39% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCEN/ASPIR SM JNT | $162.26 | $266.00 | $87.00–$174.00 | 63% below | 39% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECT SMALL JNT BIL | $272.67 | $447.00 | $223.50–$447.00 | 38% below | 39% |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 INJECT SMALL JNT RT | $272.67 | $447.00 | $223.50–$447.00 | 38% below | 39% |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 INJECT SMALL JNT LT | $272.67 | $447.00 | $223.50–$447.00 | 38% below | 39% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHOCENT SM JT FING | $106.14 | $174.00 | $87.00–$174.00 | — | 39% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHOCENT SM JT FING/ | $106.14 | $174.00 | $87.00–$174.00 | — | 39% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCEN/ASPIR SM JNT | $162.26 | $266.00 | $87.00–$174.00 | — | 39% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJECT SMALL JNT BIL | $272.67 | $447.00 | $223.50–$447.00 | — | 39% |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 INJECT SMALL JNT RT | $272.67 | $447.00 | $223.50–$447.00 | — | 39% |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 INJECT SMALL JNT LT | $272.67 | $447.00 | $223.50–$447.00 | — | 39% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSCOPY KNEE W/MED LAT MEN | $2,161.84 | $3,544.00 | $1,772.00–$3,544.00 | — | 39% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTHROSCOPY KNEE W/MED LAT MEN | $2,161.84 | $3,544.00 | $1,772.00–$3,544.00 | — | 39% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY W/MENISCTMY ( | $1,997.14 | $3,274.00 | $1,637.00–$3,274.00 | — | 39% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $27,212.38 | $44,610.46 | $22,305.23–$44,610.46 | — | 39% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 KNEE ARTHROSCOPY W/MENISCTMY ( | $1,997.14 | $3,274.00 | $1,637.00–$3,274.00 | — | 39% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $27,212.38 | $44,610.46 | $22,305.23–$44,610.46 | — | 39% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHOSCOPY W/MENISCECTOMY,MEDI | $2,413.77 | $3,957.00 | $1,978.50–$3,957.00 | — | 39% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING | $55,683.03 | $91,283.65 | $45,641.82–$91,283.65 | — | 39% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHOSCOPY W/MENISCECTOMY,MEDI | $2,413.77 | $3,957.00 | $1,978.50–$3,957.00 | — | 39% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING | $55,683.03 | $91,283.65 | $45,641.82–$91,283.65 | — | 39% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROSCOPY DEBRID/SHAVE ARTCL | $1,756.19 | $2,879.00 | $1,439.50–$2,879.00 | — | 39% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHROSCOPY DEBRID/SHAVE ARTCL | $1,756.19 | $2,879.00 | $1,439.50–$2,879.00 | — | 39% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAP APPENDECTOMY | $1,196.82 | $1,962.00 | $981.00–$1,962.00 | 81% below | 39% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY-APPENDECTOMY | $1,196.82 | $1,962.00 | $981.00–$1,962.00 | 81% below | 39% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPIC APPENDECTOMY | $16,196.87 | $26,552.25 | $13,276.13–$26,552.25 | 152% above | 39% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY-APPENDECTOMY | $1,196.82 | $1,962.00 | $981.00–$1,962.00 | — | 39% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAP APPENDECTOMY | $1,196.82 | $1,962.00 | $981.00–$1,962.00 | — | 39% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPIC APPENDECTOMY | $16,196.87 | $26,552.25 | $13,276.13–$26,552.25 | — | 39% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPS SURG ESOPG/GSTR FUNDOPLAS | $2,217.35 | $3,635.00 | $1,817.50–$3,635.00 | — | 39% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAPS SURG ESOPG/GSTR FUNDOPLAS | $2,217.35 | $3,635.00 | $1,817.50–$3,635.00 | — | 39% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAPS TOTAL HYSTERECT 250 GM<W/ | $1,708.61 | $2,801.00 | $1,400.50–$2,801.00 | — | 39% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | $18,330.52 | $30,050.03 | $15,025.01–$30,050.03 | — | 39% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 LAPS TOTAL HYSTERECT 250 GM<W/ | $1,708.61 | $2,801.00 | $1,400.50–$2,801.00 | — | 39% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | $18,330.52 | $30,050.03 | $15,025.01–$30,050.03 | — | 39% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP INIT ING HERNIA | $1,105.32 | $1,812.00 | $906.00–$1,812.00 | — | 39% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP INIT ING HERNIA | $1,105.32 | $1,812.00 | $906.00–$1,812.00 | — | 39% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP RPR INGL HERNIA RECURRENT | $1,267.58 | $2,078.00 | $1,039.00–$2,078.00 | — | 39% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAP RPR INGL HERNIA RECURRENT | $1,267.58 | $2,078.00 | $1,039.00–$2,078.00 | — | 39% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAP W OOPHORECTOMY/ADNEXAL STR | $1,591.49 | $2,609.00 | $1,304.50–$2,609.00 | 74% below | 39% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES | $13,219.19 | $21,670.80 | $10,835.40–$21,670.80 | 118% above | 39% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAP W OOPHORECTOMY/ADNEXAL STR | $1,591.49 | $2,609.00 | $1,304.50–$2,609.00 | — | 39% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES | $13,219.19 | $21,670.80 | $10,835.40–$21,670.80 | — | 39% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG LASER; 1 MORE STAGES | $2,059.97 | $3,377.00 | $1,688.50–$3,377.00 | — | 39% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 YAG LASER; 1 MORE STAGES | $2,059.97 | $3,377.00 | $1,688.50–$3,377.00 | — | 39% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INT RPR SCALP/TRUNK 2.5 | $201.30 | $330.00 | $165.00–$330.00 | 21% below | 39% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 CLOS-LAYERED, SCLP,AXIL,TRNK,E | $201.30 | $330.00 | $165.00–$330.00 | 21% below | 39% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INT RPR SCALP/TRUNK | $490.44 | $804.00 | $165.00–$330.00 | 92% above | 39% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 CLOS-LAYERED, SCLP,AXIL,TRNK,E | $201.30 | $330.00 | $165.00–$330.00 | — | 39% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INT RPR SCALP/TRUNK 2.5 | $201.30 | $330.00 | $165.00–$330.00 | — | 39% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INT RPR SCALP/TRUNK | $490.44 | $804.00 | $165.00–$330.00 | — | 39% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION PROCEDURE | $831.43 | $1,363.00 | $1,145.50–$2,291.00 | 34% below | 39% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX DX/THER SBST INTRLMNR LMBR | $1,397.51 | $2,291.00 | $1,145.50–$2,291.00 | 11% above | 39% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,992.41 | $3,266.24 | $1,633.12–$3,266.24 | 58% above | 39% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJECTION PROCEDURE | $831.43 | $1,363.00 | $1,145.50–$2,291.00 | — | 39% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX DX/THER SBST INTRLMNR LMBR | $1,397.51 | $2,291.00 | $1,145.50–$2,291.00 | — | 39% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,992.41 | $3,266.24 | $1,633.12–$3,266.24 | — | 39% |
| Lower-back epidural injection, without imaging guidance CPT 62322 CRNA/LUMBAR INJ EPIDURAL | $458.72 | $752.00 | $376.00–$752.00 | 67% below | 39% |
| Lower-back epidural injection, without imaging guidance CPT 62322 KOPELL/EPIDURAL-LUMBAR | $458.72 | $752.00 | $376.00–$752.00 | 67% below | 39% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ SNGL W/WO CONTRST, DX/THRP | $1,451.80 | $2,380.00 | $1,190.00–$2,380.00 | 4% above | 39% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 KOPELL/EPIDURAL-LUMBAR | $458.72 | $752.00 | $376.00–$752.00 | — | 39% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 CRNA/LUMBAR INJ EPIDURAL | $458.72 | $752.00 | $376.00–$752.00 | — | 39% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ SNGL W/WO CONTRST, DX/THRP | $1,451.80 | $2,380.00 | $1,190.00–$2,380.00 | — | 39% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 KOPELL/INJ LUMBAR SACRAL | $628.91 | $1,031.00 | $515.50–$1,031.00 | 33% below | 39% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANES STEROID, LIMB/SACRAL | $1,495.72 | $2,452.00 | $1,226.00–$2,452.00 | 60% above | 39% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $1,622.87 | $2,660.45 | $1,330.22–$2,660.45 | 73% above | 39% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 KOPELL/INJ LUMBAR SACRAL | $628.91 | $1,031.00 | $515.50–$1,031.00 | — | 39% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ ANES STEROID, LIMB/SACRAL | $1,495.72 | $2,452.00 | $1,226.00–$2,452.00 | — | 39% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $1,622.87 | $2,660.45 | $1,330.22–$2,660.45 | — | 39% |
| Lumpectomy (partial mastectomy) CPT 19301 BREAST LUMPECTOMY(PARTL MASTEC | $972.34 | $1,594.00 | $797.00–$1,594.00 | — | 39% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 BREAST LUMPECTOMY(PARTL MASTEC | $972.34 | $1,594.00 | $797.00–$1,594.00 | — | 39% |
| Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY, SIMPLE, COMPLETE | $1,133.99 | $1,859.00 | $929.50–$1,859.00 | — | 39% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 MASTECTOMY, SIMPLE, COMPLETE | $1,133.99 | $1,859.00 | $929.50–$1,859.00 | — | 39% |
| Miscarriage treatment with D&C, first trimester CPT 59820 TX OF MISSED AB COMPL SURG FIR | $534.37 | $876.02 | $438.01–$876.02 | 80% below | 39% |
| Miscarriage treatment with D&C, first trimester CPT 59820 TX MISSED ABORTION FIRST TRIMESTER SURGICAL | $9,955.21 | $16,320.02 | $8,160.01–$16,320.02 | 279% above | 39% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 TX OF MISSED AB COMPL SURG FIR | $534.37 | $876.02 | $438.01–$876.02 | — | 39% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 TX MISSED ABORTION FIRST TRIMESTER SURGICAL | $9,955.21 | $16,320.02 | $8,160.01–$16,320.02 | — | 39% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENIGN T/EXT 0.5 CM< | $118.95 | $195.00 | $97.50–$195.00 | 83% below | 39% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BENIGN T/EXT 0.5 CM< | $118.95 | $195.00 | $97.50–$195.00 | — | 39% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC OTH BENIGN FACE 0.5 CM/< | $148.23 | $243.00 | $121.50–$243.00 | 73% below | 39% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC OTH BENIGN FACE 0.5 CM/< | $148.23 | $243.00 | $121.50–$243.00 | — | 39% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $122.00 | $200.00 | $100.00–$200.00 | 35% below | 39% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE | $122.00 | $200.00 | $100.00–$200.00 | — | 39% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ, ANES AGENT, > OCCIPITAL N | $214.72 | $352.00 | $176.00–$352.00 | 59% below | 39% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ GREATER OCCIPITAL NERVE | $502.03 | $823.00 | $176.00–$352.00 | 4% below | 39% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ, ANES AGENT; > OCCIPITAL N | $674.05 | $1,105.00 | $176.00–$352.00 | 29% above | 39% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ, ANES AGENT, > OCCIPITAL N | $214.72 | $352.00 | $176.00–$352.00 | — | 39% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ GREATER OCCIPITAL NERVE | $502.03 | $823.00 | $176.00–$352.00 | — | 39% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ, ANES AGENT; > OCCIPITAL N | $674.05 | $1,105.00 | $176.00–$352.00 | — | 39% |
| Paracentesis with imaging guidance CPT 49083 PARA W/IMAGING GUIDANCE | $492.91 | $808.05 | $404.02–$808.05 | 55% below | 39% |
| Paracentesis with imaging guidance CPT 49083 PARA-IMAGE GUIDED PF | $492.91 | $808.05 | $404.02–$808.05 | 55% below | 39% |
| Paracentesis with imaging guidance CPT 49083 PARA W/ IMAGING GUIDANCE | $1,523.78 | $2,498.00 | $1,249.00–$2,498.00 | 39% above | 39% |
| Paracentesis with imaging guidance inpatient CPT 49083 PARA W/IMAGING GUIDANCE | $492.91 | $808.05 | $404.02–$808.05 | — | 39% |
| Paracentesis with imaging guidance inpatient CPT 49083 PARA-IMAGE GUIDED PF | $492.91 | $808.05 | $404.02–$808.05 | — | 39% |
| Paracentesis with imaging guidance inpatient CPT 49083 PARA W/ IMAGING GUIDANCE | $1,523.78 | $2,498.00 | $1,249.00–$2,498.00 | — | 39% |
| Partial knee replacement (one compartment) CPT 27446 ARTHRP KNEE CONDYLEPLTU MEDIAL | $2,730.36 | $4,476.00 | $2,238.00–$4,476.00 | — | 39% |
