Hospital Dallas-Fort Worth-Arlington, TX

White Rock Medical Center

Listed in its price file as “Pipeline East Dallas LLC”.

White Rock Medical Center in Dallas, TX publishes cash prices for 419 common procedures listed here, from its own machine-readable price file updated May 22, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Texas median for 313 of 414 procedures and below it for 99. By typical cash price it ranks #211 of 305 Texas hospitals and #58 of 82 hospitals in the Dallas, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.

9440 Poppy Drive, Dallas, TX 75218 Collected Sep 27, 2026 Source price file (214) 324-6100

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 450678 · CMS hospital register NPI 1083112023

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o IV Contrast Only	$4,329.56	$6,367.00	$175.06–$4,584.24	50% above	32%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o IV Contrast Only	$4,329.56	$6,367.00	—	—	32%
Abdominal X-ray, 2 views CPT 74019 Radiologic examination, abdomen; 2 views	$549.44	$808.00	$36.75–$581.76	38% above	32%
Abdominal X-ray, 2 views inpatient CPT 74019 Radiologic examination, abdomen; 2 views	$549.44	$808.00	—	—	32%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right	$413.44	$608.00	$36.75–$437.76	10% above	32%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left	$413.44	$608.00	$36.75–$437.76	10% above	32%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Left	$413.44	$608.00	—	—	32%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Right	$413.44	$608.00	—	—	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 OPWC Extremity Study Bilateral 1-2 Levels BCE	$489.60	$720.00	$64.80–$518.40	—	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US Segmental Pressures LE 1-2 Lvls Bilat	$489.60	$720.00	$64.80–$518.40	—	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 *Ext Study Levels -> Extremity Study Bilateral 1-2 Levels	$489.60	$720.00	$64.80–$518.40	—	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US Upper Ext Segmental Pressures (ABI)	$489.60	$720.00	$64.80–$518.40	20% below	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 OPWC Extremity Study Bilateral 1-2 Levels BCE	$489.60	$720.00	—	—	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US Segmental Pressures LE 1-2 Lvls Bilat	$489.60	$720.00	—	—	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 *Ext Study Levels -> Extremity Study Bilateral 1-2 Levels	$489.60	$720.00	—	—	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US Upper Ext Segmental Pressures (ABI)	$489.60	$720.00	—	—	32%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder w/o Contrast Left	$1,215.84	$1,788.00	$104.75–$1,287.36	34% below	32%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder w/o Contrast Right	$1,215.84	$1,788.00	$104.75–$1,287.36	34% below	32%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder w/o Contrast Left	$1,215.84	$1,788.00	—	—	32%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder w/o Contrast Right	$1,215.84	$1,788.00	—	—	32%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus	$429.08	$631.00	$97.56–$454.32	14% below	32%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus	$429.08	$631.00	—	—	32%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body Delay 1	$1,504.16	$2,212.00	$264.64–$1,592.64	13% below	32%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Imaging Whole Body Delay 1	$1,504.16	$2,212.00	—	—	32%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left	$400.52	$589.00	$80.10–$424.08	9% below	32%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right	$400.52	$589.00	$80.10–$424.08	9% below	32%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right	$400.52	$589.00	—	—	32%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left	$400.52	$589.00	—	—	32%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left	$352.92	$519.00	$70.58–$373.68	5% below	32%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right	$352.92	$519.00	$70.58–$373.68	5% below	32%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right	$352.92	$519.00	—	—	32%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left	$352.92	$519.00	—	—	32%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen and Pelvis	$8,774.04	$12,903.00	$350.46–$9,290.16	99% above	32%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abdomen and Pelvis	$8,774.04	$12,903.00	—	—	32%
CT angiography (CTA) of the head CPT 70496 CT Angio Brain/Head	$4,727.36	$6,952.00	$175.06–$5,005.44	67% above	32%
CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Brain/Head	$4,727.36	$6,952.00	—	—	32%
CT angiography (CTA) of the neck CPT 70498 CT Angio Neck	$5,971.76	$8,782.00	$175.06–$6,323.04	120% above	32%
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck	$5,971.76	$8,782.00	—	—	32%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 CT ANGIOGRAPHY CHEST	$4,998.68	$7,351.00	$175.06–$5,292.72	76% above	32%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 71275 CT ANGIOGRAPHY CHEST	$4,998.68	$7,351.00	—	—	32%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA Heart w/ Contrast	$941.80	$1,385.00	$175.06–$997.20	44% below	32%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Coronary Artery Str/Mph/Fnt Cnt BCE	$941.80	$1,385.00	$175.06–$997.20	44% below	32%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA Heart w/ Contrast	$941.80	$1,385.00	—	—	32%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Coronary Artery Str/Mph/Fnt Cnt BCE	$941.80	$1,385.00	—	—	32%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Calcium Scoring	$102.68	$151.00	$86.58–$184.79	46% below	32%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Calcium Scoring	$102.68	$151.00	—	—	32%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd/Pelvis w/o IV and Oral Contrast	$5,303.32	$7,799.00	$188.11–$5,615.28	58% above	32%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd/Pelvis w/o IV and Oral Contrast	$5,303.32	$7,799.00	—	—	32%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT ABDOMEN+PELVIS WITH CONTRAST	$5,385.60	$7,920.00	$312.08–$5,702.40	38% above	32%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT ABDOMEN+PELVIS WITH CONTRAST	$5,385.60	$7,920.00	—	—	32%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd/Pelvis w/ + w/o IV&Oral Contrast	$6,404.92	$9,419.00	$350.18–$6,781.68	54% above	32%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd/Pelvis w/ + w/o IV&Oral Contrast	$6,404.92	$9,419.00	—	—	32%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ IV & Oral Contrast	$3,509.48	$5,161.00	$175.06–$3,715.92	34% above	32%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ IV & Oral Contrast	$3,509.48	$5,161.00	—	—	32%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o IV and Oral Contrast	$2,822.00	$4,150.00	$104.75–$2,988.00	38% above	32%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o IV and Oral Contrast	$2,822.00	$4,150.00	—	—	32%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast	$2,438.48	$3,586.00	$104.75–$2,581.92	46% above	32%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast	$2,438.48	$3,586.00	—	—	32%
CT scan of the head or brain, no contrast dye CPT 70450 CT Brain Stroke Protocol w/o Contrast	$3,056.60	$4,495.00	$104.75–$3,236.40	60% above	32%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain Stroke Protocol w/o Contrast	$3,056.60	$4,495.00	—	—	32%
CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast	$4,135.76	$6,082.00	$152.36–$4,379.04	135% above	32%
CT scan of the head with contrast inpatient CPT 70460 CT Brain/Head w/ Contrast	$4,135.76	$6,082.00	—	—	32%
CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast	$5,917.36	$8,702.00	$175.06–$6,265.44	157% above	32%
CT scan of the head without and with contrast inpatient CPT 70470 CT Brain/Head w/ + w/o Contrast	$5,917.36	$8,702.00	—	—	32%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast	$3,481.60	$5,120.00	$104.75–$3,686.40	69% above	32%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast	$3,481.60	$5,120.00	—	—	32%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast	$4,022.88	$5,916.00	$104.75–$4,259.52	91% above	32%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast	$4,022.88	$5,916.00	—	—	32%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast	$3,085.84	$4,538.00	$175.06–$3,267.36	40% above	32%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast	$3,085.84	$4,538.00	—	—	32%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral	$2,255.56	$3,317.00	$234.54–$2,388.24	—	32%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral	$2,255.56	$3,317.00	—	—	32%
Chest CT scan without and with contrast CPT 71270 71270 CT SCAN CHEST WITH+WITHOUT CONTR	$4,192.20	$6,165.00	$175.06–$4,438.80	54% above	32%
Chest CT scan without and with contrast inpatient CPT 71270 71270 CT SCAN CHEST WITH+WITHOUT CONTR	$4,192.20	$6,165.00	—	—	32%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views	$472.60	$695.00	$33.75–$500.40	20% above	32%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views	$472.60	$695.00	—	—	32%
Chest X-ray, single view CPT 71045 XR Chest	$451.52	$664.00	$25.73–$478.08	39% above	32%
Chest X-ray, single view inpatient CPT 71045 XR Chest	$451.52	$664.00	—	—	32%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left	$314.84	$463.00	$32.75–$333.36	9% below	32%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right	$314.84	$463.00	$32.75–$333.36	9% below	32%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left	$314.84	$463.00	—	—	32%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right	$314.84	$463.00	—	—	32%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete	$1,054.68	$1,551.00	$104.75–$1,116.72	43% above	32%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete	$1,054.68	$1,551.00	—	—	32%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton	$346.80	$510.00	$39.09–$367.20	17% below	32%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton	$346.80	$510.00	—	—	32%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Bone Density DEXA App Skeleton	$186.32	$274.00	$31.74–$197.28	15% below	32%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD Bone Density DEXA App Skeleton	$186.32	$274.00	—	—	32%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB Level II	$938.40	$1,380.00	$139.74–$993.60	36% above	32%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB Level II	$938.40	$1,380.00	—	—	32%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 CT SCAN CHEST WITHOUT CONTRAST	$2,771.00	$4,075.00	$104.75–$2,934.00	65% above	32%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 71250 CT SCAN CHEST WITHOUT CONTRAST	$2,771.00	$4,075.00	—	—	32%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax w/ Contrast	$3,493.84	$5,138.00	$171.74–$3,699.36	61% above	32%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax w/ Contrast	$3,493.84	$5,138.00	—	—	32%
Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat	$456.96	$672.00	$60.48–$483.84	—	32%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat	$456.96	$672.00	—	—	32%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Right	$328.44	$483.00	$43.47–$347.76	20% above	32%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Right	$328.44	$483.00	—	—	32%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral	$1,181.84	$1,738.00	$156.42–$1,251.36	—	32%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral	$1,181.84	$1,738.00	—	—	32%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 OPWC Duplex Scan Extremity Veins Complete Bilateral BCE	$1,938.00	$2,850.00	$230.86–$2,052.00	—	32%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 *Ext Study Levels -> Duplex Scan Extremity Veins Complete Bilateral	$1,938.00	$2,850.00	$230.86–$2,052.00	—	32%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral	$1,938.00	$2,850.00	$230.86–$2,052.00	—	32%
Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bila	$479.40	$705.00	$63.45–$507.60	76% below	32%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Venous Duplex Bilateral	$1,938.00	$2,850.00	—	—	32%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 OPWC Duplex Scan Extremity Veins Complete Bilateral BCE	$1,938.00	$2,850.00	—	—	32%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 *Ext Study Levels -> Duplex Scan Extremity Veins Complete Bilateral	$1,938.00	$2,850.00	—	—	32%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bila	$479.40	$705.00	—	—	32%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 EKG Charges - EKG -> Echo2D Spectr/Color FLO 93306	$3,214.36	$4,727.00	$242.57–$3,403.44	37% above	32%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 EKG Charges - EKG -> Echo2D Spectr/Color FLO 93306	$3,214.36	$4,727.00	—	—	32%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left	$403.92	$594.00	$29.40–$427.68	25% above	32%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right	$403.92	$594.00	$29.40–$427.68	25% above	32%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right	$403.92	$594.00	—	—	32%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left	$403.92	$594.00	—	—	32%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Right	$451.52	$664.00	$33.08–$478.08	18% above	32%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Left	$451.52	$664.00	$33.08–$478.08	18% above	32%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Left	$451.52	$664.00	—	—	32%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Right	$451.52	$664.00	—	—	32%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbits Sella w/o Contrast	$2,225.64	$3,273.00	$104.75–$2,356.56	33% above	32%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbits Sella w/o Contrast	$2,225.64	$3,273.00	—	—	32%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones 3+ Views	$259.08	$381.00	$47.45–$274.32	39% below	32%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones 3+ Views	$259.08	$381.00	—	—	32%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left	$363.80	$535.00	$29.40–$385.20	3% below	32%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right	$363.80	$535.00	$29.40–$385.20	3% below	32%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left	$363.80	$535.00	—	—	32%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right	$363.80	$535.00	—	—	32%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging Injection/Scan	$1,838.72	$2,704.00	$290.70–$1,946.88	15% above	32%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Imaging Injection/Scan	$1,838.72	$2,704.00	—	—	32%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Left	$522.24	$768.00	$31.74–$552.96	59% above	32%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Right	$522.24	$768.00	$31.74–$552.96	59% above	32%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Right	$522.24	$768.00	—	—	32%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Left	$522.24	$768.00	—	—	32%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Right	$208.76	$307.00	$28.74–$221.04	28% below	32%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Left	$208.76	$307.00	$28.74–$221.04	28% below	32%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Left	$208.76	$307.00	—	—	32%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Right	$208.76	$307.00	—	—	32%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 *Sleep Study Charges Modifier 52 -> Polysomnography 4+ parameters w/PAP 95811	$4,392.12	$6,459.00	$581.31–$4,650.48	at median	32%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 *Sleep Study Charges Modifier 52 -> Polysomnography 4+ parameters w/PAP 95811	$4,392.12	$6,459.00	—	—	32%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left	$497.76	$732.00	$41.10–$527.04	23% above	32%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right	$497.76	$732.00	$41.10–$527.04	23% above	32%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left	$497.76	$732.00	—	—	32%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right	$497.76	$732.00	—	—	32%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Left	$555.56	$817.00	$47.45–$588.24	31% above	32%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Right	$555.56	$817.00	$47.45–$588.24	31% above	32%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Right	$555.56	$817.00	—	—	32%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Left	$555.56	$817.00	—	—	32%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula w/o Contrast Right	$2,220.88	$3,266.00	$104.75–$2,351.52	26% above	32%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula w/o Contrast Left	$2,220.88	$3,266.00	$104.75–$2,351.52	26% above	32%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula w/o Contrast Right	$2,220.88	$3,266.00	—	—	32%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula w/o Contrast Left	$2,220.88	$3,266.00	—	—	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$840.48	$1,236.00	$87.21–$889.92	34% above	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited	$840.48	$1,236.00	—	—	32%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Joint Limited Right	$573.92	$844.00	$30.35–$607.68	22% above	32%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Soft Tissue Ltd LEFT	$573.92	$844.00	$30.35–$607.68	22% above	32%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Joint Limited Right	$573.92	$844.00	—	—	32%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Soft Tissue Ltd LEFT	$573.92	$844.00	—	—	32%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT thorax, low dose for lung cancer screening, without contrast materia	$289.24	$425.36	$104.75–$306.26	20% above	32%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT thorax, low dose for lung cancer screening, without contrast materia	$289.24	$425.36	—	—	32%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Right	$363.80	$535.00	$31.74–$385.20	5% above	32%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Left	$363.80	$535.00	$31.74–$385.20	5% above	32%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Left	$363.80	$535.00	—	—	32%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Right	$363.80	$535.00	—	—	32%
MR angiography (MRA) of the head without contrast CPT 70544 MRA Brain/Head w/o Contrast	$3,901.16	$5,737.00	$222.20–$4,130.64	84% above	32%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Brain/Head w/o Contrast	$3,901.16	$5,737.00	—	—	32%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LEFT HIP W/O CONTRAST	$2,656.76	$3,907.00	$208.84–$2,813.04	19% above	32%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left	$2,656.76	$3,907.00	$208.84–$2,813.04	19% above	32%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI RIGHT KNEE W/O CONTRAST	$2,656.76	$3,907.00	$208.84–$2,813.04	19% above	32%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LEFT KNEE W/O CONTRAST	$2,656.76	$3,907.00	$208.84–$2,813.04	19% above	32%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI RIGHT HIP W/O CONTRAST	$2,656.76	$3,907.00	$208.84–$2,813.04	19% above	32%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right	$2,656.76	$3,907.00	$208.84–$2,813.04	19% above	32%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RIGHT KNEE W/O CONTRAST	$2,656.76	$3,907.00	—	—	32%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LEFT KNEE W/O CONTRAST	$2,656.76	$3,907.00	—	—	32%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RIGHT HIP W/O CONTRAST	$2,656.76	$3,907.00	—	—	32%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right	$2,656.76	$3,907.00	—	—	32%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left	$2,656.76	$3,907.00	—	—	32%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LEFT HIP W/O CONTRAST	$2,656.76	$3,907.00	—	—	32%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right	$3,635.96	$5,347.00	$366.42–$3,849.84	15% above	32%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left	$3,635.96	$5,347.00	$366.42–$3,849.84	15% above	32%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left	$3,635.96	$5,347.00	—	—	32%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right	$3,635.96	$5,347.00	—	—	32%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast	$4,464.88	$6,566.00	$201.81–$4,727.52	102% above	32%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast	$4,464.88	$6,566.00	—	—	32%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast	$4,862.68	$7,151.00	$348.50–$5,148.72	51% above	32%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast	$4,862.68	$7,151.00	—	—	32%
MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast	$3,417.68	$5,026.00	$202.15–$3,618.72	56% above	32%
