Hospital Grand Rapids-Wyoming-Kentwood, MI

Trinity Health Grand Haven Hospital

Trinity Health Grand Haven Hospital in Grand Haven, MI publishes cash prices for 290 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Michigan median for 193 of 289 procedures and below it for 93. By typical cash price it ranks #64 of 94 Michigan hospitals and #9 of 10 hospitals in the Grand Rapids, MI area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1309 Sheldon Road, Grand Haven, MI 49417 Collected Sep 27, 2026 Source price file (616) 847-5268

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 230174 · CMS hospital register NPI 1942379284

The price file shows no self-pay discount

For 918 of the 918 prices listed here, the cash price in Trinity Health Grand Haven Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Trinity Health Grand Haven Hospital in Grand Haven, MI:

Apr 16, 2025 Met requirements
May 19, 2025 Corrective action plan requested
Jun 12, 2025 Case closed

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W WO CONTRAST	$2,019.00	$2,019.00	$159.42–$1,714.30	38% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W WO CONTRAST	$2,019.00	$2,019.00	$159.42–$1,714.30	—	—
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3 VIEWS	$260.00	$260.00	$41.59–$165.52	38% above	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE 3 VIEWS	$260.00	$260.00	$41.59–$165.52	—	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTR W O CONTRAST	$1,628.00	$1,628.00	$103.15–$971.31	74% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTR W O CONTRAST	$1,628.00	$1,628.00	$103.15–$971.31	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS	$354.00	$354.00	$171.63	32% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS	$354.00	$354.00	$171.63	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WB	$1,283.00	$1,283.00	$215.38–$673.95	49% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN WB	$1,283.00	$1,283.00	$215.38–$673.95	—	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPL LEFT	$455.00	$455.00	$57.30–$129.89	52% above	—
Breast ultrasound, complete, one breast one side CPT 76641 MAM US RT 76641	$455.00	$455.00	$57.30–$129.89	52% above	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAM US RT 76641	$455.00	$455.00	$57.30–$129.89	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPL LEFT	$455.00	$455.00	$57.30–$129.89	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 MM US BREAST UNIL LIMITED	$277.00	$277.00	$129.89	8% above	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 MM US BREAST UNIL LIMITED	$277.00	$277.00	$129.89	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABO PELVIS W WO	$3,065.00	$3,065.00	$191.42–$2,769.32	23% above	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABO PELVIS W WO	$3,065.00	$3,065.00	$191.42–$2,769.32	—	—
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD W AND WO CONTRAS	$1,884.00	$1,884.00	$195.49–$899.35	35% above	—
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIO HEAD W AND WO CONTRAS	$1,884.00	$1,884.00	$195.49–$899.35	—	—
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK W WO CONTRAST	$1,908.00	$1,908.00	$95.42–$843.11	38% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIO NECK W WO CONTRAST	$1,908.00	$1,908.00	$95.42–$843.11	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W WO CONTRAST	$2,071.00	$2,071.00	$95.42–$1,601.29	41% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W WO CONTRAST	$2,071.00	$2,071.00	$95.42–$1,601.29	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CORONARY CALCIUM SCORE	$444.00	$444.00	$419.67–$521.11	246% above	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CTA CORONARY ARTERIES W SCORE	$1,967.00	$1,967.00	$419.67–$521.11	1434% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CORONARY CALCIUM SCORE	$444.00	$444.00	$419.67–$521.11	—	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CTA CORONARY ARTERIES W SCORE	$1,967.00	$1,967.00	$419.67–$521.11	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS WITHOUT	$2,936.00	$2,936.00	$127.71–$3,598.00	67% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN AND PELVIS WITHOUT	$2,936.00	$2,936.00	$127.71–$3,598.00	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS WITH	$3,500.00	$3,500.00	$191.42–$1,914.05	42% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN AND PELVIS WITH	$3,500.00	$3,500.00	$191.42–$1,914.05	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN AND PELVIS W AND WO	$3,525.00	$3,525.00	$200.43–$2,436.40	36% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN AND PELVIS W AND WO	$3,525.00	$3,525.00	$200.43–$2,436.40	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$1,742.00	$1,742.00	$171.28–$1,557.28	19% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST	$1,742.00	$1,742.00	$171.28–$1,557.28	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W O CONTRAST	$1,370.00	$1,370.00	$104.19–$939.68	50% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W O CONTRAST	$1,370.00	$1,370.00	$104.19–$939.68	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS SCREEN W O CONTRAST	$1,294.00	$1,294.00	$57.00–$1,879.00	29% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL W O CONTRAST	$1,294.00	$1,294.00	$57.00–$1,879.00	29% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS COMPL W O CONT	$1,294.00	$1,294.00	$57.00–$1,879.00	29% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS COMPL W O CONT	$1,294.00	$1,294.00	$57.00–$1,879.00	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS SCREEN W O CONTRAST	$1,294.00	$1,294.00	$57.00–$1,879.00	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL W O CONTRAST	$1,294.00	$1,294.00	$57.00–$1,879.00	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W O CONTRAST	$1,299.00	$1,299.00	$57.00–$1,838.00	54% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W O CONTRAST	$1,299.00	$1,299.00	$57.00–$1,838.00	—	—
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST	$1,521.00	$1,521.00	$95.42–$869.12	24% above	—
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST	$1,521.00	$1,521.00	$95.42–$869.12	—	—
CT scan of the head without and with contrast CPT 70470 CT CEREBRAL PERFUSION W CONTRA	$1,075.00	$1,075.00	$95.42–$3,371.00	18% below	—
CT scan of the head without and with contrast CPT 70470 CT HEAD W WO CONTRAST	$1,770.00	$1,770.00	$95.42–$3,371.00	35% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT CEREBRAL PERFUSION W CONTRA	$1,075.00	$1,075.00	$95.42–$3,371.00	—	—
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W WO CONTRAST	$1,770.00	$1,770.00	$95.42–$3,371.00	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR W O CONTRAST	$1,477.00	$1,477.00	$57.00–$905.91	52% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR W O CONTRAST	$1,477.00	$1,477.00	$57.00–$905.91	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL W O CONTRAST	$1,477.00	$1,477.00	$57.00–$2,118.00	47% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL W O CONTRAST	$1,477.00	$1,477.00	$57.00–$2,118.00	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$1,644.00	$1,644.00	$95.42–$1,050.34	29% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$1,644.00	$1,644.00	$95.42–$1,050.34	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US EXTRACRANIAL ARTERIES COMP	$723.00	$723.00	$127.71–$494.69	14% below	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US EXTRACRANIAL ARTERIES COMP	$723.00	$723.00	$127.71–$494.69	—	—
Chest CT scan without and with contrast CPT 71270 CT THORAX W WO CONTRAST	$1,884.00	$1,884.00	$162.67–$233.22	21% above	—
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W WO CONTRAST	$1,884.00	$1,884.00	$162.67–$233.22	—	—
Chest X-ray, 2 views CPT 71046 RAD CHEST INSP EXP 71046	$84.00	$84.00	$32.50–$200.00	53% below	—
Chest X-ray, 2 views CPT 71046 RAD CHEST DECUB BIL 71046	$84.00	$84.00	$32.50–$200.00	53% below	—
Chest X-ray, 2 views CPT 71046 RAD CHEST PA & LAT 71046	$152.00	$152.00	$32.50–$200.00	15% below	—
Chest X-ray, 2 views inpatient CPT 71046 RAD CHEST DECUB BIL 71046	$84.00	$84.00	$32.50–$200.00	—	—
Chest X-ray, 2 views inpatient CPT 71046 RAD CHEST INSP EXP 71046	$84.00	$84.00	$32.50–$200.00	—	—
Chest X-ray, 2 views inpatient CPT 71046 RAD CHEST PA & LAT 71046	$152.00	$152.00	$32.50–$200.00	—	—
Chest X-ray, single view CPT 71045 RAD CHEST EXPIRATION 71045	$84.00	$84.00	$25.18–$153.57	39% below	—
Chest X-ray, single view CPT 71045 RAD CHEST AP ONLY 71045	$128.00	$128.00	$25.18–$153.57	8% below	—
Chest X-ray, single view CPT 71045 RAD CHEST DECUBITIS 1VW 71045	$140.00	$140.00	$25.18–$153.57	1% above	—
Chest X-ray, single view inpatient CPT 71045 RAD CHEST EXPIRATION 71045	$84.00	$84.00	$25.18–$153.57	—	—
Chest X-ray, single view inpatient CPT 71045 RAD CHEST AP ONLY 71045	$128.00	$128.00	$25.18–$153.57	—	—
Chest X-ray, single view inpatient CPT 71045 RAD CHEST DECUBITIS 1VW 71045	$140.00	$140.00	$25.18–$153.57	—	—
Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE	$158.00	$158.00	$47.19–$263.00	at median	—
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE	$158.00	$158.00	$47.19–$263.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETRO RENAL COMPL	$579.00	$579.00	$57.30–$291.47	3% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETRO RENAL COMPL	$579.00	$579.00	$57.30–$291.47	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY STUDY (DXA)	$468.00	$468.00	$41.59–$202.56	54% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY STUDY (DXA)	$468.00	$468.00	$41.59–$202.56	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W O CONTRAST	$1,405.00	$1,405.00	$57.00–$929.36	52% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W O CONTRAST	$1,405.00	$1,405.00	$57.00–$929.36	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W CONTRAST	$1,701.00	$1,701.00	$95.42–$972.03	38% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W CONTRAST	$1,701.00	$1,701.00	$95.42–$972.03	—	—
Diagnostic mammogram, both breasts CPT 77066 MAM DIAG BIL W CAD 77066	$452.00	$452.00	$53.01–$165.52	78% above	—
Diagnostic mammogram, both breasts inpatient CPT 77066 MAM DIAG BIL W CAD 77066	$452.00	$452.00	$53.01–$165.52	—	—
Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG UNI W CAD RT 77065	$328.00	$328.00	$43.51–$132.70	10% above	—
Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG UNI W CAD LT 77065	$328.00	$328.00	$43.51–$132.70	10% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIAG UNI W CAD LT 77065	$328.00	$328.00	$43.51–$132.70	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIAG UNI W CAD RT 77065	$328.00	$328.00	$43.51–$132.70	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DOP ART EXT LOWER BIL	$863.00	$863.00	$129.56–$394.91	22% above	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DOP ART EXT LOWER BIL	$863.00	$863.00	$129.56–$394.91	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DOP EXT VEIN BILATERAL	$1,098.00	$1,098.00	$127.71–$494.69	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DOP EXT VEIN BILATERAL	$1,098.00	$1,098.00	$127.71–$494.69	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM COMPLETE	$2,101.00	$2,101.00	$287.52–$2,020.00	60% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM W CONTRAST	$2,151.00	$2,151.00	$287.52–$2,020.00	64% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAM COMPLETE	$2,101.00	$2,101.00	$287.52–$2,020.00	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAM W CONTRAST	$2,151.00	$2,151.00	$287.52–$2,020.00	—	—
