Vanderbilt Clarksville Hospital
Vanderbilt Clarksville Hospital in Clarksville, TN publishes cash prices for 426 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Tennessee median for 284 of 424 procedures and below it for 139. By typical cash price it ranks #61 of 88 Tennessee hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
651 Dunlop Ln, Clarksville, TN 37040 Collected Sep 22, 2026 Source price file Check a bill from this hospital (931) 502-1000
Acute care hospital For-profit hospital Emergency department CMS star rating 1 of 5 CCN 440035 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT-ABDOMEN WWO | $913.16 | $4,706.95 | $177.08–$492.64 | 19% below | 81% |
| Abdominal CT scan without and with contrast CPT 74170 CT-ABDOMEN WWO | $913.16 | $4,706.95 | $123.57–$4,471.60 | 19% below | 81% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT-ABDOMEN WWO | $913.16 | $4,706.95 | $123.57–$4,471.60 | — | 81% |
| Abdominal X-ray, 2 views CPT 74019 CH-ABDOMEN 2 VWS DR | $175.66 | $905.39 | $97.88–$294.28 | 1% above | 81% |
| Abdominal X-ray, 2 views CPT 74019 CH-ABDOMEN 2 VWS CR | $175.66 | $905.39 | $20.75–$860.12 | 1% above | 81% |
| Abdominal X-ray, 2 views CPT 74019 CH-ABDOMEN 2 VWS CR | $175.66 | $905.39 | $91.03–$264.85 | 1% above | 81% |
| Abdominal X-ray, 2 views CPT 74019 CH-ABDOMEN 2 VWS DR | $175.66 | $905.39 | $20.75–$860.12 | 1% above | 81% |
| Abdominal X-ray, 2 views inpatient CPT 74019 CH-ABDOMEN 2 VWS DR | $175.66 | $905.39 | $20.75–$860.12 | — | 81% |
| Abdominal X-ray, 2 views inpatient CPT 74019 CH-ABDOMEN 2 VWS CR | $175.66 | $905.39 | $20.75–$860.12 | — | 81% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 LE-ANKLE 3VWS BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 LE-ANKLE 3VWS BI DR | $202.42 | $1,043.37 | $29.89–$991.20 | — | 81% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 LE-ANKLE 3VWS BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 LE-ANKLE 3VWS BI CR | $202.42 | $1,043.37 | $19.93–$991.20 | — | 81% |
| Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS CR | $101.48 | $523.04 | $49.40–$219.30 | 28% below | 81% |
| Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR | $101.48 | $523.04 | $53.12–$243.66 | 28% below | 81% |
| Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS CR | $101.48 | $523.04 | $19.93–$496.89 | 28% below | 81% |
| Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR | $101.48 | $523.04 | $19.93–$496.89 | 28% below | 81% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 LE-ANKLE 3VWS BI CR | $202.42 | $1,043.37 | $19.93–$991.20 | — | 81% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 LE-ANKLE 3VWS BI DR | $202.42 | $1,043.37 | $29.89–$991.20 | — | 81% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS DR | $101.48 | $523.04 | $19.93–$496.89 | — | 81% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS CR | $101.48 | $523.04 | $19.93–$496.89 | — | 81% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD | $138.89 | $715.86 | $89.82–$356.72 | 46% below | 81% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD | $138.89 | $715.86 | $46.14–$715.86 | 46% below | 81% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI-EXT ARTERIAL LTD | $279.67 | $1,441.53 | $46.14–$1,369.45 | 8% above | 81% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI-EXT ARTERIAL LTD | $279.67 | $1,441.53 | $89.82–$356.72 | 8% above | 81% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD | $138.89 | $715.86 | $46.14–$715.86 | — | 81% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NI-EXT ARTERIAL LTD | $279.67 | $1,441.53 | $46.14–$1,369.45 | — | 81% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT-UPPER EXT WO BI | $1,631.40 | $8,409.21 | $223.37–$621.41 | — | 81% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT-UPPER EXT WO BI | $1,631.40 | $8,409.21 | $105.12–$7,988.75 | — | 81% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-UPPER EXT WO | $583.00 | $3,005.08 | $52.56–$2,854.83 | 16% below | 81% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-UPPER EXT WO | $583.00 | $3,005.08 | $97.88–$294.28 | 16% below | 81% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 CT-UPPER EXT WO BI | $1,631.40 | $8,409.21 | $105.12–$7,988.75 | — | 81% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT-UPPER EXT WO | $583.00 | $3,005.08 | $52.56–$2,854.83 | — | 81% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 FL-ESOPHAGUS | $373.84 | $1,926.95 | $43.33–$1,830.60 | 70% above | 81% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 FL-ESOPHAGUS | $373.84 | $1,926.95 | $177.08–$492.64 | 70% above | 81% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FL-ESOPHAGUS | $373.84 | $1,926.95 | $43.33–$1,830.60 | — | 81% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN BODY | $673.49 | $3,471.56 | $152.64–$3,297.98 | 1% below | 81% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN BODY | $673.49 | $3,471.56 | $298.81–$1,112.03 | 1% below | 81% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-BONE SCAN BODY | $673.49 | $3,471.56 | $152.64–$3,297.98 | — | 81% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US-BREAST COMPLET BI | $294.16 | $1,516.26 | $97.88–$294.28 | — | 81% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US-BREAST COMPLET BI | $294.16 | $1,516.26 | $78.84–$1,440.45 | — | 81% |
| Breast ultrasound, complete, one breast CPT 76641 US-BREAST COMPLETE | $147.09 | $758.12 | $52.56–$720.21 | 15% below | 81% |
| Breast ultrasound, complete, one breast CPT 76641 US-BREAST COMPLETE | $147.09 | $758.12 | $97.88–$294.28 | 15% below | 81% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US-BREAST COMPLET BI | $294.16 | $1,516.26 | $78.84–$1,440.45 | — | 81% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US-BREAST COMPLETE | $147.09 | $758.12 | $52.56–$720.21 | — | 81% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US-BREAST LIMITED BI | $294.16 | $1,516.26 | $53.12–$243.66 | — | 81% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US-BREAST LIMITED BI | $294.16 | $1,516.26 | $41.87–$1,440.45 | — | 81% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST LIMITED | $147.09 | $758.12 | $27.91–$720.21 | 11% below | 81% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST LIMITED | $147.09 | $758.12 | $53.12–$243.66 | 11% below | 81% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US-BREAST LIMITED BI | $294.16 | $1,516.26 | $41.87–$1,440.45 | — | 81% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-BREAST LIMITED | $147.09 | $758.12 | $27.91–$720.21 | — | 81% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA-ABDOMEN PELVIS | $2,953.56 | $15,224.48 | $123.57–$14,463.26 | 73% above | 81% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA-ABDOMEN PELVIS | $2,953.56 | $15,224.48 | $216.13 | 73% above | 81% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA-ABDOMEN PELVIS | $2,953.56 | $15,224.48 | $123.57–$14,463.26 | — | 81% |
| CT angiography (CTA) of the head CPT 70496 CTA-HEAD | $1,476.84 | $7,612.51 | $177.08–$492.64 | 35% above | 81% |
| CT angiography (CTA) of the head CPT 70496 CTA-HEAD | $1,476.84 | $7,612.51 | $123.57–$7,231.88 | 35% above | 81% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA-HEAD | $1,476.84 | $7,612.51 | $123.57–$7,231.88 | — | 81% |
| CT angiography (CTA) of the neck CPT 70498 CTA-NECK | $1,476.84 | $7,612.51 | $123.57–$7,231.88 | 41% above | 81% |
| CT angiography (CTA) of the neck CPT 70498 CTA-NECK | $1,476.84 | $7,612.51 | $177.08–$492.64 | 41% above | 81% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA-NECK | $1,476.84 | $7,612.51 | $123.57–$7,231.88 | — | 81% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST | $1,476.84 | $7,612.51 | $177.08–$492.64 | 30% above | 81% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST | $1,476.84 | $7,612.51 | $123.57–$7,231.88 | 30% above | 81% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST | $1,476.84 | $7,612.51 | $123.57–$7,231.88 | — | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT-HT CARD FUNC W | $1,052.56 | $5,425.49 | $216.13 | 13% above | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT-HT CARD FUNC W | $1,052.56 | $5,425.49 | $123.57–$5,154.22 | 13% above | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT-HT CARD FUNC W | $1,052.56 | $5,425.49 | $123.57–$5,154.22 | — | 81% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-HEART WO QUAL | $440.58 | $2,270.99 | $53.12–$243.66 | 336% above | 81% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-HEART WO QUAL | $440.58 | $2,270.99 | $27.91–$2,157.44 | 336% above | 81% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT-HEART WO QUAL | $440.58 | $2,270.99 | $27.91–$2,157.44 | — | 81% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO | $1,870.69 | $9,642.67 | $105.33–$9,160.54 | 29% above | 81% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO | $1,870.69 | $9,642.67 | $198.66–$668.94 | 29% above | 81% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD PELVIS WO | $1,870.69 | $9,642.67 | $105.33–$9,160.54 | — | 81% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W | $2,365.46 | $12,193.04 | $216.13 | 26% above | 81% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W | $2,365.46 | $12,193.04 | $123.57–$11,583.39 | 26% above | 81% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS W | $2,365.46 | $12,193.04 | $123.57–$11,583.39 | — | 81% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO | $2,626.71 | $13,539.70 | $198.87–$12,862.72 | 22% above | 81% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO | $2,626.71 | $13,539.70 | $216.13 | 22% above | 81% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD PELVIS WWO | $2,626.71 | $13,539.70 | $198.87–$12,862.72 | — | 81% |
| CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W | $819.13 | $4,222.29 | $177.08–$492.64 | 16% below | 81% |
| CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W | $819.13 | $4,222.29 | $123.57–$4,011.18 | 16% below | 81% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN W | $819.13 | $4,222.29 | $123.57–$4,011.18 | — | 81% |
| CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO | $643.90 | $3,319.01 | $52.56–$3,153.06 | 17% below | 81% |
| CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO | $643.90 | $3,319.01 | $97.88–$294.28 | 17% below | 81% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WO | $643.90 | $3,319.01 | $52.56–$3,153.06 | — | 81% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO | $602.36 | $3,104.90 | $97.88–$294.28 | 13% below | 81% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO | $602.36 | $3,104.90 | $52.56–$2,949.66 | 13% below | 81% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL WO | $602.36 | $3,104.90 | $52.56–$2,949.66 | — | 81% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO | $897.55 | $4,626.48 | $52.56–$4,395.16 | 26% above | 81% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO | $897.55 | $4,626.48 | $97.88–$294.28 | 26% above | 81% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD WO | $897.55 | $4,626.48 | $52.56–$4,395.16 | — | 81% |
| CT scan of the head with contrast CPT 70460 CT-HEAD W | $1,420.83 | $7,323.84 | $177.08–$492.64 | 60% above | 81% |
| CT scan of the head with contrast CPT 70460 CT-HEAD W | $1,420.83 | $7,323.84 | $123.57–$6,957.65 | 60% above | 81% |
| CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W | $1,420.83 | $7,323.84 | $123.57–$6,957.65 | — | 81% |
| CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO | $1,574.11 | $8,113.94 | $123.57–$7,708.24 | 45% above | 81% |
| CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO | $1,574.11 | $8,113.94 | $177.08–$492.64 | 45% above | 81% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD WWO | $1,574.11 | $8,113.94 | $123.57–$7,708.24 | — | 81% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO | $781.56 | $4,028.61 | $52.56–$3,827.18 | 1% below | 81% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO | $781.56 | $4,028.61 | $97.88–$294.28 | 1% below | 81% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMB SPINE WO | $781.56 | $4,028.61 | $52.56–$3,827.18 | — | 81% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO | $726.91 | $3,746.89 | $52.56–$3,559.55 | 18% below | 81% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO | $726.91 | $3,746.89 | $97.88–$294.28 | 18% below | 81% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERV SPINE WO | $726.91 | $3,746.89 | $52.56–$3,559.55 | — | 81% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W | $755.80 | $3,895.83 | $177.08–$492.64 | 14% below | 81% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W | $755.80 | $3,895.83 | $123.57–$3,701.04 | 14% below | 81% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W | $755.80 | $3,895.83 | $123.57–$3,701.04 | — | 81% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CRAN DPLX SCN BIL | $316.17 | $1,629.67 | $198.66–$668.94 | 71% below | 81% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CRAN DPLX SCN BIL | $316.17 | $1,629.67 | $112.96–$1,548.19 | 71% below | 81% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN | $598.83 | $3,086.72 | $198.66–$668.94 | 45% below | 81% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN | $598.83 | $3,086.72 | $112.96–$2,932.38 | 45% below | 81% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CRAN DPLX SCN BIL | $316.17 | $1,629.67 | $112.96–$1,548.19 | — | 81% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CAROTID DPLX SCAN | $598.83 | $3,086.72 | $112.96–$2,932.38 | — | 81% |
| Chest CT scan without and with contrast CPT 71270 CT-CHEST DIAG WWO | $889.45 | $4,584.74 | $177.08–$492.64 | 7% below | 81% |
| Chest CT scan without and with contrast CPT 71270 CT-CHEST DIAG WWO | $889.45 | $4,584.74 | $123.57–$4,355.50 | 7% below | 81% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST DIAG WWO | $889.45 | $4,584.74 | $123.57–$4,355.50 | — | 81% |
| Chest X-ray, 2 views CPT 71046 CH-CHEST 2V CR | $101.48 | $523.04 | $18.69–$496.89 | 17% below | 81% |
| Chest X-ray, 2 views CPT 71046 CH-CHEST 2V CR | $101.48 | $523.04 | $49.40–$219.30 | 17% below | 81% |
| Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR | $101.48 | $523.04 | $18.69–$496.89 | 17% below | 81% |
| Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR | $101.48 | $523.04 | $53.12–$243.66 | 17% below | 81% |
| Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V CR | $101.48 | $523.04 | $18.69–$496.89 | — | 81% |
| Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V DR | $101.48 | $523.04 | $18.69–$496.89 | — | 81% |
| Chest X-ray, single view CPT 71045 CH-CHEST 1V DR | $101.48 | $523.04 | $10.14–$496.89 | 10% below | 81% |
| Chest X-ray, single view CPT 71045 CH-CHEST 1V CR | $101.48 | $523.04 | $49.40–$219.30 | 10% below | 81% |
| Chest X-ray, single view CPT 71045 CH-CHEST 1V DR | $101.48 | $523.04 | $53.12–$243.66 | 10% below | 81% |
| Chest X-ray, single view CPT 71045 CH-CHEST 1V CR | $101.48 | $523.04 | $10.14–$496.89 | 10% below | 81% |
| Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V DR | $101.48 | $523.04 | $10.14–$496.89 | — | 81% |
| Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V CR | $101.48 | $523.04 | $10.14–$496.89 | — | 81% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 UE-CLAVICLE BILAT CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 UE-CLAVICLE BILAT CR | $202.42 | $1,043.37 | $19.55–$991.20 | — | 81% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 UE-CLAVICLE BILAT DR | $202.42 | $1,043.37 | $29.33–$991.20 | — | 81% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 UE-CLAVICLE BILAT DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| Collarbone (clavicle) X-ray, complete CPT 73000 UE-CLAVICLE CR | $101.48 | $523.04 | $49.40–$219.30 | 16% below | 81% |
| Collarbone (clavicle) X-ray, complete CPT 73000 UE-CLAVICLE DR | $101.48 | $523.04 | $19.55–$496.89 | 16% below | 81% |
| Collarbone (clavicle) X-ray, complete CPT 73000 UE-CLAVICLE DR | $101.48 | $523.04 | $53.12–$243.66 | 16% below | 81% |
| Collarbone (clavicle) X-ray, complete CPT 73000 UE-CLAVICLE CR | $101.48 | $523.04 | $19.55–$496.89 | 16% below | 81% |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 UE-CLAVICLE BILAT DR | $202.42 | $1,043.37 | $29.33–$991.20 | — | 81% |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 UE-CLAVICLE BILAT CR | $202.42 | $1,043.37 | $19.55–$991.20 | — | 81% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 UE-CLAVICLE DR | $101.48 | $523.04 | $19.55–$496.89 | — | 81% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 UE-CLAVICLE CR | $101.48 | $523.04 | $19.55–$496.89 | — | 81% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER | $266.56 | $1,373.99 | $97.88–$294.28 | 3% below | 81% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER | $266.56 | $1,373.99 | $52.56–$1,305.29 | 3% below | 81% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-ABDOMEN RETROPER | $266.56 | $1,373.99 | $52.56–$1,305.29 | — | 81% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL | $162.99 | $840.09 | $97.88–$294.28 | 7% below | 81% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL | $162.99 | $840.09 | $52.56–$798.09 | 7% below | 81% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL | $162.99 | $840.09 | $52.56–$798.09 | — | 81% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA PERIPHERAL | $72.04 | $371.27 | $53.12–$243.66 | 15% below | 81% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA PERIPHERAL | $72.04 | $371.27 | $26.64–$352.71 | 15% below | 81% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA PERIPHERAL | $72.04 | $371.27 | $26.64–$352.71 | — | 81% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US-PLV PRG 2T DETAIL | $417.97 | $2,154.44 | $97.88 | 15% above | 81% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US-PLV PRG 2T DETAIL | $417.97 | $2,154.44 | $52.56–$2,046.72 | 15% above | 81% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US-PLV PRG 2T DETAIL | $417.97 | $2,154.44 | $52.56–$2,046.72 | — | 81% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST DIAG WO | $622.95 | $3,211.02 | $97.88–$294.28 | 12% below | 81% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST DIAG WO | $622.95 | $3,211.02 | $52.56–$3,050.47 | 12% below | 81% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST DIAG WO | $622.95 | $3,211.02 | $52.56–$3,050.47 | — | 81% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST DIAG W | $752.52 | $3,878.93 | $123.57–$3,684.98 | 20% below | 81% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST DIAG W | $752.52 | $3,878.93 | $177.08–$492.64 | 20% below | 81% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST DIAG W | $752.52 | $3,878.93 | $123.57–$3,684.98 | — | 81% |
| Diagnostic mammogram, both breasts both sides CPT 77066 BR-DIG MAMMO BILAT | $245.24 | $1,264.08 | $56.73–$1,200.88 | — | 81% |
| Diagnostic mammogram, both breasts both sides CPT 77066 BR-DIG MAMMO BI GG | $245.24 | $1,264.08 | $56.73–$1,200.88 | — | 81% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BR-DIG MAMMO BI GG | $245.24 | $1,264.08 | $56.73–$1,200.88 | — | 81% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BR-DIG MAMMO BILAT | $245.24 | $1,264.08 | $56.73–$1,200.88 | — | 81% |
