Lincoln Health
Lincoln Health in Hugo, CO publishes cash prices for 323 common procedures listed here, from its own machine-readable price file updated Jun 4, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Colorado median for 185 of 322 procedures and below it for 131. By typical cash price it ranks #29 of 50 Colorado hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
111 6th St, , Hugo, CO 80821 Collected Sep 27, 2026 Source price file Check a bill from this hospital (719) 743-2421
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 061306 · CMS hospital register NPI 1720107519
The price file shows no self-pay discount
For 2434 of the 2434 prices listed here, the cash price in Lincoln Health's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Lincoln Health is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Colorado's Hospital Discounted Care law (HB21-1198): for qualifying patients with household income at or below 250% of the federal poverty level, hospitals and the clinicians who work in them may charge no more than the greater of the Medicare rate or the Medicaid base rate, and monthly payments are capped. That can be less than the cash prices below; ask the hospital to screen you for discounted care. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Ct abdomen w/ + w/o contrast | $2,260.00 | $2,260.00 | $447.22–$470.75 | 1% below | — |
| Abdominal CT scan without and with contrast CPT 74170 Ct abdomen w/ + w/o contrast | $2,260.00 | $2,260.00 | $447.22–$470.75 | 1% below | — |
| Abdominal CT scan without and with contrast CPT 74170 Ct abdomen w/o & w/dye | $2,260.00 | $2,260.00 | $447.22–$470.75 | 1% below | — |
| Abdominal CT scan without and with contrast CPT 74170 Ct abdomen w/o & w/dye | $2,260.00 | $2,260.00 | $447.22–$470.75 | 1% below | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Ct abdomen w/o & w/dye | $2,260.00 | $2,260.00 | $447.22–$470.75 | — | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Ct abdomen w/ + w/o contrast | $2,260.00 | $2,260.00 | $447.22–$470.75 | — | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Ct abdomen w/ + w/o contrast | $2,260.00 | $2,260.00 | $447.22–$470.75 | — | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Ct abdomen w/o & w/dye | $2,260.00 | $2,260.00 | $447.22–$470.75 | — | — |
| Abdominal X-ray, 2 views CPT 74019 Xr abdomen 2 views | $356.00 | $356.00 | $109.30–$115.05 | 3% above | — |
| Abdominal X-ray, 2 views CPT 74019 X-ray exam abdomen 2 views | $356.00 | $356.00 | $109.30–$115.05 | 3% above | — |
| Abdominal X-ray, 2 views CPT 74019 Xr abdomen 2 views | $356.00 | $356.00 | $109.30–$115.05 | 3% above | — |
| Abdominal X-ray, 2 views CPT 74019 X-ray exam abdomen 2 views | $356.00 | $356.00 | $109.30–$115.05 | 3% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 Xr abdomen 2 views | $356.00 | $356.00 | $109.30–$115.05 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 X-ray exam abdomen 2 views | $356.00 | $356.00 | $109.30–$115.05 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 Xr abdomen 2 views | $356.00 | $356.00 | $109.30–$115.05 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 X-ray exam abdomen 2 views | $356.00 | $356.00 | $109.30–$115.05 | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-ray exam of ankle | $351.00 | $351.00 | $90.50–$95.26 | 6% above | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-ray exam of ankle | $351.00 | $351.00 | $90.50–$95.26 | 6% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr ankle complete 3+ views left | $351.00 | $351.00 | $90.50–$95.26 | 6% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr ankle complete 3+ views left | $351.00 | $351.00 | $90.50–$95.26 | 6% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray exam of ankle | $351.00 | $351.00 | $90.50–$95.26 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray exam of ankle | $351.00 | $351.00 | $90.50–$95.26 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Xr ankle complete 3+ views left | $351.00 | $351.00 | $90.50–$95.26 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Xr ankle complete 3+ views left | $351.00 | $351.00 | $90.50–$95.26 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 Ct upper extremity w/o contrast bilat | $4,038.00 | $4,038.00 | $230.79–$242.94 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 Ct upper extremity w/o contrast bilat | $4,038.00 | $4,038.00 | $230.79–$242.94 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct upper extremity w/o dye | $4,038.00 | $4,038.00 | $230.79–$242.94 | 140% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct upper extremity w/o dye | $4,038.00 | $4,038.00 | $230.79–$242.94 | 140% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 Ct upper extremity w/o contrast bilat | $4,038.00 | $4,038.00 | $230.79–$242.94 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 Ct upper extremity w/o contrast bilat | $4,038.00 | $4,038.00 | $230.79–$242.94 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct upper extremity w/o dye | $4,038.00 | $4,038.00 | $230.79–$242.94 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct upper extremity w/o dye | $4,038.00 | $4,038.00 | $230.79–$242.94 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray xm esophagus 1cntrst | $865.00 | $865.00 | $182.97–$192.60 | 36% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray xm esophagus 1cntrst | $865.00 | $865.00 | $182.97–$192.60 | 36% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Xr esophagus | $865.00 | $865.00 | $182.97–$192.60 | 36% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Xr esophagus | $865.00 | $865.00 | $182.97–$192.60 | 36% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-ray xm esophagus 1cntrst | $865.00 | $865.00 | $182.97–$192.60 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-ray xm esophagus 1cntrst | $865.00 | $865.00 | $182.97–$192.60 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Xr esophagus | $865.00 | $865.00 | $182.97–$192.60 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Xr esophagus | $865.00 | $865.00 | $182.97–$192.60 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone imaging whole body | $1,657.00 | $1,657.00 | $413.00–$434.74 | 20% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nm bone imaging whole body | $1,657.00 | $1,657.00 | $413.00–$434.74 | 20% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone imaging whole body | $1,657.00 | $1,657.00 | $413.00–$434.74 | 20% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nm bone imaging whole body | $1,657.00 | $1,657.00 | $413.00–$434.74 | 20% below | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nm bone imaging whole body | $1,657.00 | $1,657.00 | $413.00–$434.74 | — | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nm bone imaging whole body | $1,657.00 | $1,657.00 | $413.00–$434.74 | — | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone imaging whole body | $1,657.00 | $1,657.00 | $413.00–$434.74 | — | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone imaging whole body | $1,657.00 | $1,657.00 | $413.00–$434.74 | — | — |
| Breast ultrasound, complete, one breast CPT 76641 Ultrasound breast complete | $345.00 | $345.00 | $109.30–$115.05 | 20% below | — |
| Breast ultrasound, complete, one breast CPT 76641 Ultrasound breast complete | $345.00 | $345.00 | $109.30–$115.05 | 20% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Us axilla left | $345.00 | $345.00 | $109.30–$115.05 | 20% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Us axilla left | $345.00 | $345.00 | $109.30–$115.05 | 20% below | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound breast complete | $345.00 | $345.00 | $109.30–$115.05 | — | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound breast complete | $345.00 | $345.00 | $109.30–$115.05 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Us axilla left | $345.00 | $345.00 | $109.30–$115.05 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Us axilla left | $345.00 | $345.00 | $109.30–$115.05 | — | — |
| CT angiography (CTA) of the head CPT 70496 Ct angio brain/head | $2,138.00 | $2,138.00 | $447.22–$470.75 | 9% below | — |
| CT angiography (CTA) of the head CPT 70496 Ct angiography head | $2,138.00 | $2,138.00 | $447.22–$470.75 | 9% below | — |
| CT angiography (CTA) of the head CPT 70496 Ct angiography head | $2,138.00 | $2,138.00 | $447.22–$470.75 | 9% below | — |
| CT angiography (CTA) of the head CPT 70496 Ct angio brain/head | $2,138.00 | $2,138.00 | $447.22–$470.75 | 9% below | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Ct angiography head | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Ct angio brain/head | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Ct angio brain/head | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Ct angiography head | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT angiography (CTA) of the neck CPT 70498 Ct angio neck | $2,138.00 | $2,138.00 | $447.22–$470.75 | 9% below | — |
| CT angiography (CTA) of the neck CPT 70498 Ct angiography neck | $2,138.00 | $2,138.00 | $447.22–$470.75 | 9% below | — |
| CT angiography (CTA) of the neck CPT 70498 Ct angiography neck | $2,138.00 | $2,138.00 | $447.22–$470.75 | 9% below | — |
| CT angiography (CTA) of the neck CPT 70498 Ct angio neck | $2,138.00 | $2,138.00 | $447.22–$470.75 | 9% below | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 Ct angiography neck | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 Ct angio neck | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 Ct angio neck | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 Ct angiography neck | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angio chest | $2,466.00 | $2,466.00 | $447.22–$470.75 | 2% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angiography chest | $2,466.00 | $2,466.00 | $447.22–$470.75 | 2% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angiography chest | $2,466.00 | $2,466.00 | $447.22–$470.75 | 2% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angio chest | $2,466.00 | $2,466.00 | $447.22–$470.75 | 2% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct angiography chest | $2,466.00 | $2,466.00 | $447.22–$470.75 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct angio chest | $2,466.00 | $2,466.00 | $447.22–$470.75 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct angio chest | $2,466.00 | $2,466.00 | $447.22–$470.75 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct angiography chest | $2,466.00 | $2,466.00 | $447.22–$470.75 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct abd & pelvis w/o contrast | $2,224.00 | $2,224.00 | $230.79–$242.94 | 4% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct abdomen and pelvis w/o contrast | $2,224.00 | $2,224.00 | $230.79–$242.94 | 4% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct abd & pelvis w/o contrast | $2,224.00 | $2,224.00 | $230.79–$242.94 | 4% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct abdomen and pelvis w/o contrast | $2,224.00 | $2,224.00 | $230.79–$242.94 | 4% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct abdomen and pelvis w/o contrast | $2,224.00 | $2,224.00 | $230.79–$242.94 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct abd & pelvis w/o contrast | $2,224.00 | $2,224.00 | $230.79–$242.94 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct abdomen and pelvis w/o contrast | $2,224.00 | $2,224.00 | $230.79–$242.94 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct abd & pelvis w/o contrast | $2,224.00 | $2,224.00 | $230.79–$242.94 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abd & pelv w/contrast | $2,370.00 | $2,370.00 | $447.22–$470.75 | 9% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abd & pelv w/contrast | $2,370.00 | $2,370.00 | $447.22–$470.75 | 9% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 - ct abdomen and pelvis w/ contrast | $2,370.00 | $2,370.00 | $447.22–$470.75 | 9% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 - ct abdomen and pelvis w/ contrast | $2,370.00 | $2,370.00 | $447.22–$470.75 | 9% below | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct abd & pelv w/contrast | $2,370.00 | $2,370.00 | $447.22–$470.75 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 - ct abdomen and pelvis w/ contrast | $2,370.00 | $2,370.00 | $447.22–$470.75 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct abd & pelv w/contrast | $2,370.00 | $2,370.00 | $447.22–$470.75 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 - ct abdomen and pelvis w/ contrast | $2,370.00 | $2,370.00 | $447.22–$470.75 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abd & pelv 1/> regns | $2,019.00 | $2,019.00 | $447.22–$470.75 | 42% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abd & pelv 1/> regns | $2,019.00 | $2,019.00 | $447.22–$470.75 | 42% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abdomen and pelvis w/ + w/o contrast | $2,019.00 | $2,019.00 | $447.22–$470.75 | 42% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abdomen and pelvis w/ + w/o contrast | $2,019.00 | $2,019.00 | $447.22–$470.75 | 42% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct abd & pelv 1/> regns | $2,019.00 | $2,019.00 | $447.22–$470.75 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct abd & pelv 1/> regns | $2,019.00 | $2,019.00 | $447.22–$470.75 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct abdomen and pelvis w/ + w/o contrast | $2,019.00 | $2,019.00 | $447.22–$470.75 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct abdomen and pelvis w/ + w/o contrast | $2,019.00 | $2,019.00 | $447.22–$470.75 | — | — |
| CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/ contrast | $2,138.00 | $2,138.00 | $447.22–$470.75 | 1% above | — |
| CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/dye | $2,138.00 | $2,138.00 | $447.22–$470.75 | 1% above | — |
| CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/dye | $2,138.00 | $2,138.00 | $447.22–$470.75 | 1% above | — |
| CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/ contrast | $2,138.00 | $2,138.00 | $447.22–$470.75 | 1% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/dye | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/ contrast | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/dye | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/ contrast | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | 42% above | — |
| CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | 42% above | — |
| CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | 42% above | — |
| CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | 42% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct maxillofacial w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | 52% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct maxillofacial w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | 52% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct maxillofacial w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | 52% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct maxillofacial w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | 52% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct maxillofacial w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct maxillofacial w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct maxillofacial w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct maxillofacial w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct brain/head w/o contrast | $2,099.00 | $2,099.00 | $230.79–$242.94 | 51% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct brain/head w/o contrast | $2,099.00 | $2,099.00 | $230.79–$242.94 | 51% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct head/brain w/o dye | $2,099.00 | $2,099.00 | $230.79–$242.94 | 51% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct head/brain w/o dye | $2,099.00 | $2,099.00 | $230.79–$242.94 | 51% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct head/brain w/o dye | $2,099.00 | $2,099.00 | $230.79–$242.94 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct brain/head w/o contrast | $2,099.00 | $2,099.00 | $230.79–$242.94 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct head/brain w/o dye | $2,099.00 | $2,099.00 | $230.79–$242.94 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct brain/head w/o contrast | $2,099.00 | $2,099.00 | $230.79–$242.94 | — | — |
| CT scan of the head with contrast CPT 70460 Ct head/brain w/dye | $2,019.00 | $2,019.00 | $447.22–$470.75 | 16% above | — |
| CT scan of the head with contrast CPT 70460 Ct brain/head w/ contrast | $2,019.00 | $2,019.00 | $447.22–$470.75 | 16% above | — |
| CT scan of the head with contrast CPT 70460 Ct brain/head w/ contrast | $2,019.00 | $2,019.00 | $447.22–$470.75 | 16% above | — |
| CT scan of the head with contrast CPT 70460 Ct head/brain w/dye | $2,019.00 | $2,019.00 | $447.22–$470.75 | 16% above | — |
| CT scan of the head with contrast inpatient CPT 70460 Ct head/brain w/dye | $2,019.00 | $2,019.00 | $447.22–$470.75 | — | — |
| CT scan of the head with contrast inpatient CPT 70460 Ct brain/head w/ contrast | $2,019.00 | $2,019.00 | $447.22–$470.75 | — | — |
| CT scan of the head with contrast inpatient CPT 70460 Ct head/brain w/dye | $2,019.00 | $2,019.00 | $447.22–$470.75 | — | — |
| CT scan of the head with contrast inpatient CPT 70460 Ct brain/head w/ contrast | $2,019.00 | $2,019.00 | $447.22–$470.75 | — | — |
| CT scan of the head without and with contrast CPT 70470 Ct head/brain w/o & w/dye | $2,260.00 | $2,260.00 | $447.22–$470.75 | 10% above | — |
| CT scan of the head without and with contrast CPT 70470 Ct brain/head w/ + w/o contrast | $2,260.00 | $2,260.00 | $447.22–$470.75 | 10% above | — |
| CT scan of the head without and with contrast CPT 70470 Ct brain/head w/ + w/o contrast | $2,260.00 | $2,260.00 | $447.22–$470.75 | 10% above | — |
| CT scan of the head without and with contrast CPT 70470 Ct head/brain w/o & w/dye | $2,260.00 | $2,260.00 | $447.22–$470.75 | 10% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 Ct head/brain w/o & w/dye | $2,260.00 | $2,260.00 | $447.22–$470.75 | — | — |
| CT scan of the head without and with contrast inpatient CPT 70470 Ct brain/head w/ + w/o contrast | $2,260.00 | $2,260.00 | $447.22–$470.75 | — | — |
| CT scan of the head without and with contrast inpatient CPT 70470 Ct head/brain w/o & w/dye | $2,260.00 | $2,260.00 | $447.22–$470.75 | — | — |
| CT scan of the head without and with contrast inpatient CPT 70470 Ct brain/head w/ + w/o contrast | $2,260.00 | $2,260.00 | $447.22–$470.75 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct lumbar spine w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | 25% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct spine lumbar w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | 25% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct lumbar spine w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | 25% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct spine lumbar w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | 25% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct spine lumbar w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct spine lumbar w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct lumbar spine w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct lumbar spine w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct neck spine w/o dye | $2,204.00 | $2,204.00 | $230.79–$242.94 | 45% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct spine cervical w/o contrast | $2,204.00 | $2,204.00 | $230.79–$242.94 | 45% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct neck spine w/o dye | $2,204.00 | $2,204.00 | $230.79–$242.94 | 45% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct spine cervical w/o contrast | $2,204.00 | $2,204.00 | $230.79–$242.94 | 45% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct spine cervical w/o contrast | $2,204.00 | $2,204.00 | $230.79–$242.94 | — | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct neck spine w/o dye | $2,204.00 | $2,204.00 | $230.79–$242.94 | — | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct spine cervical w/o contrast | $2,204.00 | $2,204.00 | $230.79–$242.94 | — | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct neck spine w/o dye | $2,204.00 | $2,204.00 | $230.79–$242.94 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/dye | $2,138.00 | $2,138.00 | $447.22–$470.75 | 2% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/ contrast | $2,138.00 | $2,138.00 | $447.22–$470.75 | 2% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/dye | $2,138.00 | $2,138.00 | $447.22–$470.75 | 2% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/ contrast | $2,138.00 | $2,138.00 | $447.22–$470.75 | 2% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis w/dye | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis w/ contrast | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis w/dye | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis w/ contrast | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial bilat study | $802.00 | $802.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Us carotid duplex bilateral | $802.00 | $802.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial bilat study | $802.00 | $802.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Us carotid duplex bilateral | $802.00 | $802.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Us carotid duplex bilateral | $802.00 | $802.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Extracranial bilat study | $802.00 | $802.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Extracranial bilat study | $802.00 | $802.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Us carotid duplex bilateral | $802.00 | $802.00 | — | — | — |
| Chest CT scan without and with contrast CPT 71270 71270 - ct chest w/ + w/o contrast | $1,507.00 | $1,507.00 | $447.22–$470.75 | 27% below | — |
| Chest CT scan without and with contrast CPT 71270 Ct thorax w/o & w/dye | $1,507.00 | $1,507.00 | $447.22–$470.75 | 27% below | — |
| Chest CT scan without and with contrast CPT 71270 71270 - ct chest w/ + w/o contrast | $1,507.00 | $1,507.00 | $447.22–$470.75 | 27% below | — |
| Chest CT scan without and with contrast CPT 71270 Ct thorax w/o & w/dye | $1,507.00 | $1,507.00 | $447.22–$470.75 | 27% below | — |
| Chest CT scan without and with contrast inpatient CPT 71270 Ct thorax w/o & w/dye | $1,507.00 | $1,507.00 | $447.22–$470.75 | — | — |
| Chest CT scan without and with contrast inpatient CPT 71270 71270 - ct chest w/ + w/o contrast | $1,507.00 | $1,507.00 | $447.22–$470.75 | — | — |
| Chest CT scan without and with contrast inpatient CPT 71270 71270 - ct chest w/ + w/o contrast | $1,507.00 | $1,507.00 | $447.22–$470.75 | — | — |
| Chest CT scan without and with contrast inpatient CPT 71270 Ct thorax w/o & w/dye | $1,507.00 | $1,507.00 | $447.22–$470.75 | — | — |
| Chest X-ray, 2 views CPT 71046 Xr chest 2 views | $308.00 | $308.00 | $866.03–$911.61 | 1% above | — |
| Chest X-ray, 2 views CPT 71046 X-ray exam chest 2 views | $308.00 | $308.00 | $866.03–$911.61 | 1% above | — |
| Chest X-ray, 2 views CPT 71046 Xr chest 2 views | $308.00 | $308.00 | $866.03–$911.61 | 1% above | — |
| Chest X-ray, 2 views CPT 71046 X-ray exam chest 2 views | $308.00 | $308.00 | $866.03–$911.61 | 1% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 X-ray exam chest 2 views | $308.00 | $308.00 | $866.03–$911.61 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 X-ray exam chest 2 views | $308.00 | $308.00 | $866.03–$911.61 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 Xr chest 2 views | $308.00 | $308.00 | $866.03–$911.61 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 Xr chest 2 views | $308.00 | $308.00 | $866.03–$911.61 | — | — |
| Chest X-ray, single view CPT 71045 Xr chest 1 view frontal | $299.00 | $299.00 | $866.03–$911.61 | 13% above | — |
| Chest X-ray, single view CPT 71045 X-ray exam chest 1 view | $299.00 | $299.00 | $866.03–$911.61 | 13% above | — |
| Chest X-ray, single view CPT 71045 Xr chest 1 view frontal | $299.00 | $299.00 | $866.03–$911.61 | 13% above | — |
| Chest X-ray, single view CPT 71045 X-ray exam chest 1 view | $299.00 | $299.00 | $866.03–$911.61 | 13% above | — |
| Chest X-ray, single view inpatient CPT 71045 X-ray exam chest 1 view | $299.00 | $299.00 | $866.03–$911.61 | — | — |
| Chest X-ray, single view inpatient CPT 71045 Xr chest 1 view frontal | $299.00 | $299.00 | $866.03–$911.61 | — | — |
| Chest X-ray, single view inpatient CPT 71045 Xr chest 1 view frontal | $299.00 | $299.00 | $866.03–$911.61 | — | — |
| Chest X-ray, single view inpatient CPT 71045 X-ray exam chest 1 view | $299.00 | $299.00 | $866.03–$911.61 | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 X-ray exam of collar bone | $275.00 | $275.00 | $90.50–$95.26 | 8% below | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 X-ray exam of collar bone | $275.00 | $275.00 | $90.50–$95.26 | 8% below | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Xr clavicle left | $275.00 | $275.00 | $90.50–$95.26 | 8% below | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Xr clavicle left | $275.00 | $275.00 | $90.50–$95.26 | 8% below | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-ray exam of collar bone | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-ray exam of collar bone | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Xr clavicle left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Xr clavicle left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us aorta complete | $769.00 | $769.00 | $315.02–$331.60 | 14% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us exam abdo back wall comp | $769.00 | $769.00 | $315.02–$331.60 | 14% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us exam abdo back wall comp | $769.00 | $769.00 | $315.02–$331.60 | 14% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us aorta complete | $769.00 | $769.00 | $315.02–$331.60 | 14% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us aorta complete | $769.00 | $769.00 | $315.02–$331.60 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us exam abdo back wall comp | $769.00 | $769.00 | $315.02–$331.60 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us exam abdo back wall comp | $769.00 | $769.00 | $315.02–$331.60 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us aorta complete | $769.00 | $769.00 | $315.02–$331.60 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa bone density axial | $597.00 | $597.00 | $109.30–$115.05 | 15% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bd bone density dexa app skeleton | $597.00 | $597.00 | $109.30–$115.05 | 15% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa bone density axial | $597.00 | $597.00 | $109.30–$115.05 | 15% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bd bone density dexa app skeleton | $597.00 | $597.00 | $109.30–$115.05 | 15% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bd bone density dexa app skeleton | $597.00 | $597.00 | $109.30–$115.05 | — | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa bone density axial | $597.00 | $597.00 | $109.30–$115.05 | — | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bd bone density dexa app skeleton | $597.00 | $597.00 | $109.30–$115.05 | — | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa bone density axial | $597.00 | $597.00 | $109.30–$115.05 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 - ct chest w/o contrast | $2,099.00 | $2,099.00 | $230.79–$242.94 | 39% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct thorax w/o dye | $2,099.00 | $2,099.00 | $230.79–$242.94 | 39% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct thorax w/o dye | $2,099.00 | $2,099.00 | $230.79–$242.94 | 39% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 - ct chest w/o contrast | $2,099.00 | $2,099.00 | $230.79–$242.94 | 39% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct thorax w/o dye | $2,099.00 | $2,099.00 | $230.79–$242.94 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 71250 - ct chest w/o contrast | $2,099.00 | $2,099.00 | $230.79–$242.94 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 71250 - ct chest w/o contrast | $2,099.00 | $2,099.00 | $230.79–$242.94 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct thorax w/o dye | $2,099.00 | $2,099.00 | $230.79–$242.94 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct chest w/ contrast | $2,408.00 | $2,408.00 | $447.22–$470.75 | 28% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct thorax w/dye | $2,408.00 | $2,408.00 | $447.22–$470.75 | 28% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct chest w/ contrast | $2,408.00 | $2,408.00 | $447.22–$470.75 | 28% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct thorax w/dye | $2,408.00 | $2,408.00 | $447.22–$470.75 | 28% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct chest w/ contrast | $2,408.00 | $2,408.00 | $447.22–$470.75 | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct thorax w/dye | $2,408.00 | $2,408.00 | $447.22–$470.75 | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct thorax w/dye | $2,408.00 | $2,408.00 | $447.22–$470.75 | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct chest w/ contrast | $2,408.00 | $2,408.00 | $447.22–$470.75 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us lower ext venous duplex bilateral | $802.00 | $802.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us lower ext venous duplex bilateral | $802.00 | $802.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study | $802.00 | $802.00 | — | 38% below | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study | $802.00 | $802.00 | — | 38% below | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Us lower ext venous duplex bilateral | $802.00 | $802.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Us lower ext venous duplex bilateral | $802.00 | $802.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity study | $802.00 | $802.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity study | $802.00 | $802.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte w/doppler complete | $1,646.30 | $1,646.30 | — | 23% below | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte w/doppler complete | $1,646.30 | $1,646.30 | — | 23% below | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte w/doppler complete | $1,646.30 | $1,646.30 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte w/doppler complete | $1,646.30 | $1,646.30 | — | — | — |
| Elbow X-ray, 2 views CPT 73070 X-ray exam of elbow | $275.00 | $275.00 | $90.50–$95.26 | 8% below | — |
| Elbow X-ray, 2 views CPT 73070 X-ray exam of elbow | $275.00 | $275.00 | $90.50–$95.26 | 8% below | — |
| Elbow X-ray, 2 views one side CPT 73070 Xr elbow 2 views left | $275.00 | $275.00 | $90.50–$95.26 | 8% below | — |
| Elbow X-ray, 2 views one side CPT 73070 Xr elbow 2 views left | $275.00 | $275.00 | $90.50–$95.26 | 8% below | — |
| Elbow X-ray, 2 views inpatient CPT 73070 X-ray exam of elbow | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Elbow X-ray, 2 views inpatient CPT 73070 X-ray exam of elbow | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Xr elbow 2 views left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Xr elbow 2 views left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-ray exam of elbow | $297.00 | $297.00 | $90.50–$95.26 | 1% below | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-ray exam of elbow | $297.00 | $297.00 | $90.50–$95.26 | 1% below | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Xr elbow complete 3+ views left | $297.00 | $297.00 | $90.50–$95.26 | 1% below | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Xr elbow complete 3+ views left | $297.00 | $297.00 | $90.50–$95.26 | 1% below | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-ray exam of elbow | $297.00 | $297.00 | $90.50–$95.26 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-ray exam of elbow | $297.00 | $297.00 | $90.50–$95.26 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Xr elbow complete 3+ views left | $297.00 | $297.00 | $90.50–$95.26 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Xr elbow complete 3+ views left | $297.00 | $297.00 | $90.50–$95.26 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct orbit/ear/fossa w/o dye | $1,115.00 | $1,115.00 | $230.79–$242.94 | 32% below | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct orbits sella w/o contrast | $1,115.00 | $1,115.00 | $230.79–$242.94 | 32% below | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct orbit/ear/fossa w/o dye | $1,115.00 | $1,115.00 | $230.79–$242.94 | 32% below | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct orbits sella w/o contrast | $1,115.00 | $1,115.00 | $230.79–$242.94 | 32% below | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct orbit/ear/fossa w/o dye | $1,115.00 | $1,115.00 | $230.79–$242.94 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct orbits sella w/o contrast | $1,115.00 | $1,115.00 | $230.79–$242.94 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct orbits sella w/o contrast | $1,115.00 | $1,115.00 | $230.79–$242.94 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct orbit/ear/fossa w/o dye | $1,115.00 | $1,115.00 | $230.79–$242.94 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray exam of facial bones | $393.00 | $393.00 | $109.30–$115.05 | 8% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Xr facial bones 3+ views | $393.00 | $393.00 | $109.30–$115.05 | 8% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Xr facial bones 3+ views | $393.00 | $393.00 | $109.30–$115.05 | 8% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray exam of facial bones | $393.00 | $393.00 | $109.30–$115.05 | 8% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-ray exam of facial bones | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Xr facial bones 3+ views | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Xr facial bones 3+ views | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-ray exam of facial bones | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray exam of forearm | $260.00 | $260.00 | $90.50–$95.26 | 12% below | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray exam of forearm | $260.00 | $260.00 | $90.50–$95.26 | 12% below | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Xr forearm 2 views left | $260.00 | $260.00 | $90.50–$95.26 | 12% below | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Xr forearm 2 views left | $260.00 | $260.00 | $90.50–$95.26 | 12% below | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-ray exam of forearm | $260.00 | $260.00 | $90.50–$95.26 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-ray exam of forearm | $260.00 | $260.00 | $90.50–$95.26 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Xr forearm 2 views left | $260.00 | $260.00 | $90.50–$95.26 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Xr forearm 2 views left | $260.00 | $260.00 | $90.50–$95.26 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging | $2,019.00 | $2,019.00 | $413.00–$434.74 | 4% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm hepatobiliary imaging | $2,019.00 | $2,019.00 | $413.00–$434.74 | 4% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm hepatobiliary imaging | $2,019.00 | $2,019.00 | $413.00–$434.74 | 4% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging | $2,019.00 | $2,019.00 | $413.00–$434.74 | 4% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nm hepatobiliary imaging | $2,019.00 | $2,019.00 | $413.00–$434.74 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary system imaging | $2,019.00 | $2,019.00 | $413.00–$434.74 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nm hepatobiliary imaging | $2,019.00 | $2,019.00 | $413.00–$434.74 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary system imaging | $2,019.00 | $2,019.00 | $413.00–$434.74 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray exam of heel | $275.00 | $275.00 | $90.50–$95.26 | at median | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray exam of heel | $275.00 | $275.00 | $90.50–$95.26 | at median | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Xr calcaneus left | $275.00 | $275.00 | $90.50–$95.26 | at median | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Xr calcaneus left | $275.00 | $275.00 | $90.50–$95.26 | at median | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-ray exam of heel | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-ray exam of heel | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Xr calcaneus left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Xr calcaneus left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 attend split night sleep study w/ interp | $3,129.00 | $3,129.00 | — | 10% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 attend split night sleep study w/ interp | $3,129.00 | $3,129.00 | — | 10% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>yrs cpap 4/> parm | $3,129.00 | $3,129.00 | — | 10% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>yrs cpap 4/> parm | $3,129.00 | $3,129.00 | — | 10% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6/>yrs cpap 4/> parm | $3,129.00 | $3,129.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 95811 attend split night sleep study w/ interp | $3,129.00 | $3,129.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6/>yrs cpap 4/> parm | $3,129.00 | $3,129.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 95811 attend split night sleep study w/ interp | $3,129.00 | $3,129.00 | — | — | — |