Elbow X-ray, 2 views CPT 73070 ELBOW AP & LAT	$137.00	$137.00	$79.00–$133.87	3% above	—
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW AP & LAT	$137.00	$137.00	$79.00–$133.87	—	—
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW 3 VIEW	$177.00	$177.00	$35.31–$153.05	7% above	—
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW 3 VIEW	$177.00	$177.00	$35.31–$153.05	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT OUT-MID-IN EAR W CPT 70480	$1,096.00	$1,096.00	$57.00–$957.49	13% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT OUT-MID-IN EAR WO CPT 70480	$1,096.00	$1,096.00	$57.00–$957.49	13% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS W O CONTRAST	$1,096.00	$1,096.00	$57.00–$957.49	13% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT OUT-MID-IN EAR WO CPT 70480	$1,096.00	$1,096.00	$57.00–$957.49	—	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT OUT-MID-IN EAR W CPT 70480	$1,096.00	$1,096.00	$57.00–$957.49	—	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS W O CONTRAST	$1,096.00	$1,096.00	$57.00–$957.49	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES MIN 3 VW	$325.00	$325.00	$146.89–$203.97	27% above	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES MIN 3 VW	$325.00	$325.00	$146.89–$203.97	—	—
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 2 VW	$156.00	$156.00	$31.46–$252.00	7% below	—
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM 2 VW	$156.00	$156.00	$31.46–$252.00	—	—
Hand X-ray, 2 views CPT 73120 HAND 2 VIEWS	$148.00	$148.00	$28.50–$187.56	1% above	—
Hand X-ray, 2 views inpatient CPT 73120 HAND 2 VIEWS	$148.00	$148.00	$28.50–$187.56	—	—
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CALCANEUS 2 VIEWS	$140.00	$140.00	$84.94–$133.87	8% above	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CALCANEUS 2 VIEWS	$140.00	$140.00	$84.94–$133.87	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME STUDY LESS THAN 6 HOURS	$701.00	$701.00	$51.61–$380.00	71% above	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTD HOME STUDY	$701.00	$701.00	$51.61–$380.00	71% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTD HOME STUDY	$701.00	$701.00	$51.61–$380.00	—	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HOME STUDY LESS THAN 6 HOURS	$701.00	$701.00	$51.61–$380.00	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 TITRATION STUDY	$3,229.00	$3,229.00	$544.91–$1,905.86	2% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SPLIT NIGHT POLYSONOGRAPHY	$3,229.00	$3,229.00	$544.91–$1,905.86	2% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 TITRATION LESS THAN 6 HOURS	$3,229.00	$3,229.00	$544.91–$1,905.86	2% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SPLIT NIGHT LESS THAN 6 HOURS	$3,229.00	$3,229.00	$544.91–$1,905.86	2% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SPLIT NIGHT LESS THAN 6 HOURS	$3,229.00	$3,229.00	$544.91–$1,905.86	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SPLIT NIGHT POLYSONOGRAPHY	$3,229.00	$3,229.00	$544.91–$1,905.86	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 TITRATION STUDY	$3,229.00	$3,229.00	$544.91–$1,905.86	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 TITRATION LESS THAN 6 HOURS	$3,229.00	$3,229.00	$544.91–$1,905.86	—	—
Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS	$187.00	$187.00	$40.39–$300.00	5% above	—
Knee X-ray, 3 views CPT 73562 FLUORO SPOT FILMS KNEE 3 VIEWS	$300.00	$300.00	$40.39–$300.00	68% above	—
Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS	$187.00	$187.00	$40.39–$300.00	—	—
Knee X-ray, 3 views inpatient CPT 73562 FLUORO SPOT FILMS KNEE 3 VIEWS	$300.00	$300.00	$40.39–$300.00	—	—
Knee X-ray, complete, 4 or more views CPT 73564 KNEE 4 VIEW OR MORE	$223.00	$223.00	$49.64–$184.85	13% above	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE 4 VIEW OR MORE	$223.00	$223.00	$49.64–$184.85	—	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTR W O CONTRAST	$1,653.00	$1,653.00	$57.00–$956.09	59% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTR W O CONTRAST	$1,653.00	$1,653.00	$57.00–$956.09	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIMITED ONE ORGAN QUADRANT	$551.00	$551.00	$57.00–$291.47	33% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIMITED ONE ORGAN QUADRANT	$551.00	$551.00	$57.00–$291.47	—	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY (LIMITED)	$560.00	$560.00	$13.60–$291.47	79% above	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMITY (LIMITED)	$560.00	$560.00	$13.60–$291.47	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING	$339.00	$339.00	$57.00–$473.59	24% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREENING	$339.00	$339.00	$57.00–$473.59	—	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA & FIBULA 2 VW	$170.00	$170.00	$33.43–$285.00	4% below	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA & FIBULA 2 VW	$170.00	$170.00	$33.43–$285.00	—	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA ANGIO HEAD WO	$2,108.00	$2,108.00	$236.83–$990.60	38% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA ANGIO HEAD WO	$2,108.00	$2,108.00	$236.83–$990.60	—	—
MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST BIL W WO CONTRAST	$2,735.00	$2,735.00	$293.00–$1,680.54	at median	—
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI BREAST BIL W WO CONTRAST	$2,735.00	$2,735.00	$293.00–$1,680.54	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER JOINT WITHOUT CONTRA	$2,638.00	$2,638.00	$127.71–$2,537.00	76% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER JOINT WITHOUT CONTRA	$2,638.00	$2,638.00	$127.71–$2,537.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER JOINT W WO CONTRAST	$4,315.00	$4,315.00	$337.17–$1,945.47	111% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER JOINT W WO CONTRAST	$4,315.00	$4,315.00	$337.17–$1,945.47	—	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WITHOUT CONTRAST	$2,274.00	$2,274.00	$129.56–$232.09	49% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WITHOUT CONTRAST	$2,274.00	$2,274.00	$129.56–$232.09	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W WO CONTRAST	$3,039.00	$3,039.00	$340.48–$1,519.24	6% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W WO CONTRAST	$3,039.00	$3,039.00	$340.48–$1,519.24	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W O CONTRAST	$2,096.00	$2,096.00	$129.56–$990.60	35% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W O CONTRAST	$2,096.00	$2,096.00	$129.56–$990.60	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W WO CONTRAST	$3,155.00	$3,155.00	$191.42–$1,561.06	31% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W WO CONTRAST	$3,155.00	$3,155.00	$191.42–$1,561.06	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINAL CORD W O CON	$2,379.00	$2,379.00	$129.56–$2,578.00	54% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINAL CORD W O CON	$2,379.00	$2,379.00	$129.56–$2,578.00	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SP W WO CONTRAST	$3,051.00	$3,051.00	$200.43–$1,561.06	16% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SP W WO CONTRAST	$3,051.00	$3,051.00	$200.43–$1,561.06	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SP W O CONTRAST	$2,379.00	$2,379.00	$127.71–$1,189.13	54% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SP W O CONTRAST	$2,379.00	$2,379.00	$127.71–$1,189.13	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SP W WO CONTRAST	$3,051.00	$3,051.00	$191.42–$1,561.06	18% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SP W WO CONTRAST	$3,051.00	$3,051.00	$191.42–$1,561.06	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SP W O CONTRAST	$2,379.00	$2,379.00	$127.71–$1,345.75	54% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SP W O CONTRAST	$2,379.00	$2,379.00	$127.71–$1,345.75	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W O AND W CONTRAST	$2,983.00	$2,983.00	$344.31–$1,561.06	13% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W O AND W CONTRAST	$2,983.00	$2,983.00	$344.31–$1,561.06	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W O CONTRAST	$2,064.00	$2,064.00	$232.57–$1,111.76	31% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W O CONTRAST	$2,064.00	$2,064.00	$232.57–$1,111.76	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER JOINT WO CONTRAST	$2,647.00	$2,647.00	$129.56–$1,193.35	52% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER JOINT WO CONTRAST	$2,647.00	$2,647.00	$129.56–$1,193.35	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERVICAL 4 OR 5 VIEWS	$244.00	$244.00	$56.11–$227.85	5% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE CERVICAL 4 OR 5 VIEWS	$244.00	$244.00	$56.11–$227.85	—	—
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W CONTRAS	$1,516.00	$1,516.00	$95.42–$923.89	22% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W CONTRAS	$1,516.00	$1,516.00	$95.42–$923.89	—	—
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W O CONTRA	$1,118.00	$1,118.00	$57.00–$978.59	17% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W O CONTRA	$1,118.00	$1,118.00	$57.00–$978.59	—	—
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$138.00	$138.00	$33.38–$133.87	7% below	—
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$138.00	$138.00	$33.38–$133.87	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM TOMO MYO R S MULTI	$3,462.00	$3,462.00	$351.64–$1,617.45	27% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM TOMO MYO R S MULTI	$3,462.00	$3,462.00	$351.64–$1,617.45	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W CT SKULL BASE TO MIDTHIG	$3,857.00	$3,857.00	$781.80–$3,857.00	2% above	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM PET W CT SKULL -THIGH 78815	$4,011.00	$4,011.00	$781.80–$3,857.00	6% above	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W CT SKULL BASE TO MIDTHIG	$3,857.00	$3,857.00	$781.80–$3,857.00	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM PET W CT SKULL -THIGH 78815	$4,011.00	$4,011.00	$781.80–$3,857.00	—	—
Pelvic CT scan without contrast CPT 72192 CT PELVIS W O CONTRAST	$1,372.00	$1,372.00	$57.00–$928.42	51% above	—
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W O CONTRAST	$1,372.00	$1,372.00	$57.00–$928.42	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC	$619.00	$619.00	$28.50–$668.00	15% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC W TRANSVAGINAL	$668.00	$668.00	$28.50–$668.00	25% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC	$619.00	$619.00	$28.50–$668.00	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC W TRANSVAGINAL	$668.00	$668.00	$28.50–$668.00	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB 14 WKS TA	$707.00	$707.00	$57.30–$185.81	43% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB 14 WKS TA	$707.00	$707.00	$57.30–$185.81	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB<14 WEEKS 1ST FETUS	$614.00	$614.00	$57.00–$304.32	34% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB<14 WEEKS 1ST FETUS	$614.00	$614.00	$57.00–$304.32	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 BEDSIDE PREGNANCY ULTRASOUND	$264.00	$264.00	$167.62–$219.92	16% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG LIMITED	$436.00	$436.00	$167.62–$219.92	39% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 BEDSIDE PREGNANCY ULTRASOUND	$264.00	$264.00	$167.62–$219.92	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG LIMITED	$436.00	$436.00	$167.62–$219.92	—	—
