Memorial Hospital of Carbondale
Memorial Hospital of Carbondale in Carbondale, IL publishes cash prices for 288 common procedures listed here, from its own machine-readable price file updated Mar 4, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Illinois median for 269 of 285 procedures and below it for 12. By typical cash price it ranks #84 of 90 Illinois hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
405 W Jackson St Carbondale, IL 62901 Collected Sep 27, 2026 Source price file (618) 549-0721
Acute care hospital Emergency department CMS star rating 1 of 5 CCN 140164 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Memorial Hospital of Carbondale in Carbondale, IL:
- Feb 23, 2026 Warning notice
- May 29, 2026 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 HC Ankle Complete 3 or More Views|BILATERAL PROCEDURE | $1,096.00 | $1,370.00 | $0.00–$1,164.50 | — | 20% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC Ankle Complete 3 or More Views | $548.00 | $685.00 | $0.00–$1,164.50 | 66% above | 20% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 HC Ankle Complete 3 or More Views|BILATERAL PROCEDURE | $1,096.00 | $1,370.00 | $0.00–$1,164.50 | — | 20% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Ankle Complete 3 or More Views | $548.00 | $685.00 | $0.00–$1,164.50 | — | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC Non-Invasive Arterial Ext(Abi)|BILATERAL PROCEDURE | $1,267.20 | $1,584.00 | $0.00–$1,346.40 | — | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Non-Invasive Arterial Ext(Abi) | $633.60 | $792.00 | $0.00–$1,346.40 | 58% above | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC Non-Invasive Arterial Ext(Abi)|BILATERAL PROCEDURE | $1,267.20 | $1,584.00 | $0.00–$1,346.40 | — | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Non-Invasive Arterial Ext(Abi) | $633.60 | $792.00 | $0.00–$1,346.40 | — | 20% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagus / Barium Swallow | $1,408.80 | $1,761.00 | $0.00–$1,496.85 | 160% above | 20% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Esophagus / Barium Swallow | $1,408.80 | $1,761.00 | $0.00–$1,496.85 | — | 20% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone &/or Jnt Img Whole Body | $3,432.80 | $4,291.00 | $0.00–$3,647.35 | 124% above | 20% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Bone &/or Jnt Img Whole Body | $3,432.80 | $4,291.00 | $0.00–$3,647.35 | — | 20% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast -Unilateral Complete | $1,196.80 | $1,496.00 | $110.85–$1,271.60 | 172% above | 20% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast -Unilateral Complete | $1,196.80 | $1,496.00 | $110.85–$1,271.60 | — | 20% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 HC US Breast Unilateral Limited|BILATERAL PROCEDURE | $1,350.40 | $1,688.00 | $0.00–$1,434.80 | — | 20% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilateral Limited | $675.20 | $844.00 | $0.00–$1,434.80 | 82% above | 20% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 HC US Breast Unilateral Limited|BILATERAL PROCEDURE | $1,350.40 | $1,688.00 | $0.00–$1,434.80 | — | 20% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilateral Limited | $675.20 | $844.00 | $0.00–$1,434.80 | — | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest W and/or W/O Contrst | $4,560.80 | $5,701.00 | $0.00–$4,845.85 | 96% above | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Cta Chest W and/or W/O Contrst | $4,560.80 | $5,701.00 | $0.00–$4,845.85 | — | 20% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Cta Hrt Cor Arteries/Grafts | $3,557.60 | $4,447.00 | $0.00–$3,779.95 | 109% above | 20% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC Cta Hrt Cor Arteries/Grafts | $3,557.60 | $4,447.00 | $0.00–$3,779.95 | — | 20% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart W/O Cont Eval Cor Ca | $254.40 | $318.00 | $91.79–$1,096.00 | 354% above | 20% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart W/O Cont Eval Cor Ca | $254.40 | $318.00 | $91.79–$1,096.00 | — | 20% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast | $3,932.80 | $4,916.00 | $0.00–$4,178.60 | 30% above | 20% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd & Pelvis W/O Contrast | $3,932.80 | $4,916.00 | $0.00–$4,178.60 | — | 20% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd&Pelvis W/Contrast | $6,127.20 | $7,659.00 | $0.00–$6,510.15 | 79% above | 20% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd&Pelvis W/Contrast | $6,127.20 | $7,659.00 | $0.00–$6,510.15 | — | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abdomen & Pelvis W&W/O Contrast | $6,384.00 | $7,980.00 | $0.00–$6,783.00 | 48% above | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abdomen & Pelvis W&W/O Contrast | $6,384.00 | $7,980.00 | $0.00–$6,783.00 | — | 20% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen + Cont | $3,159.20 | $3,949.00 | $0.00–$3,356.65 | 59% above | 20% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen + Cont | $3,159.20 | $3,949.00 | $0.00–$3,356.65 | — | 20% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O - Cont | $3,029.60 | $3,787.00 | $0.00–$3,218.95 | 86% above | 20% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O - Cont | $3,029.60 | $3,787.00 | $0.00–$3,218.95 | — | 20% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT; Maxillofacial Area; W/O Contrast | $2,644.80 | $3,306.00 | $0.00–$2,810.10 | 84% above | 20% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT; Maxillofacial Area; W/O Contrast | $2,644.80 | $3,306.00 | $0.00–$2,810.10 | — | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head W/O - Contrast | $2,772.00 | $3,465.00 | $0.00–$2,945.25 | 76% above | 20% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head W/O - Contrast | $2,772.00 | $3,465.00 | $0.00–$2,945.25 | — | 20% |
| CT scan of the head with contrast CPT 70460 HC CT Head + Contrast | $3,114.40 | $3,893.00 | $185.57–$3,309.05 | 94% above | 20% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT Head + Contrast | $3,114.40 | $3,893.00 | $185.57–$3,309.05 | — | 20% |
| CT scan of the head without and with contrast CPT 70470 HC CT Head Complete | $3,804.80 | $4,756.00 | $0.00–$4,042.60 | 78% above | 20% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT Head Complete | $3,804.80 | $4,756.00 | $0.00–$4,042.60 | — | 20% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT L Spine W/O - Cont | $3,288.80 | $4,111.00 | $0.00–$3,494.35 | 68% above | 20% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT L Spine W/O - Cont | $3,288.80 | $4,111.00 | $0.00–$3,494.35 | — | 20% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C Spine W/O - Cont | $3,288.80 | $4,111.00 | $0.00–$3,494.35 | 67% above | 20% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT C Spine W/O - Cont | $3,288.80 | $4,111.00 | $0.00–$3,494.35 | — | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis + Contrast | $3,242.40 | $4,053.00 | $0.00–$3,445.05 | 77% above | 20% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis + Contrast | $3,242.40 | $4,053.00 | $0.00–$3,445.05 | — | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC US Duplex Carotid Comp Bilat | $1,407.20 | $1,759.00 | $0.00–$1,495.15 | — | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC US Duplex Carotid Comp Bilat | $1,407.20 | $1,759.00 | $0.00–$1,495.15 | — | 20% |
| Chest X-ray, 2 views CPT 71046 HC Chest 2 | $584.80 | $731.00 | $0.00–$621.35 | 107% above | 20% |
| Chest X-ray, 2 views inpatient CPT 71046 HC Chest 2 | $584.80 | $731.00 | $0.00–$621.35 | — | 20% |
| Chest X-ray, single view CPT 71045 HC Dol Chest (1 View) | $260.00 | $325.00 | $0.00–$311.10 | 11% above | 20% |
| Chest X-ray, single view CPT 71045 HC Chest 1 | $292.80 | $366.00 | $0.00–$311.10 | 25% above | 20% |
| Chest X-ray, single view inpatient CPT 71045 HC Dol Chest (1 View) | $260.00 | $325.00 | $0.00–$311.10 | — | 20% |
| Chest X-ray, single view inpatient CPT 71045 HC Chest 1 | $292.80 | $366.00 | $0.00–$311.10 | — | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitoneum Complete | $1,313.60 | $1,642.00 | $0.00–$1,395.70 | 67% above | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperitoneum Complete | $1,313.60 | $1,642.00 | $0.00–$1,395.70 | — | 20% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Bone Densitometry | $704.00 | $880.00 | $110.85–$748.00 | 67% above | 20% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Bone Densitometry | $704.00 | $880.00 | $110.85–$748.00 | — | 20% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Bone Densito Wrist/Radius/Heel | $412.80 | $516.00 | $91.79–$438.60 | 80% above | 20% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Bone Densito Wrist/Radius/Heel | $412.80 | $516.00 | $91.79–$438.60 | — | 20% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US OB Detl Fetal Ex Sngl Gest | $1,191.20 | $1,489.00 | $377.96–$1,265.65 | 27% above | 20% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US OB Detl Fetal Ex Sngl Gest | $1,191.20 | $1,489.00 | $377.96–$1,265.65 | — | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Chest W/O - Contrast | $2,772.00 | $3,465.00 | $0.00–$2,945.25 | 122% above | 20% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Chest W/O - Contrast | $2,772.00 | $3,465.00 | $0.00–$2,945.25 | — | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Chest + Contrast | $3,418.40 | $4,273.00 | $0.00–$3,632.05 | 70% above | 20% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Chest + Contrast | $3,418.40 | $4,273.00 | $0.00–$3,632.05 | — | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo W/Cad Bilateral | $568.00 | $710.00 | $0.00–$1,207.00 | — | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo W/Cad Bilateral|BILATERAL PROCEDURE | $1,136.00 | $1,420.00 | $0.00–$1,207.00 | — | 20% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Dx Mammo W/Cad Bilateral | $568.00 | $710.00 | $0.00–$1,207.00 | — | 20% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Dx Mammo W/Cad Bilateral|BILATERAL PROCEDURE | $1,136.00 | $1,420.00 | $0.00–$1,207.00 | — | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo W/Cad Unilateral | $544.80 | $681.00 | $0.00–$578.85 | 93% above | 20% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Dx Mammo W/Cad Unilateral | $544.80 | $681.00 | $0.00–$578.85 | — | 20% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Duplx Scn Lwr Ext Arteries Bil | $1,599.20 | $1,999.00 | $0.00–$1,699.15 | 71% above | 20% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC Duplx Scn Lwr Ext Arteries Bil | $1,599.20 | $1,999.00 | $0.00–$1,699.15 | — | 20% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplx Scn Extremity Veins Bil|BILATERAL PROCEDURE | $3,552.00 | $4,440.00 | $0.00–$3,774.00 | — | 20% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC Duplx Scn Extremity Veins Bil | $1,776.00 | $2,220.00 | $0.00–$3,774.00 | 16% above | 20% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplx Scn Extremity Veins Bil|BILATERAL PROCEDURE | $3,552.00 | $4,440.00 | $0.00–$3,774.00 | — | 20% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC Duplx Scn Extremity Veins Bil | $1,776.00 | $2,220.00 | $0.00–$3,774.00 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte 2d M-Mode W/Spect;Color Fl | $3,801.60 | $4,752.00 | $0.00–$4,039.20 | 111% above | 20% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Tte 2d M-Mode W/Spect;Color Fl | $3,801.60 | $4,752.00 | $0.00–$4,039.20 | — | 20% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary Sys Img/Gallbldr | $3,376.80 | $4,221.00 | $418.88–$3,587.85 | 164% above | 20% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Hepatobiliary Sys Img/Gallbldr | $3,376.80 | $4,221.00 | $418.88–$3,587.85 | — | 20% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysom >6 Yrs Cpap/Blvl | $7,173.60 | $8,967.00 | $1,060.55–$7,621.95 | 119% above | 20% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysom >6 Yrs Cpap/Blvl | $7,173.60 | $8,967.00 | $1,060.55–$7,621.95 | — | 20% |
| Knee X-ray, 3 views both sides CPT 73562 HC Knee 3 Views|BILATERAL PROCEDURE | $1,126.40 | $1,408.00 | $0.00–$1,196.80 | — | 20% |
| Knee X-ray, 3 views CPT 73562 HC Knee 3 Views | $563.20 | $704.00 | $0.00–$1,196.80 | 71% above | 20% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 HC Knee 3 Views|BILATERAL PROCEDURE | $1,126.40 | $1,408.00 | $0.00–$1,196.80 | — | 20% |