| Diagnostic mammogram, one breast CPT 77065 BR-DIG MAMMO UNI GG | $196.63 | $1,013.53 | $44.35–$962.85 | 26% above | 81% |
| Diagnostic mammogram, one breast one side CPT 77065 BR-DIG MAMMO UNILAT | $196.63 | $1,013.53 | $44.35–$962.85 | 26% above | 81% |
| Diagnostic mammogram, one breast inpatient CPT 77065 BR-DIG MAMMO UNI GG | $196.63 | $1,013.53 | $44.35–$962.85 | — | 81% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 BR-DIG MAMMO UNILAT | $196.63 | $1,013.53 | $44.35–$962.85 | — | 81% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 NI-LW EXT DPX ART BI | $622.08 | $3,206.57 | $198.66–$668.94 | — | 81% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 NI-LW EXT DPX ART BI | $622.08 | $3,206.57 | $112.96–$3,046.24 | — | 81% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 NI-LW EXT DPX ART BI | $622.08 | $3,206.57 | $112.96–$3,046.24 | — | 81% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US-EXT VEINS DPLX WC | $598.83 | $3,086.72 | $112.96–$2,932.38 | 6% below | 81% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US-EXT VEINS DPLX WC | $598.83 | $3,086.72 | $198.66–$668.94 | 6% below | 81% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 NI-EXT VEINS DPLX WC | $622.08 | $3,206.57 | $112.96–$3,046.24 | 2% below | 81% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 NI-EXT VEINS DPLX WC | $622.08 | $3,206.57 | $198.66–$668.94 | 2% below | 81% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US-EXT VEINS DPLX WC | $598.83 | $3,086.72 | $112.96–$2,932.38 | — | 81% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 NI-EXT VEINS DPLX WC | $622.08 | $3,206.57 | $112.96–$3,046.24 | — | 81% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI-TTE 2D W DOPP | $1,456.07 | $7,505.45 | $193.40–$7,130.18 | 24% above | 81% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI-TTE 2D W DOPP | $1,456.07 | $7,505.45 | $416.18–$1,517.37 | 24% above | 81% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI-TTE 2D W DOPP | $1,456.07 | $7,505.45 | $193.40–$7,130.18 | — | 81% |
| Elbow X-ray, 2 views both sides CPT 73070 UE-ELBOW 2VW BI CR | $202.42 | $1,043.37 | $19.55–$991.20 | — | 81% |
| Elbow X-ray, 2 views both sides CPT 73070 UE-ELBOW 2VW BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| Elbow X-ray, 2 views both sides CPT 73070 UE-ELBOW 2VW BI DR | $202.42 | $1,043.37 | $29.33–$991.20 | — | 81% |
| Elbow X-ray, 2 views both sides CPT 73070 UE-ELBOW 2VW BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| Elbow X-ray, 2 views CPT 73070 UE-ELBOW 2V CR | $101.48 | $523.04 | $49.40–$219.30 | 16% below | 81% |
| Elbow X-ray, 2 views CPT 73070 UE-ELBOW 2V CR | $101.48 | $523.04 | $19.55–$496.89 | 16% below | 81% |
| Elbow X-ray, 2 views CPT 73070 UE-ELBOW 2V DR | $101.48 | $523.04 | $19.55–$496.89 | 16% below | 81% |
| Elbow X-ray, 2 views CPT 73070 UE-ELBOW 2V DR | $101.48 | $523.04 | $53.12–$243.66 | 16% below | 81% |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 UE-ELBOW 2VW BI DR | $202.42 | $1,043.37 | $29.33–$991.20 | — | 81% |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 UE-ELBOW 2VW BI CR | $202.42 | $1,043.37 | $19.55–$991.20 | — | 81% |
| Elbow X-ray, 2 views inpatient CPT 73070 UE-ELBOW 2V DR | $101.48 | $523.04 | $19.55–$496.89 | — | 81% |
| Elbow X-ray, 2 views inpatient CPT 73070 UE-ELBOW 2V CR | $101.48 | $523.04 | $19.55–$496.89 | — | 81% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 UE-ELBOW 3VW BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 UE-ELBOW 3VW BI DR | $202.42 | $1,043.37 | $31.79–$991.20 | — | 81% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 UE-ELBOW 3VW BI CR | $202.42 | $1,043.37 | $21.19–$991.20 | — | 81% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 UE-ELBOW 3VW BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| Elbow X-ray, complete, 3 or more views CPT 73080 UE-ELBOW 3V DR | $101.48 | $523.04 | $53.12–$243.66 | 30% below | 81% |
| Elbow X-ray, complete, 3 or more views CPT 73080 UE-ELBOW 3V CR | $101.48 | $523.04 | $21.19–$496.89 | 30% below | 81% |
| Elbow X-ray, complete, 3 or more views CPT 73080 UE-ELBOW 3V CR | $101.48 | $523.04 | $49.40–$219.30 | 30% below | 81% |
| Elbow X-ray, complete, 3 or more views CPT 73080 UE-ELBOW 3V DR | $101.48 | $523.04 | $21.19–$496.89 | 30% below | 81% |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 UE-ELBOW 3VW BI DR | $202.42 | $1,043.37 | $31.79–$991.20 | — | 81% |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 UE-ELBOW 3VW BI CR | $202.42 | $1,043.37 | $21.19–$991.20 | — | 81% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 UE-ELBOW 3V CR | $101.48 | $523.04 | $21.19–$496.89 | — | 81% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 UE-ELBOW 3V DR | $101.48 | $523.04 | $21.19–$496.89 | — | 81% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT EAR WO | $587.32 | $3,027.37 | $52.56–$2,876.00 | 8% below | 81% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT EAR WO | $587.32 | $3,027.37 | $97.88–$294.28 | 8% below | 81% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT EAR WO | $587.32 | $3,027.37 | $52.56–$2,876.00 | — | 81% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HE-FACIAL BNES 3V CR | $175.58 | $905.01 | $29.06–$859.76 | 10% above | 81% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HE-FACIAL BNES 3V CR | $175.58 | $905.01 | $91.03–$264.85 | 10% above | 81% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HE-FACIAL BNES 3V DR | $175.66 | $905.39 | $97.88–$294.28 | 10% above | 81% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HE-FACIAL BNES 3V DR | $175.66 | $905.39 | $29.06–$860.12 | 10% above | 81% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HE-FACIAL BNES 3V CR | $175.58 | $905.01 | $29.06–$859.76 | — | 81% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HE-FACIAL BNES 3V DR | $175.66 | $905.39 | $29.06–$860.12 | — | 81% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 UE-FOREARM 2VW BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 UE-FOREARM 2VW BI DR | $202.42 | $1,043.37 | $29.33–$991.20 | — | 81% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 UE-FOREARM 2VW BI CR | $202.42 | $1,043.37 | $19.55–$991.20 | — | 81% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 UE-FOREARM 2VW BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 UE-FOREARM 2V DR | $101.48 | $523.04 | $19.55–$496.89 | 18% below | 81% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 UE-FOREARM 2V CR | $101.48 | $523.04 | $49.40–$219.30 | 18% below | 81% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 UE-FOREARM 2V CR | $101.48 | $523.04 | $19.55–$496.89 | 18% below | 81% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 UE-FOREARM 2V DR | $101.48 | $523.04 | $53.12–$243.66 | 18% below | 81% |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 UE-FOREARM 2VW BI DR | $202.42 | $1,043.37 | $29.33–$991.20 | — | 81% |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 UE-FOREARM 2VW BI CR | $202.42 | $1,043.37 | $19.55–$991.20 | — | 81% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 UE-FOREARM 2V CR | $101.48 | $523.04 | $19.55–$496.89 | — | 81% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 UE-FOREARM 2V DR | $101.48 | $523.04 | $19.55–$496.89 | — | 81% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY SYS | $753.41 | $3,883.53 | $155.30–$3,689.35 | 16% above | 81% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY SYS | $753.41 | $3,883.53 | $298.81–$1,112.03 | 16% above | 81% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-HEPATOBILIARY SYS | $753.41 | $3,883.53 | $155.30–$3,689.35 | — | 81% |
| Hand X-ray, 2 views both sides CPT 73120 UE-HAND 2VWS BI DR | $202.42 | $1,043.37 | $97.88–$294.28 | — | 81% |
| Hand X-ray, 2 views both sides CPT 73120 UE-HAND 2VWS BI DR | $202.42 | $1,043.37 | $27.71–$991.20 | — | 81% |
| Hand X-ray, 2 views both sides CPT 73120 UE-HAND 2VWS BI CR | $202.42 | $1,043.37 | $18.47–$991.20 | — | 81% |
| Hand X-ray, 2 views both sides CPT 73120 UE-HAND 2VWS BI CR | $202.42 | $1,043.37 | $91.03–$264.85 | — | 81% |
| Hand X-ray, 2 views CPT 73120 UE-HAND 2V DR | $175.66 | $905.39 | $97.88–$294.28 | 32% above | 81% |
| Hand X-ray, 2 views CPT 73120 UE-HAND 2V CR | $175.66 | $905.39 | $18.47–$860.12 | 32% above | 81% |
| Hand X-ray, 2 views CPT 73120 UE-HAND 2V CR | $175.66 | $905.39 | $91.03–$264.85 | 32% above | 81% |
| Hand X-ray, 2 views CPT 73120 UE-HAND 2V DR | $175.66 | $905.39 | $18.47–$860.12 | 32% above | 81% |
| Hand X-ray, 2 views inpatient both sides CPT 73120 UE-HAND 2VWS BI CR | $202.42 | $1,043.37 | $18.47–$991.20 | — | 81% |
| Hand X-ray, 2 views inpatient both sides CPT 73120 UE-HAND 2VWS BI DR | $202.42 | $1,043.37 | $27.71–$991.20 | — | 81% |
| Hand X-ray, 2 views inpatient CPT 73120 UE-HAND 2V DR | $175.66 | $905.39 | $18.47–$860.12 | — | 81% |
| Hand X-ray, 2 views inpatient CPT 73120 UE-HAND 2V CR | $175.66 | $905.39 | $18.47–$860.12 | — | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 LE-CALCNEUS 2V BI CR | $202.42 | $1,043.37 | $17.73–$991.20 | — | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 LE-CALCNEUS 2V BI DR | $202.42 | $1,043.37 | $26.60–$991.20 | — | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 LE-CALCNEUS 2V BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 LE-CALCNEUS 2V BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 LE-CALCANEUS 2PLS CR | $101.48 | $523.04 | $49.40–$219.30 | 19% below | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 LE-CALCANEUS 2PLS DR | $101.48 | $523.04 | $53.12–$243.66 | 19% below | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 LE-CALCANEUS 2PLS DR | $101.48 | $523.04 | $17.73–$496.89 | 19% below | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 LE-CALCANEUS 2PLS CR | $101.48 | $523.04 | $17.73–$496.89 | 19% below | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 LE-CALCNEUS 2V BI DR | $202.42 | $1,043.37 | $26.60–$991.20 | — | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 LE-CALCNEUS 2V BI CR | $202.42 | $1,043.37 | $17.73–$991.20 | — | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 LE-CALCANEUS 2PLS CR | $101.48 | $523.04 | $17.73–$496.89 | — | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 LE-CALCANEUS 2PLS DR | $101.48 | $523.04 | $17.73–$496.89 | — | 81% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYS-CPAP GT4 GE6YO | $1,453.71 | $7,493.32 | $272.95–$7,118.65 | 14% below | 81% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYS-CPAP GT4 GE6YO | $1,453.71 | $7,493.32 | $772.16–$2,815.52 | 14% below | 81% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYS-CPAP GT4 GE6YO | $1,453.71 | $7,493.32 | $272.95–$7,118.65 | — | 81% |
| Knee X-ray, 3 views both sides CPT 73562 LE-KNEE 3VWS BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| Knee X-ray, 3 views both sides CPT 73562 LE-KNEE 3VWS BI CR | $202.42 | $1,043.37 | $21.19–$991.20 | — | 81% |
| Knee X-ray, 3 views both sides CPT 73562 LE-KNEE 3VWS BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| Knee X-ray, 3 views both sides CPT 73562 LE-KNEE 3VWS BI DR | $202.42 | $1,043.37 | $31.79–$991.20 | — | 81% |
| Knee X-ray, 3 views CPT 73562 LE-KNEE 3V CR | $101.48 | $523.04 | $49.40–$219.30 | 29% below | 81% |
| Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR | $101.48 | $523.04 | $21.19–$496.89 | 29% below | 81% |
| Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR | $101.48 | $523.04 | $53.12–$243.66 | 29% below | 81% |
| Knee X-ray, 3 views CPT 73562 LE-KNEE 3V CR | $101.48 | $523.04 | $21.19–$496.89 | 29% below | 81% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 LE-KNEE 3VWS BI DR | $202.42 | $1,043.37 | $31.79–$991.20 | — | 81% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 LE-KNEE 3VWS BI CR | $202.42 | $1,043.37 | $21.19–$991.20 | — | 81% |
| Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V CR | $101.48 | $523.04 | $21.19–$496.89 | — | 81% |
| Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V DR | $101.48 | $523.04 | $21.19–$496.89 | — | 81% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 LE-KNEE 4VWPLS BI DR | $202.42 | $1,043.37 | $34.53–$991.20 | — | 81% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 LE-KNEE 4VWPLS BI DR | $202.42 | $1,043.37 | $97.88–$294.28 | — | 81% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 LE-KNEE 4VWPLS BI CR | $202.42 | $1,043.37 | $23.02–$991.20 | — | 81% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 LE-KNEE 4VWPLS BI CR | $202.42 | $1,043.37 | $91.03–$264.85 | — | 81% |
| Knee X-ray, complete, 4 or more views CPT 73564 LE-KNEE 4V PLUS DR | $175.66 | $905.39 | $97.88–$294.28 | 14% above | 81% |
| Knee X-ray, complete, 4 or more views CPT 73564 LE-KNEE 4V PLUS DR | $175.66 | $905.39 | $23.02–$860.12 | 14% above | 81% |
| Knee X-ray, complete, 4 or more views CPT 73564 LE-KNEE 4V PLUS CR | $175.66 | $905.39 | $91.03–$264.85 | 14% above | 81% |
| Knee X-ray, complete, 4 or more views CPT 73564 LE-KNEE 4V PLUS CR | $175.66 | $905.39 | $23.02–$860.12 | 14% above | 81% |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 LE-KNEE 4VWPLS BI DR | $202.42 | $1,043.37 | $34.53–$991.20 | — | 81% |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 LE-KNEE 4VWPLS BI CR | $202.42 | $1,043.37 | $23.02–$991.20 | — | 81% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 LE-KNEE 4V PLUS DR | $175.66 | $905.39 | $23.02–$860.12 | — | 81% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 LE-KNEE 4V PLUS CR | $175.66 | $905.39 | $23.02–$860.12 | — | 81% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT-LOWER EXT WO BI | $1,631.40 | $8,409.21 | $105.12–$7,988.75 | — | 81% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT-LOWER EXT WO BI | $1,631.40 | $8,409.21 | $223.37–$621.41 | — | 81% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-LOWER EXT WO | $617.43 | $3,182.59 | $97.88–$294.28 | 10% below | 81% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-LOWER EXT WO | $617.43 | $3,182.59 | $52.56–$3,023.46 | 10% below | 81% |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT-LOWER EXT WO BI | $1,631.40 | $8,409.21 | $105.12–$7,988.75 | — | 81% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-LOWER EXT WO | $617.43 | $3,182.59 | $52.56–$3,023.46 | — | 81% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO | $266.56 | $1,373.99 | $97.88–$294.28 | at median | 81% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO | $266.56 | $1,373.99 | $52.10–$1,305.29 | at median | 81% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LTD WO | $266.56 | $1,373.99 | $52.10–$1,305.29 | — | 81% |
| Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US-EXT LTD JNT BI | $147.90 | $762.34 | $97.88–$294.28 | — | 81% |
| Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US-EXT LTD JNT BI | $147.90 | $762.34 | $15.05–$724.22 | — | 81% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-EXT LTD JNT UNI | $133.28 | $686.98 | $10.04–$652.63 | 36% below | 81% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-EXT LTD JNT UNI | $133.28 | $686.98 | $97.88–$294.28 | 36% below | 81% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US-EXT LTD JNT BI | $147.90 | $762.34 | $15.05–$724.22 | — | 81% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US-EXT LTD JNT UNI | $133.28 | $686.98 | $10.04–$652.63 | — | 81% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 LE-TIB FIB 2V BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 LE-TIB FIB 2V BI CR | $202.42 | $1,043.37 | $19.55–$991.20 | — | 81% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 LE-TIB FIB 2V BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 LE-TIB FIB 2V BI DR | $202.42 | $1,043.37 | $29.33–$991.20 | — | 81% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIB FIB 2V CR | $101.48 | $523.04 | $19.55–$496.89 | 19% below | 81% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIB FIB 2V DR | $101.48 | $523.04 | $53.12–$243.66 | 19% below | 81% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIB FIB 2V DR | $101.48 | $523.04 | $19.55–$496.89 | 19% below | 81% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIB FIB 2V CR | $101.48 | $523.04 | $49.40–$219.30 | 19% below | 81% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 LE-TIB FIB 2V BI CR | $202.42 | $1,043.37 | $19.55–$991.20 | — | 81% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 LE-TIB FIB 2V BI DR | $202.42 | $1,043.37 | $29.33–$991.20 | — | 81% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LE-TIB FIB 2V DR | $101.48 | $523.04 | $19.55–$496.89 | — | 81% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LE-TIB FIB 2V CR | $101.48 | $523.04 | $19.55–$496.89 | — | 81% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA-HEAD WO | $780.12 | $4,021.18 | $105.33–$3,820.12 | 18% below | 81% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA-HEAD WO | $780.12 | $4,021.18 | $198.66–$668.94 | 18% below | 81% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-HEAD WO | $780.12 | $4,021.18 | $105.33–$3,820.12 | — | 81% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MR-LW JOINT WO BI | $1,269.94 | $6,546.01 | $475.59–$1,495.14 | — | 81% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MR-LW JOINT WO BI | $1,269.94 | $6,546.01 | $210.66–$6,218.71 | — | 81% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR-LW JOINT WO | $770.96 | $3,973.99 | $105.33–$3,775.29 | 20% below | 81% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR-LW JOINT WO | $770.96 | $3,973.99 | $198.66–$668.94 | 20% below | 81% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MR-LW JOINT WO BI | $1,269.94 | $6,546.01 | $210.66–$6,218.71 | — | 81% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR-LW JOINT WO | $770.96 | $3,973.99 | $105.33–$3,775.29 | — | 81% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR-LW JOINT WWO | $969.54 | $4,997.56 | $355.25–$988.32 | 23% below | 81% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR-LW JOINT WWO | $969.54 | $4,997.56 | $198.87–$4,747.68 | 23% below | 81% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR-LW JOINT WWO | $969.54 | $4,997.56 | $198.87–$4,747.68 | — | 81% |
| MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN WO | $846.32 | $4,362.44 | $105.33–$4,144.32 | 10% below | 81% |
| MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN WO | $846.32 | $4,362.44 | $198.66–$668.94 | 10% below | 81% |
| MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN WO | $846.32 | $4,362.44 | $105.33–$4,144.32 | — | 81% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN WWO | $1,116.80 | $5,756.64 | $355.25–$988.32 | 12% below | 81% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN WWO | $1,116.80 | $5,756.64 | $198.87–$5,468.81 | 12% below | 81% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN WWO | $1,116.80 | $5,756.64 | $198.87–$5,468.81 | — | 81% |
| MRI of the brain, no contrast dye CPT 70551 MR-BRAIN WO | $1,638.36 | $8,445.10 | $198.66–$668.94 | 43% above | 81% |
| MRI of the brain, no contrast dye CPT 70551 MR-BRAIN WO | $1,638.36 | $8,445.10 | $105.33–$8,022.85 | 43% above | 81% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN WO | $1,638.36 | $8,445.10 | $105.33–$8,022.85 | — | 81% |
| MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN WWO | $2,325.83 | $11,988.77 | $355.25–$988.32 | 56% above | 81% |
| MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN WWO | $2,325.83 | $11,988.77 | $198.87–$11,389.33 | 56% above | 81% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN WWO | $2,325.83 | $11,988.77 | $198.87–$11,389.33 | — | 81% |
| MRI of the lower back, no contrast dye CPT 72148 MR-LUMB SPINE WO | $870.37 | $4,486.38 | $105.33–$4,262.06 | 12% below | 81% |
| MRI of the lower back, no contrast dye CPT 72148 MR-LUMB SPINE WO | $870.37 | $4,486.38 | $198.66–$668.94 | 12% below | 81% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR-LUMB SPINE WO | $870.37 | $4,486.38 | $105.33–$4,262.06 | — | 81% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMB SPINE WWO | $1,207.71 | $6,225.24 | $355.25–$988.32 | 15% below | 81% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMB SPINE WWO | $1,207.71 | $6,225.24 | $198.87–$5,913.98 | 15% below | 81% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-LUMB SPINE WWO | $1,207.71 | $6,225.24 | $198.87–$5,913.98 | — | 81% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-THOR SPINE WO | $880.12 | $4,536.67 | $105.33–$4,309.84 | 10% below | 81% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-THOR SPINE WO | $880.12 | $4,536.67 | $198.66–$668.94 | 10% below | 81% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR-THOR SPINE WO | $880.12 | $4,536.67 | $105.33–$4,309.84 | — | 81% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-CERV SPINE WWO | $1,158.63 | $5,972.27 | $198.87–$5,673.66 | 21% below | 81% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-CERV SPINE WWO | $1,158.63 | $5,972.27 | $355.25–$988.32 | 21% below | 81% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-CERV SPINE WWO | $1,158.63 | $5,972.27 | $198.87–$5,673.66 | — | 81% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-CERV SPINE WO | $899.39 | $4,635.97 | $198.66–$668.94 | 9% below | 81% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-CERV SPINE WO | $899.39 | $4,635.97 | $105.33–$4,404.17 | 9% below | 81% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR-CERV SPINE WO | $899.39 | $4,635.97 | $105.33–$4,404.17 | — | 81% |
| MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS WWO | $1,125.83 | $5,803.21 | $198.87–$5,513.05 | 15% below | 81% |
| MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS WWO | $1,125.83 | $5,803.21 | $355.25–$988.32 | 15% below | 81% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS WWO | $1,125.83 | $5,803.21 | $198.87–$5,513.05 | — | 81% |
| MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS WO | $788.18 | $4,062.75 | $105.33–$3,859.61 | 11% below | 81% |
| MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS WO | $788.18 | $4,062.75 | $198.66–$668.94 | 11% below | 81% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS WO | $788.18 | $4,062.75 | $105.33–$3,859.61 | — | 81% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JOINT WO | $775.69 | $3,998.35 | $198.66–$668.94 | 18% below | 81% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JOINT WO | $775.69 | $3,998.35 | $105.33–$3,798.43 | 18% below | 81% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JNT BIL WO | $3,635.01 | $18,737.10 | $210.66–$17,800.24 | 284% above | 81% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JNT BIL WO | $3,635.01 | $18,737.10 | $475.59–$1,495.14 | 284% above | 81% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR-UPPER JOINT WO | $775.69 | $3,998.35 | $105.33–$3,798.43 | — | 81% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR-UPPER JNT BIL WO | $3,635.01 | $18,737.10 | $210.66–$17,800.24 | — | 81% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SP-CERV SP 4TO5VW CR | $168.95 | $870.82 | $32.90–$827.28 | 20% below | 81% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SP-CERV SP 4TO5VW DR | $168.95 | $870.82 | $32.90–$827.28 | 20% below | 81% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SP-CERV SP 4TO5VW DR | $168.95 | $870.82 | $97.88–$294.28 | 20% below | 81% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SP-CERV SP 4TO5VW CR | $168.95 | $870.82 | $91.03–$264.85 | 20% below | 81% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SP-CERV SP 4TO5VW CR | $168.95 | $870.82 | $32.90–$827.28 | — | 81% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SP-CERV SP 4TO5VW DR | $168.95 | $870.82 | $32.90–$827.28 | — | 81% |
| Neck soft tissue CT scan with contrast CPT 70491 CT-NECK SOFT TIS W | $728.64 | $3,755.85 | $177.08–$492.64 | 13% below | 81% |
| Neck soft tissue CT scan with contrast CPT 70491 CT-NECK SOFT TIS W | $728.64 | $3,755.85 | $123.57–$3,568.06 | 13% below | 81% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-NECK SOFT TIS W | $728.64 | $3,755.85 | $123.57–$3,568.06 | — | 81% |
| Neck soft tissue CT scan without contrast CPT 70490 CT-NECK SOFT TIS WO | $638.53 | $3,291.35 | $97.88–$294.28 | 11% below | 81% |
| Neck soft tissue CT scan without contrast CPT 70490 CT-NECK SOFT TIS WO | $638.53 | $3,291.35 | $52.56–$3,126.78 | 11% below | 81% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK SOFT TIS WO | $638.53 | $3,291.35 | $52.56–$3,126.78 | — | 81% |
| Neck soft tissue X-ray CPT 70360 SP-NECK SOFT TISS DR | $101.48 | $523.04 | $15.54–$496.89 | 17% below | 81% |
| Neck soft tissue X-ray CPT 70360 SP-NECK SOFT TISS CR | $101.48 | $523.04 | $49.40–$219.30 | 17% below | 81% |
| Neck soft tissue X-ray CPT 70360 SP-NECK SOFT TISS DR | $101.48 | $523.04 | $53.12–$243.66 | 17% below | 81% |
| Neck soft tissue X-ray CPT 70360 SP-NECK SOFT TISS CR | $101.48 | $523.04 | $15.54–$496.89 | 17% below | 81% |
| Neck soft tissue X-ray inpatient CPT 70360 SP-NECK SOFT TISS DR | $101.48 | $523.04 | $15.54–$496.89 | — | 81% |
| Neck soft tissue X-ray inpatient CPT 70360 SP-NECK SOFT TISS CR | $101.48 | $523.04 | $15.54–$496.89 | — | 81% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCRD SPECT MULT | $2,279.12 | $11,747.98 | $1,028.44–$3,612.76 | 18% above | 81% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCRD SPECT MULT | $2,279.12 | $11,747.98 | $273.49–$11,160.58 | 18% above | 81% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM-MYOCRD SPECT MULT | $2,279.12 | $11,747.98 | $273.49–$11,160.58 | — | 81% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-IMG /CT SKL-THI | $2,168.70 | $11,178.82 | $616.17–$10,619.88 | 8% above | 81% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-IMG /CT SKL-THI | $2,168.70 | $11,178.82 | $1,177.69–$4,036.47 | 8% above | 81% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-IMG /CT SKL-THI | $2,168.70 | $11,178.82 | $616.17–$10,619.88 | — | 81% |
| Pelvic CT scan without contrast CPT 72192 CT-PELVIS WO | $669.85 | $3,452.80 | $52.56–$3,280.16 | 5% below | 81% |
| Pelvic CT scan without contrast CPT 72192 CT-PELVIS WO | $669.85 | $3,452.80 | $97.88–$294.28 | 5% below | 81% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS WO | $669.85 | $3,452.80 | $52.56–$3,280.16 | — | 81% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU | $170.36 | $878.08 | $97.88–$294.28 | 11% below | 81% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU | $170.36 | $878.08 | $23.07–$834.18 | 11% below | 81% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS NON OB FU | $170.36 | $878.08 | $23.07–$834.18 | — | 81% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB | $266.56 | $1,373.99 | $97.88–$294.28 | 7% below | 81% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB | $266.56 | $1,373.99 | $52.56–$1,305.29 | 7% below | 81% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS NON OB | $266.56 | $1,373.99 | $52.56–$1,305.29 | — | 81% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG | $266.56 | $1,373.99 | $52.56–$1,305.29 | 8% below | 81% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG | $266.56 | $1,373.99 | $97.88–$294.28 | 8% below | 81% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PELVIS PREG | $266.56 | $1,373.99 | $52.56–$1,305.29 | — | 81% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-PELV PREG 14 WKS | $266.56 | $1,373.99 | $38.68–$1,305.29 | 8% above | 81% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-PELV PREG 14 WKS | $266.56 | $1,373.99 | $97.88–$294.28 | 8% above | 81% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-PELV PREG 14 WKS | $266.56 | $1,373.99 | $38.68–$1,305.29 | — | 81% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-PELVIS PREG LTD | $170.36 | $878.08 | $52.10–$834.18 | 5% above | 81% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-PELVIS PREG LTD | $170.36 | $878.08 | $97.88–$294.28 | 5% above | 81% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-PELVIS PREG LTD | $170.36 | $878.08 | $52.10–$834.18 | — | 81% |
| Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS UNILAT CR | $101.48 | $523.04 | $21.19–$496.89 | 28% below | 81% |
| Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS UNILAT CR | $101.48 | $523.04 | $49.40–$219.30 | 28% below | 81% |
| Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS UNILAT DR | $101.48 | $523.04 | $53.12–$243.66 | 28% below | 81% |
| Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS UNILAT DR | $101.48 | $523.04 | $21.19–$496.89 | 28% below | 81% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 CH-RIBS UNILAT DR | $101.48 | $523.04 | $21.19–$496.89 | — | 81% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 CH-RIBS UNILAT CR | $101.48 | $523.04 | $21.19–$496.89 | — | 81% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CH-RIB UNI PA CXR DR | $175.66 | $905.39 | $24.87–$860.12 | 15% above | 81% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CH-RIB UNI PA CXR DR | $175.66 | $905.39 | $97.88–$294.28 | 15% above | 81% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CH-RIB UNI PA CXR CR | $175.66 | $905.39 | $91.03–$264.85 | 15% above | 81% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CH-RIB UNI PA CXR CR | $175.66 | $905.39 | $24.87–$860.12 | 15% above | 81% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 CH-RIB UNI PA CXR CR | $175.66 | $905.39 | $24.87–$860.12 | — | 81% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 CH-RIB UNI PA CXR DR | $175.66 | $905.39 | $24.87–$860.12 | — | 81% |
| Screening mammogram, both breasts both sides CPT 77067 BR-DIG MAMMO SCRN BI | $215.13 | $1,108.89 | $46.86–$1,053.45 | — | 81% |
| Screening mammogram, both breasts CPT 77067 BR-DIG MAMMO SCRN UN | $202.28 | $1,042.62 | $39.29–$990.49 | 162% above | 81% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 BR-DIG MAMMO SCRN BI | $215.13 | $1,108.89 | $46.86–$1,053.45 | — | 81% |
| Screening mammogram, both breasts inpatient CPT 77067 BR-DIG MAMMO SCRN UN | $202.28 | $1,042.62 | $39.29–$990.49 | — | 81% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 UE-SHOULDER 2V BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 UE-SHOULDER 2V BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 UE-SHOULDER 2V BI DR | $202.42 | $1,043.37 | $31.79–$991.20 | — | 81% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 UE-SHOULDER 2V BI CR | $202.42 | $1,043.37 | $21.19–$991.20 | — | 81% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS CR | $101.48 | $523.04 | $21.19–$496.89 | 24% below | 81% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR | $101.48 | $523.04 | $53.12–$243.66 | 24% below | 81% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR | $101.48 | $523.04 | $21.19–$496.89 | 24% below | 81% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS CR | $101.48 | $523.04 | $49.40–$219.30 | 24% below | 81% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 UE-SHOULDER 2V BI DR | $202.42 | $1,043.37 | $31.79–$991.20 | — | 81% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 UE-SHOULDER 2V BI CR | $202.42 | $1,043.37 | $21.19–$991.20 | — | 81% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS DR | $101.48 | $523.04 | $21.19–$496.89 | — | 81% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS CR | $101.48 | $523.04 | $21.19–$496.89 | — | 81% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HE-SINUSES 3VPLUS DR | $101.48 | $523.04 | $27.91–$496.89 | 40% below | 81% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HE-SINUSES 3VPLUS DR | $101.48 | $523.04 | $53.12–$243.66 | 40% below | 81% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HE-SINUSES 3VPLUS CR | $101.48 | $523.04 | $27.91–$496.89 | 40% below | 81% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HE-SINUSES 3VPLUS CR | $101.48 | $523.04 | $49.40–$219.30 | 40% below | 81% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HE-SINUSES 3VPLUS CR | $101.48 | $523.04 | $27.91–$496.89 | — | 81% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HE-SINUSES 3VPLUS DR | $101.48 | $523.04 | $27.91–$496.89 | — | 81% |
| Skull X-ray, fewer than 4 views CPT 70250 HE-SKULL LIMITED DR | $175.66 | $905.39 | $23.02–$860.12 | 45% above | 81% |
| Skull X-ray, fewer than 4 views CPT 70250 HE-SKULL LIMITED CR | $175.66 | $905.39 | $91.03–$264.85 | 45% above | 81% |
| Skull X-ray, fewer than 4 views CPT 70250 HE-SKULL LIMITED DR | $175.66 | $905.39 | $97.88–$294.28 | 45% above | 81% |
| Skull X-ray, fewer than 4 views CPT 70250 HE-SKULL LIMITED CR | $175.66 | $905.39 | $23.02–$860.12 | 45% above | 81% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HE-SKULL LIMITED DR | $175.66 | $905.39 | $23.02–$860.12 | — | 81% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HE-SKULL LIMITED CR | $175.66 | $905.39 | $23.02–$860.12 | — | 81% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNO GT4 GE6YO | $1,453.71 | $7,493.32 | $772.16–$2,815.52 | 1% above | 81% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNO GT4 GE6YO | $1,453.71 | $7,493.32 | $203.39–$7,118.65 | 1% above | 81% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNO GT4 GE6YO | $1,453.71 | $7,493.32 | $203.39–$7,118.65 | — | 81% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 NI-TTE STRESS CON WO | $329.08 | $1,696.23 | $416.18–$1,517.37 | 31% below | 81% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 NI-TTE STRESS CON WO | $329.08 | $1,696.23 | $224.84–$1,611.42 | 31% below | 81% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 NI-TTE STRESS CON WO | $329.08 | $1,696.23 | $224.84–$1,611.42 | — | 81% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 FL-MOD BA SWALLOW | $199.27 | $1,027.10 | $47.88–$975.74 | 7% below | 81% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 FL-MOD BA SWALLOW | $199.27 | $1,027.10 | $97.88 | 7% below | 81% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL-MOD BA SWALLOW | $199.27 | $1,027.10 | $47.88–$975.74 | — | 81% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 LE-FEMUR 2VW BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 LE-FEMUR 2VW BI DR | $202.42 | $1,043.37 | $32.39–$991.20 | — | 81% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 LE-FEMUR 2VW BI CR | $202.42 | $1,043.37 | $21.59–$991.20 | — | 81% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 LE-FEMUR 2VW BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 LE-FEMUR 2V DR | $101.48 | $523.04 | $53.12–$243.66 | 2% below | 81% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 LE-FEMUR 2V CR | $101.48 | $523.04 | $49.40–$219.30 | 2% below | 81% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 LE-FEMUR 2V CR | $101.48 | $523.04 | $21.59–$496.89 | 2% below | 81% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 LE-FEMUR 2V DR | $101.48 | $523.04 | $21.59–$496.89 | 2% below | 81% |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 LE-FEMUR 2VW BI CR | $202.42 | $1,043.37 | $21.59–$991.20 | — | 81% |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 LE-FEMUR 2VW BI DR | $202.42 | $1,043.37 | $32.39–$991.20 | — | 81% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 LE-FEMUR 2V CR | $101.48 | $523.04 | $21.59–$496.89 | — | 81% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 LE-FEMUR 2V DR | $101.48 | $523.04 | $21.59–$496.89 | — | 81% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THOR SPINE WO | $712.79 | $3,674.13 | $97.88–$294.28 | 4% below | 81% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THOR SPINE WO | $712.79 | $3,674.13 | $52.56–$3,490.42 | 4% below | 81% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THOR SPINE WO | $712.79 | $3,674.13 | $52.56–$3,490.42 | — | 81% |
| Toe X-ray, 2 or more views both sides CPT 73660 LE-TOE S 2VWS BI CR | $54.86 | $282.72 | $49.40–$219.30 | — | 81% |
| Toe X-ray, 2 or more views both sides CPT 73660 LE-TOE S 2VWS BI CR | $54.86 | $282.72 | $15.54–$282.72 | — | 81% |
| Toe X-ray, 2 or more views both sides CPT 73660 LE-TOE S 2VWS BI DR | $54.86 | $282.72 | $23.30–$282.72 | — | 81% |
| Toe X-ray, 2 or more views both sides CPT 73660 LE-TOE S 2VWS BI DR | $54.86 | $282.72 | $53.12–$243.66 | — | 81% |
| Toe X-ray, 2 or more views CPT 73660 LE-TOE S 2VPLUS DR | $91.89 | $473.59 | $15.54–$449.91 | 23% below | 81% |
| Toe X-ray, 2 or more views CPT 73660 LE-TOE S 2VPLUS CR | $91.89 | $473.59 | $49.40–$219.30 | 23% below | 81% |
| Toe X-ray, 2 or more views CPT 73660 LE-TOE S 2VPLUS DR | $91.89 | $473.59 | $53.12–$243.66 | 23% below | 81% |
| Toe X-ray, 2 or more views CPT 73660 LE-TOE S 2VPLUS CR | $91.89 | $473.59 | $15.54–$449.91 | 23% below | 81% |
| Toe X-ray, 2 or more views inpatient both sides CPT 73660 LE-TOE S 2VWS BI DR | $54.86 | $282.72 | $23.30–$282.72 | — | 81% |
| Toe X-ray, 2 or more views inpatient both sides CPT 73660 LE-TOE S 2VWS BI CR | $54.86 | $282.72 | $15.54–$282.72 | — | 81% |
| Toe X-ray, 2 or more views inpatient CPT 73660 LE-TOE S 2VPLUS CR | $91.89 | $473.59 | $15.54–$449.91 | — | 81% |
| Toe X-ray, 2 or more views inpatient CPT 73660 LE-TOE S 2VPLUS DR | $91.89 | $473.59 | $15.54–$449.91 | — | 81% |
| Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL | $266.56 | $1,373.99 | $52.56–$1,305.29 | 4% below | 81% |
| Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL | $266.56 | $1,373.99 | $97.88–$294.28 | 4% below | 81% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL | $266.56 | $1,373.99 | $52.56–$1,305.29 | — | 81% |
| Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV | $170.36 | $878.08 | $97.88–$294.28 | 24% below | 81% |
| Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV | $170.36 | $878.08 | $52.56–$834.18 | 24% below | 81% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-PLV PRG TRNSV | $170.36 | $878.08 | $52.56–$834.18 | — | 81% |
| Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO | $266.56 | $1,373.99 | $52.56–$1,305.29 | 27% below | 81% |
| Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO | $266.56 | $1,373.99 | $97.88–$294.28 | 27% below | 81% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMP WO | $266.56 | $1,373.99 | $52.56–$1,305.29 | — | 81% |
| Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM | $266.56 | $1,373.99 | $52.56–$1,305.29 | at median | 81% |
| Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM | $266.56 | $1,373.99 | $97.88–$294.28 | at median | 81% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM | $266.56 | $1,373.99 | $52.56–$1,305.29 | — | 81% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS | $266.56 | $1,373.99 | $52.10–$1,305.29 | 8% above | 81% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS | $266.56 | $1,373.99 | $97.88–$294.28 | 8% above | 81% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-HEAD NECK SFT TIS | $266.56 | $1,373.99 | $52.10–$1,305.29 | — | 81% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-UPPER GI SINGLE | $347.88 | $1,793.13 | $177.08–$492.64 | 34% above | 81% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-UPPER GI SINGLE | $347.88 | $1,793.13 | $52.56–$1,703.47 | 34% above | 81% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL-UPPER GI SINGLE | $347.88 | $1,793.13 | $52.56–$1,703.47 | — | 81% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 UE-HUMERUS BILAT DR | $202.42 | $1,043.37 | $21.04–$991.20 | — | 81% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 UE-HUMERUS BILAT CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 UE-HUMERUS BILAT DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 UE-HUMERUS BILAT CR | $202.42 | $1,043.37 | $21.04–$991.20 | — | 81% |
| Upper arm X-ray (humerus), 2 views CPT 73060 UE-HUMERUS DR | $101.48 | $523.04 | $21.04–$496.89 | 11% below | 81% |
| Upper arm X-ray (humerus), 2 views CPT 73060 UE-HUMERUS CR | $101.48 | $523.04 | $49.40–$219.30 | 11% below | 81% |
| Upper arm X-ray (humerus), 2 views CPT 73060 UE-HUMERUS CR | $101.48 | $523.04 | $21.04–$496.89 | 11% below | 81% |
| Upper arm X-ray (humerus), 2 views CPT 73060 UE-HUMERUS DR | $101.48 | $523.04 | $53.12–$243.66 | 11% below | 81% |
| Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 UE-HUMERUS BILAT CR | $202.42 | $1,043.37 | $21.04–$991.20 | — | 81% |
| Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 UE-HUMERUS BILAT DR | $202.42 | $1,043.37 | $21.04–$991.20 | — | 81% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 UE-HUMERUS CR | $101.48 | $523.04 | $21.04–$496.89 | — | 81% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 UE-HUMERUS DR | $101.48 | $523.04 | $21.04–$496.89 | — | 81% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-EXT VEINS DPX LTD | $316.17 | $1,629.67 | $97.88–$294.28 | 12% below | 81% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-EXT VEINS DPX LTD | $316.17 | $1,629.67 | $56.37–$1,548.19 | 12% below | 81% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US-EXT VEINS DPX LTD | $316.17 | $1,629.67 | $56.37–$1,548.19 | — | 81% |
| Wrist X-ray, 2 views both sides CPT 73100 UE-WRIST 2VW BI CR | $74.66 | $384.79 | $18.47–$365.55 | — | 81% |
| Wrist X-ray, 2 views both sides CPT 73100 UE-WRIST 2VW BI CR | $74.66 | $384.79 | $49.40–$219.30 | — | 81% |
| Wrist X-ray, 2 views both sides CPT 73100 UE-WRIST 2VW BI DR | $74.66 | $384.79 | $27.71–$365.55 | — | 81% |
| Wrist X-ray, 2 views both sides CPT 73100 UE-WRIST 2VW BI DR | $74.66 | $384.79 | $53.12–$243.66 | — | 81% |
| Wrist X-ray, 2 views CPT 73100 UE-WRIST 2V CR | $74.66 | $384.79 | $18.47–$365.55 | 36% below | 81% |
| Wrist X-ray, 2 views CPT 73100 UE-WRIST 2V DR | $74.66 | $384.79 | $53.12–$243.66 | 36% below | 81% |
| Wrist X-ray, 2 views CPT 73100 UE-WRIST 2V CR | $74.66 | $384.79 | $49.40–$219.30 | 36% below | 81% |
| Wrist X-ray, 2 views CPT 73100 UE-WRIST 2V DR | $74.66 | $384.79 | $18.47–$365.55 | 36% below | 81% |
| Wrist X-ray, 2 views inpatient both sides CPT 73100 UE-WRIST 2VW BI DR | $74.66 | $384.79 | $27.71–$365.55 | — | 81% |
| Wrist X-ray, 2 views inpatient both sides CPT 73100 UE-WRIST 2VW BI CR | $74.66 | $384.79 | $18.47–$365.55 | — | 81% |
| Wrist X-ray, 2 views inpatient CPT 73100 UE-WRIST 2V CR | $74.66 | $384.79 | $18.47–$365.55 | — | 81% |
| Wrist X-ray, 2 views inpatient CPT 73100 UE-WRIST 2V DR | $74.66 | $384.79 | $18.47–$365.55 | — | 81% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 UE-WRIST 3VW BI DR | $202.42 | $1,043.37 | $29.89–$991.20 | — | 81% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 UE-WRIST 3VW BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 UE-WRIST 3VW BI CR | $202.42 | $1,043.37 | $19.93–$991.20 | — | 81% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 UE-WRIST 3VW BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS DR | $101.48 | $523.04 | $19.93–$496.89 | 26% below | 81% |
| Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS CR | $101.48 | $523.04 | $49.40–$219.30 | 26% below | 81% |
| Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS CR | $101.48 | $523.04 | $19.93–$496.89 | 26% below | 81% |
| Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS DR | $101.48 | $523.04 | $53.12–$243.66 | 26% below | 81% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 UE-WRIST 3VW BI CR | $202.42 | $1,043.37 | $19.93–$991.20 | — | 81% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 UE-WRIST 3VW BI DR | $202.42 | $1,043.37 | $29.89–$991.20 | — | 81% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 UE-WRIST 3V PLUS DR | $101.48 | $523.04 | $19.93–$496.89 | — | 81% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 UE-WRIST 3V PLUS CR | $101.48 | $523.04 | $19.93–$496.89 | — | 81% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V CR | $94.71 | $488.17 | $27.91–$463.76 | 30% below | 81% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR | $94.71 | $488.17 | $27.91–$463.76 | 30% below | 81% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V CR | $94.71 | $488.17 | $49.40–$219.30 | 30% below | 81% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR | $94.71 | $488.17 | $53.12–$243.66 | 30% below | 81% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V CR | $94.71 | $488.17 | $27.91–$463.76 | — | 81% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V DR | $94.71 | $488.17 | $27.91–$463.76 | — | 81% |
| X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW CR | $101.48 | $523.04 | $49.40–$219.30 | 26% below | 81% |
| X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW CR | $101.48 | $523.04 | $17.33–$496.89 | 26% below | 81% |
| X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR | $101.48 | $523.04 | $53.12–$243.66 | 26% below | 81% |
| X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR | $101.48 | $523.04 | $17.33–$496.89 | 26% below | 81% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW CR | $101.48 | $523.04 | $17.33–$496.89 | — | 81% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW DR | $101.48 | $523.04 | $17.33–$496.89 | — | 81% |
| X-ray of the ankle, 2 views both sides CPT 73600 LE-ANKLE 2VW BI CR | $202.42 | $1,043.37 | $18.47–$991.20 | — | 81% |
| X-ray of the ankle, 2 views both sides CPT 73600 LE-ANKLE 2VW BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| X-ray of the ankle, 2 views both sides CPT 73600 LE-ANKLE 2VW BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| X-ray of the ankle, 2 views both sides CPT 73600 LE-ANKLE 2VW BI DR | $202.42 | $1,043.37 | $27.71–$991.20 | — | 81% |
| X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V CR | $101.48 | $523.04 | $49.40–$219.30 | 20% below | 81% |
| X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR | $101.48 | $523.04 | $53.12–$243.66 | 20% below | 81% |
| X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR | $101.48 | $523.04 | $18.47–$496.89 | 20% below | 81% |
| X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V CR | $101.48 | $523.04 | $18.47–$496.89 | 20% below | 81% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 LE-ANKLE 2VW BI CR | $202.42 | $1,043.37 | $18.47–$991.20 | — | 81% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 LE-ANKLE 2VW BI DR | $202.42 | $1,043.37 | $27.71–$991.20 | — | 81% |
| X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V CR | $101.48 | $523.04 | $18.47–$496.89 | — | 81% |
| X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V DR | $101.48 | $523.04 | $18.47–$496.89 | — | 81% |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 UE-FINGER 2 VW BI CR | $54.86 | $282.72 | $15.54–$282.72 | — | 81% |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 UE-FINGER 2 VW BI CR | $54.86 | $282.72 | $49.40–$219.30 | — | 81% |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 UE-FINGER 2 VW BI DR | $54.86 | $282.72 | $53.12–$243.66 | — | 81% |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 UE-FINGER 2 VW BI DR | $54.86 | $282.72 | $23.30–$282.72 | — | 81% |
| X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR | $91.89 | $473.59 | $15.54–$449.91 | 24% below | 81% |
| X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS CR | $91.89 | $473.59 | $15.54–$449.91 | 24% below | 81% |
| X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS CR | $91.89 | $473.59 | $49.40–$219.30 | 24% below | 81% |
| X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR | $91.89 | $473.59 | $53.12–$243.66 | 24% below | 81% |
| X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 UE-FINGER 2 VW BI DR | $54.86 | $282.72 | $23.30–$282.72 | — | 81% |
| X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 UE-FINGER 2 VW BI CR | $54.86 | $282.72 | $15.54–$282.72 | — | 81% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS DR | $91.89 | $473.59 | $15.54–$449.91 | — | 81% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS CR | $91.89 | $473.59 | $15.54–$449.91 | — | 81% |
| X-ray of the foot, 2 views both sides CPT 73620 LE-FOOT 2VWS BI DR | $202.42 | $1,043.37 | $27.71–$991.20 | — | 81% |
| X-ray of the foot, 2 views both sides CPT 73620 LE-FOOT 2VWS BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| X-ray of the foot, 2 views both sides CPT 73620 LE-FOOT 2VWS BI CR | $202.42 | $1,043.37 | $18.47–$991.20 | — | 81% |
| X-ray of the foot, 2 views both sides CPT 73620 LE-FOOT 2VWS BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR | $101.48 | $523.04 | $18.47–$496.89 | 20% below | 81% |
| X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V CR | $101.48 | $523.04 | $18.47–$496.89 | 20% below | 81% |
| X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR | $101.48 | $523.04 | $53.12–$243.66 | 20% below | 81% |
| X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V CR | $101.48 | $523.04 | $49.40–$219.30 | 20% below | 81% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 LE-FOOT 2VWS BI DR | $202.42 | $1,043.37 | $27.71–$991.20 | — | 81% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 LE-FOOT 2VWS BI CR | $202.42 | $1,043.37 | $18.47–$991.20 | — | 81% |
| X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V CR | $101.48 | $523.04 | $18.47–$496.89 | — | 81% |
| X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V DR | $101.48 | $523.04 | $18.47–$496.89 | — | 81% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 LE-FOOT 3VWPLS BI CR | $202.42 | $1,043.37 | $19.93–$991.20 | — | 81% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 LE-FOOT 3VWPLS BI DR | $202.42 | $1,043.37 | $29.89–$991.20 | — | 81% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 LE-FOOT 3VWPLS BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 LE-FOOT 3VWPLS BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR | $101.48 | $523.04 | $19.93–$496.89 | 28% below | 81% |
| X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS CR | $101.48 | $523.04 | $19.93–$496.89 | 28% below | 81% |
| X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS CR | $101.48 | $523.04 | $49.40–$219.30 | 28% below | 81% |
| X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR | $101.48 | $523.04 | $53.12–$243.66 | 28% below | 81% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 LE-FOOT 3VWPLS BI DR | $202.42 | $1,043.37 | $29.89–$991.20 | — | 81% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 LE-FOOT 3VWPLS BI CR | $202.42 | $1,043.37 | $19.93–$991.20 | — | 81% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS DR | $101.48 | $523.04 | $19.93–$496.89 | — | 81% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS CR | $101.48 | $523.04 | $19.93–$496.89 | — | 81% |
| X-ray of the hand, 3 or more views both sides CPT 73130 UE-HAND 3VWS BI CR | $202.42 | $1,043.37 | $19.93–$991.20 | — | 81% |
| X-ray of the hand, 3 or more views both sides CPT 73130 UE-HAND 3VWS BI DR | $202.42 | $1,043.37 | $29.89–$991.20 | — | 81% |
| X-ray of the hand, 3 or more views both sides CPT 73130 UE-HAND 3VWS BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| X-ray of the hand, 3 or more views both sides CPT 73130 UE-HAND 3VWS BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V CR | $101.48 | $523.04 | $49.40–$219.30 | 28% below | 81% |
| X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR | $101.48 | $523.04 | $19.93–$496.89 | 28% below | 81% |
| X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V CR | $101.48 | $523.04 | $19.93–$496.89 | 28% below | 81% |
| X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR | $101.48 | $523.04 | $53.12–$243.66 | 28% below | 81% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 UE-HAND 3VWS BI CR | $202.42 | $1,043.37 | $19.93–$991.20 | — | 81% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 UE-HAND 3VWS BI DR | $202.42 | $1,043.37 | $29.89–$991.20 | — | 81% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V CR | $101.48 | $523.04 | $19.93–$496.89 | — | 81% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V DR | $101.48 | $523.04 | $19.93–$496.89 | — | 81% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 LE-KNEE 1TO2V BI CR | $202.42 | $1,043.37 | $49.40–$219.30 | — | 81% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 LE-KNEE1TO2V BI DR | $202.42 | $1,043.37 | $29.33–$991.20 | — | 81% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 LE-KNEE 1TO2V BI CR | $202.42 | $1,043.37 | $19.55–$991.20 | — | 81% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 LE-KNEE1TO2V BI DR | $202.42 | $1,043.37 | $53.12–$243.66 | — | 81% |
| X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V CR | $101.48 | $523.04 | $19.55–$496.89 | 21% below | 81% |
| X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V DR | $101.48 | $523.04 | $19.55–$496.89 | 21% below | 81% |
| X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V DR | $101.48 | $523.04 | $53.12–$243.66 | 21% below | 81% |
| X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V CR | $101.48 | $523.04 | $49.40–$219.30 | 21% below | 81% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 LE-KNEE1TO2V BI DR | $202.42 | $1,043.37 | $29.33–$991.20 | — | 81% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 LE-KNEE 1TO2V BI CR | $202.42 | $1,043.37 | $19.55–$991.20 | — | 81% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 LE-KNEE 1 TO 2V CR | $101.48 | $523.04 | $19.55–$496.89 | — | 81% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 LE-KNEE 1 TO 2V DR | $101.48 | $523.04 | $19.55–$496.89 | — | 81% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR | $175.66 | $905.39 | $97.88–$294.28 | 1% above | 81% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V CR | $175.66 | $905.39 | $91.03–$264.85 | 1% above | 81% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR | $175.66 | $905.39 | $24.87–$860.12 | 1% above | 81% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V CR | $175.66 | $905.39 | $24.87–$860.12 | 1% above | 81% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V CR | $175.66 | $905.39 | $24.87–$860.12 | — | 81% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V DR | $175.66 | $905.39 | $24.87–$860.12 | — | 81% |
| X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS CR | $168.78 | $869.97 | $91.03–$264.85 | 24% below | 81% |
| X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS CR | $168.78 | $869.97 | $33.63–$826.47 | 24% below | 81% |
| X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS DR | $168.78 | $869.97 | $97.88–$294.28 | 24% below | 81% |
| X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS DR | $168.78 | $869.97 | $33.63–$826.47 | 24% below | 81% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SP-LS SPNE 4VPLUS CR | $168.78 | $869.97 | $33.63–$826.47 | — | 81% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SP-LS SPNE 4VPLUS DR | $168.78 | $869.97 | $33.63–$826.47 | — | 81% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW DR | $175.66 | $905.39 | $97.88–$294.28 | 34% above | 81% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW DR | $175.66 | $905.39 | $24.14–$860.12 | 34% above | 81% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW CR | $175.66 | $905.39 | $91.03–$264.85 | 34% above | 81% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW CR | $175.66 | $905.39 | $24.14–$860.12 | 34% above | 81% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SP-T SPINE 2 VIEW CR | $175.66 | $905.39 | $24.14–$860.12 | — | 81% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SP-T SPINE 2 VIEW DR | $175.66 | $905.39 | $24.14–$860.12 | — | 81% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES DR | $101.48 | $523.04 | $19.55–$496.89 | 16% below | 81% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES CR | $101.48 | $523.04 | $19.55–$496.89 | 16% below | 81% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES DR | $101.48 | $523.04 | $53.12–$243.66 | 16% below | 81% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES CR | $101.48 | $523.04 | $49.40–$219.30 | 16% below | 81% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HE-NASAL BONES CR | $101.48 | $523.04 | $19.55–$496.89 | — | 81% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HE-NASAL BONES DR | $101.48 | $523.04 | $19.55–$496.89 | — | 81% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR | $101.48 | $523.04 | $53.12–$243.66 | 26% below | 81% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW CR | $101.48 | $523.04 | $22.30–$496.89 | 26% below | 81% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW CR | $101.48 | $523.04 | $49.40–$219.30 | 26% below | 81% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR | $101.48 | $523.04 | $22.30–$496.89 | 26% below | 81% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW DR | $101.48 | $523.04 | $22.30–$496.89 | — | 81% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW CR | $101.48 | $523.04 | $22.30–$496.89 | — | 81% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS CR | $175.66 | $905.39 | $91.03–$264.85 | 36% above | 81% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS CR | $175.66 | $905.39 | $19.55–$860.12 | 36% above | 81% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS DR | $175.66 | $905.39 | $97.88–$294.28 | 36% above | 81% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS DR | $175.66 | $905.39 | $19.55–$860.12 | 36% above | 81% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LE-PELVIS CR | $175.66 | $905.39 | $19.55–$860.12 | — | 81% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LE-PELVIS DR | $175.66 | $905.39 | $19.55–$860.12 | — | 81% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V CR | $101.48 | $523.04 | $49.40–$219.30 | 28% below | 81% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V DR | $101.48 | $523.04 | $21.19–$496.89 | 28% below | 81% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V DR | $101.48 | $523.04 | $53.12–$243.66 | 28% below | 81% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V CR | $101.48 | $523.04 | $21.19–$496.89 | 28% below | 81% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SP-SCRM COCCYX 2V CR | $101.48 | $523.04 | $21.19–$496.89 | — | 81% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SP-SCRM COCCYX 2V DR | $101.48 | $523.04 | $21.19–$496.89 | — | 81% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORT ACTH | $318.34 | $1,640.88 | $16.22–$1,558.84 | 186% above | 81% |