MRI of the brain, no contrast dye CPT 70551 MRI Brain Stroke Protocol w/o Contrast	$3,417.68	$5,026.00	$202.15–$3,618.72	56% above	32%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast	$3,417.68	$5,026.00	—	—	32%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain Stroke Protocol w/o Contrast	$3,417.68	$5,026.00	—	—	32%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast	$6,093.48	$8,961.00	$328.11–$6,451.92	102% above	32%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast	$6,093.48	$8,961.00	—	—	32%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast	$4,242.52	$6,239.00	$197.14–$4,492.08	85% above	32%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast	$4,242.52	$6,239.00	—	—	32%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast	$6,876.84	$10,113.00	$329.13–$7,281.36	115% above	32%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast	$6,876.84	$10,113.00	—	—	32%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast	$4,242.52	$6,239.00	$196.14–$4,492.08	98% above	32%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast	$4,242.52	$6,239.00	—	—	32%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast	$7,215.48	$10,611.00	$329.79–$7,639.92	121% above	32%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast	$7,215.48	$10,611.00	—	—	32%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast	$4,451.28	$6,546.00	$196.48–$4,713.12	92% above	32%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast	$4,451.28	$6,546.00	—	—	32%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast	$4,914.36	$7,227.00	$347.16–$5,203.44	45% above	32%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast	$4,914.36	$7,227.00	—	—	32%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast	$3,725.04	$5,478.00	$233.47–$3,944.16	52% above	32%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast	$3,725.04	$5,478.00	—	—	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left	$2,278.00	$3,350.00	$209.16–$2,412.00	2% above	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right	$2,278.00	$3,350.00	$209.16–$2,412.00	2% above	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Left	$2,278.00	$3,350.00	—	—	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Right	$2,278.00	$3,350.00	—	—	32%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 4 or 5 Views	$465.80	$685.00	$53.80–$493.20	15% below	32%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical 4 or 5 Views	$465.80	$685.00	—	—	32%
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Contrast	$4,811.68	$7,076.00	$175.06–$5,094.72	135% above	32%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue w/ Contrast	$4,811.68	$7,076.00	—	—	32%
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Contrast	$4,051.44	$5,958.00	$104.75–$4,289.76	132% above	32%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue w/o Contrast	$4,051.44	$5,958.00	—	—	32%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue	$453.56	$667.00	$31.41–$480.24	89% above	32%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue	$453.56	$667.00	—	—	32%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial SPECT Rest and Stress	$5,013.64	$7,373.00	$422.34–$5,308.56	16% above	32%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial SPECT Rest and Stress	$5,013.64	$7,373.00	—	—	32%
Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Contrast	$2,569.04	$3,778.00	$104.75–$2,720.16	55% above	32%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Contrast	$2,569.04	$3,778.00	—	—	32%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non-OB Limited TA	$416.84	$613.00	$50.79–$441.36	14% below	32%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Limited Non-OB	$416.84	$613.00	$50.79–$441.36	14% below	32%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Limited Non-OB	$416.84	$613.00	—	—	32%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non-OB Limited TA	$416.84	$613.00	—	—	32%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Complete Non-OB	$1,008.44	$1,483.00	$96.28–$1,067.76	17% above	32%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Complete Non-OB	$1,008.44	$1,483.00	—	—	32%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks	$1,124.72	$1,654.00	$104.75–$1,190.88	72% above	32%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks	$1,124.72	$1,654.00	—	—	32%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 weeks w/ TVS if indicated	$1,092.08	$1,606.00	$104.75–$1,156.32	78% above	32%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 weeks TA	$1,092.08	$1,606.00	$104.75–$1,156.32	78% above	32%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 weeks w/ TVS if indicated	$1,092.08	$1,606.00	—	—	32%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 weeks TA	$1,092.08	$1,606.00	—	—	32%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited	$405.28	$596.00	$81.20–$429.12	12% below	32%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited	$405.28	$596.00	—	—	32%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Right	$494.36	$727.00	$36.75–$523.44	39% above	32%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left	$494.36	$727.00	$36.75–$523.44	39% above	32%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Right	$494.36	$727.00	—	—	32%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Left	$494.36	$727.00	—	—	32%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR ribs, unilateral RIGHT ; including posteroanterior chest, minimum of 3 views	$284.92	$419.00	$42.44–$301.68	28% below	32%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR ribs, unilateral LEFT ; including posteroanterior chest, minimum of 3 views	$284.92	$419.00	$42.44–$301.68	28% below	32%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR ribs, unilateral LEFT ; including posteroanterior chest, minimum of 3 views	$284.92	$419.00	—	—	32%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR ribs, unilateral RIGHT ; including posteroanterior chest, minimum of 3 views	$284.92	$419.00	—	—	32%
Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral	$348.16	$512.00	$46.08–$368.64	—	32%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral	$348.16	$512.00	—	—	32%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right	$424.32	$624.00	$35.09–$449.28	23% above	32%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left	$424.32	$624.00	$35.09–$449.28	23% above	32%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Right	$424.32	$624.00	—	—	32%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Left	$424.32	$624.00	—	—	32%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete	$294.44	$433.00	$37.76–$311.76	30% below	32%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete	$294.44	$433.00	—	—	32%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views	$301.24	$443.00	$36.09–$318.96	14% below	32%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views	$301.24	$443.00	—	—	32%
Sleep study in a lab (polysomnography) CPT 95810 *Sleep Study Charges Modifier 52 -> Polysomnography 4+ parameters 95810	$4,112.64	$6,048.00	$544.32–$4,354.56	1% below	32%
Sleep study in a lab (polysomnography) inpatient CPT 95810 *Sleep Study Charges Modifier 52 -> Polysomnography 4+ parameters 95810	$4,112.64	$6,048.00	—	—	32%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 EKG Charges - EKG -> Stresss TTE Complete 93351	$2,033.88	$2,991.00	$269.19–$2,153.52	25% below	32%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 EKG Charges - EKG -> Stresss TTE Complete 93351	$2,033.88	$2,991.00	—	—	32%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Swallowing Function w/ Speech	$535.84	$788.00	$124.96–$567.36	11% below	32%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR Swallowing Function w/ Speech	$535.84	$788.00	—	—	32%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Right	$426.36	$627.00	$35.75–$451.44	21% above	32%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Left	$426.36	$627.00	$35.75–$451.44	21% above	32%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Left	$426.36	$627.00	—	—	32%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Right	$426.36	$627.00	—	—	32%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Contrast	$1,633.36	$2,402.00	$104.75–$1,729.44	18% below	32%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Contrast	$1,633.36	$2,402.00	—	—	32%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB	$665.04	$978.00	$104.75–$704.16	3% above	32%
Transvaginal pelvic ultrasound CPT 76830 CHWR US TRANSVAGINAL NON-OB	$665.04	$978.00	$104.75–$704.16	3% above	32%
Transvaginal pelvic ultrasound inpatient CPT 76830 CHWR US TRANSVAGINAL NON-OB	$665.04	$978.00	—	—	32%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB	$665.04	$978.00	—	—	32%
Transvaginal ultrasound during pregnancy CPT 76817 CHWR US TRANSVAGINAL OB	$206.04	$303.00	$92.89–$247.70	60% below	32%
Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal	$206.04	$303.00	$92.89–$247.70	60% below	32%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 CHWR US TRANSVAGINAL OB	$206.04	$303.00	—	—	32%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal	$206.04	$303.00	—	—	32%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$1,086.64	$1,598.00	$104.75–$1,150.56	26% above	32%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete	$1,086.64	$1,598.00	—	—	32%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind	$843.88	$1,241.00	$100.24–$893.52	38% above	32%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w/ Doppler if ind	$843.88	$1,241.00	—	—	32%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue	$768.40	$1,130.00	$104.75–$813.60	22% above	32%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue	$768.40	$1,130.00	—	—	32%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI w/ Small Bowel	$667.08	$981.00	$122.96–$706.32	9% below	32%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI w/ Small Bowel	$667.08	$981.00	—	—	32%
Upper arm X-ray (humerus), 2 views one side CPT 73060 MSI Upper Arm Right	$361.76	$532.00	$32.08–$383.04	3% above	32%
Upper arm X-ray (humerus), 2 views one side CPT 73060 MSI Upper Arm Left	$361.76	$532.00	$32.08–$383.04	3% above	32%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 MSI Upper Arm Right	$361.76	$532.00	—	—	32%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 MSI Upper Arm Left	$361.76	$532.00	—	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or	$226.83	$333.57	$30.02–$240.17	72% below	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Left	$1,296.08	$1,906.00	$171.54–$1,372.32	61% above	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Left	$1,296.08	$1,906.00	$171.54–$1,372.32	61% above	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Right	$1,296.08	$1,906.00	$171.54–$1,372.32	61% above	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Right	$1,296.08	$1,906.00	$171.54–$1,372.32	61% above	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or	$226.83	$333.57	—	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Right	$1,296.08	$1,906.00	—	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Right	$1,296.08	$1,906.00	—	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Left	$1,296.08	$1,906.00	—	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Left	$1,296.08	$1,906.00	—	—	32%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left	$316.20	$465.00	$34.09–$334.80	1% below	32%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right	$316.20	$465.00	$34.09–$334.80	1% below	32%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right	$316.20	$465.00	—	—	32%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Left	$316.20	$465.00	—	—	32%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right	$363.80	$535.00	$41.44–$385.20	6% below	32%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left	$363.80	$535.00	$41.44–$385.20	6% below	32%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left	$363.80	$535.00	—	—	32%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Right	$363.80	$535.00	—	—	32%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left	$420.24	$618.00	$47.78–$444.96	4% above	32%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right	$420.24	$618.00	$47.78–$444.96	4% above	32%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left	$420.24	$618.00	—	—	32%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right	$420.24	$618.00	—	—	32%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB 1 View	$502.52	$739.00	$30.40–$532.08	48% above	32%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen KUB 1 View	$502.52	$739.00	—	—	32%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right	$365.16	$537.00	$32.41–$386.64	22% above	32%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left	$365.16	$537.00	$32.41–$386.64	22% above	32%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left	$365.16	$537.00	—	—	32%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right	$365.16	$537.00	—	—	32%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(2nd Digit) 2+ Views Left	$330.48	$486.00	$38.43–$349.92	25% above	32%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(2nd Digit) 2+ Views Left	$330.48	$486.00	—	—	32%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left	$365.16	$537.00	$28.74–$386.64	10% above	32%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right	$365.16	$537.00	$28.74–$386.64	10% above	32%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left	$365.16	$537.00	—	—	32%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right	$365.16	$537.00	—	—	32%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right	$413.44	$608.00	$34.41–$437.76	11% above	32%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left	$413.44	$608.00	$34.41–$437.76	11% above	32%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Left	$413.44	$608.00	—	—	32%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Right	$413.44	$608.00	—	—	32%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right	$552.84	$813.00	$37.43–$585.36	42% above	32%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left	$552.84	$813.00	$37.43–$585.36	42% above	32%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Left	$552.84	$813.00	—	—	32%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Right	$552.84	$813.00	—	—	32%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right	$484.16	$712.00	$34.41–$512.64	64% above	32%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left	$484.16	$712.00	$34.41–$512.64	64% above	32%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right	$484.16	$712.00	—	—	32%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left	$484.16	$712.00	—	—	32%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$605.20	$890.00	$40.10–$640.80	30% above	32%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$605.20	$890.00	—	—	32%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views	$732.36	$1,077.00	$52.13–$775.44	17% above	32%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views	$732.36	$1,077.00	—	—	32%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views	$574.60	$845.00	$33.08–$608.40	42% above	32%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views	$574.60	$845.00	—	—	32%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views	$263.16	$387.00	$37.76–$278.64	10% below	32%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views	$263.16	$387.00	—	—	32%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views	$387.60	$570.00	$39.76–$410.40	4% above	32%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views	$387.60	$570.00	—	—	32%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views	$371.28	$546.00	$28.06–$393.12	at median	32%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views	$371.28	$546.00	—	—	32%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views	$233.92	$344.00	$32.75–$247.68	29% below	32%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views	$233.92	$344.00	—	—	32%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 ACTH, Plasma SO	$223.04	$328.00	$15.06–$236.16	6% below	32%
ACTH blood test inpatient CPT 82024 ACTH, Plasma SO	$223.04	$328.00	—	—	32%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase	$153.00	$225.00	$2.07–$162.00	160% above	32%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase	$153.00	$225.00	—	—	32%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase	$160.48	$236.00	$2.02–$169.92	177% above	32%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase	$160.48	$236.00	—	—	32%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel (4) SO	$597.04	$878.00	$18.58–$632.16	54% above	32%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel (4) SO	$597.04	$878.00	—	—	32%
Albumin blood test CPT 82040 Immunoglobulin G,Syn Rate,CSF SO	$122.40	$180.00	$1.93–$129.60	229% above	32%
Albumin blood test inpatient CPT 82040 Immunoglobulin G,Syn Rate,CSF SO	$122.40	$180.00	—	—	32%
Aldosterone blood test CPT 82088 Aldosterone LCMS, Serum SO	$375.36	$552.00	$15.89–$397.44	160% above	32%
Aldosterone blood test inpatient CPT 82088 Aldosterone LCMS, Serum SO	$375.36	$552.00	—	—	32%
Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phos Isoenzyme SO	$126.48	$186.00	$2.02–$133.92	116% above	32%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alk Phos Isoenzyme SO	$126.48	$186.00	—	—	32%
Allergy blood test, specific IgE, per allergen CPT 86003 M003-IgE Aspergillus fumigatus SO	$50.32	$74.00	$2.04–$53.28	82% above	32%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M003-IgE Aspergillus fumigatus SO	$50.32	$74.00	—	—	32%
Alpha-fetoprotein (AFP) blood test CPT 82105 82105 ALPHA-FETOPROTEIN SERUM	$165.24	$243.00	$6.54–$174.96	35% above	32%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 82105 ALPHA-FETOPROTEIN SERUM	$165.24	$243.00	—	—	32%
Ammonia blood test CPT 82140 82140 AMMONIA	$214.88	$316.00	$5.68–$227.52	47% above	32%
Ammonia blood test inpatient CPT 82140 82140 AMMONIA	$214.88	$316.00	—	—	32%
Amylase blood test CPT 82150 Amylase Level 24 Hour Urine	$207.40	$305.00	$2.53–$219.60	111% above	32%
Amylase blood test inpatient CPT 82150 Amylase Level 24 Hour Urine	$207.40	$305.00	—	—	32%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies IgG/IgA SO	$93.32	$137.24	$5.05–$98.81	52% above	32%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies IgG/IgA SO	$93.32	$137.24	—	—	32%
Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 ANTINUCLEAR ANTIBODIES (ANA)	$229.84	$338.00	$4.72–$243.36	160% above	32%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 ANTINUCLEAR ANTIBODIES (ANA)	$229.84	$338.00	—	—	32%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-proBNP SO	$339.32	$499.00	$15.31–$359.28	82% above	32%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-proBNP SO	$339.32	$499.00	—	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture Aer/Ana/GS SO	$162.78	$239.38	$3.36–$172.35	134% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 CULTURE NON URINE,BLOOD OR STOOL	$210.12	$309.00	$3.36–$222.48	202% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture	$210.12	$309.00	$3.36–$222.48	202% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture	$210.12	$309.00	$3.36–$222.48	202% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture	$210.12	$309.00	$3.36–$222.48	202% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Marrow Culture	$210.12	$309.00	$3.36–$222.48	202% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture	$210.12	$309.00	$3.36–$222.48	202% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture	$210.12	$309.00	$3.36–$222.48	202% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture	$210.12	$309.00	$3.36–$222.48	202% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture	$210.12	$309.00	$3.36–$222.48	202% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture	$210.12	$309.00	$3.36–$222.48	202% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture Aer/Ana/GS SO	$162.78	$239.38	—	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture	$210.12	$309.00	—	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture	$210.12	$309.00	—	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cerebrospinal Fluid Culture	$210.12	$309.00	—	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ear Culture	$210.12	$309.00	—	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Marrow Culture	$210.12	$309.00	—	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Eye Culture	$210.12	$309.00	—	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 87070 CULTURE NON URINE,BLOOD OR STOOL	$210.12	$309.00	—	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture	$210.12	$309.00	—	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture	$210.12	$309.00	—	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Culture	$210.12	$309.00	—	—	32%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$337.28	$496.00	$3.30–$357.12	40% above	32%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel	$337.28	$496.00	—	—	32%
Bilirubin blood test, total CPT 82247 Bili Indirect Neonate	$129.20	$190.00	$1.96–$136.80	93% above	32%
Bilirubin blood test, total inpatient CPT 82247 Bili Indirect Neonate	$129.20	$190.00	—	—	32%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity	$367.20	$540.00	$27.87–$388.80	24% above	32%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity	$367.20	$540.00	—	—	32%
Blood culture for bacteria CPT 87040 Blood Culture	$265.88	$391.00	$4.02–$281.52	12% above	32%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$265.88	$391.00	—	—	32%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw	$31.96	$47.00	$1.17–$33.84	61% above	32%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw	$31.96	$47.00	—	—	32%
Blood glucose (sugar) test CPT 82947 Glucose Fasting	$106.08	$156.00	$1.53–$112.32	139% above	32%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting	$106.08	$156.00	—	—	32%
Blood lead test CPT 83655 Lead, Blood (Adult) SO	$65.78	$96.73	$4.72–$69.65	24% above	32%
Blood lead test inpatient CPT 83655 Lead, Blood (Adult) SO	$65.78	$96.73	—	—	32%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG Qualitative Serum	$161.16	$237.00	$2.93–$170.64	17% above	32%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG Qualitative Serum	$161.16	$237.00	—	—	32%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bill Only BB ABO Type	$103.36	$152.00	$1.17–$282.53	17% above	32%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Bill Only BB ABO Type	$103.36	$152.00	—	—	32%
Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen	$111.52	$164.00	$1.54–$118.08	90% above	32%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen	$111.52	$164.00	—	—	32%
C-peptide blood test CPT 84681 C-Peptide, Serum SO	$125.80	$185.00	$8.12–$133.20	55% above	32%