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILAT 2 VWS	$164.00	$164.00	$36.66–$261.00	12% below	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILAT 2 VWS	$164.00	$164.00	$36.66–$261.00	—	—
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS UNI-CHEST	$393.00	$393.00	$220.52	74% above	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS UNI-CHEST	$393.00	$393.00	$220.52	—	—
Screening mammogram, both breasts CPT 77067 MAM SCREEN BIL W CAD 77067	$367.00	$367.00	$40.04–$149.58	42% above	—
Screening mammogram, both breasts one side CPT 77067 MAM SCRN DIAG W CAD RT 77067	$367.00	$367.00	$40.04–$149.58	42% above	—
Screening mammogram, both breasts one side CPT 77067 MAM SCRN UNI W CAD LT 77067	$367.00	$367.00	$40.04–$149.58	42% above	—
Screening mammogram, both breasts inpatient CPT 77067 MAM SCREEN BIL W CAD 77067	$367.00	$367.00	$40.04–$149.58	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MAM SCRN DIAG W CAD RT 77067	$367.00	$367.00	$40.04–$149.58	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MAM SCRN UNI W CAD LT 77067	$367.00	$367.00	$40.04–$149.58	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER MIN 2 VW	$202.00	$202.00	$35.74–$326.00	5% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER MIN 2 VW	$202.00	$202.00	$35.74–$326.00	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES 3+ VIEWS	$814.00	$814.00	$511.11	280% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES 3+ VIEWS	$814.00	$814.00	$511.11	—	—
Sleep study in a lab (polysomnography) CPT 95810 NPSG LESS THAN 6 HOURS	$3,229.00	$3,229.00	$522.07–$1,455.47	4% above	—
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4 OR MORE	$3,229.00	$3,229.00	$522.07–$1,455.47	4% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 NPSG LESS THAN 6 HOURS	$3,229.00	$3,229.00	$522.07–$1,455.47	—	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY 4 OR MORE	$3,229.00	$3,229.00	$522.07–$1,455.47	—	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 RAD FEMUR 2 VW	$187.00	$187.00	$37.59–$251.00	6% below	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 RAD FEMUR 2 VW 73552	$261.00	$261.00	$37.59–$251.00	31% above	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 RAD FEMUR 2 VW	$187.00	$187.00	$37.59–$251.00	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 RAD FEMUR 2 VW 73552	$261.00	$261.00	$37.59–$251.00	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W O CONTRAST	$1,477.00	$1,477.00	$102.11–$698.66	54% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE W O CONTRAST	$1,477.00	$1,477.00	$102.11–$698.66	—	—
Toe X-ray, 2 or more views one side CPT 73660 TOE RT THIRD DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	10% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE RT FIFTH DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	10% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE RT FOURTH DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	10% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE LT GREAT TOE MIN 2 VW	$132.00	$132.00	$47.19–$209.00	10% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE RT SECOND DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	10% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE RT GREAT TOE MIN 2 VW	$132.00	$132.00	$47.19–$209.00	10% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE LT FIFTH DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	10% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE LT FOURTH DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	10% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE LT THIRD DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	10% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE LT SECOND DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	10% above	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE LT GREAT TOE MIN 2 VW	$132.00	$132.00	$47.19–$209.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE LT SECOND DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE LT FOURTH DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE RT THIRD DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE RT FIFTH DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE RT SECOND DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE LT THIRD DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE RT GREAT TOE MIN 2 VW	$132.00	$132.00	$47.19–$209.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE RT FOURTH DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE LT FIFTH DIGIT MIN 2 VW	$132.00	$132.00	$47.19–$209.00	—	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$522.00	$522.00	$57.00–$572.06	17% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$522.00	$522.00	$57.00–$572.06	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$477.00	$477.00	$57.30–$268.14	37% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$477.00	$477.00	$57.30–$268.14	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$770.00	$770.00	$57.00–$361.99	30% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$770.00	$770.00	$57.00–$361.99	—	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$566.00	$566.00	$57.00–$505.00	14% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$566.00	$566.00	$57.00–$505.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TIS HEAD NECK	$533.00	$533.00	$57.00–$291.47	19% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TIS HEAD NECK	$533.00	$533.00	$57.00–$291.47	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RAD UGI 74240	$493.00	$493.00	$211.01	36% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RAD UGI 74240	$493.00	$493.00	$211.01	—	—
Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS MIN 2 VW	$163.00	$163.00	$47.36–$260.00	7% below	—
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS MIN 2 VW	$163.00	$163.00	$47.36–$260.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DOP EXT VEIN UNI	$664.00	$664.00	$57.00–$638.00	29% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DOP EXT VEIN UNI	$664.00	$664.00	$57.00–$638.00	—	—
Wrist X-ray, 2 views CPT 73100 WRIST AP-LAT	$139.00	$139.00	$105.51–$123.16	at median	—
Wrist X-ray, 2 views inpatient CPT 73100 WRIST AP-LAT	$139.00	$139.00	$105.51–$123.16	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3 VIEWS	$165.00	$165.00	$47.19–$265.00	9% below	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST 3 VIEWS	$165.00	$165.00	$47.19–$265.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 RAD HIP 2-3 VW 73502	$181.00	$181.00	$47.19–$114.41	8% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 RAD HIP 2-3 VW 73502	$181.00	$181.00	$47.19–$114.41	—	—
X-ray of the abdomen, 1 view CPT 74018 RAD ABD DECUB 1VW 74018	$84.00	$84.00	$30.97–$230.00	43% below	—
X-ray of the abdomen, 1 view CPT 74018 RAD ABD (FLATE PLATE)1VW 74018	$146.00	$146.00	$30.97–$230.00	1% below	—
X-ray of the abdomen, 1 view CPT 74018 RAD ABD (FLAT PLATE) 1VW 74018	$217.00	$217.00	$30.97–$230.00	47% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 RAD ABD DECUB 1VW 74018	$84.00	$84.00	$30.97–$230.00	—	—
X-ray of the abdomen, 1 view inpatient CPT 74018 RAD ABD (FLATE PLATE)1VW 74018	$146.00	$146.00	$30.97–$230.00	—	—
X-ray of the abdomen, 1 view inpatient CPT 74018 RAD ABD (FLAT PLATE) 1VW 74018	$217.00	$217.00	$30.97–$230.00	—	—
X-ray of the ankle, 2 views CPT 73600 ANKLE AP & LAT	$143.00	$143.00	$84.94–$123.16	17% below	—
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE AP & LAT	$143.00	$143.00	$84.94–$123.16	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RT THUMB MIN 2 VW	$132.00	$132.00	$45.44–$175.00	9% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 5TH DIGIT RT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	9% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LT 5TH DIGIT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	9% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LT 2ND DIGIT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	9% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LT 4TH DIGIT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	9% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 4TH DIGIT RT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	9% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LT 3RD DIGIT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	9% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LT THUMB MIN 2 VW	$132.00	$132.00	$45.44–$175.00	9% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 3RD DIGIT RT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	9% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2ND DIGIT RT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	9% above	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER LT THUMB MIN 2 VW	$132.00	$132.00	$45.44–$175.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER LT 2ND DIGIT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 5TH DIGIT RT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 4TH DIGIT RT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 3RD DIGIT RT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2ND DIGIT RT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER RT THUMB MIN 2 VW	$132.00	$132.00	$45.44–$175.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER LT 5TH DIGIT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER LT 4TH DIGIT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER LT 3RD DIGIT MIN 2 VW	$132.00	$132.00	$45.44–$175.00	—	—
X-ray of the foot, 2 views CPT 73620 FOOT AP & LAT	$152.00	$152.00	$47.36–$123.16	4% above	—
X-ray of the foot, 2 views inpatient CPT 73620 FOOT AP & LAT	$152.00	$152.00	$47.36–$123.16	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMPLETE 3V	$187.00	$187.00	$38.20–$153.05	10% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMPLETE 3V	$187.00	$187.00	$38.20–$153.05	—	—
X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEWS	$171.00	$171.00	$41.59–$276.00	1% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND 3 VIEWS	$171.00	$171.00	$41.59–$276.00	—	—
X-ray of the knee, 1 or 2 views CPT 73560 KNEE AP-LAT	$152.00	$152.00	$47.36–$123.16	2% below	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE AP-LAT	$152.00	$152.00	$47.36–$123.16	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBOSACRAL AP & LATERAL	$182.00	$182.00	$40.84–$292.00	12% below	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 PRE EMP SPINE LUMBAR AP & LAT	$246.00	$246.00	$40.84–$292.00	20% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBOSACRAL AP & LATERAL	$182.00	$182.00	$40.84–$292.00	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 PRE EMP SPINE LUMBAR AP & LAT	$246.00	$246.00	$40.84–$292.00	—	—