| Partial knee replacement (one compartment) inpatient CPT 27446 ARTHRP KNEE CONDYLEPLTU MEDIAL | $2,730.36 | $4,476.00 | $2,238.00–$4,476.00 | — | 39% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 NAIL REM., W/MATRIX | $222.65 | $365.00 | $182.50–$365.00 | 49% below | 39% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 NAIL REM, W/MATRIX | $351.97 | $577.00 | $182.50–$365.00 | 19% below | 39% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 NAIL REM., W/MATRIX | $222.65 | $365.00 | $182.50–$365.00 | — | 39% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 NAIL REM, W/MATRIX | $351.97 | $577.00 | $182.50–$365.00 | — | 39% |
| Prostate biopsy CPT 55700 PROSTATE BIOPSY | $396.50 | $650.00 | $325.00–$650.00 | 80% below | 39% |
| Prostate biopsy CPT 55700 PROSTATE NEEDLE BIOPSY ANY APPROACH | $4,898.47 | $8,030.28 | $4,015.14–$8,030.28 | 151% above | 39% |
| Prostate biopsy inpatient CPT 55700 PROSTATE BIOPSY | $396.50 | $650.00 | $325.00–$650.00 | — | 39% |
| Prostate biopsy inpatient CPT 55700 PROSTATE NEEDLE BIOPSY ANY APPROACH | $4,898.47 | $8,030.28 | $4,015.14–$8,030.28 | — | 39% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $4,903.84 | $8,039.08 | $4,019.54–$8,039.08 | 68% above | 39% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $4,903.84 | $8,039.08 | $4,019.54–$8,039.08 | — | 39% |
| Removal of a breast lump, open surgery CPT 19120 EX-LESION, BREAST | $788.73 | $1,293.00 | $646.50–$1,293.00 | 83% below | 39% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EX-LESION, BREAST | $788.73 | $1,293.00 | $646.50–$1,293.00 | — | 39% |
| Removal of a foreign object under the skin, simple CPT 10120 INCS & RMVE FB SUBQ TISS | $184.22 | $302.00 | $151.00–$302.00 | 57% below | 39% |
| Removal of a foreign object under the skin, simple CPT 10120 FB, SUB-Q, SIMPLE | $184.22 | $302.00 | $151.00–$302.00 | 57% below | 39% |
| Removal of a foreign object under the skin, simple CPT 10120 C/FB, SUB-Q, SIMPLE | $184.22 | $302.00 | $151.00–$302.00 | 57% below | 39% |
| Removal of a foreign object under the skin, simple CPT 10120 INCS&REMOVFBSUBQ TISS/SM | $403.82 | $662.00 | $151.00–$302.00 | 5% below | 39% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 FB, SUB-Q, SIMPLE | $184.22 | $302.00 | $151.00–$302.00 | — | 39% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCS & RMVE FB SUBQ TISS | $184.22 | $302.00 | $151.00–$302.00 | — | 39% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 C/FB, SUB-Q, SIMPLE | $184.22 | $302.00 | $151.00–$302.00 | — | 39% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCS&REMOVFBSUBQ TISS/SM | $403.82 | $662.00 | $151.00–$302.00 | — | 39% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 TOTAL THYROID LOBECTOMY;UNI W | $1,551.84 | $2,544.00 | $1,272.00–$2,544.00 | 85% below | 39% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 TOTAL THYROID LOBECTOMY;UNI W | $1,551.84 | $2,544.00 | $1,272.00–$2,544.00 | — | 39% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCREEN N/HI | $600.24 | $984.00 | $492.00–$984.00 | 70% below | 39% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING COLONOSCOPY PERFORMED ON A PATIENT WHO IS NOT CONSIDERED HIGH RISK | $5,947.55 | $9,750.09 | $492.00–$984.00 | 200% above | 39% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLON CA SCREEN N/HI | $600.24 | $984.00 | $492.00–$984.00 | — | 39% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLORECTAL CANCER SCREENING COLONOSCOPY PERFORMED ON A PATIENT WHO IS NOT CONSIDERED HIGH RISK | $5,947.55 | $9,750.09 | $492.00–$984.00 | — | 39% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN;HI RISK IND | $600.24 | $984.00 | $492.00–$984.00 | 71% below | 39% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RIS | $1,782.83 | $2,922.68 | $492.00–$984.00 | 14% below | 39% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCRN;HI RISK IND | $600.24 | $984.00 | $492.00–$984.00 | — | 39% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RIS | $1,782.83 | $2,922.68 | $492.00–$984.00 | — | 39% |
| Short arm cast (elbow to hand) CPT 29075 APP-SHORT ARM FIBERGLASS CAST | $125.66 | $206.00 | $103.00–$206.00 | 63% below | 39% |
| Short arm cast (elbow to hand) CPT 29075 APP CAST; SHORT ARM PF | $125.66 | $206.00 | $103.00–$206.00 | 63% below | 39% |
| Short arm cast (elbow to hand) CPT 29075 APP CAST; SHORT ARM TC | $291.58 | $478.00 | $103.00–$206.00 | 15% below | 39% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APP-SHORT ARM FIBERGLASS CAST | $125.66 | $206.00 | $103.00–$206.00 | — | 39% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APP CAST; SHORT ARM PF | $125.66 | $206.00 | $103.00–$206.00 | — | 39% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APP CAST; SHORT ARM TC | $291.58 | $478.00 | $103.00–$206.00 | — | 39% |
| Short arm splint (forearm and hand) CPT 29125 APP-SHORT ARM SPLINT | $80.52 | $132.00 | $66.00–$132.00 | 68% below | 39% |
| Short arm splint (forearm and hand) CPT 29125 APP SPLINT SHORT ARM | $80.52 | $132.00 | $66.00–$132.00 | 68% below | 39% |
| Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM | $251.32 | $412.00 | $66.00–$132.00 | 2% below | 39% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APP SPLINT SHORT ARM | $80.52 | $132.00 | $66.00–$132.00 | — | 39% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APP-SHORT ARM SPLINT | $80.52 | $132.00 | $66.00–$132.00 | — | 39% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM | $251.32 | $412.00 | $66.00–$132.00 | — | 39% |
| Short leg cast (below the knee) CPT 29405 APP-SHORT LEG FIBERGLASS CAST | $159.82 | $262.00 | $131.00–$262.00 | 58% below | 39% |
| Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST | $195.20 | $320.00 | $131.00–$262.00 | 49% below | 39% |
| Short leg cast (below the knee) CPT 29405 SHORT LEG FIBERGLASS CAST APP | $310.49 | $509.00 | $131.00–$262.00 | 18% below | 39% |
| Short leg cast (below the knee) inpatient CPT 29405 APP-SHORT LEG FIBERGLASS CAST | $159.82 | $262.00 | $131.00–$262.00 | — | 39% |
| Short leg cast (below the knee) inpatient CPT 29405 APPL SHORT LEG CAST | $195.20 | $320.00 | $131.00–$262.00 | — | 39% |
| Short leg cast (below the knee) inpatient CPT 29405 SHORT LEG FIBERGLASS CAST APP | $310.49 | $509.00 | $131.00–$262.00 | — | 39% |
| Short leg splint (calf to foot) CPT 29515 APPLICA SHORT LEG SPLINT | $86.62 | $142.00 | $71.00–$142.00 | 69% below | 39% |
| Short leg splint (calf to foot) CPT 29515 APPL SHORT LEG SPLINT CALF-FOO | $86.62 | $142.00 | $71.00–$142.00 | 69% below | 39% |
| Short leg splint (calf to foot) CPT 29515 APP-SHORT LEG SPLINT | $86.62 | $142.00 | $71.00–$142.00 | 69% below | 39% |
| Short leg splint (calf to foot) CPT 29515 APP SPLINT SHORT LEG | $260.47 | $427.00 | $71.00–$142.00 | 7% below | 39% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICA SHORT LEG SPLINT | $86.62 | $142.00 | $71.00–$142.00 | — | 39% |
| Short leg splint (calf to foot) inpatient CPT 29515 APP-SHORT LEG SPLINT | $86.62 | $142.00 | $71.00–$142.00 | — | 39% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPL SHORT LEG SPLINT CALF-FOO | $86.62 | $142.00 | $71.00–$142.00 | — | 39% |
| Short leg splint (calf to foot) inpatient CPT 29515 APP SPLINT SHORT LEG | $260.47 | $427.00 | $71.00–$142.00 | — | 39% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 DISTAL CLAVICULECTOMY | $1,169.37 | $1,917.00 | $958.50–$1,917.00 | — | 39% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 DISTAL CLAVICULECTOMY | $1,169.37 | $1,917.00 | $958.50–$1,917.00 | — | 39% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPY SHOULDER W/PART AC | $1,931.87 | $3,167.00 | $1,583.50–$3,167.00 | — | 39% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $27,625.89 | $45,288.35 | $22,644.17–$45,288.35 | — | 39% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSCOPY SHOULDER W/PART AC | $1,931.87 | $3,167.00 | $1,583.50–$3,167.00 | — | 39% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $27,625.89 | $45,288.35 | $22,644.17–$45,288.35 | — | 39% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 CLOS-SIMP, 2.5 CM LESS | $150.06 | $246.00 | $123.00–$246.00 | 33% below | 39% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE LAC RPR PF | $150.06 | $246.00 | $123.00–$246.00 | 33% below | 39% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP SCALP/NECK/TRUNK 2.5CW/< | $150.06 | $246.00 | $123.00–$246.00 | 33% below | 39% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP SCALP/TRUNK2.5CMLES | $359.90 | $590.00 | $123.00–$246.00 | 60% above | 39% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE LAC RPR PF | $150.06 | $246.00 | $123.00–$246.00 | — | 39% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 CLOS-SIMP, 2.5 CM LESS | $150.06 | $246.00 | $123.00–$246.00 | — | 39% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMP SCALP/NECK/TRUNK 2.5CW/< | $150.06 | $246.00 | $123.00–$246.00 | — | 39% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMP SCALP/TRUNK2.5CMLES | $359.90 | $590.00 | $123.00–$246.00 | — | 39% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $94.55 | $155.00 | $77.50–$155.00 | 74% below | 39% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $94.55 | $155.00 | $77.50–$155.00 | — | 39% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL OF SKIN TAGS LESS THAN 15 | $79.91 | $131.00 | $65.50–$131.00 | 39% below | 39% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 | $4,061.20 | $6,657.70 | $3,328.85–$6,657.70 | 2993% above | 39% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 RMVL OF SKIN TAGS LESS THAN 15 | $79.91 | $131.00 | $65.50–$131.00 | — | 39% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 | $4,061.20 | $6,657.70 | $3,328.85–$6,657.70 | — | 39% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 CRNA LUMBAR PW | $237.29 | $389.00 | $194.50–$389.00 | 68% below | 39% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNC LUMBAR DX PR | $237.29 | $389.00 | $194.50–$389.00 | 68% below | 39% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PW | $584.99 | $959.00 | $479.50–$959.00 | 21% below | 39% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PW, LUMBAR DIAG | $601.46 | $986.00 | $194.50–$389.00 | 19% below | 39% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNC LUMBAR DX TE | $621.59 | $1,019.00 | $194.50–$389.00 | 16% below | 39% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 CRNA LUMBAR PW | $237.29 | $389.00 | $194.50–$389.00 | — | 39% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNC LUMBAR DX PR | $237.29 | $389.00 | $194.50–$389.00 | — | 39% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PW | $584.99 | $959.00 | $479.50–$959.00 | — | 39% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PW, LUMBAR DIAG | $601.46 | $986.00 | $194.50–$389.00 | — | 39% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNC LUMBAR DX TE | $621.59 | $1,019.00 | $194.50–$389.00 | — | 39% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE RPR 2.6-7.5 PROFE | $171.41 | $281.00 | $140.50–$281.00 | 41% below | 39% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 /CLOS SIMP,SCLP,NK,TRK,EST 2.6 | $171.41 | $281.00 | $140.50–$281.00 | 41% below | 39% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 CLOS SIMP,SCLP,NK,TRK,EST 2.6- | $171.41 | $281.00 | $140.50–$281.00 | 41% below | 39% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIM RPR 2.6 TO 7.5 CM | $401.38 | $658.00 | $140.50–$281.00 | 38% above | 39% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 /CLOS SIMP,SCLP,NK,TRK,EST 2.6 | $171.41 | $281.00 | $140.50–$281.00 | — | 39% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE RPR 2.6-7.5 PROFE | $171.41 | $281.00 | $140.50–$281.00 | — | 39% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 CLOS SIMP,SCLP,NK,TRK,EST 2.6- | $171.41 | $281.00 | $140.50–$281.00 | — | 39% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIM RPR 2.6 TO 7.5 CM | $401.38 | $658.00 | $140.50–$281.00 | — | 39% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMP FACE/EAR/EYE2.5LESS | $189.10 | $310.00 | $155.00–$310.00 | 40% below | 39% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 CLOS-SIMP, <2.5 CM, FACE, E,E, | $189.10 | $310.00 | $155.00–$310.00 | 40% below | 39% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIM RPR FACE/M2.5 | $376.37 | $617.00 | $155.00–$310.00 | 20% above | 39% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 CLOS-SIMP, <2.5 CM, FACE, E,E, | $189.10 | $310.00 | $155.00–$310.00 | — | 39% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMP FACE/EAR/EYE2.5LESS | $189.10 | $310.00 | $155.00–$310.00 | — | 39% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIM RPR FACE/M2.5 | $376.37 | $617.00 | $155.00–$310.00 | — | 39% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SGL LES | $90.28 | $148.00 | $74.00–$148.00 | 66% below | 39% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSEY SKIN SNGL L | $90.28 | $148.00 | $74.00–$148.00 | 66% below | 39% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SGL LESION | $204.35 | $335.00 | $74.00–$148.00 | 23% below | 39% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SGL LES | $90.28 | $148.00 | $74.00–$148.00 | — | 39% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSEY SKIN SNGL L | $90.28 | $148.00 | $74.00–$148.00 | — | 39% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BX SKIN SGL LESION | $204.35 | $335.00 | $74.00–$148.00 | — | 39% |