C-peptide blood test inpatient CPT 84681 C-Peptide, Serum SO	$125.80	$185.00	—	—	32%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$191.76	$282.00	$2.02–$203.04	229% above	32%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$191.76	$282.00	—	—	32%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile PCR	$258.40	$380.00	$14.54–$273.60	45% above	32%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile PCR	$258.40	$380.00	—	—	32%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 SO	$204.00	$300.00	$8.12–$216.00	50% above	32%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 SO	$204.00	$300.00	—	—	32%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 SO	$305.32	$449.00	$8.12–$323.28	90% above	32%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 SO	$305.32	$449.00	—	—	32%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 PCR	$106.76	$157.00	$47.10–$113.04	20% above	32%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NAA, Saliva SO	$174.45	$256.55	$51.31–$184.72	96% above	32%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 PCR	$106.76	$157.00	—	—	32%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 NAA, Saliva SO	$174.45	$256.55	—	—	32%
Calcium blood test, total CPT 82310 Calcium Level Total	$159.12	$234.00	$2.01–$168.48	153% above	32%
Calcium blood test, total inpatient CPT 82310 Calcium Level Total	$159.12	$234.00	—	—	32%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA, Fluid SO	$275.40	$405.00	$7.39–$291.60	72% above	32%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA, Fluid SO	$275.40	$405.00	—	—	32%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Abs, IgG/IgM SO	$133.96	$197.00	$5.02–$141.84	112% above	32%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Abs, IgG/IgM SO	$133.96	$197.00	—	—	32%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 CHYLMD TRACH DNA AMP PROBE	$202.64	$298.00	$13.69–$214.56	61% above	32%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia PCR	$202.64	$298.00	$13.69–$214.56	61% above	32%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 CHYLMD TRACH DNA AMP PROBE	$202.64	$298.00	—	—	32%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia PCR	$202.64	$298.00	—	—	32%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$297.84	$438.00	$5.22–$315.36	53% above	32%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$297.84	$438.00	—	—	32%
Complete blood count (CBC) with differential CPT 85025 85025 CBC W/AUTOMATED DIFFERENTIAL	$263.16	$387.00	$3.03–$278.64	188% above	32%
Complete blood count (CBC) with differential inpatient CPT 85025 85025 CBC W/AUTOMATED DIFFERENTIAL	$263.16	$387.00	—	—	32%
Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated	$165.24	$243.00	$2.52–$174.96	73% above	32%
Complete blood count (CBC), no differential inpatient CPT 85027 Blood count; complete (CBC), automated	$165.24	$243.00	—	—	32%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$449.48	$661.00	$4.12–$475.92	51% above	32%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel	$449.48	$661.00	—	—	32%
Cortisol blood test, total CPT 82533 Cortisol Baseline Level	$201.28	$296.00	$6.36–$213.12	119% above	32%
Cortisol blood test, total inpatient CPT 82533 Cortisol Baseline Level	$201.28	$296.00	—	—	32%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase,Total SO	$188.36	$277.00	$2.54–$199.44	164% above	32%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase,Total	$188.36	$277.00	$2.54–$199.44	164% above	32%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase,Total	$188.36	$277.00	—	—	32%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase,Total SO	$188.36	$277.00	—	—	32%
Creatinine blood test CPT 82565 Creatinine	$114.92	$169.00	$2.00–$121.68	90% above	32%
Creatinine blood test inpatient CPT 82565 Creatinine	$114.92	$169.00	—	—	32%
Cytomegalovirus (CMV) antibody test CPT 86644 Bill Only BB CMV	$281.52	$414.00	$5.61–$298.08	266% above	32%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Bill Only BB CMV	$281.52	$414.00	—	—	32%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer	$305.32	$449.00	$3.97–$323.28	74% above	32%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer	$305.32	$449.00	—	—	32%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-Sulfate SO	$145.33	$213.72	$8.67–$153.88	6% below	32%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-Sulfate SO	$145.33	$213.72	—	—	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 10 w/Conf,	$215.56	$317.00	$24.23–$228.24	199% above	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine	$215.56	$317.00	$24.23–$228.24	199% above	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 10 w/Conf, Serum SO	$215.56	$317.00	$24.23–$228.24	199% above	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 10 w/Conf, Serum SO	$215.56	$317.00	—	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine	$215.56	$317.00	—	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 10 w/Conf,	$215.56	$317.00	—	—	32%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel	$184.96	$272.00	$2.73–$195.84	4% below	32%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel	$184.96	$272.00	—	—	32%
Epstein-Barr virus (EBV) antibody test CPT 86665 86665 ANTIBODY EPSTEIIN BARR VIRUS VCA	$111.52	$164.00	$7.07–$118.08	16% above	32%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 ANTIBODY EPSTEIIN BARR VIRUS VCA	$111.52	$164.00	—	—	32%
Estradiol blood test CPT 82670 Estradiol, Sensitive SO	$131.92	$194.00	$10.90–$139.68	9% below	32%
Estradiol blood test inpatient CPT 82670 Estradiol, Sensitive SO	$131.92	$194.00	—	—	32%
FSH (follicle-stimulating hormone) test CPT 83001 FSH, Serum SO	$286.28	$421.00	$7.25–$303.12	79% above	32%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH, Serum SO	$286.28	$421.00	—	—	32%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal SO	$229.84	$338.00	$7.66–$243.36	8% above	32%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal SO	$229.84	$338.00	—	—	32%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$184.28	$271.00	$5.32–$195.12	78% above	32%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$184.28	$271.00	—	—	32%
Fibrinogen blood test CPT 85384 Fibrinogen Activity SO	$163.20	$240.00	$3.79–$172.80	78% above	32%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity SO	$163.20	$240.00	—	—	32%
Folate (folic acid) blood test CPT 82746 Folate Level	$225.08	$331.00	$5.73–$238.32	138% above	32%
Folate (folic acid) blood test inpatient CPT 82746 Folate Level	$225.08	$331.00	—	—	32%
Free T3 thyroid hormone test CPT 84481 Triiodothyronine (T3), Free SO	$308.04	$453.00	$6.61–$326.16	118% above	32%
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine (T3), Free SO	$308.04	$453.00	—	—	32%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level	$214.88	$316.00	$3.52–$227.52	143% above	32%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 Level	$214.88	$316.00	—	—	32%
Free testosterone test CPT 84402 Testosterone,Free and Total SO	$284.92	$419.00	$9.93–$301.68	158% above	32%
Free testosterone test inpatient CPT 84402 Testosterone,Free and Total SO	$284.92	$419.00	—	—	32%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase	$180.20	$265.00	$2.81–$190.80	181% above	32%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase	$180.20	$265.00	—	—	32%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel BCE	$371.28	$546.00	$13.70–$393.12	17% below	32%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel BCE	$371.28	$546.00	—	—	32%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour Post Prandial	$72.08	$106.00	$1.85–$76.32	22% below	32%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2 Hour Post Prandial	$72.08	$106.00	—	—	32%
Glucose tolerance test, 3 samples CPT 82951 Bill Only GTT 1st 3 Specimens	$257.72	$379.00	$5.02–$272.88	70% above	32%
Glucose tolerance test, 3 samples inpatient CPT 82951 Bill Only GTT 1st 3 Specimens	$257.72	$379.00	—	—	32%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 N GONORRHOEAE DNA AMP PROBE	$166.60	$245.00	$13.69–$176.40	18% above	32%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea PCR	$166.60	$245.00	$13.69–$176.40	18% above	32%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea PCR	$166.60	$245.00	—	—	32%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 N GONORRHOEAE DNA AMP PROBE	$166.60	$245.00	—	—	32%
H. pylori antibody blood test CPT 86677 86677 ANTIBODY HELICOBACTER PYLORI	$146.88	$216.00	$6.57–$155.52	12% above	32%
H. pylori antibody blood test inpatient CPT 86677 86677 ANTIBODY HELICOBACTER PYLORI	$146.88	$216.00	—	—	32%
H. pylori stool antigen test CPT 87338 H. pylori Stool Ag, EIA SO	$142.12	$209.00	$5.61–$150.48	43% above	32%
H. pylori stool antigen test inpatient CPT 87338 H. pylori Stool Ag, EIA SO	$142.12	$209.00	—	—	32%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, Real Time PCR (Non-Graph) SO	$299.88	$441.00	$33.19–$317.52	7% below	32%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA, Real Time PCR (Non-Graph) SO	$299.88	$441.00	—	—	32%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 Abs	$159.12	$234.00	$5.35–$168.48	52% above	32%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 Abs	$159.12	$234.00	—	—	32%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/O/2, 4th Generation SO	$129.20	$190.00	$9.39–$136.80	8% below	32%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/O/2, 4th Generation SO	$129.20	$190.00	—	—	32%
HPV test for high-risk types, one combined (pooled) result CPT 87624 .HPV low vol rfx 507405 SO	$159.12	$234.00	$13.69–$168.48	124% above	32%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .HPV low vol rfx 507405 SO	$159.12	$234.00	—	—	32%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C	$189.72	$279.00	$3.79–$200.88	106% above	32%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C	$189.72	$279.00	—	—	32%
Hemoglobin blood test CPT 85018 Hemoglobin	$66.64	$98.00	$0.92–$70.56	42% above	32%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$66.64	$98.00	—	—	32%
Hepatitis B core antibody test (total) CPT 86704 86704 HEPATITIS B CORE ANTIBODY	$252.28	$371.00	$4.70–$267.12	182% above	32%
Hepatitis B core antibody test (total) inpatient CPT 86704 86704 HEPATITIS B CORE ANTIBODY	$252.28	$371.00	—	—	32%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody	$199.92	$294.00	$4.19–$211.68	204% above	32%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody	$199.92	$294.00	—	—	32%
Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 HEPATITIS B SURFACE ANTIGEN SCREEN	$57.36	$84.36	$4.03–$60.74	26% below	32%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBsAg Screen SO	$164.56	$242.00	$4.03–$174.24	111% above	32%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 87340 HEPATITIS B SURFACE ANTIGEN SCREEN	$57.36	$84.36	—	—	32%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBsAg Screen SO	$164.56	$242.00	—	—	32%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Qual NAA SO	$255.68	$376.00	$5.57–$270.72	194% above	32%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Qual NAA SO	$255.68	$376.00	—	—	32%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) 55036 SO	$388.57	$571.43	$16.71–$411.43	32% above	32%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) 55036 SO	$388.57	$571.43	—	—	32%
Herpes blood test, HSV-1 antibody CPT 86695 86695 ANTIBODY HERPES SIMPLEX TYPE 1	$66.64	$98.00	$5.14–$70.56	15% below	32%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 ANTIBODY HERPES SIMPLEX TYPE 1	$66.64	$98.00	—	—	32%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 and 2-Spec Ab, IgG w/Rfx SO	$81.60	$120.00	$7.55–$86.40	9% below	32%
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 Ab, IgG SO	$89.11	$131.05	$7.55–$94.36	1% below	32%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 and 2 Ab, IgG SO	$109.45	$160.96	$7.55–$115.89	21% above	32%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1 and 2-Spec Ab, IgG w/Rfx SO	$81.60	$120.00	—	—	32%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 Ab, IgG SO	$89.11	$131.05	—	—	32%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1 and 2 Ab, IgG SO	$109.45	$160.96	—	—	32%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, Cardiac SO	$104.72	$154.00	$5.05–$110.88	31% above	32%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein, Cardiac SO	$104.72	$154.00	—	—	32%
Homocysteine blood test CPT 83090 Homocyst(e)ine SO	$358.36	$527.00	$6.99–$379.44	139% above	32%
Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine SO	$358.36	$527.00	—	—	32%
Insulin blood test CPT 83525 Insulin SO	$222.36	$327.00	$4.46–$235.44	165% above	32%
Insulin blood test inpatient CPT 83525 Insulin SO	$222.36	$327.00	—	—	32%
Iron blood test (serum iron) CPT 83540 Iron Level	$195.84	$288.00	$2.52–$207.36	125% above	32%
Iron blood test (serum iron) CPT 83540 Iron.	$195.84	$288.00	$2.52–$207.36	125% above	32%
Iron blood test (serum iron) inpatient CPT 83540 Iron.	$195.84	$288.00	—	—	32%
Iron blood test (serum iron) inpatient CPT 83540 Iron Level	$195.84	$288.00	—	—	32%
Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity	$215.56	$317.00	$3.41–$228.24	120% above	32%
Iron-binding capacity (TIBC) test CPT 83550 Iron Bind.Cap.(TIBC)	$215.56	$317.00	$3.41–$228.24	120% above	32%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity	$215.56	$317.00	—	—	32%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Bind.Cap.(TIBC)	$215.56	$317.00	—	—	32%
Kidney function blood test panel CPT 80069 Renal Function Panel	$329.12	$484.00	$3.39–$348.48	86% above	32%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$329.12	$484.00	—	—	32%
LH (luteinizing hormone) test CPT 83002 83002 GONADOTROPIN LUTEINIZING HORMONE LH	$168.64	$248.00	$7.22–$178.56	12% above	32%
LH (luteinizing hormone) test inpatient CPT 83002 83002 GONADOTROPIN LUTEINIZING HORMONE LH	$168.64	$248.00	—	—	32%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid Level	$183.60	$270.00	$4.51–$194.40	88% above	32%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Level	$183.60	$270.00	—	—	32%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fluid	$172.72	$254.00	$2.36–$182.88	267% above	32%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$172.72	$254.00	$2.36–$182.88	267% above	32%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase	$172.72	$254.00	—	—	32%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid	$172.72	$254.00	—	—	32%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$186.32	$274.00	$2.69–$197.28	96% above	32%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$186.32	$274.00	—	—	32%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$412.08	$606.00	$3.19–$436.32	91% above	32%
Liver function blood test panel CPT 80076 Liver Fibrosis Risk Profile SO-Hepatic Function Panel	$572.72	$842.23	$3.19–$606.41	165% above	32%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$412.08	$606.00	—	—	32%
Liver function blood test panel inpatient CPT 80076 Liver Fibrosis Risk Profile SO-Hepatic Function Panel	$572.72	$842.23	—	—	32%
Lyme disease antibody test CPT 86618 86618 ANTIBODY BORRELIA BURGDORFERI LYME	$177.48	$261.00	$6.64–$187.92	115% above	32%
Lyme disease antibody test inpatient CPT 86618 86618 ANTIBODY BORRELIA BURGDORFERI LYME	$177.48	$261.00	—	—	32%
Magnesium blood test CPT 83735 Magnesium Level SO	$37.48	$55.12	$2.61–$39.69	24% below	32%
Magnesium blood test CPT 83735 83735 MAGNESIUM	$159.12	$234.00	$2.61–$168.48	221% above	32%
Magnesium blood test inpatient CPT 83735 Magnesium Level SO	$37.48	$55.12	—	—	32%
Magnesium blood test inpatient CPT 83735 83735 MAGNESIUM	$159.12	$234.00	—	—	32%
Measles (rubeola) antibody test CPT 86765 Measles Antibodies, IgM SO	$100.64	$148.00	$5.02–$106.56	174% above	32%
Measles (rubeola) antibody test inpatient CPT 86765 Measles Antibodies, IgM SO	$100.64	$148.00	—	—	32%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$106.08	$156.00	$2.02–$112.32	25% above	32%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen	$106.08	$156.00	—	—	32%
Mumps immunity blood test CPT 86735 Mumps Antibodies, IgG SO	$111.52	$164.00	$5.09–$118.08	81% above	32%
Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies, IgG SO	$111.52	$164.00	—	—	32%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag, Serum SO	$154.36	$227.00	$7.17–$163.44	73% above	32%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag, Serum SO	$154.36	$227.00	—	—	32%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG (Image Guided) SO	$114.92	$169.00	$10.38–$121.68	56% above	32%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap IG (Image Guided) SO	$114.92	$169.00	—	—	32%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 .Change IG Pap to LB Pap 192555 SO	$106.08	$156.00	$7.90–$112.32	17% above	32%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 .Change IG Pap to LB Pap 192555 SO	$106.08	$156.00	—	—	32%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Intraoperative/Post Operative	$205.36	$302.00	$16.10–$217.44	5% below	32%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Intraoperative/Post Operative	$205.36	$302.00	—	—	32%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood	$149.60	$220.00	$2.34–$158.40	177% above	32%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood	$149.60	$220.00	—	—	32%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level	$150.28	$221.00	$1.85–$159.12	139% above	32%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Level	$150.28	$221.00	—	—	32%
Potassium blood test CPT 84132 Potassium Level	$127.16	$187.00	$1.86–$134.64	95% above	32%
Potassium blood test inpatient CPT 84132 Potassium Level	$127.16	$187.00	—	—	32%
Progesterone blood test CPT 84144 Progesterone SO	$90.44	$133.00	$8.14–$95.76	21% below	32%
Progesterone blood test inpatient CPT 84144 Progesterone SO	$90.44	$133.00	—	—	32%
Prolactin blood test CPT 84146 Prolactin SO	$255.68	$376.00	$7.56–$270.72	120% above	32%
Prolactin blood test inpatient CPT 84146 Prolactin SO	$255.68	$376.00	—	—	32%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time (PT)	$125.12	$184.00	$1.67–$132.48	165% above	32%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time (PT)	$125.12	$184.00	—	—	32%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug test(s), presumptive, any number of drug classes, any number of dev	$215.56	$317.00	$4.91–$228.24	77% above	32%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug test(s), presumptive, any number of drug classes, any number of dev	$215.56	$317.00	—	—	32%
Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen	$116.96	$172.00	$6.45–$123.84	23% above	32%
Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen	$116.96	$172.00	$6.45–$123.84	23% above	32%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Antigen	$116.96	$172.00	—	—	32%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen	$116.96	$172.00	—	—	32%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep A Antigen	$261.12	$384.00	$6.45–$276.48	162% above	32%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep A Antigen	$261.12	$384.00	—	—	32%
Renin blood test CPT 84244 Renin Activity, Plasma SO	$318.92	$469.00	$8.58–$337.68	211% above	32%
Renin blood test inpatient CPT 84244 Renin Activity, Plasma SO	$318.92	$469.00	—	—	32%
Rh blood typing CPT 86901 86901 BLOOD TYPING RH (D)	$76.84	$113.00	$1.17–$81.36	19% above	32%
Rh blood typing inpatient CPT 86901 86901 BLOOD TYPING RH (D)	$76.84	$113.00	—	—	32%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor	$154.36	$227.00	$2.21–$163.44	180% above	32%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor	$154.36	$227.00	—	—	32%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgM SO	$101.32	$149.00	$5.61–$107.28	108% above	32%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgM SO	$101.32	$149.00	—	—	32%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate	$129.88	$191.00	$1.05–$137.52	132% above	32%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sedimentation Rate	$129.88	$191.00	—	—	32%
Sodium blood test CPT 84295 Sodium Level	$116.96	$172.00	$1.88–$123.84	88% above	32%
Sodium blood test inpatient CPT 84295 Sodium Level	$116.96	$172.00	—	—	32%
Stool ova and parasites exam CPT 87177 Ova + Parasite Exam SO	$105.40	$155.00	$3.47–$111.60	18% above	32%
Stool ova and parasites exam inpatient CPT 87177 Ova + Parasite Exam SO	$105.40	$155.00	—	—	32%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood, occult, by peroxidase activity	$103.36	$152.00	$1.71–$109.44	169% above	32%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood, occult, by peroxidase activity	$103.36	$152.00	—	—	32%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, occult, by fecal	$118.05	$173.60	$6.21–$124.99	72% above	32%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Blood, occult, by fecal	$118.05	$173.60	—	—	32%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum Antibodies SO	$165.24	$243.00	$5.16–$174.96	257% above	32%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum Antibodies SO	$165.24	$243.00	—	—	32%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 86592 SYPHILIS TEST QUALITATIVE	$111.52	$164.00	$1.67–$118.08	112% above	32%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 86592 SYPHILIS TEST QUALITATIVE	$111.52	$164.00	—	—	32%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus SO	$159.12	$234.00	$24.17–$168.48	22% below	32%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus SO	$159.12	$234.00	—	—	32%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level Total (Male)	$254.32	$374.00	$10.07–$269.28	151% above	32%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level Total (Male)	$254.32	$374.00	—	—	32%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Ab SO	$117.64	$173.00	$5.67–$124.56	32% above	32%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Ab SO	$117.64	$173.00	—	—	32%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$341.36	$502.00	$6.55–$361.44	177% above	32%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$341.36	$502.00	—	—	32%