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR AP & OBL	$252.00	$252.00	$54.26–$158.96	16% below	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR AP & OBL	$252.00	$252.00	$54.26–$158.96	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC AP LAT	$184.00	$184.00	$57.00–$137.39	4% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC AP LAT	$184.00	$184.00	$57.00–$137.39	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MIN 3 VW	$223.00	$223.00	$112.13–$123.16	37% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES MIN 3 VW	$223.00	$223.00	$112.13–$123.16	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 3 VIEWS OR LESS	$152.00	$152.00	$40.38–$123.16	22% below	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 3 VIEWS OR LESS	$152.00	$152.00	$40.38–$123.16	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP 1-2 VW	$146.00	$146.00	$28.55–$237.00	6% below	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS AP 1-2 VW	$146.00	$146.00	$28.55–$237.00	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX 2 VIEWS	$170.00	$170.00	$33.89–$128.48	8% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX 2 VIEWS	$170.00	$170.00	$33.89–$128.48	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE	$20.35	$20.35	$37.85–$123.00	78% below	—
ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORMONE	$20.35	$20.35	$37.85–$123.00	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$28.00	$28.00	$4.54–$26.26	17% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$56.00	$56.00	$4.54–$26.26	133% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT)	$28.00	$28.00	$4.54–$26.26	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT)	$56.00	$56.00	$4.54–$26.26	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)	$56.00	$56.00	$4.43–$26.26	155% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST)	$56.00	$56.00	$4.43–$26.26	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PROFILE	$302.00	$302.00	$26.05–$224.78	78% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PROFILE	$302.00	$302.00	$26.05–$224.78	—	—
Albumin blood test CPT 82040 ALBUMIN	$11.47	$11.47	$2.65–$5.36	43% below	—
Albumin blood test CPT 82040 ALBUMIN SERUM	$20.00	$20.00	$2.65–$5.36	at median	—
Albumin blood test CPT 82040 ALBUMIN SERUM PLASMA OR WB	$58.00	$58.00	$2.65–$5.36	190% above	—
Albumin blood test inpatient CPT 82040 ALBUMIN	$11.47	$11.47	$2.65–$5.36	—	—
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$20.00	$20.00	$2.65–$5.36	—	—
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM PLASMA OR WB	$58.00	$58.00	$2.65–$5.36	—	—
Aldosterone blood test CPT 82088 ALDOSTERONE	$18.00	$18.00	$39.93–$130.64	67% below	—
Aldosterone blood test CPT 82088 ALDOSTERONE-URINE	$60.84	$60.84	$39.93–$130.64	10% above	—
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$18.00	$18.00	$39.93–$130.64	—	—
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE-URINE	$60.84	$60.84	$39.93–$130.64	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS TOTAL	$7.24	$7.24	$2.78–$30.01	66% below	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE	$64.00	$64.00	$2.78–$30.01	205% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS TOTAL	$7.24	$7.24	$2.78–$30.01	—	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOSPHATASE	$64.00	$64.00	$2.78–$30.01	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA IGE	$6.00	$6.00	$2.80–$16.97	10% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 CATFISH IGE	$6.00	$6.00	$2.80–$16.97	10% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$36.00	$36.00	$2.80–$16.97	441% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 POPLAR WHITE IGE	$44.36	$44.36	$2.80–$16.97	567% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HELMINTHOSPORIUM IGE	$56.06	$56.06	$2.80–$16.97	743% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 COFFEE IGE	$67.00	$67.00	$2.80–$16.97	908% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TILAPIA IGE	$6.00	$6.00	$2.80–$16.97	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CATFISH IGE	$6.00	$6.00	$2.80–$16.97	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE	$36.00	$36.00	$2.80–$16.97	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POPLAR WHITE IGE	$44.36	$44.36	$2.80–$16.97	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HELMINTHOSPORIUM IGE	$56.06	$56.06	$2.80–$16.97	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COFFEE IGE	$67.00	$67.00	$2.80–$16.97	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 MATERNAL AFP-TRIPLE TEST	$12.03	$12.03	$9.17–$29.54	76% below	—
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER	$12.03	$12.03	$9.17–$29.54	76% below	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 MATERNAL AFP-TRIPLE TEST	$12.03	$12.03	$9.17–$29.54	—	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TUMOR MARKER	$12.03	$12.03	$9.17–$29.54	—	—
Ammonia blood test CPT 82140 AMMONIUM URINE	$23.74	$23.74	$12.98–$56.74	63% below	—
Ammonia blood test CPT 82140 AMMONIA	$121.00	$121.00	$12.98–$56.74	86% above	—
Ammonia blood test inpatient CPT 82140 AMMONIUM URINE	$23.74	$23.74	$12.98–$56.74	—	—
Ammonia blood test inpatient CPT 82140 AMMONIA	$121.00	$121.00	$12.98–$56.74	—	—
Amylase blood test CPT 82150 AMYLASE	$93.00	$93.00	$3.47–$43.61	377% above	—
Amylase blood test CPT 82150 AMYLASE URINE	$93.00	$93.00	$3.47–$43.61	377% above	—
Amylase blood test CPT 82150 AMYLASE (BODY FLD)	$93.00	$93.00	$3.47–$43.61	377% above	—
Amylase blood test inpatient CPT 82150 AMYLASE (BODY FLD)	$93.00	$93.00	$3.47–$43.61	—	—
Amylase blood test inpatient CPT 82150 AMYLASE URINE	$93.00	$93.00	$3.47–$43.61	—	—
Amylase blood test inpatient CPT 82150 AMYLASE	$93.00	$93.00	$3.47–$43.61	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$19.47	$19.47	$6.94–$50.00	62% below	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$19.47	$19.47	$6.94–$50.00	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$9.80	$9.80	$6.48–$47.00	81% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB	$9.80	$9.80	$6.48–$47.00	81% below	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB	$9.80	$9.80	$6.48–$47.00	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$9.80	$9.80	$6.48–$47.00	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP	$201.00	$201.00	$30.35–$94.25	187% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP	$201.00	$201.00	$30.35–$94.25	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GC CULTURE ONLY	$102.00	$102.00	$4.62–$102.00	92% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE-SPUTUM	$102.00	$102.00	$4.62–$102.00	92% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE-GENITAL	$102.00	$102.00	$4.62–$102.00	92% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE-CSF	$102.00	$102.00	$4.62–$102.00	92% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE-THROAT	$102.00	$102.00	$4.62–$102.00	92% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE-NOSE	$102.00	$102.00	$4.62–$102.00	92% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE-ROUTINE	$102.00	$102.00	$4.62–$102.00	92% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE-SPUTUM	$102.00	$102.00	$4.62–$102.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GC CULTURE ONLY	$102.00	$102.00	$4.62–$102.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE-ROUTINE	$102.00	$102.00	$4.62–$102.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE-NOSE	$102.00	$102.00	$4.62–$102.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE-THROAT	$102.00	$102.00	$4.62–$102.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE-GENITAL	$102.00	$102.00	$4.62–$102.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE-CSF	$102.00	$102.00	$4.62–$102.00	—	—
Basic metabolic panel (blood test) CPT 80048 METABOLIC BASIC PROFILE	$127.00	$127.00	$4.53–$59.55	118% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC BASIC PROFILE	$127.00	$127.00	$4.53–$59.55	—	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$27.00	$27.00	$2.69–$33.29	21% above	—
Bilirubin blood test, total CPT 82247 BILIRUBIN-TOTAL	$71.00	$71.00	$2.69–$33.29	219% above	—
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$27.00	$27.00	$2.69–$33.29	—	—
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN-TOTAL	$71.00	$71.00	$2.69–$33.29	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH IV:TC	$205.00	$205.00	$3.92–$205.00	130% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PROSTATE SATURATION	$1,098.00	$1,098.00	$3.92–$205.00	1130% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH IV:TC	$205.00	$205.00	$3.92–$205.00	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PROSTATE SATURATION	$1,098.00	$1,098.00	$3.92–$205.00	—	—
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$118.00	$118.00	$5.65–$55.33	89% above	—
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$118.00	$118.00	$5.65–$55.33	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAW	$31.00	$31.00	$4.87–$31.00	143% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DRAW	$31.00	$31.00	$4.87–$31.00	—	—
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE COMM ED	$36.00	$36.00	$2.11–$25.21	50% above	—
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE TEST	$39.00	$39.00	$2.11–$25.21	62% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE	$40.00	$40.00	$2.11–$25.21	67% above	—
Blood glucose (sugar) test inpatient CPT 82947 BLOOD GLUCOSE COMM ED	$36.00	$36.00	$2.11–$25.21	—	—
Blood glucose (sugar) test inpatient CPT 82947 BLOOD GLUCOSE TEST	$39.00	$39.00	$2.11–$25.21	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$40.00	$40.00	$2.11–$25.21	—	—
Blood lead test CPT 83655 LEAD	$8.53	$8.53	$6.62–$39.03	19% below	—
Blood lead test CPT 83655 LEAD BLOOD	$10.00	$10.00	$6.62–$39.03	4% below	—
Blood lead test inpatient CPT 83655 LEAD	$8.53	$8.53	$6.62–$39.03	—	—
Blood lead test inpatient CPT 83655 LEAD BLOOD	$10.00	$10.00	$6.62–$39.03	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY-SERUM	$92.00	$92.00	$4.03–$92.00	149% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY-SERUM	$92.00	$92.00	$4.03–$92.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC ABO TYPE	$133.00	$133.00	$2.66–$126.29	292% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TYPE ABO	$144.00	$144.00	$2.66–$126.29	324% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ARC ABO TYPE	$133.00	$133.00	$2.66–$126.29	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TYPE ABO	$144.00	$144.00	$2.66–$126.29	—	—
Blood urea nitrogen (BUN) test CPT 84520 BUN	$50.00	$50.00	$2.16–$23.45	186% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$50.00	$50.00	$2.16–$23.45	—	—
C-peptide blood test CPT 84681 C-PEPTIDE	$16.54	$16.54	$20.39–$66.16	72% below	—
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$16.54	$16.54	$20.39–$66.16	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$79.00	$79.00	$2.83–$79.00	139% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$79.00	$79.00	$2.83–$79.00	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN GENES AMP	$180.00	$180.00	$19.98–$84.40	71% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE TOXIN GENES AMP	$180.00	$180.00	$19.98–$84.40	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA19-9	$18.21	$18.21	$20.39–$49.03	77% below	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA19-9	$18.21	$18.21	$20.39–$49.03	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA125	$126.00	$126.00	$20.39–$111.00	53% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA125	$126.00	$126.00	$20.39–$111.00	—	—
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$58.00	$58.00	$2.77–$27.20	190% above	—