| Knee X-ray, 3 views inpatient CPT 73562 HC Knee 3 Views | $563.20 | $704.00 | $0.00–$1,196.80 | — | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Limited | $1,366.40 | $1,708.00 | $0.00–$1,451.80 | 137% above | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdomen Limited | $1,366.40 | $1,708.00 | $0.00–$1,451.80 | — | 20% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thorax Lung Cancer W/O Contrast | $832.80 | $1,041.00 | $0.00–$1,096.00 | 53% above | 20% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Thorax Lung Cancer W/O Contrast | $832.80 | $1,041.00 | $0.00–$1,096.00 | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 HC MRI Lower Ext Jnt W/O Contrast|BILATERAL PROCEDURE | $7,465.60 | $9,332.00 | $0.00–$7,932.20 | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Ext Jnt W/O Contrast | $3,732.80 | $4,666.00 | $0.00–$7,932.20 | 55% above | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 HC MRI Lower Ext Jnt W/O Contrast|BILATERAL PROCEDURE | $7,465.60 | $9,332.00 | $0.00–$7,932.20 | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Ext Jnt W/O Contrast | $3,732.80 | $4,666.00 | $0.00–$7,932.20 | — | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Ext Jnt W&W/O Contra | $4,988.80 | $6,236.00 | $372.28–$5,300.60 | 54% above | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Ext Jnt W&W/O Contra | $4,988.80 | $6,236.00 | $372.28–$5,300.60 | — | 20% |
| MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen Without Contrast | $3,547.20 | $4,434.00 | $0.00–$3,768.90 | 71% above | 20% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen Without Contrast | $3,547.20 | $4,434.00 | $0.00–$3,768.90 | — | 20% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W/&W/O Contrast | $5,584.80 | $6,981.00 | $0.00–$5,933.85 | 82% above | 20% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen W/&W/O Contrast | $5,584.80 | $6,981.00 | $0.00–$5,933.85 | — | 20% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast | $3,896.80 | $4,871.00 | $0.00–$4,140.35 | 78% above | 20% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain W/O Contrast | $3,896.80 | $4,871.00 | $0.00–$4,140.35 | — | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Complete | $5,269.60 | $6,587.00 | $0.00–$5,598.95 | 62% above | 20% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain Complete | $5,269.60 | $6,587.00 | $0.00–$5,598.95 | — | 20% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI L Spine - W/O Contrast | $3,701.60 | $4,627.00 | $0.00–$3,932.95 | 46% above | 20% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI L Spine - W/O Contrast | $3,701.60 | $4,627.00 | $0.00–$3,932.95 | — | 20% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI L Spine W&W/O Contrast | $5,852.80 | $7,316.00 | $0.00–$6,218.60 | 80% above | 20% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI L Spine W&W/O Contrast | $5,852.80 | $7,316.00 | $0.00–$6,218.60 | — | 20% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI T Spine - W/O Contrast | $3,671.20 | $4,589.00 | $0.00–$3,900.65 | 45% above | 20% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI T Spine - W/O Contrast | $3,671.20 | $4,589.00 | $0.00–$3,900.65 | — | 20% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI C Spine W&W/O Contrast | $5,268.80 | $6,586.00 | $0.00–$5,598.10 | 64% above | 20% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI C Spine W&W/O Contrast | $5,268.80 | $6,586.00 | $0.00–$5,598.10 | — | 20% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI C Spine - W/O Contrast | $3,773.60 | $4,717.00 | $0.00–$4,009.45 | 64% above | 20% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI C Spine - W/O Contrast | $3,773.60 | $4,717.00 | $0.00–$4,009.45 | — | 20% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W&/Without Contrast | $5,315.20 | $6,644.00 | $0.00–$5,647.40 | 89% above | 20% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Pelvis W&/Without Contrast | $5,315.20 | $6,644.00 | $0.00–$5,647.40 | — | 20% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis Without Contrast | $3,616.00 | $4,520.00 | $0.00–$3,842.00 | 68% above | 20% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Pelvis Without Contrast | $3,616.00 | $4,520.00 | $0.00–$3,842.00 | — | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Upper Ext Jnt W/O Contras | $3,799.20 | $4,749.00 | $251.97–$4,036.65 | 47% above | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI Upper Ext Jnt W/O Contras | $3,799.20 | $4,749.00 | $251.97–$4,036.65 | — | 20% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Myocardial Img Multi Spect | $8,035.20 | $10,044.00 | $0.00–$8,537.40 | 148% above | 20% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Myocardial Img Multi Spect | $8,035.20 | $10,044.00 | $0.00–$8,537.40 | — | 20% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet/CT Skullbase-Midthigh Tmr | $8,039.20 | $10,049.00 | $0.00–$8,541.65 | 45% above | 20% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet/CT Skullbase-Midthigh Tmr | $8,039.20 | $10,049.00 | $0.00–$8,541.65 | — | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvis Ltd Non OB | $1,164.00 | $1,455.00 | $0.00–$1,236.75 | 172% above | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US Pelvis Ltd Non OB | $1,164.00 | $1,455.00 | $0.00–$1,236.75 | — | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis Complete Non OB | $1,243.20 | $1,554.00 | $0.00–$1,320.90 | 97% above | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvis Complete Non OB | $1,243.20 | $1,554.00 | $0.00–$1,320.90 | — | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB 2nd/3rd Tri Sngl Gest | $987.20 | $1,234.00 | $0.00–$1,048.90 | 63% above | 20% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB 2nd/3rd Tri Sngl Gest | $987.20 | $1,234.00 | $0.00–$1,048.90 | — | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB 1st Trimstr Sngl Ges | $1,213.60 | $1,517.00 | $0.00–$1,289.45 | 119% above | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB 1st Trimstr Sngl Ges | $1,213.60 | $1,517.00 | $0.00–$1,289.45 | — | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Echography Preg Uterus Ltd | $888.80 | $1,111.00 | $0.00–$944.35 | 118% above | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US Echography Preg Uterus Ltd | $888.80 | $1,111.00 | $0.00–$944.35 | — | 20% |
| Screening mammogram, both breasts both sides CPT 77067 HC Screening Mammo W/Cad Bilateral | $436.00 | $545.00 | $0.00–$926.50 | — | 20% |
| Screening mammogram, both breasts both sides CPT 77067 HC Screening Mammo W/Cad Bilateral|BILATERAL PROCEDURE | $872.00 | $1,090.00 | $0.00–$926.50 | — | 20% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Screening Mammo W/Cad Bilateral | $436.00 | $545.00 | $0.00–$926.50 | — | 20% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Screening Mammo W/Cad Bilateral|BILATERAL PROCEDURE | $872.00 | $1,090.00 | $0.00–$926.50 | — | 20% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 HC Shoulder Comp 2 or More Views|BILATERAL PROCEDURE | $1,283.20 | $1,604.00 | $0.00–$1,363.40 | — | 20% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Comp 2 or More Views | $641.60 | $802.00 | $0.00–$1,363.40 | 99% above | 20% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 HC Shoulder Comp 2 or More Views|BILATERAL PROCEDURE | $1,283.20 | $1,604.00 | $0.00–$1,363.40 | — | 20% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Shoulder Comp 2 or More Views | $641.60 | $802.00 | $0.00–$1,363.40 | — | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysom >6 Yrs 4/> Paramtrs | $6,217.60 | $7,772.00 | $1,060.55–$6,606.20 | 111% above | 20% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysom >6 Yrs 4/> Paramtrs | $6,217.60 | $7,772.00 | $1,060.55–$6,606.20 | — | 20% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Video Swallow (Speech Eval) | $812.00 | $1,015.00 | $0.00–$862.75 | 51% above | 20% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Video Swallow (Speech Eval) | $812.00 | $1,015.00 | $0.00–$862.75 | — | 20% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal Non-OB Exam | $1,211.20 | $1,514.00 | $0.00–$1,286.90 | 120% above | 20% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal Non-OB Exam | $1,211.20 | $1,514.00 | $0.00–$1,286.90 | — | 20% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US OB Uterus Transvaginal Exam | $589.60 | $737.00 | $0.00–$626.45 | 25% above | 20% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB Uterus Transvaginal Exam | $589.60 | $737.00 | $0.00–$626.45 | — | 20% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete | $1,666.40 | $2,083.00 | $0.00–$1,770.55 | 73% above | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete | $1,666.40 | $2,083.00 | $0.00–$1,770.55 | — | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotum | $1,243.20 | $1,554.00 | $0.00–$1,320.90 | 89% above | 20% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US Scrotum | $1,243.20 | $1,554.00 | $0.00–$1,320.90 | — | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Echo Soft Tissue Head/Neck | $1,784.80 | $2,231.00 | $0.00–$1,896.35 | 190% above | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Echo Soft Tissue Head/Neck | $1,784.80 | $2,231.00 | $0.00–$1,896.35 | — | 20% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Ugi Single Contrast W/O Kub | $1,451.20 | $1,814.00 | $0.00–$1,541.90 | 168% above | 20% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Ugi Single Contrast W/O Kub | $1,451.20 | $1,814.00 | $0.00–$1,541.90 | — | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study both sides CPT 93971 HC Duplx Scn Extremity Veins Unil|BILATERAL PROCEDURE | $2,512.00 | $3,140.00 | $110.85–$2,669.00 | — | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplx Scn Extremity Veins Unil | $1,256.00 | $1,570.00 | $110.85–$2,669.00 | 97% above | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient both sides CPT 93971 HC Duplx Scn Extremity Veins Unil|BILATERAL PROCEDURE | $2,512.00 | $3,140.00 | $110.85–$2,669.00 | — | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Duplx Scn Extremity Veins Unil | $1,256.00 | $1,570.00 | $110.85–$2,669.00 | — | 20% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 HC Wrist Comp 3 or More Views|BILATERAL PROCEDURE | $1,099.20 | $1,374.00 | $0.00–$1,167.90 | — | 20% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC Wrist Comp 3 or More Views | $549.60 | $687.00 | $0.00–$1,167.90 | 77% above | 20% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 HC Wrist Comp 3 or More Views|BILATERAL PROCEDURE | $1,099.20 | $1,374.00 | $0.00–$1,167.90 | — | 20% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Wrist Comp 3 or More Views | $549.60 | $687.00 | $0.00–$1,167.90 | — | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included both sides CPT 73502 HC Rad Exam Hip Uni 2-3 View|BILATERAL PROCEDURE | $998.40 | $1,248.00 | $91.79–$1,060.80 | — | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC Rad Exam Hip Uni 2-3 View | $499.20 | $624.00 | $91.79–$1,060.80 | 83% above | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient both sides CPT 73502 HC Rad Exam Hip Uni 2-3 View|BILATERAL PROCEDURE | $998.40 | $1,248.00 | $91.79–$1,060.80 | — | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC Rad Exam Hip Uni 2-3 View | $499.20 | $624.00 | $91.79–$1,060.80 | — | 20% |
| X-ray of the abdomen, 1 view CPT 74018 HC Abdomen Ap View (Kub) | $478.40 | $598.00 | $0.00–$508.30 | 83% above | 20% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC Abdomen Ap View (Kub) | $478.40 | $598.00 | $0.00–$508.30 | — | 20% |
| X-ray of the ankle, 2 views both sides CPT 73600 HC Ankle Ap/Lateral 2 Views|BILATERAL PROCEDURE | $968.00 | $1,210.00 | $91.79–$1,028.50 | — | 20% |
| X-ray of the ankle, 2 views CPT 73600 HC Ankle Ap/Lateral 2 Views | $484.00 | $605.00 | $91.79–$1,028.50 | 72% above | 20% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 HC Ankle Ap/Lateral 2 Views|BILATERAL PROCEDURE | $968.00 | $1,210.00 | $91.79–$1,028.50 | — | 20% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC Ankle Ap/Lateral 2 Views | $484.00 | $605.00 | $91.79–$1,028.50 | — | 20% |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 HC Finger(S) 2 Views|BILATERAL PROCEDURE | $1,345.60 | $1,682.00 | $91.79–$1,429.70 | — | 20% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Finger(S) 2 Views | $672.80 | $841.00 | $91.79–$1,429.70 | 181% above | 20% |
| X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 HC Finger(S) 2 Views|BILATERAL PROCEDURE | $1,345.60 | $1,682.00 | $91.79–$1,429.70 | — | 20% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Finger(S) 2 Views | $672.80 | $841.00 | $91.79–$1,429.70 | — | 20% |
