Hospital Raleigh-Cary, NC

WakeMed Mental Health & Well-Being Hospital - WakeBrook

Listed in its price file as “WakeMed Raleigh Campus”.

WakeMed Mental Health & Well-Being Hospital - WakeBrook in Raleigh, NC publishes cash prices for 413 common procedures listed here, from its own machine-readable price file updated Feb 11, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the North Carolina median for 7 of 9 procedures and below it for 1. Select a procedure to compare it with other hospitals nearby.

111 Sunnybrook Road Raleigh, NC 27610 Collected Sep 27, 2026 Source price file Check a bill from this hospital (919) 350-8000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 340069 · CMS hospital register NPI 1972579837

Some prices here are not compared

WakeMed Mental Health & Well-Being Hospital - WakeBrook is a psychiatric hospital. Its price file also lists scans, lab tests and procedures, but these are generally provided to its own inpatients, not booked by outside patients, so they are not compared with other hospitals here. Only its psychiatric evaluation and therapy prices are compared.

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

WakeMed Mental Health & Well-Being Hospital - WakeBrook is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

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 4 actions for a hospital named WakeMed Mental Health & Well-Being Hospital - WakeBrook in Raleigh, NC:

Apr 19, 2021 Warning notice
Sep 29, 2021 Case closed
Aug 30, 2023 Warning notice
Mar 8, 2024 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 North Carolina	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen W/O & W/Dye	$1,227.78	$3,231.00	—	—	62%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT Abdomen W/O & W/Dye	$1,227.78	$3,231.00	—	—	62%
Abdominal X-ray, 2 views CPT 74019 HC X-Ray Exam of Abdomen 2 Views	$215.46	$567.00	—	—	62%
Abdominal X-ray, 2 views inpatient CPT 74019 HC X-Ray Exam of Abdomen 2 Views	$215.46	$567.00	—	—	62%
Ankle X-ray, complete, 3 or more views CPT 73610 HC Ankle Complete	$272.84	$718.00	—	—	62%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Ankle Complete	$272.84	$718.00	—	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Ankle/Brachial Indices	$91.96	$242.00	—	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Upr Ext Art 2 Levels Arm, Forearm, Wrist, Digits	$91.96	$242.00	—	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 HC Radial Artery Study Unilateral	$91.96	$242.00	—	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Upr Ext Art 2 Levels Arm, Forearm, Wrist, Digits	$91.96	$242.00	—	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Ankle/Brachial Indices	$91.96	$242.00	—	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 HC Radial Artery Study Unilateral	$91.96	$242.00	—	—	62%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Upper Extremity W/O Dye	$1,010.04	$2,658.00	—	—	62%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Upper Extremity W/O Dye	$1,010.04	$2,658.00	—	—	62%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Contrast X-Ray Esophagus	$302.48	$796.00	—	—	62%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Contrast X-Ray Esophagus	$302.48	$796.00	—	—	62%
Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone Imaging Whole Body	$1,350.52	$3,554.00	—	—	62%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Bone Imaging Whole Body	$1,350.52	$3,554.00	—	—	62%
Breast ultrasound, complete, one breast CPT 76641 HC US Breast Complete	$376.58	$991.00	—	—	62%
Breast ultrasound, complete, one breast CPT 76641 HC US Breast Bil Mam Emerg Complete	$376.58	$991.00	—	—	62%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US Breast Bil Mam Emerg Complete	$376.58	$991.00	—	—	62%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US Breast Complete	$376.58	$991.00	—	—	62%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US Breast Limited	$286.90	$755.00	—	—	62%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US Breast Limited	$286.90	$755.00	—	—	62%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd&Pelv W/O&W/Dye	$2,218.82	$5,839.00	—	—	62%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT Angio Abd&Pelv W/O&W/Dye	$2,218.82	$5,839.00	—	—	62%
CT angiography (CTA) of the head CPT 70496 HC CT Angiography Head	$1,372.18	$3,611.00	—	—	62%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT Angiography Head	$1,372.18	$3,611.00	—	—	62%