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$58.00	$58.00	$2.77–$27.20	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$148.00	$148.00	$18.58–$33.76	78% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$148.00	$148.00	$18.58–$33.76	—	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSER IGG	$15.00	$15.00	$11.48–$45.20	63% below	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG IGM	$15.47	$15.47	$11.48–$45.20	62% below	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSER IGG	$15.00	$15.00	$11.48–$45.20	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG IGM	$15.47	$15.47	$11.48–$45.20	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS AMP PROBE	$24.61	$24.61	$18.81–$121.73	67% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMP PROBE	$180.00	$180.00	$18.81–$121.73	143% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS AMP PROBE	$24.61	$24.61	$18.81–$121.73	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMP PROBE	$180.00	$180.00	$18.81–$121.73	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL (O P)	$107.00	$107.00	$7.18–$50.17	110% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL (O P)	$107.00	$107.00	$7.18–$50.17	—	—
Complete blood count (CBC) with differential CPT 85025 CBC	$81.00	$81.00	$4.16–$81.00	98% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC	$81.00	$81.00	$4.16–$81.00	—	—
Complete blood count (CBC), no differential CPT 85027 CBC W O DIFF	$57.00	$57.00	$3.47–$26.73	97% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W O DIFF	$57.00	$57.00	$3.47–$26.73	—	—
Comprehensive metabolic panel (blood test) CPT 80053 METABOLIC COMP. PROFILE	$167.00	$167.00	$5.66–$167.00	123% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 METABOLIC COMP. PROFILE	$167.00	$167.00	$5.66–$167.00	—	—
Cortisol blood test, total CPT 82533 CORTISOL SALIVA	$53.47	$53.47	$8.74–$63.77	57% above	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$88.03	$88.03	$8.74–$63.77	159% above	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$136.00	$136.00	$8.74–$63.77	300% above	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVA	$53.47	$53.47	$8.74–$63.77	—	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$88.03	$88.03	$8.74–$63.77	—	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$136.00	$136.00	$8.74–$63.77	—	—
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL	$14.53	$14.53	$3.49–$73.00	52% below	—
Creatine kinase (CK) blood test, total CPT 82550 CPK-TOTAL	$73.00	$73.00	$3.49–$73.00	143% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE TOTAL	$14.53	$14.53	$3.49–$73.00	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK-TOTAL	$73.00	$73.00	$3.49–$73.00	—	—
Creatinine blood test CPT 82565 CREATININE BLOOD	$53.00	$53.00	$2.74–$24.85	126% above	—
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$53.00	$53.00	$2.74–$24.85	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$18.24	$18.24	$12.30–$45.79	55% below	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$18.24	$18.24	$12.30–$45.79	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$49.00	$49.00	$5.46–$83.00	26% above	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITITIVE	$83.00	$83.00	$5.46–$83.00	113% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$49.00	$49.00	$5.46–$83.00	—	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITITIVE	$83.00	$83.00	$5.46–$83.00	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA S	$18.00	$18.00	$19.01–$71.26	72% below	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA S	$18.00	$18.00	$19.01–$71.26	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MULTI DRUG CLASS	$33.42	$33.42	$33.99–$115.51	43% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE SCREEN URINE	$33.42	$33.42	$33.99–$115.51	43% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG OF ABUSE W CONFIRM 9PANEL	$33.42	$33.42	$33.99–$115.51	43% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CHROMATOGRAPHIC	$75.00	$75.00	$33.99–$115.51	29% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN CLINIC DRUG 10 SCREEN	$82.71	$82.71	$33.99–$115.51	42% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SCREEN	$88.63	$88.63	$33.99–$115.51	52% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREENING CLASS A	$165.00	$165.00	$33.99–$115.51	183% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN MULTI DRUG CLASS	$33.42	$33.42	$33.99–$115.51	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG OF ABUSE W CONFIRM 9PANEL	$33.42	$33.42	$33.99–$115.51	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE SCREEN URINE	$33.42	$33.42	$33.99–$115.51	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN CHROMATOGRAPHIC	$75.00	$75.00	$33.99–$115.51	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN CLINIC DRUG 10 SCREEN	$82.71	$82.71	$33.99–$115.51	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG SCREEN	$88.63	$88.63	$33.99–$115.51	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREENING CLASS A	$165.00	$165.00	$33.99–$115.51	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PNL	$86.00	$86.00	$23.96	146% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PNL	$86.00	$86.00	$23.96	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 VCA-IGM	$13.39	$13.39	$13.12–$57.68	76% below	—
Epstein-Barr virus (EBV) antibody test CPT 86665 VCA-IGG	$13.39	$13.39	$13.12–$57.68	76% below	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 VCA-IGG	$13.39	$13.39	$13.12–$57.68	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 VCA-IGM	$13.39	$13.39	$13.12–$57.68	—	—
Estradiol blood test CPT 82670 ESTRADIOL	$68.29	$68.29	$14.98–$89.10	4% below	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$68.29	$68.29	$14.98–$89.10	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$148.00	$148.00	$9.96–$148.00	87% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$148.00	$148.00	$9.96–$148.00	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN	$207.00	$207.00	$10.52–$120.04	239% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN	$207.00	$207.00	$10.52–$120.04	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$114.00	$114.00	$7.31–$53.45	89% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$114.00	$114.00	$7.31–$53.45	—	—
Folate (folic acid) blood test CPT 82746 FOLATE	$102.00	$102.00	$7.88–$102.00	48% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$102.00	$102.00	$7.88–$102.00	—	—
Free T3 thyroid hormone test CPT 84481 FREE T3	$126.00	$126.00	$9.08–$59.08	94% above	—
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$126.00	$126.00	$9.08–$59.08	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 BY DIALYSIS	$26.00	$26.00	$4.83–$45.95	19% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE	$98.00	$98.00	$4.83–$45.95	207% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 BY DIALYSIS	$26.00	$26.00	$4.83–$45.95	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE	$98.00	$98.00	$4.83–$45.95	—	—
Free testosterone test CPT 84402 TESTOSTERONE FREE	$10.83	$10.83	$10.83–$81.45	77% below	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$10.83	$10.83	$10.83–$81.45	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$40.00	$40.00	$3.86–$34.23	31% above	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 G.G.T.P.	$73.00	$73.00	$3.86–$34.23	139% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$40.00	$40.00	$3.86–$34.23	—	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 G.G.T.P.	$73.00	$73.00	$3.86–$34.23	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HEALTH PNL	$291.00	$291.00	$32.27–$169.37	72% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GEN HEALTH PNL	$291.00	$291.00	$32.27–$169.37	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE-POST GLUCOSE LOAD	$71.00	$71.00	$2.55–$33.29	219% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE-POST GLUCOSE LOAD	$71.00	$71.00	$2.55–$33.29	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE	$175.00	$175.00	$7.04–$82.06	203% above	—
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE	$175.00	$175.00	$7.04–$82.06	203% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE	$175.00	$175.00	$7.04–$82.06	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE	$175.00	$175.00	$7.04–$82.06	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMP PROBE	$180.00	$180.00	$18.81–$121.73	86% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE AMP PROBE	$180.00	$180.00	$18.81–$121.73	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QUANT	$85.00	$85.00	$45.56–$450.00	36% below	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA QUANT	$85.00	$85.00	$45.56–$450.00	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV ANTIGEN ANTIBODY COMBO	$62.00	$62.00	$12.91–$44.48	37% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV ANTIGEN ANTIBODY COMBO	$62.00	$62.00	$12.91–$44.48	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DETECTION	$40.83	$40.83	$19.19–$47.87	45% below	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DETECTION	$40.83	$40.83	$19.19–$47.87	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$26.00	$26.00	$5.20–$38.92	32% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYSO HGB 8190	$83.00	$83.00	$5.20–$38.92	117% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$26.00	$26.00	$5.20–$38.92	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYSO HGB 8190	$83.00	$83.00	$5.20–$38.92	—	—
Hemoglobin blood test CPT 85018 BLOOD COUNT HEMOGLOBIN	$11.00	$11.00	$1.27–$12.66	31% below	—
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$27.00	$27.00	$1.27–$12.66	69% above	—
Hemoglobin blood test inpatient CPT 85018 BLOOD COUNT HEMOGLOBIN	$11.00	$11.00	$1.27–$12.66	—	—
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$27.00	$27.00	$1.27–$12.66	—	—
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY	$16.60	$16.60	$11.81–$46.00	62% below	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE ANTIBODY	$16.60	$16.60	$11.81–$46.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS BS ANTIBODY	$14.08	$14.08	$5.76–$117.00	66% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS BS ANTIBODY	$14.08	$14.08	$5.76–$117.00	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG-REFERENCE	$14.88	$14.88	$5.54–$56.74	63% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG	$121.00	$121.00	$5.54–$56.74	199% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF AG-REFERENCE	$14.88	$14.88	$5.54–$56.74	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF AG	$121.00	$121.00	$5.54–$56.74	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$18.75	$18.75	$7.65–$49.77	61% below	—
Hepatitis C antibody blood test (screening) CPT 86803 aHCV	$68.00	$68.00	$7.65–$49.77	42% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$18.75	$18.75	$7.65–$49.77	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 aHCV	$68.00	$68.00	$7.65–$49.77	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCVQUANT-PCR	$90.00	$90.00	$41.98–$42.84	at median	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV-RNA QUANT	$90.00	$90.00	$41.98–$42.84	at median	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCVQUANT-PCR	$90.00	$90.00	$41.98–$42.84	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV-RNA QUANT	$90.00	$90.00	$41.98–$42.84	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPES 1 AB IGG	$7.67	$7.67	$7.67–$51.00	82% below	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1	$51.00	$51.00	$7.67–$51.00	23% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPES 1 AB IGG	$7.67	$7.67	$7.67–$51.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1	$51.00	$51.00	$7.67–$51.00	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPES 2 AB IGG	$11.25	$11.25	$7.03–$15.00	73% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2	$11.25	$11.25	$7.03–$15.00	73% below	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPES 2 AB IGG	$11.25	$11.25	$7.03–$15.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2	$11.25	$11.25	$7.03–$15.00	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HS	$93.00	$93.00	$6.94–$43.61	63% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HS	$93.00	$93.00	$6.94–$43.61	—	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$24.99	$24.99	$9.80–$46.42	66% below	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE 2	$99.00	$99.00	$9.80–$46.42	35% above	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$24.99	$24.99	$9.80–$46.42	—	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE 2	$99.00	$99.00	$9.80–$46.42	—	—