| ACTH blood test inpatient CPT 82024 ADRENOCORT ACTH | $318.34 | $1,640.88 | $16.22–$1,558.84 | — | 81% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT | $43.77 | $225.57 | $2.23–$214.29 | 59% above | 81% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT | $43.77 | $225.57 | $2.23–$214.29 | — | 81% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST | $42.73 | $220.19 | $2.18–$209.18 | 60% above | 81% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST | $42.73 | $220.19 | $2.18–$209.18 | — | 81% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANE | $379.29 | $1,955.04 | $20.00–$1,857.29 | 139% above | 81% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANE | $379.29 | $1,955.04 | $20.00–$1,857.29 | — | 81% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $40.65 | $209.48 | $2.08–$199.01 | 132% above | 81% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $40.65 | $209.48 | $2.08–$199.01 | — | 81% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $149.53 | $770.74 | $17.11–$732.20 | 95% above | 81% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $149.53 | $770.74 | $17.11–$732.20 | — | 81% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE,ALKALINE | $42.73 | $220.19 | $2.18–$209.18 | 69% above | 81% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE,ALKALINE | $42.73 | $220.19 | $2.18–$209.18 | — | 81% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT | $43.25 | $222.90 | $2.19–$211.75 | 290% above | 81% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT | $43.25 | $222.90 | $2.19–$211.75 | — | 81% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM | $138.07 | $711.65 | $7.04–$676.07 | 171% above | 81% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM | $138.07 | $711.65 | $7.04–$676.07 | — | 81% |
| Ammonia blood test CPT 82140 AMMONIA | $119.84 | $617.68 | $6.12–$586.80 | 145% above | 81% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $119.84 | $617.68 | $6.12–$586.80 | — | 81% |
| Amylase blood test CPT 82150 AMYLASE | $53.67 | $276.60 | $2.72–$262.77 | 62% above | 81% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $53.67 | $276.60 | $2.72–$262.77 | — | 81% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $106.81 | $550.52 | $5.44–$522.99 | 172% above | 81% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY | $106.81 | $550.52 | $5.44–$522.99 | — | 81% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $99.52 | $512.96 | $5.08–$487.31 | 169% above | 81% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $99.52 | $512.96 | $5.08–$487.31 | — | 81% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $279.78 | $1,442.10 | $14.67–$1,369.99 | 214% above | 81% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE | $279.78 | $1,442.10 | $14.67–$1,369.99 | — | 81% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIA OTH | $70.86 | $365.22 | $3.62–$346.96 | 87% above | 81% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIA OTH | $70.86 | $365.22 | $3.62–$346.96 | — | 81% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABO CA TOTA | $56.80 | $292.73 | $3.55–$278.09 | 23% below | 81% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABO CA TOTA | $56.80 | $292.73 | $3.55–$278.09 | — | 81% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $41.17 | $212.14 | $2.11–$201.53 | 49% above | 81% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $41.17 | $212.14 | $2.11–$201.53 | — | 81% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS LVL4 | $122.44 | $631.08 | $15.34–$599.53 | 62% above | 81% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS LVL4 | $122.44 | $631.08 | $38.23–$147.85 | 62% above | 81% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS LVL4 | $122.44 | $631.08 | $15.34–$599.53 | — | 81% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTER | $84.93 | $437.75 | $4.33–$415.86 | 57% above | 81% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD BACTER | $84.93 | $437.75 | $4.33–$415.86 | — | 81% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE,ROUTINE | $7.30 | $37.58 | $1.05–$35.70 | 19% below | 81% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE,ROUTINE | $7.30 | $37.58 | $1.05–$35.70 | — | 81% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANT | $32.31 | $166.50 | $1.65–$158.18 | 43% above | 81% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUANT | $32.31 | $166.50 | $1.65–$158.18 | — | 81% |
| Blood lead test CPT 83655 LEAD | $99.52 | $512.96 | $5.09–$487.31 | 171% above | 81% |
| Blood lead test inpatient CPT 83655 LEAD | $99.52 | $512.96 | $5.09–$487.31 | — | 81% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, QUAL | $62.01 | $319.60 | $3.16–$303.62 | 15% above | 81% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, QUAL | $62.01 | $319.60 | $3.16–$303.62 | — | 81% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $153.91 | $793.29 | $89.82–$356.72 | 104% above | 81% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $153.91 | $793.29 | $1.26–$753.63 | 104% above | 81% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO | $153.91 | $793.29 | $1.26–$753.63 | — | 81% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN,QUAN | $32.31 | $166.50 | $1.66–$158.18 | 36% above | 81% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN,QUAN | $32.31 | $166.50 | $1.66–$158.18 | — | 81% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $171.42 | $883.54 | $8.74–$839.36 | 170% above | 81% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $171.42 | $883.54 | $8.74–$839.36 | — | 81% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $42.73 | $220.19 | $2.18–$209.18 | 101% above | 81% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $42.73 | $220.19 | $2.18–$209.18 | — | 81% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE | $38.11 | $196.38 | $15.17–$186.56 | 57% below | 81% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE | $38.11 | $196.38 | $15.17–$186.56 | — | 81% |
| CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG CA 19-9 | $171.42 | $883.54 | $8.74–$839.36 | 146% above | 81% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 TUMOR AG CA 19-9 | $171.42 | $883.54 | $8.74–$839.36 | — | 81% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR AG CA 125 | $171.42 | $883.54 | $8.74–$839.36 | 146% above | 81% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR AG CA 125 | $171.42 | $883.54 | $8.74–$839.36 | — | 81% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 PRB | $29.98 | $154.50 | $21.55–$154.50 | 46% below | 81% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 L139900 COVID19 NAA | $39.55 | $203.79 | $21.55–$193.60 | 29% below | 81% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 PRB | $29.98 | $154.50 | $21.55–$154.50 | — | 81% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 L139900 COVID19 NAA | $39.55 | $203.79 | $21.55–$193.60 | — | 81% |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL | $42.73 | $220.19 | $2.17–$209.18 | 56% above | 81% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL | $42.73 | $220.19 | $2.17–$209.18 | — | 81% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG | $156.31 | $805.66 | $7.96–$765.38 | 146% above | 81% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG | $156.31 | $805.66 | $7.96–$765.38 | — | 81% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB | $106.29 | $547.86 | $5.41–$520.47 | 170% above | 81% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB | $106.29 | $547.86 | $5.41–$520.47 | — | 81% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP | $47.63 | $245.44 | $14.74–$233.17 | 21% below | 81% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP | $47.63 | $245.44 | $14.74–$233.17 | — | 81% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $110.45 | $569.29 | $5.62–$540.83 | 140% above | 81% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $110.45 | $569.29 | $5.62–$540.83 | — | 81% |
| Complete blood count (CBC) with differential CPT 85025 CBC W-PLT AUTO COMPD | $55.75 | $287.33 | $3.26–$272.96 | 30% above | 81% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W-PLT AUTO COMPD | $55.75 | $287.33 | $3.26–$272.96 | — | 81% |
| Complete blood count (CBC), no differential CPT 85027 CBC W-PLT | $53.67 | $276.60 | $2.72–$262.77 | 106% above | 81% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W-PLT | $53.67 | $276.60 | $2.72–$262.77 | — | 81% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL | $70.86 | $365.22 | $4.44–$346.96 | 27% below | 81% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METAB PANEL | $70.86 | $365.22 | $4.44–$346.96 | — | 81% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $134.42 | $692.86 | $6.85–$658.22 | 146% above | 81% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL | $134.42 | $692.86 | $6.85–$658.22 | — | 81% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL | $53.67 | $276.60 | $2.73–$262.77 | 71% above | 81% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL | $53.67 | $276.60 | $2.73–$262.77 | — | 81% |
| Creatinine blood test CPT 82565 CREATININE BLOOD | $42.22 | $217.57 | $2.15–$206.69 | 88% above | 81% |
| Creatinine blood test inpatient CPT 82565 CREATININE BLOOD | $42.22 | $217.57 | $2.15–$206.69 | — | 81% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB | $118.80 | $612.32 | $6.04–$581.70 | 171% above | 81% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB | $118.80 | $612.32 | $6.04–$581.70 | — | 81% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANT | $83.89 | $432.35 | $4.28–$410.73 | 62% above | 81% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUANT | $83.89 | $432.35 | $4.28–$410.73 | — | 81% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $183.39 | $945.28 | $9.34–$898.02 | 155% above | 81% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $183.39 | $945.28 | $9.34–$898.02 | — | 81% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PRS DRG IA ANAZ | $274.61 | $1,415.48 | $25.14–$1,344.71 | 287% above | 81% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PRS DRG IA ANAZ | $274.61 | $1,415.48 | $25.14–$1,344.71 | — | 81% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $47.94 | $247.06 | $2.94–$234.71 | 4% above | 81% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $47.94 | $247.06 | $2.94–$234.71 | — | 81% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR, VCA | $122.96 | $633.77 | $7.62–$602.08 | 146% above | 81% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR, VCA | $122.96 | $633.77 | $7.62–$602.08 | — | 81% |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $230.23 | $1,186.69 | $11.73–$1,127.36 | 170% above | 81% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL | $230.23 | $1,186.69 | $11.73–$1,127.36 | — | 81% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM | $153.18 | $789.52 | $7.80–$750.04 | 146% above | 81% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORM | $153.18 | $789.52 | $7.80–$750.04 | — | 81% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $149.79 | $772.08 | $8.24–$733.48 | 49% above | 81% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $149.79 | $772.08 | $8.24–$733.48 | — | 81% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $112.02 | $577.35 | $5.72–$548.48 | 148% above | 81% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $112.02 | $577.35 | $5.72–$548.48 | — | 81% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $69.82 | $359.82 | $3.67–$341.83 | 45% above | 81% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY | $69.82 | $359.82 | $3.67–$341.83 | — | 81% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $121.40 | $625.71 | $6.17–$594.42 | 146% above | 81% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM | $121.40 | $625.71 | $6.17–$594.42 | — | 81% |
| Free T3 thyroid hormone test CPT 84481 T3,FREE | $139.64 | $719.74 | $7.11–$683.75 | 147% above | 81% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3,FREE | $139.64 | $719.74 | $7.11–$683.75 | — | 81% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4, FREE | $73.99 | $381.32 | $3.79–$362.25 | 120% above | 81% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4, FREE | $73.99 | $381.32 | $3.79–$362.25 | — | 81% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $172.46 | $888.93 | $10.70–$844.48 | 169% above | 81% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE | $172.46 | $888.93 | $10.70–$844.48 | — | 81% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $59.40 | $306.14 | $3.02–$290.83 | 79% above | 81% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $59.40 | $306.14 | $3.02–$290.83 | — | 81% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, POST DOSE | $39.09 | $201.42 | $2.00–$191.35 | 29% above | 81% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE, POST DOSE | $39.09 | $201.42 | $2.00–$191.35 | — | 81% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPEC | $71.91 | $370.60 | $5.41–$352.07 | 65% above | 81% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPEC | $71.91 | $370.60 | $5.41–$352.07 | — | 81% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHO,DNA,AMPPR | $47.63 | $245.44 | $14.74–$233.17 | 23% below | 81% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHO,DNA,AMPPR | $47.63 | $245.44 | $14.74–$233.17 | — | 81% |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL | $119.84 | $617.68 | $6.27–$586.80 | 149% above | 81% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB QL | $119.84 | $617.68 | $6.27–$586.80 | — | 81% |
| H. pylori stool antigen test CPT 87338 HPYLORI,STOOL,EIA | $118.27 | $609.58 | $6.04–$579.10 | 93% above | 81% |
| H. pylori stool antigen test inpatient CPT 87338 HPYLORI,STOOL,EIA | $118.27 | $609.58 | $6.04–$579.10 | — | 81% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1, DNA, QUANT | $701.25 | $3,614.65 | $35.74–$3,433.92 | 342% above | 81% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1, DNA, QUANT | $701.25 | $3,614.65 | $35.74–$3,433.92 | — | 81% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES | $25.55 | $131.64 | $14.74–$131.64 | 41% below | 81% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES | $25.55 | $131.64 | $14.74–$131.64 | — | 81% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $79.72 | $410.89 | $4.08–$390.35 | 90% above | 81% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $79.72 | $410.89 | $4.08–$390.35 | — | 81% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $19.29 | $99.36 | $1.00–$94.39 | at median | 81% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $19.29 | $99.36 | $1.00–$94.39 | — | 81% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOT | $99.52 | $512.96 | $5.06–$487.31 | 171% above | 81% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE TOT | $99.52 | $512.96 | $5.06–$487.31 | — | 81% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB | $88.57 | $456.52 | $4.51–$433.69 | 89% above | 81% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB | $88.57 | $456.52 | $4.51–$433.69 | — | 81% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG | $71.91 | $370.60 | $4.34–$352.07 | 89% above | 81% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG | $71.91 | $370.60 | $4.34–$352.07 | — | 81% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $117.75 | $606.93 | $5.99–$576.58 | 168% above | 81% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST | $117.75 | $606.93 | $5.99–$576.58 | — | 81% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C,RNA,QUAN | $352.72 | $1,818.07 | $17.99–$1,727.17 | 128% above | 81% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C,RNA,QUAN | $352.72 | $1,818.07 | $17.99–$1,727.17 | — | 81% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP TYPE 1 | $108.38 | $558.59 | $5.54–$530.66 | 221% above | 81% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP TYPE 1 | $108.38 | $558.59 | $5.54–$530.66 | — | 81% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP TYPE 2 | $159.43 | $821.77 | $8.13–$780.68 | 290% above | 81% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP TYPE 2 | $159.43 | $821.77 | $8.13–$780.68 | — | 81% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP,HIGHLY SENS | $106.81 | $550.52 | $5.44–$522.99 | 165% above | 81% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP,HIGHLY SENS | $106.81 | $550.52 | $5.44–$522.99 | — | 81% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $139.11 | $717.03 | $7.29–$681.18 | 168% above | 81% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $139.11 | $717.03 | $7.29–$681.18 | — | 81% |
| Insulin blood test CPT 83525 INSULIN, TOTAL | $94.31 | $486.07 | $4.80–$461.77 | 129% above | 81% |
| Insulin blood test inpatient CPT 83525 INSULIN, TOTAL | $94.31 | $486.07 | $4.80–$461.77 | — | 81% |
| Iron blood test (serum iron) CPT 83540 IRON | $53.67 | $276.60 | $2.72–$262.77 | 118% above | 81% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $53.67 | $276.60 | $2.72–$262.77 | — | 81% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT | $71.91 | $370.60 | $3.67–$352.07 | 75% above | 81% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT | $71.91 | $370.60 | $3.67–$352.07 | — | 81% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $56.80 | $292.73 | $3.65–$278.09 | 15% below | 81% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $56.80 | $292.73 | $3.65–$278.09 | — | 81% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $152.66 | $786.83 | $7.78–$747.49 | 146% above | 81% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $152.66 | $786.83 | $7.78–$747.49 | — | 81% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $88.07 | $453.90 | $4.62–$431.20 | 134% above | 81% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $88.07 | $453.90 | $4.62–$431.20 | — | 81% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROLDH | $49.50 | $255.12 | $2.54–$242.36 | 119% above | 81% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROLDH | $49.50 | $255.12 | $2.54–$242.36 | — | 81% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $56.80 | $292.73 | $2.89–$278.09 | 62% above | 81% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $56.80 | $292.73 | $2.89–$278.09 | — | 81% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN | $56.80 | $292.73 | $3.43–$278.09 | 25% below | 81% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN | $56.80 | $292.73 | $3.43–$278.09 | — | 81% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB | $122.96 | $633.77 | $7.15–$602.08 | 197% above | 81% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB | $122.96 | $633.77 | $7.15–$602.08 | — | 81% |