| Thoracentesis with imaging guidance CPT 32555 THORA W/ IMAG ER PF | $600.85 | $985.00 | $492.50–$985.00 | 41% below | 39% |
| Thoracentesis with imaging guidance CPT 32555 THORCNTS, N/C ASP OF PLEURAL W | $600.85 | $985.00 | $492.50–$985.00 | 41% below | 39% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS, NEED CATH ASP W | $1,378.60 | $2,260.00 | $1,130.00–$2,260.00 | 35% above | 39% |
| Thoracentesis with imaging guidance CPT 32555 ER/THW/ IMAG | $1,444.48 | $2,368.00 | $492.50–$985.00 | 42% above | 39% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORA W/ IMAG ER PF | $600.85 | $985.00 | $492.50–$985.00 | — | 39% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORCNTS, N/C ASP OF PLEURAL W | $600.85 | $985.00 | $492.50–$985.00 | — | 39% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS, NEED CATH ASP W | $1,378.60 | $2,260.00 | $1,130.00–$2,260.00 | — | 39% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ER/THW/ IMAG | $1,444.48 | $2,368.00 | $492.50–$985.00 | — | 39% |
| Tonsil and adenoid removal, child under 12 CPT 42820 TONSILLECTOMY&ADNOIDECTOMY; UN | $595.97 | $977.00 | $488.50–$977.00 | 84% below | 39% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 TONSILLECTOMY&ADNOIDECTOMY; UN | $595.97 | $977.00 | $488.50–$977.00 | — | 39% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY <12 | $610.00 | $1,000.00 | $500.00–$1,000.00 | 91% below | 39% |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 TONSILLECTOMY <12 | $610.00 | $1,000.00 | $500.00–$1,000.00 | — | 39% |
| Total hip replacement CPT 27130 ARTHROPLASY, TOTAL HIP | $5,900.54 | $9,673.02 | $4,836.51–$9,673.02 | — | 39% |
| Total hip replacement CPT 27130 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $54,694.60 | $89,663.28 | $44,831.64–$89,663.28 | — | 39% |
| Total hip replacement inpatient CPT 27130 ARTHROPLASY, TOTAL HIP | $5,900.54 | $9,673.02 | $4,836.51–$9,673.02 | — | 39% |
| Total hip replacement inpatient CPT 27130 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $54,694.60 | $89,663.28 | $44,831.64–$89,663.28 | — | 39% |
| Total knee replacement CPT 27447 TKA KNEE, MED & LAT | $4,024.20 | $6,597.05 | $3,298.53–$6,597.05 | — | 39% |
| Total knee replacement inpatient CPT 27447 TKA KNEE, MED & LAT | $4,024.20 | $6,597.05 | $3,298.53–$6,597.05 | — | 39% |
| Total shoulder replacement CPT 23472 ARTHROPLASTY GENOHUMERAL TOTAL | $3,508.72 | $5,752.00 | $2,876.00–$5,752.00 | — | 39% |
| Total shoulder replacement CPT 23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER | $45,374.18 | $74,383.90 | $37,191.95–$74,383.90 | — | 39% |
| Total shoulder replacement inpatient CPT 23472 ARTHROPLASTY GENOHUMERAL TOTAL | $3,508.72 | $5,752.00 | $2,876.00–$5,752.00 | — | 39% |
| Total shoulder replacement inpatient CPT 23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER | $45,374.18 | $74,383.90 | $37,191.95–$74,383.90 | — | 39% |
| Total thyroid removal (thyroidectomy) CPT 60240 THYROIDECTOMY, TOTAL | $2,180.14 | $3,574.00 | $1,787.00–$3,574.00 | 48% below | 39% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 THYROIDECTOMY, TOTAL | $2,180.14 | $3,574.00 | $1,787.00–$3,574.00 | — | 39% |
| Trigger finger release surgery CPT 26055 TENDON SHEATH INC | $954.04 | $1,564.00 | $782.00–$1,564.00 | — | 39% |
| Trigger finger release surgery inpatient CPT 26055 TENDON SHEATH INC | $954.04 | $1,564.00 | $782.00–$1,564.00 | — | 39% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECT(S) SGL/MULTIPLE:1-2 MUS | $120.17 | $197.00 | $98.50–$197.00 | 63% below | 39% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ SIN/MULT TRIG PTS PR | $120.17 | $197.00 | $98.50–$197.00 | 63% below | 39% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ SIN/MULT TRIG PTS TE | $254.98 | $418.00 | $98.50–$197.00 | 22% below | 39% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECT(S) SGL/MULTIPLE:1-2 MUS | $120.17 | $197.00 | $98.50–$197.00 | — | 39% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SIN/MULT TRIG PTS PR | $120.17 | $197.00 | $98.50–$197.00 | — | 39% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SIN/MULT TRIG PTS TE | $254.98 | $418.00 | $98.50–$197.00 | — | 39% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAP TUBAL | $949.16 | $1,556.00 | $778.00–$1,556.00 | — | 39% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAP TUBAL | $949.16 | $1,556.00 | $778.00–$1,556.00 | — | 39% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BRST BX W/PLCMNT CLIP 1ST LT | $1,593.93 | $2,613.00 | $1,306.50–$2,613.00 | 9% below | 39% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BRST BX W/PLCMNT CLIP 1ST RT | $1,593.93 | $2,613.00 | $1,306.50–$2,613.00 | 9% below | 39% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BRST BX W/PLCMNT CLIP 1ST LT | $1,593.93 | $2,613.00 | $1,306.50–$2,613.00 | — | 39% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BRST BX W/PLCMNT CLIP 1ST RT | $1,593.93 | $2,613.00 | $1,306.50–$2,613.00 | — | 39% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/BALLOON DILATION | $595.36 | $976.00 | $488.00–$976.00 | 51% below | 39% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD W/BALLOON DILATION | $595.36 | $976.00 | $488.00–$976.00 | — | 39% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BX | $519.72 | $852.00 | $426.00–$852.00 | 71% below | 39% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $2,163.40 | $3,546.55 | $1,773.28–$3,546.55 | 23% above | 39% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/BX | $519.72 | $852.00 | $426.00–$852.00 | — | 39% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $2,163.40 | $3,546.55 | $1,773.28–$3,546.55 | — | 39% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD- W/REM POLYP SNARE TECH | $652.70 | $1,070.00 | $535.00–$1,070.00 | 50% below | 39% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD- W/REM POLYP SNARE TECH | $652.70 | $1,070.00 | $535.00–$1,070.00 | — | 39% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W/DILATION OVER GUIDE WIRE | $503.25 | $825.00 | $412.50–$825.00 | 48% below | 39% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD W/DILATION OVER GUIDE WIRE | $503.25 | $825.00 | $412.50–$825.00 | — | 39% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD--DIAG | $451.40 | $740.00 | $370.00–$740.00 | 69% below | 39% |
| Upper endoscopy (EGD), diagnostic CPT 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $3,309.25 | $5,425.00 | $2,712.50–$5,425.00 | 126% above | 39% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD--DIAG | $451.40 | $740.00 | $370.00–$740.00 | — | 39% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $3,309.25 | $5,425.00 | $2,712.50–$5,425.00 | — | 39% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 OBST CARE ANTEPA, VAG DEL, PP | $2,751.71 | $4,511.00 | $2,255.50–$4,511.00 | — | 39% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 OBST CARE ANTEPA, VAG DEL, PP | $2,751.71 | $4,511.00 | $2,255.50–$4,511.00 | — | 39% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 ANTEPART, VAG DEL, AND PP CARE | $2,641.91 | $4,331.00 | $2,165.50–$4,331.00 | — | 39% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 ANTEPART, VAG DEL, AND PP CARE | $2,641.91 | $4,331.00 | $2,165.50–$4,331.00 | — | 39% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNI/BI SPX W/POSTOP | $1,395.07 | $2,287.00 | $1,143.50–$2,287.00 | — | 39% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 FPE VASTECTOMY | $164.16 | $269.11 | $134.56–$269.11 | — | 39% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 VASECTOMY | $488.00 | $800.00 | $134.56–$269.11 | — | 39% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNI/BI SPX W/POSTOP | $1,395.07 | $2,287.00 | $1,143.50–$2,287.00 | — | 39% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 FPE VASTECTOMY | $164.16 | $269.11 | $134.56–$269.11 | — | 39% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 VASECTOMY | $488.00 | $800.00 | $134.56–$269.11 | — | 39% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESIONS UP TO | $118.34 | $194.00 | $97.00–$194.00 | 35% below | 39% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESIONS UP TO | $118.34 | $194.00 | $97.00–$194.00 | — | 39% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID EX; SKIN 1.1 TO 2.0 CM | $250.71 | $411.00 | $205.50–$411.00 | 56% below | 39% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT;SKIN SUBCU TISS PF | $250.71 | $411.00 | $205.50–$411.00 | 56% below | 39% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $333.06 | $546.00 | $205.50–$411.00 | 41% below | 39% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT;SKIN SUBCU TISS | $397.11 | $651.00 | $205.50–$411.00 | 30% below | 39% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT;SKIN SUBCU TISS PF | $250.71 | $411.00 | $205.50–$411.00 | — | 39% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID EX; SKIN 1.1 TO 2.0 CM | $250.71 | $411.00 | $205.50–$411.00 | — | 39% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $333.06 | $546.00 | $205.50–$411.00 | — | 39% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT;SKIN SUBCU TISS | $397.11 | $651.00 | $205.50–$411.00 | — | 39% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OP TX DISTAL RADIAL FX | $1,474.98 | $2,418.00 | $1,209.00–$2,418.00 | — | 39% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP | $26,085.17 | $42,762.58 | $21,381.29–$42,762.58 | — | 39% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 OP TX DISTAL RADIAL FX | $1,474.98 | $2,418.00 | $1,209.00–$2,418.00 | — | 39% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP | $26,085.17 | $42,762.58 | $21,381.29–$42,762.58 | — | 39% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Utah | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN | $572.79 | $939.00 | $856.00–$1,712.00 | 56% below | 39% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $1,044.32 | $1,712.00 | $856.00–$1,712.00 | 20% below | 39% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN | $572.79 | $939.00 | $856.00–$1,712.00 | — | 39% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $1,044.32 | $1,712.00 | $856.00–$1,712.00 | — | 39% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRMT FAIRWAY OBST | $22.57 | $37.00 | $138.50–$277.00 | 92% below | 39% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN SUBSEQUENT | $148.84 | $244.00 | $138.50–$277.00 | 47% below | 39% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $168.97 | $277.00 | $138.50–$277.00 | 40% below | 39% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRMT FAIRWAY OBST | $22.57 | $37.00 | $138.50–$277.00 | — | 39% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN SUBSEQUENT | $148.84 | $244.00 | $138.50–$277.00 | — | 39% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $168.97 | $277.00 | $138.50–$277.00 | — | 39% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADM; IV INFUSION UP TO 1 | $616.10 | $1,010.00 | $505.00–$1,010.00 | 3% below | 39% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADM; IV INFUSION UP TO 1 | $616.10 | $1,010.00 | $505.00–$1,010.00 | — | 39% |
| Critical care, first 30 to 74 minutes CPT 99291 FNP/CC 1ST 30-74 MIN | $1,096.17 | $1,797.00 | $898.50–$1,797.00 | 86% below | 39% |
| Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 1HR-PF | $1,096.17 | $1,797.00 | $898.50–$1,797.00 | 86% below | 39% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST 30-74 MIN | $1,096.17 | $1,797.00 | $898.50–$1,797.00 | 86% below | 39% |
| Critical care, first 30 to 74 minutes CPT 99291 ER SERVICE CRITICAL CARE 1ST 3 | $3,378.18 | $5,538.00 | $898.50–$1,797.00 | 58% below | 39% |