Insulin blood test CPT 83525 INSULIN TOTAL	$18.75	$18.75	$6.25–$20.63	51% below	—
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$18.75	$18.75	$6.25–$20.63	—	—
Iron blood test (serum iron) CPT 83540 IRON	$32.00	$32.00	$3.47–$20.35	9% above	—
Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE	$316.80	$316.80	$3.47–$20.35	983% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$32.00	$32.00	$3.47–$20.35	—	—
Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE	$316.80	$316.80	$3.47–$20.35	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$70.00	$70.00	$4.68–$32.82	77% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$70.00	$70.00	$4.68–$32.82	—	—
Kidney function blood test panel CPT 80069 RENAL PANEL (IP)	$128.00	$128.00	$7.83–$60.02	107% above	—
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL (IP)	$128.00	$128.00	$7.83–$60.02	—	—
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HRMN	$144.00	$144.00	$9.93–$144.00	89% above	—
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HRMN	$144.00	$144.00	$9.93–$144.00	—	—
Lactate (lactic acid) blood test CPT 83605 LACTATE	$98.00	$98.00	$9.89–$98.00	118% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE	$98.00	$98.00	$9.89–$98.00	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$23.00	$23.00	$3.24–$29.07	4% below	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$23.00	$23.00	$3.24–$29.07	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$83.00	$83.00	$3.69–$83.00	196% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$83.00	$83.00	$3.69–$83.00	—	—
Liver function blood test panel CPT 80076 LIVER FUNCTION PANEL	$140.00	$140.00	$4.47–$65.65	187% above	—
Liver function blood test panel inpatient CPT 80076 LIVER FUNCTION PANEL	$140.00	$140.00	$4.47–$65.65	—	—
Lyme disease antibody test CPT 86618 LYME DISEASE TEST	$20.10	$20.10	$9.13–$75.97	23% below	—
Lyme disease antibody test CPT 86618 LYME IGM	$81.00	$81.00	$9.13–$75.97	209% above	—
Lyme disease antibody test CPT 86618 LYME IGG	$81.00	$81.00	$9.13–$75.97	209% above	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE TEST	$20.10	$20.10	$9.13–$75.97	—	—
Lyme disease antibody test inpatient CPT 86618 LYME IGM	$81.00	$81.00	$9.13–$75.97	—	—
Lyme disease antibody test inpatient CPT 86618 LYME IGG	$81.00	$81.00	$9.13–$75.97	—	—
Magnesium blood test CPT 83735 MAGNESIUM URINE	$10.92	$10.92	$3.59–$76.00	48% below	—
Magnesium blood test CPT 83735 MAGNESIUM FECES	$35.06	$35.06	$3.59–$76.00	66% above	—
Magnesium blood test CPT 83735 MAGNESIUM-RBC	$43.07	$43.07	$3.59–$76.00	104% above	—
Magnesium blood test CPT 83735 MAGNESIUM	$76.00	$76.00	$3.59–$76.00	259% above	—
Magnesium blood test CPT 83735 MAGNESIUM URINE	$76.00	$76.00	$3.59–$76.00	259% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$10.92	$10.92	$3.59–$76.00	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM FECES	$35.06	$35.06	$3.59–$76.00	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM-RBC	$43.07	$43.07	$3.59–$76.00	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$76.00	$76.00	$3.59–$76.00	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$76.00	$76.00	$3.59–$76.00	—	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA ABS	$21.56	$21.56	$12.62–$23.45	13% below	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ABS	$21.56	$21.56	$12.62–$23.45	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST	$74.00	$74.00	$2.78–$34.70	84% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST	$74.00	$74.00	$2.78–$34.70	—	—
Mumps immunity blood test CPT 86735 MUMPS IGG IGM	$22.51	$22.51	$12.79–$23.45	10% below	—
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG IGM	$22.51	$22.51	$12.79–$23.45	—	—
Obstetric blood test panel CPT 80055 OBSTETRIC P	$272.00	$272.00	$125.74	56% above	—
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC P	$272.00	$272.00	$125.74	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA-FREE	$13.28	$13.28	$18.39–$34.70	77% below	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA-FREE	$13.28	$13.28	$18.39–$34.70	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL-REFERENCE	$13.28	$13.28	$10.06–$77.00	74% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA-DIAGNOSTIC TOTAL	$77.00	$77.00	$10.06–$77.00	53% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA-SCREEN TOTAL	$77.00	$77.00	$10.06–$77.00	53% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL-REFERENCE	$13.28	$13.28	$10.06–$77.00	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA-DIAGNOSTIC TOTAL	$77.00	$77.00	$10.06–$77.00	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA-SCREEN TOTAL	$77.00	$77.00	$10.06–$77.00	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 PAP AUTOMATED THIN LAYER PHYS	$29.00	$29.00	$13.60–$29.00	60% below	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP AUTOMATED THIN LAYER PHYS	$29.00	$29.00	$13.60–$29.00	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$193.00	$193.00	$22.13–$90.50	50% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$193.00	$193.00	$22.13–$90.50	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PARTIAL THROMB	$24.38	$24.38	$3.22–$84.00	20% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PARTIAL THROMB TIME	$28.00	$28.00	$3.22–$84.00	8% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT	$84.00	$84.00	$3.22–$84.00	176% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTIVATED PARTIAL THROMB	$24.38	$24.38	$3.22–$84.00	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTIVATED PARTIAL THROMB TIME	$28.00	$28.00	$3.22–$84.00	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT	$84.00	$84.00	$3.22–$84.00	—	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$24.80	$24.80	$2.54–$57.00	18% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$24.80	$24.80	$2.54–$57.00	—	—
Potassium blood test CPT 84132 POTASSIUM	$49.00	$49.00	$2.60–$49.00	122% above	—
Potassium blood test inpatient CPT 84132 POTASSIUM	$49.00	$49.00	$2.60–$49.00	—	—
Progesterone blood test CPT 84144 PROGESTERONE	$126.00	$126.00	$11.18–$72.83	98% above	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$126.00	$126.00	$11.18–$72.83	—	—
Prolactin blood test CPT 84146 PROLACTIN	$151.00	$151.00	$10.39–$151.00	109% above	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$151.00	$151.00	$10.39–$151.00	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$19.00	$19.00	$2.30–$49.00	6% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME INR	$49.00	$49.00	$2.30–$49.00	175% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$19.00	$19.00	$2.30–$49.00	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME INR	$49.00	$49.00	$2.30–$49.00	—	—
Renin blood test CPT 84244 RENIN-PLASMA	$13.00	$13.00	$19.84–$70.41	66% below	—
Renin blood test inpatient CPT 84244 RENIN-PLASMA	$13.00	$13.00	$19.84–$70.41	—	—
Rh blood typing CPT 86901 ARC RH TYPE	$44.00	$44.00	$2.66–$27.20	61% above	—
Rh blood typing CPT 86901 RH-D TYPE	$58.00	$58.00	$2.66–$27.20	112% above	—
Rh blood typing inpatient CPT 86901 ARC RH TYPE	$44.00	$44.00	$2.66–$27.20	—	—
Rh blood typing inpatient CPT 86901 RH-D TYPE	$58.00	$58.00	$2.66–$27.20	—	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR	$21.00	$21.00	$5.56	37% below	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$24.00	$24.00	$5.56	28% below	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR	$21.00	$21.00	$5.56	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$24.00	$24.00	$5.56	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA-IMMUNE	$105.00	$105.00	$7.71–$49.23	152% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA-IMMUNE	$105.00	$105.00	$7.71–$49.23	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS	$131.00	$131.00	$12.31–$131.00	65% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS	$131.00	$131.00	$12.31–$131.00	—	—
Sodium blood test CPT 84295 SODIUM SERUM PLASMA WB	$56.00	$56.00	$4.81–$26.26	168% above	—
Sodium blood test inpatient CPT 84295 SODIUM SERUM PLASMA WB	$56.00	$56.00	$4.81–$26.26	—	—
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$99.00	$99.00	$4.77–$46.42	158% above	—
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES	$99.00	$99.00	$4.77–$46.42	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD SCREENING	$108.00	$108.00	$8.53–$108.00	189% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD DIAGNOSTIC	$187.00	$187.00	$8.53–$108.00	400% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD SCREENING	$108.00	$108.00	$8.53–$108.00	—	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD DIAGNOSTIC	$187.00	$187.00	$8.53–$108.00	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS IGG	$12.75	$12.75	$7.10–$24.36	72% below	—
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$37.51	$37.51	$7.10–$24.36	19% below	—
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS IGG	$37.51	$37.51	$7.10–$24.36	19% below	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS IGG	$12.75	$12.75	$7.10–$24.36	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS IGG	$37.51	$37.51	$7.10–$24.36	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM	$37.51	$37.51	$7.10–$24.36	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS AB	$45.90	$45.90	$2.34–$24.38	164% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$45.90	$45.90	$2.34–$24.38	164% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$52.00	$52.00	$2.34–$24.38	199% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS AB	$45.90	$45.90	$2.34–$24.38	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF	$45.90	$45.90	$2.34–$24.38	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$52.00	$52.00	$2.34–$24.38	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON	$61.90	$61.90	$33.90–$73.68	51% below	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON	$61.90	$61.90	$33.90–$73.68	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$15.50	$15.50	$13.83–$82.29	76% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE	$59.79	$59.79	$13.83–$82.29	9% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE-TOTAL	$122.00	$122.00	$13.83–$82.29	86% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$15.50	$15.50	$13.83–$82.29	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE	$59.79	$59.79	$13.83–$82.29	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE-TOTAL	$122.00	$122.00	$13.83–$82.29	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB	$12.90	$12.90	$7.96–$26.26	71% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOME AB	$24.28	$24.28	$7.96–$26.26	45% below	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROPEROXIDASE AB	$12.90	$12.90	$7.96–$26.26	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOME AB	$24.28	$24.28	$7.96–$26.26	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$132.00	$132.00	$9.00–$61.89	105% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$132.00	$132.00	$9.00–$61.89	—	—