Total IgE blood test CPT 82785 Immunoglobulins A/E/G/M, Serum SO	$167.28	$246.00	$6.42–$177.12	88% above	32%
Total IgE blood test inpatient CPT 82785 Immunoglobulins A/E/G/M, Serum SO	$167.28	$246.00	—	—	32%
Total cholesterol blood test CPT 82465 Cholesterol Total	$104.72	$154.00	$1.70–$110.88	56% above	32%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Total	$104.72	$154.00	—	—	32%
Total thyroxine (T4) blood test CPT 84436 Thyroxine (T4) SO	$33.65	$49.49	$2.68–$35.63	58% below	32%
Total thyroxine (T4) blood test CPT 84436 Thyroxine	$174.08	$256.00	$2.68–$184.32	116% above	32%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (T4) SO	$33.65	$49.49	—	—	32%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine	$174.08	$256.00	—	—	32%
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (T3) SO	$272.00	$400.00	$5.53–$288.00	116% above	32%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (T3) SO	$272.00	$400.00	—	—	32%
Transferrin blood test CPT 84466 Transferrin SO	$209.44	$308.00	$4.98–$221.76	76% above	32%
Transferrin blood test inpatient CPT 84466 Transferrin SO	$209.44	$308.00	—	—	32%
Trichomonas test (NAAT) CPT 87661 Trichomonas PCR	$151.64	$223.00	$13.69–$160.56	73% above	32%
Trichomonas test (NAAT) CPT 87661 87661 TRICHOMONAS VEGININALIS AMP PROBE	$151.64	$223.00	$13.69–$160.56	73% above	32%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas PCR	$151.64	$223.00	—	—	32%
Trichomonas test (NAAT) inpatient CPT 87661 87661 TRICHOMONAS VEGININALIS AMP PROBE	$151.64	$223.00	—	—	32%
Triglycerides blood test CPT 84478 Triglycerides	$210.12	$309.00	$2.24–$222.48	139% above	32%
Triglycerides blood test CPT 84478 Triglyceride Body Fluid	$210.12	$309.00	$2.24–$222.48	139% above	32%
Triglycerides blood test inpatient CPT 84478 Triglyceride Body Fluid	$210.12	$309.00	—	—	32%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$210.12	$309.00	—	—	32%
Troponin test, quantitative CPT 84484 Troponin-I	$300.56	$442.00	$4.86–$318.24	122% above	32%
Troponin test, quantitative inpatient CPT 84484 Troponin-I	$300.56	$442.00	—	—	32%
Uric acid blood test CPT 84550 Uric Acid	$139.40	$205.00	$1.76–$147.60	53% above	32%
Uric acid blood test inpatient CPT 84550 Uric Acid	$139.40	$205.00	—	—	32%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Microscopic	$127.84	$188.00	$1.24–$135.36	19% above	32%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Microscopic	$127.84	$188.00	—	—	32%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis, without microscopy	$82.96	$122.00	$0.88–$87.84	65% above	32%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis without Microscopic	$82.96	$122.00	$0.88–$87.84	65% above	32%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis, without microscopy	$82.96	$122.00	—	—	32%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis without Microscopic	$82.96	$122.00	—	—	32%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine Colony BCE	$203.32	$299.00	$3.15–$215.28	46% above	32%
Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Urine Colony BCE	$203.32	$299.00	—	—	32%
Urine microalbumin (albumin) test CPT 82043 U Microalbumin	$153.68	$226.00	$2.25–$162.72	201% above	32%
Urine microalbumin (albumin) test CPT 82043 Albumin/Creatinine Ratio,Ur SO	$153.68	$226.00	$2.25–$162.72	201% above	32%
Urine microalbumin (albumin) test inpatient CPT 82043 Albumin/Creatinine Ratio,Ur SO	$153.68	$226.00	—	—	32%
Urine microalbumin (albumin) test inpatient CPT 82043 U Microalbumin	$153.68	$226.00	—	—	32%
Urine pregnancy test, read by color change CPT 81025 HCG Qualitative Urine	$249.56	$367.00	$3.36–$264.24	193% above	32%
Urine pregnancy test, read by color change CPT 81025 .HCG Urine (POCT)	$293.08	$431.00	$3.36–$310.32	245% above	32%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG Qualitative Urine	$249.56	$367.00	—	—	32%
Urine pregnancy test, read by color change inpatient CPT 81025 .HCG Urine (POCT)	$293.08	$431.00	—	—	32%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level	$218.96	$322.00	$5.88–$231.84	141% above	32%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level	$218.96	$322.00	—	—	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-Hydroxy	$354.28	$521.00	$11.54–$375.12	188% above	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 SO	$354.28	$521.00	$11.54–$375.12	188% above	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25-Hydroxy	$354.28	$521.00	—	—	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 SO	$354.28	$521.00	—	—	32%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Calcitriol(1,25 di-OH Vit D) SO	$308.72	$454.00	$15.02–$326.88	86% above	32%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Calcitriol(1,25 di-OH Vit D) SO	$308.72	$454.00	—	—	32%
Zinc blood test CPT 84630 Zinc, Plasma or Serum SO	$65.96	$97.00	$4.44–$69.84	4% below	32%
Zinc blood test inpatient CPT 84630 Zinc, Plasma or Serum SO	$65.96	$97.00	—	—	32%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 (HCG) Quantitative	$293.08	$431.00	$5.87–$310.32	161% above	32%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 (HCG) Quantitative	$293.08	$431.00	—	—	32%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Under Excision and Destruction Procedures on the Pharynx, Adenoids, and Tonsils	$6,512.61	$9,577.37	$886.62–$10,000.00	74% above	32%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 Under Excision and Destruction Procedures on the Pharynx, Adenoids, and Tonsils	$6,512.61	$9,577.37	—	—	32%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction	$12,780.50	$18,794.85	$3,300.05–$15,408.22	76% above	32%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction	$12,780.50	$18,794.85	—	—	32%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscopy, shoulder, surgical with rotator cuff repair	$34,081.33	$50,119.60	$2,398.52–$36,086.11	493% above	32%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Arthroscopy, shoulder, surgical with rotator cuff repair	$34,081.33	$50,119.60	—	—	32%
Botox injections for chronic migraine CPT 64615 Chemodenervation of muscle(s) muscle(s) innervated by facial, trigeminal, cervical spinal and acces	$1,065.57	$1,567.02	$59.25–$10,000.00	91% above	32%
Botox injections for chronic migraine inpatient CPT 64615 Chemodenervation of muscle(s) muscle(s) innervated by facial, trigeminal, cervical spinal and acces	$1,065.57	$1,567.02	—	—	32%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Left	$3,903.88	$5,741.00	$486.45–$10,000.00	12% above	32%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Right	$3,903.88	$5,741.00	$486.45–$10,000.00	12% above	32%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Right	$3,903.88	$5,741.00	—	—	32%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Left	$3,903.88	$5,741.00	—	—	32%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ED Fracture Site -> Fibula Fx, Distal, w/o manipulation	$165.24	$243.00	$21.87–$543.41	65% below	32%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CHED Fracture Site Fibula Fx, Distal, w/o manipulation BCE	$512.09	$753.08	$67.78–$543.41	10% above	32%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 ED Fracture Site -> Fibula Fx, Distal, w/o manipulation	$165.24	$243.00	—	—	32%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CHED Fracture Site Fibula Fx, Distal, w/o manipulation BCE	$512.09	$753.08	—	—	32%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed with distal metatarsa	$5,774.02	$8,491.20	$1,088.27–$10,000.00	38% above	32%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed with distal metatarsa	$5,774.02	$8,491.20	—	—	32%
Bunion correction with removal of part of the big toe joint CPT 28292 Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed with resection of pro	$5,774.02	$8,491.20	$1,088.27–$10,000.00	40% above	32%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed with resection of pro	$5,774.02	$8,491.20	—	—	32%
Cardiac catheterization with coronary angiogram CPT 93458 CATH L HRT ARTERY/VENTR	$14,698.20	$21,615.00	$1,262.79–$15,562.80	24% above	32%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CATH L HRT ARTERY/VENTR	$14,698.20	$21,615.00	—	—	32%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CHED Cardiovascular Procedure Cardioversion BCE	$886.72	$1,304.00	$117.36–$1,403.47	38% below	32%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EKG Charges - EKG -> Cardioversion 92960	$926.84	$1,363.00	$122.67–$1,403.47	35% below	32%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED Cardiovascular Procedure -> Cardioversion	$926.84	$1,363.00	$122.67–$1,403.47	35% below	32%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CHED Cardiovascular Procedure Cardioversion BCE	$886.72	$1,304.00	—	—	32%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED Cardiovascular Procedure -> Cardioversion	$926.84	$1,363.00	—	—	32%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 EKG Charges - EKG -> Cardioversion 92960	$926.84	$1,363.00	—	—	32%
Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery	$7,157.91	$10,526.34	$659.94–$10,000.00	113% above	32%
Carpal tunnel release, open surgery inpatient CPT 64721 Carpal tunnel surgery	$7,157.91	$10,526.34	—	—	32%
Cataract surgery with lens implant CPT 66984 Extracapsular cataract removal	$8,482.97	$12,474.96	$849.94–$10,000.00	103% above	32%
Cataract surgery with lens implant inpatient CPT 66984 Extracapsular cataract removal	$8,482.97	$12,474.96	—	—	32%
Catheter ablation for atrial fibrillation CPT 93656 COMP EP ABL AFIB	$23,689.84	$34,838.00	$1,123.49–$55,502.46	34% below	32%
Catheter ablation for atrial fibrillation inpatient CPT 93656 COMP EP ABL AFIB	$23,689.84	$34,838.00	—	—	32%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision	$7,140.00	$10,500.00	$116.50–$7,560.00	481% above	32%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision	$7,140.00	$10,500.00	—	—	32%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CHED Fracture Site Radius/Ulna fx, distal, w/o manipulation BCE	$569.16	$837.00	$75.33–$602.64	11% above	32%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ED Fracture Site -> Radius/Ulna fx, distal, w/o manipulation	$620.84	$913.00	$82.17–$657.36	21% above	32%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CHED Fracture Site Radius/Ulna fx, distal, w/o manipulation BCE	$569.16	$837.00	—	—	32%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 ED Fracture Site -> Radius/Ulna fx, distal, w/o manipulation	$620.84	$913.00	—	—	32%
Colonoscopy with polyp removal CPT 45385 Colonoscopy, flexible with removal of tumor(s), polyp(s), or other lesion(s) by snare technique	$3,058.26	$4,497.44	$429.26–$10,000.00	154% above	32%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy, flexible with removal of tumor(s), polyp(s), or other lesion(s) by snare technique	$3,058.26	$4,497.44	—	—	32%
Colonoscopy with tissue sample CPT 45380 Colonoscopy, flexible; with biopsy, single or multiple	$5,641.06	$8,295.68	$429.26–$10,000.00	328% above	32%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy, flexible; with biopsy, single or multiple	$5,641.06	$8,295.68	—	—	32%
Colonoscopy, diagnostic CPT 45378 Colonoscopy, flexible diagnostic, including collection of specimen(s) by brushing or washing, when	$3,238.09	$4,761.90	$328.50–$10,000.00	110% above	32%
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy, flexible diagnostic, including collection of specimen(s) by brushing or washing, when	$3,238.09	$4,761.90	—	—	32%
Complex cataract surgery with lens implant CPT 66982 Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), ma	$14,138.29	$20,791.60	$849.94–$14,969.95	221% above	32%
Complex cataract surgery with lens implant inpatient CPT 66982 Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), ma	$14,138.29	$20,791.60	—	—	32%
Coronary stent placement, one artery CPT 92928 CORO STENT W ANGIOPLASTY 1ST ART	$9,757.32	$14,349.00	$697.11–$24,969.37	17% below	32%
Coronary stent placement, one artery inpatient CPT 92928 CORO STENT W ANGIOPLASTY 1ST ART	$9,757.32	$14,349.00	—	—	32%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia	$3,679.59	$5,411.16	$420.64–$10,000.00	8% above	32%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia	$3,679.59	$5,411.16	—	—	32%
Earwax removal by irrigation (rinsing), one ear CPT 69209 CHED Ear Procedures Cerumen Irrigation/Lavage BCE	$328.91	$483.69	$19.73–$348.26	170% above	32%
Earwax removal by irrigation (rinsing), one ear CPT 69209 ED Ear Procedure -> Cerumen Irrigation/Lavage	$329.12	$484.00	$19.73–$348.48	170% above	32%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 CHED Ear Procedures Cerumen Irrigation/Lavage BCE	$328.91	$483.69	—	—	32%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 ED Ear Procedure -> Cerumen Irrigation/Lavage	$329.12	$484.00	—	—	32%
Earwax removal with instruments, one ear CPT 69210 Otolaryngologic examination under general anesthesia	$244.19	$359.10	$32.32–$10,000.00	53% above	32%
Earwax removal with instruments, one ear CPT 69210 ED Ear Procedure -> Cerumen w/ Instrumentation	$1,114.52	$1,639.00	$39.65–$1,180.08	598% above	32%
Earwax removal with instruments, one ear CPT 69210 CHED Ear Procedures Cerumen w/ Instrumentation BCE	$2,229.69	$3,278.95	$39.65–$2,360.84	1297% above	32%
Earwax removal with instruments, one ear inpatient CPT 69210 Otolaryngologic examination under general anesthesia	$244.19	$359.10	—	—	32%
Earwax removal with instruments, one ear inpatient CPT 69210 ED Ear Procedure -> Cerumen w/ Instrumentation	$1,114.52	$1,639.00	—	—	32%
Earwax removal with instruments, one ear inpatient CPT 69210 CHED Ear Procedures Cerumen w/ Instrumentation BCE	$2,229.69	$3,278.95	—	—	32%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/sinus endoscopy, surgical with ethmoidectomy total (anterior and posterior)	$31,675.81	$46,582.08	$1,630.12–$33,539.10	520% above	32%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 Nasal/sinus endoscopy, surgical with ethmoidectomy total (anterior and posterior)	$31,675.81	$46,582.08	—	—	32%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from fr	$15,837.91	$23,291.04	$1,630.12–$16,769.55	210% above	32%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from fr	$15,837.91	$23,291.04	—	—	32%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Nasal/sinus endoscopy, surgical, with maxillary antrostomy	$12,639.92	$18,588.12	$1,062.24–$13,383.45	269% above	32%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 Nasal/sinus endoscopy, surgical, with maxillary antrostomy	$12,639.92	$18,588.12	—	—	32%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nasal/sinus endoscopy, surgical, with maxillary antrostomy with removal of tissue from maxillary si	$9,828.04	$14,453.00	$1,630.12–$14,986.17	101% above	32%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Nasal/sinus endoscopy, surgical, with maxillary antrostomy with removal of tissue from maxillary si	$9,828.04	$14,453.00	—	—	32%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, ster	$1,294.56	$1,903.77	$262.86–$10,000.00	10% below	32%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, ster	$1,294.56	$1,903.77	—	—	32%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal)	$1,677.82	$2,467.38	$340.77–$10,000.00	6% below	32%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal)	$1,677.82	$2,467.38	—	—	32%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian),	$9,634.05	$14,167.72	$1,151.54–$13,746.84	21% above	32%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian),	$9,634.05	$14,167.72	—	—	32%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian),	$12,042.56	$17,709.65	$1,151.54–$12,750.95	87% above	32%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian),	$12,042.56	$17,709.65	—	—	32%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)	$2,479.85	$3,646.84	$130.67–$10,000.00	170% above	32%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)	$2,479.85	$3,646.84	—	—	32%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy, surgical cholecystectomy	$10,323.30	$15,181.32	$1,888.85–$12,837.39	26% above	32%
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy, surgical cholecystectomy	$10,323.30	$15,181.32	—	—	32%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparoscopy, surgical; cholecystectomy with cholangiography	$21,084.18	$31,006.14	$1,888.85–$22,324.42	155% above	32%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Laparoscopy, surgical; cholecystectomy with cholangiography	$21,084.18	$31,006.14	—	—	32%
Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy	$31,416.00	$46,200.00	$1,863.94–$33,264.00	847% above	32%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Cholecystectomy	$31,416.00	$46,200.00	—	—	32%
Hammertoe correction surgery CPT 28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)	$9,759.36	$14,352.00	$1,088.27–$10,333.44	179% above	32%
Hammertoe correction surgery inpatient CPT 28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)	$9,759.36	$14,352.00	—	—	32%
Incision and drainage of a simple or single skin abscess CPT 10060 ED ID Body Site -> I&D Abscess/Cyst Simple	$675.58	$993.50	$89.42–$715.32	44% above	32%
Incision and drainage of a simple or single skin abscess CPT 10060 OPWC I&D Abscess, Simple BCE	$675.58	$993.50	$65.06–$10,000.00	44% above	32%
Incision and drainage of a simple or single skin abscess CPT 10060 Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous	$675.58	$993.50	$65.06–$10,000.00	44% above	32%
Incision and drainage of a simple or single skin abscess CPT 10060 CHED ID Body Site I&D Abscess/Cyst Simple BCE	$675.58	$993.50	$89.42–$715.32	44% above	32%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous	$675.58	$993.50	—	—	32%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 CHED ID Body Site I&D Abscess/Cyst Simple BCE	$675.58	$993.50	—	—	32%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ED ID Body Site -> I&D Abscess/Cyst Simple	$675.58	$993.50	—	—	32%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 OPWC I&D Abscess, Simple BCE	$675.58	$993.50	—	—	32%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair initial inguinal hernia, age 5 years or older; reducible	$25,309.89	$37,220.43	$1,151.54–$26,798.71	308% above	32%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Repair initial inguinal hernia, age 5 years or older; reducible	$25,309.89	$37,220.43	—	—	32%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection(s) single tendon sheath, or ligament, aponeurosis (eg, plantar 'fascia)	$799.18	$1,175.27	$23.54–$10,000.00	81% above	32%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection(s) single tendon sheath, or ligament, aponeurosis (eg, plantar 'fascia)	$799.18	$1,175.27	—	—	32%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis, aspiration an..	$1,065.57	$1,567.02	$27.96–$10,000.00	62% above	32%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CHED ID Aspirate Arthrocentesis - shoulder/hip/knee/subacromial bursa BCE	$1,084.55	$1,594.93	$51.84–$1,148.35	65% above	32%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ED ID Aspiration -> Arthrocentesis - shoulder, hip, knee, or subacromial bursa	$1,139.68	$1,676.00	$51.84–$1,206.72	73% above	32%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR Joint/Bursa Major Arthr/Asp/Inj Right	$1,139.68	$1,676.00	$27.96–$10,000.00	73% above	32%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 CT Joint/Bursa Major Arthr/Asp/Inj Right BCE	$1,139.68	$1,676.00	$27.96–$10,000.00	73% above	32%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis, aspiration an..	$1,065.57	$1,567.02	—	—	32%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CHED ID Aspirate Arthrocentesis - shoulder/hip/knee/subacromial bursa BCE	$1,084.55	$1,594.93	—	—	32%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ED ID Aspiration -> Arthrocentesis - shoulder, hip, knee, or subacromial bursa	$1,139.68	$1,676.00	—	—	32%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 XR Joint/Bursa Major Arthr/Asp/Inj Right	$1,139.68	$1,676.00	—	—	32%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 CT Joint/Bursa Major Arthr/Asp/Inj Right BCE	$1,139.68	$1,676.00	—	—	32%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable)	$234.93	$345.48	$46.38–$10,000.00	2% below	32%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable)	$234.93	$345.48	—	—	32%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CHED ID Aspirate Arthro - temporomandibul/AC/wrist/elbow/ankle/olecranon bursa BCE	$326.01	$479.42	$43.15–$651.79	45% below	32%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ED ID Aspiration -> Arthrocentesis - temporomandibular, AC, wrist, elbow or ankl	$488.92	$719.00	$43.39–$651.79	17% below	32%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acr	$1,065.57	$1,567.02	$23.54–$10,000.00	80% above	32%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 CHED ID Aspirate Arthro - temporomandibul/AC/wrist/elbow/ankle/olecranon bursa BCE	$326.01	$479.42	—	—	32%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ED ID Aspiration -> Arthrocentesis - temporomandibular, AC, wrist, elbow or ankl	$488.92	$719.00	—	—	32%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acr	$1,065.57	$1,567.02	—	—	32%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ED ID Aspiration -> Arthrocentesis - fingers or toes	$422.96	$622.00	$41.58–$651.79	3% below	32%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes) without ultra	$621.59	$914.10	$22.70–$10,000.00	42% above	32%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 CHED ID Aspirate Arthrocentesis - fingers or toes BCE	$913.42	$1,343.27	$41.58–$967.15	109% above	32%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 XR Joint/Bursa Small Arthr/Asp/Inj Right	$422.96	$622.00	$22.70–$10,000.00	3% below	32%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ED ID Aspiration -> Arthrocentesis - fingers or toes	$422.96	$622.00	—	—	32%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes) without ultra	$621.59	$914.10	—	—	32%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CHED ID Aspirate Arthrocentesis - fingers or toes BCE	$913.42	$1,343.27	—	—	32%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 XR Joint/Bursa Small Arthr/Asp/Inj Right	$422.96	$622.00	—	—	32%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy, knee, surgical with meniscus repair (medial OR lateral)	$11,548.03	$16,982.40	$1,088.27–$12,227.33	101% above	32%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 Arthroscopy, knee, surgical with meniscus repair (medial OR lateral)	$11,548.03	$16,982.40	—	—	32%