| X-ray of the foot, 2 views both sides CPT 73620 HC Foot Ap/Lateral 2 Views|BILATERAL PROCEDURE | $942.40 | $1,178.00 | $91.79–$1,001.30 | — | 20% |
| X-ray of the foot, 2 views CPT 73620 HC Foot Ap/Lateral 2 Views | $471.20 | $589.00 | $91.79–$1,001.30 | 78% above | 20% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 HC Foot Ap/Lateral 2 Views|BILATERAL PROCEDURE | $942.40 | $1,178.00 | $91.79–$1,001.30 | — | 20% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC Foot Ap/Lateral 2 Views | $471.20 | $589.00 | $91.79–$1,001.30 | — | 20% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 HC Foot Complete 3 or More Views|BILATERAL PROCEDURE | $1,139.20 | $1,424.00 | $0.00–$1,210.40 | — | 20% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC Foot Complete 3 or More Views | $569.60 | $712.00 | $0.00–$1,210.40 | 78% above | 20% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 HC Foot Complete 3 or More Views|BILATERAL PROCEDURE | $1,139.20 | $1,424.00 | $0.00–$1,210.40 | — | 20% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Foot Complete 3 or More Views | $569.60 | $712.00 | $0.00–$1,210.40 | — | 20% |
| X-ray of the hand, 3 or more views both sides CPT 73130 HC Hand Complete 3 or More Views|BILATERAL PROCEDURE | $1,230.40 | $1,538.00 | $0.00–$1,307.30 | — | 20% |
| X-ray of the hand, 3 or more views CPT 73130 HC Hand Complete 3 or More Views | $615.20 | $769.00 | $0.00–$1,307.30 | 89% above | 20% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HC Hand Complete 3 or More Views|BILATERAL PROCEDURE | $1,230.40 | $1,538.00 | $0.00–$1,307.30 | — | 20% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC Hand Complete 3 or More Views | $615.20 | $769.00 | $0.00–$1,307.30 | — | 20% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 HC Knee 1 or 2 Views|BILATERAL PROCEDURE | $1,006.40 | $1,258.00 | $0.00–$1,069.30 | — | 20% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Knee 1 or 2 Views | $503.20 | $629.00 | $0.00–$1,069.30 | 85% above | 20% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 HC Knee 1 or 2 Views|BILATERAL PROCEDURE | $1,006.40 | $1,258.00 | $0.00–$1,069.30 | — | 20% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Knee 1 or 2 Views | $503.20 | $629.00 | $0.00–$1,069.30 | — | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC L Spine Ap/Lat | $820.00 | $1,025.00 | $0.00–$871.25 | 105% above | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC L Spine Ap/Lat | $820.00 | $1,025.00 | $0.00–$871.25 | — | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 HC L Spine & Obl 4+ Views | $1,079.20 | $1,349.00 | $0.00–$1,146.65 | 103% above | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC L Spine & Obl 4+ Views | $1,079.20 | $1,349.00 | $0.00–$1,146.65 | — | 20% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC T Spine 2 | $664.80 | $831.00 | $0.00–$706.35 | 88% above | 20% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC T Spine 2 | $664.80 | $831.00 | $0.00–$706.35 | — | 20% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC Nasal Bones Comp 3+ Views | $548.00 | $685.00 | $91.79–$582.25 | 89% above | 20% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Nasal Bones Comp 3+ Views | $548.00 | $685.00 | $91.79–$582.25 | — | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC C Spine 2-3 Views | $894.40 | $1,118.00 | $0.00–$950.30 | 173% above | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC C Spine 2-3 Views | $894.40 | $1,118.00 | $0.00–$950.30 | — | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis 1 or 2 View | $460.00 | $575.00 | $0.00–$488.75 | 44% above | 20% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Pelvis 1 or 2 View | $460.00 | $575.00 | $0.00–$488.75 | — | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacrum/Coccyx | $587.20 | $734.00 | $0.00–$623.90 | 107% above | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Sacrum/Coccyx | $587.20 | $734.00 | $0.00–$623.90 | — | 20% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino | $157.60 | $197.00 | $0.00–$167.45 | 200% above | 20% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Transferase Alanine Amino | $157.60 | $197.00 | $0.00–$167.45 | — | 20% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Tranferase Aspar Amin Ast/Sgot | $157.60 | $197.00 | $0.00–$167.45 | 200% above | 20% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Tranferase Aspar Amin Ast/Sgot | $157.60 | $197.00 | $0.00–$167.45 | — | 20% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel | $812.00 | $1,015.00 | $0.00–$862.75 | 235% above | 20% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Acute Hepatitis Panel | $812.00 | $1,015.00 | $0.00–$862.75 | — | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Ige Quant/Semiqnt Ea | $60.80 | $76.00 | $0.00–$64.60 | 121% above | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Ige Quant/Semiqnt Ea | $60.80 | $76.00 | $0.00–$64.60 | — | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Antibdy;Cyclic Citrul Peptide | $577.60 | $722.00 | $0.00–$613.70 | 588% above | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Antibdy;Cyclic Citrul Peptide | $577.60 | $722.00 | $0.00–$613.70 | — | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies (Ana) | $238.40 | $298.00 | $0.00–$253.30 | 165% above | 20% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies (Ana) | $238.40 | $298.00 | $0.00–$253.30 | — | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide | $188.80 | $236.00 | $0.00–$200.60 | 10% above | 20% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide | $188.80 | $236.00 | $0.00–$200.60 | — | 20% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel; Total | $140.80 | $176.00 | $0.00–$149.60 | 10% above | 20% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel; Total | $140.80 | $176.00 | $0.00–$149.60 | — | 20% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC G&M; Level IV | $533.60 | $667.00 | $0.00–$566.95 | 123% above | 20% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC G&M; Level IV | $533.60 | $667.00 | $0.00–$566.95 | — | 20% |
| Blood culture for bacteria CPT 87040 HC Cult Blood | $125.60 | $157.00 | $0.00–$133.45 | 16% below | 20% |
| Blood culture for bacteria inpatient CPT 87040 HC Cult Blood | $125.60 | $157.00 | $0.00–$133.45 | — | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Venipuncture | $40.00 | $50.00 | $3.00–$42.50 | 78% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Venipuncture | $40.00 | $50.00 | $3.00–$42.50 | — | 20% |
| Blood glucose (sugar) test CPT 82947 HC Glucose;Blood Quant | $104.80 | $131.00 | $0.00–$18,521.43 | 219% above | 20% |
| Blood glucose (sugar) test CPT 82947 HC Glucose;Blood Quant | $17,208.74 | $21,510.92 | $0.00–$18,521.43 | 52254% above | 20% |
| Blood glucose (sugar) test CPT 82947 HC Glucose;Blood Quant|DISTINCT PROCEDURAL SERVICE | $17,431.94 | $21,789.92 | $0.00–$18,521.43 | 52933% above | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Glucose;Blood Quant | $104.80 | $131.00 | $0.00–$18,521.43 | — | 20% |
| Blood lead test CPT 83655 HC Lead | $207.20 | $259.00 | $0.00–$220.15 | 260% above | 20% |
| Blood lead test inpatient CPT 83655 HC Lead | $207.20 | $259.00 | $0.00–$220.15 | — | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Gonadotropin Chorionic Qual | $313.60 | $392.00 | $7.52–$333.20 | 336% above | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Gonadotropin Chorionic Qual | $313.60 | $392.00 | $7.52–$333.20 | — | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing; Serologic; Abo | $108.00 | $135.00 | $0.00–$201.55 | 31% above | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing; Serologic; Abo | $108.00 | $135.00 | $0.00–$201.55 | — | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein | $223.20 | $279.00 | $0.00–$237.15 | 231% above | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein | $223.20 | $279.00 | $0.00–$237.15 | — | 20% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Toxin Gene(S) Amp Probe | $208.80 | $261.00 | $0.00–$221.85 | 13% above | 20% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C Diff Toxin Gene(S) Amp Probe | $208.80 | $261.00 | $0.00–$221.85 | — | 20% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay Tumor Ag Qty 19-9 | $380.80 | $476.00 | $0.00–$404.60 | 263% above | 20% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Immunoassay Tumor Ag Qty 19-9 | $380.80 | $476.00 | $0.00–$404.60 | — | 20% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay Tumor Ag Quant 125 | $634.40 | $793.00 | $0.00–$674.05 | 307% above | 20% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassay Tumor Ag Quant 125 | $634.40 | $793.00 | $0.00–$674.05 | — | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid-19 | $180.00 | $225.00 | $51.31–$191.25 | 80% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid-19 | $180.00 | $225.00 | $51.31–$191.25 | 80% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Covid-19 | $180.00 | $225.00 | $51.31–$191.25 | — | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Trachomatis;Amp Probe Tech | $153.60 | $192.00 | $0.00–$6,345.25 | 16% above | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Trachomatis;Amp Probe Tech | $2,851.34 | $3,564.17 | $0.00–$6,345.25 | 2054% above | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Trachomatis;Amp Probe Tech|DISTINCT PROCEDURAL SERVICE | $5,972.00 | $7,465.00 | $0.00–$6,345.25 | 4411% above | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chlamydia Trachomatis;Amp Probe Tech | $153.60 | $192.00 | $0.00–$6,345.25 | — | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $222.40 | $278.00 | $0.00–$1,345.55 | 101% above | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel|DISTINCT PROCEDURAL SERVICE | $823.20 | $1,029.00 | $0.00–$1,345.55 | 642% above | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $1,266.40 | $1,583.00 | $0.00–$1,345.55 | 1042% above | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $222.40 | $278.00 | $0.00–$1,345.55 | — | 20% |
| Complete blood count (CBC) with differential CPT 85025 HC Bld Cnt Complt Auto & Auto Dif | $153.60 | $192.00 | $0.00–$163.20 | 96% above | 20% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Bld Cnt Complt Auto & Auto Dif | $153.60 | $192.00 | $0.00–$163.20 | — | 20% |
| Complete blood count (CBC), no differential CPT 85027 HC Blood Count Complete Automated | $99.20 | $124.00 | $0.00–$105.40 | 55% above | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Blood Count Complete Automated | $99.20 | $124.00 | $0.00–$105.40 | — | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $285.60 | $357.00 | $0.00–$303.45 | 89% above | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel | $285.60 | $357.00 | $0.00–$303.45 | — | 20% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D Dimer Quantitative | $475.20 | $594.00 | $0.00–$504.90 | 352% above | 20% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D Dimer Quantitative | $475.20 | $594.00 | $0.00–$504.90 | — | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea-Sulfate | $687.20 | $859.00 | $0.00–$730.15 | 539% above | 20% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dhea-Sulfate | $687.20 | $859.00 | $0.00–$730.15 | — | 20% |
| Estradiol blood test CPT 82670 HC Estradiol-6 | $460.00 | $575.00 | $0.00–$488.75 | 333% above | 20% |
| Estradiol blood test inpatient CPT 82670 HC Estradiol-6 | $460.00 | $575.00 | $0.00–$488.75 | — | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin Fsh | $225.60 | $282.00 | $0.00–$239.70 | 96% above | 20% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Gonadotropin Fsh | $225.60 | $282.00 | $0.00–$239.70 | — | 20% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin; Fecal | $701.60 | $877.00 | $0.00–$745.45 | 313% above | 20% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin; Fecal | $701.60 | $877.00 | $0.00–$745.45 | — | 20% |
| Ferritin blood test (iron stores) CPT 82728 HC Ferritin | $249.60 | $312.00 | $0.00–$265.20 | 94% above | 20% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC Ferritin | $249.60 | $312.00 | $0.00–$265.20 | — | 20% |
| Folate (folic acid) blood test CPT 82746 HC Folic Acid | $200.80 | $251.00 | $0.00–$213.35 | 93% above | 20% |
| Folate (folic acid) blood test inpatient CPT 82746 HC Folic Acid | $200.80 | $251.00 | $0.00–$213.35 | — | 20% |
| Free T3 thyroid hormone test CPT 84481 HC Triiodothyronine T3 Free | $229.60 | $287.00 | $0.00–$243.95 | 145% above | 20% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC Triiodothyronine T3 Free | $229.60 | $287.00 | $0.00–$243.95 | — | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Thyroxine; Free | $186.40 | $233.00 | $0.00–$198.05 | 62% above | 20% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Thyroxine; Free | $186.40 | $233.00 | $0.00–$198.05 | — | 20% |