| Knee X-ray, 3 views CPT 73562 X-ray exam of knee 3 | $357.00 | $357.00 | $90.50–$95.26 | 4% above | — |
| Knee X-ray, 3 views CPT 73562 X-ray exam of knee 3 | $357.00 | $357.00 | $90.50–$95.26 | 4% above | — |
| Knee X-ray, 3 views one side CPT 73562 Xr knee 3 views left | $357.00 | $357.00 | $90.50–$95.26 | 4% above | — |
| Knee X-ray, 3 views one side CPT 73562 Xr knee 3 views left | $357.00 | $357.00 | $90.50–$95.26 | 4% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 X-ray exam of knee 3 | $357.00 | $357.00 | $90.50–$95.26 | — | — |
| Knee X-ray, 3 views inpatient CPT 73562 X-ray exam of knee 3 | $357.00 | $357.00 | $90.50–$95.26 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 Xr knee 3 views left | $357.00 | $357.00 | $90.50–$95.26 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 Xr knee 3 views left | $357.00 | $357.00 | $90.50–$95.26 | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 X-ray exam knee 4 or more | $393.00 | $393.00 | $109.30–$115.05 | 5% below | — |
| Knee X-ray, complete, 4 or more views CPT 73564 X-ray exam knee 4 or more | $393.00 | $393.00 | $109.30–$115.05 | 5% below | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Xr knee complete 4+ views left | $393.00 | $393.00 | $109.30–$115.05 | 5% below | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Xr knee complete 4+ views left | $393.00 | $393.00 | $109.30–$115.05 | 5% below | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-ray exam knee 4 or more | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-ray exam knee 4 or more | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Xr knee complete 4+ views left | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Xr knee complete 4+ views left | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct lower extremity w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | 36% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct lower extremity w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | 36% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct lower extremity w/o contrast left | $2,019.00 | $2,019.00 | $230.79–$242.94 | 36% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct lower extremity w/o contrast left | $2,019.00 | $2,019.00 | $230.79–$242.94 | 36% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct lower extremity w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct lower extremity w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ct lower extremity w/o contrast left | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ct lower extremity w/o contrast left | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 - abd limited us fac ed pocus techfee | $776.00 | $776.00 | $315.02–$331.60 | 33% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo exam of abdomen | $776.00 | $776.00 | $315.02–$331.60 | 33% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 - abd limited us fac ed pocus techfee | $776.00 | $776.00 | $315.02–$331.60 | 33% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo exam of abdomen | $776.00 | $776.00 | $315.02–$331.60 | 33% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 - abd limited us fac ed pocus techfee | $776.00 | $776.00 | $315.02–$331.60 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo exam of abdomen | $776.00 | $776.00 | $315.02–$331.60 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo exam of abdomen | $776.00 | $776.00 | $315.02–$331.60 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 - abd limited us fac ed pocus techfee | $776.00 | $776.00 | $315.02–$331.60 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 76882 - msk us fac ed pocus techfee | $345.00 | $345.00 | $109.30–$115.05 | 27% below | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us lmtd jt/nonvasc xtr strux | $345.00 | $345.00 | $109.30–$115.05 | 27% below | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us lmtd jt/nonvasc xtr strux | $345.00 | $345.00 | $109.30–$115.05 | 27% below | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 76882 - msk us fac ed pocus techfee | $345.00 | $345.00 | $109.30–$115.05 | 27% below | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 76882 - msk us fac ed pocus techfee | $345.00 | $345.00 | $109.30–$115.05 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 76882 - msk us fac ed pocus techfee | $345.00 | $345.00 | $109.30–$115.05 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us lmtd jt/nonvasc xtr strux | $345.00 | $345.00 | $109.30–$115.05 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us lmtd jt/nonvasc xtr strux | $345.00 | $345.00 | $109.30–$115.05 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct lung cancer screening | $397.00 | $397.00 | $109.30–$115.05 | 3% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct lung cancer screening | $397.00 | $397.00 | $109.30–$115.05 | 3% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct thorax lung cancer scr c- | $397.00 | $397.00 | $109.30–$115.05 | 3% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct thorax lung cancer scr c- | $397.00 | $397.00 | $109.30–$115.05 | 3% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct lung cancer screening | $397.00 | $397.00 | $109.30–$115.05 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct lung cancer screening | $397.00 | $397.00 | $109.30–$115.05 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct thorax lung cancer scr c- | $397.00 | $397.00 | $109.30–$115.05 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct thorax lung cancer scr c- | $397.00 | $397.00 | $109.30–$115.05 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-ray exam of lower leg | $320.00 | $320.00 | $90.50–$95.26 | 6% above | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-ray exam of lower leg | $320.00 | $320.00 | $90.50–$95.26 | 6% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Xr tibia/fibula left | $320.00 | $320.00 | $90.50–$95.26 | 6% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Xr tibia/fibula left | $320.00 | $320.00 | $90.50–$95.26 | 6% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-ray exam of lower leg | $320.00 | $320.00 | $90.50–$95.26 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-ray exam of lower leg | $320.00 | $320.00 | $90.50–$95.26 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Xr tibia/fibula left | $320.00 | $320.00 | $90.50–$95.26 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Xr tibia/fibula left | $320.00 | $320.00 | $90.50–$95.26 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra brain/head w/o contrast | $3,164.00 | $3,164.00 | $555.29–$584.51 | 40% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Mr angiography head w/o dye | $3,164.00 | $3,164.00 | $555.29–$584.51 | 40% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra brain/head w/o contrast | $3,164.00 | $3,164.00 | $555.29–$584.51 | 40% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Mr angiography head w/o dye | $3,164.00 | $3,164.00 | $555.29–$584.51 | 40% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mr angiography head w/o dye | $3,164.00 | $3,164.00 | $555.29–$584.51 | — | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mr angiography head w/o dye | $3,164.00 | $3,164.00 | $555.29–$584.51 | — | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra brain/head w/o contrast | $3,164.00 | $3,164.00 | $555.29–$584.51 | — | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra brain/head w/o contrast | $3,164.00 | $3,164.00 | $555.29–$584.51 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri jnt of lwr extre w/o dye | $3,265.00 | $3,265.00 | $555.29–$584.51 | 58% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri jnt of lwr extre w/o dye | $3,265.00 | $3,265.00 | $555.29–$584.51 | 58% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri le joint w/o contrast left | $3,265.00 | $3,265.00 | $555.29–$584.51 | 58% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri le joint w/o contrast left | $3,265.00 | $3,265.00 | $555.29–$584.51 | 58% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri jnt of lwr extre w/o dye | $3,265.00 | $3,265.00 | $555.29–$584.51 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri jnt of lwr extre w/o dye | $3,265.00 | $3,265.00 | $555.29–$584.51 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri le joint w/o contrast left | $3,265.00 | $3,265.00 | $555.29–$584.51 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri le joint w/o contrast left | $3,265.00 | $3,265.00 | $555.29–$584.51 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri joint lwr extr w/o&w/dye | $3,344.00 | $3,344.00 | $878.59–$924.83 | at median | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri joint lwr extr w/o&w/dye | $3,344.00 | $3,344.00 | $878.59–$924.83 | at median | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri le joint w/ + w/o contrast left | $3,344.00 | $3,344.00 | $878.59–$924.83 | at median | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri le joint w/ + w/o contrast left | $3,344.00 | $3,344.00 | $878.59–$924.83 | at median | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri joint lwr extr w/o&w/dye | $3,344.00 | $3,344.00 | $878.59–$924.83 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri joint lwr extr w/o&w/dye | $3,344.00 | $3,344.00 | $878.59–$924.83 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri le joint w/ + w/o contrast left | $3,344.00 | $3,344.00 | $878.59–$924.83 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri le joint w/ + w/o contrast left | $3,344.00 | $3,344.00 | $878.59–$924.83 | — | — |
| MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o dye | $2,251.00 | $2,251.00 | $555.29–$584.51 | 1% below | — |
| MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o contrast | $2,251.00 | $2,251.00 | $555.29–$584.51 | 1% below | — |
| MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o dye | $2,251.00 | $2,251.00 | $555.29–$584.51 | 1% below | — |
| MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o contrast | $2,251.00 | $2,251.00 | $555.29–$584.51 | 1% below | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri abdomen w/o dye | $2,251.00 | $2,251.00 | $555.29–$584.51 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri abdomen w/o contrast | $2,251.00 | $2,251.00 | $555.29–$584.51 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri abdomen w/o dye | $2,251.00 | $2,251.00 | $555.29–$584.51 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri abdomen w/o contrast | $2,251.00 | $2,251.00 | $555.29–$584.51 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abdomen w/ + w/o contrast | $2,911.00 | $2,911.00 | $878.59–$924.83 | 12% below | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abdomen w/o & w/dye | $2,911.00 | $2,911.00 | $878.59–$924.83 | 12% below | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abdomen w/ + w/o contrast | $2,911.00 | $2,911.00 | $878.59–$924.83 | 12% below | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abdomen w/o & w/dye | $2,911.00 | $2,911.00 | $878.59–$924.83 | 12% below | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri abdomen w/ + w/o contrast | $2,911.00 | $2,911.00 | $878.59–$924.83 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri abdomen w/o & w/dye | $2,911.00 | $2,911.00 | $878.59–$924.83 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri abdomen w/ + w/o contrast | $2,911.00 | $2,911.00 | $878.59–$924.83 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri abdomen w/o & w/dye | $2,911.00 | $2,911.00 | $878.59–$924.83 | — | — |
| MRI of the brain, no contrast dye CPT 70551 Mri brain stem w/o dye | $3,603.00 | $3,603.00 | $555.29–$584.51 | 57% above | — |
| MRI of the brain, no contrast dye CPT 70551 Mri brain w/o contrast | $3,603.00 | $3,603.00 | $555.29–$584.51 | 57% above | — |
| MRI of the brain, no contrast dye CPT 70551 Mri brain stem w/o dye | $3,603.00 | $3,603.00 | $555.29–$584.51 | 57% above | — |
| MRI of the brain, no contrast dye CPT 70551 Mri brain w/o contrast | $3,603.00 | $3,603.00 | $555.29–$584.51 | 57% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri brain w/o contrast | $3,603.00 | $3,603.00 | $555.29–$584.51 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri brain w/o contrast | $3,603.00 | $3,603.00 | $555.29–$584.51 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri brain stem w/o dye | $3,603.00 | $3,603.00 | $555.29–$584.51 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri brain stem w/o dye | $3,603.00 | $3,603.00 | $555.29–$584.51 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 Mri brain w/ + w/o contrast | $4,043.00 | $4,043.00 | $878.59–$924.83 | 26% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 Mri brain w/ + w/o contrast | $4,043.00 | $4,043.00 | $878.59–$924.83 | 26% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 Mri brain stem w/o & w/dye | $4,043.00 | $4,043.00 | $878.59–$924.83 | 26% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 Mri brain stem w/o & w/dye | $4,043.00 | $4,043.00 | $878.59–$924.83 | 26% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri brain stem w/o & w/dye | $4,043.00 | $4,043.00 | $878.59–$924.83 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri brain w/ + w/o contrast | $4,043.00 | $4,043.00 | $878.59–$924.83 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri brain stem w/o & w/dye | $4,043.00 | $4,043.00 | $878.59–$924.83 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri brain w/ + w/o contrast | $4,043.00 | $4,043.00 | $878.59–$924.83 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 Mri lumbar spine w/o dye | $2,812.00 | $2,812.00 | $555.29–$584.51 | 30% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Mri spine lumbar w/o contrast | $2,812.00 | $2,812.00 | $555.29–$584.51 | 30% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Mri spine lumbar w/o contrast | $2,812.00 | $2,812.00 | $555.29–$584.51 | 30% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Mri lumbar spine w/o dye | $2,812.00 | $2,812.00 | $555.29–$584.51 | 30% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri lumbar spine w/o dye | $2,812.00 | $2,812.00 | $555.29–$584.51 | — | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri lumbar spine w/o dye | $2,812.00 | $2,812.00 | $555.29–$584.51 | — | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri spine lumbar w/o contrast | $2,812.00 | $2,812.00 | $555.29–$584.51 | — | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri spine lumbar w/o contrast | $2,812.00 | $2,812.00 | $555.29–$584.51 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri spine lumbar w/ + w/o contrast | $3,344.00 | $3,344.00 | $878.59–$924.83 | 4% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri lumbar spine w/o & w/dye | $3,344.00 | $3,344.00 | $878.59–$924.83 | 4% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri lumbar spine w/o & w/dye | $3,344.00 | $3,344.00 | $878.59–$924.83 | 4% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri spine lumbar w/ + w/o contrast | $3,344.00 | $3,344.00 | $878.59–$924.83 | 4% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri spine lumbar w/ + w/o contrast | $3,344.00 | $3,344.00 | $878.59–$924.83 | — | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri lumbar spine w/o & w/dye | $3,344.00 | $3,344.00 | $878.59–$924.83 | — | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri spine lumbar w/ + w/o contrast | $3,344.00 | $3,344.00 | $878.59–$924.83 | — | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri lumbar spine w/o & w/dye | $3,344.00 | $3,344.00 | $878.59–$924.83 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri chest spine w/o dye | $2,544.00 | $2,544.00 | $555.29–$584.51 | 8% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri spine thoracic w/o contrast | $2,544.00 | $2,544.00 | $555.29–$584.51 | 8% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri chest spine w/o dye | $2,544.00 | $2,544.00 | $555.29–$584.51 | 8% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri spine thoracic w/o contrast | $2,544.00 | $2,544.00 | $555.29–$584.51 | 8% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri spine thoracic w/o contrast | $2,544.00 | $2,544.00 | $555.29–$584.51 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri chest spine w/o dye | $2,544.00 | $2,544.00 | $555.29–$584.51 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri spine thoracic w/o contrast | $2,544.00 | $2,544.00 | $555.29–$584.51 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri chest spine w/o dye | $2,544.00 | $2,544.00 | $555.29–$584.51 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri spine cervical w/ + w/o contrast | $3,224.00 | $3,224.00 | $878.59–$924.83 | at median | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri neck spine w/o & w/dye | $3,224.00 | $3,224.00 | $878.59–$924.83 | at median | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri spine cervical w/ + w/o contrast | $3,224.00 | $3,224.00 | $878.59–$924.83 | at median | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri neck spine w/o & w/dye | $3,224.00 | $3,224.00 | $878.59–$924.83 | at median | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri neck spine w/o & w/dye | $3,224.00 | $3,224.00 | $878.59–$924.83 | — | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri neck spine w/o & w/dye | $3,224.00 | $3,224.00 | $878.59–$924.83 | — | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri spine cervical w/ + w/o contrast | $3,224.00 | $3,224.00 | $878.59–$924.83 | — | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri spine cervical w/ + w/o contrast | $3,224.00 | $3,224.00 | $878.59–$924.83 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri neck spine w/o dye | $3,603.00 | $3,603.00 | $555.29–$584.51 | 57% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri neck spine w/o dye | $3,603.00 | $3,603.00 | $555.29–$584.51 | 57% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri spine cervical w/o contrast | $3,603.00 | $3,603.00 | $555.29–$584.51 | 57% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri spine cervical w/o contrast | $3,603.00 | $3,603.00 | $555.29–$584.51 | 57% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri spine cervical w/o contrast | $3,603.00 | $3,603.00 | $555.29–$584.51 | — | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri neck spine w/o dye | $3,603.00 | $3,603.00 | $555.29–$584.51 | — | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri spine cervical w/o contrast | $3,603.00 | $3,603.00 | $555.29–$584.51 | — | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri neck spine w/o dye | $3,603.00 | $3,603.00 | $555.29–$584.51 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/ + w/o contrast | $3,344.00 | $3,344.00 | $878.59–$924.83 | 2% below | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/o & w/dye | $3,344.00 | $3,344.00 | $878.59–$924.83 | 2% below | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/ + w/o contrast | $3,344.00 | $3,344.00 | $878.59–$924.83 | 2% below | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/o & w/dye | $3,344.00 | $3,344.00 | $878.59–$924.83 | 2% below | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mri pelvis w/ + w/o contrast | $3,344.00 | $3,344.00 | $878.59–$924.83 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mri pelvis w/o & w/dye | $3,344.00 | $3,344.00 | $878.59–$924.83 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mri pelvis w/ + w/o contrast | $3,344.00 | $3,344.00 | $878.59–$924.83 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mri pelvis w/o & w/dye | $3,344.00 | $3,344.00 | $878.59–$924.83 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o contrast | $3,224.00 | $3,224.00 | $555.29–$584.51 | 38% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o dye | $3,224.00 | $3,224.00 | $555.29–$584.51 | 38% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o contrast | $3,224.00 | $3,224.00 | $555.29–$584.51 | 38% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o dye | $3,224.00 | $3,224.00 | $555.29–$584.51 | 38% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri pelvis w/o contrast | $3,224.00 | $3,224.00 | $555.29–$584.51 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri pelvis w/o dye | $3,224.00 | $3,224.00 | $555.29–$584.51 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri pelvis w/o dye | $3,224.00 | $3,224.00 | $555.29–$584.51 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri pelvis w/o contrast | $3,224.00 | $3,224.00 | $555.29–$584.51 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri joint upr extrem w/o dye | $3,586.00 | $3,586.00 | $555.29–$584.51 | 71% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri joint upr extrem w/o dye | $3,586.00 | $3,586.00 | $555.29–$584.51 | 71% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri ue joint w/o contrast left | $3,586.00 | $3,586.00 | $555.29–$584.51 | 71% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri ue joint w/o contrast left | $3,586.00 | $3,586.00 | $555.29–$584.51 | 71% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri joint upr extrem w/o dye | $3,586.00 | $3,586.00 | $555.29–$584.51 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri joint upr extrem w/o dye | $3,586.00 | $3,586.00 | $555.29–$584.51 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri ue joint w/o contrast left | $3,586.00 | $3,586.00 | $555.29–$584.51 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri ue joint w/o contrast left | $3,586.00 | $3,586.00 | $555.29–$584.51 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xr spine cervical 4 or 5 views | $426.00 | $426.00 | $109.30–$115.05 | 11% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray exam neck spine 4/5vws | $426.00 | $426.00 | $109.30–$115.05 | 11% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xr spine cervical 4 or 5 views | $426.00 | $426.00 | $109.30–$115.05 | 11% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray exam neck spine 4/5vws | $426.00 | $426.00 | $109.30–$115.05 | 11% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-ray exam neck spine 4/5vws | $426.00 | $426.00 | $109.30–$115.05 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Xr spine cervical 4 or 5 views | $426.00 | $426.00 | $109.30–$115.05 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-ray exam neck spine 4/5vws | $426.00 | $426.00 | $109.30–$115.05 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Xr spine cervical 4 or 5 views | $426.00 | $426.00 | $109.30–$115.05 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 Ct soft tissue neck w/dye | $2,138.00 | $2,138.00 | $447.22–$470.75 | 10% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 Ct neck soft tissue w/ contrast | $2,138.00 | $2,138.00 | $447.22–$470.75 | 10% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 Ct soft tissue neck w/dye | $2,138.00 | $2,138.00 | $447.22–$470.75 | 10% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 Ct neck soft tissue w/ contrast | $2,138.00 | $2,138.00 | $447.22–$470.75 | 10% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct soft tissue neck w/dye | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct neck soft tissue w/ contrast | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct soft tissue neck w/dye | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct neck soft tissue w/ contrast | $2,138.00 | $2,138.00 | $447.22–$470.75 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 Ct neck soft tissue w/o contrast | $1,537.00 | $1,537.00 | $230.79–$242.94 | 2% below | — |
| Neck soft tissue CT scan without contrast CPT 70490 Ct soft tissue neck w/o dye | $1,537.00 | $1,537.00 | $230.79–$242.94 | 2% below | — |
| Neck soft tissue CT scan without contrast CPT 70490 Ct neck soft tissue w/o contrast | $1,537.00 | $1,537.00 | $230.79–$242.94 | 2% below | — |
| Neck soft tissue CT scan without contrast CPT 70490 Ct soft tissue neck w/o dye | $1,537.00 | $1,537.00 | $230.79–$242.94 | 2% below | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct soft tissue neck w/o dye | $1,537.00 | $1,537.00 | $230.79–$242.94 | — | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct neck soft tissue w/o contrast | $1,537.00 | $1,537.00 | $230.79–$242.94 | — | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct neck soft tissue w/o contrast | $1,537.00 | $1,537.00 | $230.79–$242.94 | — | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct soft tissue neck w/o dye | $1,537.00 | $1,537.00 | $230.79–$242.94 | — | — |
| Neck soft tissue X-ray CPT 70360 X-ray exam of neck | $277.00 | $277.00 | $90.50–$95.26 | 8% below | — |
| Neck soft tissue X-ray CPT 70360 X-ray exam of neck | $277.00 | $277.00 | $90.50–$95.26 | 8% below | — |
| Neck soft tissue X-ray CPT 70360 Xr neck soft tissue | $277.00 | $277.00 | $90.50–$95.26 | 8% below | — |
| Neck soft tissue X-ray CPT 70360 Xr neck soft tissue | $277.00 | $277.00 | $90.50–$95.26 | 8% below | — |
| Neck soft tissue X-ray inpatient CPT 70360 X-ray exam of neck | $277.00 | $277.00 | $90.50–$95.26 | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 Xr neck soft tissue | $277.00 | $277.00 | $90.50–$95.26 | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 X-ray exam of neck | $277.00 | $277.00 | $90.50–$95.26 | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 Xr neck soft tissue | $277.00 | $277.00 | $90.50–$95.26 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm myocardial spect rest and stress | $4,380.00 | $4,380.00 | $1,341.77–$1,412.39 | 4% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht muscle image spect mult | $4,380.00 | $4,380.00 | $1,341.77–$1,412.39 | 4% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm myocardial spect rest and stress | $4,380.00 | $4,380.00 | $1,341.77–$1,412.39 | 4% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht muscle image spect mult | $4,380.00 | $4,380.00 | $1,341.77–$1,412.39 | 4% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht muscle image spect mult | $4,380.00 | $4,380.00 | $1,341.77–$1,412.39 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nm myocardial spect rest and stress | $4,380.00 | $4,380.00 | $1,341.77–$1,412.39 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nm myocardial spect rest and stress | $4,380.00 | $4,380.00 | $1,341.77–$1,412.39 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht muscle image spect mult | $4,380.00 | $4,380.00 | $1,341.77–$1,412.39 | — | — |
| Pelvic CT scan without contrast CPT 72192 Ct pelvis w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | 26% above | — |
| Pelvic CT scan without contrast CPT 72192 Ct pelvis w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | 26% above | — |
| Pelvic CT scan without contrast CPT 72192 Ct pelvis w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | 26% above | — |
| Pelvic CT scan without contrast CPT 72192 Ct pelvis w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | 26% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 Ct pelvis w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| Pelvic CT scan without contrast inpatient CPT 72192 Ct pelvis w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| Pelvic CT scan without contrast inpatient CPT 72192 Ct pelvis w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| Pelvic CT scan without contrast inpatient CPT 72192 Ct pelvis w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us exam pelvic limited | $393.00 | $393.00 | $315.02–$331.60 | 14% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us pelvic ltd | $393.00 | $393.00 | $315.02–$331.60 | 14% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us exam pelvic limited | $393.00 | $393.00 | $315.02–$331.60 | 14% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us pelvic ltd | $393.00 | $393.00 | $315.02–$331.60 | 14% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us pelvic ltd | $393.00 | $393.00 | $315.02–$331.60 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us exam pelvic limited | $393.00 | $393.00 | $315.02–$331.60 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us pelvic ltd | $393.00 | $393.00 | $315.02–$331.60 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us exam pelvic limited | $393.00 | $393.00 | $315.02–$331.60 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us exam pelvic complete | $513.00 | $513.00 | $315.02–$331.60 | 25% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us pelvic complete | $513.00 | $513.00 | $315.02–$331.60 | 25% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us pelvic complete | $513.00 | $513.00 | $315.02–$331.60 | 25% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us exam pelvic complete | $513.00 | $513.00 | $315.02–$331.60 | 25% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us exam pelvic complete | $513.00 | $513.00 | $315.02–$331.60 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us pelvic complete | $513.00 | $513.00 | $315.02–$331.60 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us exam pelvic complete | $513.00 | $513.00 | $315.02–$331.60 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us pelvic complete | $513.00 | $513.00 | $315.02–$331.60 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob us >= 14 wks sngl fetus | $513.00 | $513.00 | $109.30–$115.05 | 26% below | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us ob > 14 weeks limited | $513.00 | $513.00 | $109.30–$115.05 | 26% below | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob us >= 14 wks sngl fetus | $513.00 | $513.00 | $109.30–$115.05 | 26% below | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us ob > 14 weeks limited | $513.00 | $513.00 | $109.30–$115.05 | 26% below | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us ob > 14 weeks limited | $513.00 | $513.00 | $109.30–$115.05 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob us >= 14 wks sngl fetus | $513.00 | $513.00 | $109.30–$115.05 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us ob > 14 weeks limited | $513.00 | $513.00 | $109.30–$115.05 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob us >= 14 wks sngl fetus | $513.00 | $513.00 | $109.30–$115.05 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us ob < 14 weeks | $513.00 | $513.00 | $109.30–$115.05 | 13% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob us < 14 wks single fetus | $513.00 | $513.00 | $109.30–$115.05 | 13% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob us < 14 wks single fetus | $513.00 | $513.00 | $109.30–$115.05 | 13% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us ob < 14 weeks | $513.00 | $513.00 | $109.30–$115.05 | 13% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Us ob < 14 weeks | $513.00 | $513.00 | $109.30–$115.05 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob us < 14 wks single fetus | $513.00 | $513.00 | $109.30–$115.05 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob us < 14 wks single fetus | $513.00 | $513.00 | $109.30–$115.05 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Us ob < 14 weeks | $513.00 | $513.00 | $109.30–$115.05 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob us limited fetus(s) | $393.00 | $393.00 | $109.30–$115.05 | 15% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 - ob limited us fac ed pocus techfee | $393.00 | $393.00 | $109.30–$115.05 | 15% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 - ob limited us fac ed pocus techfee | $393.00 | $393.00 | $109.30–$115.05 | 15% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob us limited fetus(s) | $393.00 | $393.00 | $109.30–$115.05 | 15% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 - ob limited us fac ed pocus techfee | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob us limited fetus(s) | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob us limited fetus(s) | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 - ob limited us fac ed pocus techfee | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Rib X-ray, one side, 2 views CPT 71100 X-ray exam ribs uni 2 views | $275.00 | $275.00 | $90.50–$95.26 | 19% below | — |