Total IgE blood test CPT 82785 IGE	$12.37	$12.37	$14.67–$52.59	72% below	—
Total IgE blood test inpatient CPT 82785 IGE	$12.37	$12.37	$14.67–$52.59	—	—
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$6.47	$6.47	$3.93–$4.35	67% below	—
Total cholesterol blood test CPT 82465 CHOLESTEROL	$52.00	$52.00	$3.93–$4.35	163% above	—
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$6.47	$6.47	$3.93–$4.35	—	—
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$52.00	$52.00	$3.93–$4.35	—	—
Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL	$10.96	$10.96	$3.76–$12.19	71% below	—
Total thyroxine (T4) blood test CPT 84436 THYROXINE (T4 TOTAL)	$20.00	$20.00	$3.76–$12.19	47% below	—
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL	$79.00	$79.00	$3.76–$12.19	109% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL	$10.96	$10.96	$3.76–$12.19	—	—
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE (T4 TOTAL)	$20.00	$20.00	$3.76–$12.19	—	—
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL	$79.00	$79.00	$3.76–$12.19	—	—
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$105.00	$105.00	$7.76–$49.23	118% above	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$105.00	$105.00	$7.76–$49.23	—	—
Trichomonas test (NAAT) CPT 87661 T. VAGINALIS AMP. RNA	$61.30	$61.30	$34.53–$151.00	12% below	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS (TVRNA)	$61.30	$61.30	$34.53–$151.00	12% below	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP	$156.00	$156.00	$34.53–$151.00	123% above	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS (TVRNA)	$61.30	$61.30	$34.53–$151.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 T. VAGINALIS AMP. RNA	$61.30	$61.30	$34.53–$151.00	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMP	$156.00	$156.00	$34.53–$151.00	—	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$8.55	$8.55	$3.08–$29.07	52% below	—
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$62.00	$62.00	$3.08–$29.07	244% above	—
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$8.55	$8.55	$3.08–$29.07	—	—
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE	$62.00	$62.00	$3.08–$29.07	—	—
Troponin test, quantitative CPT 84484 TROPONIN I	$92.00	$92.00	$10.67–$92.00	154% above	—
Troponin test, quantitative inpatient CPT 84484 TROPONIN I	$92.00	$92.00	$10.67–$92.00	—	—
Uric acid blood test CPT 84550 URIC ACID BLOOD	$61.00	$61.00	$2.42–$28.60	171% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$61.00	$61.00	$2.42–$28.60	—	—
Urinalysis with microscope exam, automated CPT 81001 UA WITH MICRO	$57.00	$57.00	$1.70–$57.00	185% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 UA WITH MICRO	$57.00	$57.00	$1.70–$57.00	—	—
Urinalysis without microscope exam, automated CPT 81003 URNLS DIP STICK TABLET RGNT AU	$7.00	$7.00	$1.21–$40.00	45% below	—
Urinalysis without microscope exam, automated CPT 81003 PH URINE	$40.00	$40.00	$1.21–$40.00	214% above	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS	$40.00	$40.00	$1.21–$40.00	214% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URNLS DIP STICK TABLET RGNT AU	$7.00	$7.00	$1.21–$40.00	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS	$40.00	$40.00	$1.21–$40.00	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE	$40.00	$40.00	$1.21–$40.00	—	—
Urine culture for bacteria, with colony count CPT 87086 CULT-UR	$84.00	$84.00	$4.33–$39.39	55% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT-UR	$84.00	$84.00	$4.33–$39.39	—	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN	$27.00	$27.00	$3.10–$81.00	4% above	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN-URINE RANDOM	$81.00	$81.00	$3.10–$81.00	212% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN	$27.00	$27.00	$3.10–$81.00	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN-URINE RANDOM	$81.00	$81.00	$3.10–$81.00	—	—
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST VISUAL CO	$17.00	$17.00	$4.61–$70.00	36% below	—
Urine pregnancy test, read by color change CPT 81025 PREGNANCY-URINE	$70.00	$70.00	$4.61–$70.00	163% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST VISUAL CO	$17.00	$17.00	$4.61–$70.00	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY-URINE	$70.00	$70.00	$4.61–$70.00	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 B12	$114.00	$114.00	$8.25–$53.45	97% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12	$114.00	$114.00	$8.25–$53.45	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL VIT D2	$17.75	$17.75	$15.87–$140.00	77% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$140.00	$140.00	$15.87–$140.00	79% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL VIT D2	$17.75	$17.75	$15.87–$140.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$140.00	$140.00	$15.87–$140.00	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25-DIHYDROXY	$22.00	$22.00	$21.56–$68.46	72% below	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1 25-DIHYDROXY	$22.00	$22.00	$21.56–$68.46	—	—
Zinc blood test CPT 84630 ZINC	$23.82	$23.82	$6.23–$20.63	30% above	—
Zinc blood test CPT 84630 ZINC 24HR URINE	$23.82	$23.82	$6.23–$20.63	30% above	—
Zinc blood test CPT 84630 ZINC - RBC	$66.96	$66.96	$6.23–$20.63	265% above	—
Zinc blood test inpatient CPT 84630 ZINC	$23.82	$23.82	$6.23–$20.63	—	—
Zinc blood test inpatient CPT 84630 ZINC 24HR URINE	$23.82	$23.82	$6.23–$20.63	—	—
Zinc blood test inpatient CPT 84630 ZINC - RBC	$66.96	$66.96	$6.23–$20.63	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUANTITATIVE HCG	$18.31	$18.31	$8.07–$150.00	63% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER	$18.31	$18.31	$8.07–$150.00	63% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG-QUANT	$150.00	$150.00	$8.07–$150.00	202% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 QUANTITATIVE HCG	$18.31	$18.31	$8.07–$150.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER	$18.31	$18.31	$8.07–$150.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG-QUANT	$150.00	$150.00	$8.07–$150.00	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$1,357.00	$1,357.00	$566.98–$1,009.11	40% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$1,357.00	$1,357.00	$566.98–$1,009.11	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 EAR IRRIGATION EAR WAX	$88.00	$88.00	$39.39–$55.94	21% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 EAR IRRIGATION EAR WAX	$88.00	$88.00	$39.39–$55.94	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SC INJ PROC HYSTEROSONOGRAPHY	$285.00	$285.00	$245.23–$520.44	25% below	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SC INJ PROC HYSTEROSALPINGOGRA	$762.00	$762.00	$245.23–$520.44	101% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 SC INJ PROC HYSTEROSONOGRAPHY	$285.00	$285.00	$245.23–$520.44	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 SC INJ PROC HYSTEROSALPINGOGRA	$762.00	$762.00	$245.23–$520.44	—	—
Nail removal (partial or complete), one nail CPT 11730 Avulsion nail plate single	$236.00	$236.00	$236.00	17% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion nail plate single	$236.00	$236.00	$236.00	—	—
Paracentesis with imaging guidance CPT 49083 SC PERITONEOCENTSIS ABD PARACE	$932.00	$932.00	$502.53–$792.29	13% below	—
Paracentesis with imaging guidance CPT 49083 US GUIDED PARACENTESIS	$1,877.00	$1,877.00	$502.53–$792.29	75% above	—
Paracentesis with imaging guidance inpatient CPT 49083 SC PERITONEOCENTSIS ABD PARACE	$932.00	$932.00	$502.53–$792.29	—	—
Paracentesis with imaging guidance inpatient CPT 49083 US GUIDED PARACENTESIS	$1,877.00	$1,877.00	$502.53–$792.29	—	—
Skin biopsy, punch, one lesion CPT 11104 Punch bx single	$442.00	$442.00	$348.29	40% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch bx single	$442.00	$442.00	$348.29	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$1,023.00	$1,023.00	$371.19–$667.15	25% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$1,023.00	$1,023.00	$371.19–$667.15	—	—
Thoracentesis with imaging guidance CPT 32555 US GUIDED THORACENTESIS	$758.00	$758.00	$600.14	26% below	—
Thoracentesis with imaging guidance inpatient CPT 32555 US GUIDED THORACENTESIS	$758.00	$758.00	$600.14	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 SC US PERC NDLE CORE BIOPSY	$1,704.00	$1,704.00	$868.45–$1,598.01	at median	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 SC SURGICAL CORE BIOPSY	$1,704.00	$1,704.00	$868.45–$1,598.01	at median	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 SC US PERC NEEDLE CORE BX 1ST	$1,704.00	$1,704.00	$868.45–$1,598.01	at median	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 MAM US GUIDED BIOPSY BREAST	$1,772.00	$1,772.00	$868.45–$1,598.01	4% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 SC SURGICAL CORE BIOPSY	$1,704.00	$1,704.00	$868.45–$1,598.01	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 SC US PERC NDLE CORE BIOPSY	$1,704.00	$1,704.00	$868.45–$1,598.01	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 SC US PERC NEEDLE CORE BX 1ST	$1,704.00	$1,704.00	$868.45–$1,598.01	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 MAM US GUIDED BIOPSY BREAST	$1,772.00	$1,772.00	$868.45–$1,598.01	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Dbrdmt SQ first 20 scm	$557.00	$557.00	$172.98–$389.42	at median	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Dbrdmt SQ first 20 scm	$557.00	$557.00	$172.98–$389.42	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN OF BLOOD PRODUCTS	$873.00	$873.00	$226.24–$419.77	44% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN OF BLOOD PRODUCTS	$873.00	$873.00	$226.24–$419.77	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESS NON PRESS INHALATION TRT	$84.00	$84.00	$57.85–$455.40	48% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN INITIAL BREATHING TREATME	$175.00	$175.00	$57.85–$455.40	8% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 COOL MIST AEROSOL SUBSEQUENT	$264.00	$264.00	$57.85–$455.40	63% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 COOL MIST AEROSOL INITIAL	$264.00	$264.00	$57.85–$455.40	63% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INDUCED SPUTUM INITIAL	$264.00	$264.00	$57.85–$455.40	63% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN INITIAL	$264.00	$264.00	$57.85–$455.40	63% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN SUBSEQUENT	$264.00	$264.00	$57.85–$455.40	63% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRESS NON PRESS INHALATION TRT	$84.00	$84.00	$57.85–$455.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN INITIAL BREATHING TREATME	$175.00	$175.00	$57.85–$455.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN SUBSEQUENT	$264.00	$264.00	$57.85–$455.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INDUCED SPUTUM INITIAL	$264.00	$264.00	$57.85–$455.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 COOL MIST AEROSOL INITIAL	$264.00	$264.00	$57.85–$455.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN INITIAL	$264.00	$264.00	$57.85–$455.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 COOL MIST AEROSOL SUBSEQUENT	$264.00	$264.00	$57.85–$455.40	—	—
Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE E M; 30 74 MIN	$2,497.00	$2,497.00	$451.64–$1,142.63	40% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRIT CARE E M; 30 74 MIN	$2,497.00	$2,497.00	$451.64–$1,142.63	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG- LAB PERFORMED	$165.00	$165.00	$15.92–$320.00	48% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$167.00	$167.00	$15.92–$320.00	50% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG- LAB PERFORMED	$165.00	$165.00	$15.92–$320.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$167.00	$167.00	$15.92–$320.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER HOSP FEE LEVEL 1	$321.00	$321.00	$46.27–$297.00	98% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER HOSP FEE LEVEL 1	$321.00	$321.00	$46.27–$297.00	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER HOSP FEE LEVEL 2	$450.00	$450.00	$45.68–$416.00	36% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER HOSP FEE LEVEL 2	$450.00	$450.00	$45.68–$416.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER HOSP FEE LEVEL 3	$728.00	$728.00	$45.47–$481.31	33% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER HOSP FEE LEVEL 3	$728.00	$728.00	$45.47–$481.31	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER HOSP FEE LEVEL 4	$1,166.00	$1,166.00	$44.92–$748.56	17% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER HOSP FEE LEVEL 4	$1,166.00	$1,166.00	$44.92–$748.56	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER HOSP FEE LEVEL 5	$1,990.00	$1,990.00	$45.02–$1,842.00	36% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER HOSP FEE LEVEL 5	$1,990.00	$1,990.00	$45.02–$1,842.00	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 NM STRESS EKG	$875.00	$875.00	$166.91–$547.05	17% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM STRESS EKG	$875.00	$875.00	$166.91–$547.05	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1ST HOUR	$272.00	$272.00	$111.71–$366.23	8% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1ST HOUR	$272.00	$272.00	$111.71–$366.23	—	—
IV infusion of a medicine, first hour CPT 96365 INFUSION THER-1ST HR NON-HYDRA	$442.00	$442.00	$111.71–$366.23	51% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THER-1ST HR NON-HYDRA	$442.00	$442.00	$111.71–$366.23	—	—
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL	$361.00	$361.00	$111.71–$366.23	97% above	—
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL	$361.00	$361.00	$111.71–$366.23	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OPM SUBQ IM INJ	$115.00	$115.00	$36.71–$114.00	33% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OPM SUBQ IM INJ	$115.00	$115.00	$36.71–$114.00	—	—
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW	$207.00	$207.00	$93.31	5% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW	$207.00	$207.00	$93.31	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH	$203.00	$203.00	$49.75–$97.97	6% below	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH	$203.00	$203.00	$49.75–$97.97	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW	$203.00	$203.00	$71.54–$149.59	6% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW	$203.00	$203.00	$71.54–$149.59	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD	$203.00	$203.00	$50.42–$137.62	10% below	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MOD	$203.00	$203.00	$50.42–$137.62	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE: 15MIN	$99.00	$99.00	$55.35	20% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE: 15MIN	$99.00	$99.00	$55.35	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 EST PT EVAL 18-39 YRS	$22.00	$22.00	$68.89–$142.00	81% below	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 EST PT EVAL 18-39 YRS	$22.00	$22.00	$68.89–$142.00	—	—
Speech and language evaluation CPT 92523 ST: SPEECH LANGUAGE EVAL	$450.00	$450.00	$208.17–$211.21	32% above	—
Speech and language evaluation inpatient CPT 92523 ST: SPEECH LANGUAGE EVAL	$450.00	$450.00	$208.17–$211.21	—	—
Speech therapy session, individual CPT 92507 ST SPEECH TREATMENT	$233.00	$233.00	$70.91	12% above	—
Speech therapy session, individual inpatient CPT 92507 ST SPEECH TREATMENT	$233.00	$233.00	$70.91	—	—
Spirometry (breathing test) CPT 94010 SPIROMETRY	$231.00	$231.00	$81.41–$161.52	14% above	—
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$231.00	$231.00	$81.41–$161.52	—	—
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE & POST	$387.00	$387.00	$166.91–$305.10	1% below	—
Spirometry before and after a bronchodilator CPT 94060 PEAK EXPIRATORY FLOW RATE	$387.00	$387.00	$166.91–$305.10	1% below	—
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE & POST	$387.00	$387.00	$166.91–$305.10	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 PEAK EXPIRATORY FLOW RATE	$387.00	$387.00	$166.91–$305.10	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIV:PER 15MIN	$92.00	$92.00	$17.44–$53.68	19% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACT EA 15MIN	$92.00	$92.00	$12.54–$41.26	19% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACT EA 15MIN	$92.00	$92.00	$12.54–$41.26	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIV:PER 15MIN	$92.00	$92.00	$17.44–$53.68	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$639.00	$639.00	$69.09–$287.90	204% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$639.00	$639.00	$69.09–$287.90	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC HIGH (65+) 2019-20	$156.00	$156.00	$52.92–$147.65	234% above	—
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD (65+ VACCINE) 2025-2026	$260.00	$260.00	$52.92–$147.65	457% above	—
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD TRIVALENT(65+)24-25	$270.00	$270.00	$52.92–$147.65	479% above	—
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC HIGH (65+) 2019-20	$156.00	$156.00	$52.92–$147.65	—	—
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLUAD (65+ VACCINE) 2025-2026	$260.00	$260.00	$52.92–$147.65	—	—
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLUAD TRIVALENT(65+)24-25	$270.00	$270.00	$52.92–$147.65	—	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 PFIZER COMIRNATY 24-25	$600.00	$600.00	$117.60–$164.88	180% above	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 PFIZER COMIRNATY 23-24	$618.00	$618.00	$117.60–$164.88	188% above	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 PFIZER COMIRNATY 25-26	$900.00	$900.00	$117.60–$164.88	320% above	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCV2 PFIZER COMIRNATY 24-25	$600.00	$600.00	$117.60–$164.88	—	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCV2 PFIZER COMIRNATY 23-24	$618.00	$618.00	$117.60–$164.88	—	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCV2 PFIZER COMIRNATY 25-26	$900.00	$900.00	$117.60–$164.88	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PRS	$28.00	$28.00	$18.07–$35.29	23% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLULAVAL (<65 YR) 2025-2026	$75.00	$75.00	$18.07–$35.29	229% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLULAVAL TRIVALENT(<65 YR)24-5	$85.00	$85.00	$18.07–$35.29	272% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PRS	$28.00	$28.00	$18.07–$35.29	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLULAVAL (<65 YR) 2025-2026	$75.00	$75.00	$18.07–$35.29	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLULAVAL TRIVALENT(<65 YR)24-5	$85.00	$85.00	$18.07–$35.29	—	—
Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VACCINE 1ML	$1,302.65	$1,302.65	$167.25–$580.15	153% above	—
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT RABIES VACCINE 1ML	$1,302.65	$1,302.65	$167.25–$580.15	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD TOXOIDS ADSORBED PRSRV FR 7	$41.00	$41.00	$47.88–$78.61	10% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPTHERIA TETANUS TOXOID 0.5ML	$168.25	$168.25	$47.88–$78.61	268% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD TOXOIDS ADSORBED PRSRV FR 7	$41.00	$41.00	$47.88–$78.61	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPTHERIA TETANUS TOXOID 0.5ML	$168.25	$168.25	$47.88–$78.61	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS IM	$63.00	$63.00	$53.60–$145.15	5% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL 0.5 ML	$145.15	$145.15	$53.60–$145.15	120% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 7 YRS IM	$63.00	$63.00	$53.60–$145.15	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL 0.5 ML	$145.15	$145.15	$53.60–$145.15	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HEPATITIS B VACCINE ADMFEE VFC	$29.00	$29.00	$16.13–$91.00	26% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA VACCINE ADMIN FEE (1	$43.00	$43.00	$16.13–$91.00	87% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMONIA VACCINE ADMIN FEE (1	$47.00	$47.00	$16.13–$91.00	104% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMONIA VACCINE ADMIN FEE 1	$47.00	$47.00	$16.13–$91.00	104% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA VACCINE ADMIN FEE 1	$47.00	$47.00	$16.13–$91.00	104% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$78.00	$78.00	$16.13–$91.00	239% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMADM PRQ ID SUBQ IM NJXS 1 VA	$78.00	$78.00	$16.13–$91.00	239% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA VACCINE ADMIN FEE	$80.00	$80.00	$16.13–$91.00	247% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMONIA VACCINE ADMIN FEE	$80.00	$80.00	$16.13–$91.00	247% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RABIES VACINE ADMIN FEE (1)	$88.00	$88.00	$16.13–$91.00	282% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINES (USE ONLY ONCE)	$95.00	$95.00	$16.13–$91.00	313% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION	$95.00	$95.00	$16.13–$91.00	313% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINES ADMIN(USE ONCE VISIT)	$95.00	$95.00	$16.13–$91.00	313% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HEPATITIS B VACCINE ADMFEE VFC	$29.00	$29.00	$16.13–$91.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INFLUENZA VACCINE ADMIN FEE (1	$43.00	$43.00	$16.13–$91.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INFLUENZA VACCINE ADMIN FEE 1	$47.00	$47.00	$16.13–$91.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMONIA VACCINE ADMIN FEE (1	$47.00	$47.00	$16.13–$91.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMONIA VACCINE ADMIN FEE 1	$47.00	$47.00	$16.13–$91.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMADM PRQ ID SUBQ IM NJXS 1 VA	$78.00	$78.00	$16.13–$91.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$78.00	$78.00	$16.13–$91.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INFLUENZA VACCINE ADMIN FEE	$80.00	$80.00	$16.13–$91.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMONIA VACCINE ADMIN FEE	$80.00	$80.00	$16.13–$91.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 RABIES VACINE ADMIN FEE (1)	$88.00	$88.00	$16.13–$91.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINES (USE ONLY ONCE)	$95.00	$95.00	$16.13–$91.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION	$95.00	$95.00	$16.13–$91.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINES ADMIN(USE ONCE VISIT)	$95.00	$95.00	$16.13–$91.00	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMADM PRQ ID SUBQ IM NJXS EA V	$16.00	$16.00	$16.13	18% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN-EA ADD L	$29.00	$29.00	$16.13	48% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMADM PRQ ID SUBQ IM NJXS EA V	$16.00	$16.00	$16.13	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN-EA ADD L	$29.00	$29.00	$16.13	—	—

Source file: https://hospitalpricetransparencyfiles.com/trinity-health-grand-haven-hospital/383330803_Trinity-Health-Grand-Haven-Hospital_standardcharges.csv