| Free testosterone test CPT 84402 HC Testosterone; Free | $406.40 | $508.00 | $0.00–$431.80 | 232% above | 20% |
| Free testosterone test inpatient CPT 84402 HC Testosterone; Free | $406.40 | $508.00 | $0.00–$431.80 | — | 20% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel | $648.00 | $810.00 | $45.36–$688.50 | 131% above | 20% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel | $648.00 | $810.00 | $45.36–$688.50 | — | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Blood Postglucose Dose | $236.80 | $296.00 | $0.00–$1,207.85 | 492% above | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Blood Postglucose Dose | $1,136.80 | $1,421.00 | $0.00–$1,207.85 | 2742% above | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose Blood Postglucose Dose | $236.80 | $296.00 | $0.00–$1,207.85 | — | 20% |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test Gtt 3 Specimens | $436.80 | $546.00 | $12.87–$1,015.75 | 249% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test Gtt 3 Specimens | $614.40 | $768.00 | $12.87–$1,015.75 | 392% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test Gtt 3 Specimens|DISTINCT PROCEDURAL SERVICE | $956.00 | $1,195.00 | $12.87–$1,015.75 | 665% above | 20% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test Gtt 3 Specimens | $436.80 | $546.00 | $12.87–$1,015.75 | — | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Neisseria Gonorrhea Amp Probe Tech | $156.00 | $195.00 | $0.00–$6,345.25 | 10% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Neisseria Gonorrhea Amp Probe Tech | $2,851.34 | $3,564.17 | $0.00–$6,345.25 | 1909% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Neisseria Gonorrhea Amp Probe Tech|DISTINCT PROCEDURAL SERVICE | $5,972.00 | $7,465.00 | $0.00–$6,345.25 | 4107% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Neisseria Gonorrhea Amp Probe Tech | $156.00 | $195.00 | $0.00–$6,345.25 | — | 20% |
| H. pylori antibody blood test CPT 86677 HC Antibody Helicobacter Pylori | $552.80 | $691.00 | $16.85–$587.35 | 383% above | 20% |
| H. pylori antibody blood test inpatient CPT 86677 HC Antibody Helicobacter Pylori | $552.80 | $691.00 | $16.85–$587.35 | — | 20% |
| H. pylori stool antigen test CPT 87338 HC Helicobacter Pylori Ag; Stool | $363.20 | $454.00 | $0.00–$385.90 | 274% above | 20% |
| H. pylori stool antigen test inpatient CPT 87338 HC Helicobacter Pylori Ag; Stool | $363.20 | $454.00 | $0.00–$385.90 | — | 20% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv 1 Rna by Bdna | $808.80 | $1,011.00 | $0.00–$859.35 | 170% above | 20% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Hiv 1 Rna by Bdna | $808.80 | $1,011.00 | $0.00–$859.35 | — | 20% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv 1 & 2 Ab Single Result | $208.00 | $260.00 | $13.71–$221.00 | 74% above | 20% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Hiv 1 & 2 Ab Single Result | $208.00 | $260.00 | $13.71–$221.00 | — | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Ag(S) W/Hiv-1&Hiv-2 Ab | $236.80 | $296.00 | $0.00–$251.60 | 110% above | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hiv-1 Ag(S) W/Hiv-1&Hiv-2 Ab | $236.80 | $296.00 | $0.00–$251.60 | — | 20% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Hpv Hi-Rsk Typ Poold Rslt | $240.00 | $300.00 | $0.00–$255.00 | 64% above | 20% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Iadna Hpv Hi-Rsk Typ Poold Rslt | $240.00 | $300.00 | $0.00–$255.00 | — | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycated | $119.20 | $149.00 | $0.00–$126.65 | 46% above | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin Glycated | $119.20 | $149.00 | $0.00–$126.65 | — | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Antibody | $197.60 | $247.00 | $0.00–$209.95 | 131% above | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Antibody | $197.60 | $247.00 | $0.00–$209.95 | — | 20% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Antigen | $234.40 | $293.00 | $0.00–$249.05 | 192% above | 20% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Hepatitis B Surface Antigen | $234.40 | $293.00 | $0.00–$249.05 | — | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody | $274.40 | $343.00 | $0.00–$291.55 | 154% above | 20% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Antibody | $274.40 | $343.00 | $0.00–$291.55 | — | 20% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hep C Rna Pcr | $707.20 | $884.00 | $0.00–$751.40 | 183% above | 20% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Hep C Rna Pcr | $707.20 | $884.00 | $0.00–$751.40 | — | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Antibody;Herpes Simplex Type 1 | $207.20 | $259.00 | $0.00–$220.15 | 219% above | 20% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Antibody;Herpes Simplex Type 1 | $207.20 | $259.00 | $0.00–$220.15 | — | 20% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Antibody;Herpes Simplex Type 2 | $239.20 | $299.00 | $0.00–$254.15 | 166% above | 20% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Antibody;Herpes Simplex Type 2 | $239.20 | $299.00 | $0.00–$254.15 | — | 20% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein Hi Sensitiv | $644.80 | $806.00 | $0.00–$685.10 | 621% above | 20% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein Hi Sensitiv | $644.80 | $806.00 | $0.00–$685.10 | — | 20% |
| Homocysteine blood test CPT 83090 HC Homocystine | $564.00 | $705.00 | $0.00–$599.25 | 435% above | 20% |
| Homocysteine blood test inpatient CPT 83090 HC Homocystine | $564.00 | $705.00 | $0.00–$599.25 | — | 20% |
| Insulin blood test CPT 83525 HC Insulin; Total | $341.60 | $427.00 | $0.00–$362.95 | 369% above | 20% |
| Insulin blood test inpatient CPT 83525 HC Insulin; Total | $341.60 | $427.00 | $0.00–$362.95 | — | 20% |
| Iron blood test (serum iron) CPT 83540 HC Iron | $96.00 | $120.00 | $0.00–$102.00 | 31% above | 20% |
| Iron blood test (serum iron) inpatient CPT 83540 HC Iron | $96.00 | $120.00 | $0.00–$102.00 | — | 20% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Bind Cap | $169.60 | $212.00 | $0.00–$180.20 | 147% above | 20% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Bind Cap | $169.60 | $212.00 | $0.00–$180.20 | — | 20% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $241.60 | $302.00 | $0.00–$256.70 | 68% above | 20% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $241.60 | $302.00 | $0.00–$256.70 | — | 20% |
| LH (luteinizing hormone) test CPT 83002 HC Gonadotropin Lh | $225.60 | $282.00 | $0.00–$239.70 | 137% above | 20% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC Gonadotropin Lh | $225.60 | $282.00 | $0.00–$239.70 | — | 20% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase | $178.40 | $223.00 | $0.00–$189.55 | 123% above | 20% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lipase | $178.40 | $223.00 | $0.00–$189.55 | — | 20% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $276.80 | $346.00 | $0.00–$294.10 | 130% above | 20% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $276.80 | $346.00 | $0.00–$294.10 | — | 20% |
| Lyme disease antibody test CPT 86618 HC Antibody Lyme Disease | $189.60 | $237.00 | $0.00–$201.45 | 168% above | 20% |
| Lyme disease antibody test inpatient CPT 86618 HC Antibody Lyme Disease | $189.60 | $237.00 | $0.00–$201.45 | — | 20% |
| Magnesium blood test CPT 83735 HC Magnesium | $88.00 | $110.00 | $0.00–$93.50 | 23% above | 20% |
| Magnesium blood test inpatient CPT 83735 HC Magnesium | $88.00 | $110.00 | $0.00–$93.50 | — | 20% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola Antibody | $236.00 | $295.00 | $0.00–$250.75 | 226% above | 20% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola Antibody | $236.00 | $295.00 | $0.00–$250.75 | — | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies Screen | $108.80 | $136.00 | $0.00–$115.60 | 51% above | 20% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Heterophile Antibodies Screen | $108.80 | $136.00 | $0.00–$115.60 | — | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa Free | $400.00 | $500.00 | $0.00–$425.00 | 289% above | 20% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Psa Free | $400.00 | $500.00 | $0.00–$425.00 | — | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Spec Antigen(Psa);Tot | $363.20 | $454.00 | $0.00–$385.90 | 238% above | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Spec Antigen(Psa);Tot | $363.20 | $454.00 | $0.00–$385.90 | — | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC Cyto Cervical/Vaginal Auto | $235.20 | $294.00 | $26.61–$249.90 | 75% above | 20% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Cyto Cervical/Vaginal Auto | $235.20 | $294.00 | $26.61–$249.90 | — | 20% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cyto Gyn Thinprep | $165.60 | $207.00 | $20.26–$175.95 | 51% above | 20% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cyto Gyn Thinprep | $165.60 | $207.00 | $20.26–$175.95 | — | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormone | $368.80 | $461.00 | $0.00–$391.85 | 70% above | 20% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Parathormone | $368.80 | $461.00 | $0.00–$391.85 | — | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt Plasma or Whole Blood | $87.20 | $109.00 | $0.00–$92.65 | 58% above | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt Plasma or Whole Blood | $87.20 | $109.00 | $0.00–$92.65 | — | 20% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Nipt for Fetal Aneuploidy | $1,497.60 | $1,872.00 | $759.05–$1,591.20 | 94% above | 20% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC Nipt for Fetal Aneuploidy | $1,497.60 | $1,872.00 | $759.05–$1,591.20 | — | 20% |
| Progesterone blood test CPT 84144 HC Progesterone | $365.60 | $457.00 | $0.00–$388.45 | 176% above | 20% |
| Progesterone blood test inpatient CPT 84144 HC Progesterone | $365.60 | $457.00 | $0.00–$388.45 | — | 20% |
| Prolactin blood test CPT 84146 HC Prolactin | $235.20 | $294.00 | $0.00–$249.90 | 103% above | 20% |
| Prolactin blood test inpatient CPT 84146 HC Prolactin | $235.20 | $294.00 | $0.00–$249.90 | — | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $78.40 | $98.00 | $0.00–$83.30 | 151% above | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $78.40 | $98.00 | $0.00–$83.30 | — | 20% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drg Tst Prsmv Read Direct Optical Obs PR Date | $336.00 | $420.00 | $12.60–$357.00 | 310% above | 20% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC Drg Tst Prsmv Read Direct Optical Obs PR Date | $336.00 | $420.00 | $12.60–$357.00 | — | 20% |
| Rapid flu test (influenza antigen) CPT 87804 HC Influenza Assay W/Optic | $163.20 | $204.00 | $16.55–$173.40 | 187% above | 20% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC Influenza Assay W/Optic | $163.20 | $204.00 | $16.55–$173.40 | — | 20% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor; Quantitativ | $266.40 | $333.00 | $0.00–$283.05 | 399% above | 20% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor; Quantitativ | $266.40 | $333.00 | $0.00–$283.05 | — | 20% |
| Rubella antibody test (immunity check) CPT 86762 HC Antibody Rubella | $141.60 | $177.00 | $0.00–$150.45 | 86% above | 20% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Antibody Rubella | $141.60 | $177.00 | $0.00–$150.45 | — | 20% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis Complete | $235.20 | $294.00 | $0.00–$249.90 | 105% above | 20% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC Semen Analysis Complete | $235.20 | $294.00 | $0.00–$249.90 | — | 20% |
| Stool ova and parasites exam CPT 87177 HC O&P | $412.80 | $516.00 | $0.00–$438.60 | 464% above | 20% |