| Rib X-ray, one side, 2 views CPT 71100 X-ray exam ribs uni 2 views | $275.00 | $275.00 | $90.50–$95.26 | 19% below | — |
| Rib X-ray, one side, 2 views one side CPT 71100 Xr ribs 2 views left | $275.00 | $275.00 | $90.50–$95.26 | 19% below | — |
| Rib X-ray, one side, 2 views one side CPT 71100 Xr ribs 2 views left | $275.00 | $275.00 | $90.50–$95.26 | 19% below | — |
| Rib X-ray, one side, 2 views inpatient CPT 71100 X-ray exam ribs uni 2 views | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Rib X-ray, one side, 2 views inpatient CPT 71100 X-ray exam ribs uni 2 views | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Xr ribs 2 views left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Xr ribs 2 views left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Xr ribs 3+ views left w/ pa chest | $393.00 | $393.00 | $109.30–$115.05 | 1% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-ray exam unilat ribs/chest | $393.00 | $393.00 | $109.30–$115.05 | 1% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Xr ribs 3+ views left w/ pa chest | $393.00 | $393.00 | $109.30–$115.05 | 1% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-ray exam unilat ribs/chest | $393.00 | $393.00 | $109.30–$115.05 | 1% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Xr ribs 3+ views left w/ pa chest | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Xr ribs 3+ views left w/ pa chest | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X-ray exam unilat ribs/chest | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X-ray exam unilat ribs/chest | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Scr mammo bi incl cad | $468.00 | $468.00 | $123.18–$129.66 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Scr mammo bi incl cad | $468.00 | $468.00 | $123.18–$129.66 | — | — |
| Screening mammogram, both breasts CPT 77067 Mg breast tomo 3d digital screening | $468.00 | $468.00 | $123.18–$129.66 | 148% above | — |
| Screening mammogram, both breasts CPT 77067 Mg breast tomo 3d digital screening | $468.00 | $468.00 | $123.18–$129.66 | 148% above | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Scr mammo bi incl cad | $468.00 | $468.00 | $123.18–$129.66 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Scr mammo bi incl cad | $468.00 | $468.00 | $123.18–$129.66 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 Mg breast tomo 3d digital screening | $468.00 | $468.00 | $123.18–$129.66 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 Mg breast tomo 3d digital screening | $468.00 | $468.00 | $123.18–$129.66 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray exam of shoulder | $341.00 | $341.00 | $90.50–$95.26 | 9% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray exam of shoulder | $341.00 | $341.00 | $90.50–$95.26 | 9% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr shoulder complete 2+ views left | $341.00 | $341.00 | $90.50–$95.26 | 9% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr shoulder complete 2+ views left | $341.00 | $341.00 | $90.50–$95.26 | 9% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray exam of shoulder | $341.00 | $341.00 | $90.50–$95.26 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray exam of shoulder | $341.00 | $341.00 | $90.50–$95.26 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Xr shoulder complete 2+ views left | $341.00 | $341.00 | $90.50–$95.26 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Xr shoulder complete 2+ views left | $341.00 | $341.00 | $90.50–$95.26 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-ray exam of sinuses | $393.00 | $393.00 | $90.50–$95.26 | 13% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Xr sinuses paranasal complete | $393.00 | $393.00 | $90.50–$95.26 | 13% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-ray exam of sinuses | $393.00 | $393.00 | $90.50–$95.26 | 13% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Xr sinuses paranasal complete | $393.00 | $393.00 | $90.50–$95.26 | 13% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-ray exam of sinuses | $393.00 | $393.00 | $90.50–$95.26 | — | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-ray exam of sinuses | $393.00 | $393.00 | $90.50–$95.26 | — | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Xr sinuses paranasal complete | $393.00 | $393.00 | $90.50–$95.26 | — | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Xr sinuses paranasal complete | $393.00 | $393.00 | $90.50–$95.26 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 X-ray exam of skull | $393.00 | $393.00 | $109.30–$115.05 | 21% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 Xr skull < 4 views | $393.00 | $393.00 | $109.30–$115.05 | 21% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 X-ray exam of skull | $393.00 | $393.00 | $109.30–$115.05 | 21% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 Xr skull < 4 views | $393.00 | $393.00 | $109.30–$115.05 | 21% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Xr skull < 4 views | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 X-ray exam of skull | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Xr skull < 4 views | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 X-ray exam of skull | $393.00 | $393.00 | $109.30–$115.05 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/> yrs 4/> param | $3,129.00 | $3,129.00 | — | 1% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 95810 polysom 6/> yrs 4 or more param charge | $3,129.00 | $3,129.00 | — | 1% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/> yrs 4/> param | $3,129.00 | $3,129.00 | — | 1% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 95810 polysom 6/> yrs 4 or more param charge | $3,129.00 | $3,129.00 | — | 1% below | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/> yrs 4/> param | $3,129.00 | $3,129.00 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 polysom 6/> yrs 4 or more param charge | $3,129.00 | $3,129.00 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 polysom 6/> yrs 4 or more param charge | $3,129.00 | $3,129.00 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/> yrs 4/> param | $3,129.00 | $3,129.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Xr swallowing function w/ speech | $511.00 | $511.00 | $182.97–$192.60 | 16% below | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-ray xm swlng funcj c+ | $511.00 | $511.00 | $182.97–$192.60 | 16% below | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Xr swallowing function w/ speech | $511.00 | $511.00 | $182.97–$192.60 | 16% below | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-ray xm swlng funcj c+ | $511.00 | $511.00 | $182.97–$192.60 | 16% below | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-ray xm swlng funcj c+ | $511.00 | $511.00 | $182.97–$192.60 | — | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-ray xm swlng funcj c+ | $511.00 | $511.00 | $182.97–$192.60 | — | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Xr swallowing function w/ speech | $511.00 | $511.00 | $182.97–$192.60 | — | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Xr swallowing function w/ speech | $511.00 | $511.00 | $182.97–$192.60 | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray exam of femur 2/> | $297.00 | $297.00 | $90.50–$95.26 | 1% below | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray exam of femur 2/> | $297.00 | $297.00 | $90.50–$95.26 | 1% below | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Xr femur 2 views left | $297.00 | $297.00 | $90.50–$95.26 | 1% below | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Xr femur 2 views left | $297.00 | $297.00 | $90.50–$95.26 | 1% below | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray exam of femur 2/> | $297.00 | $297.00 | $90.50–$95.26 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray exam of femur 2/> | $297.00 | $297.00 | $90.50–$95.26 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Xr femur 2 views left | $297.00 | $297.00 | $90.50–$95.26 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Xr femur 2 views left | $297.00 | $297.00 | $90.50–$95.26 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct chest spine w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | 35% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct spine thoracic w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | 35% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct chest spine w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | 35% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct spine thoracic w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | 35% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct chest spine w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct spine thoracic w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct chest spine w/o dye | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct spine thoracic w/o contrast | $2,019.00 | $2,019.00 | $230.79–$242.94 | — | — |
| Toe X-ray, 2 or more views CPT 73660 X-ray exam of toe(s) | $275.00 | $275.00 | $90.50–$95.26 | 2% below | — |
| Toe X-ray, 2 or more views CPT 73660 X-ray exam of toe(s) | $275.00 | $275.00 | $90.50–$95.26 | 2% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr toe(s) 2+ views left | $275.00 | $275.00 | $90.50–$95.26 | 2% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr toe(s) 2+ views left | $275.00 | $275.00 | $90.50–$95.26 | 2% below | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 X-ray exam of toe(s) | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 X-ray exam of toe(s) | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Xr toe(s) 2+ views left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Xr toe(s) 2+ views left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal us non-ob | $477.00 | $477.00 | $109.30–$115.05 | 23% below | — |
| Transvaginal pelvic ultrasound CPT 76830 Us transvaginal non-ob | $477.00 | $477.00 | $109.30–$115.05 | 23% below | — |
| Transvaginal pelvic ultrasound CPT 76830 Us transvaginal non-ob | $477.00 | $477.00 | $109.30–$115.05 | 23% below | — |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal us non-ob | $477.00 | $477.00 | $109.30–$115.05 | 23% below | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal us non-ob | $477.00 | $477.00 | $109.30–$115.05 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Us transvaginal non-ob | $477.00 | $477.00 | $109.30–$115.05 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal us non-ob | $477.00 | $477.00 | $109.30–$115.05 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Us transvaginal non-ob | $477.00 | $477.00 | $109.30–$115.05 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 Us exam abdom complete | $785.00 | $785.00 | $315.02–$331.60 | 8% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Us exam abdom complete | $785.00 | $785.00 | $315.02–$331.60 | 8% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Us abdomen complete | $785.00 | $785.00 | $315.02–$331.60 | 8% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Us abdomen complete | $785.00 | $785.00 | $315.02–$331.60 | 8% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Us exam abdom complete | $785.00 | $785.00 | $315.02–$331.60 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Us exam abdom complete | $785.00 | $785.00 | $315.02–$331.60 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Us abdomen complete | $785.00 | $785.00 | $315.02–$331.60 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Us abdomen complete | $785.00 | $785.00 | $315.02–$331.60 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 Us exam scrotum | $452.00 | $452.00 | $109.30–$115.05 | 33% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 Us scrotum (contents) | $452.00 | $452.00 | $109.30–$115.05 | 33% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 Us exam scrotum | $452.00 | $452.00 | $109.30–$115.05 | 33% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 Us scrotum (contents) | $452.00 | $452.00 | $109.30–$115.05 | 33% below | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Us exam scrotum | $452.00 | $452.00 | $109.30–$115.05 | — | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Us scrotum (contents) | $452.00 | $452.00 | $109.30–$115.05 | — | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Us exam scrotum | $452.00 | $452.00 | $109.30–$115.05 | — | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Us scrotum (contents) | $452.00 | $452.00 | $109.30–$115.05 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us exam of head and neck | $637.00 | $637.00 | $109.30–$115.05 | 2% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us head/neck soft tissue | $637.00 | $637.00 | $109.30–$115.05 | 2% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us exam of head and neck | $637.00 | $637.00 | $109.30–$115.05 | 2% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us head/neck soft tissue | $637.00 | $637.00 | $109.30–$115.05 | 2% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us head/neck soft tissue | $637.00 | $637.00 | $109.30–$115.05 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us exam of head and neck | $637.00 | $637.00 | $109.30–$115.05 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us exam of head and neck | $637.00 | $637.00 | $109.30–$115.05 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us head/neck soft tissue | $637.00 | $637.00 | $109.30–$115.05 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Xr upper gi w/ small bowel | $795.00 | $795.00 | $182.97–$192.60 | 7% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray xm upr gi trc 1cntrst | $795.00 | $795.00 | $182.97–$192.60 | 7% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Xr upper gi w/ small bowel | $795.00 | $795.00 | $182.97–$192.60 | 7% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray xm upr gi trc 1cntrst | $795.00 | $795.00 | $182.97–$192.60 | 7% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray xm upr gi trc 1cntrst | $795.00 | $795.00 | $182.97–$192.60 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Xr upper gi w/ small bowel | $795.00 | $795.00 | $182.97–$192.60 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray xm upr gi trc 1cntrst | $795.00 | $795.00 | $182.97–$192.60 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Xr upper gi w/ small bowel | $795.00 | $795.00 | $182.97–$192.60 | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-ray exam of humerus | $275.00 | $275.00 | $90.50–$95.26 | 8% below | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-ray exam of humerus | $275.00 | $275.00 | $90.50–$95.26 | 8% below | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Xr humerus left | $275.00 | $275.00 | $90.50–$95.26 | 8% below | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Xr humerus left | $275.00 | $275.00 | $90.50–$95.26 | 8% below | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-ray exam of humerus | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-ray exam of humerus | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Xr humerus left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Xr humerus left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Extremity study | $386.00 | $386.00 | — | 31% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Extremity study | $386.00 | $386.00 | — | 31% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us lower ext venous duplex left | $386.00 | $386.00 | — | 31% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us lower ext venous duplex left | $386.00 | $386.00 | — | 31% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Extremity study | $386.00 | $386.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Extremity study | $386.00 | $386.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us lower ext venous duplex left | $386.00 | $386.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us lower ext venous duplex left | $386.00 | $386.00 | — | — | — |
| Wrist X-ray, 2 views CPT 73100 X-ray exam of wrist | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| Wrist X-ray, 2 views CPT 73100 X-ray exam of wrist | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| Wrist X-ray, 2 views one side CPT 73100 Xr wrist 2 views left | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| Wrist X-ray, 2 views one side CPT 73100 Xr wrist 2 views left | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| Wrist X-ray, 2 views inpatient CPT 73100 X-ray exam of wrist | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Wrist X-ray, 2 views inpatient CPT 73100 X-ray exam of wrist | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Xr wrist 2 views left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Xr wrist 2 views left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-ray exam of wrist | $341.00 | $341.00 | $90.50–$95.26 | 13% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-ray exam of wrist | $341.00 | $341.00 | $90.50–$95.26 | 13% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr wrist complete 3+ views left | $341.00 | $341.00 | $90.50–$95.26 | 13% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr wrist complete 3+ views left | $341.00 | $341.00 | $90.50–$95.26 | 13% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray exam of wrist | $341.00 | $341.00 | $90.50–$95.26 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray exam of wrist | $341.00 | $341.00 | $90.50–$95.26 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Xr wrist complete 3+ views left | $341.00 | $341.00 | $90.50–$95.26 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Xr wrist complete 3+ views left | $341.00 | $341.00 | $90.50–$95.26 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray exam hip uni 2-3 views | $457.00 | $457.00 | $90.50–$95.26 | 43% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray exam hip uni 2-3 views | $457.00 | $457.00 | $90.50–$95.26 | 43% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr hip 2-3 views w/ap pelvis left | $457.00 | $457.00 | $90.50–$95.26 | 43% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr hip 2-3 views w/ap pelvis left | $457.00 | $457.00 | $90.50–$95.26 | 43% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray exam hip uni 2-3 views | $457.00 | $457.00 | $90.50–$95.26 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray exam hip uni 2-3 views | $457.00 | $457.00 | $90.50–$95.26 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xr hip 2-3 views w/ap pelvis left | $457.00 | $457.00 | $90.50–$95.26 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xr hip 2-3 views w/ap pelvis left | $457.00 | $457.00 | $90.50–$95.26 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 X-ray exam abdomen 1 view | $236.00 | $236.00 | $90.50–$95.26 | 15% below | — |
| X-ray of the abdomen, 1 view CPT 74018 Xr abdomen 1 view | $236.00 | $236.00 | $90.50–$95.26 | 15% below | — |
| X-ray of the abdomen, 1 view CPT 74018 Xr abdomen 1 view | $236.00 | $236.00 | $90.50–$95.26 | 15% below | — |
| X-ray of the abdomen, 1 view CPT 74018 X-ray exam abdomen 1 view | $236.00 | $236.00 | $90.50–$95.26 | 15% below | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray exam abdomen 1 view | $236.00 | $236.00 | $90.50–$95.26 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray exam abdomen 1 view | $236.00 | $236.00 | $90.50–$95.26 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Xr abdomen 1 view | $236.00 | $236.00 | $90.50–$95.26 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Xr abdomen 1 view | $236.00 | $236.00 | $90.50–$95.26 | — | — |
| X-ray of the ankle, 2 views CPT 73600 X-ray exam of ankle | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| X-ray of the ankle, 2 views CPT 73600 X-ray exam of ankle | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| X-ray of the ankle, 2 views one side CPT 73600 Xr ankle 2 views left | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| X-ray of the ankle, 2 views one side CPT 73600 Xr ankle 2 views left | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 X-ray exam of ankle | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 X-ray exam of ankle | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Xr ankle 2 views left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Xr ankle 2 views left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 X-ray exam of finger(s) | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| X-ray of the finger(s), 2 or more views CPT 73140 X-ray exam of finger(s) | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr finger(s) 2+ views left | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr finger(s) 2+ views left | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray exam of finger(s) | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray exam of finger(s) | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr finger(s) 2+ views left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr finger(s) 2+ views left | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the foot, 2 views CPT 73620 X-ray exam of foot | $275.00 | $275.00 | $90.50–$95.26 | 4% below | — |
| X-ray of the foot, 2 views CPT 73620 X-ray exam of foot | $275.00 | $275.00 | $90.50–$95.26 | 4% below | — |
| X-ray of the foot, 2 views one side CPT 73620 Xr foot 2 views right | $275.00 | $275.00 | $90.50–$95.26 | 4% below | — |
| X-ray of the foot, 2 views one side CPT 73620 Xr foot 2 views right | $275.00 | $275.00 | $90.50–$95.26 | 4% below | — |
| X-ray of the foot, 2 views inpatient CPT 73620 X-ray exam of foot | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 X-ray exam of foot | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Xr foot 2 views right | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Xr foot 2 views right | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-ray exam of foot | $430.00 | $430.00 | $90.50–$95.26 | 38% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-ray exam of foot | $430.00 | $430.00 | $90.50–$95.26 | 38% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr foot complete 3+ views left | $430.00 | $430.00 | $90.50–$95.26 | 38% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr foot complete 3+ views left | $430.00 | $430.00 | $90.50–$95.26 | 38% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray exam of foot | $430.00 | $430.00 | $90.50–$95.26 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray exam of foot | $430.00 | $430.00 | $90.50–$95.26 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Xr foot complete 3+ views left | $430.00 | $430.00 | $90.50–$95.26 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Xr foot complete 3+ views left | $430.00 | $430.00 | $90.50–$95.26 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 X-ray exam of hand | $310.00 | $310.00 | $90.50–$95.26 | 1% below | — |
| X-ray of the hand, 3 or more views CPT 73130 X-ray exam of hand | $310.00 | $310.00 | $90.50–$95.26 | 1% below | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr hand complete 3+ views left | $310.00 | $310.00 | $90.50–$95.26 | 1% below | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr hand complete 3+ views left | $310.00 | $310.00 | $90.50–$95.26 | 1% below | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray exam of hand | $310.00 | $310.00 | $90.50–$95.26 | — | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray exam of hand | $310.00 | $310.00 | $90.50–$95.26 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Xr hand complete 3+ views left | $310.00 | $310.00 | $90.50–$95.26 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Xr hand complete 3+ views left | $310.00 | $310.00 | $90.50–$95.26 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-ray exam of knee 1 or 2 | $344.00 | $344.00 | $90.50–$95.26 | 14% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-ray exam of knee 1 or 2 | $344.00 | $344.00 | $90.50–$95.26 | 14% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr knee 1 or 2 views left | $344.00 | $344.00 | $90.50–$95.26 | 14% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr knee 1 or 2 views left | $344.00 | $344.00 | $90.50–$95.26 | 14% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray exam of knee 1 or 2 | $344.00 | $344.00 | $90.50–$95.26 | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray exam of knee 1 or 2 | $344.00 | $344.00 | $90.50–$95.26 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr knee 1 or 2 views left | $344.00 | $344.00 | $90.50–$95.26 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr knee 1 or 2 views left | $344.00 | $344.00 | $90.50–$95.26 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr spine lumbosacral 2 or 3 views | $450.00 | $450.00 | $109.30–$115.05 | 24% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray exam l-s spine 2/3 vws | $450.00 | $450.00 | $109.30–$115.05 | 24% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr spine lumbosacral 2 or 3 views | $450.00 | $450.00 | $109.30–$115.05 | 24% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray exam l-s spine 2/3 vws | $450.00 | $450.00 | $109.30–$115.05 | 24% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Xr spine lumbosacral 2 or 3 views | $450.00 | $450.00 | $109.30–$115.05 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray exam l-s spine 2/3 vws | $450.00 | $450.00 | $109.30–$115.05 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Xr spine lumbosacral 2 or 3 views | $450.00 | $450.00 | $109.30–$115.05 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray exam l-s spine 2/3 vws | $450.00 | $450.00 | $109.30–$115.05 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray exam l-2 spine 4/>vws | $595.00 | $595.00 | $109.30–$115.05 | 24% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Xr spine lumbosacral 4+ views | $595.00 | $595.00 | $109.30–$115.05 | 24% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray exam l-2 spine 4/>vws | $595.00 | $595.00 | $109.30–$115.05 | 24% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Xr spine lumbosacral 4+ views | $595.00 | $595.00 | $109.30–$115.05 | 24% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr spine lumbosacral 4+ views | $595.00 | $595.00 | $109.30–$115.05 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr spine lumbosacral 4+ views | $595.00 | $595.00 | $109.30–$115.05 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-ray exam l-2 spine 4/>vws | $595.00 | $595.00 | $109.30–$115.05 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-ray exam l-2 spine 4/>vws | $595.00 | $595.00 | $109.30–$115.05 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr spine thoracic 2 views | $445.00 | $445.00 | $109.30–$115.05 | 43% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray exam thorac spine 2vws | $445.00 | $445.00 | $109.30–$115.05 | 43% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr spine thoracic 2 views | $445.00 | $445.00 | $109.30–$115.05 | 43% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray exam thorac spine 2vws | $445.00 | $445.00 | $109.30–$115.05 | 43% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Xr spine thoracic 2 views | $445.00 | $445.00 | $109.30–$115.05 | — | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Xr spine thoracic 2 views | $445.00 | $445.00 | $109.30–$115.05 | — | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray exam thorac spine 2vws | $445.00 | $445.00 | $109.30–$115.05 | — | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray exam thorac spine 2vws | $445.00 | $445.00 | $109.30–$115.05 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr nasal bones 3+ views | $275.00 | $275.00 | $90.50–$95.26 | 13% below | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray exam of nasal bones | $275.00 | $275.00 | $90.50–$95.26 | 13% below | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray exam of nasal bones | $275.00 | $275.00 | $90.50–$95.26 | 13% below | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr nasal bones 3+ views | $275.00 | $275.00 | $90.50–$95.26 | 13% below | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray exam of nasal bones | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Xr nasal bones 3+ views | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Xr nasal bones 3+ views | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray exam of nasal bones | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr spine cervical 2 or 3 views | $393.00 | $393.00 | $90.50–$95.26 | 26% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr spine cervical 2 or 3 views | $393.00 | $393.00 | $90.50–$95.26 | 26% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray exam neck spine 2-3 vw | $393.00 | $393.00 | $90.50–$95.26 | 26% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray exam neck spine 2-3 vw | $393.00 | $393.00 | $90.50–$95.26 | 26% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Xr spine cervical 2 or 3 views | $393.00 | $393.00 | $90.50–$95.26 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Xr spine cervical 2 or 3 views | $393.00 | $393.00 | $90.50–$95.26 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray exam neck spine 2-3 vw | $393.00 | $393.00 | $90.50–$95.26 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray exam neck spine 2-3 vw | $393.00 | $393.00 | $90.50–$95.26 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray exam of pelvis | $386.00 | $386.00 | $109.30–$115.05 | 28% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr pelvis 1 or 2 views | $386.00 | $386.00 | $109.30–$115.05 | 28% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray exam of pelvis | $386.00 | $386.00 | $109.30–$115.05 | 28% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr pelvis 1 or 2 views | $386.00 | $386.00 | $109.30–$115.05 | 28% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray exam of pelvis | $386.00 | $386.00 | $109.30–$115.05 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xr pelvis 1 or 2 views | $386.00 | $386.00 | $109.30–$115.05 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xr pelvis 1 or 2 views | $386.00 | $386.00 | $109.30–$115.05 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray exam of pelvis | $386.00 | $386.00 | $109.30–$115.05 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr sacrum/coccyx 2+ views | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray exam sacrum tailbone | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr sacrum/coccyx 2+ views | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray exam sacrum tailbone | $275.00 | $275.00 | $90.50–$95.26 | 9% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Xr sacrum/coccyx 2+ views | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray exam sacrum tailbone | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Xr sacrum/coccyx 2+ views | $275.00 | $275.00 | $90.50–$95.26 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray exam sacrum tailbone | $275.00 | $275.00 | $90.50–$95.26 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine amino (alt) (sgpt) | $59.00 | $59.00 | — | 1% below | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine aminotransferase | $59.00 | $59.00 | — | 1% below | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine amino (alt) (sgpt) | $59.00 | $59.00 | — | 1% below | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine aminotransferase | $59.00 | $59.00 | — | 1% below | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine amino (alt) (sgpt) | $59.00 | $59.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine aminotransferase | $59.00 | $59.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine aminotransferase | $59.00 | $59.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine amino (alt) (sgpt) | $59.00 | $59.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate aminotransferase | $56.00 | $56.00 | — | 7% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (ast) (sgot) | $56.00 | $56.00 | — | 7% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate aminotransferase | $56.00 | $56.00 | — | 7% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (ast) (sgot) | $56.00 | $56.00 | — | 7% below | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate aminotransferase | $56.00 | $56.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (ast) (sgot) | $56.00 | $56.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (ast) (sgot) | $56.00 | $56.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate aminotransferase | $56.00 | $56.00 | — | — | — |
| Albumin blood test CPT 82040 Albumin level | $56.00 | $56.00 | — | at median | — |
| Albumin blood test CPT 82040 Assay of serum albumin | $56.00 | $56.00 | — | at median | — |
| Albumin blood test CPT 82040 Albumin level | $56.00 | $56.00 | — | at median | — |
| Albumin blood test CPT 82040 Assay of serum albumin | $56.00 | $56.00 | — | at median | — |
| Albumin blood test inpatient CPT 82040 Assay of serum albumin | $56.00 | $56.00 | — | — | — |
| Albumin blood test inpatient CPT 82040 Assay of serum albumin | $56.00 | $56.00 | — | — | — |
| Albumin blood test inpatient CPT 82040 Albumin level | $56.00 | $56.00 | — | — | — |