| Critical care, first 30 to 74 minutes CPT 99291 TTA/LVL II CC 1ST 30 MIN W/O N | $5,884.06 | $9,646.00 | $898.50–$1,797.00 | 26% below | 39% |
| Critical care, first 30 to 74 minutes CPT 99291 TTA/LVL I CC 1ST 30 MIN W/O N | $8,212.43 | $13,463.00 | $898.50–$1,797.00 | 3% above | 39% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 FNP/CC 1ST 30-74 MIN | $1,096.17 | $1,797.00 | $898.50–$1,797.00 | — | 39% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 1HR-PF | $1,096.17 | $1,797.00 | $898.50–$1,797.00 | — | 39% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST 30-74 MIN | $1,096.17 | $1,797.00 | $898.50–$1,797.00 | — | 39% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ER SERVICE CRITICAL CARE 1ST 3 | $3,378.18 | $5,538.00 | $898.50–$1,797.00 | — | 39% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 TTA/LVL II CC 1ST 30 MIN W/O N | $5,884.06 | $9,646.00 | $898.50–$1,797.00 | — | 39% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 TTA/LVL I CC 1ST 30 MIN W/O N | $8,212.43 | $13,463.00 | $898.50–$1,797.00 | — | 39% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG 12 LEAD W/INTERPRETATION | $31.72 | $52.00 | $26.00–$52.00 | — | 39% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ECG 12 LEAD W/INTERPRETATION | $31.72 | $52.00 | $26.00–$52.00 | — | 39% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG W/12 LEADS>:TRACING ONLY, | $25.01 | $41.00 | $136.50–$273.00 | 92% below | 39% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $166.53 | $273.00 | $136.50–$273.00 | 48% below | 39% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG W/12 LEADS>:TRACING ONLY, | $25.01 | $41.00 | $136.50–$273.00 | — | 39% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $166.53 | $273.00 | $136.50–$273.00 | — | 39% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 FNP/ER LEVEL I | $70.15 | $115.00 | $62.50–$125.00 | 86% below | 39% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER STRAIGHT FWD PF | $70.15 | $115.00 | $62.50–$125.00 | 86% below | 39% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER CONSULT STRAIGHT FWD | $70.15 | $115.00 | $57.50–$115.00 | 86% below | 39% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT, MINPROB | $76.25 | $125.00 | $62.50–$125.00 | 85% below | 39% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OP NURSING SIMPLE | $217.16 | $356.00 | $62.50–$125.00 | 57% below | 39% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER SERVICE LEVEL 1 | $229.36 | $376.00 | $62.50–$125.00 | 54% below | 39% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER CONSULT STRAIGHT FWD | $70.15 | $115.00 | $57.50–$115.00 | — | 39% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 FNP/ER LEVEL I | $70.15 | $115.00 | $62.50–$125.00 | — | 39% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER STRAIGHT FWD PF | $70.15 | $115.00 | $62.50–$125.00 | — | 39% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT, MINPROB | $76.25 | $125.00 | $62.50–$125.00 | — | 39% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OP NURSING SIMPLE | $217.16 | $356.00 | $62.50–$125.00 | — | 39% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER SERVICE LEVEL 1 | $229.36 | $376.00 | $62.50–$125.00 | — | 39% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E&M EMERGENCY ROOM, LOW COMP | $129.93 | $213.00 | $106.50–$213.00 | 90% below | 39% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OP NURSING MOD | $139.69 | $229.00 | $106.50–$213.00 | 89% below | 39% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LOW COMP PF | $151.89 | $249.00 | $106.50–$213.00 | 88% below | 39% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 FNP/ER LEVEL II | $151.89 | $249.00 | $106.50–$213.00 | 88% below | 39% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER CONSULT LOW COMP | $151.89 | $249.00 | $124.50–$249.00 | 88% below | 39% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OP NURSING COMP | $251.32 | $412.00 | $106.50–$213.00 | 80% below | 39% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER SERVICE LEVEL 2 | $343.43 | $563.00 | $106.50–$213.00 | 73% below | 39% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 E&M EMERGENCY ROOM, LOW COMP | $129.93 | $213.00 | $106.50–$213.00 | — | 39% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OP NURSING MOD | $139.69 | $229.00 | $106.50–$213.00 | — | 39% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER CONSULT LOW COMP | $151.89 | $249.00 | $124.50–$249.00 | — | 39% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 FNP/ER LEVEL II | $151.89 | $249.00 | $106.50–$213.00 | — | 39% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LOW COMP PF | $151.89 | $249.00 | $106.50–$213.00 | — | 39% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OP NURSING COMP | $251.32 | $412.00 | $106.50–$213.00 | — | 39% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER SERVICE LEVEL 2 | $343.43 | $563.00 | $106.50–$213.00 | — | 39% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 FNP/ER LEVEL III | $245.22 | $402.00 | $182.00–$364.00 | 89% below | 39% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER CONSULT MOD COMP FOCUS | $245.22 | $402.00 | $201.00–$402.00 | 89% below | 39% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER MOD COMP FOCUS PF | $245.22 | $402.00 | $182.00–$364.00 | 89% below | 39% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER SERVICE LEVEL 3 | $619.76 | $1,016.00 | $182.00–$364.00 | 73% below | 39% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 FNP/ER LEVEL III | $245.22 | $402.00 | $182.00–$364.00 | — | 39% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER CONSULT MOD COMP FOCUS | $245.22 | $402.00 | $201.00–$402.00 | — | 39% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER MOD COMP FOCUS PF | $245.22 | $402.00 | $182.00–$364.00 | — | 39% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER SERVICE LEVEL 3 | $619.76 | $1,016.00 | $182.00–$364.00 | — | 39% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT HIGH/URGENT | $322.69 | $529.00 | $264.50–$529.00 | 91% below | 39% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER CONSULT MOD COMP | $354.41 | $581.00 | $290.50–$581.00 | 90% below | 39% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER MOD COMP PF | $354.42 | $581.02 | $264.50–$529.00 | 90% below | 39% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 FNP/ER LEVEL IV | $354.42 | $581.02 | $264.50–$529.00 | 90% below | 39% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER SERVICE LEVEL 4 | $1,018.70 | $1,670.00 | $264.50–$529.00 | 73% below | 39% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT HIGH/URGENT | $322.69 | $529.00 | $264.50–$529.00 | — | 39% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER CONSULT MOD COMP | $354.41 | $581.00 | $290.50–$581.00 | — | 39% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER MOD COMP PF | $354.42 | $581.02 | $264.50–$529.00 | — | 39% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 FNP/ER LEVEL IV | $354.42 | $581.02 | $264.50–$529.00 | — | 39% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER SERVICE LEVEL 4 | $1,018.70 | $1,670.00 | $264.50–$529.00 | — | 39% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER SERVICE LEVEL 5 | $1,758.63 | $2,883.00 | $405.00–$810.00 | 65% below | 39% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER SERVICE LEVEL 5 | $1,758.63 | $2,883.00 | $405.00–$810.00 | — | 39% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST | $817.40 | $1,340.00 | $670.00–$1,340.00 | 52% below | 39% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST | $817.40 | $1,340.00 | $670.00–$1,340.00 | — | 39% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY ADDITIONAL SE | $76.25 | $125.00 | $62.50–$125.00 | 88% below | 39% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY ADDITIONAL SE | $76.25 | $125.00 | $62.50–$125.00 | — | 39% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W/O PT 60 MIN | $71.98 | $118.00 | $59.00–$118.00 | 84% below | 39% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY W/O PT 60 MIN | $71.98 | $118.00 | $59.00–$118.00 | — | 39% |
| Group psychotherapy session CPT 90853 GRP EDUCATION 1UN | $47.58 | $78.00 | $39.00–$78.00 | 88% below | 39% |
| Group psychotherapy session inpatient CPT 90853 GRP EDUCATION 1UN | $47.58 | $78.00 | $39.00–$78.00 | — | 39% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HOLTER GLOBAL, UP TO 48 HRS | $452.01 | $741.00 | $370.50–$741.00 | — | 39% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HOLTER GLOBAL, UP TO 48 HRS | $452.01 | $741.00 | $370.50–$741.00 | — | 39% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL 31MIN TO | $140.30 | $230.00 | $215.50–$431.00 | 78% below | 39% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OP IV THERAPY HYDRATE; 1ST HR | $237.29 | $389.00 | $215.50–$431.00 | 63% below | 39% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INITIAL HR HYDRATION | $243.39 | $399.00 | $215.50–$431.00 | 62% below | 39% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INITIAL HR HYDRATION, 1ST HR | $251.32 | $412.00 | $215.50–$431.00 | 61% below | 39% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INITIAL 31MIN TO | $140.30 | $230.00 | $215.50–$431.00 | — | 39% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OP IV THERAPY HYDRATE; 1ST HR | $237.29 | $389.00 | $215.50–$431.00 | — | 39% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INITIAL HR HYDRATION | $243.39 | $399.00 | $215.50–$431.00 | — | 39% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INITIAL HR HYDRATION, 1ST HR | $251.32 | $412.00 | $215.50–$431.00 | — | 39% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY; INITIAL | $229.97 | $377.00 | $227.00–$454.00 | 65% below | 39% |
| IV infusion of a medicine, first hour CPT 96365 THERAP INITIAL HR IV MED | $264.13 | $433.00 | $227.00–$454.00 | 60% below | 39% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPUTIC/PROPH/D | $266.57 | $437.00 | $227.00–$454.00 | 60% below | 39% |
| IV infusion of a medicine, first hour CPT 96365 THERAP IV INFUSION, INITIAL HR | $276.94 | $454.00 | $227.00–$454.00 | 58% below | 39% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY; INITIAL | $229.97 | $377.00 | $227.00–$454.00 | — | 39% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THERAP INITIAL HR IV MED | $264.13 | $433.00 | $227.00–$454.00 | — | 39% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPUTIC/PROPH/D | $266.57 | $437.00 | $227.00–$454.00 | — | 39% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THERAP IV INFUSION, INITIAL HR | $276.94 | $454.00 | $227.00–$454.00 | — | 39% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP, PROPH, DX INJ IM SQ | $21.96 | $36.00 | $70.00–$140.00 | 92% below | 39% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 KOPELL/INTRAMUSCULAR INJ | $24.40 | $40.00 | $70.00–$140.00 | 91% below | 39% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP INJ; IM SUBQ EA PF | $32.94 | $54.00 | $70.00–$140.00 | 88% below | 39% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPUTIC/PROPH/DX INJ SUB Q | $73.20 | $120.00 | $70.00–$140.00 | 73% below | 39% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP INJ; IM SUBQ EACH | $81.74 | $134.00 | $70.00–$140.00 | 69% below | 39% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP SUB-CU IM INJ | $84.18 | $138.00 | $70.00–$140.00 | 68% below | 39% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP, PROPH, DX INJ IM SQ | $21.96 | $36.00 | $70.00–$140.00 | — | 39% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 KOPELL/INTRAMUSCULAR INJ | $24.40 | $40.00 | $70.00–$140.00 | — | 39% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP INJ; IM SUBQ EA PF | $32.94 | $54.00 | $70.00–$140.00 | — | 39% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPUTIC/PROPH/DX INJ SUB Q | $73.20 | $120.00 | $70.00–$140.00 | — | 39% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP INJ; IM SUBQ EACH | $81.74 | $134.00 | $70.00–$140.00 | — | 39% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP SUB-CU IM INJ | $84.18 | $138.00 | $70.00–$140.00 | — | 39% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 NEW DIAG EVALUATION | $122.00 | $200.00 | $100.00–$200.00 | 78% below | 39% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 NEW DIAG EVAL TELE | $122.00 | $200.00 | $100.00–$200.00 | 78% below | 39% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 NEW DIAG EVALUATION | $122.00 | $200.00 | $100.00–$200.00 | — | 39% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 NEW DIAG EVAL TELE | $122.00 | $200.00 | $100.00–$200.00 | — | 39% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR REEDUCATION | $166.53 | $273.00 | $136.50–$273.00 | at median | 39% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO MUSCULAR STIM WK | $166.53 | $273.00 | $136.50–$273.00 | at median | 39% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR REEDUCATION | $166.53 | $273.00 | $136.50–$273.00 | — | 39% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO MUSCULAR STIM WK | $166.53 | $273.00 | $136.50–$273.00 | — | 39% |