| Stool ova and parasites exam inpatient CPT 87177 HC O&P | $412.80 | $516.00 | $0.00–$438.60 | — | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Blood Qual 1-3 Simult | $61.60 | $77.00 | $4.38–$65.45 | 138% above | 20% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Occult Blood Qual 1-3 Simult | $61.60 | $77.00 | $4.38–$65.45 | — | 20% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Occult;Blood;Fecal Immunoassay | $85.60 | $107.00 | $0.00–$90.95 | 16% above | 20% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Occult;Blood;Fecal Immunoassay | $85.60 | $107.00 | $0.00–$90.95 | — | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Tst Qual(Vdrl;Rpr;Art | $81.60 | $102.00 | $0.00–$3,312.45 | 60% above | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Tst Qual(Vdrl;Rpr;Art|DISTINCT PROCEDURAL SERVICE | $926.40 | $1,158.00 | $0.00–$3,312.45 | 1713% above | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Tst Qual(Vdrl;Rpr;Art | $3,117.60 | $3,897.00 | $0.00–$3,312.45 | 6001% above | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Tst Qual(Vdrl;Rpr;Art | $81.60 | $102.00 | $0.00–$3,312.45 | — | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Tst Gamma Interfrn Ag Respn | $440.80 | $551.00 | $0.00–$468.35 | 90% above | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB Tst Gamma Interfrn Ag Respn | $440.80 | $551.00 | $0.00–$468.35 | — | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Testost Total | $370.40 | $463.00 | $0.00–$393.55 | 197% above | 20% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testost Total | $370.40 | $463.00 | $0.00–$393.55 | — | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibodies Each | $528.80 | $661.00 | $0.00–$561.85 | 488% above | 20% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibodies Each | $528.80 | $661.00 | $0.00–$561.85 | — | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimul Hormone (Tsh) | $208.80 | $261.00 | $0.00–$221.85 | 59% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimul Hormone (Tsh) | $208.80 | $261.00 | $0.00–$221.85 | — | 20% |
| Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Amplif | $203.20 | $254.00 | $0.00–$215.90 | 63% above | 20% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC Trichomonas Vaginalis Amplif | $203.20 | $254.00 | $0.00–$215.90 | — | 20% |
| Uric acid blood test CPT 84550 HC Uric Acid; Blood | $121.60 | $152.00 | $0.00–$129.20 | 73% above | 20% |
| Uric acid blood test inpatient CPT 84550 HC Uric Acid; Blood | $121.60 | $152.00 | $0.00–$129.20 | — | 20% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis Auto W/Microscopy | $100.00 | $125.00 | $0.00–$106.25 | 67% above | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis Auto W/Microscopy | $100.00 | $125.00 | $0.00–$106.25 | — | 20% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto W/O Micro | $58.40 | $73.00 | $0.00–$62.05 | 226% above | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Auto W/O Micro | $58.40 | $73.00 | $0.00–$62.05 | — | 20% |
| Urinalysis without microscope exam, manual CPT 81002 HC Ua Non-Auto W/O Microscopy | $53.60 | $67.00 | $3.48–$56.95 | 119% above | 20% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Ua Non-Auto W/O Microscopy | $53.60 | $67.00 | $3.48–$56.95 | — | 20% |
| Urine culture for bacteria, with colony count CPT 87086 HC Cult Urine | $128.80 | $161.00 | $0.00–$136.85 | 45% above | 20% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC Cult Urine | $128.80 | $161.00 | $0.00–$136.85 | — | 20% |
| Urine pregnancy test, read by color change CPT 81025 HC Urine Preg Test (Clia Waived) | $151.20 | $189.00 | $0.00–$160.65 | 123% above | 20% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC Urine Preg Test (Clia Waived) | $151.20 | $189.00 | $0.00–$160.65 | — | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B12 | $208.80 | $261.00 | $0.00–$221.85 | 65% above | 20% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Vitamin B12 | $208.80 | $261.00 | $0.00–$221.85 | — | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D; 25 Hydroxy | $180.80 | $226.00 | $0.00–$192.10 | 3% below | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Vitamin D; 25 Hydroxy | $180.80 | $226.00 | $0.00–$192.10 | — | 20% |
| Zinc blood test CPT 84630 HC Zinc | $361.60 | $452.00 | $0.00–$384.20 | 479% above | 20% |
| Zinc blood test inpatient CPT 84630 HC Zinc | $361.60 | $452.00 | $0.00–$384.20 | — | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Gonadotropin Chorionic Quant | $225.60 | $282.00 | $0.00–$239.70 | 115% above | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Gonadotropin Chorionic Quant | $225.60 | $282.00 | $0.00–$239.70 | — | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd Ant Interbody Decompress Cervical Belw C2 | $95,432.66 | $119,290.82 | $13,412.63–$101,397.20 | 910% above | 20% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast 1st Lesion Strtctc | $4,428.00 | $5,535.00 | $1,688.97–$4,704.75 | 53% above | 20% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC Bx Breast 1st Lesion Strtctc|REDUCED SERVICES|LEFT SIDE | $4,428.00 | $5,535.00 | $1,688.97–$4,704.75 | 53% above | 20% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Bx Breast 1st Lesion Strtctc | $4,428.00 | $5,535.00 | $1,688.97–$4,704.75 | — | 20% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC Bx Breast 1st Lesion Strtctc|REDUCED SERVICES|LEFT SIDE | $4,428.00 | $5,535.00 | $1,688.97–$4,704.75 | — | 20% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC L Hrt Artery/Ventricle Angio | $16,942.40 | $21,178.00 | $0.00–$18,001.30 | 69% above | 20% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC L Hrt Artery/Ventricle Angio | $16,942.40 | $21,178.00 | $0.00–$18,001.30 | — | 20% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion | $1,851.20 | $2,314.00 | $0.00–$1,966.90 | 62% above | 20% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion | $1,851.20 | $2,314.00 | $0.00–$1,966.90 | — | 20% |
| Catheter ablation for atrial fibrillation CPT 93656 HC Compre Ep Eval Abltj Atr Fib Pulm Vein Isol | $35,561.60 | $44,452.00 | $0.00–$38,359.44 | 31% above | 20% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Compre Ep Eval Abltj Atr Fib Pulm Vein Isol | $35,561.60 | $44,452.00 | $0.00–$38,359.44 | — | 20% |
| Coronary stent placement, one artery CPT 92928 HC Prq Tcat Plcmt Intrac St 1 Lesion | $14,056.00 | $17,570.00 | $9,066.12–$17,732.46 | at median | 20% |
| Coronary stent placement, one artery inpatient CPT 92928 HC Prq Tcat Plcmt Intrac St 1 Lesion | $14,056.00 | $17,570.00 | $9,066.12–$17,732.46 | — | 20% |
| Earwax removal with instruments, one ear both sides CPT 69210 HC Remvl Impacted Cerumen|BILATERAL PROCEDURE | $552.00 | $690.00 | $92.88–$586.50 | — | 20% |
| Earwax removal with instruments, one ear CPT 69210 HC Remvl Impacted Cerumen | $276.00 | $345.00 | $92.88–$586.50 | 121% above | 20% |
| Earwax removal with instruments, one ear inpatient both sides CPT 69210 HC Remvl Impacted Cerumen|BILATERAL PROCEDURE | $552.00 | $690.00 | $92.88–$586.50 | — | 20% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC Remvl Impacted Cerumen | $276.00 | $345.00 | $92.88–$586.50 | — | 20% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Inj Substance W/Guidance Cervical/Thoracic | $2,318.40 | $2,898.00 | $1,082.85–$2,463.30 | 37% above | 20% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Inj Substance W/Guidance Cervical/Thoracic | $2,318.40 | $2,898.00 | $1,082.85–$2,463.30 | — | 20% |
| Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 HC Inj Dx/Ther Agnt Paravertebral Facet Jnt Lumbar/Sacral Sngl Lvl|BILATERAL PROCEDURE | $3,492.80 | $4,366.00 | $0.00–$3,711.10 | — | 20% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Inj Dx/Ther Agnt Paravertebral Facet Jnt Lumbar/Sacral Sngl Lvl | $1,746.40 | $2,183.00 | $0.00–$3,711.10 | 17% above | 20% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 HC Inj Dx/Ther Agnt Paravertebral Facet Jnt Lumbar/Sacral Sngl Lvl|BILATERAL PROCEDURE | $3,492.80 | $4,366.00 | $0.00–$3,711.10 | — | 20% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Inj Dx/Ther Agnt Paravertebral Facet Jnt Lumbar/Sacral Sngl Lvl | $1,746.40 | $2,183.00 | $0.00–$3,711.10 | — | 20% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Hysterosalpingography | $739.20 | $924.00 | $0.00–$785.40 | 138% above | 20% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Hysterosalpingography | $739.20 | $924.00 | $0.00–$785.40 | — | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC Inc/Drain Abscess Simpl/Sngl | $658.40 | $823.00 | $207.13–$699.55 | 64% above | 20% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Inc/Drain Abscess Simpl/Sngl | $658.40 | $823.00 | $207.13–$699.55 | — | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inj Tendon Sheath-Ligament | $527.20 | $659.00 | $307.71–$560.15 | 38% above | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Inj Tendon Sheath-Ligament | $527.20 | $659.00 | $307.71–$560.15 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Drain-Inject Joint-Bursa W/O Guid Shoulder;Hip;Knee;Subacromial | $738.40 | $923.00 | $0.00–$784.55 | 64% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Drain-Inject Joint-Bursa W/O Guid Shoulder;Hip;Knee;Subacromial | $738.40 | $923.00 | $0.00–$784.55 | — | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Drain/Inj/Joint/Bursa W/O US | $857.60 | $1,072.00 | $307.71–$911.20 | 127% above | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Drain/Inj/Joint/Bursa W/O US | $857.60 | $1,072.00 | $307.71–$911.20 | — | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Drain-Inject Joint-Bursa W/O US Guid Toe/Finger | $633.60 | $792.00 | $408.67–$673.20 | 114% above | 20% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Drain-Inject Joint-Bursa W/O US Guid Toe/Finger | $633.60 | $792.00 | $408.67–$673.20 | — | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Intmd Rpr S/a/T/Ext 2.5 Cm/< | $6,424.80 | $8,031.00 | $624.72–$6,826.35 | 968% above | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Intmd Rpr S/a/T/Ext 2.5 Cm/< | $6,424.80 | $8,031.00 | $624.72–$6,826.35 | — | 20% |
| Left heart catheterization, diagnostic one side CPT 93452 HC Left Hrt Cath W/Ventrclgrphy | $7,275.20 | $9,094.00 | $3,352.85–$7,729.90 | at median | 20% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Left Hrt Cath W/Ventrclgrphy | $7,275.20 | $9,094.00 | $3,352.85–$7,729.90 | — | 20% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Inj Substance W/Guidance Lumbar/Sacral | $1,428.80 | $1,786.00 | $721.90–$1,518.10 | at median | 20% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Inj Substance W/Guidance Lumbar/Sacral | $1,428.80 | $1,786.00 | $721.90–$1,518.10 | — | 20% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Inj Substnce W/O Guid Lmbr/Scrl | $1,683.20 | $2,104.00 | $1,085.66–$1,788.40 | 16% above | 20% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Inj Substnce W/O Guid Lmbr/Scrl | $1,683.20 | $2,104.00 | $1,085.66–$1,788.40 | — | 20% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inj Anes/Sterd W/Img Trnsfrminl Epidural Lmbr/Sacral Sngl Lvl | $1,810.40 | $2,263.00 | $1,167.71–$1,923.55 | 29% above | 20% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Inj Anes/Sterd W/Img Trnsfrminl Epidural Lmbr/Sacral Sngl Lvl | $1,810.40 | $2,263.00 | $1,167.71–$1,923.55 | — | 20% |
| Lumpectomy (partial mastectomy) both sides CPT 19301 HC Partial Masectomy|BILATERAL PROCEDURE | $9,723.20 | $12,154.00 | $0.00–$10,330.90 | — | 20% |
| Lumpectomy (partial mastectomy) CPT 19301 HC Partial Masectomy | $4,861.60 | $6,077.00 | $0.00–$10,330.90 | 16% above | 20% |
| Lumpectomy (partial mastectomy) inpatient both sides CPT 19301 HC Partial Masectomy|BILATERAL PROCEDURE | $9,723.20 | $12,154.00 | $0.00–$10,330.90 | — | 20% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 HC Partial Masectomy | $4,861.60 | $6,077.00 | $0.00–$10,330.90 | — | 20% |
| Mastectomy (total removal of the breast) both sides CPT 19303 HC Mast Simple Complete|BILATERAL PROCEDURE | $16,641.60 | $20,802.00 | $0.00–$17,681.70 | — | 20% |
| Mastectomy (total removal of the breast) CPT 19303 HC Mast Simple Complete | $8,320.80 | $10,401.00 | $0.00–$17,681.70 | 77% above | 20% |
| Mastectomy (total removal of the breast) inpatient both sides CPT 19303 HC Mast Simple Complete|BILATERAL PROCEDURE | $16,641.60 | $20,802.00 | $0.00–$17,681.70 | — | 20% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 HC Mast Simple Complete | $8,320.80 | $10,401.00 | $0.00–$17,681.70 | — | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc Tr-Ext B9+Marg 0.5 Cm< | $2,688.80 | $3,361.00 | $733.44–$2,856.85 | 289% above | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC Exc Tr-Ext B9+Marg 0.5 Cm< | $2,688.80 | $3,361.00 | $733.44–$2,856.85 | — | 20% |
| Nail removal (partial or complete), one nail CPT 11730 HC Avulsion Nail Plate Simple | $336.00 | $420.00 | $216.72–$357.00 | 15% above | 20% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion Nail Plate Simple | $336.00 | $420.00 | $216.72–$357.00 | — | 20% |
| Pacemaker implant (dual chamber) CPT 33208 HC Insrt Hrt Pacemkr Atrial/Ventr | $29,853.60 | $37,317.00 | $10,909.27–$31,719.45 | 151% above | 20% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC Insrt Hrt Pacemkr Atrial/Ventr | $29,853.60 | $37,317.00 | $10,909.27–$31,719.45 | — | 20% |