| Albumin blood test inpatient CPT 82040 Albumin level | $56.00 | $56.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Assay alkaline phosphatase | $56.00 | $56.00 | — | at median | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline phosphatase | $56.00 | $56.00 | — | at median | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Assay alkaline phosphatase | $56.00 | $56.00 | — | at median | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline phosphatase | $56.00 | $56.00 | — | at median | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline phosphatase | $56.00 | $56.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Assay alkaline phosphatase | $56.00 | $56.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Assay alkaline phosphatase | $56.00 | $56.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline phosphatase | $56.00 | $56.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allg spec ige crude xtrc ea | $13.00 | $13.00 | — | 67% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 respiratory allergy profile region xi: azcoid qst | $13.00 | $13.00 | — | 67% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allg spec ige crude xtrc ea | $13.00 | $13.00 | — | 67% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 respiratory allergy profile region xi: azcoid qst | $13.00 | $13.00 | — | 67% below | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg spec ige crude xtrc ea | $13.00 | $13.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg spec ige crude xtrc ea | $13.00 | $13.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 respiratory allergy profile region xi: azcoid qst | $13.00 | $13.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 respiratory allergy profile region xi: azcoid qst | $13.00 | $13.00 | — | — | — |
| Amylase blood test CPT 82150 Amylase level | $112.00 | $112.00 | — | 15% above | — |
| Amylase blood test CPT 82150 Assay of amylase | $112.00 | $112.00 | — | 15% above | — |
| Amylase blood test CPT 82150 Assay of amylase | $112.00 | $112.00 | — | 15% above | — |
| Amylase blood test CPT 82150 Amylase level | $112.00 | $112.00 | — | 15% above | — |
| Amylase blood test inpatient CPT 82150 Amylase level | $112.00 | $112.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Assay of amylase | $112.00 | $112.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Assay of amylase | $112.00 | $112.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Amylase level | $112.00 | $112.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp antibody | $124.00 | $124.00 | — | 11% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp antibody igg ael | $124.00 | $124.00 | — | 11% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp antibody | $124.00 | $124.00 | — | 11% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp antibody igg ael | $124.00 | $124.00 | — | 11% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp antibody igg ael | $124.00 | $124.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp antibody igg ael | $124.00 | $124.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp antibody | $124.00 | $124.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp antibody | $124.00 | $124.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana screen ifa w/rfx titer pattern qst | $21.00 | $21.00 | — | 77% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies | $21.00 | $21.00 | — | 77% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana screen ifa w/rfx titer pattern qst | $21.00 | $21.00 | — | 77% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies | $21.00 | $21.00 | — | 77% below | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear antibodies | $21.00 | $21.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear antibodies | $21.00 | $21.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana screen ifa w/rfx titer pattern qst | $21.00 | $21.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana screen ifa w/rfx titer pattern qst | $21.00 | $21.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-type natriuretic peptide | $278.00 | $278.00 | — | 1% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay of natriuretic peptide | $278.00 | $278.00 | — | 1% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-type natriuretic peptide | $278.00 | $278.00 | — | 1% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay of natriuretic peptide | $278.00 | $278.00 | — | 1% below | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay of natriuretic peptide | $278.00 | $278.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-type natriuretic peptide | $278.00 | $278.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay of natriuretic peptide | $278.00 | $278.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-type natriuretic peptide | $278.00 | $278.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body fluid culture | $135.00 | $135.00 | — | 23% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture othr specimn aerobic | $135.00 | $135.00 | — | 23% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body fluid culture | $135.00 | $135.00 | — | 23% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture othr specimn aerobic | $135.00 | $135.00 | — | 23% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture othr specimn aerobic | $135.00 | $135.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body fluid culture | $135.00 | $135.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture othr specimn aerobic | $135.00 | $135.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body fluid culture | $135.00 | $135.00 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $158.00 | $158.00 | — | 17% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $158.00 | $158.00 | — | 17% above | — |
| Basic metabolic panel (blood test) CPT 80048 Metabolic panel total ca | $158.00 | $158.00 | — | 17% above | — |
| Basic metabolic panel (blood test) CPT 80048 Metabolic panel total ca | $158.00 | $158.00 | — | 17% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Metabolic panel total ca | $158.00 | $158.00 | — | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic metabolic panel | $158.00 | $158.00 | — | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Metabolic panel total ca | $158.00 | $158.00 | — | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic metabolic panel | $158.00 | $158.00 | — | — | — |
| Bilirubin blood test, total CPT 82247 Bilirubin total | $59.00 | $59.00 | — | at median | — |
| Bilirubin blood test, total CPT 82247 Bilirubin total | $59.00 | $59.00 | — | at median | — |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin total | $59.00 | $59.00 | — | — | — |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin total | $59.00 | $59.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue exam by pathologist | $148.00 | $148.00 | $54.92–$57.81 | 70% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305-tissue exam by pathologist3 | $148.00 | $148.00 | $54.92–$57.81 | 70% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305-tissue exam by pathologist3 | $148.00 | $148.00 | $54.92–$57.81 | 70% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue exam by pathologist | $148.00 | $148.00 | $54.92–$57.81 | 70% below | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305-tissue exam by pathologist3 | $148.00 | $148.00 | $54.92–$57.81 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305-tissue exam by pathologist3 | $148.00 | $148.00 | $54.92–$57.81 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue exam by pathologist | $148.00 | $148.00 | $54.92–$57.81 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue exam by pathologist | $148.00 | $148.00 | $54.92–$57.81 | — | — |
| Blood culture for bacteria CPT 87040 Blood culture | $237.00 | $237.00 | — | 13% above | — |
| Blood culture for bacteria CPT 87040 Blood culture | $237.00 | $237.00 | — | 13% above | — |
| Blood culture for bacteria CPT 87040 Blood culture for bacteria | $237.00 | $237.00 | — | 13% above | — |
| Blood culture for bacteria CPT 87040 Blood culture for bacteria | $237.00 | $237.00 | — | 13% above | — |
| Blood culture for bacteria inpatient CPT 87040 Blood culture for bacteria | $237.00 | $237.00 | — | — | — |
| Blood culture for bacteria inpatient CPT 87040 Blood culture | $237.00 | $237.00 | — | — | — |
| Blood culture for bacteria inpatient CPT 87040 Blood culture for bacteria | $237.00 | $237.00 | — | — | — |
| Blood culture for bacteria inpatient CPT 87040 Blood culture | $237.00 | $237.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine venipuncture | $33.00 | $33.00 | — | 9% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection: venous draw | $33.00 | $33.00 | — | 9% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine venipuncture | $33.00 | $33.00 | — | 9% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection: venous draw | $33.00 | $33.00 | — | 9% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Collection: venous draw | $33.00 | $33.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine venipuncture | $33.00 | $33.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine venipuncture | $33.00 | $33.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Collection: venous draw | $33.00 | $33.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 Glucose level | $48.00 | $48.00 | $3.73–$3.93 | 20% below | — |
| Blood glucose (sugar) test CPT 82947 Assay glucose blood quant | $48.00 | $48.00 | $3.73–$3.93 | 20% below | — |
| Blood glucose (sugar) test CPT 82947 Glucose level | $48.00 | $48.00 | $3.73–$3.93 | 20% below | — |
| Blood glucose (sugar) test CPT 82947 Assay glucose blood quant | $48.00 | $48.00 | $3.73–$3.93 | 20% below | — |
| Blood glucose (sugar) test inpatient CPT 82947 Assay glucose blood quant | $48.00 | $48.00 | $3.73–$3.93 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose level | $48.00 | $48.00 | $3.73–$3.93 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Assay glucose blood quant | $48.00 | $48.00 | $3.73–$3.93 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose level | $48.00 | $48.00 | $3.73–$3.93 | — | — |
| Blood lead test CPT 83655 Assay of lead | $459.00 | $459.00 | — | 316% above | — |
| Blood lead test CPT 83655 83655-heavy metals comprehensive panel urine | $459.00 | $459.00 | — | 316% above | — |
| Blood lead test CPT 83655 Assay of lead | $459.00 | $459.00 | — | 316% above | — |
| Blood lead test CPT 83655 83655-heavy metals comprehensive panel urine | $459.00 | $459.00 | — | 316% above | — |
| Blood lead test inpatient CPT 83655 83655-heavy metals comprehensive panel urine | $459.00 | $459.00 | — | — | — |
| Blood lead test inpatient CPT 83655 Assay of lead | $459.00 | $459.00 | — | — | — |
| Blood lead test inpatient CPT 83655 Assay of lead | $459.00 | $459.00 | — | — | — |
| Blood lead test inpatient CPT 83655 83655-heavy metals comprehensive panel urine | $459.00 | $459.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic gonadotropin assay | $33.00 | $33.00 | — | 69% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta hcg qualitative urine | $33.00 | $33.00 | — | 69% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic gonadotropin assay | $33.00 | $33.00 | — | 69% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta hcg qualitative urine | $33.00 | $33.00 | — | 69% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta hcg qualitative urine | $33.00 | $33.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic gonadotropin assay | $33.00 | $33.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta hcg qualitative urine | $33.00 | $33.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic gonadotropin assay | $33.00 | $33.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo/rh | $118.00 | $118.00 | $132.48–$139.46 | 13% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing serologic abo | $118.00 | $118.00 | $132.48–$139.46 | 13% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo/rh | $118.00 | $118.00 | $132.48–$139.46 | 13% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing serologic abo | $118.00 | $118.00 | $132.48–$139.46 | 13% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo/rh | $118.00 | $118.00 | $132.48–$139.46 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo/rh | $118.00 | $118.00 | $132.48–$139.46 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood typing serologic abo | $118.00 | $118.00 | $132.48–$139.46 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood typing serologic abo | $118.00 | $118.00 | $132.48–$139.46 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 Blood urea nitrogen | $80.00 | $80.00 | — | 30% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Assay of urea nitrogen | $80.00 | $80.00 | — | 30% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Assay of urea nitrogen | $80.00 | $80.00 | — | 30% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Blood urea nitrogen | $80.00 | $80.00 | — | 30% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood urea nitrogen | $80.00 | $80.00 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Assay of urea nitrogen | $80.00 | $80.00 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood urea nitrogen | $80.00 | $80.00 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Assay of urea nitrogen | $80.00 | $80.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein | $20.00 | $20.00 | — | 79% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein | $20.00 | $20.00 | — | 79% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-reactive protein | $20.00 | $20.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-reactive protein | $20.00 | $20.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C. diff int qc | $49.00 | $49.00 | — | 83% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C. diff int qc | $49.00 | $49.00 | — | 83% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C diff amplified probe | $49.00 | $49.00 | — | 83% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C diff amplified probe | $49.00 | $49.00 | — | 83% below | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff amplified probe | $49.00 | $49.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. diff int qc | $49.00 | $49.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. diff int qc | $49.00 | $49.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff amplified probe | $49.00 | $49.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 covid-19 amp prb | $144.00 | $144.00 | $48.74–$51.31 | 21% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars cov-2(covid-19) pcr | $144.00 | $144.00 | $48.74–$51.31 | 21% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 covid-19 amp prb | $144.00 | $144.00 | $48.74–$51.31 | 21% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars cov-2(covid-19) pcr | $144.00 | $144.00 | $48.74–$51.31 | 21% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-cov-2 covid-19 amp prb | $144.00 | $144.00 | $48.74–$51.31 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-cov-2 covid-19 amp prb | $144.00 | $144.00 | $48.74–$51.31 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars cov-2(covid-19) pcr | $144.00 | $144.00 | $48.74–$51.31 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars cov-2(covid-19) pcr | $144.00 | $144.00 | $48.74–$51.31 | — | — |
| Calcium blood test, total CPT 82310 Assay of calcium | $111.00 | $111.00 | — | 73% above | — |
| Calcium blood test, total CPT 82310 Pth intact (icma) and ionized calcium qst | $111.00 | $111.00 | — | 73% above | — |
| Calcium blood test, total CPT 82310 Pth intact (icma) and ionized calcium qst | $111.00 | $111.00 | — | 73% above | — |
| Calcium blood test, total CPT 82310 Assay of calcium | $111.00 | $111.00 | — | 73% above | — |
| Calcium blood test, total inpatient CPT 82310 Pth intact (icma) and ionized calcium qst | $111.00 | $111.00 | — | — | — |
| Calcium blood test, total inpatient CPT 82310 Pth intact (icma) and ionized calcium qst | $111.00 | $111.00 | — | — | — |
| Calcium blood test, total inpatient CPT 82310 Assay of calcium | $111.00 | $111.00 | — | — | — |
| Calcium blood test, total inpatient CPT 82310 Assay of calcium | $111.00 | $111.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis rna tma uro qst | $82.00 | $82.00 | — | 50% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd trach dna amp probe | $82.00 | $82.00 | — | 50% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis rna tma uro qst | $82.00 | $82.00 | — | 50% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd trach dna amp probe | $82.00 | $82.00 | — | 50% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis rna tma uro qst | $82.00 | $82.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis rna tma uro qst | $82.00 | $82.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd trach dna amp probe | $82.00 | $82.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd trach dna amp probe | $82.00 | $82.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel | $184.00 | $184.00 | $12.72–$13.39 | 49% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel | $184.00 | $184.00 | $12.72–$13.39 | 49% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid panel | $184.00 | $184.00 | $12.72–$13.39 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid panel | $184.00 | $184.00 | $12.72–$13.39 | — | — |
| Complete blood count (CBC) with differential CPT 85025 Complete cbc w/auto diff wbc | $119.00 | $119.00 | — | 50% above | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc w/ differential | $119.00 | $119.00 | — | 50% above | — |
| Complete blood count (CBC) with differential CPT 85025 Complete cbc w/auto diff wbc | $119.00 | $119.00 | — | 50% above | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc w/ differential | $119.00 | $119.00 | — | 50% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc w/ differential | $119.00 | $119.00 | — | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete cbc w/auto diff wbc | $119.00 | $119.00 | — | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc w/ differential | $119.00 | $119.00 | — | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete cbc w/auto diff wbc | $119.00 | $119.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 Complete cbc automated | $22.00 | $22.00 | — | 73% below | — |
| Complete blood count (CBC), no differential CPT 85027 Complete cbc automated | $22.00 | $22.00 | — | 73% below | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc without differential | $22.00 | $22.00 | — | 73% below | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc without differential | $22.00 | $22.00 | — | 73% below | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete cbc automated | $22.00 | $22.00 | — | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc without differential | $22.00 | $22.00 | — | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete cbc automated | $22.00 | $22.00 | — | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc without differential | $22.00 | $22.00 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehen metabolic panel | $200.00 | $200.00 | — | 12% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel | $200.00 | $200.00 | — | 12% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel | $200.00 | $200.00 | — | 12% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehen metabolic panel | $200.00 | $200.00 | — | 12% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive metabolic panel | $200.00 | $200.00 | — | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive metabolic panel | $200.00 | $200.00 | — | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen metabolic panel | $200.00 | $200.00 | — | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen metabolic panel | $200.00 | $200.00 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 Assay of ck (cpk) | $112.00 | $112.00 | — | 27% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Assay of ck (cpk) | $112.00 | $112.00 | — | 27% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase | $112.00 | $112.00 | — | 27% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase | $112.00 | $112.00 | — | 27% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Assay of ck (cpk) | $112.00 | $112.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine kinase | $112.00 | $112.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine kinase | $112.00 | $112.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Assay of ck (cpk) | $112.00 | $112.00 | — | — | — |
| Creatinine blood test CPT 82565 Assay of creatinine | $93.00 | $93.00 | — | 71% above | — |
| Creatinine blood test CPT 82565 Creatinine | $93.00 | $93.00 | — | 71% above | — |
| Creatinine blood test CPT 82565 Creatinine | $93.00 | $93.00 | — | 71% above | — |
| Creatinine blood test CPT 82565 Assay of creatinine | $93.00 | $93.00 | — | 71% above | — |
| Creatinine blood test inpatient CPT 82565 Assay of creatinine | $93.00 | $93.00 | — | — | — |
| Creatinine blood test inpatient CPT 82565 Creatinine | $93.00 | $93.00 | — | — | — |
| Creatinine blood test inpatient CPT 82565 Assay of creatinine | $93.00 | $93.00 | — | — | — |
| Creatinine blood test inpatient CPT 82565 Creatinine | $93.00 | $93.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer | $208.00 | $208.00 | — | 43% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation quant | $208.00 | $208.00 | — | 43% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer | $208.00 | $208.00 | — | 43% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation quant | $208.00 | $208.00 | — | 43% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-dimer | $208.00 | $208.00 | — | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin degradation quant | $208.00 | $208.00 | — | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-dimer | $208.00 | $208.00 | — | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin degradation quant | $208.00 | $208.00 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte panel | $139.00 | $139.00 | — | 11% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte panel | $139.00 | $139.00 | — | 11% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte panel | $139.00 | $139.00 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte panel | $139.00 | $139.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein barr virus ab panel qst | $151.00 | $151.00 | — | 49% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-barr capsid vca | $151.00 | $151.00 | — | 49% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein barr virus ab panel qst | $151.00 | $151.00 | — | 49% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-barr capsid vca | $151.00 | $151.00 | — | 49% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein barr virus ab panel qst | $151.00 | $151.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-barr capsid vca | $151.00 | $151.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein barr virus ab panel qst | $151.00 | $151.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-barr capsid vca | $151.00 | $151.00 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $47.00 | $47.00 | — | 60% below | — |
| Ferritin blood test (iron stores) CPT 82728 Assay of ferritin | $47.00 | $47.00 | — | 60% below | — |
| Ferritin blood test (iron stores) CPT 82728 Assay of ferritin | $47.00 | $47.00 | — | 60% below | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $47.00 | $47.00 | — | 60% below | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $47.00 | $47.00 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Assay of ferritin | $47.00 | $47.00 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $47.00 | $47.00 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Assay of ferritin | $47.00 | $47.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 Assay of folic acid serum | $48.00 | $48.00 | — | 62% below | — |
| Folate (folic acid) blood test CPT 82746 Folate level | $48.00 | $48.00 | — | 62% below | — |
| Folate (folic acid) blood test CPT 82746 Assay of folic acid serum | $48.00 | $48.00 | — | 62% below | — |
| Folate (folic acid) blood test CPT 82746 Folate level | $48.00 | $48.00 | — | 62% below | — |
| Folate (folic acid) blood test inpatient CPT 82746 Assay of folic acid serum | $48.00 | $48.00 | — | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate level | $48.00 | $48.00 | — | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate level | $48.00 | $48.00 | — | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 Assay of folic acid serum | $48.00 | $48.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 Free assay (ft-3) | $57.00 | $57.00 | — | 65% below | — |
| Free T3 thyroid hormone test CPT 84481 Free t3 | $57.00 | $57.00 | — | 65% below | — |
| Free T3 thyroid hormone test CPT 84481 Free assay (ft-3) | $57.00 | $57.00 | — | 65% below | — |
| Free T3 thyroid hormone test CPT 84481 Free t3 | $57.00 | $57.00 | — | 65% below | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Free t3 | $57.00 | $57.00 | — | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Free assay (ft-3) | $57.00 | $57.00 | — | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Free t3 | $57.00 | $57.00 | — | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Free assay (ft-3) | $57.00 | $57.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay of free thyroxine | $32.00 | $32.00 | — | 69% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free t4 level | $32.00 | $32.00 | — | 69% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay of free thyroxine | $32.00 | $32.00 | — | 69% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free t4 level | $32.00 | $32.00 | — | 69% below | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free t4 level | $32.00 | $32.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free t4 level | $32.00 | $32.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay of free thyroxine | $32.00 | $32.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay of free thyroxine | $32.00 | $32.00 | — | — | — |
| Free testosterone test CPT 84402 Testosterone free qst | $70.00 | $70.00 | — | 58% below | — |
| Free testosterone test CPT 84402 Testosterone free qst | $70.00 | $70.00 | — | 58% below | — |
| Free testosterone test CPT 84402 Assay of free testosterone | $70.00 | $70.00 | — | 58% below | — |
| Free testosterone test CPT 84402 Assay of free testosterone | $70.00 | $70.00 | — | 58% below | — |
| Free testosterone test inpatient CPT 84402 Assay of free testosterone | $70.00 | $70.00 | — | — | — |
| Free testosterone test inpatient CPT 84402 Testosterone free qst | $70.00 | $70.00 | — | — | — |
| Free testosterone test inpatient CPT 84402 Assay of free testosterone | $70.00 | $70.00 | — | — | — |
| Free testosterone test inpatient CPT 84402 Testosterone free qst | $70.00 | $70.00 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Bill only 80050 general health panel | $194.00 | $194.00 | — | 53% below | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Bill only 80050 general health panel | $194.00 | $194.00 | — | 53% below | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel | $194.00 | $194.00 | — | 53% below | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel | $194.00 | $194.00 | — | 53% below | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General health panel | $194.00 | $194.00 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Bill only 80050 general health panel | $194.00 | $194.00 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Bill only 80050 general health panel | $194.00 | $194.00 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General health panel | $194.00 | $194.00 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose 1 hour | $56.00 | $56.00 | $12.23–$12.87 | 50% below | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose tolerance test (gtt) | $56.00 | $56.00 | $12.23–$12.87 | 50% below | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose 1 hour | $56.00 | $56.00 | $12.23–$12.87 | 50% below | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose tolerance test (gtt) | $56.00 | $56.00 | $12.23–$12.87 | 50% below | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose tolerance test (gtt) | $56.00 | $56.00 | $12.23–$12.87 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose tolerance test (gtt) | $56.00 | $56.00 | $12.23–$12.87 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose 1 hour | $56.00 | $56.00 | $12.23–$12.87 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose 1 hour | $56.00 | $56.00 | $12.23–$12.87 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae dna amp prob | $103.00 | $103.00 | — | 37% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae dna amp prob | $103.00 | $103.00 | — | 37% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 - add on | $103.00 | $103.00 | — | 37% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 - add on | $103.00 | $103.00 | — | 37% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 - add on | $103.00 | $103.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.gonorrhoeae dna amp prob | $103.00 | $103.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 - add on | $103.00 | $103.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.gonorrhoeae dna amp prob | $103.00 | $103.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 ag w/hiv-1 & hiv-2 ab | $185.00 | $185.00 | — | 86% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Prep hiv-1/2 antigen and antibodies fourth generation with reflexes qst | $185.00 | $185.00 | — | 86% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 ag w/hiv-1 & hiv-2 ab | $185.00 | $185.00 | — | 86% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Prep hiv-1/2 antigen and antibodies fourth generation with reflexes qst | $185.00 | $185.00 | — | 86% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 ag w/hiv-1 & hiv-2 ab | $185.00 | $185.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Prep hiv-1/2 antigen and antibodies fourth generation with reflexes qst | $185.00 | $185.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Prep hiv-1/2 antigen and antibodies fourth generation with reflexes qst | $185.00 | $185.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 ag w/hiv-1 & hiv-2 ab | $185.00 | $185.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv high-risk types | $70.00 | $70.00 | — | 48% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 hpv high risk | $70.00 | $70.00 | — | 48% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv high-risk types | $70.00 | $70.00 | — | 48% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 hpv high risk | $70.00 | $70.00 | — | 48% below | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 hpv high risk | $70.00 | $70.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv high-risk types | $70.00 | $70.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv high-risk types | $70.00 | $70.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 hpv high risk | $70.00 | $70.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb a1c | $158.00 | $158.00 | — | 59% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated hemoglobin test | $158.00 | $158.00 | — | 59% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb a1c | $158.00 | $158.00 | — | 59% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated hemoglobin test | $158.00 | $158.00 | — | 59% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated hemoglobin test | $158.00 | $158.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb a1c | $158.00 | $158.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated hemoglobin test | $158.00 | $158.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb a1c | $158.00 | $158.00 | — | — | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $39.00 | $39.00 | — | 4% above | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $39.00 | $39.00 | — | 4% above | — |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $39.00 | $39.00 | — | — | — |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $39.00 | $39.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 igg type specific ab qst | $29.00 | $29.00 | — | 63% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 igg type specific ab qst | $29.00 | $29.00 | — | 63% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex type 1 test | $29.00 | $29.00 | — | 63% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex type 1 test | $29.00 | $29.00 | — | 63% below | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv 1 igg type specific ab qst | $29.00 | $29.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes simplex type 1 test | $29.00 | $29.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv 1 igg type specific ab qst | $29.00 | $29.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes simplex type 1 test | $29.00 | $29.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 add on | $29.00 | $29.00 | — | 77% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes simplex type 2 test | $29.00 | $29.00 | — | 77% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 add on | $29.00 | $29.00 | — | 77% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes simplex type 2 test | $29.00 | $29.00 | — | 77% below | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes simplex type 2 test | $29.00 | $29.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 add on | $29.00 | $29.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes simplex type 2 test | $29.00 | $29.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 add on | $29.00 | $29.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 Iron level | $23.00 | $23.00 | — | 63% below | — |
| Iron blood test (serum iron) CPT 83540 Assay of iron | $23.00 | $23.00 | — | 63% below | — |
| Iron blood test (serum iron) CPT 83540 Assay of iron | $23.00 | $23.00 | — | 63% below | — |
| Iron blood test (serum iron) CPT 83540 Iron level | $23.00 | $23.00 | — | 63% below | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron level | $23.00 | $23.00 | — | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 Assay of iron | $23.00 | $23.00 | — | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron level | $23.00 | $23.00 | — | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 Assay of iron | $23.00 | $23.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding test | $140.00 | $140.00 | — | 75% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding test | $140.00 | $140.00 | — | 75% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron panel w/ ferritin | $140.00 | $140.00 | — | 75% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron panel w/ ferritin | $140.00 | $140.00 | — | 75% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron panel w/ ferritin | $140.00 | $140.00 | — | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding test | $140.00 | $140.00 | — | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron panel w/ ferritin | $140.00 | $140.00 | — | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding test | $140.00 | $140.00 | — | — | — |
| Kidney function blood test panel CPT 80069 Renal function panel | $612.00 | $612.00 | — | 229% above | — |
| Kidney function blood test panel CPT 80069 Renal function panel | $612.00 | $612.00 | — | 229% above | — |
| Kidney function blood test panel inpatient CPT 80069 Renal function panel | $612.00 | $612.00 | — | — | — |