| New patient office visit, about 30 minutes CPT 99203 FPE CONTRACEPTIVE ENC NEW PATI | $27.45 | $45.00 | $112.50–$225.00 | 93% below | 39% |
| New patient office visit, about 30 minutes CPT 99203 NEW OFF LVL 3 TELE | $123.52 | $202.50 | $112.50–$225.00 | 68% below | 39% |
| New patient office visit, about 30 minutes CPT 99203 NEW OFFICE LEVEL 3 MASTER | $137.25 | $225.00 | $112.50–$225.00 | 64% below | 39% |
| New patient office visit, about 30 minutes CPT 99203 OPNS NEW VISIT LEVEL 3 | $137.25 | $225.00 | $112.50–$225.00 | 64% below | 39% |
| New patient office visit, about 30 minutes CPT 99203 99203 NEW VISIT LEVEL 3 | $137.25 | $225.00 | $112.50–$225.00 | 64% below | 39% |
| New patient office visit, about 30 minutes CPT 99203 NEW OFF LVL 3 MASTER TELE | $137.25 | $225.00 | $112.50–$225.00 | 64% below | 39% |
| New patient office visit, about 30 minutes inpatient CPT 99203 FPE CONTRACEPTIVE ENC NEW PATI | $27.45 | $45.00 | $112.50–$225.00 | — | 39% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW OFF LVL 3 TELE | $123.52 | $202.50 | $112.50–$225.00 | — | 39% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW OFFICE LEVEL 3 MASTER | $137.25 | $225.00 | $112.50–$225.00 | — | 39% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 NEW VISIT LEVEL 3 | $137.25 | $225.00 | $112.50–$225.00 | — | 39% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW OFF LVL 3 MASTER TELE | $137.25 | $225.00 | $112.50–$225.00 | — | 39% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OPNS NEW VISIT LEVEL 3 | $137.25 | $225.00 | $112.50–$225.00 | — | 39% |
| New patient office visit, about 45 minutes CPT 99204 FPE CONTRACEPTIVE ENC NEW PATI | $27.45 | $45.00 | $160.00–$320.00 | 95% below | 39% |
| New patient office visit, about 45 minutes CPT 99204 NEW OFF LVL 4 TELE | $175.68 | $288.00 | $160.00–$320.00 | 67% below | 39% |
| New patient office visit, about 45 minutes CPT 99204 NEW OFFICE LEVEL 4 MASTER | $195.20 | $320.00 | $160.00–$320.00 | 63% below | 39% |
| New patient office visit, about 45 minutes CPT 99204 OPNS NEW VISIT LEVEL 4 | $195.20 | $320.00 | $160.00–$320.00 | 63% below | 39% |
| New patient office visit, about 45 minutes CPT 99204 99204 NEW VISIT LEVEL 4 | $195.20 | $320.00 | $160.00–$320.00 | 63% below | 39% |
| New patient office visit, about 45 minutes CPT 99204 NEW OFF LVL 4 MASTER TELE | $195.20 | $320.00 | $160.00–$320.00 | 63% below | 39% |
| New patient office visit, about 45 minutes inpatient CPT 99204 FPE CONTRACEPTIVE ENC NEW PATI | $27.45 | $45.00 | $160.00–$320.00 | — | 39% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW OFF LVL 4 TELE | $175.68 | $288.00 | $160.00–$320.00 | — | 39% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OPNS NEW VISIT LEVEL 4 | $195.20 | $320.00 | $160.00–$320.00 | — | 39% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW OFFICE LEVEL 4 MASTER | $195.20 | $320.00 | $160.00–$320.00 | — | 39% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW OFF LVL 4 MASTER TELE | $195.20 | $320.00 | $160.00–$320.00 | — | 39% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 NEW VISIT LEVEL 4 | $195.20 | $320.00 | $160.00–$320.00 | — | 39% |
| New patient office visit, about 60 minutes CPT 99205 NEW OFF LVL 5 TELE | $230.58 | $378.00 | $210.00–$420.00 | 67% below | 39% |
| New patient office visit, about 60 minutes CPT 99205 99205 NEW VISIT LVL 5 | $256.20 | $420.00 | $210.00–$420.00 | 63% below | 39% |
| New patient office visit, about 60 minutes CPT 99205 NEW OFF LVL 5 MASTER TELE | $256.20 | $420.00 | $210.00–$420.00 | 63% below | 39% |
| New patient office visit, about 60 minutes CPT 99205 NEW OFFICE LEVEL 5 MASTER | $256.20 | $420.00 | $210.00–$420.00 | 63% below | 39% |
| New patient office visit, about 60 minutes CPT 99205 OPNS NEW VISIT LEVEL 5 | $256.20 | $420.00 | $210.00–$420.00 | 63% below | 39% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW OFF LVL 5 TELE | $230.58 | $378.00 | $210.00–$420.00 | — | 39% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW OFF LVL 5 MASTER TELE | $256.20 | $420.00 | $210.00–$420.00 | — | 39% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 NEW VISIT LVL 5 | $256.20 | $420.00 | $210.00–$420.00 | — | 39% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OPNS NEW VISIT LEVEL 5 | $256.20 | $420.00 | $210.00–$420.00 | — | 39% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW OFFICE LEVEL 5 MASTER | $256.20 | $420.00 | $210.00–$420.00 | — | 39% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 FPE CONTRACEPTIVE ENC NEW PATI | $27.45 | $45.00 | $85.00–$170.00 | 91% below | 39% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW EXP OFF LVL 2 TELE | $93.33 | $153.00 | $85.00–$170.00 | 68% below | 39% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW OFFICE LEVEL 2 MASTER | $103.70 | $170.00 | $85.00–$170.00 | 64% below | 39% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 NEW VISIT LEVEL 2 | $103.70 | $170.00 | $85.00–$170.00 | 64% below | 39% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OPNS NEW VISIT LEVEL 2 | $103.70 | $170.00 | $85.00–$170.00 | 64% below | 39% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW OFF LVL 2 MASTER TELE | $103.70 | $170.00 | $85.00–$170.00 | 64% below | 39% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 FPE CONTRACEPTIVE ENC NEW PATI | $27.45 | $45.00 | $85.00–$170.00 | — | 39% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW EXP OFF LVL 2 TELE | $93.33 | $153.00 | $85.00–$170.00 | — | 39% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW OFF LVL 2 MASTER TELE | $103.70 | $170.00 | $85.00–$170.00 | — | 39% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OPNS NEW VISIT LEVEL 2 | $103.70 | $170.00 | $85.00–$170.00 | — | 39% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 NEW VISIT LEVEL 2 | $103.70 | $170.00 | $85.00–$170.00 | — | 39% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW OFFICE LEVEL 2 MASTER | $103.70 | $170.00 | $85.00–$170.00 | — | 39% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION THER 15 MIN/EA | $38.43 | $63.00 | $31.50–$63.00 | 59% below | 39% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION THER 15 MIN/EA | $38.43 | $63.00 | $31.50–$63.00 | — | 39% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL, LOW COMP 30 MIN | $112.24 | $184.00 | $92.00–$184.00 | 64% below | 39% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL, LOW COMP 30 MIN | $112.24 | $184.00 | $92.00–$184.00 | — | 39% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL; HIGH COMP | $114.68 | $188.00 | $94.00–$188.00 | 65% below | 39% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL; HIGH COMP | $114.68 | $188.00 | $94.00–$188.00 | — | 39% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL; LOW COMP | $114.68 | $188.00 | $94.00–$188.00 | 58% below | 39% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL; LOW COMP | $114.68 | $188.00 | $94.00–$188.00 | — | 39% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL;MOD COMP | $114.68 | $188.00 | $94.00–$188.00 | 63% below | 39% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL;MOD COMP | $114.68 | $188.00 | $94.00–$188.00 | — | 39% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY, EA 15 MIN | $44.53 | $73.00 | $36.50–$73.00 | 56% below | 39% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECHNIQUE | $44.53 | $73.00 | $36.50–$73.00 | 56% below | 39% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY TECHNIQUE | $44.53 | $73.00 | $36.50–$73.00 | — | 39% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY, EA 15 MIN | $44.53 | $73.00 | $36.50–$73.00 | — | 39% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPUTIC EXERSICES | $53.07 | $87.00 | $43.50–$87.00 | 44% below | 39% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCISES | $53.07 | $87.00 | $43.50–$87.00 | 44% below | 39% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPUTIC EXERCIS, EA 15 M | $53.07 | $87.00 | $43.50–$87.00 | 44% below | 39% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPUTIC EXERCIS, EA 15 M | $53.07 | $87.00 | $43.50–$87.00 | — | 39% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPUTIC EXERSICES | $53.07 | $87.00 | $43.50–$87.00 | — | 39% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCISES | $53.07 | $87.00 | $43.50–$87.00 | — | 39% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PHYS EX 18-39 YRS NEW PT | $135.05 | $221.40 | $110.70–$221.40 | — | 39% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PHYS EXAM 18-39 YRS OLD NEW PT | $150.06 | $246.00 | $110.70–$221.40 | — | 39% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PHYS EX 18-39 YRS NEW PT | $135.05 | $221.40 | $110.70–$221.40 | — | 39% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PHYS EXAM 18-39 YRS OLD NEW PT | $150.06 | $246.00 | $110.70–$221.40 | — | 39% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV MEDICINE EVAL 40-64 Y | $147.68 | $242.10 | $121.05–$242.10 | — | 39% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PHYS EX 40-64 YRS OLD NEW PT | $164.09 | $269.00 | $121.05–$242.10 | — | 39% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PHYS EXAM PF | $178.73 | $293.00 | $121.05–$242.10 | — | 39% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV MEDICINE EVAL 40-64 Y | $147.68 | $242.10 | $121.05–$242.10 | — | 39% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PHYS EX 40-64 YRS OLD NEW PT | $164.09 | $269.00 | $121.05–$242.10 | — | 39% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PHYS EXAM PF | $178.73 | $293.00 | $121.05–$242.10 | — | 39% |
| Preventive checkup, new patient aged 65 or older CPT 99387 PHYS EXAM 65 AND OVR NP | $165.80 | $271.80 | $135.90–$271.80 | — | 39% |
| Preventive checkup, new patient aged 65 or older CPT 99387 PHYS EXAM 65 AND OVER NEW PT | $184.22 | $302.00 | $135.90–$271.80 | — | 39% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PHYS EXAM 65 AND OVR NP | $165.80 | $271.80 | $135.90–$271.80 | — | 39% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PHYS EXAM 65 AND OVER NEW PT | $184.22 | $302.00 | $135.90–$271.80 | — | 39% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PHYS EX 18-39 YRS EST | $112.00 | $183.60 | $91.80–$183.60 | — | 39% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PHYS EXAM 18-39 YRS OLD EST. | $124.44 | $204.00 | $91.80–$183.60 | — | 39% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PHYS EX 18-39 YRS EST | $112.00 | $183.60 | $91.80–$183.60 | — | 39% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PHYS EXAM 18-39 YRS OLD EST. | $124.44 | $204.00 | $91.80–$183.60 | — | 39% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PHYSCL EX 40-64YR EST | $122.43 | $200.70 | $100.35–$200.70 | — | 39% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PHYS EXAM 40-64 YRS OLD EST. | $136.03 | $223.00 | $100.35–$200.70 | — | 39% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PHYSCL EX 40-64YR EST | $122.43 | $200.70 | $100.35–$200.70 | — | 39% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PHYS EXAM 40-64 YRS OLD EST. | $136.03 | $223.00 | $100.35–$200.70 | — | 39% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PHYS EX 65 AND OVER EST | $139.45 | $228.60 | $114.30–$228.60 | — | 39% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PHYS EXAM 65 AND OVER EST. | $154.94 | $254.00 | $114.30–$228.60 | — | 39% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PHYS EX 65 AND OVER EST | $139.45 | $228.60 | $114.30–$228.60 | — | 39% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PHYS EXAM 65 AND OVER EST. | $154.94 | $254.00 | $114.30–$228.60 | — | 39% |
| Psychiatric evaluation with medical services CPT 90792 LP/DX EVAL W/ MEDICAL SERVICES | $137.25 | $225.00 | $112.50–$225.00 | 73% below | 39% |