| Paracentesis with imaging guidance CPT 49083 HC Abdominal Paracentesis W/Imaging Guidance | $1,744.00 | $2,180.00 | $0.00–$1,853.00 | 27% above | 20% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Abdominal Paracentesis W/Imaging Guidance | $1,744.00 | $2,180.00 | $0.00–$1,853.00 | — | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail Plate Prtl/Compl | $1,756.00 | $2,195.00 | $624.72–$1,865.75 | 231% above | 20% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excision Nail Plate Prtl/Compl | $1,756.00 | $2,195.00 | $624.72–$1,865.75 | — | 20% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Destruction by Neurolytic Agnt Paravertebral Facet Sngl Lmbr/Sacral | $3,096.80 | $3,871.00 | $1,997.44–$3,290.35 | 35% above | 20% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Destruction by Neurolytic Agnt Paravertebral Facet Sngl Lmbr/Sacral | $3,096.80 | $3,871.00 | $1,997.44–$3,290.35 | — | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 HC Incsin/Remvl FB;Subq Tiss Smpl | $1,680.00 | $2,100.00 | $624.72–$1,785.00 | 261% above | 20% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Incsin/Remvl FB;Subq Tiss Smpl | $1,680.00 | $2,100.00 | $624.72–$1,785.00 | — | 20% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon Ca Scrn Not Hi Rsk Ind | $9,805.86 | $12,257.33 | $950.38–$10,418.73 | 292% above | 20% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Scrn; Hi Risk Ind | $8,769.54 | $10,961.93 | $0.00–$9,317.64 | 267% above | 20% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC Lithotripsy Extracorp Shckwave | $26,743.20 | $33,429.00 | $3,595.28–$28,414.65 | 315% above | 20% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC Lithotripsy Extracorp Shckwave | $26,743.20 | $33,429.00 | $3,595.28–$28,414.65 | — | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Simpl Repair S/N/Ax/Gen/Trunk 2.5 Cm< | $468.00 | $585.00 | $301.86–$497.25 | 27% above | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Simpl Repair S/N/Ax/Gen/Trunk 2.5 Cm< | $468.00 | $585.00 | $301.86–$497.25 | — | 20% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Bx Skin Single Les | $385.60 | $482.00 | $248.71–$624.72 | 12% above | 20% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Bx Skin Single Les | $385.60 | $482.00 | $248.71–$624.72 | — | 20% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture Lumbar Diagnostic | $1,367.20 | $1,709.00 | $881.84–$1,452.65 | 71% above | 20% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture Lumbar Diagnostic | $1,367.20 | $1,709.00 | $881.84–$1,452.65 | — | 20% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangentl Bx Skin Single Les | $385.60 | $482.00 | $248.71–$409.70 | 43% above | 20% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangentl Bx Skin Single Les | $385.60 | $482.00 | $248.71–$409.70 | — | 20% |
| Thoracentesis with imaging guidance both sides CPT 32555 HC Aspirate Pleura W/ Imaging|BILATERAL PROCEDURE | $5,760.00 | $7,200.00 | $644.49–$6,120.00 | — | 20% |
| Thoracentesis with imaging guidance CPT 32555 HC Aspirate Pleura W/ Imaging | $2,880.00 | $3,600.00 | $644.49–$6,120.00 | 163% above | 20% |
| Thoracentesis with imaging guidance inpatient both sides CPT 32555 HC Aspirate Pleura W/ Imaging|BILATERAL PROCEDURE | $5,760.00 | $7,200.00 | $644.49–$6,120.00 | — | 20% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC Aspirate Pleura W/ Imaging | $2,880.00 | $3,600.00 | $644.49–$6,120.00 | — | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Inj Trigger Pnt 1 or 2 Musc | $634.40 | $793.00 | $409.19–$674.05 | 29% above | 20% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inj Trigger Pnt 1 or 2 Musc | $634.40 | $793.00 | $409.19–$674.05 | — | 20% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast 1st Lesion US Imag | $3,976.00 | $4,970.00 | $1,688.97–$4,224.50 | 79% above | 20% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast 1st Lesion US Imag | $3,976.00 | $4,970.00 | $1,688.97–$4,224.50 | — | 20% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC Endovenous Rf 1st Vein Ablation | $5,198.40 | $6,498.00 | $3,281.02–$5,523.30 | 12% above | 20% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC Endovenous Rf 1st Vein Ablation | $5,198.40 | $6,498.00 | $3,281.02–$5,523.30 | — | 20% |
| Wart removal, up to 14 warts CPT 17110 HC Destruction Benign Lesions Up to 14 | $424.80 | $531.00 | $274.00–$451.35 | 83% above | 20% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC Destruction Benign Lesions Up to 14 | $424.80 | $531.00 | $274.00–$451.35 | — | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debrid Subq 1st 20 Sq Cm/< | $1,316.80 | $1,646.00 | $0.00–$1,399.10 | 98% above | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debrid Subq 1st 20 Sq Cm/< | $1,316.80 | $1,646.00 | $0.00–$1,399.10 | — | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transfus Bld or Bld Components | $1,292.80 | $1,616.00 | $0.00–$1,730.60 | 42% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion Service | $1,628.80 | $2,036.00 | $0.00–$1,730.60 | 79% above | 20% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transfus Bld or Bld Components | $1,292.80 | $1,616.00 | $0.00–$1,730.60 | — | 20% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Transfusion Service | $1,628.80 | $2,036.00 | $0.00–$1,730.60 | — | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Respiratory Treatment | $316.80 | $396.00 | $0.00–$336.60 | 69% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Respiratory Treatment | $316.80 | $396.00 | $0.00–$336.60 | — | 20% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemo/Complex Drg Intl Hr | $477.60 | $597.00 | $0.00–$518.64 | 22% below | 20% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo/Complex Drg Intl Hr | $477.60 | $597.00 | $0.00–$518.64 | — | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ED Critical 1st 30-74 Minutes | $4,372.00 | $5,465.00 | $0.00–$4,645.25 | 145% above | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ED Critical 1st 30-74 Min Ctgry 1 Trauma W/O Not | $4,372.00 | $5,465.00 | $0.00–$4,645.25 | 145% above | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ED Critical 1st 30-74 Min Ctgry 2 Trauma W/O Not | $4,372.00 | $5,465.00 | $0.00–$4,645.25 | 145% above | 20% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED Critical 1st 30-74 Min Ctgry 1 Trauma W/O Not | $4,372.00 | $5,465.00 | $0.00–$4,645.25 | — | 20% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED Critical 1st 30-74 Minutes | $4,372.00 | $5,465.00 | $0.00–$4,645.25 | — | 20% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED Critical 1st 30-74 Min Ctgry 2 Trauma W/O Not | $4,372.00 | $5,465.00 | $0.00–$4,645.25 | — | 20% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake/Drowsy Pro Fee | $235.20 | $294.00 | $0.00–$1,547.85 | 72% below | 20% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake/Drowsy | $1,456.80 | $1,821.00 | $0.00–$1,547.85 | 74% above | 20% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg Awake/Drowsy Pro Fee | $235.20 | $294.00 | $0.00–$1,547.85 | — | 20% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg Awake/Drowsy | $1,456.80 | $1,821.00 | $0.00–$1,547.85 | — | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge both sides CPT 93005 HC Ekg|BILATERAL PROCEDURE|DISTINCT PROCEDURAL SERVICE | $1,014.40 | $1,268.00 | $0.00–$1,077.80 | — | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ekg | $507.20 | $634.00 | $0.00–$1,077.80 | 130% above | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient both sides CPT 93005 HC Ekg|BILATERAL PROCEDURE|DISTINCT PROCEDURAL SERVICE | $1,014.40 | $1,268.00 | $0.00–$1,077.80 | — | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Ekg | $507.20 | $634.00 | $0.00–$1,077.80 | — | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Screening May Not Req Phy/Qhp | $224.00 | $280.00 | $91.79–$238.00 | 26% above | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Screening May Not Req Phy/Qhp | $224.00 | $280.00 | $91.79–$238.00 | — | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Basic Req Sf Mdm | $447.20 | $559.00 | $0.00–$475.15 | 19% above | 20% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Basic Req Sf Mdm | $447.20 | $559.00 | $0.00–$475.15 | — | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem both sides CPT 99283 HC ED Visit Low Mdm|BILATERAL PROCEDURE | $2,004.80 | $2,506.00 | $0.00–$2,130.10 | — | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Visit Low Mdm | $1,002.40 | $1,253.00 | $0.00–$2,130.10 | 59% above | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient both sides CPT 99283 HC ED Visit Low Mdm|BILATERAL PROCEDURE | $2,004.80 | $2,506.00 | $0.00–$2,130.10 | — | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED Visit Low Mdm | $1,002.40 | $1,253.00 | $0.00–$2,130.10 | — | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem both sides CPT 99284 HC ED Visit Moderate Mdm Ctgry 2 Trauma W/O Not|BILATERAL PROCEDURE | $2,606.40 | $3,258.00 | $0.00–$2,769.30 | — | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem both sides CPT 99284 HC ED Visit Moderate Mdm Ctgry 1 Trauma W/O Not|BILATERAL PROCEDURE | $2,606.40 | $3,258.00 | $0.00–$2,769.30 | — | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem both sides CPT 99284 HC ED Visit Moderate Mdm|BILATERAL PROCEDURE | $2,606.40 | $3,258.00 | $0.00–$2,769.30 | — | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Visit Moderate Mdm Ctgry 2 Trauma W/O Not | $1,303.20 | $1,629.00 | $0.00–$2,769.30 | 28% above | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Visit Moderate Mdm Ctgry 1 Trauma W/O Not | $1,303.20 | $1,629.00 | $0.00–$2,769.30 | 28% above | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Visit Moderate Mdm | $1,303.20 | $1,629.00 | $0.00–$2,769.30 | 28% above | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient both sides CPT 99284 HC ED Visit Moderate Mdm|BILATERAL PROCEDURE | $2,606.40 | $3,258.00 | $0.00–$2,769.30 | — | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient both sides CPT 99284 HC ED Visit Moderate Mdm Ctgry 2 Trauma W/O Not|BILATERAL PROCEDURE | $2,606.40 | $3,258.00 | $0.00–$2,769.30 | — | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient both sides CPT 99284 HC ED Visit Moderate Mdm Ctgry 1 Trauma W/O Not|BILATERAL PROCEDURE | $2,606.40 | $3,258.00 | $0.00–$2,769.30 | — | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED Visit Moderate Mdm Ctgry 2 Trauma W/O Not | $1,303.20 | $1,629.00 | $0.00–$2,769.30 | — | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED Visit Moderate Mdm Ctgry 1 Trauma W/O Not | $1,303.20 | $1,629.00 | $0.00–$2,769.30 | — | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED Visit Moderate Mdm | $1,303.20 | $1,629.00 | $0.00–$2,769.30 | — | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Visit High Mdm | $1,887.20 | $2,359.00 | $0.00–$2,005.15 | 27% above | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Visit High Mdm Ctgry 2 Trauma W/O Not | $1,887.20 | $2,359.00 | $0.00–$2,005.15 | 27% above | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Visit High Mdm Ctgry 1 Trauma W/O Not | $1,887.20 | $2,359.00 | $0.00–$2,005.15 | 27% above | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Visit High Mdm Ctgry 2 Trauma W/O Not | $1,887.20 | $2,359.00 | $0.00–$2,005.15 | — | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Visit High Mdm | $1,887.20 | $2,359.00 | $0.00–$2,005.15 | — | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Visit High Mdm Ctgry 1 Trauma W/O Not | $1,887.20 | $2,359.00 | $0.00–$2,005.15 | — | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Stress Test Trac Only W/O Intr | $2,686.40 | $3,358.00 | $0.00–$2,854.30 | 224% above | 20% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Stress Test Trac Only W/O Intr | $2,686.40 | $3,358.00 | $0.00–$2,854.30 | — | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Therapy W/ Patient 50 Min | $152.80 | $191.00 | $0.00–$162.35 | 5% below | 20% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Therapy W/ Patient 50 Min | $152.80 | $191.00 | $0.00–$162.35 | — | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Psych Thrpy W/O Pt 50mn | $152.80 | $191.00 | $0.00–$162.35 | 3% below | 20% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Psych Thrpy W/O Pt 50mn | $152.80 | $191.00 | $0.00–$162.35 | — | 20% |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy Subsequent | $152.80 | $191.00 | $0.00–$162.35 | 37% above | 20% |
| Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy Subsequent | $152.80 | $191.00 | $0.00–$162.35 | — | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Infusion Hydration Initl>30 Mn | $378.40 | $473.00 | $0.00–$402.05 | 17% above | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC Infusion Hydration Initl>30 Mn | $378.40 | $473.00 | $0.00–$402.05 | — | 20% |
| IV infusion of a medicine, first hour CPT 96365 HC Infusion Therap Initial Hour | $632.00 | $790.00 | $0.00–$671.50 | 62% above | 20% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC Infusion Therap Initial Hour | $632.00 | $790.00 | $0.00–$671.50 | — | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Sc/Im | $206.40 | $258.00 | $0.00–$244.80 | 97% above | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Subq/Im | $230.40 | $288.00 | $0.00–$244.80 | 119% above | 20% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Sc/Im | $206.40 | $258.00 | $0.00–$244.80 | — | 20% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Subq/Im | $230.40 | $288.00 | $0.00–$244.80 | — | 20% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psytx Diagnostic Evaluation | $233.60 | $292.00 | $0.00–$248.20 | 11% above | 20% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Psytx Diagnostic Evaluation | $233.60 | $292.00 | $0.00–$248.20 | — | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromuscular Re-ED Ea 15mi|OTA THERAPY|DISTINCT PROCEDURAL SERVICE | $185.60 | $232.00 | $30.33–$5,632.10 | 72% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusculat Re-ED Ea 15m|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $185.60 | $232.00 | $30.33–$5,632.10 | 72% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromuscular Re-ED Ea 15mi|PTA THERAPY | $185.60 | $232.00 | $30.33–$5,632.10 | 72% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusculat Re-ED Ea 15m|PTA THERAPY | $185.60 | $232.00 | $30.33–$5,632.10 | 72% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromuscular Re-ED Ea 15mi | $185.60 | $232.00 | $30.33–$5,632.10 | 72% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusculat Re-ED Ea 15m|OTA THERAPY | $185.60 | $232.00 | $30.33–$5,632.10 | 72% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromuscular Re-ED Ea 15mi|OTA THERAPY | $185.60 | $232.00 | $30.33–$5,632.10 | 72% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusculat Re-ED Ea 15m|OTA THERAPY|DISTINCT PROCEDURAL SERVICE | $185.60 | $232.00 | $30.33–$5,632.10 | 72% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusculat Re-ED Ea 15m | $185.60 | $232.00 | $30.33–$5,632.10 | 72% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromuscular Re-ED Ea 15mi|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $185.60 | $232.00 | $30.33–$5,632.10 | 72% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusculat Re-ED Ea 15m|PTA THERAPY | $2,783.20 | $3,479.00 | $30.33–$5,632.10 | 2486% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusculat Re-ED Ea 15m | $2,784.00 | $3,480.00 | $30.33–$5,632.10 | 2487% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusculat Re-ED Ea 15m|DISTINCT PROCEDURAL SERVICE | $4,659.26 | $5,824.08 | $30.33–$5,632.10 | 4229% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusculat Re-ED Ea 15m|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $5,300.80 | $6,626.00 | $30.33–$5,632.10 | 4825% above | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromuscular Re-ED Ea 15mi|OTA THERAPY | $185.60 | $232.00 | $30.33–$5,632.10 | — | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromuscular Re-ED Ea 15mi | $185.60 | $232.00 | $30.33–$5,632.10 | — | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Neuromusculat Re-ED Ea 15m|OTA THERAPY | $185.60 | $232.00 | $30.33–$5,632.10 | — | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Neuromusculat Re-ED Ea 15m | $185.60 | $232.00 | $30.33–$5,632.10 | — | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromuscular Re-ED Ea 15mi|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $185.60 | $232.00 | $30.33–$5,632.10 | — | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Neuromusculat Re-ED Ea 15m|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $185.60 | $232.00 | $30.33–$5,632.10 | — | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromuscular Re-ED Ea 15mi|PTA THERAPY | $185.60 | $232.00 | $30.33–$5,632.10 | — | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Neuromusculat Re-ED Ea 15m|PTA THERAPY | $185.60 | $232.00 | $30.33–$5,632.10 | — | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromuscular Re-ED Ea 15mi|OTA THERAPY|DISTINCT PROCEDURAL SERVICE | $185.60 | $232.00 | $30.33–$5,632.10 | — | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Neuromusculat Re-ED Ea 15m|OTA THERAPY|DISTINCT PROCEDURAL SERVICE | $185.60 | $232.00 | $30.33–$5,632.10 | — | 20% |
| New patient office visit, about 30 minutes CPT 99203 HC New Patient Visit Level 3 | $700.00 | $875.00 | $134.34–$743.75 | 227% above | 20% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC New Patient Visit Level 3 | $700.00 | $875.00 | $134.34–$743.75 | — | 20% |
| New patient office visit, about 45 minutes CPT 99204 HC New Patient Visit Level 4 | $835.20 | $1,044.00 | $406.12–$887.40 | 197% above | 20% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC New Patient Visit Level 4 | $835.20 | $1,044.00 | $406.12–$887.40 | — | 20% |
| New patient office visit, about 60 minutes CPT 99205 HC New Patient Visit Level 5 | $993.60 | $1,242.00 | $483.14–$1,055.70 | 164% above | 20% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC New Patient Visit Level 5 | $993.60 | $1,242.00 | $483.14–$1,055.70 | — | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC New Patient Visit Level 2 | $508.80 | $636.00 | $134.34–$540.60 | 239% above | 20% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC New Patient Visit Level 2 | $508.80 | $636.00 | $134.34–$540.60 | — | 20% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Initl Med Nutrn Therapy 15 Min | $76.80 | $96.00 | $30.28–$393.64 | 40% above | 20% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Initl Med Nutrn Therapy 15 Min | $307.20 | $384.00 | $30.28–$393.64 | 459% above | 20% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Initl Med Nutrn Therapy 15 Min | $76.80 | $96.00 | $30.28–$393.64 | — | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Evaluation | $365.60 | $457.00 | $95.34–$957.97 | 43% above | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Evaluation | $901.62 | $1,127.02 | $95.34–$957.97 | 253% above | 20% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Evaluation | $365.60 | $457.00 | $95.34–$957.97 | — | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Evaluation High Complexity | $470.40 | $588.00 | $92.98–$2,324.78 | 44% above | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Evaluation High Complexity | $630.41 | $788.01 | $92.98–$2,324.78 | 94% above | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Evaluation High Complexity|DISTINCT PROCEDURAL SERVICE | $2,188.03 | $2,735.04 | $92.98–$2,324.78 | 572% above | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Evaluation High Complexity | $470.40 | $588.00 | $92.98–$2,324.78 | — | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Evaluation Low Complexity | $381.60 | $477.00 | $92.98–$10,986.43 | 60% above | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Evaluation Low Complexity | $747.20 | $934.00 | $92.98–$10,986.43 | 213% above | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Evaluation Low Complexity|DISTINCT PROCEDURAL SERVICE | $10,340.17 | $12,925.21 | $92.98–$10,986.43 | 4228% above | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Evaluation Low Complexity | $381.60 | $477.00 | $92.98–$10,986.43 | — | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Evaluation Mod Complexity | $424.00 | $530.00 | $92.98–$1,076.10 | 44% above | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Evaluation Mod Complexity | $1,012.80 | $1,266.00 | $92.98–$1,076.10 | 243% above | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Evaluation Mod Complexity | $424.00 | $530.00 | $92.98–$1,076.10 | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Therapy Tech Ea15min|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $217.60 | $272.00 | $25.77–$4,624.06 | 91% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therp Techn Ea 15 Mn|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $217.60 | $272.00 | $25.77–$4,624.06 | 91% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therp Techn Ea 15 Mn|PTA THERAPY | $217.60 | $272.00 | $25.77–$4,624.06 | 91% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Therapy Tech Ea15min|OTA THERAPY | $217.60 | $272.00 | $25.77–$4,624.06 | 91% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Therapy Tech Ea15min | $217.60 | $272.00 | $25.77–$4,624.06 | 91% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therp Techn Ea 15 Mn | $217.60 | $272.00 | $25.77–$4,624.06 | 91% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therp Techn Ea 15 Mn|OTA THERAPY | $217.60 | $272.00 | $25.77–$4,624.06 | 91% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Therapy Tech Ea15min|PTA THERAPY | $217.60 | $272.00 | $25.77–$4,624.06 | 91% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therp Techn Ea 15 Mn|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $2,440.03 | $3,050.04 | $25.77–$4,624.06 | 2047% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therp Techn Ea 15 Mn | $2,451.20 | $3,064.00 | $25.77–$4,624.06 | 2057% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therp Techn Ea 15 Mn|PTA THERAPY | $2,572.80 | $3,216.00 | $25.77–$4,624.06 | 2164% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therp Techn Ea 15 Mn|DISTINCT PROCEDURAL SERVICE | $3,219.20 | $4,024.00 | $25.77–$4,624.06 | 2733% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therp Techn Ea 15 Mn|OTA THERAPY | $4,352.06 | $5,440.07 | $25.77–$4,624.06 | 3729% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Therapy Tech Ea15min|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $217.60 | $272.00 | $25.77–$4,624.06 | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Therapy Tech Ea15min | $217.60 | $272.00 | $25.77–$4,624.06 | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Therapy Tech Ea15min|OTA THERAPY | $217.60 | $272.00 | $25.77–$4,624.06 | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Therp Techn Ea 15 Mn|PTA THERAPY | $217.60 | $272.00 | $25.77–$4,624.06 | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Therapy Tech Ea15min|PTA THERAPY | $217.60 | $272.00 | $25.77–$4,624.06 | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Therp Techn Ea 15 Mn|OTA THERAPY | $217.60 | $272.00 | $25.77–$4,624.06 | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Therp Techn Ea 15 Mn|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $217.60 | $272.00 | $25.77–$4,624.06 | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Therp Techn Ea 15 Mn | $217.60 | $272.00 | $25.77–$4,624.06 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Exercise Ea 15m|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $185.60 | $232.00 | $27.28–$5,383.90 | 86% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Exercise Ea 15m | $185.60 | $232.00 | $27.28–$5,383.90 | 86% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Ex Ea 15 Min|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $185.60 | $232.00 | $27.28–$5,383.90 | 86% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Ex Ea 15 Min | $185.60 | $232.00 | $27.28–$5,383.90 | 86% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Exercise Ea 15m|PTA THERAPY | $185.60 | $232.00 | $27.28–$5,383.90 | 86% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Ex Ea 15 Min|OTA THERAPY | $185.60 | $232.00 | $27.28–$5,383.90 | 86% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Ex Ea 15 Min|PTA THERAPY | $185.60 | $232.00 | $27.28–$5,383.90 | 86% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Exercise Ea 15m|OTA THERAPY | $185.60 | $232.00 | $27.28–$5,383.90 | 86% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Ex Ea 15 Min | $1,970.40 | $2,463.00 | $27.28–$5,383.90 | 1870% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Ex Ea 15 Min|PTA THERAPY | $2,355.20 | $2,944.00 | $27.28–$5,383.90 | 2255% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Ex Ea 15 Min|DISTINCT PROCEDURAL SERVICE | $4,027.24 | $5,034.05 | $27.28–$5,383.90 | 3927% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Ex Ea 15 Min|OTA THERAPY | $4,744.06 | $5,930.07 | $27.28–$5,383.90 | 4644% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Ex Ea 15 Min|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $5,067.20 | $6,334.00 | $27.28–$5,383.90 | 4967% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Exercise Ea 15m|OTA THERAPY | $185.60 | $232.00 | $27.28–$5,383.90 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Exercise Ea 15m | $185.60 | $232.00 | $27.28–$5,383.90 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Ex Ea 15 Min | $185.60 | $232.00 | $27.28–$5,383.90 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Exercise Ea 15m|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $185.60 | $232.00 | $27.28–$5,383.90 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Ex Ea 15 Min|PTA THERAPY | $185.60 | $232.00 | $27.28–$5,383.90 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Ex Ea 15 Min|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $185.60 | $232.00 | $27.28–$5,383.90 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Exercise Ea 15m|PTA THERAPY | $185.60 | $232.00 | $27.28–$5,383.90 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Ex Ea 15 Min|OTA THERAPY | $185.60 | $232.00 | $27.28–$5,383.90 | — | 20% |