| Kidney function blood test panel inpatient CPT 80069 Renal function panel | $612.00 | $612.00 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 Assay of lactic acid | $166.00 | $166.00 | — | 36% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic acid level | $166.00 | $166.00 | — | 36% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic acid level | $166.00 | $166.00 | — | 36% above | — |
| Lactate (lactic acid) blood test CPT 83605 Assay of lactic acid | $166.00 | $166.00 | — | 36% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Assay of lactic acid | $166.00 | $166.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic acid level | $166.00 | $166.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Assay of lactic acid | $166.00 | $166.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic acid level | $166.00 | $166.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate (ld) (ldh) enzyme | $108.00 | $108.00 | — | 57% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ld pleural fluid qst | $108.00 | $108.00 | — | 57% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate (ld) (ldh) enzyme | $108.00 | $108.00 | — | 57% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ld pleural fluid qst | $108.00 | $108.00 | — | 57% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ld pleural fluid qst | $108.00 | $108.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate (ld) (ldh) enzyme | $108.00 | $108.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate (ld) (ldh) enzyme | $108.00 | $108.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ld pleural fluid qst | $108.00 | $108.00 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Assay of lipase | $143.00 | $143.00 | — | 24% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase level | $143.00 | $143.00 | — | 24% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Assay of lipase | $143.00 | $143.00 | — | 24% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase level | $143.00 | $143.00 | — | 24% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase level | $143.00 | $143.00 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase level | $143.00 | $143.00 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay of lipase | $143.00 | $143.00 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay of lipase | $143.00 | $143.00 | — | — | — |
| Liver function blood test panel CPT 80076 Hepatic function panel | $308.00 | $308.00 | — | 39% above | — |
| Liver function blood test panel CPT 80076 Hepatic function panel | $308.00 | $308.00 | — | 39% above | — |
| Liver function blood test panel inpatient CPT 80076 Hepatic function panel | $308.00 | $308.00 | — | — | — |
| Liver function blood test panel inpatient CPT 80076 Hepatic function panel | $308.00 | $308.00 | — | — | — |
| Magnesium blood test CPT 83735 Assay of magnesium | $108.00 | $108.00 | — | 83% above | — |
| Magnesium blood test CPT 83735 Magnesium level | $108.00 | $108.00 | — | 83% above | — |
| Magnesium blood test CPT 83735 Assay of magnesium | $108.00 | $108.00 | — | 83% above | — |
| Magnesium blood test CPT 83735 Magnesium level | $108.00 | $108.00 | — | 83% above | — |
| Magnesium blood test inpatient CPT 83735 Assay of magnesium | $108.00 | $108.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium level | $108.00 | $108.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium level | $108.00 | $108.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Assay of magnesium | $108.00 | $108.00 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 86765-measles antibodies (igg igm) diagnostic qst | $291.00 | $291.00 | — | 162% above | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola antibody | $291.00 | $291.00 | — | 162% above | — |
| Measles (rubeola) antibody test CPT 86765 86765-measles antibodies (igg igm) diagnostic qst | $291.00 | $291.00 | — | 162% above | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola antibody | $291.00 | $291.00 | — | 162% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola antibody | $291.00 | $291.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola antibody | $291.00 | $291.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 86765-measles antibodies (igg igm) diagnostic qst | $291.00 | $291.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 86765-measles antibodies (igg igm) diagnostic qst | $291.00 | $291.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibody screen | $30.00 | $30.00 | — | 64% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis screen | $30.00 | $30.00 | — | 64% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibody screen | $30.00 | $30.00 | — | 64% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis screen | $30.00 | $30.00 | — | 64% below | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis screen | $30.00 | $30.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile antibody screen | $30.00 | $30.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile antibody screen | $30.00 | $30.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis screen | $30.00 | $30.00 | — | — | — |
| Mumps immunity blood test CPT 86735 86735-mumps virus antibodies (igg igm) diagnostic qst | $92.00 | $92.00 | — | 17% below | — |
| Mumps immunity blood test CPT 86735 Mumps antibody | $92.00 | $92.00 | — | 17% below | — |
| Mumps immunity blood test CPT 86735 86735-mumps virus antibodies (igg igm) diagnostic qst | $92.00 | $92.00 | — | 17% below | — |
| Mumps immunity blood test CPT 86735 Mumps antibody | $92.00 | $92.00 | — | 17% below | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps antibody | $92.00 | $92.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 86735-mumps virus antibodies (igg igm) diagnostic qst | $92.00 | $92.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps antibody | $92.00 | $92.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 86735-mumps virus antibodies (igg igm) diagnostic qst | $92.00 | $92.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of psa free | $23.00 | $23.00 | — | 85% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 psa (free and total) qst | $23.00 | $23.00 | — | 85% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of psa free | $23.00 | $23.00 | — | 85% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 psa (free and total) qst | $23.00 | $23.00 | — | 85% below | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of psa free | $23.00 | $23.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of psa free | $23.00 | $23.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 psa (free and total) qst | $23.00 | $23.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 psa (free and total) qst | $23.00 | $23.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa-total | $196.00 | $196.00 | — | 24% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa-total | $196.00 | $196.00 | — | 24% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of psa total | $196.00 | $196.00 | — | 24% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of psa total | $196.00 | $196.00 | — | 24% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa-total | $196.00 | $196.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of psa total | $196.00 | $196.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa-total | $196.00 | $196.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of psa total | $196.00 | $196.00 | — | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath c/v auto fluid redo | $54.00 | $54.00 | — | 70% below | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175-cytopath c?v auto fluid | $54.00 | $54.00 | — | 70% below | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath c/v auto fluid redo | $54.00 | $54.00 | — | 70% below | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175-cytopath c?v auto fluid | $54.00 | $54.00 | — | 70% below | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopath c/v auto fluid redo | $54.00 | $54.00 | — | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopath c/v auto fluid redo | $54.00 | $54.00 | — | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175-cytopath c?v auto fluid | $54.00 | $54.00 | — | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175-cytopath c?v auto fluid | $54.00 | $54.00 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142-cytopath cv thin layer | $31.00 | $31.00 | — | 80% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142-cytopath cv thin layer | $31.00 | $31.00 | — | 80% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath c/v thin layer | $31.00 | $31.00 | — | 80% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath c/v thin layer | $31.00 | $31.00 | — | 80% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142-cytopath cv thin layer | $31.00 | $31.00 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath c/v thin layer | $31.00 | $31.00 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142-cytopath cv thin layer | $31.00 | $31.00 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath c/v thin layer | $31.00 | $31.00 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Assay of parathormone | $111.00 | $111.00 | — | 58% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 83970 - pth intact (icma) and ionized calcium qst | $111.00 | $111.00 | — | 58% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Assay of parathormone | $111.00 | $111.00 | — | 58% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 83970 - pth intact (icma) and ionized calcium qst | $111.00 | $111.00 | — | 58% below | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970 - pth intact (icma) and ionized calcium qst | $111.00 | $111.00 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970 - pth intact (icma) and ionized calcium qst | $111.00 | $111.00 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay of parathormone | $111.00 | $111.00 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay of parathormone | $111.00 | $111.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time partial | $2,525.00 | $2,525.00 | — | 3758% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time partial | $2,525.00 | $2,525.00 | — | 3758% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Von willebrand disease panel with collagen binding assay (cba) qst | $2,525.00 | $2,525.00 | — | 3758% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Von willebrand disease panel with collagen binding assay (cba) qst | $2,525.00 | $2,525.00 | — | 3758% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin time partial | $2,525.00 | $2,525.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Von willebrand disease panel with collagen binding assay (cba) qst | $2,525.00 | $2,525.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin time partial | $2,525.00 | $2,525.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Von willebrand disease panel with collagen binding assay (cba) qst | $2,525.00 | $2,525.00 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Assay of phosphorus | $93.00 | $93.00 | — | 57% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus level | $93.00 | $93.00 | — | 57% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus level | $93.00 | $93.00 | — | 57% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Assay of phosphorus | $93.00 | $93.00 | — | 57% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus level | $93.00 | $93.00 | — | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Assay of phosphorus | $93.00 | $93.00 | — | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus level | $93.00 | $93.00 | — | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Assay of phosphorus | $93.00 | $93.00 | — | — | — |
| Potassium blood test CPT 84132 Assay of serum potassium | $59.00 | $59.00 | — | 5% below | — |
| Potassium blood test CPT 84132 Potassium level | $59.00 | $59.00 | — | 5% below | — |
| Potassium blood test CPT 84132 Assay of serum potassium | $59.00 | $59.00 | — | 5% below | — |
| Potassium blood test CPT 84132 Potassium level | $59.00 | $59.00 | — | 5% below | — |
| Potassium blood test inpatient CPT 84132 Assay of serum potassium | $59.00 | $59.00 | — | — | — |
| Potassium blood test inpatient CPT 84132 Assay of serum potassium | $59.00 | $59.00 | — | — | — |
| Potassium blood test inpatient CPT 84132 Potassium level | $59.00 | $59.00 | — | — | — |
| Potassium blood test inpatient CPT 84132 Potassium level | $59.00 | $59.00 | — | — | — |
| Prolactin blood test CPT 84146 Assay of prolactin | $266.00 | $266.00 | — | 59% above | — |
| Prolactin blood test CPT 84146 Prolactin qst | $266.00 | $266.00 | — | 59% above | — |
| Prolactin blood test CPT 84146 Prolactin qst | $266.00 | $266.00 | — | 59% above | — |
| Prolactin blood test CPT 84146 Assay of prolactin | $266.00 | $266.00 | — | 59% above | — |
| Prolactin blood test inpatient CPT 84146 Prolactin qst | $266.00 | $266.00 | — | — | — |
| Prolactin blood test inpatient CPT 84146 Prolactin qst | $266.00 | $266.00 | — | — | — |
| Prolactin blood test inpatient CPT 84146 Assay of prolactin | $266.00 | $266.00 | — | — | — |
| Prolactin blood test inpatient CPT 84146 Assay of prolactin | $266.00 | $266.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Inr | $64.00 | $64.00 | — | 36% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time | $64.00 | $64.00 | — | 36% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time | $64.00 | $64.00 | — | 36% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Inr | $64.00 | $64.00 | — | 36% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin time | $64.00 | $64.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Inr | $64.00 | $64.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Inr | $64.00 | $64.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin time | $64.00 | $64.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a (sofia) | $58.00 | $58.00 | — | 59% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a (sofia) | $58.00 | $58.00 | — | 59% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a assay w/optic | $58.00 | $58.00 | — | 59% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a assay w/optic | $58.00 | $58.00 | — | 59% below | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a assay w/optic | $58.00 | $58.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a (sofia) | $58.00 | $58.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a assay w/optic | $58.00 | $58.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a (sofia) | $58.00 | $58.00 | — | — | — |
| Rh blood typing CPT 86901 Blood typing serologic rh(d) | $110.00 | $110.00 | $40.34–$42.46 | 66% above | — |
| Rh blood typing CPT 86901 Blood typing serologic rh(d) | $110.00 | $110.00 | $40.34–$42.46 | 66% above | — |
| Rh blood typing CPT 86901 86901 - add on | $110.00 | $110.00 | $40.34–$42.46 | 66% above | — |
| Rh blood typing CPT 86901 86901 - add on | $110.00 | $110.00 | $40.34–$42.46 | 66% above | — |
| Rh blood typing inpatient CPT 86901 Blood typing serologic rh(d) | $110.00 | $110.00 | $40.34–$42.46 | — | — |
| Rh blood typing inpatient CPT 86901 86901 - add on | $110.00 | $110.00 | $40.34–$42.46 | — | — |
| Rh blood typing inpatient CPT 86901 86901 - add on | $110.00 | $110.00 | $40.34–$42.46 | — | — |
| Rh blood typing inpatient CPT 86901 Blood typing serologic rh(d) | $110.00 | $110.00 | $40.34–$42.46 | — | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor quant | $31.00 | $31.00 | — | 42% below | — |
| Rheumatoid factor (RF) test CPT 86431 86431 - add on | $31.00 | $31.00 | — | 42% below | — |
| Rheumatoid factor (RF) test CPT 86431 86431 - add on | $31.00 | $31.00 | — | 42% below | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor quant | $31.00 | $31.00 | — | 42% below | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor quant | $31.00 | $31.00 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor quant | $31.00 | $31.00 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 86431 - add on | $31.00 | $31.00 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 86431 - add on | $31.00 | $31.00 | — | — | — |
| Sodium blood test CPT 84295 Sodium level | $43.00 | $43.00 | — | 28% below | — |
| Sodium blood test CPT 84295 Sodium level | $43.00 | $43.00 | — | 28% below | — |
| Sodium blood test CPT 84295 Assay of serum sodium | $43.00 | $43.00 | — | 28% below | — |
| Sodium blood test CPT 84295 Assay of serum sodium | $43.00 | $43.00 | — | 28% below | — |
| Sodium blood test inpatient CPT 84295 Sodium level | $43.00 | $43.00 | — | — | — |
| Sodium blood test inpatient CPT 84295 Assay of serum sodium | $43.00 | $43.00 | — | — | — |
| Sodium blood test inpatient CPT 84295 Sodium level | $43.00 | $43.00 | — | — | — |
| Sodium blood test inpatient CPT 84295 Assay of serum sodium | $43.00 | $43.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult blood stool diagnostic | $30.00 | $30.00 | $4.16–$4.38 | 20% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult blood stool diagnostic | $30.00 | $30.00 | $4.16–$4.38 | 20% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult blood feces | $30.00 | $30.00 | $4.16–$4.38 | 20% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult blood feces | $30.00 | $30.00 | $4.16–$4.38 | 20% below | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult blood stool diagnostic | $30.00 | $30.00 | $4.16–$4.38 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult blood feces | $30.00 | $30.00 | $4.16–$4.38 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult blood stool diagnostic | $30.00 | $30.00 | $4.16–$4.38 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult blood feces | $30.00 | $30.00 | $4.16–$4.38 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Assay of total testosterone | $80.00 | $80.00 | — | 60% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Assay of total testosterone | $80.00 | $80.00 | — | 60% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosteronefree(dialysis)totalms qst | $80.00 | $80.00 | — | 60% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosteronefree(dialysis)totalms qst | $80.00 | $80.00 | — | 60% below | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosteronefree(dialysis)totalms qst | $80.00 | $80.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay of total testosterone | $80.00 | $80.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay of total testosterone | $80.00 | $80.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosteronefree(dialysis)totalms qst | $80.00 | $80.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh | $185.00 | $185.00 | — | 28% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay thyroid stim hormone | $185.00 | $185.00 | — | 28% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay thyroid stim hormone | $185.00 | $185.00 | — | 28% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh | $185.00 | $185.00 | — | 28% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh | $185.00 | $185.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh | $185.00 | $185.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay thyroid stim hormone | $185.00 | $185.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay thyroid stim hormone | $185.00 | $185.00 | — | — | — |
| Total cholesterol blood test CPT 82465 Assay bld/serum cholesterol | $56.00 | $56.00 | $4.13–$4.35 | 7% below | — |
| Total cholesterol blood test CPT 82465 Lipoprotein | $56.00 | $56.00 | $4.13–$4.35 | 7% below | — |
| Total cholesterol blood test CPT 82465 Assay bld/serum cholesterol | $56.00 | $56.00 | $4.13–$4.35 | 7% below | — |
| Total cholesterol blood test CPT 82465 Lipoprotein | $56.00 | $56.00 | $4.13–$4.35 | 7% below | — |
| Total cholesterol blood test inpatient CPT 82465 Assay bld/serum cholesterol | $56.00 | $56.00 | $4.13–$4.35 | — | — |
| Total cholesterol blood test inpatient CPT 82465 Lipoprotein | $56.00 | $56.00 | $4.13–$4.35 | — | — |
| Total cholesterol blood test inpatient CPT 82465 Lipoprotein | $56.00 | $56.00 | $4.13–$4.35 | — | — |
| Total cholesterol blood test inpatient CPT 82465 Assay bld/serum cholesterol | $56.00 | $56.00 | $4.13–$4.35 | — | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis amplif | $102.00 | $102.00 | — | 39% above | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis amplif | $102.00 | $102.00 | — | 39% above | — |
| Trichomonas test (NAAT) CPT 87661 87661 - add on | $102.00 | $102.00 | — | 39% above | — |
| Trichomonas test (NAAT) CPT 87661 87661 - add on | $102.00 | $102.00 | — | 39% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis amplif | $102.00 | $102.00 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 - add on | $102.00 | $102.00 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis amplif | $102.00 | $102.00 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 - add on | $102.00 | $102.00 | — | — | — |
| Triglycerides blood test CPT 84478 Triglycerides | $43.00 | $43.00 | $5.45–$5.74 | 37% below | — |
| Triglycerides blood test CPT 84478 Triglycerides | $43.00 | $43.00 | $5.45–$5.74 | 37% below | — |
| Triglycerides blood test CPT 84478 Assay of triglycerides | $43.00 | $43.00 | $5.45–$5.74 | 37% below | — |
| Triglycerides blood test CPT 84478 Assay of triglycerides | $43.00 | $43.00 | $5.45–$5.74 | 37% below | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $43.00 | $43.00 | $5.45–$5.74 | — | — |
| Triglycerides blood test inpatient CPT 84478 Assay of triglycerides | $43.00 | $43.00 | $5.45–$5.74 | — | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $43.00 | $43.00 | $5.45–$5.74 | — | — |
| Triglycerides blood test inpatient CPT 84478 Assay of triglycerides | $43.00 | $43.00 | $5.45–$5.74 | — | — |
| Troponin test, quantitative CPT 84484 Hs troponin-i | $41.00 | $41.00 | — | 74% below | — |
| Troponin test, quantitative CPT 84484 Assay of troponin quant | $41.00 | $41.00 | — | 74% below | — |
| Troponin test, quantitative CPT 84484 Hs troponin-i | $41.00 | $41.00 | — | 74% below | — |
| Troponin test, quantitative CPT 84484 Assay of troponin quant | $41.00 | $41.00 | — | 74% below | — |
| Troponin test, quantitative inpatient CPT 84484 Assay of troponin quant | $41.00 | $41.00 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 Assay of troponin quant | $41.00 | $41.00 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 Hs troponin-i | $41.00 | $41.00 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 Hs troponin-i | $41.00 | $41.00 | — | — | — |
| Uric acid blood test CPT 84550 Assay of blood/uric acid | $89.00 | $89.00 | — | 38% above | — |
| Uric acid blood test CPT 84550 Uric acid | $89.00 | $89.00 | — | 38% above | — |
| Uric acid blood test CPT 84550 Assay of blood/uric acid | $89.00 | $89.00 | — | 38% above | — |
| Uric acid blood test CPT 84550 Uric acid | $89.00 | $89.00 | — | 38% above | — |
| Uric acid blood test inpatient CPT 84550 Uric acid | $89.00 | $89.00 | — | — | — |
| Uric acid blood test inpatient CPT 84550 Assay of blood/uric acid | $89.00 | $89.00 | — | — | — |
| Uric acid blood test inpatient CPT 84550 Assay of blood/uric acid | $89.00 | $89.00 | — | — | — |
| Uric acid blood test inpatient CPT 84550 Uric acid | $89.00 | $89.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis dipstick only | $35.00 | $35.00 | — | 19% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis auto w/o scope | $35.00 | $35.00 | — | 19% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis dipstick only | $35.00 | $35.00 | — | 19% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis auto w/o scope | $35.00 | $35.00 | — | 19% below | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis auto w/o scope | $35.00 | $35.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis dipstick only | $35.00 | $35.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis auto w/o scope | $35.00 | $35.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis dipstick only | $35.00 | $35.00 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine culture/colony count | $139.00 | $139.00 | — | 37% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine culture | $139.00 | $139.00 | — | 37% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine culture | $139.00 | $139.00 | — | 37% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine culture/colony count | $139.00 | $139.00 | — | 37% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine culture | $139.00 | $139.00 | — | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine culture/colony count | $139.00 | $139.00 | — | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine culture/colony count | $139.00 | $139.00 | — | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine culture | $139.00 | $139.00 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin/creatinine ratio urine | $20.00 | $20.00 | — | 79% below | — |
| Urine microalbumin (albumin) test CPT 82043 Ur albumin quantitative | $20.00 | $20.00 | — | 79% below | — |
| Urine microalbumin (albumin) test CPT 82043 Ur albumin quantitative | $20.00 | $20.00 | — | 79% below | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin/creatinine ratio urine | $20.00 | $20.00 | — | 79% below | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin/creatinine ratio urine | $20.00 | $20.00 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Ur albumin quantitative | $20.00 | $20.00 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin/creatinine ratio urine | $20.00 | $20.00 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Ur albumin quantitative | $20.00 | $20.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 81025 urine pregnancy test visual color cmprsn meths techfee | $31.00 | $31.00 | — | 57% below | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test | $31.00 | $31.00 | — | 57% below | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test | $31.00 | $31.00 | — | 57% below | — |
| Urine pregnancy test, read by color change CPT 81025 81025 urine pregnancy test visual color cmprsn meths techfee | $31.00 | $31.00 | — | 57% below | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test | $31.00 | $31.00 | — | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 81025 urine pregnancy test visual color cmprsn meths techfee | $31.00 | $31.00 | — | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 81025 urine pregnancy test visual color cmprsn meths techfee | $31.00 | $31.00 | — | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test | $31.00 | $31.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b12 level | $53.00 | $53.00 | — | 59% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b-12 | $53.00 | $53.00 | — | 59% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b12 level | $53.00 | $53.00 | — | 59% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b-12 | $53.00 | $53.00 | — | 59% below | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b12 level | $53.00 | $53.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b-12 | $53.00 | $53.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b-12 | $53.00 | $53.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b12 level | $53.00 | $53.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin d 25 hydroxy level | $103.00 | $103.00 | — | 43% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin d 25 hydroxy level | $103.00 | $103.00 | — | 43% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin d 25 hydroxy | $103.00 | $103.00 | — | 43% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin d 25 hydroxy | $103.00 | $103.00 | — | 43% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin d 25 hydroxy | $103.00 | $103.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin d 25 hydroxy level | $103.00 | $103.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin d 25 hydroxy | $103.00 | $103.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin d 25 hydroxy level | $103.00 | $103.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic gonadotropin test | $97.00 | $97.00 | — | 37% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic gonadotropin test | $97.00 | $97.00 | — | 37% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hcg qualitative | $97.00 | $97.00 | — | 37% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hcg qualitative | $97.00 | $97.00 | — | 37% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic gonadotropin test | $97.00 | $97.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic gonadotropin test | $97.00 | $97.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta hcg qualitative | $97.00 | $97.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta hcg qualitative | $97.00 | $97.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscop rotator cuff repr | $19,627.81 | $19,627.81 | $7,342.31–$7,728.74 | 91% above | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscop rotator cuff repr | $19,627.81 | $19,627.81 | $7,342.31–$7,728.74 | 91% above | — |
| Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Arthroscop rotator cuff repr | $19,627.81 | $19,627.81 | $7,342.31–$7,728.74 | 91% above | — |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Arthroscop rotator cuff repr | $19,627.81 | $19,627.81 | $7,342.31–$7,728.74 | — | — |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Arthroscop rotator cuff repr | $19,627.81 | $19,627.81 | $7,342.31–$7,728.74 | — | — |
| Arthroscopic rotator cuff repair of the shoulder inpatient one side CPT 29827 Arthroscop rotator cuff repr | $19,627.81 | $19,627.81 | $7,342.31–$7,728.74 | — | — |
| Botox injections for chronic migraine CPT 64615 Chemodenerv musc migraine | $942.00 | $942.00 | $303.40–$319.36 | 8% below | — |
| Botox injections for chronic migraine CPT 64615 Chemodenervation of muscle(s) muscle(s) innervated by facial trigeminal cervical spinal and acces | $942.00 | $942.00 | $303.40–$319.36 | 8% below | — |
| Botox injections for chronic migraine CPT 64615 Chemodenerv musc migraine | $942.00 | $942.00 | $303.40–$319.36 | 8% below | — |
| Botox injections for chronic migraine CPT 64615 Chemodenervation of muscle(s) muscle(s) innervated by facial trigeminal cervical spinal and acces | $942.00 | $942.00 | $303.40–$319.36 | 8% below | — |
| Botox injections for chronic migraine inpatient CPT 64615 Chemodenervation of muscle(s) muscle(s) innervated by facial trigeminal cervical spinal and acces | $942.00 | $942.00 | $303.40–$319.36 | — | — |
| Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv musc migraine | $942.00 | $942.00 | $303.40–$319.36 | — | — |
| Botox injections for chronic migraine inpatient CPT 64615 Chemodenervation of muscle(s) muscle(s) innervated by facial trigeminal cervical spinal and acces | $942.00 | $942.00 | $303.40–$319.36 | — | — |
| Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv musc migraine | $942.00 | $942.00 | $303.40–$319.36 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 cltx dstl fibular fx lat malls w/o manj techfee | $743.00 | $743.00 | $246.55–$259.52 | 46% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment of ankle fracture | $743.00 | $743.00 | $246.55–$259.52 | 46% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment of ankle fracture | $743.00 | $743.00 | $246.55–$259.52 | 46% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 cltx dstl fibular fx lat malls w/o manj techfee | $743.00 | $743.00 | $246.55–$259.52 | 46% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Treatment of ankle fracture | $743.00 | $743.00 | $246.55–$259.52 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Treatment of ankle fracture | $743.00 | $743.00 | $246.55–$259.52 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 cltx dstl fibular fx lat malls w/o manj techfee | $743.00 | $743.00 | $246.55–$259.52 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 cltx dstl fibular fx lat malls w/o manj techfee | $743.00 | $743.00 | $246.55–$259.52 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat metatarsal fracture | $743.00 | $743.00 | $246.55–$259.52 | 28% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 closed tx metatarsal fracture w/o manipulation | $743.00 | $743.00 | $246.55–$259.52 | 28% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat metatarsal fracture | $743.00 | $743.00 | $246.55–$259.52 | 28% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 closed tx metatarsal fracture w/o manipulation | $743.00 | $743.00 | $246.55–$259.52 | 28% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treat metatarsal fracture | $743.00 | $743.00 | $246.55–$259.52 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treat metatarsal fracture | $743.00 | $743.00 | $246.55–$259.52 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470 closed tx metatarsal fracture w/o manipulation | $743.00 | $743.00 | $246.55–$259.52 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470 closed tx metatarsal fracture w/o manipulation | $743.00 | $743.00 | $246.55–$259.52 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion electric ext | $1,881.00 | $1,881.00 | — | 18% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion electric ext | $1,881.00 | $1,881.00 | — | 18% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion electric ext | $1,881.00 | $1,881.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion electric ext | $1,881.00 | $1,881.00 | — | — | — |
| Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery | $10,205.83 | $10,205.83 | $2,007.05–$2,112.69 | 95% above | — |
| Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery | $10,205.83 | $10,205.83 | $2,007.05–$2,112.69 | 95% above | — |
| Carpal tunnel release, open surgery one side CPT 64721 Carpal tunnel surgery | $9,055.64 | $9,055.64 | $2,007.05–$2,112.69 | 73% above | — |
| Carpal tunnel release, open surgery one side CPT 64721 Carpal tunnel surgery | $9,525.92 | $9,525.92 | $2,007.05–$2,112.69 | 82% above | — |
| Carpal tunnel release, open surgery inpatient CPT 64721 Carpal tunnel surgery | $10,205.83 | $10,205.83 | $2,007.05–$2,112.69 | — | — |
| Carpal tunnel release, open surgery inpatient CPT 64721 Carpal tunnel surgery | $10,205.83 | $10,205.83 | $2,007.05–$2,112.69 | — | — |
| Carpal tunnel release, open surgery inpatient one side CPT 64721 Carpal tunnel surgery | $9,055.64 | $9,055.64 | $2,007.05–$2,112.69 | — | — |
| Carpal tunnel release, open surgery inpatient one side CPT 64721 Carpal tunnel surgery | $9,525.92 | $9,525.92 | $2,007.05–$2,112.69 | — | — |
| Cataract surgery with lens implant CPT 66984 Xcapsl ctrc rmvl w/o ecp | $8,637.33 | $8,637.33 | $2,344.13–$2,467.50 | 49% above | — |
| Cataract surgery with lens implant CPT 66984 Xcapsl ctrc rmvl w/o ecp | $8,637.33 | $8,637.33 | $2,344.13–$2,467.50 | 49% above | — |