| Psychiatric evaluation with medical services inpatient CPT 90792 LP/DX EVAL W/ MEDICAL SERVICES | $137.25 | $225.00 | $112.50–$225.00 | — | 39% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 TST EVAL SVC FIRST HR | $107.36 | $176.00 | $88.00–$176.00 | 65% below | 39% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 TST EVAL SVC FIRST HR | $107.36 | $176.00 | $88.00–$176.00 | — | 39% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 VISIT-FIRST 60 MIN | $127.49 | $209.00 | $104.50–$209.00 | 43% below | 39% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 VISIT-FIRST 60 MIN | $127.49 | $209.00 | $104.50–$209.00 | — | 39% |
| Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY 30 MIN | $74.42 | $122.00 | $61.00–$122.00 | 87% below | 39% |
| Psychotherapy session, 30 minutes CPT 90832 INDIV THERAPY 30 MIN TELE | $74.42 | $122.00 | $61.00–$122.00 | 87% below | 39% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL THERAPY 30 MIN | $74.42 | $122.00 | $61.00–$122.00 | — | 39% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 INDIV THERAPY 30 MIN TELE | $74.42 | $122.00 | $61.00–$122.00 | — | 39% |
| Psychotherapy session, 45 minutes CPT 90834 INDIV THERAPY 45 MIN TELE | $88.45 | $145.00 | $72.50–$145.00 | 84% below | 39% |
| Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL THERAPY 45 MIN | $88.45 | $145.00 | $72.50–$145.00 | 84% below | 39% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL THERAPY 45 MIN | $88.45 | $145.00 | $72.50–$145.00 | — | 39% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 INDIV THERAPY 45 MIN TELE | $88.45 | $145.00 | $72.50–$145.00 | — | 39% |
| Psychotherapy session, 60 minutes CPT 90837 INDIV THERAPY 60 MIN TELE | $125.66 | $206.00 | $103.00–$206.00 | 82% below | 39% |
| Psychotherapy session, 60 minutes CPT 90837 INVIDUAL THERAPY 60 MIN | $125.66 | $206.00 | $103.00–$206.00 | 82% below | 39% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 INDIV THERAPY 60 MIN TELE | $125.66 | $206.00 | $103.00–$206.00 | — | 39% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 INVIDUAL THERAPY 60 MIN | $125.66 | $206.00 | $103.00–$206.00 | — | 39% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING &TABACCO CESS COUNSLNG | $12.20 | $20.00 | $10.00–$20.00 | 92% below | 39% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING &tabACCO CESS COUNSLNG | $12.20 | $20.00 | $10.00–$20.00 | 92% below | 39% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING TOBACCO USE CESSATION | $29.89 | $49.00 | $10.00–$20.00 | 79% below | 39% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING &TABACCO CESS COUNSLNG | $12.20 | $20.00 | $10.00–$20.00 | — | 39% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING &tabACCO CESS COUNSLNG | $12.20 | $20.00 | $10.00–$20.00 | — | 39% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING TOBACCO USE CESSATION | $29.89 | $49.00 | $10.00–$20.00 | — | 39% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 FPE CONTRACEPTIVE ENC EST. PAT | $27.45 | $45.00 | $155.00–$310.00 | 96% below | 39% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB EXP OFF LVL 5 TELE | $170.19 | $279.00 | $155.00–$310.00 | 76% below | 39% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 ESTAB OFFICE VISIT LVL 5 | $189.10 | $310.00 | $155.00–$310.00 | 73% below | 39% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OPNS EST VISIT LEVEL 5 | $189.10 | $310.00 | $155.00–$310.00 | 73% below | 39% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB OFFICE LEVEL 5 MASTER | $189.10 | $310.00 | $155.00–$310.00 | 73% below | 39% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB OFF LVL 5 MASTER TELE | $189.10 | $310.00 | $155.00–$310.00 | 73% below | 39% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 FPE CONTRACEPTIVE ENC EST. PAT | $27.45 | $45.00 | $155.00–$310.00 | — | 39% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB EXP OFF LVL 5 TELE | $170.19 | $279.00 | $155.00–$310.00 | — | 39% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB OFFICE LEVEL 5 MASTER | $189.10 | $310.00 | $155.00–$310.00 | — | 39% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB OFF LVL 5 MASTER TELE | $189.10 | $310.00 | $155.00–$310.00 | — | 39% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 ESTAB OFFICE VISIT LVL 5 | $189.10 | $310.00 | $155.00–$310.00 | — | 39% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OPNS EST VISIT LEVEL 5 | $189.10 | $310.00 | $155.00–$310.00 | — | 39% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 FPE CONTRACEPTIVE ENC EST. PAT | $27.45 | $45.00 | $70.00–$140.00 | 92% below | 39% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB EXP OFF LVL 3 TELE | $76.86 | $126.00 | $70.00–$140.00 | 78% below | 39% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB OFF LVL 3 MASTER TELE | $85.40 | $140.00 | $70.00–$140.00 | 76% below | 39% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OPNS EST VISIT LEVEL 3 | $85.40 | $140.00 | $70.00–$140.00 | 76% below | 39% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 ESTAB OFFICE LVL 3 | $85.40 | $140.00 | $70.00–$140.00 | 76% below | 39% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB OFFICE LEVEL 3 MASTER | $85.40 | $140.00 | $70.00–$140.00 | 76% below | 39% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 FPE CONTRACEPTIVE ENC EST. PAT | $27.45 | $45.00 | $70.00–$140.00 | — | 39% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB EXP OFF LVL 3 TELE | $76.86 | $126.00 | $70.00–$140.00 | — | 39% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB OFF LVL 3 MASTER TELE | $85.40 | $140.00 | $70.00–$140.00 | — | 39% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OPNS EST VISIT LEVEL 3 | $85.40 | $140.00 | $70.00–$140.00 | — | 39% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB OFFICE LEVEL 3 MASTER | $85.40 | $140.00 | $70.00–$140.00 | — | 39% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 ESTAB OFFICE LVL 3 | $85.40 | $140.00 | $70.00–$140.00 | — | 39% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FPE CONTRACEPTIVE ENC EST. PAT | $27.45 | $45.00 | $100.00–$200.00 | 94% below | 39% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB EXP OFF LVL 4 TELE | $109.80 | $180.00 | $100.00–$200.00 | 78% below | 39% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB OFFICE LEVEL 4 MASTER | $122.00 | $200.00 | $100.00–$200.00 | 75% below | 39% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 ESTAB OFFICE LVL 4 | $122.00 | $200.00 | $100.00–$200.00 | 75% below | 39% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB OFF LVL 4 MASTER TELE | $122.00 | $200.00 | $100.00–$200.00 | 75% below | 39% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OPNS EST VISIT LEVEL 4 | $122.00 | $200.00 | $100.00–$200.00 | 75% below | 39% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FPE CONTRACEPTIVE ENC EST. PAT | $27.45 | $45.00 | $100.00–$200.00 | — | 39% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB EXP OFF LVL 4 TELE | $109.80 | $180.00 | $100.00–$200.00 | — | 39% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB OFF LVL 4 MASTER TELE | $122.00 | $200.00 | $100.00–$200.00 | — | 39% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OPNS EST VISIT LEVEL 4 | $122.00 | $200.00 | $100.00–$200.00 | — | 39% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 ESTAB OFFICE LVL 4 | $122.00 | $200.00 | $100.00–$200.00 | — | 39% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB OFFICE LEVEL 4 MASTER | $122.00 | $200.00 | $100.00–$200.00 | — | 39% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FPE CONTRACEPTIVE ENC EST. PAT | $27.45 | $45.00 | $60.00–$120.00 | 91% below | 39% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SPORTS PHYS SCREENING | $30.50 | $50.00 | $60.00–$120.00 | 89% below | 39% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB EXP OFF LVL 2 TELE | $65.88 | $108.00 | $60.00–$120.00 | 77% below | 39% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OPNS EST VISIT LEVEL 2 | $73.20 | $120.00 | $60.00–$120.00 | 75% below | 39% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 ESTAB OFFICE LVL 2 | $73.20 | $120.00 | $60.00–$120.00 | 75% below | 39% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB OFF LVL 2 MASTER TELE | $73.20 | $120.00 | $60.00–$120.00 | 75% below | 39% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB OFFICE LEVEL 2 MASTER | $73.20 | $120.00 | $60.00–$120.00 | 75% below | 39% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 FPE CONTRACEPTIVE ENC EST. PAT | $27.45 | $45.00 | $60.00–$120.00 | — | 39% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 SPORTS PHYS SCREENING | $30.50 | $50.00 | $60.00–$120.00 | — | 39% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB EXP OFF LVL 2 TELE | $65.88 | $108.00 | $60.00–$120.00 | — | 39% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 ESTAB OFFICE LVL 2 | $73.20 | $120.00 | $60.00–$120.00 | — | 39% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB OFFICE LEVEL 2 MASTER | $73.20 | $120.00 | $60.00–$120.00 | — | 39% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB OFF LVL 2 MASTER TELE | $73.20 | $120.00 | $60.00–$120.00 | — | 39% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OPNS EST VISIT LEVEL 2 | $73.20 | $120.00 | $60.00–$120.00 | — | 39% |
| Speech and language evaluation CPT 92523 SPEECH EVALUATION SOUND PRODUC | $164.09 | $269.00 | $134.50–$269.00 | 72% below | 39% |
| Speech and language evaluation inpatient CPT 92523 SPEECH EVALUATION SOUND PRODUC | $164.09 | $269.00 | $134.50–$269.00 | — | 39% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY TRMT | $201.30 | $330.00 | $165.00–$330.00 | 5% below | 39% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY TRMT | $201.30 | $330.00 | $165.00–$330.00 | — | 39% |
| Spirometry (breathing test) CPT 94010 KOPELL/SPIROMETRIC RECORDING | $43.92 | $72.00 | $157.50–$315.00 | 93% below | 39% |
| Spirometry (breathing test) CPT 94010 PULMONARY FUNCT TEST | $85.40 | $140.00 | $157.50–$315.00 | 85% below | 39% |
| Spirometry (breathing test) CPT 94010 INCENTIVE SPIROMETRY INITIAL | $134.20 | $220.00 | $157.50–$315.00 | 77% below | 39% |
| Spirometry (breathing test) CPT 94010 PFT W/O BRONC SETUP | $192.15 | $315.00 | $157.50–$315.00 | 67% below | 39% |
| Spirometry (breathing test) inpatient CPT 94010 KOPELL/SPIROMETRIC RECORDING | $43.92 | $72.00 | $157.50–$315.00 | — | 39% |
| Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCT TEST | $85.40 | $140.00 | $157.50–$315.00 | — | 39% |
| Spirometry (breathing test) inpatient CPT 94010 INCENTIVE SPIROMETRY INITIAL | $134.20 | $220.00 | $157.50–$315.00 | — | 39% |
| Spirometry (breathing test) inpatient CPT 94010 PFT W/O BRONC SETUP | $192.15 | $315.00 | $157.50–$315.00 | — | 39% |
| Spirometry before and after a bronchodilator CPT 94060 BRNCDILAT RSPSE SPMTRY PREPOST | $79.30 | $130.00 | $293.00–$586.00 | 92% below | 39% |
| Spirometry before and after a bronchodilator CPT 94060 KOPELL/BRONCHOSPAS EVAL | $112.85 | $185.00 | $293.00–$586.00 | 89% below | 39% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE/POST BRONC | $357.46 | $586.00 | $293.00–$586.00 | 66% below | 39% |