Knee arthroscopy with meniscus trim CPT 29881 Arthroscopy, knee, surgical with meniscectomy (medial OR lateral, including any meniscal shaving) i	$15,397.38	$22,643.20	$1,088.27–$16,303.10	161% above	32%
Knee arthroscopy with meniscus trim inpatient CPT 29881 Arthroscopy, knee, surgical with meniscectomy (medial OR lateral, including any meniscal shaving) i	$15,397.38	$22,643.20	—	—	32%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthroscopy, knee, surgical with meniscectomy (medial AND lateral, including any meniscal shaving)	$17,322.05	$25,473.60	$1,088.27–$18,340.99	204% above	32%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Arthroscopy, knee, surgical with meniscectomy (medial AND lateral, including any meniscal shaving)	$17,322.05	$25,473.60	—	—	32%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthroscopy, knee, surgical debridement/shaving of articular cartilage (chondroplasty)	$24,871.07	$36,575.10	$1,088.27–$26,334.07	428% above	32%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Arthroscopy, knee, surgical debridement/shaving of articular cartilage (chondroplasty)	$24,871.07	$36,575.10	—	—	32%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Laparoscopy, surgical, gastric restrictive procedure with gastric bypass and Roux-en-Y gastroentero	$6,119.33	$8,999.01	$809.91–$16,500.00	at median	32%
Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 Laparoscopy, surgical, gastric restrictive procedure with gastric bypass and Roux-en-Y gastroentero	$6,119.33	$8,999.01	—	—	32%
Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 Laparoscopy, surgical, gastric restrictive procedure placement of adjustable gastric restrictive de	$6,267.49	$9,216.90	$829.52–$22,571.94	14% below	32%
Laparoscopic adjustable gastric band placement (Lap-Band) inpatient CPT 43770 Laparoscopy, surgical, gastric restrictive procedure placement of adjustable gastric restrictive de	$6,267.49	$9,216.90	—	—	32%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy, surgical, appendectomy	$14,953.44	$21,990.36	$1,979.13–$15,833.06	111% above	32%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopy, surgical, appendectomy	$14,953.44	$21,990.36	—	—	32%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)	$1,235.87	$1,817.46	$163.57–$22,571.94	89% below	32%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)	$1,235.87	$1,817.46	—	—	32%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy, surgical; repair initial inguinal hernia	$20,646.60	$30,362.64	$1,888.85–$21,861.10	66% above	32%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Laparoscopy, surgical; repair initial inguinal hernia	$20,646.60	$30,362.64	—	—	32%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 Laparoscopy, surgical, gastric restrictive procedure removal of adjustable gastric restrictive devi	$9,427.22	$13,863.56	$1,247.72–$10,000.00	58% above	32%
Laparoscopic removal of an adjustable gastric band and its port inpatient CPT 43774 Laparoscopy, surgical, gastric restrictive procedure removal of adjustable gastric restrictive devi	$9,427.22	$13,863.56	—	—	32%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Laparoscopy, surgical, gastric restrictive procedure	$9,281.67	$13,649.51	$1,228.46–$10,000.00	49% below	32%
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 Laparoscopy, surgical, gastric restrictive procedure	$9,281.67	$13,649.51	—	—	32%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED Laceration Intermediate - Scalp -> <= 2.5 cm	$482.80	$710.00	$63.90–$863.21	9% below	32%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 CHED Laceration Intermediate - Scalp <= 2.5 cm BCE	$482.80	$710.00	$63.90–$863.21	9% below	32%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ED Laceration Intermediate - Scalp -> <= 2.5 cm	$482.80	$710.00	—	—	32%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 CHED Laceration Intermediate - Scalp <= 2.5 cm BCE	$482.80	$710.00	—	—	32%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, ster	$1,294.56	$1,903.77	$262.86–$10,000.00	23% below	32%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, ster	$1,294.56	$1,903.77	—	—	32%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, ster	$2,125.17	$3,125.25	$262.86–$10,000.00	69% above	32%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, ster	$2,125.17	$3,125.25	—	—	32%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LUMBAR SINGLE LEVEL INJ BCE	$1,108.40	$1,630.00	$340.77–$10,000.00	25% below	32%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluor	$1,677.82	$2,467.38	$340.77–$10,000.00	14% above	32%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 LUMBAR SINGLE LEVEL INJ BCE	$1,108.40	$1,630.00	—	—	32%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluor	$1,677.82	$2,467.38	—	—	32%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, fo	$21,300.83	$31,324.75	$2,398.52–$22,553.82	142% above	32%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, fo	$21,300.83	$31,324.75	—	—	32%
Lumbar laminectomy (spinal decompression), one level both sides CPT 63047 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord	$19,170.75	$28,192.28	$2,398.52–$20,298.44	—	32%
Lumbar laminectomy (spinal decompression), one level inpatient both sides CPT 63047 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord	$19,170.75	$28,192.28	—	—	32%
Lumbar spinal fusion (posterior), one level CPT 22612 Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse	$25,122.11	$36,944.28	$7,051.26–$37,232.21	136% above	32%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse	$25,122.11	$36,944.28	—	—	32%
Lumpectomy (partial mastectomy) CPT 19301 Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)	$9,285.96	$13,655.82	$963.66–$10,000.00	97% above	32%
Lumpectomy (partial mastectomy) inpatient CPT 19301 Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)	$9,285.96	$13,655.82	—	—	32%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or	$1,296.50	$1,906.62	$77.79–$10,000.00	61% above	32%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or	$1,296.50	$1,906.62	—	—	32%
Nail removal (partial or complete), one nail CPT 11730 CHED Nail RepairProcedure Nail plate avulsion, single BCE	$675.58	$993.50	$65.64–$715.32	121% above	32%
Nail removal (partial or complete), one nail CPT 11730 ED Nail Repair Procedure -> Nail plate avulsion, single	$675.58	$993.50	$65.64–$715.32	121% above	32%
Nail removal (partial or complete), one nail CPT 11730 OPWC Avlsn Plte, Smpl, Sngl BCE	$675.58	$993.50	$89.42–$10,000.00	121% above	32%
Nail removal (partial or complete), one nail CPT 11730 Avulsion of nail plate, partial or complete, simple; single	$675.58	$993.50	$89.42–$10,000.00	121% above	32%
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion of nail plate, partial or complete, simple; single	$675.58	$993.50	—	—	32%
Nail removal (partial or complete), one nail inpatient CPT 11730 OPWC Avlsn Plte, Smpl, Sngl BCE	$675.58	$993.50	—	—	32%
Nail removal (partial or complete), one nail inpatient CPT 11730 ED Nail Repair Procedure -> Nail plate avulsion, single	$675.58	$993.50	—	—	32%
Nail removal (partial or complete), one nail inpatient CPT 11730 CHED Nail RepairProcedure Nail plate avulsion, single BCE	$675.58	$993.50	—	—	32%
Occipital nerve block (injection for headaches) CPT 64405 Injection(s), anesthetic agent(s) and/or steroid greater occipital nerve	$532.79	$783.51	$30.18–$10,000.00	25% above	32%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection(s), anesthetic agent(s) and/or steroid greater occipital nerve	$532.79	$783.51	—	—	32%
Pacemaker implant (dual chamber) CPT 33208 INSRT/REPLC PERM PACER, A&V LEAD	$15,112.32	$22,224.00	$619.67–$25,834.89	20% below	32%
Pacemaker implant (dual chamber) inpatient CPT 33208 INSRT/REPLC PERM PACER, A&V LEAD	$15,112.32	$22,224.00	—	—	32%
Paracentesis with imaging guidance CPT 49083 ED Paracentesis -> with imaging	$1,323.96	$1,947.00	$127.86–$1,980.52	19% below	32%
Paracentesis with imaging guidance CPT 49083 US Paracentesis	$1,323.96	$1,947.00	$334.95–$10,000.00	19% below	32%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE	$1,323.96	$1,947.00	$334.95–$10,000.00	19% below	32%
Paracentesis with imaging guidance CPT 49083 CHED Paracentesis with imaging BCE	$1,777.22	$2,613.56	$127.86–$1,980.52	9% above	32%
Paracentesis with imaging guidance inpatient CPT 49083 ED Paracentesis -> with imaging	$1,323.96	$1,947.00	—	—	32%
Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis	$1,323.96	$1,947.00	—	—	32%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGE	$1,323.96	$1,947.00	—	—	32%
Paracentesis with imaging guidance inpatient CPT 49083 CHED Paracentesis with imaging BCE	$1,777.22	$2,613.56	—	—	32%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent	$5,451.60	$8,017.06	$84.71–$10,000.00	935% above	32%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 OPWC Removal Of Nail Bed BCE	$5,451.60	$8,017.06	$84.71–$10,000.00	935% above	32%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ED Nail Repair Procedure -> Nail and Nail Matrix, Excision	$5,451.60	$8,017.06	$125.69–$5,772.28	935% above	32%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 CHED Nail RepairProcedure Nail and Nail Matrix, Excision BCE	$5,451.60	$8,017.06	$125.69–$5,772.28	935% above	32%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 CHED Nail RepairProcedure Nail and Nail Matrix, Excision BCE	$5,451.60	$8,017.06	—	—	32%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ED Nail Repair Procedure -> Nail and Nail Matrix, Excision	$5,451.60	$8,017.06	—	—	32%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 OPWC Removal Of Nail Bed BCE	$5,451.60	$8,017.06	—	—	32%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent	$5,451.60	$8,017.06	—	—	32%
Prostate biopsy CPT 55700 US Biopsy Prostate	$1,246.44	$1,833.00	$164.97–$10,000.00	53% below	32%
Prostate biopsy inpatient CPT 55700 US Biopsy Prostate	$1,246.44	$1,833.00	—	—	32%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy lumb/sac facet jnt	$11,952.12	$17,576.65	$659.94–$12,655.19	325% above	32%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy lumb/sac facet jnt	$11,952.12	$17,576.65	—	—	32%
Removal of a breast lump, open surgery CPT 19120 Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions	$9,878.47	$14,527.16	$963.66–$10,459.56	101% above	32%
Removal of a breast lump, open surgery inpatient CPT 19120 Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions	$9,878.47	$14,527.16	—	—	32%
Removal of a foreign object under the skin, simple CPT 10120 CHED Foreign Body Removal Site Skin, Subcutaneous Simple FB BCE	$1,398.84	$2,057.12	$130.89–$1,481.13	163% above	32%
Removal of a foreign object under the skin, simple CPT 10120 Incision and removal of foreign body, subcutaneous tissues simple	$1,398.84	$2,057.12	$86.38–$10,000.00	163% above	32%
Removal of a foreign object under the skin, simple CPT 10120 OPWC Remove Foreign Body, Simple BCE	$1,398.84	$2,057.12	$86.38–$10,000.00	163% above	32%
Removal of a foreign object under the skin, simple CPT 10120 ED Foreign Body Removal Site -> Skin, Subcutaneous Simple FB	$1,398.84	$2,057.12	$130.89–$1,481.13	163% above	32%
Removal of a foreign object under the skin, simple inpatient CPT 10120 ED Foreign Body Removal Site -> Skin, Subcutaneous Simple FB	$1,398.84	$2,057.12	—	—	32%
Removal of a foreign object under the skin, simple inpatient CPT 10120 OPWC Remove Foreign Body, Simple BCE	$1,398.84	$2,057.12	—	—	32%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision and removal of foreign body, subcutaneous tissues simple	$1,398.84	$2,057.12	—	—	32%
Removal of a foreign object under the skin, simple inpatient CPT 10120 CHED Foreign Body Removal Site Skin, Subcutaneous Simple FB BCE	$1,398.84	$2,057.12	—	—	32%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 Total thyroid lobectomy, unilateral with or without isthmusectomy	$20,646.60	$30,362.64	$1,888.85–$21,861.10	160% above	32%
Removal of one lobe of the thyroid (lobectomy) inpatient one side CPT 60220 Total thyroid lobectomy, unilateral with or without isthmusectomy	$20,646.60	$30,362.64	—	—	32%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	$465.80	$685.00	$61.65–$1,974.73	40% below	32%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	$465.80	$685.00	—	—	32%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal cancer screening; colonoscopy on individual at high risk	$1,695.32	$2,493.12	$222.93–$1,974.73	69% above	32%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal cancer screening; colonoscopy on individual at high risk	$1,695.32	$2,493.12	—	—	32%
Septoplasty to straighten the nasal septum CPT 30520 Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement wit	$13,025.22	$19,154.73	$886.62–$13,791.41	257% above	32%
Septoplasty to straighten the nasal septum inpatient CPT 30520 Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement wit	$13,025.22	$19,154.73	—	—	32%
Short arm cast (elbow to hand) CPT 29075 CHED Orthopedic Cast Application Forearm BCE	$353.60	$520.00	$46.80–$593.92	28% above	32%
Short arm cast (elbow to hand) CPT 29075 ED Orthopedic Cast Application -> Forearm	$353.60	$520.00	$46.80–$593.92	28% above	32%
Short arm cast (elbow to hand) inpatient CPT 29075 ED Orthopedic Cast Application -> Forearm	$353.60	$520.00	—	—	32%
Short arm cast (elbow to hand) inpatient CPT 29075 CHED Orthopedic Cast Application Forearm BCE	$353.60	$520.00	—	—	32%
Short arm splint (forearm and hand) CPT 29125 OT Application of Short Arm Splint, Static Units	$420.24	$618.00	$49.89–$444.96	78% above	32%
Short arm splint (forearm and hand) CPT 29125 ED Orthopedic Splinting Site -> Posterior Short Arm Splint	$420.24	$618.00	$49.89–$444.96	78% above	32%
Short arm splint (forearm and hand) CPT 29125 CHED Orthopedic Splinting Site Posterior Short Arm Splint BCE	$420.39	$618.22	$49.89–$445.12	78% above	32%
Short arm splint (forearm and hand) CPT 29125 Application of short arm splint (forearm to hand) static	$775.20	$1,140.00	$102.60–$10,000.00	228% above	32%
Short arm splint (forearm and hand) inpatient CPT 29125 ED Orthopedic Splinting Site -> Posterior Short Arm Splint	$420.24	$618.00	—	—	32%
Short arm splint (forearm and hand) inpatient CPT 29125 OT Application of Short Arm Splint, Static Units	$420.24	$618.00	—	—	32%
Short arm splint (forearm and hand) inpatient CPT 29125 CHED Orthopedic Splinting Site Posterior Short Arm Splint BCE	$420.39	$618.22	—	—	32%
Short arm splint (forearm and hand) inpatient CPT 29125 Application of short arm splint (forearm to hand) static	$775.20	$1,140.00	—	—	32%
Short leg cast (below the knee) CPT 29405 Orthopedic Cast Application Foot/Ankle BCE	$394.35	$579.92	$39.03–$10,000.00	17% above	32%
Short leg cast (below the knee) CPT 29405 ED Orthopedic Cast Application -> Foot/Ankle	$394.40	$580.00	$52.20–$593.92	17% above	32%
Short leg cast (below the knee) inpatient CPT 29405 Orthopedic Cast Application Foot/Ankle BCE	$394.35	$579.92	—	—	32%
Short leg cast (below the knee) inpatient CPT 29405 ED Orthopedic Cast Application -> Foot/Ankle	$394.40	$580.00	—	—	32%
Short leg splint (calf to foot) CPT 29515 CHED Orthopedic Splinting Site Posterior Short Leg Splint BCE	$376.24	$553.30	$49.80–$398.38	44% above	32%
Short leg splint (calf to foot) CPT 29515 ED Orthopedic Splinting Site -> Posterior Short Leg Splint	$386.92	$569.00	$51.21–$409.68	48% above	32%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint (calf to foot)	$432.01	$635.31	$34.33–$10,000.00	66% above	32%
Short leg splint (calf to foot) inpatient CPT 29515 CHED Orthopedic Splinting Site Posterior Short Leg Splint BCE	$376.24	$553.30	—	—	32%
Short leg splint (calf to foot) inpatient CPT 29515 ED Orthopedic Splinting Site -> Posterior Short Leg Splint	$386.92	$569.00	—	—	32%
Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint (calf to foot)	$432.01	$635.31	—	—	32%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Arthroscopy, shoulder, surgical distal claviculectomy including distal articular surface (Mumford p	$19,246.72	$28,304.00	$1,088.27–$20,378.88	354% above	32%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Arthroscopy, shoulder, surgical distal claviculectomy including distal articular surface (Mumford p	$19,246.72	$28,304.00	—	—	32%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with	$18,653.25	$27,431.25	$2,468.81–$19,750.50	256% above	32%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with	$18,653.25	$27,431.25	—	—	32%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 CHED Laceration Simple - Scalp <= 2.5 cm BCE	$675.58	$993.50	$54.51–$715.32	86% above	32%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED Laceration Simple - Scalp -> <= 2.5 cm	$675.58	$993.50	$54.51–$715.32	86% above	32%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ED Laceration Simple - Scalp -> <= 2.5 cm	$675.58	$993.50	—	—	32%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 CHED Laceration Simple - Scalp <= 2.5 cm BCE	$675.58	$993.50	—	—	32%
Skin biopsy, punch, one lesion CPT 11104 Biopsy Skin Single Lesion	$467.84	$688.00	$79.46–$10,000.00	3% above	32%
Skin biopsy, punch, one lesion CPT 11104 OPWC Punch Biopsy Skn, One Lsn BCE	$467.84	$688.00	$79.46–$10,000.00	3% above	32%
Skin biopsy, punch, one lesion inpatient CPT 11104 OPWC Punch Biopsy Skn, One Lsn BCE	$467.84	$688.00	—	—	32%
Skin biopsy, punch, one lesion inpatient CPT 11104 Biopsy Skin Single Lesion	$467.84	$688.00	—	—	32%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions	$1,684.36	$2,477.00	$201.55–$10,000.00	429% above	32%
Skin tag removal, up to 15 tags CPT 11200 ED Lesion Procedure -> Removal of Skin Tags	$1,684.36	$2,477.00	$94.86–$1,783.44	429% above	32%
Skin tag removal, up to 15 tags CPT 11200 CHED LesionProcedure Removal of Skin Tags BCE	$1,684.36	$2,477.00	$94.86–$1,783.44	429% above	32%
Skin tag removal, up to 15 tags CPT 11200 OPWC Removal Of Skin Lesion BCE	$1,684.36	$2,477.00	$201.55–$10,000.00	429% above	32%
Skin tag removal, up to 15 tags inpatient CPT 11200 OPWC Removal Of Skin Lesion BCE	$1,684.36	$2,477.00	—	—	32%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions	$1,684.36	$2,477.00	—	—	32%
Skin tag removal, up to 15 tags inpatient CPT 11200 ED Lesion Procedure -> Removal of Skin Tags	$1,684.36	$2,477.00	—	—	32%
Skin tag removal, up to 15 tags inpatient CPT 11200 CHED LesionProcedure Removal of Skin Tags BCE	$1,684.36	$2,477.00	—	—	32%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ED Injections/Nerve Block -> Lumbar puncture - Diagnostic	$857.48	$1,261.00	$77.08–$1,575.13	18% below	32%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal puncture, lumbar, diagnostic	$1,510.33	$2,221.07	$262.86–$10,000.00	44% above	32%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ED Injections/Nerve Block -> Lumbar puncture - Diagnostic	$857.48	$1,261.00	—	—	32%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal puncture, lumbar, diagnostic	$1,510.33	$2,221.07	—	—	32%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 CHED Laceration Simple - Scalp 2.6 to 7.5 cm BCE	$462.57	$680.25	$61.22–$489.78	1% above	32%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED Laceration Simple - Scalp -> 2.6 to 7.5 cm	$501.16	$737.00	$66.33–$530.64	10% above	32%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 CHED Laceration Simple - Scalp 2.6 to 7.5 cm BCE	$462.57	$680.25	—	—	32%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ED Laceration Simple - Scalp -> 2.6 to 7.5 cm	$501.16	$737.00	—	—	32%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 CHED Laceration Simple - Face <= 2.5 cm BCE	$435.88	$641.00	$57.69–$461.52	12% above	32%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED Laceration Simple - Face -> <= 2.5 cm	$435.88	$641.00	$57.69–$461.52	12% above	32%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 CHED Laceration Simple - Face <= 2.5 cm BCE	$435.88	$641.00	—	—	32%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ED Laceration Simple - Face -> <= 2.5 cm	$435.88	$641.00	—	—	32%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$486.20	$715.00	$64.23–$10,000.00	35% above	32%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 OPWC Tangntl Bx Skin Single Les BCE	$486.20	$715.00	$64.23–$10,000.00	35% above	32%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 OPWC Tangntl Bx Skin Single Les BCE	$486.20	$715.00	—	—	32%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES	$486.20	$715.00	—	—	32%
Thoracentesis with imaging guidance CPT 32555 ED Airway/Intubation Procedure -> Thoracentesis w/ imaging	$1,332.12	$1,959.00	$131.10–$1,588.89	6% below	32%