| Psychiatric evaluation with medical services CPT 90792 HC Psytx Diag Eval W/Med Svcs | $279.20 | $349.00 | $0.00–$296.65 | 10% above | 20% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC Psytx Diag Eval W/Med Svcs | $279.20 | $349.00 | $0.00–$296.65 | — | 20% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC Psytx Crisis Initial 60 Min | $193.60 | $242.00 | $0.00–$205.70 | 19% below | 20% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC Psytx Crisis Initial 60 Min | $193.60 | $242.00 | $0.00–$205.70 | — | 20% |
| Psychotherapy session, 30 minutes CPT 90832 HC Psytx W Patient 30 Minutes | $131.20 | $164.00 | $0.00–$139.40 | 18% below | 20% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Psytx W Patient 30 Minutes | $131.20 | $164.00 | $0.00–$139.40 | — | 20% |
| Psychotherapy session, 45 minutes CPT 90834 HC Psytx W Patient 45 Min | $152.80 | $191.00 | $0.00–$162.35 | 15% below | 20% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC Psytx W Patient 45 Min | $152.80 | $191.00 | $0.00–$162.35 | — | 20% |
| Psychotherapy session, 60 minutes CPT 90837 HC Psytx W Patient 60 Min | $164.80 | $206.00 | $0.00–$175.10 | 25% below | 20% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC Psytx W Patient 60 Min | $164.80 | $206.00 | $0.00–$175.10 | — | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Established Patient Vst Lvl 5 | $1,088.00 | $1,360.00 | $134.34–$1,156.00 | 312% above | 20% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Established Patient Vst Lvl 5 | $1,088.00 | $1,360.00 | $134.34–$1,156.00 | — | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Established Patient Vst Lvl 3 | $656.00 | $820.00 | $134.34–$697.00 | 345% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Established Patient Vst Lvl 3 | $656.00 | $820.00 | $134.34–$697.00 | — | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Established Patient Vst Lvl 4 | $878.40 | $1,098.00 | $134.34–$933.30 | 395% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Established Patient Vst Lvl 4 | $878.40 | $1,098.00 | $134.34–$933.30 | — | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Established Patient Vst Lvl 2 | $480.80 | $601.00 | $109.62–$510.85 | 321% above | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Established Patient Vst Lvl 2 | $480.80 | $601.00 | $109.62–$510.85 | — | 20% |
| Speech and language evaluation CPT 92523 HC Eval Sp Snd Prod/Comp/Exprs | $493.60 | $617.00 | $212.81–$894.22 | 30% above | 20% |
| Speech and language evaluation CPT 92523 HC Eval Sp Snd Prod/Comp/Exprs | $841.62 | $1,052.02 | $212.81–$894.22 | 121% above | 20% |
| Speech and language evaluation inpatient CPT 92523 HC Eval Sp Snd Prod/Comp/Exprs | $493.60 | $617.00 | $212.81–$894.22 | — | 20% |
| Speech therapy session, individual CPT 92507 HC Trtmnt Speech; Language; Voice Individual | $348.00 | $435.00 | $71.42–$1,109.28 | 66% above | 20% |
| Speech therapy session, individual CPT 92507 HC Trtmnt Speech; Language; Voice Individual | $1,044.02 | $1,305.03 | $71.42–$1,109.28 | 398% above | 20% |
| Speech therapy session, individual inpatient CPT 92507 HC Trtmnt Speech; Language; Voice Individual | $348.00 | $435.00 | $71.42–$1,109.28 | — | 20% |
| Spirometry (breathing test) CPT 94010 HC Spirometry W/O Bron Study | $401.60 | $502.00 | $0.00–$426.70 | 35% above | 20% |
| Spirometry (breathing test) inpatient CPT 94010 HC Spirometry W/O Bron Study | $401.60 | $502.00 | $0.00–$426.70 | — | 20% |
| Spirometry before and after a bronchodilator CPT 94060 HC Spirometry Test With Bronch | $818.40 | $1,023.00 | $0.00–$869.55 | 56% above | 20% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC Spirometry Test With Bronch | $818.40 | $1,023.00 | $0.00–$869.55 | — | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therap Activity Ea 15 Min | $175.20 | $219.00 | $32.57–$9,300.86 | 38% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therap Activity Ea 15 Min|OTA THERAPY | $175.20 | $219.00 | $32.57–$9,300.86 | 38% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeutic Activity Ea 15m|OTA THERAPY | $175.20 | $219.00 | $32.57–$9,300.86 | 38% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therap Activity Ea 15 Min|OTA THERAPY|DISTINCT PROCEDURAL SERVICE | $175.20 | $219.00 | $32.57–$9,300.86 | 38% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeutic Activity Ea 15m|OTA THERAPY|DISTINCT PROCEDURAL SERVICE | $175.20 | $219.00 | $32.57–$9,300.86 | 38% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therap Activity Ea 15 Min|PTA THERAPY | $175.20 | $219.00 | $32.57–$9,300.86 | 38% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeutic Activity Ea 15m|PTA THERAPY | $175.20 | $219.00 | $32.57–$9,300.86 | 38% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therap Activity Ea 15 Min|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $175.20 | $219.00 | $32.57–$9,300.86 | 38% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeutic Activity Ea 15m|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $175.20 | $219.00 | $32.57–$9,300.86 | 38% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeutic Activity Ea 15m | $175.20 | $219.00 | $32.57–$9,300.86 | 38% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therap Activity Ea 15 Min | $2,404.00 | $3,005.00 | $32.57–$9,300.86 | 1792% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therap Activity Ea 15 Min|PTA THERAPY | $2,609.64 | $3,262.05 | $32.57–$9,300.86 | 1954% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therap Activity Ea 15 Min|OTA THERAPY | $4,744.86 | $5,931.07 | $32.57–$9,300.86 | 3635% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therap Activity Ea 15 Min|DISTINCT PROCEDURAL SERVICE | $5,006.40 | $6,258.00 | $32.57–$9,300.86 | 3841% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therap Activity Ea 15 Min|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $8,753.75 | $10,942.19 | $32.57–$9,300.86 | 6791% above | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therap Activity Ea 15 Min | $175.20 | $219.00 | $32.57–$9,300.86 | — | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therap Activity Ea 15 Min|OTA THERAPY | $175.20 | $219.00 | $32.57–$9,300.86 | — | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeutic Activity Ea 15m|OTA THERAPY | $175.20 | $219.00 | $32.57–$9,300.86 | — | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therap Activity Ea 15 Min|OTA THERAPY|DISTINCT PROCEDURAL SERVICE | $175.20 | $219.00 | $32.57–$9,300.86 | — | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeutic Activity Ea 15m|OTA THERAPY|DISTINCT PROCEDURAL SERVICE | $175.20 | $219.00 | $32.57–$9,300.86 | — | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therap Activity Ea 15 Min|PTA THERAPY | $175.20 | $219.00 | $32.57–$9,300.86 | — | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeutic Activity Ea 15m|PTA THERAPY | $175.20 | $219.00 | $32.57–$9,300.86 | — | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therap Activity Ea 15 Min|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $175.20 | $219.00 | $32.57–$9,300.86 | — | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeutic Activity Ea 15m|PTA THERAPY|DISTINCT PROCEDURAL SERVICE | $175.20 | $219.00 | $32.57–$9,300.86 | — | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeutic Activity Ea 15m | $175.20 | $219.00 | $32.57–$9,300.86 | — | 20% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Therapeutic Phlebotomy | $336.00 | $420.00 | $134.37–$357.00 | 62% above | 20% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Therapeutic Phlebotomy | $336.00 | $420.00 | $134.37–$357.00 | — | 20% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TS 2025-26(6MOS UP)-PF 45 MCG (15 MCG X 3)/0.5 ML IM SYRG | $66.24 | $82.80 | $0.00–$70.38 | 88% above | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TS 2025-26(6MOS UP)-PF 45 MCG (15 MCG X 3)/0.5 ML IM SYRG | $66.24 | $82.80 | $0.00–$70.38 | — | 20% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAV VAC;9-VAL(PF) 0.5 ML IM SYRG | $490.01 | $612.51 | $238.27–$520.63 | at median | 20% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAV VAC;9-VAL(PF) 0.5 ML IM SUSP | $490.01 | $612.51 | $238.27–$520.63 | at median | 20% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAV VAC;9-VAL(PF) 0.5 ML IM SYRG | $490.01 | $612.51 | $238.27–$520.63 | — | 20% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAV VAC;9-VAL(PF) 0.5 ML IM SUSP | $490.01 | $612.51 | $238.27–$520.63 | — | 20% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1;440 ELISA UNIT/ML IM SYRG | $198.48 | $248.10 | $128.02–$210.89 | 84% above | 20% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1;440 ELISA UNIT/ML IM SYRG | $198.48 | $248.10 | $128.02–$210.89 | — | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE 20 MCG/ML (WRAPPER) | $181.79 | $227.24 | $88.40–$193.15 | 86% above | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE 20 MCG/ML (WRAPPER) | $181.79 | $227.24 | $88.40–$193.15 | — | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC TS2025-26(65YR UP)-PF 180 MCG/0.5 ML IM SYRG | $198.58 | $248.22 | $64.54–$210.99 | 195% above | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC TS2025-26(65YR UP)-PF 180 MCG/0.5 ML IM SYRG | $198.58 | $248.22 | $64.54–$210.99 | — | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $849.24 | $1,061.55 | $276.00–$902.32 | 138% above | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $849.24 | $1,061.55 | $276.00–$902.32 | — | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SOLN | $236.50 | $295.62 | $76.86–$251.28 | 44% above | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG | $236.50 | $295.62 | $76.86–$251.28 | 44% above | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG | $236.50 | $295.62 | $76.86–$251.28 | — | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SOLN | $236.50 | $295.62 | $76.86–$251.28 | — | 20% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSVPREF3 ANTIGEN 2 OF 2 120 MCG IM SUSR | $463.62 | $579.52 | $225.43–$492.59 | 2% below | 20% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RSVPREF3 ANTIGEN 2 OF 2 120 MCG IM SUSR | $463.62 | $579.52 | $225.43–$492.59 | — | 20% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE; PCEC (PF) 2.5 UNIT IM SUSR | $617.54 | $771.92 | $317.67–$656.13 | 18% below | 20% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE; PCEC (PF) 2.5 UNIT IM SUSR | $617.54 | $771.92 | $317.67–$656.13 | — | 20% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GE VAC;2 OF 2 50 MCG IM SUSR | $354.61 | $443.26 | $172.43–$376.77 | 90% above | 20% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GE VAC;2 OF 2 50 MCG IM SUSR | $354.61 | $443.26 | $172.43–$376.77 | — | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG | $111.21 | $139.01 | $71.73–$118.16 | 44% above | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG | $111.21 | $139.01 | $71.73–$118.16 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immunization Inj 1 Vaccin | $141.60 | $177.00 | $74.19–$150.45 | 152% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immunization Inj 1 Vaccin | $141.60 | $177.00 | $74.19–$150.45 | — | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immunization Admin Ea Addtl | $141.60 | $177.00 | $91.33–$150.45 | 268% above | 20% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Immunization Admin Ea Addtl | $141.60 | $177.00 | $91.33–$150.45 | — | 20% |