| Spirometry before and after a bronchodilator CPT 94060 PULMON. FNCT. W/BRONCH | $357.46 | $586.00 | $293.00–$586.00 | 66% below | 39% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRNCDILAT RSPSE SPMTRY PREPOST | $79.30 | $130.00 | $293.00–$586.00 | — | 39% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 KOPELL/BRONCHOSPAS EVAL | $112.85 | $185.00 | $293.00–$586.00 | — | 39% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE/POST BRONC | $357.46 | $586.00 | $293.00–$586.00 | — | 39% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PULMON. FNCT. W/BRONCH | $357.46 | $586.00 | $293.00–$586.00 | — | 39% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT FUNCTIONAL ACTIVITIES 1 ON | $66.49 | $109.00 | $54.50–$109.00 | 24% below | 39% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT FUNCTIONAL ACTIVITIES EA 15 | $66.49 | $109.00 | $54.50–$109.00 | 24% below | 39% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT FUNCTIONAL ACTIVITIES | $66.49 | $109.00 | $54.50–$109.00 | 24% below | 39% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 SPEECH THER ACT | $66.49 | $109.00 | $54.50–$109.00 | 24% below | 39% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT FUNCTIONAL ACTIVITIES EA 15 | $66.49 | $109.00 | $54.50–$109.00 | — | 39% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 SPEECH THER ACT | $66.49 | $109.00 | $54.50–$109.00 | — | 39% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT FUNCTIONAL ACTIVITIES | $66.49 | $109.00 | $54.50–$109.00 | — | 39% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT FUNCTIONAL ACTIVITIES 1 ON | $66.49 | $109.00 | $54.50–$109.00 | — | 39% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $80.52 | $132.00 | $93.50–$187.00 | 75% below | 39% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAP PHLEB. | $114.07 | $187.00 | $93.50–$187.00 | 65% below | 39% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY | $80.52 | $132.00 | $93.50–$187.00 | — | 39% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAP PHLEB. | $114.07 | $187.00 | $93.50–$187.00 | — | 39% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 PMS STRESS TEST W/ READ AND IN | $182.39 | $299.00 | $149.50–$299.00 | — | 39% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 PMS STRESS TEST W/ READ AND IN | $182.39 | $299.00 | $149.50–$299.00 | — | 39% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Utah | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID Moderna SPIKEVAX 0.5 mL | $391.71 | $642.15 | $321.07–$642.15 | — | 39% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID Moderna SPIKEVAX 0.5 mL | $391.71 | $642.15 | $321.07–$642.15 | — | 39% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella vaccine | $41.48 | $68.00 | $130.25–$260.50 | 86% below | 39% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE | $41.48 | $68.00 | $386.65–$773.30 | 86% below | 39% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE, LIVE, | $158.91 | $260.50 | $386.65–$773.30 | 47% below | 39% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 CHICKEN POX-VARICELLA[VARIVAX] | $471.71 | $773.30 | $386.65–$773.30 | 57% above | 39% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Chicken Pox-Varicella[VARIVAX] | $471.71 | $773.30 | $130.25–$260.50 | 57% above | 39% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE | $41.48 | $68.00 | $386.65–$773.30 | — | 39% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella vaccine | $41.48 | $68.00 | $130.25–$260.50 | — | 39% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE, LIVE, | $158.91 | $260.50 | $386.65–$773.30 | — | 39% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Chicken Pox-Varicella[VARIVAX] | $471.71 | $773.30 | $130.25–$260.50 | — | 39% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 CHICKEN POX-VARICELLA[VARIVAX] | $471.71 | $773.30 | $386.65–$773.30 | — | 39% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX TRIVAL (6MO +) 0.5 ML | $53.16 | $87.14 | $43.57–$87.14 | 17% below | 39% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix Trival (6mo +) 0.5 mL | $55.16 | $90.43 | $45.22–$90.43 | 14% below | 39% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX TRIVAL (6MO +) 0.5 ML | $53.16 | $87.14 | $43.57–$87.14 | — | 39% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluarix Trival (6mo +) 0.5 mL | $55.16 | $90.43 | $45.22–$90.43 | — | 39% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 | $266.88 | $437.50 | $683.17–$1,366.35 | at median | 39% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-Valent Recomb Vaccine {H | $510.26 | $836.50 | $218.75–$437.50 | 91% above | 39% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE {H | $510.26 | $836.50 | $683.17–$1,366.35 | 91% above | 39% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV [GARDASIL 9]VACCINE | $833.47 | $1,366.35 | $683.17–$1,366.35 | 212% above | 39% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV [GARDASIL 9]Vaccine | $890.96 | $1,460.59 | $730.29–$1,460.59 | 234% above | 39% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 | $266.88 | $437.50 | $683.17–$1,366.35 | — | 39% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-Valent Recomb Vaccine {H | $510.26 | $836.50 | $218.75–$437.50 | — | 39% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE {H | $510.26 | $836.50 | $683.17–$1,366.35 | — | 39% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV [GARDASIL 9]VACCINE | $833.47 | $1,366.35 | $683.17–$1,366.35 | — | 39% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV [GARDASIL 9]Vaccine | $890.96 | $1,460.59 | $730.29–$1,460.59 | — | 39% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis A-Hep B Vaccine {Hep | $112.85 | $185.00 | $99.63–$199.25 | 39% below | 39% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEP B VACCINE {HEP | $112.85 | $185.00 | $279.54–$559.07 | 39% below | 39% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A & B (CLINIC) | $121.54 | $199.25 | $279.54–$559.07 | 34% below | 39% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A & B (Clinic) | $121.54 | $199.25 | $99.63–$199.25 | 34% below | 39% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A & B | $167.75 | $275.00 | $279.54–$559.07 | 10% below | 39% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A&B VACCINE[TWINRIX] | $341.03 | $559.07 | $279.54–$559.07 | 84% above | 39% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis A&B Vaccine[TWINRIX] | $341.03 | $559.07 | $99.63–$199.25 | 84% above | 39% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A-HEP B VACCINE {HEP | $112.85 | $185.00 | $279.54–$559.07 | — | 39% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hepatitis A-Hep B Vaccine {Hep | $112.85 | $185.00 | $99.63–$199.25 | — | 39% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A & B (CLINIC) | $121.54 | $199.25 | $279.54–$559.07 | — | 39% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A & B (Clinic) | $121.54 | $199.25 | $99.63–$199.25 | — | 39% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A & B | $167.75 | $275.00 | $279.54–$559.07 | — | 39% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A&B VACCINE[TWINRIX] | $341.03 | $559.07 | $279.54–$559.07 | — | 39% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hepatitis A&B Vaccine[TWINRIX] | $341.03 | $559.07 | $99.63–$199.25 | — | 39% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A {HepA AD vaccine} | $74.11 | $121.50 | $66.75–$133.50 | 68% below | 39% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A {HEPA AD VACCINE} | $74.11 | $121.50 | $183.71–$367.41 | 68% below | 39% |
| Hepatitis A vaccine, adult dose CPT 90632 HEP A VACCINE AD IM | $81.44 | $133.50 | $183.71–$367.41 | 65% below | 39% |
| Hepatitis A vaccine, adult dose CPT 90632 Hep A (Adult) [HAVRIX] | $224.12 | $367.41 | $66.75–$133.50 | 4% below | 39% |
| Hepatitis A vaccine, adult dose CPT 90632 HEP A (ADULT) [HAVRIX] | $224.12 | $367.41 | $183.71–$367.41 | 4% below | 39% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A {HepA AD vaccine} | $74.11 | $121.50 | $66.75–$133.50 | — | 39% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A {HEPA AD VACCINE} | $74.11 | $121.50 | $183.71–$367.41 | — | 39% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VACCINE AD IM | $81.44 | $133.50 | $183.71–$367.41 | — | 39% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A (ADULT) [HAVRIX] | $224.12 | $367.41 | $183.71–$367.41 | — | 39% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hep A (Adult) [HAVRIX] | $224.12 | $367.41 | $66.75–$133.50 | — | 39% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine {HepB AD} | $62.16 | $101.90 | $56.50–$113.00 | 63% below | 39% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE {HEPB AD} | $62.16 | $101.90 | $158.30–$316.60 | 63% below | 39% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B (AD) | $68.93 | $113.00 | $158.30–$316.60 | 59% below | 39% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACCINE ADULT [ENGERIX] | $193.13 | $316.60 | $158.30–$316.60 | 16% above | 39% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vaccine Adult [ENGERIX] | $208.14 | $341.21 | $170.60–$341.21 | 25% above | 39% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE {HEPB AD} | $62.16 | $101.90 | $158.30–$316.60 | — | 39% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine {HepB AD} | $62.16 | $101.90 | $56.50–$113.00 | — | 39% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B (AD) | $68.93 | $113.00 | $158.30–$316.60 | — | 39% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACCINE ADULT [ENGERIX] | $193.13 | $316.60 | $158.30–$316.60 | — | 39% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hep B Vaccine Adult [ENGERIX] | $208.14 | $341.21 | $170.60–$341.21 | — | 39% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HIGH DOSE FLU VACCINE 2021 - 2 | $76.01 | $124.60 | $162.62–$325.23 | 23% below | 39% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 High Dose Flu vaccine 2021 - 2 | $153.84 | $252.20 | $126.10–$252.20 | 56% above | 39% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE-High Dose-Quad | $198.25 | $325.00 | $62.30–$124.60 | 101% above | 39% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE-HIGH DOSE-QUAD | $198.25 | $325.00 | $162.62–$325.23 | 101% above | 39% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD TRIV (65+) 0.5 ML | $198.39 | $325.23 | $162.62–$325.23 | 101% above | 39% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone HD Triv (65+) 0.5 mL | $82,374.80 | $135,040.66 | $62.30–$124.60 | 83411% above | 39% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HIGH DOSE FLU VACCINE 2021 - 2 | $76.01 | $124.60 | $162.62–$325.23 | — | 39% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 High Dose Flu vaccine 2021 - 2 | $153.84 | $252.20 | $126.10–$252.20 | — | 39% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE-HIGH DOSE-QUAD | $198.25 | $325.00 | $162.62–$325.23 | — | 39% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE-High Dose-Quad | $198.25 | $325.00 | $62.30–$124.60 | — | 39% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HD TRIV (65+) 0.5 ML | $198.39 | $325.23 | $162.62–$325.23 | — | 39% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone HD Triv (65+) 0.5 mL | $82,374.80 | $135,040.66 | $62.30–$124.60 | — | 39% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS, & RUBELA VACCI | $87.53 | $143.50 | $211.41–$422.82 | 79% below | 39% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, Mumps, & Rubela vacci | $87.53 | $143.50 | $75.25–$150.50 | 79% below | 39% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS AND RUBELLA VIR | $91.81 | $150.50 | $211.41–$422.82 | 78% below | 39% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE | $257.92 | $422.82 | $211.41–$422.82 | 38% below | 39% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MRR (PRIORIX) 0.5 mL | $265.39 | $435.06 | $75.25–$150.50 | 36% below | 39% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR Vaccine | $265.39 | $435.06 | $217.53–$435.06 | 36% below | 39% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS, & RUBELA VACCI | $87.53 | $143.50 | $211.41–$422.82 | — | 39% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles, Mumps, & Rubela vacci | $87.53 | $143.50 | $75.25–$150.50 | — | 39% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS AND RUBELLA VIR | $91.81 | $150.50 | $211.41–$422.82 | — | 39% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE | $257.92 | $422.82 | $211.41–$422.82 | — | 39% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MRR (PRIORIX) 0.5 mL | $265.39 | $435.06 | $75.25–$150.50 | — | 39% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR Vaccine | $265.39 | $435.06 | $217.53–$435.06 | — | 39% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal A C Y&W-135 {MVC | $140.79 | $230.80 | $115.40–$230.80 | 37% below | 39% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 {MVC | $140.79 | $230.80 | $349.10–$698.19 | 37% below | 39% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal A,C,Y,W [MENVEO] | $425.90 | $698.19 | $115.40–$230.80 | 91% above | 39% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A,C,Y,W [MENVEO] | $425.90 | $698.19 | $349.10–$698.19 | 91% above | 39% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 {MVC | $140.79 | $230.80 | $349.10–$698.19 | — | 39% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal A C Y&W-135 {MVC | $140.79 | $230.80 | $115.40–$230.80 | — | 39% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A,C,Y,W [MENVEO] | $425.90 | $698.19 | $349.10–$698.19 | — | 39% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal A,C,Y,W [MENVEO] | $425.90 | $698.19 | $115.40–$230.80 | — | 39% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero meningicoccal vacine | $323.36 | $530.10 | $265.05–$530.10 | 3% below | 39% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO MENINGICOCCAL VACINE | $323.36 | $530.10 | $496.36–$992.71 | 3% below | 39% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal B vaccine {MenB} | $385.76 | $632.40 | $265.05–$530.10 | 16% above | 39% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VACCINE {MENB} | $385.76 | $632.40 | $496.36–$992.71 | 16% above | 39% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal B OMV [BEXSERO] | $605.55 | $992.71 | $265.05–$530.10 | 82% above | 39% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B OMV [BEXSERO] | $605.55 | $992.71 | $496.36–$992.71 | 82% above | 39% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 BEXSERO MENINGICOCCAL VACINE | $323.36 | $530.10 | $496.36–$992.71 | — | 39% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Bexsero meningicoccal vacine | $323.36 | $530.10 | $265.05–$530.10 | — | 39% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VACCINE {MENB} | $385.76 | $632.40 | $496.36–$992.71 | — | 39% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Meningococcal B vaccine {MenB} | $385.76 | $632.40 | $265.05–$530.10 | — | 39% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B OMV [BEXSERO] | $605.55 | $992.71 | $496.36–$992.71 | — | 39% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Meningococcal B OMV [BEXSERO] | $605.55 | $992.71 | $265.05–$530.10 | — | 39% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL [PREVNAR 20] VAC | $710.22 | $1,164.30 | $592.95–$1,185.90 | 66% above | 39% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 | $723.40 | $1,185.90 | $592.95–$1,185.90 | 69% above | 39% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal [PREVNAR 20] Vac | $811.10 | $1,329.67 | $592.95–$1,185.90 | 90% above | 39% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL [PREVNAR 20] VAC | $710.22 | $1,164.30 | $592.95–$1,185.90 | — | 39% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 | $723.40 | $1,185.90 | $592.95–$1,185.90 | — | 39% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal [PREVNAR 20] Vac | $811.10 | $1,329.67 | $592.95–$1,185.90 | — | 39% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACC 2YRS OLDE | $41.17 | $67.50 | $193.20–$386.40 | 89% below | 39% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACC >2 YRS PPV 2 | $123.22 | $202.00 | $193.20–$386.40 | 66% below | 39% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACC >2 yrs ppv 2 | $123.22 | $202.00 | $101.00–$202.00 | 66% below | 39% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vac Polyvalent {P | $235.70 | $386.40 | $101.00–$202.00 | 36% below | 39% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT {P | $235.70 | $386.40 | $193.20–$386.40 | 36% below | 39% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACC 2YRS OLDE | $41.17 | $67.50 | $193.20–$386.40 | — | 39% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACC >2 yrs ppv 2 | $123.22 | $202.00 | $101.00–$202.00 | — | 39% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACC >2 YRS PPV 2 | $123.22 | $202.00 | $193.20–$386.40 | — | 39% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT {P | $235.70 | $386.40 | $193.20–$386.40 | — | 39% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vac Polyvalent {P | $235.70 | $386.40 | $101.00–$202.00 | — | 39% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Nirsevimab BEYFORTUS 0.5 mL | $1,682.26 | $2,757.80 | $1,378.90–$2,757.80 | 12% above | 39% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Nirsevimab BEYFORTUS 0.5 mL | $1,682.26 | $2,757.80 | $1,378.90–$2,757.80 | — | 39% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV PREF A&B ABRYSVO 0.5 ML | $801.73 | $1,314.31 | $657.15–$1,314.31 | 6% below | 39% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV PreF A&B ABRYSVO 0.5 mL | $833.31 | $1,366.09 | $683.04–$1,366.09 | 3% below | 39% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV PREF A&B ABRYSVO 0.5 ML | $801.73 | $1,314.31 | $657.15–$1,314.31 | — | 39% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV PreF A&B ABRYSVO 0.5 mL | $833.31 | $1,366.09 | $683.04–$1,366.09 | — | 39% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine, PCEC | $508.68 | $833.90 | $416.95–$833.90 | 55% below | 39% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC | $508.68 | $833.90 | $841.52–$1,683.04 | 55% below | 39% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine (Rabavert) | $1,026.65 | $1,683.04 | $841.52–$1,683.04 | 9% below | 39% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE (RABAVERT) | $1,026.65 | $1,683.04 | $841.52–$1,683.04 | 9% below | 39% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC | $508.68 | $833.90 | $841.52–$1,683.04 | — | 39% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine, PCEC | $508.68 | $833.90 | $416.95–$833.90 | — | 39% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine (Rabavert) | $1,026.65 | $1,683.04 | $841.52–$1,683.04 | — | 39% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE (RABAVERT) | $1,026.65 | $1,683.04 | $841.52–$1,683.04 | — | 39% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA SHINGLE SHINGRIX VAC | $168.97 | $277.00 | $439.38–$878.75 | — | 39% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Varicella Shingle SHINGRIX VAC | $168.97 | $277.00 | $138.50–$277.00 | — | 39% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Vaccine {RZV (shingles)} | $345.38 | $566.20 | $283.10–$566.20 | — | 39% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VACCINE {RZV (SHINGLES)} | $345.38 | $566.20 | $439.38–$878.75 | — | 39% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingles-Varicl Vacc[SHINGRIX] | $536.04 | $878.75 | $283.10–$566.20 | — | 39% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGLES-VARICL VACC[SHINGRIX] | $536.04 | $878.75 | $439.38–$878.75 | — | 39% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Varicella Shingle SHINGRIX VAC | $168.97 | $277.00 | $138.50–$277.00 | — | 39% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA SHINGLE SHINGRIX VAC | $168.97 | $277.00 | $439.38–$878.75 | — | 39% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VACCINE {RZV (SHINGLES)} | $345.38 | $566.20 | $439.38–$878.75 | — | 39% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Vaccine {RZV (shingles)} | $345.38 | $566.20 | $283.10–$566.20 | — | 39% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Shingles-Varicl Vacc[SHINGRIX] | $536.04 | $878.75 | $283.10–$566.20 | — | 39% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGLES-VARICL VACC[SHINGRIX] | $536.04 | $878.75 | $439.38–$878.75 | — | 39% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DPTHERIA & TETNUS TOXI (TD) 7 | $27.14 | $44.50 | $59.25–$118.50 | 85% below | 39% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DPTHERIA & TETNUS TOXI (Td) 7 | $27.14 | $44.50 | $22.25–$44.50 | 85% below | 39% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 preserv free (Td) 7 yrs IM | $60.30 | $98.86 | $22.25–$44.50 | 67% below | 39% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 PRESERV FREE (TD) 7 YRS IM | $60.30 | $98.86 | $59.25–$118.50 | 67% below | 39% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA [TENIVAC] V | $72.28 | $118.50 | $59.25–$118.50 | 61% below | 39% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-Diphtheria [TENIVAC] v | $72.28 | $118.50 | $22.25–$44.50 | 61% below | 39% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DPTHERIA & TETNUS TOXI (TD) 7 | $27.14 | $44.50 | $59.25–$118.50 | — | 39% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DPTHERIA & TETNUS TOXI (Td) 7 | $27.14 | $44.50 | $22.25–$44.50 | — | 39% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 PRESERV FREE (TD) 7 YRS IM | $60.30 | $98.86 | $59.25–$118.50 | — | 39% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 preserv free (Td) 7 yrs IM | $60.30 | $98.86 | $22.25–$44.50 | — | 39% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA [TENIVAC] V | $72.28 | $118.50 | $59.25–$118.50 | — | 39% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus-Diphtheria [TENIVAC] v | $72.28 | $118.50 | $22.25–$44.50 | — | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP ADMISTERED TO <7YRS | $60.30 | $98.86 | $106.53–$213.05 | 83% below | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap ADMistered to <7yrs | $60.30 | $98.86 | $49.43–$98.86 | 83% below | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS | $86.99 | $142.60 | $106.53–$213.05 | 75% below | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus-Diphth-acell Pertussis | $86.99 | $142.60 | $49.43–$98.86 | 75% below | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet-Diphth-Pertussis | $110.26 | $180.75 | $112.56–$225.12 | 68% below | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET-DIPHTH-PERTUSSIS | $110.26 | $180.75 | $106.53–$213.05 | 68% below | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TDAP) VACCINE | $129.96 | $213.05 | $106.53–$213.05 | 62% below | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix (Tdap) vaccine | $137.32 | $225.12 | $112.56–$225.12 | 60% below | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP ADMISTERED TO <7YRS | $60.30 | $98.86 | $106.53–$213.05 | — | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap ADMistered to <7yrs | $60.30 | $98.86 | $49.43–$98.86 | — | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tetanus-Diphth-acell Pertussis | $86.99 | $142.60 | $49.43–$98.86 | — | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS | $86.99 | $142.60 | $106.53–$213.05 | — | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet-Diphth-Pertussis | $110.26 | $180.75 | $112.56–$225.12 | — | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET-DIPHTH-PERTUSSIS | $110.26 | $180.75 | $106.53–$213.05 | — | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX (TDAP) VACCINE | $129.96 | $213.05 | $106.53–$213.05 | — | 39% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix (Tdap) vaccine | $137.32 | $225.12 | $112.56–$225.12 | — | 39% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI INTRAMUSCULAR | $222.71 | $365.10 | $182.55–$365.10 | 8% above | 39% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhim VI Intramuscular | $222.71 | $365.10 | $182.55–$365.10 | 8% above | 39% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHIM VI INTRAMUSCULAR | $222.71 | $365.10 | $182.55–$365.10 | — | 39% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhim VI Intramuscular | $222.71 | $365.10 | $182.55–$365.10 | — | 39% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ VAC TOXOID | $20.13 | $33.00 | $69.00–$138.00 | 92% below | 39% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $52.46 | $86.00 | $69.00–$138.00 | 80% below | 39% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM SUBCU, IM; 1 | $73.81 | $121.00 | $69.00–$138.00 | 72% below | 39% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMN. IM SUB CU, | $84.18 | $138.00 | $69.00–$138.00 | 69% below | 39% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJ VAC TOXOID | $20.13 | $33.00 | $69.00–$138.00 | — | 39% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN | $52.46 | $86.00 | $69.00–$138.00 | — | 39% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADM SUBCU, IM; 1 | $73.81 | $121.00 | $69.00–$138.00 | — | 39% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMN. IM SUB CU, | $84.18 | $138.00 | $69.00–$138.00 | — | 39% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PEDIATRIC (MEDICAID) EA ADD | $5.49 | $9.00 | $45.50–$91.00 | 96% below | 39% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EA ADD IMMUNIZATION ADMIN | $9.76 | $16.00 | $45.50–$91.00 | 93% below | 39% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EA ADDITIONAL VACCINE ADMISTER | $20.13 | $33.00 | $45.50–$91.00 | 85% below | 39% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM; EA ADDITIONA | $55.51 | $91.00 | $45.50–$91.00 | 60% below | 39% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 PEDIATRIC (MEDICAID) EA ADD | $5.49 | $9.00 | $45.50–$91.00 | — | 39% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EA ADD IMMUNIZATION ADMIN | $9.76 | $16.00 | $45.50–$91.00 | — | 39% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EA ADDITIONAL VACCINE ADMISTER | $20.13 | $33.00 | $45.50–$91.00 | — | 39% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM; EA ADDITIONA | $55.51 | $91.00 | $45.50–$91.00 | — | 39% |
Source file: https://mrhmoab.org/870543342_Moab_Regional_Hospital_standardcharges.csv