Thoracentesis with imaging guidance CPT 32555 CHED Airway/Intubation Procedures Thoracentesis w/ Imaging BCE	$1,770.43	$2,603.58	$131.10–$1,874.58	24% above	32%
Thoracentesis with imaging guidance one side CPT 32555 CT Thoracentesis w/ CT Guidance Right	$1,332.12	$1,959.00	$223.75–$10,000.00	6% below	32%
Thoracentesis with imaging guidance one side CPT 32555 US Thoracentesis Right	$1,332.12	$1,959.00	$223.75–$10,000.00	6% below	32%
Thoracentesis with imaging guidance inpatient CPT 32555 ED Airway/Intubation Procedure -> Thoracentesis w/ imaging	$1,332.12	$1,959.00	—	—	32%
Thoracentesis with imaging guidance inpatient CPT 32555 CHED Airway/Intubation Procedures Thoracentesis w/ Imaging BCE	$1,770.43	$2,603.58	—	—	32%
Thoracentesis with imaging guidance inpatient one side CPT 32555 US Thoracentesis Right	$1,332.12	$1,959.00	—	—	32%
Thoracentesis with imaging guidance inpatient one side CPT 32555 CT Thoracentesis w/ CT Guidance Right	$1,332.12	$1,959.00	—	—	32%
Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy and adenoidectomy age 12 or over	$14,885.96	$21,891.12	$886.62–$15,761.61	294% above	32%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Tonsillectomy and adenoidectomy age 12 or over	$14,885.96	$21,891.12	—	—	32%
Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy and adenoidectomy younger than age 12	$27,668.11	$40,688.40	$1,954.22–$29,295.65	478% above	32%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Tonsillectomy and adenoidectomy younger than age 12	$27,668.11	$40,688.40	—	—	32%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy, primary or secondary age 12 or over	$14,885.96	$21,891.12	$886.62–$15,761.61	236% above	32%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Tonsillectomy, primary or secondary age 12 or over	$14,885.96	$21,891.12	—	—	32%
Total hip replacement CPT 27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with	$53,236.17	$78,288.48	$7,045.96–$56,367.71	315% above	32%
Total hip replacement inpatient CPT 27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with	$53,236.17	$78,288.48	—	—	32%
Total knee replacement CPT 27447 Arthroplasty, knee, condyle and plateau medial AND lateral compartments with or without patella res	$37,683.17	$55,416.42	$4,987.48–$39,899.82	194% above	32%
Total knee replacement inpatient CPT 27447 Arthroplasty, knee, condyle and plateau medial AND lateral compartments with or without patella res	$37,683.17	$55,416.42	—	—	32%
Total shoulder replacement CPT 23472 Arthroplasty, glenohumeral joint total shoulder (glenoid and proximal humeral replacement (eg, tota	$66,992.29	$98,518.08	$2,523.57–$70,933.02	282% above	32%
Total shoulder replacement inpatient CPT 23472 Arthroplasty, glenohumeral joint total shoulder (glenoid and proximal humeral replacement (eg, tota	$66,992.29	$98,518.08	—	—	32%
Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy, total or complete	$27,528.79	$40,483.52	$1,888.85–$29,148.13	190% above	32%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 Thyroidectomy, total or complete	$27,528.79	$40,483.52	—	—	32%
Trigger finger release surgery CPT 26055 Tendon sheath incision (eg, for trigger finger)	$5,680.79	$8,354.10	$593.04–$10,000.00	68% above	32%
Trigger finger release surgery inpatient CPT 26055 Tendon sheath incision (eg, for trigger finger)	$5,680.79	$8,354.10	—	—	32%
Trigger point injections, 1 or 2 muscles CPT 20552 ED Injections/Nerve Block -> Injection trigger point	$505.92	$744.00	$45.02–$651.79	12% below	32%
Trigger point injections, 1 or 2 muscles CPT 20552 CHED Injections/Nerve Block Injection trigger point BCE	$505.92	$744.00	$45.02–$651.79	12% below	32%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection(s) single or multiple trigger point(s), 1 or 2 muscle(s)	$621.59	$914.10	$23.26–$10,000.00	8% above	32%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ED Injections/Nerve Block -> Injection trigger point	$505.92	$744.00	—	—	32%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 CHED Injections/Nerve Block Injection trigger point BCE	$505.92	$744.00	—	—	32%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection(s) single or multiple trigger point(s), 1 or 2 muscle(s)	$621.59	$914.10	—	—	32%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Left	$3,521.04	$5,178.00	$486.45–$10,000.00	28% above	32%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Right	$3,521.04	$5,178.00	$486.45–$10,000.00	28% above	32%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w/ US Guide Right	$3,521.04	$5,178.00	—	—	32%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w/ US Guide Left	$3,521.04	$5,178.00	—	—	32%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esophagogastroduodenoscopy, flexible, transoral with transendoscopic balloon dilation of esophagus	$5,525.07	$8,125.10	$564.97–$10,000.00	276% above	32%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esophagogastroduodenoscopy, flexible, transoral with transendoscopic balloon dilation of esophagus	$5,525.07	$8,125.10	—	—	32%
Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy	$1,651.58	$2,428.80	$334.95–$10,000.00	12% above	32%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Esophagogastroduodenoscopy	$1,651.58	$2,428.80	—	—	32%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substanc	$2,477.38	$3,643.20	$334.95–$10,000.00	239% above	32%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substanc	$2,477.38	$3,643.20	—	—	32%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion	$3,867.55	$5,687.57	$564.97–$10,000.00	240% above	32%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion	$3,867.55	$5,687.57	—	—	32%
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s)	$1,651.58	$2,428.80	$334.95–$10,000.00	13% above	32%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s)	$1,651.58	$2,428.80	—	—	32%
Vein ablation, radiofrequency, first vein CPT 36475 Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions	$9,940.34	$14,618.15	$1,118.22–$10,525.07	139% above	32%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions	$9,940.34	$14,618.15	—	—	32%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 OPWC Debrid Skin/Sq Tiss <=20 BCE	$1,051.28	$1,546.00	$171.51–$10,000.00	4% above	32%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 CHED Debridement To subcutaneous tissue, <= 20 sq cm BCE	$1,051.28	$1,546.00	$74.08–$1,113.12	4% above	32%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ED Debridement -> To subcutaneous tissue, <= 20 sq cm	$1,051.28	$1,546.00	$74.08–$1,113.12	4% above	32%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, subcutaneous tissue (includes epidermis and dermis, if performed) first 20 sq cm or le	$1,051.28	$1,546.00	$171.51–$10,000.00	4% above	32%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 OPWC Debrid Skin/Sq Tiss <=20 BCE	$1,051.28	$1,546.00	—	—	32%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 CHED Debridement To subcutaneous tissue, <= 20 sq cm BCE	$1,051.28	$1,546.00	—	—	32%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ED Debridement -> To subcutaneous tissue, <= 20 sq cm	$1,051.28	$1,546.00	—	—	32%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement, subcutaneous tissue (includes epidermis and dermis, if performed) first 20 sq cm or le	$1,051.28	$1,546.00	—	—	32%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fix	$26,987.69	$39,687.78	$3,444.15–$28,575.20	240% above	32%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fix	$26,987.69	$39,687.78	—	—	32%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 CHED BLOOD TRANSFUSION BCE	$1,015.24	$1,493.00	$52.19–$1,074.96	15% above	32%
Blood transfusion (giving blood or blood components) CPT 36430 ED BLOOD TRANSFUSION BCE	$1,400.12	$2,059.00	$52.19–$1,482.48	59% above	32%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Charges: -> Blood Administration Complete	$1,400.12	$2,059.00	$52.19–$1,482.48	59% above	32%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHED BLOOD TRANSFUSION BCE	$1,015.24	$1,493.00	—	—	32%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED BLOOD TRANSFUSION BCE	$1,400.12	$2,059.00	—	—	32%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Charges: -> Blood Administration Complete	$1,400.12	$2,059.00	—	—	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy -> Subsequent	$115.60	$170.00	$9.84–$464.99	43% below	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ED PRESSD NONPRESSD INHAL TRMENT BCE	$115.60	$170.00	$9.84–$464.99	43% below	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE IPPB -> Yes	$115.60	$170.00	$9.84–$464.99	43% below	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE MDI -> Demo/Initial	$115.60	$170.00	$9.84–$464.99	43% below	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CHED PRESSD NONPRESSD INHAL TRMENT BCE	$262.16	$385.53	$9.84–$3,520.00	29% above	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE MDI -> Demo/Initial	$115.60	$170.00	—	—	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ED PRESSD NONPRESSD INHAL TRMENT BCE	$115.60	$170.00	—	—	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Aerosol Therapy -> Subsequent	$115.60	$170.00	—	—	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE IPPB -> Yes	$115.60	$170.00	—	—	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CHED PRESSD NONPRESSD INHAL TRMENT BCE	$262.16	$385.53	—	—	32%
Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy Inf up to 1 Hour Single or Initial Drug 96413	$377.40	$555.00	$49.95–$701.38	30% below	32%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemotherapy Inf up to 1 Hour Single or Initial Drug 96413	$377.40	$555.00	—	—	32%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min 99291	$2,451.40	$3,605.00	$258.57–$4,117.38	5% below	32%
Critical care, first 30 to 74 minutes CPT 99291 CHED Critical Care Ill/Injured Patient Init 30-74 Min 99291 BCE	$2,451.40	$3,605.00	$258.57–$4,117.38	5% below	32%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min 99291	$2,451.40	$3,605.00	—	—	32%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CHED Critical Care Ill/Injured Patient Init 30-74 Min 99291 BCE	$2,451.40	$3,605.00	—	—	32%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Charges -> EEG Awake/Drowsy 95816	$1,297.44	$1,908.00	$171.72–$1,373.76	33% above	32%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Charges -> EEG Awake/Drowsy 95816	$1,297.44	$1,908.00	—	—	32%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CHED Routine ECG 12 lead/15 lead tracing only BCE	$457.64	$673.00	$7.78–$484.56	61% above	32%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Charges - EKG -> Routine ECG 12 lead/15 lead tracing only 93005	$476.00	$700.00	$7.78–$504.00	68% above	32%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RT EKG 12 Lead Tracing BCE	$476.00	$700.00	$7.78–$504.00	68% above	32%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CV ECG Acquisition	$476.00	$700.00	$7.78–$504.00	68% above	32%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CHED Routine ECG 12 lead/15 lead tracing only BCE	$457.64	$673.00	—	—	32%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CV ECG Acquisition	$476.00	$700.00	—	—	32%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 RT EKG 12 Lead Tracing BCE	$476.00	$700.00	—	—	32%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Charges - EKG -> Routine ECG 12 lead/15 lead tracing only 93005	$476.00	$700.00	—	—	32%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1	$255.00	$375.00	$13.90–$550.00	3% below	32%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 CHED 99281 - Level 1 BCE	$255.00	$375.00	$13.90–$550.00	3% below	32%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 CHED 99281 - Level 1 BCE	$255.00	$375.00	—	—	32%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1	$255.00	$375.00	—	—	32%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2	$518.16	$762.00	$50.73–$900.00	10% above	32%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 CHED 99282 - Level 2 BCE	$518.16	$762.00	$50.73–$900.00	10% above	32%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2	$518.16	$762.00	—	—	32%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 CHED 99282 - Level 2 BCE	$518.16	$762.00	—	—	32%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 CHED 99283 - Level 3 BCE	$1,056.72	$1,554.00	$86.33–$1,302.00	28% above	32%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 CHED 99283 - Level 3 BCE	$1,056.72	$1,554.00	—	—	32%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 CHED 99284 - Level 4 BCE	$1,439.56	$2,117.00	$146.88–$2,500.00	10% above	32%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4	$1,439.56	$2,117.00	$146.88–$2,500.00	10% above	32%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4	$1,439.56	$2,117.00	—	—	32%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 CHED 99284 - Level 4 BCE	$1,439.56	$2,117.00	—	—	32%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5	$2,067.20	$3,040.00	$212.75–$3,520.00	3% above	32%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CHED 99285 - Level 5 BCE	$2,067.20	$3,040.00	$212.75–$3,520.00	3% above	32%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CHED 99285 - Level 5 BCE	$2,067.20	$3,040.00	—	—	32%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5	$2,067.20	$3,040.00	—	—	32%
Exercise stress test, tracing only, the hospital charge CPT 93017 EKG Charges - EKG -> Cardiovascular stress test trace 93017	$1,748.28	$2,571.00	$46.46–$1,851.12	36% above	32%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EKG Charges - EKG -> Cardiovascular stress test trace 93017	$1,748.28	$2,571.00	—	—	32%
Group psychotherapy session CPT 90853 BARIATRIC GROUP PSYCHOTHERAPY BCE	$310.08	$456.00	$29.68–$328.32	62% above	32%
Group psychotherapy session CPT 90853 DFW BARIATRIC GROUP PSYCHOTHERAPY BCE	$310.08	$456.00	$29.68–$328.32	62% above	32%
Group psychotherapy session inpatient CPT 90853 BARIATRIC GROUP PSYCHOTHERAPY BCE	$310.08	$456.00	—	—	32%
Group psychotherapy session inpatient CPT 90853 DFW BARIATRIC GROUP PSYCHOTHERAPY BCE	$310.08	$456.00	—	—	32%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour	$426.22	$626.79	$39.95–$451.67	5% below	32%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 SDS Inf Hydration Initial 31 to 60 Min 96360 BCE	$575.96	$847.00	$39.95–$609.84	28% above	32%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour	$575.96	$847.00	$39.95–$609.84	28% above	32%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 BARIATRIC IV INF HYD INIT 31-60MIN BCE	$575.96	$847.00	$39.95–$609.84	28% above	32%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion for Hydration Initial 31 to 60 Minutes 96360	$575.96	$847.00	$39.95–$609.84	28% above	32%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHED 96360 - Hydration, first hour BCE	$575.96	$847.00	$39.95–$609.84	28% above	32%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour	$426.22	$626.79	—	—	32%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 BARIATRIC IV INF HYD INIT 31-60MIN BCE	$575.96	$847.00	—	—	32%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 SDS Inf Hydration Initial 31 to 60 Min 96360 BCE	$575.96	$847.00	—	—	32%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour	$575.96	$847.00	—	—	32%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infusion for Hydration Initial 31 to 60 Minutes 96360	$575.96	$847.00	—	—	32%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHED 96360 - Hydration, first hour BCE	$575.96	$847.00	—	—	32%
IV infusion of a medicine, first hour CPT 96365 Inf for Therapy, Prophylaxis, Dx Initial up to 1 Hour 96365	$204.00	$300.00	$27.00–$451.67	56% below	32%
IV infusion of a medicine, first hour CPT 96365 CHED 96365- IV tx, first hour BCE	$204.00	$300.00	$27.00–$451.67	56% below	32%
IV infusion of a medicine, first hour CPT 96365 96365- IV tx, first hour	$204.00	$300.00	$27.00–$451.67	56% below	32%
IV infusion of a medicine, first hour inpatient CPT 96365 96365- IV tx, first hour	$204.00	$300.00	—	—	32%
IV infusion of a medicine, first hour inpatient CPT 96365 CHED 96365- IV tx, first hour BCE	$204.00	$300.00	—	—	32%
IV infusion of a medicine, first hour inpatient CPT 96365 Inf for Therapy, Prophylaxis, Dx Initial up to 1 Hour 96365	$204.00	$300.00	—	—	32%
IV push of a medicine, first drug CPT 96374 SDS Tx Prophylactic Diag IVP Drug 96374 BCE	$244.80	$360.00	$32.40–$451.67	6% above	32%
IV push of a medicine, first drug CPT 96374 CHED 96374- IV Injection, single/initial BCE	$244.80	$360.00	$32.40–$451.67	6% above	32%
IV push of a medicine, first drug CPT 96374 Tx Prophylactic or Diag IVP Single or Initial Drug 96374	$244.80	$360.00	$32.40–$451.67	6% above	32%
IV push of a medicine, first drug CPT 96374 96374- IV Injection, single/initial	$244.80	$360.00	$32.40–$451.67	6% above	32%
IV push of a medicine, first drug inpatient CPT 96374 Tx Prophylactic or Diag IVP Single or Initial Drug 96374	$244.80	$360.00	—	—	32%
IV push of a medicine, first drug inpatient CPT 96374 CHED 96374- IV Injection, single/initial BCE	$244.80	$360.00	—	—	32%
IV push of a medicine, first drug inpatient CPT 96374 96374- IV Injection, single/initial	$244.80	$360.00	—	—	32%
IV push of a medicine, first drug inpatient CPT 96374 SDS Tx Prophylactic Diag IVP Drug 96374 BCE	$244.80	$360.00	—	—	32%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372- Subq/IM Injection	$190.40	$280.00	$17.70–$201.60	25% above	32%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intr	$190.40	$280.00	$17.70–$201.60	25% above	32%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHED 96372- Subq/IM Injection BCE	$190.40	$280.00	$17.70–$201.60	25% above	32%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapy, Prophylactic, Diagnostic Injection SQ or IM 96372	$190.40	$280.00	$17.70–$201.60	25% above	32%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SDS Tx Proph Diag Injection SQ or IM 96372 BCE	$190.40	$280.00	$17.70–$201.60	25% above	32%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHED 96372- Subq/IM Injection BCE	$190.40	$280.00	—	—	32%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapy, Prophylactic, Diagnostic Injection SQ or IM 96372	$190.40	$280.00	—	—	32%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SDS Tx Proph Diag Injection SQ or IM 96372 BCE	$190.40	$280.00	—	—	32%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372- Subq/IM Injection	$190.40	$280.00	—	—	32%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intr	$190.40	$280.00	—	—	32%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION BCE	$326.40	$480.00	$43.20–$376.90	15% below	32%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION BCE	$326.40	$480.00	—	—	32%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units	$87.72	$129.00	$11.61–$200.00	22% below	32%
Neuromuscular re-education, 15 minutes CPT 97112 OTAH OTA Neuromuscular Reeducation Assistant Units BCE	$87.72	$129.00	$11.61–$200.00	22% below	32%
Neuromuscular re-education, 15 minutes CPT 97112 OTAH OT Neuromuscular Reeducation Units BCE	$87.72	$129.00	$11.61–$200.00	22% below	32%
Neuromuscular re-education, 15 minutes CPT 97112 OTAH PT Neuromuscular Reeducation Assistant Units BCE	$87.72	$129.00	$11.61–$200.00	22% below	32%
Neuromuscular re-education, 15 minutes CPT 97112 WRNR PTA Neuromuscular Reeducation BCE	$87.72	$129.00	$11.61–$200.00	22% below	32%
Neuromuscular re-education, 15 minutes CPT 97112 WRNR PT Neuromuscular Reeducation BCE	$87.72	$129.00	$11.61–$200.00	22% below	32%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units	$87.72	$129.00	$11.61–$200.00	22% below	32%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Assistant Units	$87.72	$129.00	$11.61–$200.00	22% below	32%
Neuromuscular re-education, 15 minutes CPT 97112 OTAH PT Neuromuscular Reeducation Units BCE	$87.72	$129.00	$11.61–$200.00	22% below	32%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Assistant Units	$87.72	$129.00	$11.61–$200.00	22% below	32%
Neuromuscular re-education, 15 minutes CPT 97112 WRNR OTA Neuromuscular Reeducation BCE	$126.94	$186.67	$16.80–$200.00	13% above	32%
Neuromuscular re-education, 15 minutes CPT 97112 WRNR OT Neuromuscular Reeducation BCE	$126.94	$186.67	$16.80–$200.00	13% above	32%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units	$87.72	$129.00	—	—	32%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTAH OTA Neuromuscular Reeducation Assistant Units BCE	$87.72	$129.00	—	—	32%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Assistant Units	$87.72	$129.00	—	—	32%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTAH PT Neuromuscular Reeducation Assistant Units BCE	$87.72	$129.00	—	—	32%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 WRNR PT Neuromuscular Reeducation BCE	$87.72	$129.00	—	—	32%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Assistant Units	$87.72	$129.00	—	—	32%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units	$87.72	$129.00	—	—	32%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTAH OT Neuromuscular Reeducation Units BCE	$87.72	$129.00	—	—	32%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 WRNR PTA Neuromuscular Reeducation BCE	$87.72	$129.00	—	—	32%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTAH PT Neuromuscular Reeducation Units BCE	$87.72	$129.00	—	—	32%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 WRNR OTA Neuromuscular Reeducation BCE	$126.94	$186.67	—	—	32%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 WRNR OT Neuromuscular Reeducation BCE	$126.94	$186.67	—	—	32%
New patient office visit, about 30 minutes CPT 99203 BARIATRIC E&M-NEW. PATIENT-LVL III BCE	$279.48	$411.00	$36.99–$295.92	32% above	32%