| Cataract surgery with lens implant one side CPT 66984 Xcapsl ctrc rmvl w/o ecp | $7,983.44 | $7,983.44 | $2,344.13–$2,467.50 | 38% above | — |
| Cataract surgery with lens implant one side CPT 66984 Xcapsl ctrc rmvl w/o ecp | $8,396.65 | $8,396.65 | $2,344.13–$2,467.50 | 45% above | — |
| Cataract surgery with lens implant inpatient CPT 66984 Xcapsl ctrc rmvl w/o ecp | $8,637.33 | $8,637.33 | $2,344.13–$2,467.50 | — | — |
| Cataract surgery with lens implant inpatient CPT 66984 Xcapsl ctrc rmvl w/o ecp | $8,637.33 | $8,637.33 | $2,344.13–$2,467.50 | — | — |
| Cataract surgery with lens implant inpatient one side CPT 66984 Xcapsl ctrc rmvl w/o ecp | $7,983.44 | $7,983.44 | $2,344.13–$2,467.50 | — | — |
| Cataract surgery with lens implant inpatient one side CPT 66984 Xcapsl ctrc rmvl w/o ecp | $8,396.65 | $8,396.65 | $2,344.13–$2,467.50 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 circ w clamp w block techfee | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | 901% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 circ w clamp w block techfee | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | 901% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | 901% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | 901% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision w/regionl block | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 54150 circ w clamp w block techfee | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 54150 circ w clamp w block techfee | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision w/regionl block | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat fracture radius/ulna | $743.00 | $743.00 | $246.55–$259.52 | 12% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 cltx dstl radial fx/epiphysl sep w/o manj | $743.00 | $743.00 | $246.55–$259.52 | 12% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 cltx dstl radial fx/epiphysl sep w/o manj | $743.00 | $743.00 | $246.55–$259.52 | 12% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat fracture radius/ulna | $743.00 | $743.00 | $246.55–$259.52 | 12% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600 cltx dstl radial fx/epiphysl sep w/o manj | $743.00 | $743.00 | $246.55–$259.52 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treat fracture radius/ulna | $743.00 | $743.00 | $246.55–$259.52 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600 cltx dstl radial fx/epiphysl sep w/o manj | $743.00 | $743.00 | $246.55–$259.52 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treat fracture radius/ulna | $743.00 | $743.00 | $246.55–$259.52 | — | — |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal | $9,572.69 | $9,572.69 | $1,211.86–$1,275.64 | 269% above | — |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal | $9,572.69 | $9,572.69 | $1,211.86–$1,275.64 | 269% above | — |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy w/lesion removal | $9,572.69 | $9,572.69 | $1,211.86–$1,275.64 | — | — |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy w/lesion removal | $9,572.69 | $9,572.69 | $1,211.86–$1,275.64 | — | — |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy | $6,974.61 | $6,974.61 | $1,211.86–$1,275.64 | 174% above | — |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy | $6,974.61 | $6,974.61 | $1,211.86–$1,275.64 | 174% above | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy and biopsy | $6,974.61 | $6,974.61 | $1,211.86–$1,275.64 | — | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy and biopsy | $6,974.61 | $6,974.61 | $1,211.86–$1,275.64 | — | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy | $5,380.76 | $5,380.76 | $937.05–$986.37 | 167% above | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy | $5,380.76 | $5,380.76 | $937.05–$986.37 | 167% above | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic colonoscopy | $5,380.76 | $5,380.76 | $937.05–$986.37 | — | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic colonoscopy | $5,380.76 | $5,380.76 | $937.05–$986.37 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy | $1,927.00 | $1,927.00 | $686.02–$722.13 | 38% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy flexible | $1,927.00 | $1,927.00 | $686.02–$722.13 | 38% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy | $1,927.00 | $1,927.00 | $686.02–$722.13 | 38% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy flexible | $1,927.00 | $1,927.00 | $686.02–$722.13 | 38% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy | $1,927.00 | $1,927.00 | $686.02–$722.13 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy flexible | $1,927.00 | $1,927.00 | $686.02–$722.13 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy | $1,927.00 | $1,927.00 | $686.02–$722.13 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy flexible | $1,927.00 | $1,927.00 | $686.02–$722.13 | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 69436 tympanostomy (requir insertion of vent tube) gen anes | $493.00 | $493.00 | $1,522.46–$1,602.59 | 63% below | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening | $493.00 | $493.00 | $1,522.46–$1,602.59 | 63% below | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 69436 tympanostomy (requir insertion of vent tube) gen anes | $493.00 | $493.00 | $1,522.46–$1,602.59 | 63% below | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening | $493.00 | $493.00 | $1,522.46–$1,602.59 | 63% below | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Create eardrum opening | $493.00 | $493.00 | $1,522.46–$1,602.59 | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 69436 tympanostomy (requir insertion of vent tube) gen anes | $493.00 | $493.00 | $1,522.46–$1,602.59 | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Create eardrum opening | $493.00 | $493.00 | $1,522.46–$1,602.59 | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 69436 tympanostomy (requir insertion of vent tube) gen anes | $493.00 | $493.00 | $1,522.46–$1,602.59 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 removal cerumen w/irrigat techfee | $190.00 | $190.00 | $61.05–$64.26 | 56% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax uni | $190.00 | $190.00 | $61.05–$64.26 | 56% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax uni | $190.00 | $190.00 | $61.05–$64.26 | 56% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 removal cerumen w/irrigat techfee | $190.00 | $190.00 | $61.05–$64.26 | 56% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove impacted ear wax uni | $190.00 | $190.00 | $61.05–$64.26 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove impacted ear wax uni | $190.00 | $190.00 | $61.05–$64.26 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 removal cerumen w/irrigat techfee | $190.00 | $190.00 | $61.05–$64.26 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 removal cerumen w/irrigat techfee | $190.00 | $190.00 | $61.05–$64.26 | — | — |
| Earwax removal with instruments, one ear CPT 69210 69210 remove impacted cerumen techfee | $139.00 | $139.00 | $61.05–$64.26 | 13% below | — |
| Earwax removal with instruments, one ear CPT 69210 69210 remove impacted cerumen techfee | $139.00 | $139.00 | $61.05–$64.26 | 13% below | — |
| Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni | $139.00 | $139.00 | $61.05–$64.26 | 13% below | — |
| Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni | $139.00 | $139.00 | $61.05–$64.26 | 13% below | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210 remove impacted cerumen techfee | $139.00 | $139.00 | $61.05–$64.26 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 Remove impacted ear wax uni | $139.00 | $139.00 | $61.05–$64.26 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210 remove impacted cerumen techfee | $139.00 | $139.00 | $61.05–$64.26 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 Remove impacted ear wax uni | $139.00 | $139.00 | $61.05–$64.26 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of uterus lining | $550.00 | $550.00 | $206.76–$217.64 | 76% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 endometrial bx w/wo endocervix bx w/o dilat spx tech fee | $550.00 | $550.00 | $206.76–$217.64 | 76% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 endometrial bx w/wo endocervix bx w/o dilat spx tech fee | $550.00 | $550.00 | $206.76–$217.64 | 76% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of uterus lining | $550.00 | $550.00 | $206.76–$217.64 | 76% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 endometrial bx w/wo endocervix bx w/o dilat spx tech fee | $550.00 | $550.00 | $206.76–$217.64 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 endometrial bx w/wo endocervix bx w/o dilat spx tech fee | $550.00 | $550.00 | $206.76–$217.64 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of uterus lining | $550.00 | $550.00 | $206.76–$217.64 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of uterus lining | $550.00 | $550.00 | $206.76–$217.64 | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx interlaminar crv/thrc | $2,920.58 | $2,920.58 | $711.77–$749.23 | 81% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx interlaminar crv/thrc | $2,920.58 | $2,920.58 | $711.77–$749.23 | 81% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx interlaminar crv/thrc | $2,920.58 | $2,920.58 | $711.77–$749.23 | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx interlaminar crv/thrc | $2,920.58 | $2,920.58 | $711.77–$749.23 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj paravert f jnt l/s 1 lev | $8,580.60 | $8,580.60 | $915.04–$963.20 | 622% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj paravert f jnt l/s 1 lev | $8,580.60 | $8,580.60 | $915.04–$963.20 | 622% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 Inj paravert f jnt l/s 1 lev | $8,550.00 | $8,550.00 | $915.04–$963.20 | 619% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 Inj paravert f jnt l/s 1 lev | $8,580.60 | $8,580.60 | $915.04–$963.20 | 622% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj paravert f jnt l/s 1 lev | $8,580.60 | $8,580.60 | $915.04–$963.20 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj paravert f jnt l/s 1 lev | $8,580.60 | $8,580.60 | $915.04–$963.20 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 Inj paravert f jnt l/s 1 lev | $8,550.00 | $8,550.00 | $915.04–$963.20 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 Inj paravert f jnt l/s 1 lev | $8,580.60 | $8,580.60 | $915.04–$963.20 | — | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc | $12,952.29 | $12,952.29 | $6,413.20–$6,750.74 | 76% above | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc | $12,952.29 | $12,952.29 | $6,413.20–$6,750.74 | 76% above | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Rpr aa hrn 1st 3-10 rdc | $12,952.29 | $12,952.29 | $6,413.20–$6,750.74 | — | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Rpr aa hrn 1st 3-10 rdc | $12,952.29 | $12,952.29 | $6,413.20–$6,750.74 | — | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st > 10 rdc | $11,273.00 | $11,273.00 | $6,413.20–$6,750.74 | 28% above | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 49595 repair ant abd hernia(s) greater than 10cm reducible | $11,273.00 | $11,273.00 | $6,413.20–$6,750.74 | 28% above | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st > 10 rdc | $11,273.00 | $11,273.00 | $6,413.20–$6,750.74 | 28% above | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 49595 repair ant abd hernia(s) greater than 10cm reducible | $11,273.00 | $11,273.00 | $6,413.20–$6,750.74 | 28% above | — |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 Rpr aa hrn 1st > 10 rdc | $11,273.00 | $11,273.00 | $6,413.20–$6,750.74 | — | — |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 49595 repair ant abd hernia(s) greater than 10cm reducible | $11,273.00 | $11,273.00 | $6,413.20–$6,750.74 | — | — |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 49595 repair ant abd hernia(s) greater than 10cm reducible | $11,273.00 | $11,273.00 | $6,413.20–$6,750.74 | — | — |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 Rpr aa hrn 1st > 10 rdc | $11,273.00 | $11,273.00 | $6,413.20–$6,750.74 | — | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc | $14,421.90 | $14,421.90 | $3,627.16–$3,818.06 | 190% above | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc | $14,421.90 | $14,421.90 | $3,627.16–$3,818.06 | 190% above | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Rpr aa hrn 1st < 3 cm rdc | $14,421.90 | $14,421.90 | $3,627.16–$3,818.06 | — | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Rpr aa hrn 1st < 3 cm rdc | $14,421.90 | $14,421.90 | $3,627.16–$3,818.06 | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy diagnostic | $2,733.00 | $2,733.00 | $937.05–$986.37 | 261% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy | $2,733.00 | $2,733.00 | $937.05–$986.37 | 261% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy | $2,733.00 | $2,733.00 | $937.05–$986.37 | 261% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy diagnostic | $2,733.00 | $2,733.00 | $937.05–$986.37 | 261% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy diagnostic | $2,733.00 | $2,733.00 | $937.05–$986.37 | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic sigmoidoscopy | $2,733.00 | $2,733.00 | $937.05–$986.37 | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy diagnostic | $2,733.00 | $2,733.00 | $937.05–$986.37 | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic sigmoidoscopy | $2,733.00 | $2,733.00 | $937.05–$986.37 | — | — |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy | $20,591.14 | $20,591.14 | $5,996.54–$6,312.15 | 154% above | — |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy | $20,591.14 | $20,591.14 | $5,996.54–$6,312.15 | 154% above | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopic cholecystectomy | $20,591.14 | $20,591.14 | $5,996.54–$6,312.15 | — | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopic cholecystectomy | $20,591.14 | $20,591.14 | $5,996.54–$6,312.15 | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s) | $2,772.00 | $2,772.00 | $937.05–$986.37 | 14% above | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s) | $2,772.00 | $2,772.00 | $937.05–$986.37 | 14% above | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 46221 hemorrhoidectomy internal by rubberband ligation(s) | $2,772.00 | $2,772.00 | $937.05–$986.37 | 14% above | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 46221 hemorrhoidectomy internal by rubberband ligation(s) | $2,772.00 | $2,772.00 | $937.05–$986.37 | 14% above | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 46221 hemorrhoidectomy internal by rubberband ligation(s) | $2,772.00 | $2,772.00 | $937.05–$986.37 | — | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of hemorrhoid(s) | $2,772.00 | $2,772.00 | $937.05–$986.37 | — | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of hemorrhoid(s) | $2,772.00 | $2,772.00 | $937.05–$986.37 | — | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 46221 hemorrhoidectomy internal by rubberband ligation(s) | $2,772.00 | $2,772.00 | $937.05–$986.37 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess | $619.00 | $619.00 | $204.22–$214.97 | 77% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess | $619.00 | $619.00 | $204.22–$214.97 | 77% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 i & d abscess simple/single | $619.00 | $619.00 | $204.22–$214.97 | 77% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 i & d abscess simple/single | $619.00 | $619.00 | $204.22–$214.97 | 77% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 i & d abscess simple/single | $619.00 | $619.00 | $204.22–$214.97 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 i & d abscess simple/single | $619.00 | $619.00 | $204.22–$214.97 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of skin abscess | $13,099.00 | $13,099.00 | $204.22–$214.97 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of skin abscess | $13,099.00 | $13,099.00 | $204.22–$214.97 | — | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr | $16,410.49 | $16,410.49 | $3,627.16–$3,818.06 | 66% above | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr | $16,410.49 | $16,410.49 | $3,627.16–$3,818.06 | 66% above | — |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Prp i/hern init reduc >5 yr | $12,500.33 | $12,500.33 | $3,627.16–$3,818.06 | 26% above | — |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Prp i/hern init reduc >5 yr | $14,408.44 | $14,408.44 | $3,627.16–$3,818.06 | 46% above | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Prp i/hern init reduc >5 yr | $16,410.49 | $16,410.49 | $3,627.16–$3,818.06 | — | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Prp i/hern init reduc >5 yr | $16,410.49 | $16,410.49 | $3,627.16–$3,818.06 | — | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient one side CPT 49505 Prp i/hern init reduc >5 yr | $12,500.33 | $12,500.33 | $3,627.16–$3,818.06 | — | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient one side CPT 49505 Prp i/hern init reduc >5 yr | $14,408.44 | $14,408.44 | $3,627.16–$3,818.06 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) both sides CPT 20550 20550 bilat injection(s); single tendon sheath or ligament aponeurosis | $1,282.00 | $1,282.00 | $303.40–$319.36 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) both sides CPT 20550 20550 bilat injection(s); single tendon sheath or ligament aponeurosis | $1,282.00 | $1,282.00 | $303.40–$319.36 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament | $1,282.00 | $1,282.00 | $303.40–$319.36 | 239% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament | $1,282.00 | $1,282.00 | $303.40–$319.36 | 239% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient both sides CPT 20550 20550 bilat injection(s); single tendon sheath or ligament aponeurosis | $1,282.00 | $1,282.00 | $303.40–$319.36 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient both sides CPT 20550 20550 bilat injection(s); single tendon sheath or ligament aponeurosis | $1,282.00 | $1,282.00 | $303.40–$319.36 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj tendon sheath/ligament | $1,282.00 | $1,282.00 | $303.40–$319.36 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj tendon sheath/ligament | $1,282.00 | $1,282.00 | $303.40–$319.36 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us | $2,594.95 | $2,594.95 | $303.40–$319.36 | 654% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us | $2,594.95 | $2,594.95 | $303.40–$319.36 | 654% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Drain/inj joint/bursa w/o us | $1,497.07 | $1,497.07 | $303.40–$319.36 | 335% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Drain/inj joint/bursa w/o us | $1,512.48 | $1,512.48 | $303.40–$319.36 | 339% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/inj joint/bursa w/o us | $2,594.95 | $2,594.95 | $303.40–$319.36 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/inj joint/bursa w/o us | $2,594.95 | $2,594.95 | $303.40–$319.36 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Drain/inj joint/bursa w/o us | $1,497.07 | $1,497.07 | $303.40–$319.36 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Drain/inj joint/bursa w/o us | $1,512.48 | $1,512.48 | $303.40–$319.36 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us | $6,789.93 | $6,789.93 | $303.40–$319.36 | 1710% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us | $6,789.93 | $6,789.93 | $303.40–$319.36 | 1710% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Drain/inj joint/bursa w/o us | $1,321.00 | $1,321.00 | $303.40–$319.36 | 252% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Drain/inj joint/bursa w/o us | $6,789.93 | $6,789.93 | $303.40–$319.36 | 1710% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/inj joint/bursa w/o us | $6,789.93 | $6,789.93 | $303.40–$319.36 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/inj joint/bursa w/o us | $6,789.93 | $6,789.93 | $303.40–$319.36 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 Drain/inj joint/bursa w/o us | $1,321.00 | $1,321.00 | $303.40–$319.36 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 Drain/inj joint/bursa w/o us | $6,789.93 | $6,789.93 | $303.40–$319.36 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 joints finger/toe ing | $546.00 | $546.00 | $303.40–$319.36 | 40% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 joints finger/toe ing | $546.00 | $546.00 | $303.40–$319.36 | 40% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inj joint/bursa w/o us | $546.00 | $546.00 | $303.40–$319.36 | 40% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inj joint/bursa w/o us | $546.00 | $546.00 | $303.40–$319.36 | 40% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/inj joint/bursa w/o us | $546.00 | $546.00 | $303.40–$319.36 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/inj joint/bursa w/o us | $546.00 | $546.00 | $303.40–$319.36 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 joints finger/toe ing | $546.00 | $546.00 | $303.40–$319.36 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 joints finger/toe ing | $546.00 | $546.00 | $303.40–$319.36 | — | — |
| Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery | $18,065.74 | $18,065.74 | $3,334.80–$3,510.32 | 118% above | — |
| Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery | $18,065.74 | $18,065.74 | $3,334.80–$3,510.32 | 118% above | — |
| Knee arthroscopy with meniscus trim one side CPT 29881 Knee arthroscopy/surgery | $12,292.96 | $12,292.96 | $3,334.80–$3,510.32 | 48% above | — |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 Knee arthroscopy/surgery | $18,065.74 | $18,065.74 | $3,334.80–$3,510.32 | — | — |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 Knee arthroscopy/surgery | $18,065.74 | $18,065.74 | $3,334.80–$3,510.32 | — | — |
| Knee arthroscopy with meniscus trim inpatient one side CPT 29881 Knee arthroscopy/surgery | $12,292.96 | $12,292.96 | $3,334.80–$3,510.32 | — | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery | $17,220.74 | $17,220.74 | $3,334.80–$3,510.32 | 144% above | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery | $17,220.74 | $17,220.74 | $3,334.80–$3,510.32 | 144% above | — |
| Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Knee arthroscopy/surgery | $17,220.74 | $17,220.74 | $3,334.80–$3,510.32 | 144% above | — |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Knee arthroscopy/surgery | $17,220.74 | $17,220.74 | $3,334.80–$3,510.32 | — | — |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Knee arthroscopy/surgery | $17,220.74 | $17,220.74 | $3,334.80–$3,510.32 | — | — |
| Knee arthroscopy with removal of both torn meniscus parts inpatient one side CPT 29880 Knee arthroscopy/surgery | $17,220.74 | $17,220.74 | $3,334.80–$3,510.32 | — | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery | $14,163.96 | $14,163.96 | $3,334.80–$3,510.32 | 32% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery | $14,163.96 | $14,163.96 | $3,334.80–$3,510.32 | 32% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 Knee arthroscopy/surgery | $14,163.96 | $14,163.96 | $3,334.80–$3,510.32 | 32% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Knee arthroscopy/surgery | $14,163.96 | $14,163.96 | $3,334.80–$3,510.32 | — | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Knee arthroscopy/surgery | $14,163.96 | $14,163.96 | $3,334.80–$3,510.32 | — | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient one side CPT 29877 Knee arthroscopy/surgery | $14,163.96 | $14,163.96 | $3,334.80–$3,510.32 | — | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 After cataract laser surgery | $1,746.00 | $1,746.00 | $563.85–$593.53 | at median | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 laser surgery (eg yag laser) (1 or more stages) | $1,746.00 | $1,746.00 | $563.85–$593.53 | at median | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 After cataract laser surgery | $1,746.00 | $1,746.00 | $563.85–$593.53 | at median | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 laser surgery (eg yag laser) (1 or more stages) | $1,746.00 | $1,746.00 | $563.85–$593.53 | at median | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 After cataract laser surgery | $1,746.00 | $1,746.00 | $563.85–$593.53 | — | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 laser surgery (eg yag laser) (1 or more stages) | $1,746.00 | $1,746.00 | $563.85–$593.53 | — | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 laser surgery (eg yag laser) (1 or more stages) | $1,746.00 | $1,746.00 | $563.85–$593.53 | — | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 After cataract laser surgery | $1,746.00 | $1,746.00 | $563.85–$593.53 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 repair intermediate s/a/t/e 2.5 cm/< techfee | $1,101.00 | $1,101.00 | $410.64–$432.25 | 96% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/< | $1,101.00 | $1,101.00 | $410.64–$432.25 | 96% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/< | $1,101.00 | $1,101.00 | $410.64–$432.25 | 96% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 repair intermediate s/a/t/e 2.5 cm/< techfee | $1,101.00 | $1,101.00 | $410.64–$432.25 | 96% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/< | $1,101.00 | $1,101.00 | $410.64–$432.25 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 repair intermediate s/a/t/e 2.5 cm/< techfee | $1,101.00 | $1,101.00 | $410.64–$432.25 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/< | $1,101.00 | $1,101.00 | $410.64–$432.25 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 repair intermediate s/a/t/e 2.5 cm/< techfee | $1,101.00 | $1,101.00 | $410.64–$432.25 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac | $2,722.60 | $2,722.60 | $711.77–$749.23 | 83% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac | $2,722.60 | $2,722.60 | $711.77–$749.23 | 83% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx interlaminar lmbr/sac | $2,722.60 | $2,722.60 | $711.77–$749.23 | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx interlaminar lmbr/sac | $2,722.60 | $2,722.60 | $711.77–$749.23 | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 injection intrlamnr lumbar/sac w/o image | $2,152.00 | $2,152.00 | $915.04–$963.20 | 76% above | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx interlaminar lmbr/sac | $2,152.00 | $2,152.00 | $915.04–$963.20 | 76% above | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 injection intrlamnr lumbar/sac w/o image | $2,152.00 | $2,152.00 | $915.04–$963.20 | 76% above | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx interlaminar lmbr/sac | $2,152.00 | $2,152.00 | $915.04–$963.20 | 76% above | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 injection intrlamnr lumbar/sac w/o image | $2,152.00 | $2,152.00 | $915.04–$963.20 | — | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx interlaminar lmbr/sac | $2,152.00 | $2,152.00 | $915.04–$963.20 | — | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 injection intrlamnr lumbar/sac w/o image | $2,152.00 | $2,152.00 | $915.04–$963.20 | — | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx interlaminar lmbr/sac | $2,152.00 | $2,152.00 | $915.04–$963.20 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj foramen epidural l/s | $7,947.46 | $7,947.46 | $915.04–$963.20 | 438% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj foramen epidural l/s | $7,947.46 | $7,947.46 | $915.04–$963.20 | 438% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Inj foramen epidural l/s | $5,745.00 | $5,745.00 | $915.04–$963.20 | 289% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Inj foramen epidural l/s | $6,594.07 | $6,594.07 | $915.04–$963.20 | 346% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj foramen epidural l/s | $7,947.46 | $7,947.46 | $915.04–$963.20 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj foramen epidural l/s | $7,947.46 | $7,947.46 | $915.04–$963.20 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 Inj foramen epidural l/s | $5,745.00 | $5,745.00 | $915.04–$963.20 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 Inj foramen epidural l/s | $6,594.07 | $6,594.07 | $915.04–$963.20 | — | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage | $8,598.00 | $8,598.00 | $3,267.91–$3,439.91 | 115% above | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage | $8,598.00 | $8,598.00 | $3,267.91–$3,439.91 | 115% above | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 59820 treatment of missed abortion completed surgically; first trimester techfee | $8,598.00 | $8,598.00 | $3,267.91–$3,439.91 | 115% above | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 59820 treatment of missed abortion completed surgically; first trimester techfee | $8,598.00 | $8,598.00 | $3,267.91–$3,439.91 | 115% above | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 59820 treatment of missed abortion completed surgically; first trimester techfee | $8,598.00 | $8,598.00 | $3,267.91–$3,439.91 | — | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Care of miscarriage | $8,598.00 | $8,598.00 | $3,267.91–$3,439.91 | — | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 59820 treatment of missed abortion completed surgically; first trimester techfee | $8,598.00 | $8,598.00 | $3,267.91–$3,439.91 | — | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Care of miscarriage | $8,598.00 | $8,598.00 | $3,267.91–$3,439.91 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 11730 avulsion nail plate partial/complete simple 1 techfee | $602.00 | $602.00 | $204.22–$214.97 | 93% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate | $602.00 | $602.00 | $204.22–$214.97 | 93% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate | $602.00 | $602.00 | $204.22–$214.97 | 93% above | — |
| Nail removal (partial or complete), one nail CPT 11730 11730 avulsion nail plate partial/complete simple 1 techfee | $602.00 | $602.00 | $204.22–$214.97 | 93% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730 avulsion nail plate partial/complete simple 1 techfee | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730 avulsion nail plate partial/complete simple 1 techfee | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Occipital nerve block (injection for headaches) both sides CPT 64405 64405 bilat greater ocicipital n | $2,250.00 | $2,250.00 | $303.40–$319.36 | — | — |
| Occipital nerve block (injection for headaches) both sides CPT 64405 64405 bilat greater ocicipital n | $2,250.00 | $2,250.00 | $303.40–$319.36 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 Njx aa&/strd gr ocpl nrv | $2,250.00 | $2,250.00 | $303.40–$319.36 | 219% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 Njx aa&/strd gr ocpl nrv | $2,250.00 | $2,250.00 | $303.40–$319.36 | 219% above | — |
| Occipital nerve block (injection for headaches) inpatient both sides CPT 64405 64405 bilat greater ocicipital n | $2,250.00 | $2,250.00 | $303.40–$319.36 | — | — |
| Occipital nerve block (injection for headaches) inpatient both sides CPT 64405 64405 bilat greater ocicipital n | $2,250.00 | $2,250.00 | $303.40–$319.36 | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx aa&/strd gr ocpl nrv | $2,250.00 | $2,250.00 | $303.40–$319.36 | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx aa&/strd gr ocpl nrv | $2,250.00 | $2,250.00 | $303.40–$319.36 | — | — |
| Paracentesis with imaging guidance CPT 49083 Abd paracentesis w/imaging | $2,787.00 | $2,787.00 | $963.62–$1,014.34 | 82% above | — |
| Paracentesis with imaging guidance CPT 49083 49083 incision procedures on the abdomen peritoneum and omentum techfee | $2,787.00 | $2,787.00 | $963.62–$1,014.34 | 82% above | — |
| Paracentesis with imaging guidance CPT 49083 Abd paracentesis w/imaging | $2,787.00 | $2,787.00 | $963.62–$1,014.34 | 82% above | — |
| Paracentesis with imaging guidance CPT 49083 49083 incision procedures on the abdomen peritoneum and omentum techfee | $2,787.00 | $2,787.00 | $963.62–$1,014.34 | 82% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Abd paracentesis w/imaging | $2,787.00 | $2,787.00 | $963.62–$1,014.34 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 49083 incision procedures on the abdomen peritoneum and omentum techfee | $2,787.00 | $2,787.00 | $963.62–$1,014.34 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Abd paracentesis w/imaging | $2,787.00 | $2,787.00 | $963.62–$1,014.34 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 49083 incision procedures on the abdomen peritoneum and omentum techfee | $2,787.00 | $2,787.00 | $963.62–$1,014.34 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 excision nail matrix permanent removal techfee | $1,101.00 | $1,101.00 | $410.64–$432.25 | 54% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed | $1,101.00 | $1,101.00 | $410.64–$432.25 | 54% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed | $1,101.00 | $1,101.00 | $410.64–$432.25 | 54% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 excision nail matrix permanent removal techfee | $1,101.00 | $1,101.00 | $410.64–$432.25 | 54% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 excision nail matrix permanent removal techfee | $1,101.00 | $1,101.00 | $410.64–$432.25 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of nail bed | $1,101.00 | $1,101.00 | $410.64–$432.25 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 excision nail matrix permanent removal techfee | $1,101.00 | $1,101.00 | $410.64–$432.25 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of nail bed | $1,101.00 | $1,101.00 | $410.64–$432.25 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy lumb/sac facet jnt | $9,495.58 | $9,495.58 | $2,007.05–$2,112.69 | 218% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy lumb/sac facet jnt | $9,495.58 | $9,495.58 | $2,007.05–$2,112.69 | 218% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy lumb/sac facet jnt | $9,495.58 | $9,495.58 | $2,007.05–$2,112.69 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy lumb/sac facet jnt | $9,495.58 | $9,495.58 | $2,007.05–$2,112.69 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body | $4,485.50 | $4,485.50 | $410.64–$432.25 | 637% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body | $4,485.50 | $4,485.50 | $410.64–$432.25 | 637% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body | $4,485.50 | $4,485.50 | $410.64–$432.25 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body | $4,485.50 | $4,485.50 | $410.64–$432.25 | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind | $6,428.14 | $6,428.14 | $937.05–$986.37 | 180% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind | $6,428.14 | $6,428.14 | $937.05–$986.37 | 180% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon ca scrn not hi rsk ind | $6,428.14 | $6,428.14 | $937.05–$986.37 | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon ca scrn not hi rsk ind | $6,428.14 | $6,428.14 | $937.05–$986.37 | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind | $8,067.67 | $8,067.67 | $937.05–$986.37 | 273% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind | $8,067.67 | $8,067.67 | $937.05–$986.37 | 273% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal scrn; hi risk ind | $8,067.67 | $8,067.67 | $937.05–$986.37 | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal scrn; hi risk ind | $8,067.67 | $8,067.67 | $937.05–$986.37 | — | — |