| Magnesium blood test CPT 83735 MAGNESIUM | $55.24 | $284.68 | $2.81–$270.45 | 167% above | 81% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $55.24 | $284.68 | $2.81–$270.45 | — | 81% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB | $106.29 | $547.86 | $5.41–$520.47 | 170% above | 81% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB | $106.29 | $547.86 | $5.41–$520.47 | — | 81% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREE | $42.73 | $220.19 | $2.18–$209.18 | 13% above | 81% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREE | $42.73 | $220.19 | $2.18–$209.18 | — | 81% |
| Mumps immunity blood test CPT 86735 MUMPS AB | $107.85 | $555.87 | $5.48–$528.08 | 172% above | 81% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS AB | $107.85 | $555.87 | $5.48–$528.08 | — | 81% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $183.39 | $945.28 | $18.79–$898.02 | 155% above | 81% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $183.39 | $945.28 | $18.79–$898.02 | — | 81% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $151.62 | $781.49 | $7.72–$742.42 | 208% above | 81% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE | $151.62 | $781.49 | $7.72–$742.42 | — | 81% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL | $151.62 | $781.49 | $7.72–$742.42 | 169% above | 81% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL | $151.62 | $781.49 | $7.72–$742.42 | — | 81% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP THINLAY LIQ DIAG | $109.94 | $566.64 | $8.51–$538.31 | 211% above | 81% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP THINLAY LIQ DIAG | $109.94 | $566.64 | $8.51–$538.31 | — | 81% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE PTH | $340.21 | $1,753.61 | $17.34–$1,665.93 | 182% above | 81% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE PTH | $340.21 | $1,753.61 | $17.34–$1,665.93 | — | 81% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAST TIMEPTT | $49.50 | $255.12 | $2.52–$242.36 | 89% above | 81% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLAST TIMEPTT | $49.50 | $255.12 | $2.52–$242.36 | — | 81% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS, BLOOD | $35.96 | $185.29 | $1.99–$176.03 | 26% above | 81% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS, BLOOD | $35.96 | $185.29 | $1.99–$176.03 | — | 81% |
| Potassium blood test CPT 84132 POTASSIUM SER PL WB | $38.05 | $196.07 | $1.99–$186.27 | 82% above | 81% |
| Potassium blood test inpatient CPT 84132 POTASSIUM SER PL WB | $38.05 | $196.07 | $1.99–$186.27 | — | 81% |
| Progesterone blood test CPT 84144 PROGESTERONE | $171.93 | $886.19 | $8.76–$841.88 | 170% above | 81% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $171.93 | $886.19 | $8.76–$841.88 | — | 81% |
| Prolactin blood test CPT 84146 PROLACTIN | $159.95 | $824.43 | $8.14–$783.21 | 129% above | 81% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $159.95 | $824.43 | $8.14–$783.21 | — | 81% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $32.31 | $166.50 | $1.70–$158.18 | 59% above | 81% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $32.31 | $166.50 | $1.70–$158.18 | — | 81% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PRS DRG IA VIS | $316.25 | $1,630.12 | $4.71–$1,548.61 | 1547% above | 81% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 PRS DRG IA VIS | $316.25 | $1,630.12 | $4.71–$1,548.61 | — | 81% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W-OP | $94.31 | $486.07 | $5.79–$461.77 | 153% above | 81% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W-OP | $94.31 | $486.07 | $5.79–$461.77 | — | 81% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W-OPTI | $94.31 | $486.07 | $5.79–$461.77 | 162% above | 81% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W-OPTI | $94.31 | $486.07 | $5.79–$461.77 | — | 81% |
| Renin blood test CPT 84244 RENIN | $181.31 | $934.53 | $9.24–$887.80 | 193% above | 81% |
| Renin blood test inpatient CPT 84244 RENIN | $181.31 | $934.53 | $9.24–$887.80 | — | 81% |
| Rh blood typing CPT 86901 BLOOD TYPING RH D | $41.17 | $212.14 | $1.26–$201.53 | 35% above | 81% |
| Rh blood typing CPT 86901 BLOOD TYPING RH D | $41.17 | $212.14 | $27.20–$108.62 | 35% above | 81% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING RH D | $41.17 | $212.14 | $1.26–$201.53 | — | 81% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUAN | $46.90 | $241.70 | $2.38–$229.62 | 59% above | 81% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QUAN | $46.90 | $241.70 | $2.38–$229.62 | — | 81% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB | $118.80 | $612.32 | $6.04–$581.70 | 284% above | 81% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB | $118.80 | $612.32 | $6.04–$581.70 | — | 81% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE, AUTOMATED | $21.50 | $110.79 | $1.13–$105.25 | 22% above | 81% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE, AUTOMATED | $21.50 | $110.79 | $1.13–$105.25 | — | 81% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANYL COMP-WDIF | $11.14 | $57.36 | $5.17–$54.49 | 82% below | 81% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANYL COMP-WDIF | $11.14 | $57.36 | $5.17–$54.49 | — | 81% |
| Sodium blood test CPT 84295 SODIUM,SER PL OR WB | $39.61 | $204.11 | $2.02–$193.90 | 47% above | 81% |
| Sodium blood test inpatient CPT 84295 SODIUM,SER PL OR WB | $39.61 | $204.11 | $2.02–$193.90 | — | 81% |
| Stool ova and parasites exam CPT 87177 OVA-PARASITES SMEARS | $73.47 | $378.66 | $3.74–$359.73 | 135% above | 81% |
| Stool ova and parasites exam inpatient CPT 87177 OVA-PARASITES SMEARS | $73.47 | $378.66 | $3.74–$359.73 | — | 81% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FECES 1-3 | $21.75 | $112.04 | $1.53–$106.44 | 15% above | 81% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLD OCCULT FECES 1-3 | $21.75 | $112.04 | $1.53–$106.44 | — | 81% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLD OCCULT FECES EIA | $131.30 | $676.75 | $6.69–$642.91 | 327% above | 81% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLD OCCULT FECES EIA | $131.30 | $676.75 | $6.69–$642.91 | — | 81% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREP. PALLIDUM,CONFI | $108.90 | $561.27 | $5.56–$533.21 | 258% above | 81% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREP. PALLIDUM,CONFI | $108.90 | $561.27 | $5.56–$533.21 | — | 81% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, QUAL | $33.88 | $174.57 | $1.79–$165.84 | 31% above | 81% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, QUAL | $33.88 | $174.57 | $1.79–$165.84 | — | 81% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IM MEAS | $179.40 | $924.71 | $26.03–$878.47 | 41% above | 81% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IM MEAS | $179.40 | $924.71 | $26.03–$878.47 | — | 81% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $212.57 | $1,095.69 | $10.84–$1,040.91 | 195% above | 81% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL | $212.57 | $1,095.69 | $10.84–$1,040.91 | — | 81% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB | $119.84 | $617.68 | $6.11–$586.80 | 194% above | 81% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB | $119.84 | $617.68 | $6.11–$586.80 | — | 81% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 NBS THYROID STIM TSH | $21.38 | $110.16 | $7.06–$104.65 | 58% below | 81% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM TSH | $138.60 | $714.37 | $7.06–$678.65 | 172% above | 81% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NBS THYROID STIM TSH | $21.38 | $110.16 | $7.06–$104.65 | — | 81% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM TSH | $138.60 | $714.37 | $7.06–$678.65 | — | 81% |
| Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE | $135.46 | $698.19 | $6.91–$663.28 | 130% above | 81% |
| Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE | $135.46 | $698.19 | $6.91–$663.28 | — | 81% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL | $35.96 | $185.29 | $1.83–$176.03 | 73% above | 81% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL | $35.96 | $185.29 | $1.83–$176.03 | — | 81% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE T4,TOTAL | $56.80 | $292.73 | $2.89–$278.09 | 111% above | 81% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4,TOTAL | $56.80 | $292.73 | $2.89–$278.09 | — | 81% |
| Total triiodothyronine (T3) blood test CPT 84480 T3,TOTAL | $116.71 | $601.57 | $5.96–$571.49 | 139% above | 81% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3,TOTAL | $116.71 | $601.57 | $5.96–$571.49 | — | 81% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $103.69 | $534.44 | $5.36–$507.72 | 101% above | 81% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $103.69 | $534.44 | $5.36–$507.72 | — | 81% |
| Trichomonas test (NAAT) CPT 87661 T VAGINALIS AMP | $216.64 | $1,116.65 | $14.74–$1,060.82 | 239% above | 81% |
| Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS AMP | $216.64 | $1,116.65 | $14.74–$1,060.82 | — | 81% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $47.43 | $244.43 | $2.41–$232.21 | 102% above | 81% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $47.43 | $244.43 | $2.41–$232.21 | — | 81% |
| Troponin test, quantitative CPT 84484 TROPONIN,QNT | $81.28 | $418.92 | $4.36–$397.97 | 77% above | 81% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN,QNT | $81.28 | $418.92 | $4.36–$397.97 | — | 81% |
| Uric acid blood test CPT 84550 URIC ACID, BLOOD | $37.00 | $190.67 | $1.90–$181.14 | 30% above | 81% |
| Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD | $37.00 | $190.67 | $1.90–$181.14 | — | 81% |
| Urinalysis with microscope exam, automated CPT 81001 UA, AUTO W-SCOPE | $26.06 | $134.27 | $1.33–$127.56 | 15% below | 81% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA, AUTO W-SCOPE | $26.06 | $134.27 | $1.33–$127.56 | — | 81% |
| Urinalysis with microscope exam, manual CPT 81000 UA, NONAUTO W-SCOPE | $19.52 | $100.57 | $1.41–$95.54 | 47% above | 81% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 UA, NONAUTO W-SCOPE | $19.52 | $100.57 | $1.41–$95.54 | — | 81% |
| Urinalysis without microscope exam, automated CPT 81003 UA, AUTO, W-O SCOPE | $18.77 | $96.69 | $0.95–$91.86 | 74% above | 81% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA, AUTO, W-O SCOPE | $18.77 | $96.69 | $0.95–$91.86 | — | 81% |
| Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W-O SCOPE | $19.55 | $100.70 | $1.22–$95.67 | 147% above | 81% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO W-O SCOPE | $19.55 | $100.70 | $1.22–$95.67 | — | 81% |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE-COLONY CT | $66.70 | $343.75 | $3.39–$326.56 | 74% above | 81% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE-COLONY CT | $66.70 | $343.75 | $3.39–$326.56 | — | 81% |
| Urine microalbumin (albumin) test CPT 82043 MICROALB QNT | $19.29 | $99.36 | $2.43–$94.39 | 1% below | 81% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB QNT | $19.29 | $99.36 | $2.43–$94.39 | — | 81% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QL | $52.11 | $268.55 | $3.01–$255.12 | 35% above | 81% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QL | $52.11 | $268.55 | $3.01–$255.12 | — | 81% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $124.01 | $639.15 | $6.33–$607.19 | 147% above | 81% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $124.01 | $639.15 | $6.33–$607.19 | — | 81% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH | $243.82 | $1,256.77 | $12.43–$1,193.93 | 233% above | 81% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH | $243.82 | $1,256.77 | $12.43–$1,193.93 | — | 81% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXY VITAMIN D | $317.29 | $1,635.46 | $16.17–$1,553.69 | 189% above | 81% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXY VITAMIN D | $317.29 | $1,635.46 | $16.17–$1,553.69 | — | 81% |
| Zinc blood test CPT 84630 ZINC | $93.79 | $483.38 | $4.78–$459.21 | 167% above | 81% |
| Zinc blood test inpatient CPT 84630 ZINC | $93.79 | $483.38 | $4.78–$459.21 | — | 81% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT | $124.01 | $639.15 | $6.32–$607.19 | 123% above | 81% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT | $124.01 | $639.15 | $6.32–$607.19 | — | 81% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $15,863.97 | $81,773.00 | $874.90–$77,684.35 | 33% above | 81% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $15,058.48 | $77,621.00 | $959.01–$73,739.95 | 67% above | 81% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $8,222.31 | $42,383.00 | $156.00–$40,263.85 | 4884% above | 81% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION OF BUNION | $9,177.18 | $47,305.00 | $781.29–$44,939.75 | 34% above | 81% |
| Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT | $7,302.71 | $37,642.80 | $2,405.98–$7,315.92 | 38% above | 81% |
| Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT | $7,302.71 | $37,642.80 | $613.57–$35,760.66 | 38% above | 81% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT | $7,302.71 | $37,642.80 | $613.57–$35,760.66 | — | 81% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC, EXT | $695.11 | $3,583.00 | $137.65–$3,403.85 | at median | 81% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION | $1,350.67 | $6,962.15 | $438.38–$1,810.91 | 94% above | 81% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION | $1,350.67 | $6,962.15 | $137.65–$6,614.04 | 94% above | 81% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION | $1,350.67 | $6,962.15 | $137.65–$6,614.04 | — | 81% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $4,518.85 | $23,293.00 | $403.09–$22,128.35 | 56% above | 81% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION | $4,741.37 | $24,440.00 | $179.64–$23,218.00 | 11% above | 81% |
| Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY | $2,262.05 | $11,660.00 | $399.10–$11,077.00 | 79% above | 81% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $2,393.39 | $12,337.00 | $378.18–$11,720.15 | 90% above | 81% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,640.28 | $8,455.00 | $299.66–$8,032.25 | 30% above | 81% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 CERVIX EXCISION | $4,560.95 | $23,510.00 | $143.35–$22,334.50 | 111% above | 81% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 VAGINA EXAMINATION & BIOPSY | $7,092.46 | $36,559.00 | $150.34–$34,731.05 | 1814% above | 81% |
| Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG | $8,040.64 | $41,446.56 | $507.76–$39,374.23 | 2% above | 81% |
| Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG | $8,040.64 | $41,446.56 | $8,987.74–$31,383.71 | 2% above | 81% |
| Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG | $8,040.64 | $41,446.56 | $507.76–$39,374.23 | — | 81% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $5,818.46 | $29,992.00 | $330.39–$28,492.40 | 46% above | 81% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $6,250.50 | $32,219.00 | $194.09–$30,608.05 | 800% above | 81% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $3,079.18 | $15,872.00 | $264.35–$15,078.40 | 13% above | 81% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $248.91 | $1,283.00 | $13.51–$1,283.00 | 449% above | 81% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX | $242.51 | $1,250.00 | $17.59–$1,250.00 | 228% above | 81% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR-DI C-T INJ W IM | $907.56 | $4,678.08 | $464.66–$1,916.47 | 66% above | 81% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR-DI C-T INJ W IM | $907.56 | $4,678.08 | $229.41–$4,444.18 | 66% above | 81% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR-DI C-T INJ W IM | $907.56 | $4,678.08 | $229.41–$4,444.18 | — | 81% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,506.23 | $7,764.00 | $157.48–$7,375.80 | 115% above | 81% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $7,152.21 | $36,867.00 | $505.43–$35,023.65 | 28% above | 81% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC | $12,252.08 | $63,155.00 | $682.09–$59,997.25 | 49% above | 81% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $6,676.71 | $34,416.00 | $302.12–$32,695.20 | 44% above | 81% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $1,917.12 | $9,882.00 | $49.24–$9,387.90 | 185% above | 81% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $7,863.99 | $40,536.00 | $586.78–$38,509.20 | 12% above | 81% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $8,117.75 | $41,844.00 | $637.79–$39,751.80 | 15% above | 81% |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $12,194.07 | $62,856.00 | $482.75–$59,713.20 | 115% above | 81% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $3,668.55 | $18,910.00 | $253.67–$17,964.50 | 260% above | 81% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY | $4,660.28 | $24,022.00 | $460.82–$22,820.90 | 5% above | 81% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO | $73.08 | $376.67 | $67.42–$357.84 | 53% below | 81% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO | $73.08 | $376.67 | $67.42–$357.84 | — | 81% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY, ABLATION | $6,664.30 | $34,352.00 | $990.26–$32,634.40 | 43% above | 81% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, BIOPSY | $5,306.88 | $27,355.00 | $990.26–$25,987.25 | 43% above | 81% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $5,579.45 | $28,760.00 | $38.70–$28,760.00 | 161% above | 81% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS | $759.13 | $3,913.00 | $33.42–$3,913.00 | 245% above | 81% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA | $5,924.19 | $30,537.00 | $466.10–$29,010.15 | 27% above | 81% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON/LIGAMENT/CYST | $5,926.90 | $30,551.00 | $26.39–$29,023.45 | 2418% above | 81% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT, JOINT/BURSA | $1,506.03 | $7,763.00 | $26.39–$7,374.85 | 363% above | 81% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM | $361.95 | $1,865.66 | $209.25–$671.42 | 24% above | 81% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM | $361.95 | $1,865.66 | $24.62–$1,865.66 | 24% above | 81% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT, JOINT/BURSA | $1,062.16 | $5,475.00 | $24.62–$5,475.00 | 263% above | 81% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM | $361.95 | $1,865.66 | $24.62–$1,865.66 | — | 81% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 S-JOINT ASP-INJ SM | $361.95 | $1,865.66 | $24.62–$1,865.66 | 27% above | 81% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 S-JOINT ASP-INJ SM | $361.95 | $1,865.66 | $209.25–$671.42 | 27% above | 81% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT, JOINT/BURSA | $434.76 | $2,241.00 | $24.62–$2,241.00 | 52% above | 81% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 S-JOINT ASP-INJ SM | $361.95 | $1,865.66 | $24.62–$1,865.66 | — | 81% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY | $16,962.79 | $87,437.00 | $621.95–$83,065.15 | 73% above | 81% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $6,938.81 | $35,767.00 | $490.09–$33,978.65 | 17% above | 81% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $6,207.43 | $31,997.00 | $508.36–$30,397.15 | 9% below | 81% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY | $5,814.00 | $29,969.00 | $561.65–$28,470.55 | 6% below | 81% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $21,168.71 | $109,117.00 | $1,389.53–$103,661.15 | 106% above | 81% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, APPENDECTOMY | $10,492.50 | $54,085.00 | $535.58–$51,380.75 | 206% above | 81% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY, FUNDOPLASTY | $13,647.13 | $70,346.00 | $951.29–$66,828.70 | 19% above | 81% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $9,917.48 | $51,121.00 | $725.86–$48,564.95 | 11% below | 81% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $9,794.68 | $50,488.00 | $815.65–$47,963.60 | 6% below | 81% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARO HERNIA REPAIR INITIAL | $7,242.81 | $37,334.00 | $386.44–$35,467.30 | 2% below | 81% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPARO HERNIA REPAIR RECUR | $6,826.87 | $35,190.00 | $503.71–$33,430.50 | 16% below | 81% |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS | $7,350.28 | $37,888.00 | $850.98–$35,993.60 | 35% above | 81% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY, REMOVE ADNEXA | $6,823.77 | $35,174.00 | $585.94–$33,415.30 | 21% above | 81% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY | $15,043.74 | $77,545.00 | $971.27–$73,667.75 | 135% above | 81% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUND(S) | $3,598.52 | $18,549.00 | $65.08–$17,621.55 | 1015% above | 81% |
| Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC | $6,008.32 | $30,970.68 | $2,405.98–$7,315.92 | 86% above | 81% |
| Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC | $6,008.32 | $30,970.68 | $543.55–$29,422.15 | 86% above | 81% |
| Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC | $6,008.32 | $30,970.68 | $543.55–$29,422.15 | — | 81% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $697.63 | $3,596.00 | $225.26–$3,596.00 | 42% above | 81% |
| Lower-back epidural injection, with imaging guidance CPT 62323 IR-DI L-S INJ W IM | $907.56 | $4,678.08 | $464.66–$1,916.47 | 84% above | 81% |
| Lower-back epidural injection, with imaging guidance CPT 62323 IR-DI L-S INJ W IM | $907.56 | $4,678.08 | $225.26–$4,444.18 | 84% above | 81% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR-DI L-S INJ W IM | $907.56 | $4,678.08 | $225.26–$4,444.18 | — | 81% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $808.80 | $4,169.00 | $216.14–$4,169.00 | 14% above | 81% |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $9,849.78 | $50,772.00 | $585.44–$48,233.40 | 54% above | 81% |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $12,067.97 | $62,206.00 | $850.40–$59,095.70 | 1% above | 81% |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $4,389.07 | $22,624.00 | $383.56–$21,492.80 | 42% above | 81% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF SKIN LESION | $4,525.45 | $23,327.00 | $29.90–$22,160.65 | 1173% above | 81% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF SKIN LESION | $3,432.26 | $17,692.00 | $38.70–$16,807.40 | 474% above | 81% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $968.26 | $4,991.00 | $33.42–$4,991.00 | 631% above | 81% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION FOR NERVE BLOCK | $458.04 | $2,361.00 | $45.73–$2,361.00 | 59% above | 81% |
| Pacemaker implant (dual chamber) CPT 33208 INSERTION OF HEART PACEMAKER | $20,169.41 | $103,966.00 | $450.35–$98,767.70 | 289% above | 81% |
| Paracentesis with imaging guidance CPT 49083 CT-ABD PARACEN W IMG | $582.37 | $3,001.84 | $252.83–$2,851.75 | 1% below | 81% |
| Paracentesis with imaging guidance CPT 49083 CT-ABD PARACEN W IMG | $582.37 | $3,001.84 | $635.78–$2,594.60 | 1% below | 81% |
| Paracentesis with imaging guidance CPT 49083 US-ABD PARACEN W IMG | $842.37 | $4,342.08 | $252.83–$4,124.98 | 44% above | 81% |
| Paracentesis with imaging guidance CPT 49083 IR-ABD PARACEN W IMG | $842.37 | $4,342.08 | $145.00–$4,124.98 | 44% above | 81% |
| Paracentesis with imaging guidance CPT 49083 US-ABD PARACEN W IMG | $842.37 | $4,342.08 | $635.78–$2,594.60 | 44% above | 81% |
| Paracentesis with imaging guidance CPT 49083 IR-ABD PARACEN W IMG | $842.37 | $4,342.08 | $635.78–$2,594.60 | 44% above | 81% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $2,404.64 | $12,395.00 | $252.83–$11,775.25 | 310% above | 81% |
| Paracentesis with imaging guidance inpatient CPT 49083 CT-ABD PARACEN W IMG | $582.37 | $3,001.84 | $252.83–$2,851.75 | — | 81% |
| Paracentesis with imaging guidance inpatient CPT 49083 US-ABD PARACEN W IMG | $842.37 | $4,342.08 | $252.83–$4,124.98 | — | 81% |
| Paracentesis with imaging guidance inpatient CPT 49083 IR-ABD PARACEN W IMG | $842.37 | $4,342.08 | $145.00–$4,124.98 | — | 81% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $3,712.59 | $19,137.00 | $80.91–$18,180.15 | 876% above | 81% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $4,093.41 | $21,100.00 | $214.07–$20,045.00 | 550% above | 81% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD | $10,583.87 | $54,556.00 | $1,080.77–$51,828.20 | 13% above | 81% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $1,747.76 | $9,009.00 | $384.64–$8,558.55 | 13% above | 81% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $4,817.22 | $24,831.00 | $373.11–$23,589.45 | 16% above | 81% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY | $641.76 | $3,308.00 | $134.27–$3,308.00 | 113% above | 81% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $10,864.20 | $56,001.00 | $633.62–$53,200.95 | 32% above | 81% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $1,658.13 | $8,547.00 | $299.84–$8,119.65 | 32% above | 81% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $1,599.35 | $8,244.00 | $299.66–$7,831.80 | 31% above | 81% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $5,707.88 | $29,422.00 | $661.80–$27,950.90 | 9% above | 81% |
| Short arm cast (elbow to hand) CPT 29075 CSTAP SHRT ARMEF OT | $481.08 | $2,479.75 | $29.90–$2,355.76 | 200% above | 81% |
| Short arm cast (elbow to hand) CPT 29075 CSTAP SHRT ARMEF OT | $481.08 | $2,479.75 | $202.90–$604.08 | 200% above | 81% |
| Short arm cast (elbow to hand) inpatient CPT 29075 CSTAP SHRT ARMEF OT | $481.08 | $2,479.75 | $29.90–$2,355.76 | — | 81% |
| Short arm splint (forearm and hand) CPT 29125 SPLT SHRT ARM ST PTA | $214.88 | $1,107.57 | $21.11–$1,052.19 | 47% above | 81% |
| Short arm splint (forearm and hand) CPT 29125 SPLT SHRT ARM ST OT | $214.88 | $1,107.57 | $89.82–$293.20 | 47% above | 81% |
| Short arm splint (forearm and hand) CPT 29125 SPLT SHRT ARM ST PT | $214.88 | $1,107.57 | $21.11–$1,052.19 | 47% above | 81% |
| Short arm splint (forearm and hand) CPT 29125 SPLT SHRT ARM ST OT | $214.88 | $1,107.57 | $21.11–$1,052.19 | 47% above | 81% |
| Short arm splint (forearm and hand) CPT 29125 SPLT SHRT ARM ST PTA | $214.88 | $1,107.57 | $89.82–$293.20 | 47% above | 81% |
| Short arm splint (forearm and hand) CPT 29125 SPLT SHRT ARM ST PT | $214.88 | $1,107.57 | $89.82–$293.20 | 47% above | 81% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $789.59 | $4,070.00 | $21.11–$3,866.50 | 441% above | 81% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLT SHRT ARM ST PTA | $214.88 | $1,107.57 | $21.11–$1,052.19 | — | 81% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLT SHRT ARM ST PT | $214.88 | $1,107.57 | $21.11–$1,052.19 | — | 81% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLT SHRT ARM ST OT | $214.88 | $1,107.57 | $21.11–$1,052.19 | — | 81% |
| Short leg splint (calf to foot) CPT 29515 AP SHT LEG SPLNT PT | $214.88 | $1,107.57 | $115.80–$358.90 | 34% above | 81% |
| Short leg splint (calf to foot) CPT 29515 AP SHT LEG SPLNT PTA | $214.88 | $1,107.57 | $26.39–$1,052.19 | 34% above | 81% |
| Short leg splint (calf to foot) CPT 29515 AP SHT LEG SPLNT PTA | $214.88 | $1,107.57 | $115.80–$358.90 | 34% above | 81% |
| Short leg splint (calf to foot) CPT 29515 AP SHT LEG SPLNT PT | $214.88 | $1,107.57 | $26.39–$1,052.19 | 34% above | 81% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $698.99 | $3,603.00 | $26.39–$3,603.00 | 336% above | 81% |
| Short leg splint (calf to foot) inpatient CPT 29515 AP SHT LEG SPLNT PTA | $214.88 | $1,107.57 | $26.39–$1,052.19 | — | 81% |
| Short leg splint (calf to foot) inpatient CPT 29515 AP SHT LEG SPLNT PT | $214.88 | $1,107.57 | $26.39–$1,052.19 | — | 81% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $10,482.99 | $54,036.00 | $612.02–$51,334.20 | 118% above | 81% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY | $12,544.24 | $64,661.00 | $134.00–$61,427.95 | 148% above | 81% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S) | $559.31 | $2,883.00 | $47.49–$2,883.00 | 159% above | 81% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $1,013.08 | $5,222.00 | $108.60–$5,222.00 | 442% above | 81% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 REMOVAL OF SKIN LESION | $8,127.06 | $41,892.00 | $52.77–$39,797.40 | 818% above | 81% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS | $6,020.41 | $31,033.00 | $24.62–$29,481.35 | 3815% above | 81% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST | $803.73 | $4,142.89 | $464.66–$1,916.47 | 100% above | 81% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST | $803.73 | $4,142.89 | $38.70–$3,935.75 | 100% above | 81% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP, DIAGNOSTIC | $5,134.61 | $26,467.00 | $38.70–$25,143.65 | 1177% above | 81% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST | $803.73 | $4,142.89 | $38.70–$3,935.75 | — | 81% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND(S) | $937.42 | $4,832.00 | $56.29–$4,832.00 | 304% above | 81% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND(S) | $723.82 | $3,731.00 | $52.77–$3,731.00 | 209% above | 81% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $7,024.36 | $36,208.00 | $659.72–$34,397.60 | 9% above | 81% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $1,538.04 | $7,928.00 | $87.33–$7,531.60 | 794% above | 81% |
| Thoracentesis with imaging guidance CPT 32555 CT-THORACNTSIS W IMG | $477.23 | $2,459.92 | $523.82–$1,710.96 | 25% below | 81% |
| Thoracentesis with imaging guidance CPT 32555 CT-THORACNTSIS W IMG | $477.23 | $2,459.92 | $271.59–$2,336.92 | 25% below | 81% |
| Thoracentesis with imaging guidance CPT 32555 IR-THORACNTSIS W IMG | $477.23 | $2,459.92 | $523.82–$1,710.96 | 25% below | 81% |
| Thoracentesis with imaging guidance CPT 32555 IR-THORACNTSIS W IMG | $477.23 | $2,459.92 | $145.00–$2,336.92 | 25% below | 81% |
| Thoracentesis with imaging guidance CPT 32555 US-THORACNTSIS W IMG | $906.08 | $4,670.48 | $523.82–$1,710.96 | 43% above | 81% |
| Thoracentesis with imaging guidance CPT 32555 US-THORACNTSIS W IMG | $906.08 | $4,670.48 | $271.59–$4,436.96 | 43% above | 81% |
| Thoracentesis with imaging guidance inpatient CPT 32555 IR-THORACNTSIS W IMG | $477.23 | $2,459.92 | $145.00–$2,336.92 | — | 81% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT-THORACNTSIS W IMG | $477.23 | $2,459.92 | $271.59–$2,336.92 | — | 81% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US-THORACNTSIS W IMG | $906.08 | $4,670.48 | $271.59–$4,436.96 | — | 81% |
| Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT | $18,214.28 | $93,888.00 | $990.26–$89,193.60 | 23% above | 81% |
| Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT | $16,864.62 | $86,931.00 | $1,147.46–$82,584.45 | 13% above | 81% |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $23,308.14 | $120,145.00 | $1,292.72–$114,137.75 | 49% above | 81% |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $10,044.17 | $51,774.00 | $643.76–$49,185.30 | 7% above | 81% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $3,582.61 | $18,467.00 | $514.01–$17,543.65 | 17% above | 81% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $1,195.24 | $6,161.00 | $46.93–$6,161.00 | 380% above | 81% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY, TUBAL CAUTERY | $7,086.64 | $36,529.00 | $333.68–$34,702.55 | 87% above | 81% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $2,888.09 | $14,887.00 | $424.36–$14,142.65 | 186% above | 81% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDOSCOPY, DILATION | $4,240.66 | $21,859.00 | $886.00–$20,766.05 | 288% above | 81% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $2,907.88 | $14,989.00 | $324.70–$14,239.55 | 194% above | 81% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $3,037.47 | $15,657.00 | $344.99–$14,874.15 | 178% above | 81% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 OPERATIVE UPPER GI ENDOSCOPY | $3,910.47 | $20,157.00 | $426.15–$19,149.15 | 191% above | 81% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UPPR GI ENDOSCOPY/GUIDE WIRE | $2,768.97 | $14,273.00 | $357.83–$13,559.35 | 153% above | 81% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $1,638.92 | $8,448.00 | $251.47–$8,025.60 | 70% above | 81% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $7,707.44 | $39,729.00 | $351.29–$37,742.55 | 90% above | 81% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $6,997.40 | $36,069.00 | $372.93–$34,265.55 | 30% above | 81% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $3,821.03 | $19,696.00 | $124.88–$18,711.20 | 227% above | 81% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE | $2,379.61 | $12,266.00 | $114.08–$11,652.70 | 452% above | 81% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP | $8,437.26 | $43,491.00 | $673.47–$41,316.45 | 1% below | 81% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 0 2 HRS | $336.40 | $1,733.96 | $320.73–$1,209.84 | 15% below | 81% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 0 2 HRS | $336.40 | $1,733.96 | $37.05–$1,647.26 | 15% below | 81% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 2 4 HRS | $399.84 | $2,060.99 | $37.05–$1,957.94 | 1% above | 81% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 2 4 HRS | $399.84 | $2,060.99 | $320.73–$1,209.84 | 1% above | 81% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $434.02 | $2,237.16 | $320.73–$1,209.84 | 9% above | 81% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $434.02 | $2,237.16 | $37.05–$2,125.30 | 9% above | 81% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 4 6 HRS | $462.74 | $2,385.22 | $37.05–$2,265.96 | 16% above | 81% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 4 6 HRS | $462.74 | $2,385.22 | $320.73–$1,209.84 | 16% above | 81% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 6 8 HRS | $526.18 | $2,712.21 | $320.73–$1,209.84 | 32% above | 81% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 6 8 HRS | $526.18 | $2,712.21 | $37.05–$2,576.60 | 32% above | 81% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 8 10 HR | $589.62 | $3,039.22 | $320.73–$1,209.84 | 48% above | 81% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 8 10 HR | $589.62 | $3,039.22 | $37.05–$2,887.26 | 48% above | 81% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLD TRAN 10 TO 12HRS | $653.06 | $3,366.25 | $37.05–$3,197.94 | 64% above | 81% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLD TRAN 10 TO 12HRS | $653.06 | $3,366.25 | $320.73–$1,209.84 | 64% above | 81% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 0 2 HRS | $336.40 | $1,733.96 | $37.05–$1,647.26 | — | 81% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 2 4 HRS | $399.84 | $2,060.99 | $37.05–$1,957.94 | — | 81% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $434.02 | $2,237.16 | $37.05–$2,125.30 | — | 81% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 4 6 HRS | $462.74 | $2,385.22 | $37.05–$2,265.96 | — | 81% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 6 8 HRS | $526.18 | $2,712.21 | $37.05–$2,576.60 | — | 81% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 8 10 HR | $589.62 | $3,039.22 | $37.05–$2,887.26 | — | 81% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD TRAN 10 TO 12HRS | $653.06 | $3,366.25 | $37.05–$3,197.94 | — | 81% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT INI | $74.13 | $382.07 | $6.84–$362.97 | 25% below | 81% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT SUB | $74.13 | $382.07 | $159.38–$382.07 | 25% below | 81% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT SUB | $74.13 | $382.07 | $6.84–$362.97 | 25% below | 81% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT INI | $74.13 | $382.07 | $159.38–$382.07 | 25% below | 81% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMT INI | $74.13 | $382.07 | $6.84–$362.97 | — | 81% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMT SUB | $74.13 | $382.07 | $6.84–$362.97 | — | 81% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFU 1ST HR | $220.18 | $1,134.92 | $107.20–$1,134.92 | 15% below | 81% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFU 1ST HR | $220.18 | $1,134.92 | $254.46–$754.45 | 15% below | 81% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFU 1ST HR | $220.18 | $1,134.92 | $107.20–$1,134.92 | — | 81% |
| Critical care, first 30 to 74 minutes one side CPT 99291 ED-CRIT CARE LT 74M | $893.62 | $4,606.26 | $818.63–$1,916.57 | 26% below | 81% |
| Critical care, first 30 to 74 minutes one side CPT 99291 ED-CRIT CARE LT 74M | $893.62 | $4,606.26 | $248.07–$4,606.26 | 26% below | 81% |
| Critical care, first 30 to 74 minutes one side CPT 99291 CRITICAL CARE LT 74M | $893.62 | $4,606.26 | $818.63–$1,916.57 | 26% below | 81% |
| Critical care, first 30 to 74 minutes one side CPT 99291 CRITICAL CARE LT 74M | $893.62 | $4,606.26 | $248.07–$4,606.26 | 26% below | 81% |
| Critical care, first 30 to 74 minutes inpatient one side CPT 99291 CRITICAL CARE LT 74M | $893.62 | $4,606.26 | $248.07–$4,606.26 | — | 81% |