New patient office visit, about 30 minutes CPT 99203 WRNR Neurology New Pt Level III BCE	$279.48	$411.00	$36.99–$295.92	32% above	32%
New patient office visit, about 30 minutes CPT 99203 OPWC New PT Visit Level 3 BCE	$279.48	$411.00	$36.99–$295.92	32% above	32%
New patient office visit, about 30 minutes CPT 99203 DFW SPINE OFC/OUTPT E&M NEW DETAILED VISIT BCE	$279.48	$411.00	$36.99–$295.92	32% above	32%
New patient office visit, about 30 minutes CPT 99203 ORTHO OFC/OUTPT E&M NEW DETAILED VISIT BCE	$279.48	$411.00	$36.99–$295.92	32% above	32%
New patient office visit, about 30 minutes CPT 99203 *Wound Visit Levels -> New PT Wound Visit Level 3	$279.48	$411.00	$36.99–$295.92	32% above	32%
New patient office visit, about 30 minutes CPT 99203 Triage Patient Type -> New Patient	$279.48	$411.00	$36.99–$295.92	32% above	32%
New patient office visit, about 30 minutes CPT 99203 DFW BARIATRIC E&M-NEW. PATIENT-LVL III BCE	$279.48	$411.00	$36.99–$295.92	32% above	32%
New patient office visit, about 30 minutes CPT 99203 GERIATRIC E&M-NEW PATIENT-LVL III BCE	$279.48	$411.00	$36.99–$295.92	32% above	32%
New patient office visit, about 30 minutes inpatient CPT 99203 BARIATRIC E&M-NEW. PATIENT-LVL III BCE	$279.48	$411.00	—	—	32%
New patient office visit, about 30 minutes inpatient CPT 99203 WRNR Neurology New Pt Level III BCE	$279.48	$411.00	—	—	32%
New patient office visit, about 30 minutes inpatient CPT 99203 ORTHO OFC/OUTPT E&M NEW DETAILED VISIT BCE	$279.48	$411.00	—	—	32%
New patient office visit, about 30 minutes inpatient CPT 99203 DFW SPINE OFC/OUTPT E&M NEW DETAILED VISIT BCE	$279.48	$411.00	—	—	32%
New patient office visit, about 30 minutes inpatient CPT 99203 DFW BARIATRIC E&M-NEW. PATIENT-LVL III BCE	$279.48	$411.00	—	—	32%
New patient office visit, about 30 minutes inpatient CPT 99203 OPWC New PT Visit Level 3 BCE	$279.48	$411.00	—	—	32%
New patient office visit, about 30 minutes inpatient CPT 99203 *Wound Visit Levels -> New PT Wound Visit Level 3	$279.48	$411.00	—	—	32%
New patient office visit, about 30 minutes inpatient CPT 99203 GERIATRIC E&M-NEW PATIENT-LVL III BCE	$279.48	$411.00	—	—	32%
New patient office visit, about 30 minutes inpatient CPT 99203 Triage Patient Type -> New Patient	$279.48	$411.00	—	—	32%
New patient office visit, about 45 minutes CPT 99204 WRNR Neurology New Pt Level IV BCE	$331.84	$488.00	$43.92–$351.36	3% above	32%
New patient office visit, about 45 minutes CPT 99204 GERIATRIC E&M-NEW PATIENT-LVL IV BCE	$331.84	$488.00	$43.92–$351.36	3% above	32%
New patient office visit, about 45 minutes CPT 99204 FACILTY NEW PATIENT E/M LEVEL 4 Units	$331.84	$488.00	$43.92–$351.36	3% above	32%
New patient office visit, about 45 minutes CPT 99204 Facility Eval, New Patient Level 4 99204	$331.84	$488.00	$43.92–$351.36	3% above	32%
New patient office visit, about 45 minutes CPT 99204 *Wound Visit Levels -> New PT Wound Visit Level 4	$331.84	$488.00	$43.92–$351.36	3% above	32%
New patient office visit, about 45 minutes CPT 99204 BARIATRIC E&M-NEW PATIENT LVL IV BCE	$331.84	$488.00	$43.92–$351.36	3% above	32%
New patient office visit, about 45 minutes CPT 99204 OPWC New PT Visit Level 4 BCE	$331.84	$488.00	$43.92–$351.36	3% above	32%
New patient office visit, about 45 minutes CPT 99204 DFW BARIATRIC E&M-NEW PATIENT LVL IV BCE	$331.84	$488.00	$43.92–$351.36	3% above	32%
New patient office visit, about 45 minutes CPT 99204 DFW SPINE OFC/OUTPT E&M NEW MOD COMPLEXITY BCE	$331.84	$488.00	$43.92–$351.36	3% above	32%
New patient office visit, about 45 minutes CPT 99204 ORTHO OFC/OUTPT E&M NEW MOD COMPLEXITY BCE	$331.84	$488.00	$43.92–$351.36	3% above	32%
New patient office visit, about 45 minutes inpatient CPT 99204 ORTHO OFC/OUTPT E&M NEW MOD COMPLEXITY BCE	$331.84	$488.00	—	—	32%
New patient office visit, about 45 minutes inpatient CPT 99204 GERIATRIC E&M-NEW PATIENT-LVL IV BCE	$331.84	$488.00	—	—	32%
New patient office visit, about 45 minutes inpatient CPT 99204 FACILTY NEW PATIENT E/M LEVEL 4 Units	$331.84	$488.00	—	—	32%
New patient office visit, about 45 minutes inpatient CPT 99204 Facility Eval, New Patient Level 4 99204	$331.84	$488.00	—	—	32%
New patient office visit, about 45 minutes inpatient CPT 99204 *Wound Visit Levels -> New PT Wound Visit Level 4	$331.84	$488.00	—	—	32%
New patient office visit, about 45 minutes inpatient CPT 99204 BARIATRIC E&M-NEW PATIENT LVL IV BCE	$331.84	$488.00	—	—	32%
New patient office visit, about 45 minutes inpatient CPT 99204 OPWC New PT Visit Level 4 BCE	$331.84	$488.00	—	—	32%
New patient office visit, about 45 minutes inpatient CPT 99204 DFW BARIATRIC E&M-NEW PATIENT LVL IV BCE	$331.84	$488.00	—	—	32%
New patient office visit, about 45 minutes inpatient CPT 99204 WRNR Neurology New Pt Level IV BCE	$331.84	$488.00	—	—	32%
New patient office visit, about 45 minutes inpatient CPT 99204 DFW SPINE OFC/OUTPT E&M NEW MOD COMPLEXITY BCE	$331.84	$488.00	—	—	32%
New patient office visit, about 60 minutes CPT 99205 DFW BARIATRIC E&M- NEW PATIENT LVL V BCE	$405.28	$596.00	$53.64–$429.12	21% above	32%
New patient office visit, about 60 minutes CPT 99205 GERIATRIC E&M-NEW PATIENT-LVL V BCE	$405.28	$596.00	$53.64–$429.12	21% above	32%
New patient office visit, about 60 minutes CPT 99205 FACILTY NEW PATIENT E/M LEVEL 5 Units	$405.28	$596.00	$53.64–$429.12	21% above	32%
New patient office visit, about 60 minutes CPT 99205 Facility Eval, New Patient Level 5 99205	$405.28	$596.00	$53.64–$429.12	21% above	32%
New patient office visit, about 60 minutes CPT 99205 *Wound Visit Levels -> New PT Wound Visit Level 5	$405.28	$596.00	$53.64–$429.12	21% above	32%
New patient office visit, about 60 minutes CPT 99205 BARIATRIC E&M- NEW PATIENT LVL V BCE	$405.28	$596.00	$53.64–$429.12	21% above	32%
New patient office visit, about 60 minutes CPT 99205 OPWC New PT Visit Level 5 BCE	$405.28	$596.00	$53.64–$429.12	21% above	32%
New patient office visit, about 60 minutes CPT 99205 DFW SPINE OFC/OUTPT E&M NEW HI COMPLEXITY BCE	$405.28	$596.00	$53.64–$429.12	21% above	32%
New patient office visit, about 60 minutes CPT 99205 ORTHO OFC/OUTPT E&M NEW HI COMPLEXITY BCE	$405.28	$596.00	$53.64–$429.12	21% above	32%
New patient office visit, about 60 minutes CPT 99205 WRNR Neurology New Pt Level V BCE	$405.28	$596.00	$53.64–$429.12	21% above	32%
New patient office visit, about 60 minutes inpatient CPT 99205 BARIATRIC E&M- NEW PATIENT LVL V BCE	$405.28	$596.00	—	—	32%
New patient office visit, about 60 minutes inpatient CPT 99205 OPWC New PT Visit Level 5 BCE	$405.28	$596.00	—	—	32%
New patient office visit, about 60 minutes inpatient CPT 99205 GERIATRIC E&M-NEW PATIENT-LVL V BCE	$405.28	$596.00	—	—	32%
New patient office visit, about 60 minutes inpatient CPT 99205 FACILTY NEW PATIENT E/M LEVEL 5 Units	$405.28	$596.00	—	—	32%
New patient office visit, about 60 minutes inpatient CPT 99205 Facility Eval, New Patient Level 5 99205	$405.28	$596.00	—	—	32%
New patient office visit, about 60 minutes inpatient CPT 99205 WRNR Neurology New Pt Level V BCE	$405.28	$596.00	—	—	32%
New patient office visit, about 60 minutes inpatient CPT 99205 ORTHO OFC/OUTPT E&M NEW HI COMPLEXITY BCE	$405.28	$596.00	—	—	32%
New patient office visit, about 60 minutes inpatient CPT 99205 DFW SPINE OFC/OUTPT E&M NEW HI COMPLEXITY BCE	$405.28	$596.00	—	—	32%
New patient office visit, about 60 minutes inpatient CPT 99205 DFW BARIATRIC E&M- NEW PATIENT LVL V BCE	$405.28	$596.00	—	—	32%
New patient office visit, about 60 minutes inpatient CPT 99205 *Wound Visit Levels -> New PT Wound Visit Level 5	$405.28	$596.00	—	—	32%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Facility Eval, New Patient Level 2 99202	$184.96	$272.00	$24.48–$195.84	8% above	32%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WRNR Neurology New Pt Level II BCE	$184.96	$272.00	$24.48–$195.84	8% above	32%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 DFW BARIATRIC E&M-NEW PATIENT-LVL II BCE	$184.96	$272.00	$24.48–$195.84	8% above	32%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 DFW SPINE OFC/OUTPT E&M NEW EXP PROB FOCUSED BCE	$184.96	$272.00	$24.48–$195.84	8% above	32%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 BARIATRIC E&M-NEW PATIENT-LVL I BCE	$184.96	$272.00	$24.48–$195.84	8% above	32%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 GERIATRIC E&M-NEW PATIENT-LVL II BCE	$184.96	$272.00	$24.48–$195.84	8% above	32%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 *Wound Visit Levels -> New PT Wound Visit Level 2	$184.96	$272.00	$24.48–$195.84	8% above	32%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 ORTHO OFC/OUTPT E&M NEW EXP PROB FOCUSED BCE	$184.96	$272.00	$24.48–$195.84	8% above	32%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OPWC New PT Visit Level 2 BCE	$184.96	$272.00	$24.48–$195.84	8% above	32%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OPWC New PT Visit Level 2 BCE	$184.96	$272.00	—	—	32%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 GERIATRIC E&M-NEW PATIENT-LVL II BCE	$184.96	$272.00	—	—	32%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 BARIATRIC E&M-NEW PATIENT-LVL I BCE	$184.96	$272.00	—	—	32%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WRNR Neurology New Pt Level II BCE	$184.96	$272.00	—	—	32%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ORTHO OFC/OUTPT E&M NEW EXP PROB FOCUSED BCE	$184.96	$272.00	—	—	32%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 DFW SPINE OFC/OUTPT E&M NEW EXP PROB FOCUSED BCE	$184.96	$272.00	—	—	32%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Facility Eval, New Patient Level 2 99202	$184.96	$272.00	—	—	32%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 *Wound Visit Levels -> New PT Wound Visit Level 2	$184.96	$272.00	—	—	32%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 DFW BARIATRIC E&M-NEW PATIENT-LVL II BCE	$184.96	$272.00	—	—	32%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DFW BARIATRIC MED NUTRTN TH INIT 15MIN BCE	$81.60	$120.00	$10.80–$86.40	41% above	32%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 BARIATRIC MED NUTRTN TH INIT 15MIN BCE	$81.60	$120.00	$10.80–$86.40	41% above	32%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Therapy Intl 15 min	$81.60	$120.00	$10.80–$86.40	41% above	32%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DFW BARIATRIC MED NUTRTN TH INIT 15MIN BCE	$81.60	$120.00	—	—	32%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 BARIATRIC MED NUTRTN TH INIT 15MIN BCE	$81.60	$120.00	—	—	32%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Therapy Intl 15 min	$81.60	$120.00	—	—	32%
Occupational therapy evaluation, low complexity CPT 97165 WRNR OT EVAL LOW COMPLEXITY BCE	$129.88	$191.00	$25.98–$200.00	47% below	32%
Occupational therapy evaluation, low complexity CPT 97165 WRNR OTA EVAL LOW COMPLEXITY BCE	$129.88	$191.00	$25.98–$200.00	47% below	32%
Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Units, Low Complexity	$129.88	$191.00	$25.98–$200.00	47% below	32%
Occupational therapy evaluation, low complexity CPT 97165 OTAH OT EVAL LOW COMPLEXITY BCE	$129.88	$191.00	$25.98–$200.00	47% below	32%
Occupational therapy evaluation, low complexity inpatient CPT 97165 WRNR OT EVAL LOW COMPLEXITY BCE	$129.88	$191.00	—	—	32%
Occupational therapy evaluation, low complexity inpatient CPT 97165 WRNR OTA EVAL LOW COMPLEXITY BCE	$129.88	$191.00	—	—	32%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OTAH OT EVAL LOW COMPLEXITY BCE	$129.88	$191.00	—	—	32%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Evaluation Units, Low Complexity	$129.88	$191.00	—	—	32%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 OTAH PT Evaluation Units, High Complexity BCE	$195.84	$288.00	$39.17–$207.36	36% below	32%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Evaluation Units, High Complexity	$195.84	$288.00	$39.17–$207.36	36% below	32%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 WRNR PT Evaluation High Complexity BCE	$195.84	$288.00	$39.17–$207.36	36% below	32%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Evaluation Units, High Complexity	$195.84	$288.00	—	—	32%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 WRNR PT Evaluation High Complexity BCE	$195.84	$288.00	—	—	32%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 OTAH PT Evaluation Units, High Complexity BCE	$195.84	$288.00	—	—	32%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 WRNR PT Evaluation Low Complexity BCE	$86.36	$127.00	$17.27–$200.00	57% below	32%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 WRNR PTA Evaluation Low Complexity BCE	$86.36	$127.00	$17.27–$200.00	57% below	32%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Units, Low Complexity	$86.36	$127.00	$17.27–$200.00	57% below	32%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 OTAH PT Evaluation Units, Low Complexity BCE	$86.36	$127.00	$17.27–$200.00	57% below	32%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 OTAH PT Evaluation Units, Low Complexity BCE	$86.36	$127.00	—	—	32%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Units, Low Complexity	$86.36	$127.00	—	—	32%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 WRNR PTA Evaluation Low Complexity BCE	$86.36	$127.00	—	—	32%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 WRNR PT Evaluation Low Complexity BCE	$86.36	$127.00	—	—	32%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 WRNR PTA Evaluation Moderate Complexity BCE	$129.88	$191.00	$25.98–$200.00	49% below	32%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 OTAH PT Evaluation Units, Moderate Complexity BCE	$129.88	$191.00	$25.98–$200.00	49% below	32%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 WRNR PT Evaluation Moderate Complexity BCE	$129.88	$191.00	$25.98–$200.00	49% below	32%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Units, Moderate Complexity	$129.88	$191.00	$25.98–$200.00	49% below	32%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 WRNR PT Evaluation Moderate Complexity BCE	$129.88	$191.00	—	—	32%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 OTAH PT Evaluation Units, Moderate Complexity BCE	$129.88	$191.00	—	—	32%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 WRNR PTA Evaluation Moderate Complexity BCE	$129.88	$191.00	—	—	32%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Evaluation Units, Moderate Complexity	$129.88	$191.00	—	—	32%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Assistant Units	$92.48	$136.00	$12.24–$200.00	17% below	32%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OTAH OTA Manual Therapy Assistant Units BCE	$92.48	$136.00	$12.24–$200.00	17% below	32%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OTAH PT Manual Therapy Units BCE	$92.48	$136.00	$12.24–$200.00	17% below	32%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Units	$92.48	$136.00	$12.24–$200.00	17% below	32%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OTAH PT Manual Therapy Assistant Units BCE	$92.48	$136.00	$12.24–$200.00	17% below	32%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units	$92.48	$136.00	$12.24–$200.00	17% below	32%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units	$92.48	$136.00	$12.24–$200.00	17% below	32%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 WRNR OT Manual Therapy Units BCE	$126.49	$186.01	$16.74–$200.00	13% above	32%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 WRNR OTA Manual Therapy Units BCE	$126.49	$186.01	$16.74–$200.00	13% above	32%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 WRNR PT Manual Therapy Units BCE	$126.49	$186.01	$16.74–$200.00	13% above	32%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 WRNR PTA Manual Therapy Units BCE	$126.49	$186.01	$16.74–$200.00	13% above	32%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OTAH PT Manual Therapy Units BCE	$92.48	$136.00	—	—	32%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OTAH OTA Manual Therapy Assistant Units BCE	$92.48	$136.00	—	—	32%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units	$92.48	$136.00	—	—	32%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Assistant Units	$92.48	$136.00	—	—	32%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OTAH PT Manual Therapy Assistant Units BCE	$92.48	$136.00	—	—	32%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Units	$92.48	$136.00	—	—	32%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units	$92.48	$136.00	—	—	32%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 WRNR OT Manual Therapy Units BCE	$126.49	$186.01	—	—	32%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 WRNR OTA Manual Therapy Units BCE	$126.49	$186.01	—	—	32%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 WRNR PT Manual Therapy Units BCE	$126.49	$186.01	—	—	32%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 WRNR PTA Manual Therapy Units BCE	$126.49	$186.01	—	—	32%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTAH PT Therapeutic Exercise Assistant Units BCE	$103.36	$152.00	$13.68–$200.00	8% below	32%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 WRNR PT Therapeutic Exercise Units BCE	$103.36	$152.00	$13.68–$200.00	8% below	32%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Units	$103.36	$152.00	$13.68–$200.00	8% below	32%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units	$103.36	$152.00	$13.68–$200.00	8% below	32%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 WRNR OTA Therapeutic Exercise Units BCE	$103.36	$152.00	$13.68–$200.00	8% below	32%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 WRNR PTA Therapeutic Exercise Units BCE	$103.36	$152.00	$13.68–$200.00	8% below	32%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Units	$103.36	$152.00	$13.68–$200.00	8% below	32%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units	$103.36	$152.00	$13.68–$200.00	8% below	32%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTAH PT Therapeutic Exercise Units BCE	$103.36	$152.00	$13.68–$200.00	8% below	32%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTAH OT Therapeutic Exercise Units BCE	$103.36	$152.00	$13.68–$200.00	8% below	32%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 WRNR OT Therapeutic Exercise Units BCE	$103.36	$152.00	$13.68–$200.00	8% below	32%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTAH OTA Therapeutic Exercise Assistant Units BCE	$103.36	$152.00	$13.68–$200.00	8% below	32%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 WRNR PTA Therapeutic Exercise Units BCE	$103.36	$152.00	—	—	32%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Units	$103.36	$152.00	—	—	32%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTAH PT Therapeutic Exercise Assistant Units BCE	$103.36	$152.00	—	—	32%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 WRNR PT Therapeutic Exercise Units BCE	$103.36	$152.00	—	—	32%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 WRNR OT Therapeutic Exercise Units BCE	$103.36	$152.00	—	—	32%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTAH OTA Therapeutic Exercise Assistant Units BCE	$103.36	$152.00	—	—	32%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units	$103.36	$152.00	—	—	32%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Units	$103.36	$152.00	—	—	32%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units	$103.36	$152.00	—	—	32%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 WRNR OTA Therapeutic Exercise Units BCE	$103.36	$152.00	—	—	32%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTAH OT Therapeutic Exercise Units BCE	$103.36	$152.00	—	—	32%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTAH PT Therapeutic Exercise Units BCE	$103.36	$152.00	—	—	32%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 BARIATRIC PSYCL TST EVAL PHYS/QHP 1ST BCE	$358.36	$527.00	$47.43–$458.51	17% above	32%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 DFW BARIATRIC PSYCL TST EVAL PHYS/QHP 1ST BCE	$358.36	$527.00	$47.43–$458.51	17% above	32%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 BARIATRIC PSYCL TST EVAL PHYS/QHP 1ST BCE	$358.36	$527.00	—	—	32%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 DFW BARIATRIC PSYCL TST EVAL PHYS/QHP 1ST BCE	$358.36	$527.00	—	—	32%
Psychotherapy session, 30 minutes CPT 90832 DFW BARIATRIC PSYTX W PT 30 MINUTES BCE	$191.08	$281.00	$25.29–$376.90	1% above	32%
Psychotherapy session, 30 minutes CPT 90832 BARIATRIC PSYTX W PT 30 MINUTES BCE	$191.08	$281.00	$25.29–$376.90	1% above	32%
Psychotherapy session, 30 minutes inpatient CPT 90832 DFW BARIATRIC PSYTX W PT 30 MINUTES BCE	$191.08	$281.00	—	—	32%
Psychotherapy session, 30 minutes inpatient CPT 90832 BARIATRIC PSYTX W PT 30 MINUTES BCE	$191.08	$281.00	—	—	32%
Psychotherapy session, 45 minutes CPT 90834 DFW BARIATRIC PSYTX W PT 45 MINUTES BCE	$247.52	$364.00	$32.76–$376.90	10% below	32%
Psychotherapy session, 45 minutes CPT 90834 BARIATRIC PSYTX W PT 45 MINUTES BCE	$247.52	$364.00	$32.76–$376.90	10% below	32%
Psychotherapy session, 45 minutes inpatient CPT 90834 DFW BARIATRIC PSYTX W PT 45 MINUTES BCE	$247.52	$364.00	—	—	32%
Psychotherapy session, 45 minutes inpatient CPT 90834 BARIATRIC PSYTX W PT 45 MINUTES BCE	$247.52	$364.00	—	—	32%
Psychotherapy session, 60 minutes CPT 90837 BARIATRIC PSYTX W PT 60 MINUTES BCE	$282.88	$416.00	$37.44–$376.90	3% above	32%
Psychotherapy session, 60 minutes CPT 90837 DFW BARIATRIC PSYTX W PT 60 MINUTES BCE	$282.88	$416.00	$37.44–$376.90	3% above	32%
Psychotherapy session, 60 minutes inpatient CPT 90837 DFW BARIATRIC PSYTX W PT 60 MINUTES BCE	$282.88	$416.00	—	—	32%