| Short arm cast (elbow to hand) CPT 29075 29075 application cast elbow finger short arm techfee | $791.00 | $791.00 | $272.96–$287.33 | 202% above | — |
| Short arm cast (elbow to hand) CPT 29075 Application of forearm cast | $791.00 | $791.00 | $272.96–$287.33 | 202% above | — |
| Short arm cast (elbow to hand) CPT 29075 29075 application cast elbow finger short arm techfee | $791.00 | $791.00 | $272.96–$287.33 | 202% above | — |
| Short arm cast (elbow to hand) CPT 29075 Application of forearm cast | $791.00 | $791.00 | $272.96–$287.33 | 202% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Application of forearm cast | $791.00 | $791.00 | $272.96–$287.33 | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 application cast elbow finger short arm techfee | $791.00 | $791.00 | $272.96–$287.33 | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 application cast elbow finger short arm techfee | $791.00 | $791.00 | $272.96–$287.33 | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Application of forearm cast | $791.00 | $791.00 | $272.96–$287.33 | — | — |
| Short arm splint (forearm and hand) CPT 29125 Apply forearm splint | $376.00 | $376.00 | $132.48–$139.46 | 36% above | — |
| Short arm splint (forearm and hand) CPT 29125 Apply forearm splint | $376.00 | $376.00 | $132.48–$139.46 | 36% above | — |
| Short arm splint (forearm and hand) CPT 29125 29125 application short arm splint forearm-hand static techfee | $376.00 | $376.00 | $132.48–$139.46 | 36% above | — |
| Short arm splint (forearm and hand) CPT 29125 29125 application short arm splint forearm-hand static techfee | $376.00 | $376.00 | $132.48–$139.46 | 36% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 application short arm splint forearm-hand static techfee | $376.00 | $376.00 | $132.48–$139.46 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 application short arm splint forearm-hand static techfee | $376.00 | $376.00 | $132.48–$139.46 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Apply forearm splint | $376.00 | $376.00 | $132.48–$139.46 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Apply forearm splint | $376.00 | $376.00 | $132.48–$139.46 | — | — |
| Short leg cast (below the knee) CPT 29405 29405 application short leg cast below knee-toe | $791.00 | $791.00 | $272.96–$287.33 | 128% above | — |
| Short leg cast (below the knee) CPT 29405 29405 application short leg cast below knee-toe | $791.00 | $791.00 | $272.96–$287.33 | 128% above | — |
| Short leg cast (below the knee) CPT 29405 Apply short leg cast | $791.00 | $791.00 | $272.96–$287.33 | 128% above | — |
| Short leg cast (below the knee) CPT 29405 Apply short leg cast | $791.00 | $791.00 | $272.96–$287.33 | 128% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 29405 application short leg cast below knee-toe | $791.00 | $791.00 | $272.96–$287.33 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 Apply short leg cast | $791.00 | $791.00 | $272.96–$287.33 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 29405 application short leg cast below knee-toe | $791.00 | $791.00 | $272.96–$287.33 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 Apply short leg cast | $791.00 | $791.00 | $272.96–$287.33 | — | — |
| Short leg splint (calf to foot) CPT 29515 Application lower leg splint | $460.00 | $460.00 | $162.18–$170.71 | 113% above | — |
| Short leg splint (calf to foot) CPT 29515 29515 application short leg splint calf foot techfee | $460.00 | $460.00 | $162.18–$170.71 | 113% above | — |
| Short leg splint (calf to foot) CPT 29515 Application lower leg splint | $460.00 | $460.00 | $162.18–$170.71 | 113% above | — |
| Short leg splint (calf to foot) CPT 29515 29515 application short leg splint calf foot techfee | $460.00 | $460.00 | $162.18–$170.71 | 113% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Application lower leg splint | $460.00 | $460.00 | $162.18–$170.71 | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Application lower leg splint | $460.00 | $460.00 | $162.18–$170.71 | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 application short leg splint calf foot techfee | $460.00 | $460.00 | $162.18–$170.71 | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 application short leg splint calf foot techfee | $460.00 | $460.00 | $162.18–$170.71 | — | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Shoulder arthroscopy/surgery | $19,303.32 | $19,303.32 | $3,334.80–$3,510.32 | 685% above | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Shoulder arthroscopy/surgery | $19,303.32 | $19,303.32 | $3,334.80–$3,510.32 | 685% above | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 Shoulder arthroscopy/surgery | $19,303.32 | $19,303.32 | $3,334.80–$3,510.32 | 685% above | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Shoulder arthroscopy/surgery | $19,303.32 | $19,303.32 | $3,334.80–$3,510.32 | — | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Shoulder arthroscopy/surgery | $19,303.32 | $19,303.32 | $3,334.80–$3,510.32 | — | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient one side CPT 29824 Shoulder arthroscopy/surgery | $19,303.32 | $19,303.32 | $3,334.80–$3,510.32 | — | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shoulder arthroscopy/surgery | $21,166.23 | $21,166.23 | — | 341% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shoulder arthroscopy/surgery | $21,166.23 | $21,166.23 | — | 341% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Shoulder arthroscopy/surgery | $21,166.23 | $21,166.23 | — | 341% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Shoulder arthroscopy/surgery | $21,166.23 | $21,166.23 | — | — | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Shoulder arthroscopy/surgery | $21,166.23 | $21,166.23 | — | — | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient one side CPT 29826 Shoulder arthroscopy/surgery | $21,166.23 | $21,166.23 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/< | $602.00 | $602.00 | $204.22–$214.97 | 46% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 simple repair of superficial wounds of scalp neck axillae external genitalia trunk and/or | $602.00 | $602.00 | $204.22–$214.97 | 46% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/< | $602.00 | $602.00 | $204.22–$214.97 | 46% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 simple repair of superficial wounds of scalp neck axillae external genitalia trunk and/or | $602.00 | $602.00 | $204.22–$214.97 | 46% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/< | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/< | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 simple repair of superficial wounds of scalp neck axillae external genitalia trunk and/or | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 simple repair of superficial wounds of scalp neck axillae external genitalia trunk and/or | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion | $70.00 | $70.00 | $410.64–$432.25 | 88% below | — |
| Skin biopsy, punch, one lesion CPT 11104 11104 punch biopsy skin single lesion | $70.00 | $70.00 | $410.64–$432.25 | 88% below | — |
| Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion | $70.00 | $70.00 | $410.64–$432.25 | 88% below | — |
| Skin biopsy, punch, one lesion CPT 11104 11104 punch biopsy skin single lesion | $70.00 | $70.00 | $410.64–$432.25 | 88% below | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch bx skin single lesion | $70.00 | $70.00 | $410.64–$432.25 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch bx skin single lesion | $70.00 | $70.00 | $410.64–$432.25 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 11104 punch biopsy skin single lesion | $70.00 | $70.00 | $410.64–$432.25 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 11104 punch biopsy skin single lesion | $70.00 | $70.00 | $410.64–$432.25 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx lmbr spi pnxr | $1,383.00 | $1,383.00 | $711.77–$749.23 | 53% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx lmbr spi pnxr | $1,383.00 | $1,383.00 | $711.77–$749.23 | 53% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 lumbar puncture | $1,383.00 | $1,383.00 | $711.77–$749.23 | 53% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 lumbar puncture | $1,383.00 | $1,383.00 | $711.77–$749.23 | 53% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 lumbar puncture | $1,383.00 | $1,383.00 | $711.77–$749.23 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 lumbar puncture | $1,383.00 | $1,383.00 | $711.77–$749.23 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Dx lmbr spi pnxr | $1,383.00 | $1,383.00 | $711.77–$749.23 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Dx lmbr spi pnxr | $1,383.00 | $1,383.00 | $711.77–$749.23 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm | $602.00 | $602.00 | $204.22–$214.97 | 63% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm techfee | $602.00 | $602.00 | $204.22–$214.97 | 63% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm | $602.00 | $602.00 | $204.22–$214.97 | 63% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm techfee | $602.00 | $602.00 | $204.22–$214.97 | 63% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm techfee | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm techfee | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 simple repair f/e/e/n/l/m 2.5cm/< | $602.00 | $602.00 | $204.22–$214.97 | 66% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/< | $602.00 | $602.00 | $204.22–$214.97 | 66% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 simple repair f/e/e/n/l/m 2.5cm/< | $602.00 | $602.00 | $204.22–$214.97 | 66% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/< | $602.00 | $602.00 | $204.22–$214.97 | 66% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/< | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/< | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 simple repair f/e/e/n/l/m 2.5cm/< | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 simple repair f/e/e/n/l/m 2.5cm/< | $602.00 | $602.00 | $204.22–$214.97 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single les | $57.00 | $57.00 | $204.22–$214.97 | 86% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 tangential biopsy of skin single lesion | $57.00 | $57.00 | $204.22–$214.97 | 86% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 tangential biopsy of skin single lesion | $57.00 | $57.00 | $204.22–$214.97 | 86% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single les | $57.00 | $57.00 | $204.22–$214.97 | 86% below | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl bx skin single les | $57.00 | $57.00 | $204.22–$214.97 | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 tangential biopsy of skin single lesion | $57.00 | $57.00 | $204.22–$214.97 | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl bx skin single les | $57.00 | $57.00 | $204.22–$214.97 | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 tangential biopsy of skin single lesion | $57.00 | $57.00 | $204.22–$214.97 | — | — |
| Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging | $2,171.00 | $2,171.00 | $635.45–$668.89 | 74% above | — |
| Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging | $2,171.00 | $2,171.00 | $635.45–$668.89 | 74% above | — |
| Thoracentesis with imaging guidance CPT 32555 32555 thoracentesis needle or catheter aspiration of the pleural space techfee | $2,171.00 | $2,171.00 | $635.45–$668.89 | 74% above | — |
| Thoracentesis with imaging guidance CPT 32555 32555 thoracentesis needle or catheter aspiration of the pleural space techfee | $2,171.00 | $2,171.00 | $635.45–$668.89 | 74% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 32555 thoracentesis needle or catheter aspiration of the pleural space techfee | $2,171.00 | $2,171.00 | $635.45–$668.89 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate pleura w/ imaging | $2,171.00 | $2,171.00 | $635.45–$668.89 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 32555 thoracentesis needle or catheter aspiration of the pleural space techfee | $2,171.00 | $2,171.00 | $635.45–$668.89 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate pleura w/ imaging | $2,171.00 | $2,171.00 | $635.45–$668.89 | — | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 Remove tonsils and adenoids | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | 9% above | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 Remove tonsils and adenoids | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | 9% above | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 42821 tonsillectomy/adenoidectomy age 12 and over | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | 9% above | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 42821 tonsillectomy/adenoidectomy age 12 and over | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | 9% above | — |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 42821 tonsillectomy/adenoidectomy age 12 and over | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | — | — |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 42821 tonsillectomy/adenoidectomy age 12 and over | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | — | — |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Remove tonsils and adenoids | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | — | — |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Remove tonsils and adenoids | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | — | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids | $16,995.00 | $16,995.00 | $6,080.10–$6,400.11 | 9% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids | $16,995.00 | $16,995.00 | $6,080.10–$6,400.11 | 9% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 42820 tonsillectomy/adenoidectomy younger than age 12 | $16,995.00 | $16,995.00 | $6,080.10–$6,400.11 | 9% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 42820 tonsillectomy/adenoidectomy younger than age 12 | $16,995.00 | $16,995.00 | $6,080.10–$6,400.11 | 9% above | — |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Remove tonsils and adenoids | $16,995.00 | $16,995.00 | $6,080.10–$6,400.11 | — | — |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 42820 tonsillectomy/adenoidectomy younger than age 12 | $16,995.00 | $16,995.00 | $6,080.10–$6,400.11 | — | — |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Remove tonsils and adenoids | $16,995.00 | $16,995.00 | $6,080.10–$6,400.11 | — | — |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 42820 tonsillectomy/adenoidectomy younger than age 12 | $16,995.00 | $16,995.00 | $6,080.10–$6,400.11 | — | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 42826 tonsillectomy age 12 or over-lchn | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | 9% above | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | 9% above | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 42826 tonsillectomy age 12 or over-lchn | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | 9% above | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | 9% above | — |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Removal of tonsils | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | — | — |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Removal of tonsils | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | — | — |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 42826 tonsillectomy age 12 or over-lchn | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | — | — |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 42826 tonsillectomy age 12 or over-lchn | $9,056.00 | $9,056.00 | $3,333.22–$3,508.65 | — | — |
| Total hip replacement CPT 27130 Total hip arthroplasty | $68,345.23 | $68,345.23 | $13,224.48–$13,920.51 | 247% above | — |
| Total hip replacement CPT 27130 Total hip arthroplasty | $68,345.23 | $68,345.23 | $13,224.48–$13,920.51 | 247% above | — |
| Total hip replacement one side CPT 27130 Total hip arthroplasty | $60,618.63 | $60,618.63 | $13,224.48–$13,920.51 | 208% above | — |
| Total hip replacement one side CPT 27130 Total hip arthroplasty | $68,345.23 | $68,345.23 | $13,224.48–$13,920.51 | 247% above | — |
| Total hip replacement inpatient CPT 27130 Total hip arthroplasty | $68,345.23 | $68,345.23 | $13,224.48–$13,920.51 | — | — |
| Total hip replacement inpatient CPT 27130 Total hip arthroplasty | $68,345.23 | $68,345.23 | $13,224.48–$13,920.51 | — | — |
| Total hip replacement inpatient one side CPT 27130 Total hip arthroplasty | $60,618.63 | $60,618.63 | $13,224.48–$13,920.51 | — | — |
| Total hip replacement inpatient one side CPT 27130 Total hip arthroplasty | $68,345.23 | $68,345.23 | $13,224.48–$13,920.51 | — | — |
| Total knee replacement CPT 27447 Total knee arthroplasty | $48,368.57 | $48,368.57 | $13,224.48–$13,920.51 | 140% above | — |
| Total knee replacement CPT 27447 Total knee arthroplasty | $48,368.57 | $48,368.57 | $13,224.48–$13,920.51 | 140% above | — |
| Total knee replacement one side CPT 27447 Total knee arthroplasty | $48,353.44 | $48,353.44 | $13,224.48–$13,920.51 | 140% above | — |
| Total knee replacement one side CPT 27447 Total knee arthroplasty | $49,536.44 | $49,536.44 | $13,224.48–$13,920.51 | 146% above | — |
| Total knee replacement inpatient CPT 27447 Total knee arthroplasty | $48,368.57 | $48,368.57 | $13,224.48–$13,920.51 | — | — |
| Total knee replacement inpatient CPT 27447 Total knee arthroplasty | $48,368.57 | $48,368.57 | $13,224.48–$13,920.51 | — | — |
| Total knee replacement inpatient one side CPT 27447 Total knee arthroplasty | $48,353.44 | $48,353.44 | $13,224.48–$13,920.51 | — | — |
| Total knee replacement inpatient one side CPT 27447 Total knee arthroplasty | $49,536.44 | $49,536.44 | $13,224.48–$13,920.51 | — | — |
| Total shoulder replacement CPT 23472 Reconstruct shoulder joint | $65,123.81 | $65,123.81 | $18,901.25–$19,896.05 | 299% above | — |
| Total shoulder replacement CPT 23472 Reconstruct shoulder joint | $65,123.81 | $65,123.81 | $18,901.25–$19,896.05 | 299% above | — |
| Total shoulder replacement one side CPT 23472 Reconstruct shoulder joint | $65,123.81 | $65,123.81 | $18,901.25–$19,896.05 | 299% above | — |
| Total shoulder replacement inpatient CPT 23472 Reconstruct shoulder joint | $65,123.81 | $65,123.81 | $18,901.25–$19,896.05 | — | — |
| Total shoulder replacement inpatient CPT 23472 Reconstruct shoulder joint | $65,123.81 | $65,123.81 | $18,901.25–$19,896.05 | — | — |
| Total shoulder replacement inpatient one side CPT 23472 Reconstruct shoulder joint | $65,123.81 | $65,123.81 | $18,901.25–$19,896.05 | — | — |
| Trigger finger release surgery CPT 26055 Incise finger tendon sheath | $8,832.25 | $8,832.25 | $1,644.90–$1,731.47 | 124% above | — |
| Trigger finger release surgery CPT 26055 Incise finger tendon sheath | $8,832.25 | $8,832.25 | $1,644.90–$1,731.47 | 124% above | — |
| Trigger finger release surgery inpatient CPT 26055 Incise finger tendon sheath | $8,832.25 | $8,832.25 | $1,644.90–$1,731.47 | — | — |
| Trigger finger release surgery inpatient CPT 26055 Incise finger tendon sheath | $8,832.25 | $8,832.25 | $1,644.90–$1,731.47 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 injection single/mlt trigger point 1/2 muscles techfee | $718.00 | $718.00 | $303.40–$319.36 | 49% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1/2 muscl | $718.00 | $718.00 | $303.40–$319.36 | 49% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 injection single/mlt trigger point 1/2 muscles techfee | $718.00 | $718.00 | $303.40–$319.36 | 49% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1/2 muscl | $718.00 | $718.00 | $303.40–$319.36 | 49% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj trigger point 1/2 muscl | $718.00 | $718.00 | $303.40–$319.36 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj trigger point 1/2 muscl | $718.00 | $718.00 | $303.40–$319.36 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 injection single/mlt trigger point 1/2 muscles techfee | $718.00 | $718.00 | $303.40–$319.36 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 injection single/mlt trigger point 1/2 muscles techfee | $718.00 | $718.00 | $303.40–$319.36 | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm | $10,177.63 | $10,177.63 | $1,949.72–$2,052.34 | 390% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm | $10,177.63 | $10,177.63 | $1,949.72–$2,052.34 | 390% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esoph egd dilation <30 mm | $10,177.63 | $10,177.63 | $1,949.72–$2,052.34 | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esoph egd dilation <30 mm | $10,177.63 | $10,177.63 | $1,949.72–$2,052.34 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple | $7,103.56 | $7,103.56 | $963.62–$1,014.34 | 273% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple | $7,103.56 | $7,103.56 | $963.62–$1,014.34 | 273% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd biopsy single/multiple | $7,103.56 | $7,103.56 | $963.62–$1,014.34 | — | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd biopsy single/multiple | $7,103.56 | $7,103.56 | $963.62–$1,014.34 | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy injection therapeutic agent | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | 40% above | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr gi scope w/submuc inj | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | 40% above | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy injection therapeutic agent | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | 40% above | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr gi scope w/submuc inj | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | 40% above | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Uppr gi scope w/submuc inj | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | — | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Uppr gi scope w/submuc inj | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | — | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy injection therapeutic agent | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | — | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy injection therapeutic agent | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd remove lesion snare | $5,438.00 | $5,438.00 | $1,949.72–$2,052.34 | 105% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd remove lesion snare | $5,438.00 | $5,438.00 | $1,949.72–$2,052.34 | 105% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 esophagogastroduodenoscopy flexible transoral; with removal of tumor(s) polyp(s) or other | $5,438.00 | $5,438.00 | $1,949.72–$2,052.34 | 105% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 esophagogastroduodenoscopy flexible transoral; with removal of tumor(s) polyp(s) or other | $5,438.00 | $5,438.00 | $1,949.72–$2,052.34 | 105% above | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 43251 esophagogastroduodenoscopy flexible transoral; with removal of tumor(s) polyp(s) or other | $5,438.00 | $5,438.00 | $1,949.72–$2,052.34 | — | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd remove lesion snare | $5,438.00 | $5,438.00 | $1,949.72–$2,052.34 | — | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 43251 esophagogastroduodenoscopy flexible transoral; with removal of tumor(s) polyp(s) or other | $5,438.00 | $5,438.00 | $1,949.72–$2,052.34 | — | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd remove lesion snare | $5,438.00 | $5,438.00 | $1,949.72–$2,052.34 | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Esophagogastroduodenoscopy guided dilatation | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | 40% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Esophagogastroduodenoscopy guided dilatation | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | 40% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd guide wire insertion | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | 40% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd guide wire insertion | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | 40% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Esophagogastroduodenoscopy guided dilatation | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Esophagogastroduodenoscopy guided dilatation | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd guide wire insertion | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd guide wire insertion | $2,710.00 | $2,710.00 | $963.62–$1,014.34 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash | $6,858.59 | $6,858.59 | $963.62–$1,014.34 | 254% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash | $6,858.59 | $6,858.59 | $963.62–$1,014.34 | 254% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd diagnostic brush wash | $6,858.59 | $6,858.59 | $963.62–$1,014.34 | — | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd diagnostic brush wash | $6,858.59 | $6,858.59 | $963.62–$1,014.34 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 55250 vasect uni/bi spx w/po techfee | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 55250 vasect uni/bi spx w/po techfee | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct(s) | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | 13% above | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct(s) | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | 13% above | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 55250 vasect uni/bi spx w/po techfee | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 55250 vasect uni/bi spx w/po techfee | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of sperm duct(s) | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of sperm duct(s) | $6,099.00 | $6,099.00 | $2,105.45–$2,216.27 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb subq tissue 20 sq cm/< | $1,188.00 | $1,188.00 | $410.64–$432.25 | 101% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb subq tissue 20 sq cm/< | $1,188.00 | $1,188.00 | $410.64–$432.25 | 101% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 debridement sucutaneous tissue | $1,188.00 | $1,188.00 | $410.64–$432.25 | 101% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 debridement sucutaneous tissue | $1,188.00 | $1,188.00 | $410.64–$432.25 | 101% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 debridement sucutaneous tissue | $1,188.00 | $1,188.00 | $410.64–$432.25 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 debridement sucutaneous tissue | $1,188.00 | $1,188.00 | $410.64–$432.25 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb subq tissue 20 sq cm/< | $1,188.00 | $1,188.00 | $410.64–$432.25 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb subq tissue 20 sq cm/< | $1,188.00 | $1,188.00 | $410.64–$432.25 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion service | $1,224.00 | $1,224.00 | $449.33–$472.98 | 8% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 1-4 hours - blood administration charges | $1,224.00 | $1,224.00 | $449.33–$472.98 | 8% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion service | $1,224.00 | $1,224.00 | $449.33–$472.98 | 8% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 1-4 hours - blood administration charges | $1,224.00 | $1,224.00 | $449.33–$472.98 | 8% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 1-4 hours - blood administration charges | $1,224.00 | $1,224.00 | $449.33–$472.98 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 1-4 hours - blood administration charges | $1,224.00 | $1,224.00 | $449.33–$472.98 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion service | $24,229.54 | $24,229.54 | $449.33–$472.98 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion service | $24,229.54 | $24,229.54 | $449.33–$472.98 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 ed nebulizer ippb device | $216.00 | $216.00 | — | 25% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment | $216.00 | $216.00 | — | 25% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 ed nebulizer ippb device | $216.00 | $216.00 | — | 25% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment | $216.00 | $216.00 | — | 25% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 ed nebulizer ippb device | $216.00 | $216.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment | $216.00 | $216.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 ed nebulizer ippb device | $216.00 | $216.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment | $216.00 | $216.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 96413 chemo iv infusion initial up to 1hr charge | $1,033.00 | $1,033.00 | — | 1% below | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo iv infusion 1 hr | $1,033.00 | $1,033.00 | — | 1% below | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo iv infusion 1 hr | $1,033.00 | $1,033.00 | — | 1% below | — |
| Chemotherapy IV infusion, first hour CPT 96413 96413 chemo iv infusion initial up to 1hr charge | $1,033.00 | $1,033.00 | — | 1% below | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 chemo iv infusion initial up to 1hr charge | $1,033.00 | $1,033.00 | — | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 chemo iv infusion initial up to 1hr charge | $1,033.00 | $1,033.00 | — | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo iv infusion 1 hr | $1,033.00 | $1,033.00 | — | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo iv infusion 1 hr | $1,033.00 | $1,033.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 99291 - critical care 30-74 | $2,295.00 | $2,295.00 | $866.03–$911.61 | 35% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care first hour | $2,295.00 | $2,295.00 | $866.03–$911.61 | 35% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 99291 - critical care 30-74 | $2,295.00 | $2,295.00 | $866.03–$911.61 | 35% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care first hour | $2,295.00 | $2,295.00 | $866.03–$911.61 | 35% below | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - critical care 30-74 | $2,295.00 | $2,295.00 | $866.03–$911.61 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care first hour | $2,295.00 | $2,295.00 | $866.03–$911.61 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care first hour | $2,295.00 | $2,295.00 | $866.03–$911.61 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - critical care 30-74 | $2,295.00 | $2,295.00 | $866.03–$911.61 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram including recording awake and drowsy 95816 | $953.00 | $953.00 | — | 73% below | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram including recording awake and drowsy 95816 | $953.00 | $953.00 | — | 73% below | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg awake and drowsy | $953.00 | $953.00 | — | 73% below | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg awake and drowsy | $953.00 | $953.00 | — | 73% below | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Electroencephalogram including recording awake and drowsy 95816 | $953.00 | $953.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg awake and drowsy | $953.00 | $953.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Electroencephalogram including recording awake and drowsy 95816 | $953.00 | $953.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg awake and drowsy | $953.00 | $953.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram tracing | $190.00 | $190.00 | — | 22% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 ekg - er techfee | $190.00 | $190.00 | — | 22% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram tracing | $190.00 | $190.00 | — | 22% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 ekg - er techfee | $190.00 | $190.00 | — | 22% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram tracing | $190.00 | $190.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram tracing | $190.00 | $190.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 ekg - er techfee | $190.00 | $190.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 ekg - er techfee | $190.00 | $190.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency dept visit | $240.00 | $240.00 | $90.50–$95.26 | 6% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - level 1 | $240.00 | $240.00 | $90.50–$95.26 | 6% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency dept visit | $240.00 | $240.00 | $90.50–$95.26 | 6% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - level 1 | $240.00 | $240.00 | $90.50–$95.26 | 6% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - level 1 | $240.00 | $240.00 | $90.50–$95.26 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - level 1 | $240.00 | $240.00 | $90.50–$95.26 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency dept visit | $240.00 | $240.00 | $90.50–$95.26 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency dept visit | $240.00 | $240.00 | $90.50–$95.26 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - level 2 | $427.00 | $427.00 | $162.76–$171.33 | 23% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency dept visit | $427.00 | $427.00 | $162.76–$171.33 | 23% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - level 2 | $427.00 | $427.00 | $162.76–$171.33 | 23% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency dept visit | $427.00 | $427.00 | $162.76–$171.33 | 23% below | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - level 2 | $427.00 | $427.00 | $162.76–$171.33 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - level 2 | $427.00 | $427.00 | $162.76–$171.33 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency dept visit | $427.00 | $427.00 | $162.76–$171.33 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency dept visit | $427.00 | $427.00 | $162.76–$171.33 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency dept visit | $760.00 | $760.00 | $284.59–$299.57 | 21% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - level 3 | $760.00 | $760.00 | $284.59–$299.57 | 21% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency dept visit | $760.00 | $760.00 | $284.59–$299.57 | 21% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - level 3 | $760.00 | $760.00 | $284.59–$299.57 | 21% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency dept visit | $760.00 | $760.00 | $284.59–$299.57 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - level 3 | $760.00 | $760.00 | $284.59–$299.57 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency dept visit | $760.00 | $760.00 | $284.59–$299.57 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - level 3 | $760.00 | $760.00 | $284.59–$299.57 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency dept visit | $1,283.00 | $1,283.00 | $437.66–$460.69 | 24% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - level 4 | $1,283.00 | $1,283.00 | $437.66–$460.69 | 24% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency dept visit | $1,283.00 | $1,283.00 | $437.66–$460.69 | 24% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - level 4 | $1,283.00 | $1,283.00 | $437.66–$460.69 | 24% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency dept visit | $1,283.00 | $1,283.00 | $437.66–$460.69 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency dept visit | $1,283.00 | $1,283.00 | $437.66–$460.69 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - level 4 | $1,283.00 | $1,283.00 | $437.66–$460.69 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - level 4 | $1,283.00 | $1,283.00 | $437.66–$460.69 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - level 5 | $2,329.00 | $2,329.00 | $630.14–$663.31 | 8% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency dept visit | $2,329.00 | $2,329.00 | $630.14–$663.31 | 8% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency dept visit | $2,329.00 | $2,329.00 | $630.14–$663.31 | 8% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - level 5 | $2,329.00 | $2,329.00 | $630.14–$663.31 | 8% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency dept visit | $2,329.00 | $2,329.00 | $630.14–$663.31 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - level 5 | $2,329.00 | $2,329.00 | $630.14–$663.31 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - level 5 | $2,329.00 | $2,329.00 | $630.14–$663.31 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency dept visit | $2,329.00 | $2,329.00 | $630.14–$663.31 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 cardiovascular stress test performed charge | $871.00 | $871.00 | — | 21% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 cardiovascular stress test performed charge | $871.00 | $871.00 | — | 21% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test | $871.00 | $871.00 | — | 21% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test | $871.00 | $871.00 | — | 21% below | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 cardiovascular stress test performed charge | $871.00 | $871.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular stress test | $871.00 | $871.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 cardiovascular stress test performed charge | $871.00 | $871.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular stress test | $871.00 | $871.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 hydration first hour | $658.00 | $658.00 | — | 60% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 hydration first hour | $658.00 | $658.00 | — | 60% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration iv infusion init | $658.00 | $658.00 | — | 60% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration iv infusion init | $658.00 | $658.00 | — | 60% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration iv infusion init | $658.00 | $658.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 hydration first hour | $658.00 | $658.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 hydration first hour | $658.00 | $658.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration iv infusion init | $658.00 | $658.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 96365 iv infusion 1st hour charge | $654.00 | $654.00 | — | 23% above | — |