| Critical care, first 30 to 74 minutes inpatient one side CPT 99291 ED-CRIT CARE LT 74M | $893.62 | $4,606.26 | $248.07–$4,606.26 | — | 81% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE DROWSY | $442.41 | $2,280.39 | $212.78–$861.76 | 49% above | 81% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE DROWSY | $442.41 | $2,280.39 | $52.52–$2,166.37 | 49% above | 81% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE DROWSY | $442.41 | $2,280.39 | $52.52–$2,166.37 | — | 81% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD ED STAFF | $67.03 | $345.48 | $47.85–$164.39 | 37% below | 81% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD ED STAFF | $67.03 | $345.48 | $17.82–$345.48 | 37% below | 81% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI-EKG, 12 LEADS | $73.74 | $380.04 | $47.85–$164.39 | 31% below | 81% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI-EKG, 12 LEADS | $73.74 | $380.04 | $17.82–$380.04 | 31% below | 81% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD ED STAFF | $67.03 | $345.48 | $17.82–$345.48 | — | 81% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NI-EKG, 12 LEADS | $73.74 | $380.04 | $17.82–$380.04 | — | 81% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED-BRIEF ED VISIT | $97.32 | $501.61 | $10.35–$501.61 | 34% below | 81% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF ED VISIT | $97.32 | $501.61 | $10.35–$501.61 | 34% below | 81% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED-BRIEF ED VISIT | $97.32 | $501.61 | $80.07–$200.27 | 34% below | 81% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF ED VISIT | $97.32 | $501.61 | $80.07–$200.27 | 34% below | 81% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 BRIEF ED VISIT | $97.32 | $501.61 | $10.35–$501.61 | — | 81% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED-BRIEF ED VISIT | $97.32 | $501.61 | $10.35–$501.61 | — | 81% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED ED VISIT | $158.87 | $818.85 | $148.95–$360.20 | 31% below | 81% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED ED VISIT | $158.87 | $818.85 | $38.22–$818.85 | 31% below | 81% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED-LIMITED ED VISIT | $158.87 | $818.85 | $148.95–$360.20 | 31% below | 81% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED-LIMITED ED VISIT | $158.87 | $818.85 | $38.22–$818.85 | 31% below | 81% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LIMITED ED VISIT | $158.87 | $818.85 | $38.22–$818.85 | — | 81% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED-LIMITED ED VISIT | $158.87 | $818.85 | $38.22–$818.85 | — | 81% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED-INTERMED ED VIST | $251.72 | $1,297.46 | $64.71–$1,232.59 | 43% below | 81% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE ED VIST | $251.72 | $1,297.46 | $261.28–$629.80 | 43% below | 81% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED-INTERMED ED VIST | $251.72 | $1,297.46 | $261.28–$629.80 | 43% below | 81% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE ED VIST | $251.72 | $1,297.46 | $64.71–$1,232.59 | 43% below | 81% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 INTERMEDIATE ED VIST | $251.72 | $1,297.46 | $64.71–$1,232.59 | — | 81% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED-INTERMED ED VIST | $251.72 | $1,297.46 | $64.71–$1,232.59 | — | 81% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED ED VISIT | $401.14 | $2,067.69 | $406.92–$968.56 | 44% below | 81% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED-EXTENDED ED VISIT | $401.14 | $2,067.69 | $406.92–$968.56 | 44% below | 81% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED ED VISIT | $401.14 | $2,067.69 | $110.25–$2,067.69 | 44% below | 81% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED-EXTENDED ED VISIT | $401.14 | $2,067.69 | $110.25–$2,067.69 | 44% below | 81% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED-EXTENDED ED VISIT | $401.14 | $2,067.69 | $110.25–$2,067.69 | — | 81% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EXTENDED ED VISIT | $401.14 | $2,067.69 | $110.25–$2,067.69 | — | 81% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 COMPREHENSIVE ED VST | $596.25 | $3,073.40 | $584.46–$1,394.53 | 40% below | 81% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED-COMPREHEN ED VST | $596.25 | $3,073.40 | $584.46–$1,394.53 | 40% below | 81% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED-COMPREHEN ED VST | $596.25 | $3,073.40 | $159.85–$3,073.40 | 40% below | 81% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 COMPREHENSIVE ED VST | $596.25 | $3,073.40 | $159.85–$3,073.40 | 40% below | 81% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 COMPREHENSIVE ED VST | $596.25 | $3,073.40 | $159.85–$3,073.40 | — | 81% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED-COMPREHEN ED VST | $596.25 | $3,073.40 | $159.85–$3,073.40 | — | 81% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM-STRESS TEST | $448.41 | $2,311.36 | $33.10–$2,195.79 | 7% above | 81% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM-STRESS TEST | $448.41 | $2,311.36 | $212.78–$861.76 | 7% above | 81% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NI-STRESS TEST | $484.46 | $2,497.15 | $212.78–$861.76 | 15% above | 81% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NI-STRESS TEST | $484.46 | $2,497.15 | $33.10–$2,372.29 | 15% above | 81% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM-STRESS TEST | $448.41 | $2,311.36 | $33.10–$2,195.79 | — | 81% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI-STRESS TEST | $484.46 | $2,497.15 | $33.10–$2,372.29 | — | 81% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR | $202.92 | $1,045.94 | $27.41–$1,045.94 | 37% above | 81% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR | $202.92 | $1,045.94 | $163.40–$583.06 | 37% above | 81% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED-IV HYDRATION 1 HR | $202.94 | $1,046.03 | $27.41–$1,046.03 | 37% above | 81% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED-IV HYDRATION 1 HR | $202.94 | $1,046.03 | $209.58–$479.23 | 37% above | 81% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR | $202.92 | $1,045.94 | $27.41–$1,045.94 | — | 81% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED-IV HYDRATION 1 HR | $202.94 | $1,046.03 | $27.41–$1,046.03 | — | 81% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR | $228.29 | $1,176.71 | $163.40–$583.06 | 48% above | 81% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR | $228.29 | $1,176.71 | $52.13–$1,117.87 | 48% above | 81% |
| IV infusion of a medicine, first hour CPT 96365 ED-IV THERAPY DX 1HR | $228.31 | $1,176.78 | $52.13–$1,155.82 | 48% above | 81% |
| IV infusion of a medicine, first hour CPT 96365 ED-IV THERAPY DX 1HR | $228.31 | $1,176.78 | $163.40–$479.23 | 48% above | 81% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR | $228.29 | $1,176.71 | $52.13–$1,117.87 | — | 81% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ED-IV THERAPY DX 1HR | $228.31 | $1,176.78 | $52.13–$1,155.82 | — | 81% |
| IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH | $190.24 | $980.57 | $163.40–$583.06 | 70% above | 81% |
| IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH | $190.24 | $980.57 | $30.81–$980.57 | 70% above | 81% |
| IV push of a medicine, first drug CPT 96374 ED-INJ THER IV PUSH | $190.26 | $980.65 | $209.58–$479.23 | 70% above | 81% |
| IV push of a medicine, first drug CPT 96374 INJECTION IV PUSH | $190.26 | $980.65 | $30.81–$980.65 | 70% above | 81% |
| IV push of a medicine, first drug CPT 96374 ED-INJ THER IV PUSH | $190.26 | $980.65 | $30.81–$980.65 | 70% above | 81% |
| IV push of a medicine, first drug CPT 96374 INJECTION IV PUSH | $190.26 | $980.65 | $209.58–$479.23 | 70% above | 81% |
| IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH | $190.24 | $980.57 | $30.81–$980.57 | — | 81% |
| IV push of a medicine, first drug inpatient CPT 96374 ED-INJ THER IV PUSH | $190.26 | $980.65 | $30.81–$980.65 | — | 81% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV PUSH | $190.26 | $980.65 | $30.81–$980.65 | — | 81% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED-INJ THER DX SQ IM | $61.81 | $318.56 | $12.92–$318.56 | 10% above | 81% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED-INJ THER DX SQ IM | $61.81 | $318.56 | $70.80–$161.89 | 10% above | 81% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM | $61.81 | $318.54 | $49.76–$196.96 | 10% above | 81% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM | $61.81 | $318.54 | $12.92–$318.54 | 10% above | 81% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $4,376.65 | $22,560.00 | $12.92–$21,432.00 | 7717% above | 81% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM | $61.81 | $318.54 | $12.92–$318.54 | — | 81% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED-INJ THER DX SQ IM | $61.81 | $318.56 | $12.92–$318.56 | — | 81% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN PT | $85.74 | $441.90 | $19.64–$419.81 | 84% above | 81% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN OT | $85.74 | $441.90 | $19.64–$419.81 | 84% above | 81% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN PTA | $85.74 | $441.90 | $19.64–$419.81 | 84% above | 81% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN OT | $85.74 | $441.90 | $19.64–$419.81 | — | 81% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN PT | $85.74 | $441.90 | $19.64–$419.81 | — | 81% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN PTA | $85.74 | $441.90 | $19.64–$419.81 | — | 81% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL EA 15 MN | $20.43 | $105.28 | $16.51–$105.28 | 23% below | 81% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TH MNT INIT EA 15 MN | $20.43 | $105.28 | $16.51–$100.02 | 23% below | 81% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TH MNT INIT EA 15 MN | $20.43 | $105.28 | $16.51–$100.02 | — | 81% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL EA 15 MN | $20.43 | $105.28 | $16.51–$105.28 | — | 81% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW CMP OT | $220.67 | $1,137.40 | $74.00–$1,080.53 | 54% above | 81% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW CMP OT | $220.67 | $1,137.40 | $74.00–$1,080.53 | — | 81% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH CMP PTA | $209.12 | $1,077.87 | $70.30–$1,023.98 | 54% above | 81% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH CMP PT | $209.12 | $1,077.87 | $70.30–$1,023.98 | 54% above | 81% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH CMP PTA | $209.12 | $1,077.87 | $70.30–$1,023.98 | — | 81% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH CMP PT | $209.12 | $1,077.87 | $70.30–$1,023.98 | — | 81% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW CMP PTA | $209.12 | $1,077.87 | $70.30–$1,023.98 | 61% above | 81% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW CMP PT | $209.12 | $1,077.87 | $70.30–$1,023.98 | 61% above | 81% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW CMP PTA | $209.12 | $1,077.87 | $70.30–$1,023.98 | — | 81% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW CMP PT | $209.12 | $1,077.87 | $70.30–$1,023.98 | — | 81% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD CMP PT | $209.12 | $1,077.87 | $70.30–$1,023.98 | 61% above | 81% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD CMP PTA | $209.12 | $1,077.87 | $70.30–$1,023.98 | 61% above | 81% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD CMP PT | $209.12 | $1,077.87 | $70.30–$1,023.98 | — | 81% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD CMP PTA | $209.12 | $1,077.87 | $70.30–$1,023.98 | — | 81% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15 MIN PT | $77.81 | $401.01 | $23.51–$380.96 | 67% above | 81% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15 MIN PTA | $77.81 | $401.01 | $23.51–$380.96 | 67% above | 81% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15 MIN OT | $77.81 | $401.01 | $23.51–$380.96 | 67% above | 81% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15 MIN PTA | $77.81 | $401.01 | $23.51–$380.96 | — | 81% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15 MIN OT | $77.81 | $401.01 | $23.51–$380.96 | — | 81% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15 MIN PT | $77.81 | $401.01 | $23.51–$380.96 | — | 81% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PTA | $83.63 | $431.02 | $25.71–$409.47 | 78% above | 81% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PT | $83.63 | $431.02 | $25.71–$409.47 | 78% above | 81% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN OT | $83.63 | $431.02 | $25.71–$409.47 | 78% above | 81% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN OT | $83.63 | $431.02 | $25.71–$409.47 | — | 81% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PT | $83.63 | $431.02 | $25.71–$409.47 | — | 81% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PTA | $83.63 | $431.02 | $25.71–$409.47 | — | 81% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHG SMOKE U 10 | $28.81 | $148.44 | $12.62–$148.44 | 3% above | 81% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHG SMOKE U 10 | $28.81 | $148.44 | $26.01–$82.45 | 3% above | 81% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHG SMOKE U 10 | $28.81 | $148.44 | $12.62–$148.44 | — | 81% |
| Speech and language evaluation CPT 92523 EVAL SP SND PROD CMP | $420.90 | $2,169.56 | $74.00–$2,061.08 | 126% above | 81% |
| Speech and language evaluation inpatient CPT 92523 EVAL SP SND PROD CMP | $420.90 | $2,169.56 | $74.00–$2,061.08 | — | 81% |
| Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST | $177.30 | $913.86 | $36.47–$868.17 | 17% above | 81% |
| Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST | $177.30 | $913.86 | $36.47–$868.17 | — | 81% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $137.60 | $709.24 | $16.65–$709.24 | 5% below | 81% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $137.60 | $709.24 | $116.57–$432.99 | 5% below | 81% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $137.60 | $709.24 | $16.65–$709.24 | — | 81% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHO EVAL PRE/PST | $230.39 | $1,187.51 | $36.86–$1,132.00 | 33% below | 81% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHO EVAL PRE/PST | $230.39 | $1,187.51 | $212.78–$861.76 | 33% below | 81% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHO EVAL PRE/PST | $230.39 | $1,187.51 | $36.86–$1,132.00 | — | 81% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN PTA | $87.86 | $452.85 | $28.61–$430.21 | 90% above | 81% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN OT | $87.86 | $452.85 | $28.61–$430.21 | 90% above | 81% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN PT | $87.86 | $452.85 | $28.61–$430.21 | 90% above | 81% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN OT | $87.86 | $452.85 | $28.61–$430.21 | — | 81% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN PTA | $87.86 | $452.85 | $28.61–$430.21 | — | 81% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN PT | $87.86 | $452.85 | $28.61–$430.21 | — | 81% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT | $46.92 | $241.82 | $17.45–$241.82 | 50% below | 81% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT | $46.92 | $241.82 | $89.82–$241.82 | 50% below | 81% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT | $46.92 | $241.82 | $17.45–$241.82 | — | 81% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPTH/TETA/PERT PED | $44.86 | $231.20 | $32.47–$219.64 | 21% below | 81% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPTH/TETA/PERT PED | $44.86 | $231.20 | $32.47–$219.64 | — | 81% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVACC NO PRES OV3Y | $42.17 | $217.30 | $8.86–$206.44 | 25% above | 81% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUVACC NO PRES OV3Y | $42.17 | $217.30 | $8.86–$206.44 | — | 81% |
| Hepatitis A vaccine, adult dose CPT 90632 HEP A VIRUS VACCINE | $122.66 | $632.23 | $81.13–$600.62 | 69% above | 81% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VIRUS VACCINE | $122.66 | $632.23 | $81.13–$600.62 | — | 81% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEP A PED/ADOL X2 IM | $42.16 | $217.28 | $38.89–$206.42 | 8% below | 81% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEP A PED/ADOL X2 IM | $42.16 | $217.28 | $38.89–$206.42 | — | 81% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VAC ADULT IM | $83.42 | $429.97 | $30.74–$408.47 | 32% below | 81% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VAC ADULT IM | $83.42 | $429.97 | $30.74–$408.47 | — | 81% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VAC PED | $42.16 | $217.28 | $12.70–$206.42 | 24% below | 81% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VAC PED | $42.16 | $217.28 | $12.70–$206.42 | — | 81% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMO/MENIN VAC 0.5 | $44.30 | $228.32 | $40.87–$216.90 | 24% below | 81% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMO/MENIN VAC 0.5 | $44.30 | $228.32 | $40.87–$216.90 | — | 81% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B TETAN INJ | $46.16 | $237.91 | $20.15–$226.01 | 57% above | 81% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B TETAN INJ | $46.16 | $237.91 | $20.15–$226.01 | — | 81% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II INJ | $93.87 | $483.83 | $54.12–$459.64 | 19% below | 81% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II INJ | $93.87 | $483.83 | $54.12–$459.64 | — | 81% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOC 13-VAL IM | $247.70 | $1,276.77 | $90.53–$1,212.93 | 3% below | 81% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOC 13-VAL IM | $247.70 | $1,276.77 | $90.53–$1,212.93 | — | 81% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PNEUMOCOC 15-VAL IM | $251.79 | $1,297.81 | $114.46–$1,232.92 | 2% below | 81% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PNEUMOCOC 15-VAL IM | $251.79 | $1,297.81 | $114.46–$1,232.92 | — | 81% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOC VAC PCV21 IM | $294.61 | $1,518.56 | $133.94–$1,442.63 | 9% below | 81% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOC VAC PCV21 IM | $294.61 | $1,518.56 | $133.94–$1,442.63 | — | 81% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO-VAC 2YR-ADULT | $138.64 | $714.61 | $20.30–$678.88 | 11% below | 81% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMO-VAC 2YR-ADULT | $138.64 | $714.61 | $20.30–$678.88 | — | 81% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIO VACCINE 0.5ML | $48.11 | $247.93 | $44.38–$235.53 | 30% below | 81% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIO VACCINE 0.5ML | $48.11 | $247.93 | $44.38–$235.53 | — | 81% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 RSV MONOCLON AB 1ML | $546.23 | $2,815.57 | $312.53–$2,815.57 | 1% below | 81% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 RSV MONOCLON AB 1ML | $546.23 | $2,815.57 | $312.53–$2,815.57 | — | 81% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOCLON AB 0.5M | $546.23 | $2,815.57 | $312.53–$2,815.57 | 13% below | 81% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RSV MONOCLON AB 0.5M | $546.23 | $2,815.57 | $312.53–$2,815.57 | — | 81% |
| Rabies vaccine, one dose CPT 90675 RABIES VAC IM | $375.86 | $1,937.35 | $826.79 | 31% below | 81% |
| Rabies vaccine, one dose CPT 90675 RABIES VAC IM | $375.86 | $1,937.35 | $131.49–$1,840.48 | 31% below | 81% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC IM | $375.86 | $1,937.35 | $131.49–$1,840.48 | — | 81% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD IM NO PRSRV GE 7Y | $42.16 | $217.28 | $24.14–$206.42 | 27% below | 81% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD IM NO PRSRV GE 7Y | $42.16 | $217.28 | $24.14–$206.42 | — | 81% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH/TET/ACPERT .5ML | $79.19 | $408.12 | $50.20–$387.71 | 15% below | 81% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH/TET/ACPERT .5ML | $79.19 | $408.12 | $50.20–$387.71 | — | 81% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE | $83.43 | $430.02 | $5.81–$408.52 | 130% above | 81% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE | $83.43 | $430.02 | $49.76–$196.96 | 130% above | 81% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE | $83.43 | $430.02 | $5.81–$408.52 | — | 81% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC | $49.34 | $254.26 | $5.94–$241.55 | 45% above | 81% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACC | $49.34 | $254.26 | $5.94–$241.55 | — | 81% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://finance.vumc.org/assets/pub/pt/203500835_vanderbilt-clarksville-hospital_standardcharges.json