Psychotherapy session, 60 minutes inpatient CPT 90837 BARIATRIC PSYTX W PT 60 MINUTES BCE	$282.88	$416.00	—	—	32%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 COUNSELLING SMOKING CESSATN 3-10MIN	$36.04	$53.00	$4.77–$79.55	18% below	32%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 OPWC Counsel Smoking Cessatn 3-10Min BCE	$36.04	$53.00	$4.77–$79.55	18% below	32%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 RT CHARGE Smoking Cessation -> Smoke/Tobacco Counseling 3-10 min	$36.04	$53.00	$4.77–$79.55	18% below	32%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 COUNSEL SMOKING CESSATN 3-10MIN WOUND	$36.04	$53.00	$4.77–$79.55	18% below	32%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 RT CHARGE Smoking Cessation -> Smoke/Tobacco Counseling 3-10 min	$36.04	$53.00	—	—	32%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 COUNSEL SMOKING CESSATN 3-10MIN WOUND	$36.04	$53.00	—	—	32%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 OPWC Counsel Smoking Cessatn 3-10Min BCE	$36.04	$53.00	—	—	32%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 COUNSELLING SMOKING CESSATN 3-10MIN	$36.04	$53.00	—	—	32%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OPWC EST PT Visit Level 5 (60+ Min) BCE	$289.68	$426.00	$38.34–$306.72	6% below	32%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 GERIATRIC E&M-EST. PATIENT-LVL V BCE	$289.68	$426.00	$38.34–$306.72	6% below	32%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 FACILTY EST PATIENT E/M LEVEL 5 Units	$289.68	$426.00	$38.34–$306.72	6% below	32%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Facility Eval and Management Level 5 99215	$289.68	$426.00	$38.34–$306.72	6% below	32%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 *Wound Visit Levels -> EST PT Wound Visit Level 5 (60+ Min)	$289.68	$426.00	$38.34–$306.72	6% below	32%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 BARIATRIC E&M - EST PATIENT LVL V BCE	$289.68	$426.00	$38.34–$306.72	6% below	32%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WRNR Neurology Est Pt Level V BCE	$289.68	$426.00	$38.34–$306.72	6% below	32%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 DFW SPINE OFC/OUTPT E&M EST HIGH COMPLEXITY BCE	$289.68	$426.00	$38.34–$306.72	6% below	32%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ORTHO OFC/OUTPT E&M EST HIGH COMPLEXITY BCE	$289.68	$426.00	$38.34–$306.72	6% below	32%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 GERIATRIC E&M-EST. PATIENT-LVL V BCE	$289.68	$426.00	—	—	32%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 FACILTY EST PATIENT E/M LEVEL 5 Units	$289.68	$426.00	—	—	32%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 BARIATRIC E&M - EST PATIENT LVL V BCE	$289.68	$426.00	—	—	32%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Facility Eval and Management Level 5 99215	$289.68	$426.00	—	—	32%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 *Wound Visit Levels -> EST PT Wound Visit Level 5 (60+ Min)	$289.68	$426.00	—	—	32%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ORTHO OFC/OUTPT E&M EST HIGH COMPLEXITY BCE	$289.68	$426.00	—	—	32%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OPWC EST PT Visit Level 5 (60+ Min) BCE	$289.68	$426.00	—	—	32%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WRNR Neurology Est Pt Level V BCE	$289.68	$426.00	—	—	32%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 DFW SPINE OFC/OUTPT E&M EST HIGH COMPLEXITY BCE	$289.68	$426.00	—	—	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 *Wound Visit Levels -> EST PT Wound Visit Level 3 (31-45 Min)	$143.48	$211.00	$18.99–$151.92	30% below	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Facility Eval and Management Level 3 99213	$143.48	$211.00	$18.99–$151.92	30% below	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OPWC EST PT Visit Level 3 (31-45 Min) BCE	$143.48	$211.00	$18.99–$151.92	30% below	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WRNR Neurology Est Pt Level III BCE	$143.48	$211.00	$18.99–$151.92	30% below	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 DFW SPINE OFC/OUTPT E&M EST LOW COMPLEXITY BCE	$143.48	$211.00	$18.99–$151.92	30% below	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 DFW BARIATRIC E&M-EST. PATIENT-LVL III BCE	$143.48	$211.00	$18.99–$151.92	30% below	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ORTHO OFC/OUTPT E&M EST LOW COMPLEXITY BCE	$143.48	$211.00	$18.99–$151.92	30% below	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Triage Patient Type -> Established Patient	$143.48	$211.00	$18.99–$151.92	30% below	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 GERIATRIC E&M-EST. PATIENT-LVL III BCE	$143.48	$211.00	$18.99–$151.92	30% below	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 FACILTY EST PATIENT E/M LEVEL 3 Units	$143.48	$211.00	$18.99–$151.92	30% below	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 BARIATRIC E&M-EST. PATIENT-LVL III BCE	$143.48	$211.00	$18.99–$151.92	30% below	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 *Wound Visit Levels -> EST PT Wound Visit Level 3 (31-45 Min)	$143.48	$211.00	—	—	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WRNR Neurology Est Pt Level III BCE	$143.48	$211.00	—	—	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ORTHO OFC/OUTPT E&M EST LOW COMPLEXITY BCE	$143.48	$211.00	—	—	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 DFW BARIATRIC E&M-EST. PATIENT-LVL III BCE	$143.48	$211.00	—	—	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 DFW SPINE OFC/OUTPT E&M EST LOW COMPLEXITY BCE	$143.48	$211.00	—	—	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OPWC EST PT Visit Level 3 (31-45 Min) BCE	$143.48	$211.00	—	—	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 BARIATRIC E&M-EST. PATIENT-LVL III BCE	$143.48	$211.00	—	—	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Facility Eval and Management Level 3 99213	$143.48	$211.00	—	—	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 FACILTY EST PATIENT E/M LEVEL 3 Units	$143.48	$211.00	—	—	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 GERIATRIC E&M-EST. PATIENT-LVL III BCE	$143.48	$211.00	—	—	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Triage Patient Type -> Established Patient	$143.48	$211.00	—	—	32%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WRNR Neurology Est Pt Level IV BCE	$265.20	$390.00	$35.10–$280.80	24% above	32%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 GERIATRIC E&M-EST. PATIENT-LVL IV BCE	$265.20	$390.00	$35.10–$280.80	24% above	32%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FACILTY EST PATIENT E/M LEVEL 4 Units	$265.20	$390.00	$35.10–$280.80	24% above	32%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 BARIATRIC E&M-EST. PATIENT-LVL IV BCE	$265.20	$390.00	$35.10–$280.80	24% above	32%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 DFW BARIATRIC E&M-EST. PATIENT-LVL IV BCE	$265.20	$390.00	$35.10–$280.80	24% above	32%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 DFW SPINE OFC/OUTPT E&M EST MOD COMPLEXITY BCE	$265.20	$390.00	$35.10–$280.80	24% above	32%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Facility Eval and Management Level 4 99214	$265.20	$390.00	$35.10–$280.80	24% above	32%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ORTHO OFC/OUTPT E&M EST MOD COMPLEXITY BCE	$265.20	$390.00	$35.10–$280.80	24% above	32%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OPWC EST PT Visit Level 4 (46-60 Min) BCE	$265.20	$390.00	$35.10–$280.80	24% above	32%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 *Wound Visit Levels -> EST PT Wound Visit Level 4 (46-60 Min)	$265.20	$390.00	$35.10–$280.80	24% above	32%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FACILTY EST PATIENT E/M LEVEL 4 Units	$265.20	$390.00	—	—	32%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Facility Eval and Management Level 4 99214	$265.20	$390.00	—	—	32%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OPWC EST PT Visit Level 4 (46-60 Min) BCE	$265.20	$390.00	—	—	32%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 *Wound Visit Levels -> EST PT Wound Visit Level 4 (46-60 Min)	$265.20	$390.00	—	—	32%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 GERIATRIC E&M-EST. PATIENT-LVL IV BCE	$265.20	$390.00	—	—	32%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ORTHO OFC/OUTPT E&M EST MOD COMPLEXITY BCE	$265.20	$390.00	—	—	32%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 DFW SPINE OFC/OUTPT E&M EST MOD COMPLEXITY BCE	$265.20	$390.00	—	—	32%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WRNR Neurology Est Pt Level IV BCE	$265.20	$390.00	—	—	32%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 DFW BARIATRIC E&M-EST. PATIENT-LVL IV BCE	$265.20	$390.00	—	—	32%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 BARIATRIC E&M-EST. PATIENT-LVL IV BCE	$265.20	$390.00	—	—	32%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WRNR Neurology Est Pt Level II BCE	$118.32	$174.00	$15.66–$125.28	28% below	32%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 DFW SPINE OFC/OUTPT E&M ESTAB FOCUSED BCE	$118.32	$174.00	$15.66–$125.28	28% below	32%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 DFW BARIATRIC E&M-EST. PATIENT-LVL II BCE	$118.32	$174.00	$15.66–$125.28	28% below	32%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OPWC EST PT Visit Level 2 (16-30 Min) BCE	$118.32	$174.00	$15.66–$125.28	28% below	32%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 *Wound Visit Levels -> EST PT Wound Visit Level 2 (16-30 Min)	$118.32	$174.00	$15.66–$125.28	28% below	32%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Facility Eval and Management Level 2 99212	$118.32	$174.00	$15.66–$125.28	28% below	32%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 BARIATRIC E&M-EST. PATIENT-LVL II BCE	$118.32	$174.00	$15.66–$125.28	28% below	32%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FACILTY EST PATIENT E/M LEVEL 2 Units	$118.32	$174.00	$15.66–$125.28	28% below	32%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 GERIATRIC E&M-EST. PATIENT-LVL II BCE	$118.32	$174.00	$15.66–$125.28	28% below	32%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ORTHO OFC/OUTPT E&M ESTAB FOCUSED BCE	$118.32	$174.00	$15.66–$125.28	28% below	32%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WRNR Neurology Est Pt Level II BCE	$118.32	$174.00	—	—	32%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 DFW SPINE OFC/OUTPT E&M ESTAB FOCUSED BCE	$118.32	$174.00	—	—	32%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 GERIATRIC E&M-EST. PATIENT-LVL II BCE	$118.32	$174.00	—	—	32%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 DFW BARIATRIC E&M-EST. PATIENT-LVL II BCE	$118.32	$174.00	—	—	32%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OPWC EST PT Visit Level 2 (16-30 Min) BCE	$118.32	$174.00	—	—	32%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 *Wound Visit Levels -> EST PT Wound Visit Level 2 (16-30 Min)	$118.32	$174.00	—	—	32%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Facility Eval and Management Level 2 99212	$118.32	$174.00	—	—	32%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 BARIATRIC E&M-EST. PATIENT-LVL II BCE	$118.32	$174.00	—	—	32%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 FACILTY EST PATIENT E/M LEVEL 2 Units	$118.32	$174.00	—	—	32%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ORTHO OFC/OUTPT E&M ESTAB FOCUSED BCE	$118.32	$174.00	—	—	32%
Speech and language evaluation CPT 92523 OTAH SLP Eval Lang Comprehension, Express Unit BCE	$269.28	$396.00	$53.86–$285.12	36% below	32%
Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit	$269.28	$396.00	$53.86–$285.12	36% below	32%
Speech and language evaluation CPT 92523 WRNR SLP Eval Lang Comprehension, Express Unit BCE	$269.28	$396.00	$35.64–$285.12	36% below	32%
Speech and language evaluation inpatient CPT 92523 WRNR SLP Eval Lang Comprehension, Express Unit BCE	$269.28	$396.00	—	—	32%
Speech and language evaluation inpatient CPT 92523 OTAH SLP Eval Lang Comprehension, Express Unit BCE	$269.28	$396.00	—	—	32%
Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Unit	$269.28	$396.00	—	—	32%
Speech therapy session, individual CPT 92507 WRNR SLP Auditory Processing Tx Individual BCE	$221.68	$326.00	$29.34–$234.72	2% above	32%
Speech therapy session, individual CPT 92507 OTAH SLP Auditory Processing Tx Units BCE	$221.68	$326.00	$44.34–$234.72	2% above	32%
Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units	$221.68	$326.00	$44.34–$234.72	2% above	32%
Speech therapy session, individual inpatient CPT 92507 WRNR SLP Auditory Processing Tx Individual BCE	$221.68	$326.00	—	—	32%
Speech therapy session, individual inpatient CPT 92507 OTAH SLP Auditory Processing Tx Units BCE	$221.68	$326.00	—	—	32%
Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units	$221.68	$326.00	—	—	32%
Spirometry (breathing test) CPT 94010 RT CHARGE PFT -> Spirometry	$200.60	$295.00	$26.55–$458.51	44% below	32%
Spirometry (breathing test) inpatient CPT 94010 RT CHARGE PFT -> Spirometry	$200.60	$295.00	—	—	32%
Spirometry before and after a bronchodilator CPT 94060 RT CHARGE PFT -> Spirometry before & after	$471.92	$694.00	$48.15–$792.38	21% below	32%
Spirometry before and after a bronchodilator inpatient CPT 94060 RT CHARGE PFT -> Spirometry before & after	$471.92	$694.00	—	—	32%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units	$127.84	$188.00	$16.92–$200.00	14% above	32%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Assistant Units	$127.84	$188.00	$16.92–$200.00	14% above	32%
Therapeutic activities (functional training), 15 minutes CPT 97530 OTAH OTA Therapeutic Activity Assistant Units BCE	$127.84	$188.00	$16.92–$200.00	14% above	32%
Therapeutic activities (functional training), 15 minutes CPT 97530 OTAH OT Therapeutic Activity Units BCE	$127.84	$188.00	$16.92–$200.00	14% above	32%
Therapeutic activities (functional training), 15 minutes CPT 97530 OTAH PT Therapeutic Activity Assistant Units BCE	$127.84	$188.00	$16.92–$200.00	14% above	32%
Therapeutic activities (functional training), 15 minutes CPT 97530 OTAH PT Therapeutic Activity Units BCE	$127.84	$188.00	$16.92–$200.00	14% above	32%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Assistant Units	$127.84	$188.00	$16.92–$200.00	14% above	32%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units	$127.84	$188.00	$16.92–$200.00	14% above	32%
Therapeutic activities (functional training), 15 minutes CPT 97530 WRNR OT THERAPEUT ACTVITY DIRECT PT CNTCT EA 15 MIN BCE	$128.12	$188.41	$16.96–$200.00	14% above	32%
Therapeutic activities (functional training), 15 minutes CPT 97530 WRNR PTA THERAPEUT ACTVITY DIRECT PT CNTCT EA 15 MIN BCE	$128.12	$188.41	$16.96–$200.00	14% above	32%
Therapeutic activities (functional training), 15 minutes CPT 97530 WRNR PT THERAPEUT ACTVITY DIRECT PT CNTCT EA 15 MIN BCE	$128.12	$188.41	$16.96–$200.00	14% above	32%
Therapeutic activities (functional training), 15 minutes CPT 97530 WRNR OTA THERAPEUT ACTVITY DIRECT PT CNTCT EA 15 MIN BCE	$128.12	$188.41	$16.96–$200.00	14% above	32%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units	$127.84	$188.00	—	—	32%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units	$127.84	$188.00	—	—	32%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Assistant Units	$127.84	$188.00	—	—	32%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Assistant Units	$127.84	$188.00	—	—	32%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OTAH PT Therapeutic Activity Assistant Units BCE	$127.84	$188.00	—	—	32%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OTAH PT Therapeutic Activity Units BCE	$127.84	$188.00	—	—	32%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OTAH OTA Therapeutic Activity Assistant Units BCE	$127.84	$188.00	—	—	32%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OTAH OT Therapeutic Activity Units BCE	$127.84	$188.00	—	—	32%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 WRNR OT THERAPEUT ACTVITY DIRECT PT CNTCT EA 15 MIN BCE	$128.12	$188.41	—	—	32%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 WRNR OTA THERAPEUT ACTVITY DIRECT PT CNTCT EA 15 MIN BCE	$128.12	$188.41	—	—	32%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 WRNR PTA THERAPEUT ACTVITY DIRECT PT CNTCT EA 15 MIN BCE	$128.12	$188.41	—	—	32%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 WRNR PT THERAPEUT ACTVITY DIRECT PT CNTCT EA 15 MIN BCE	$128.12	$188.41	—	—	32%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy 99195	$180.20	$265.00	$23.85–$282.53	24% below	32%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy 99195	$180.20	$265.00	—	—	32%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-polyvalent vaccine Inj Soln 0.5 mL	$209.03	$307.40	$27.67–$226.23	17% below	32%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-polyvalent vaccine Inj Soln 0.5 mL	$209.03	$307.40	$76.85–$153.70	—	32%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diptheria toxoid 0.5 ml injection	$87.04	$128.00	$11.52–$92.16	30% below	32%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diptheria toxoid 0.5 ml injection	$87.04	$128.00	$32.00–$64.00	—	32%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphth/pertussis (Adacel Tdap) IM Susp 0.5 mL	$97.04	$142.70	$12.84–$102.74	36% below	32%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/diphth/pertussis (Adacel Tdap) IM Susp 0.5 mL	$97.04	$142.70	$35.67–$71.35	—	32%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CHED Pneum Initial Admin Charge 90471/G0009 BCE	$39.44	$58.00	$5.22–$152.89	47% below	32%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge - Hep B Ped -> IV Therapy/Nursing - Initial Admin Charge 90471	$84.32	$124.00	$11.16–$152.89	13% above	32%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge - Flu -> IV Therapy/Nursing - Initial Admin Charge 90471	$84.32	$124.00	$11.16–$152.89	13% above	32%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge -> L&D - Initial Admin Charge 90471	$84.32	$124.00	$11.16–$152.89	13% above	32%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CHED Initial Admin Charge 90471 BCE	$84.32	$124.00	$11.16–$152.89	13% above	32%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge -> ED - Initial Admin Charge 90471	$84.32	$124.00	$11.16–$152.89	13% above	32%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge - Pneumococcal -> ED - Initial Admin Charge 90471	$84.32	$124.00	$11.16–$152.89	13% above	32%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge - Flu -> ED - Initial Admin Charge 90471	$84.32	$124.00	$11.16–$152.89	13% above	32%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge - Flu -> L&D - Initial Admin Charge 90471	$84.32	$124.00	$11.16–$152.89	13% above	32%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge - Pneumococcal -> IV Therapy/Nursing - Initial Admin Charge 90471	$84.32	$124.00	$11.16–$152.89	13% above	32%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge -> IV Therapy/Nursing - Initial Admin Charge 90471	$84.32	$124.00	$11.16–$152.89	13% above	32%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CHED Pneum Initial Admin Charge 90471/G0009 BCE	$39.44	$58.00	—	—	32%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge - Flu -> ED - Initial Admin Charge 90471	$84.32	$124.00	—	—	32%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge -> ED - Initial Admin Charge 90471	$84.32	$124.00	—	—	32%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge -> IV Therapy/Nursing - Initial Admin Charge 90471	$84.32	$124.00	—	—	32%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge - Hep B Ped -> IV Therapy/Nursing - Initial Admin Charge 90471	$84.32	$124.00	—	—	32%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge - Flu -> IV Therapy/Nursing - Initial Admin Charge 90471	$84.32	$124.00	—	—	32%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CHED Initial Admin Charge 90471 BCE	$84.32	$124.00	—	—	32%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge - Pneumococcal -> ED - Initial Admin Charge 90471	$84.32	$124.00	—	—	32%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge - Pneumococcal -> IV Therapy/Nursing - Initial Admin Charge 90471	$84.32	$124.00	—	—	32%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge -> L&D - Initial Admin Charge 90471	$84.32	$124.00	—	—	32%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge - Flu -> L&D - Initial Admin Charge 90471	$84.32	$124.00	—	—	32%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immunization Charge - Pneumococcal -> ED - Addl Admin Charge 90472	$59.84	$88.00	$7.92–$63.36	12% above	32%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immunization Charge - Pneumococcal -> IV Therapy/Nursing - Addl Admin Charge 90472	$59.84	$88.00	$7.92–$63.36	12% above	32%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immunization Charge - Flu -> L&D - Addl Admin Charge 90472	$59.84	$88.00	$7.92–$63.36	12% above	32%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 CHED Addl Admin Charge 90472 BCE	$65.28	$96.00	$8.64–$69.12	22% above	32%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immunization Charge - Pneumococcal -> IV Therapy/Nursing - Addl Admin Charge 90472	$59.84	$88.00	—	—	32%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immunization Charge - Flu -> L&D - Addl Admin Charge 90472	$59.84	$88.00	—	—	32%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immunization Charge - Pneumococcal -> ED - Addl Admin Charge 90472	$59.84	$88.00	—	—	32%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 CHED Addl Admin Charge 90472 BCE	$65.28	$96.00	—	—	32%

Source file: https://pricetransparency.healthcare/white-rock-medical-center/charges/export