| IV infusion of a medicine, first hour CPT 96365 96365 iv infusion 1st hour charge | $654.00 | $654.00 | — | 23% above | — |
| IV infusion of a medicine, first hour CPT 96365 Ther/proph/diag iv inf init | $654.00 | $654.00 | — | 23% above | — |
| IV infusion of a medicine, first hour CPT 96365 Ther/proph/diag iv inf init | $654.00 | $654.00 | — | 23% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Ther/proph/diag iv inf init | $654.00 | $654.00 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Ther/proph/diag iv inf init | $654.00 | $654.00 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 iv infusion 1st hour charge | $654.00 | $654.00 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 iv infusion 1st hour charge | $654.00 | $654.00 | — | — | — |
| IV push of a medicine, first drug CPT 96374 Ther/proph/diag inj iv push | $654.00 | $654.00 | — | 101% above | — |
| IV push of a medicine, first drug CPT 96374 96374 iv injection single/initial | $654.00 | $654.00 | — | 101% above | — |
| IV push of a medicine, first drug CPT 96374 Ther/proph/diag inj iv push | $654.00 | $654.00 | — | 101% above | — |
| IV push of a medicine, first drug CPT 96374 96374 iv injection single/initial | $654.00 | $654.00 | — | 101% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 Ther/proph/diag inj iv push | $654.00 | $654.00 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 96374 iv injection single/initial | $654.00 | $654.00 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 Ther/proph/diag inj iv push | $654.00 | $654.00 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 96374 iv injection single/initial | $654.00 | $654.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag inj sc/im | $208.00 | $208.00 | — | 39% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 im/subq injection | $208.00 | $208.00 | — | 39% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 im/subq injection | $208.00 | $208.00 | — | 39% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag inj sc/im | $208.00 | $208.00 | — | 39% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/proph/diag inj sc/im | $208.00 | $208.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/proph/diag inj sc/im | $208.00 | $208.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 im/subq injection | $208.00 | $208.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 im/subq injection | $208.00 | $208.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv cndj test 7-8 studies | $953.00 | $953.00 | — | 24% below | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction studies 7-8 studies 95910 | $953.00 | $953.00 | — | 24% below | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv cndj test 7-8 studies | $953.00 | $953.00 | — | 24% below | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction studies 7-8 studies 95910 | $953.00 | $953.00 | — | 24% below | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve conduction studies 7-8 studies 95910 | $953.00 | $953.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nrv cndj test 7-8 studies | $953.00 | $953.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve conduction studies 7-8 studies 95910 | $953.00 | $953.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nrv cndj test 7-8 studies | $953.00 | $953.00 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot neuromuscular reeducation units | $127.00 | $127.00 | — | 8% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation | $127.00 | $127.00 | — | 8% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot neuromuscular reeducation units | $127.00 | $127.00 | — | 8% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation | $127.00 | $127.00 | — | 8% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot neuromuscular reeducation units | $127.00 | $127.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation | $127.00 | $127.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot neuromuscular reeducation units | $127.00 | $127.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation | $127.00 | $127.00 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 Office/outpatient visit new | $169.00 | $169.00 | — | 54% below | — |
| New patient office visit, about 45 minutes CPT 99204 99204 office visit new pt. level 4 | $169.00 | $169.00 | — | 54% below | — |
| New patient office visit, about 45 minutes CPT 99204 Office/outpatient visit new | $169.00 | $169.00 | — | 54% below | — |
| New patient office visit, about 45 minutes CPT 99204 99204 office visit new pt. level 4 | $169.00 | $169.00 | — | 54% below | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/outpatient visit new | $169.00 | $169.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 office visit new pt. level 4 | $169.00 | $169.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 office visit new pt. level 4 | $169.00 | $169.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/outpatient visit new | $169.00 | $169.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot evaluation units low complexity | $327.00 | $327.00 | — | at median | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot eval low complex 30 min | $327.00 | $327.00 | — | at median | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot evaluation units low complexity | $327.00 | $327.00 | — | at median | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot eval low complex 30 min | $327.00 | $327.00 | — | at median | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot evaluation units low complexity | $327.00 | $327.00 | — | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot evaluation units low complexity | $327.00 | $327.00 | — | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot eval low complex 30 min | $327.00 | $327.00 | — | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot eval low complex 30 min | $327.00 | $327.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt evaluation units high complexity | $243.00 | $243.00 | — | 24% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt eval high complex 45 min | $243.00 | $243.00 | — | 24% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt evaluation units high complexity | $243.00 | $243.00 | — | 24% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt eval high complex 45 min | $243.00 | $243.00 | — | 24% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt eval high complex 45 min | $243.00 | $243.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt evaluation units high complexity | $243.00 | $243.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt evaluation units high complexity | $243.00 | $243.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt eval high complex 45 min | $243.00 | $243.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt evaluation units low complexity | $219.00 | $219.00 | — | 23% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt eval low complex 20 min | $219.00 | $219.00 | — | 23% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt evaluation units low complexity | $219.00 | $219.00 | — | 23% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt eval low complex 20 min | $219.00 | $219.00 | — | 23% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt eval low complex 20 min | $219.00 | $219.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt evaluation units low complexity | $219.00 | $219.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt eval low complex 20 min | $219.00 | $219.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt evaluation units low complexity | $219.00 | $219.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt evaluation units moderate complexity | $232.00 | $232.00 | — | 21% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt eval mod complex 30 min | $232.00 | $232.00 | — | 21% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt evaluation units moderate complexity | $232.00 | $232.00 | — | 21% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt eval mod complex 30 min | $232.00 | $232.00 | — | 21% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt eval mod complex 30 min | $232.00 | $232.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt evaluation units moderate complexity | $232.00 | $232.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt evaluation units moderate complexity | $232.00 | $232.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt eval mod complex 30 min | $232.00 | $232.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot manual therapy units | $115.00 | $115.00 | — | 7% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy 1/> regions | $115.00 | $115.00 | — | 7% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot manual therapy units | $115.00 | $115.00 | — | 7% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy 1/> regions | $115.00 | $115.00 | — | 7% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ot manual therapy units | $115.00 | $115.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy 1/> regions | $115.00 | $115.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ot manual therapy units | $115.00 | $115.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy 1/> regions | $115.00 | $115.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot therapeutic exercise units | $110.00 | $110.00 | — | 2% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercises | $110.00 | $110.00 | — | 2% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot therapeutic exercise units | $110.00 | $110.00 | — | 2% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercises | $110.00 | $110.00 | — | 2% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic exercises | $110.00 | $110.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic exercises | $110.00 | $110.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot therapeutic exercise units | $110.00 | $110.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot therapeutic exercise units | $110.00 | $110.00 | — | — | — |
| Speech and language evaluation CPT 92523 Speech sound lang comprehen | $692.00 | $692.00 | $217.59–$229.04 | 48% above | — |
| Speech and language evaluation CPT 92523 Slp eval lang comprehensionexpress unit | $692.00 | $692.00 | $217.59–$229.04 | 48% above | — |
| Speech and language evaluation CPT 92523 Speech sound lang comprehen | $692.00 | $692.00 | $217.59–$229.04 | 48% above | — |
| Speech and language evaluation CPT 92523 Slp eval lang comprehensionexpress unit | $692.00 | $692.00 | $217.59–$229.04 | 48% above | — |
| Speech and language evaluation inpatient CPT 92523 Speech sound lang comprehen | $692.00 | $692.00 | $217.59–$229.04 | — | — |
| Speech and language evaluation inpatient CPT 92523 Speech sound lang comprehen | $692.00 | $692.00 | $217.59–$229.04 | — | — |
| Speech and language evaluation inpatient CPT 92523 Slp eval lang comprehensionexpress unit | $692.00 | $692.00 | $217.59–$229.04 | — | — |
| Speech and language evaluation inpatient CPT 92523 Slp eval lang comprehensionexpress unit | $692.00 | $692.00 | $217.59–$229.04 | — | — |
| Speech therapy session, individual CPT 92507 Slp auditory processing tx units | $283.00 | $283.00 | $73.06–$76.91 | 21% below | — |
| Speech therapy session, individual CPT 92507 Speech/hearing therapy | $283.00 | $283.00 | $73.06–$76.91 | 21% below | — |
| Speech therapy session, individual CPT 92507 Speech/hearing therapy | $283.00 | $283.00 | $73.06–$76.91 | 21% below | — |
| Speech therapy session, individual CPT 92507 Slp auditory processing tx units | $283.00 | $283.00 | $73.06–$76.91 | 21% below | — |
| Speech therapy session, individual inpatient CPT 92507 Slp auditory processing tx units | $283.00 | $283.00 | $73.06–$76.91 | — | — |
| Speech therapy session, individual inpatient CPT 92507 Speech/hearing therapy | $283.00 | $283.00 | $73.06–$76.91 | — | — |
| Speech therapy session, individual inpatient CPT 92507 Slp auditory processing tx units | $283.00 | $283.00 | $73.06–$76.91 | — | — |
| Speech therapy session, individual inpatient CPT 92507 Speech/hearing therapy | $283.00 | $283.00 | $73.06–$76.91 | — | — |
| Spirometry (breathing test) CPT 94010 Breathing capacity test | $499.00 | $499.00 | — | 64% above | — |
| Spirometry (breathing test) CPT 94010 Breathing capacity test | $499.00 | $499.00 | — | 64% above | — |
| Spirometry (breathing test) CPT 94010 94010 spirometry w/ graphic record total/timed vital capacity expiratory flow rate measurement(s) | $499.00 | $499.00 | — | 64% above | — |
| Spirometry (breathing test) CPT 94010 94010 spirometry w/ graphic record total/timed vital capacity expiratory flow rate measurement(s) | $499.00 | $499.00 | — | 64% above | — |
| Spirometry (breathing test) inpatient CPT 94010 Breathing capacity test | $499.00 | $499.00 | — | — | — |
| Spirometry (breathing test) inpatient CPT 94010 Breathing capacity test | $499.00 | $499.00 | — | — | — |
| Spirometry (breathing test) inpatient CPT 94010 94010 spirometry w/ graphic record total/timed vital capacity expiratory flow rate measurement(s) | $499.00 | $499.00 | — | — | — |
| Spirometry (breathing test) inpatient CPT 94010 94010 spirometry w/ graphic record total/timed vital capacity expiratory flow rate measurement(s) | $499.00 | $499.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing | $339.00 | $339.00 | — | 27% below | — |
| Spirometry before and after a bronchodilator CPT 94060 94060 bronchodilation responsiveness spirometry as in 94010 pre- and post-bronchodilator administr | $339.00 | $339.00 | — | 27% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing | $339.00 | $339.00 | — | 27% below | — |
| Spirometry before and after a bronchodilator CPT 94060 94060 bronchodilation responsiveness spirometry as in 94010 pre- and post-bronchodilator administr | $339.00 | $339.00 | — | 27% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation of wheezing | $339.00 | $339.00 | — | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 94060 bronchodilation responsiveness spirometry as in 94010 pre- and post-bronchodilator administr | $339.00 | $339.00 | — | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation of wheezing | $339.00 | $339.00 | — | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 94060 bronchodilation responsiveness spirometry as in 94010 pre- and post-bronchodilator administr | $339.00 | $339.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot therapeutic activities units | $141.00 | $141.00 | — | 8% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot therapeutic activities units | $141.00 | $141.00 | — | 8% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities | $141.00 | $141.00 | — | 8% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities | $141.00 | $141.00 | — | 8% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot therapeutic activities units | $141.00 | $141.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities | $141.00 | $141.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot therapeutic activities units | $141.00 | $141.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities | $141.00 | $141.00 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic phlebotomy | $411.00 | $411.00 | $132.48–$139.46 | 43% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy | $411.00 | $411.00 | $132.48–$139.46 | 43% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy | $411.00 | $411.00 | $132.48–$139.46 | 43% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic phlebotomy | $411.00 | $411.00 | $132.48–$139.46 | 43% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy | $411.00 | $411.00 | $132.48–$139.46 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic phlebotomy | $411.00 | $411.00 | $132.48–$139.46 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy | $411.00 | $411.00 | $132.48–$139.46 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic phlebotomy | $411.00 | $411.00 | $132.48–$139.46 | — | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Cardiovascular stress test | $1,001.00 | $1,001.00 | — | 6% above | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Cardiovascular stress test | $1,001.00 | $1,001.00 | — | 6% above | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 93015 cardiovascular stress test performed (with interpretation) charge | $1,001.00 | $1,001.00 | — | 6% above | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 93015 cardiovascular stress test performed (with interpretation) charge | $1,001.00 | $1,001.00 | — | 6% above | — |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 93015 cardiovascular stress test performed (with interpretation) charge | $1,001.00 | $1,001.00 | — | — | — |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Cardiovascular stress test | $1,001.00 | $1,001.00 | — | — | — |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Cardiovascular stress test | $1,001.00 | $1,001.00 | — | — | — |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 93015 cardiovascular stress test performed (with interpretation) charge | $1,001.00 | $1,001.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Flu vaccine 3+ yrs im sdv - amb influenza charge | $65.00 | $65.00 | — | 78% below | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Iiv adjuvant vaccine im | $65.00 | $65.00 | — | 78% below | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Iiv adjuvant vaccine im | $65.00 | $65.00 | — | 78% below | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Flu vaccine 3+ yrs im sdv - amb influenza charge | $65.00 | $65.00 | — | 78% below | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Iiv adjuvant vaccine im | $65.00 | $65.00 | — | — | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Flu vaccine 3+ yrs im sdv - amb influenza charge | $65.00 | $65.00 | — | — | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Iiv adjuvant vaccine im | $65.00 | $65.00 | — | — | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Flu vaccine 3+ yrs im sdv - amb influenza charge | $65.00 | $65.00 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria/tetanus/pertussis (dtap) ped 15 unitsea5 unitsea23 mcg/0.5 ml | $121.59 | $121.59 | — | 4% below | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria/tetanus/pertussis (dtap) ped 15 unitsea5 unitsea23 mcg/0.5 ml | $121.59 | $121.59 | — | 4% below | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Diphtheria/tetanus/pertussis (dtap) ped 15 unitsea5 unitsea23 mcg/0.5 ml | $121.59 | $121.59 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Diphtheria/tetanus/pertussis (dtap) ped 15 unitsea5 unitsea23 mcg/0.5 ml | $121.59 | $121.59 | — | — | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Diphtheria/haemophilus/pertussis/tetanus/polio kit [lchn] | $227.99 | $227.99 | — | 26% below | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Diphtheria/haemophilus/pertussis/tetanus/polio kit [lchn] | $227.99 | $227.99 | — | 26% below | — |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 Diphtheria/haemophilus/pertussis/tetanus/polio kit [lchn] | $227.99 | $227.99 | — | — | — |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 Diphtheria/haemophilus/pertussis/tetanus/polio kit [lchn] | $227.99 | $227.99 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis a pediatric vaccine 720 units/0.5 ml preservative free | $122.75 | $122.75 | — | 15% below | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis a pediatric vaccine 720 units/0.5 ml preservative free | $122.75 | $122.75 | — | 15% below | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis a pediatric vaccine 720 units/0.5 ml preservative free sus | $140.86 | $140.86 | — | 3% below | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis a pediatric vaccine 720 units/0.5 ml preservative free sus | $140.86 | $140.86 | — | 3% below | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepatitis a pediatric vaccine 720 units/0.5 ml preservative free | $122.75 | $122.75 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepatitis a pediatric vaccine 720 units/0.5 ml preservative free | $122.75 | $122.75 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepatitis a pediatric vaccine 720 units/0.5 ml preservative free sus | $140.86 | $140.86 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepatitis a pediatric vaccine 720 units/0.5 ml preservative free sus | $140.86 | $140.86 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis b pediatric vaccine 10 mcg/0.5 ml inj susp [lchn] | $72.89 | $72.89 | — | 53% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis b pediatric vaccine 10 mcg/0.5 ml inj susp [lchn] | $72.89 | $72.89 | — | 53% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis b pediatric vaccine 10 mcg/0.5 ml inj susp [lchn] | $72.89 | $72.89 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis b pediatric vaccine 10 mcg/0.5 ml inj susp [lchn] | $72.89 | $72.89 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Haemophilus b conjugate (prpeat) vaccine im inj [lchn] | $195.62 | $195.62 | — | 253% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Haemophilus b conjugate (prpeat) vaccine im inj [lchn] | $195.62 | $195.62 | — | 253% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Haemophilus b conjugate (prpeat) vaccine im inj [lchn] | $195.62 | $195.62 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Haemophilus b conjugate (prpeat) vaccine im inj [lchn] | $195.62 | $195.62 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv no prsv increased ag im | $210.00 | $210.00 | — | 1% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 influenza high dose (iiv) - er techfee | $210.00 | $210.00 | — | 1% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv no prsv increased ag im | $210.00 | $210.00 | — | 1% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 influenza high dose (iiv) - er techfee | $210.00 | $210.00 | — | 1% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 90662 influenza high dose (iiv) - er techfee | $210.00 | $210.00 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Iiv no prsv increased ag im | $210.00 | $210.00 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Iiv no prsv increased ag im | $210.00 | $210.00 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 90662 influenza high dose (iiv) - er techfee | $210.00 | $210.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles/mumps/rubella virus vaccine ea | $183.74 | $183.74 | — | 43% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles/mumps/rubella virus vaccine ea | $183.74 | $183.74 | — | 43% below | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles/mumps/rubella virus vaccine ea | $183.74 | $183.74 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles/mumps/rubella virus vaccine ea | $183.74 | $183.74 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal polysaccharide conjugate vaccine im sol [lchn] | $305.80 | $305.80 | — | 54% below | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal polysaccharide conjugate vaccine im sol [lchn] | $305.80 | $305.80 | — | 54% below | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal polysaccharide conjugate vaccine im sol [lchn] | $305.80 | $305.80 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal polysaccharide conjugate vaccine im sol [lchn] | $305.80 | $305.80 | — | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal 13eavalent conjugate vaccine im susp [lchn] | $488.82 | $488.82 | — | 34% below | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal 13eavalent conjugate vaccine im susp [lchn] | $488.82 | $488.82 | — | 34% below | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumococcal 13eavalent conjugate vaccine im susp [lchn] | $488.82 | $488.82 | — | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumococcal 13eavalent conjugate vaccine im susp [lchn] | $488.82 | $488.82 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal 23eapolyvalent vaccine ea | $252.89 | $252.89 | — | 28% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal 23eapolyvalent vaccine ea | $252.89 | $252.89 | — | 28% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal 23eapolyvalent vaccine ea | $252.89 | $252.89 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal 23eapolyvalent vaccine ea | $252.89 | $252.89 | — | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus vaccine inactivated ea | $926.84 | $926.84 | — | 307% above | — |
| Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus vaccine inactivated ea | $926.84 | $926.84 | — | 307% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliovirus vaccine inactivated ea | $926.84 | $926.84 | — | — | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliovirus vaccine inactivated ea | $926.84 | $926.84 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster vaccine inactivated adjuvanted inj [lchn] | $370.59 | $370.59 | — | 16% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster vaccine inactivated adjuvanted inj [lchn] | $370.59 | $370.59 | — | 16% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Zoster vaccine inactivated adjuvanted inj [lchn] | $370.59 | $370.59 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Zoster vaccine inactivated adjuvanted inj [lchn] | $370.59 | $370.59 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheriaeatetanus toxoids (dt) ped pediatric | $145.76 | $145.76 | — | 50% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheriaeatetanus toxoids (dt) ped pediatric | $145.76 | $145.76 | — | 50% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheriaeatetanus toxoids (dt) ped pediatric sus | $225.95 | $225.95 | — | 22% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheriaeatetanus toxoids (dt) ped pediatric sus | $225.95 | $225.95 | — | 22% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Diphtheriaeatetanus toxoids (dt) ped pediatric | $145.76 | $145.76 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Diphtheriaeatetanus toxoids (dt) ped pediatric | $145.76 | $145.76 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Diphtheriaeatetanus toxoids (dt) ped pediatric sus | $225.95 | $225.95 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Diphtheriaeatetanus toxoids (dt) ped pediatric sus | $225.95 | $225.95 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus/diphth/pertuss (tdap) adult/adol 5 unitsea2 unitsea15.5 mcg/0.5 ml | $154.96 | $154.96 | — | 26% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus/diphth/pertuss (tdap) adult/adol 5 unitsea2 unitsea15.5 mcg/0.5 ml | $154.96 | $154.96 | — | 26% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus/diphtheria/pertussis acel (tdap) 5 unitsea2 unitsea15.5 mcg/0.5 ml im susp [lchn] | $180.38 | $180.38 | — | 13% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus/diphth/pertuss (tdap) adult/adol 5 unitsea2 unitsea15.5 mcg/0.5 ml sus | $180.38 | $180.38 | — | 13% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus/diphtheria/pertussis acel (tdap) 5 unitsea2 unitsea15.5 mcg/0.5 ml im susp [lchn] | $180.38 | $180.38 | — | 13% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus/diphth/pertuss (tdap) adult/adol 5 unitsea2 unitsea15.5 mcg/0.5 ml sus | $180.38 | $180.38 | — | 13% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tetanus/diphth/pertuss (tdap) adult/adol 5 unitsea2 unitsea15.5 mcg/0.5 ml | $154.96 | $154.96 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tetanus/diphth/pertuss (tdap) adult/adol 5 unitsea2 unitsea15.5 mcg/0.5 ml | $154.96 | $154.96 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tetanus/diphtheria/pertussis acel (tdap) 5 unitsea2 unitsea15.5 mcg/0.5 ml im susp [lchn] | $180.38 | $180.38 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tetanus/diphtheria/pertussis acel (tdap) 5 unitsea2 unitsea15.5 mcg/0.5 ml im susp [lchn] | $180.38 | $180.38 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tetanus/diphth/pertuss (tdap) adult/adol 5 unitsea2 unitsea15.5 mcg/0.5 ml sus | $180.38 | $180.38 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tetanus/diphth/pertuss (tdap) adult/adol 5 unitsea2 unitsea15.5 mcg/0.5 ml sus | $180.38 | $180.38 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization admin | $208.00 | $208.00 | $73.15–$77.00 | 200% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization admin | $208.00 | $208.00 | $73.15–$77.00 | 200% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 immunization administration < 19 yrs - amb immun admin charge | $208.00 | $208.00 | $73.15–$77.00 | 200% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 immunization administration < 19 yrs - amb immun admin charge | $208.00 | $208.00 | $73.15–$77.00 | 200% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 immunization administration < 19 yrs - amb immun admin charge | $208.00 | $208.00 | $73.15–$77.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization admin | $208.00 | $208.00 | $73.15–$77.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization admin | $208.00 | $208.00 | $73.15–$77.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 immunization administration < 19 yrs - amb immun admin charge | $208.00 | $208.00 | $73.15–$77.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization admin each add | $200.00 | $200.00 | — | 151% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 im adm prq id subq/im njxs ea vaccine techfee | $200.00 | $200.00 | — | 151% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 im adm prq id subq/im njxs ea vaccine techfee | $200.00 | $200.00 | — | 151% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization admin each add | $200.00 | $200.00 | — | 151% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 im adm prq id subq/im njxs ea vaccine techfee | $200.00 | $200.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 im adm prq id subq/im njxs ea vaccine techfee | $200.00 | $200.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization admin each add | $200.00 | $200.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization admin each add | $200.00 | $200.00 | — | — | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://cdn.accureg.net/trans/lincoln/84-0484566_Lincoln-Health_standardcharges.json