CT angiography (CTA) of the neck CPT 70498 HC CT Angiography Neck	$1,359.64	$3,578.00	—	—	62%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT Angiography Neck	$1,359.64	$3,578.00	—	—	62%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angiography Chest	$1,124.04	$2,958.00	—	—	62%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT Angiography Chest	$1,124.04	$2,958.00	—	—	62%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Cardiology Cta Coronary	$897.94	$2,363.00	—	—	62%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC Cardiology Cta Coronary	$897.94	$2,363.00	—	—	62%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC Cardiology Calcium Scoring	$235.60	$620.00	—	—	62%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC Cardiology Diag Calcium Scoring	$752.40	$1,980.00	—	—	62%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC Cardiology Calcium Scoring	$235.60	$620.00	—	—	62%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC Cardiology Diag Calcium Scoring	$752.40	$1,980.00	—	—	62%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis	$1,915.58	$5,041.00	—	—	62%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd & Pelvis	$1,915.58	$5,041.00	—	—	62%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelv W/Contrast	$2,430.48	$6,396.00	—	—	62%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd & Pelv W/Contrast	$2,430.48	$6,396.00	—	—	62%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd & Pelv 1/> Regns	$2,533.84	$6,668.00	—	—	62%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd & Pelv 1/> Regns	$2,533.84	$6,668.00	—	—	62%
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Dye	$1,212.96	$3,192.00	—	—	62%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W/Dye	$1,212.96	$3,192.00	—	—	62%
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Dye	$898.32	$2,364.00	—	—	62%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Dye	$898.32	$2,364.00	—	—	62%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxillofacial W/O Dye	$1,014.22	$2,669.00	—	—	62%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Maxillofacial W/O Dye	$1,014.22	$2,669.00	—	—	62%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Dye	$821.18	$2,161.00	—	—	62%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head/Brain W/O Dye	$821.18	$2,161.00	—	—	62%
CT scan of the head with contrast CPT 70460 HC CT Head/Brain W/Dye	$994.84	$2,618.00	—	—	62%
CT scan of the head with contrast inpatient CPT 70460 HC CT Head/Brain W/Dye	$994.84	$2,618.00	—	—	62%
CT scan of the head without and with contrast CPT 70470 HC CT Head/Brain W/O & W/Dye	$1,094.02	$2,879.00	—	—	62%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT Head/Brain W/O & W/Dye	$1,094.02	$2,879.00	—	—	62%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine W/O Dye	$1,087.94	$2,863.00	—	—	62%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Lumbar Spine W/O Dye	$1,087.94	$2,863.00	—	—	62%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Neck Spine W/O Dye	$1,038.54	$2,733.00	—	—	62%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Neck Spine W/O Dye	$1,038.54	$2,733.00	—	—	62%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/Dye	$1,217.52	$3,204.00	—	—	62%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/Dye	$1,217.52	$3,204.00	—	—	62%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Duplex Scan Extracranial Arteries: Complete Bilateral	$655.50	$1,725.00	—	—	62%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Duplex Scan Extracranial Arteries: Complete Bilateral	$655.50	$1,725.00	—	—	62%
Chest CT scan without and with contrast CPT 71270 HC CT Thorax Diagnostic With and Without Contrast	$1,117.58	$2,941.00	—	—	62%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT Thorax Diagnostic With and Without Contrast	$1,117.58	$2,941.00	—	—	62%
Chest X-ray, 2 views CPT 71046 HC X-Ray Exam Chest 2 Views	$175.94	$463.00	—	—	62%
Chest X-ray, 2 views inpatient CPT 71046 HC X-Ray Exam Chest 2 Views	$175.94	$463.00	—	—	62%
Chest X-ray, single view CPT 71045 HC X-Ray Exam Chest 1 View	$131.48	$346.00	—	—	62%
Chest X-ray, single view inpatient CPT 71045 HC X-Ray Exam Chest 1 View	$131.48	$346.00	—	—	62%
Collarbone (clavicle) X-ray, complete CPT 73000 HC X-Ray Exam of Collar Bone	$177.08	$466.00	—	—	62%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC X-Ray Exam of Collar Bone	$177.08	$466.00	—	—	62%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Exam Abdo Back Wall Comp	$435.10	$1,145.00	—	—	62%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Exam Abdo Back Wall Comp	$435.10	$1,145.00	—	—	62%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA Bone Density Axial	$558.60	$1,470.00	—	—	62%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA Bone Density Axial	$558.60	$1,470.00	—	—	62%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Bone Dens Appendicul Skel Peri	$179.36	$472.00	—	—	62%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Bone Dens Appendicul Skel Peri	$179.36	$472.00	—	—	62%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US Detailed Sngl Fetus	$248.52	$654.00	—	—	62%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US Detailed Sngl Fetus	$248.52	$654.00	—	—	62%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax Diagnostic Without Contrast	$791.16	$2,082.00	—	—	62%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Thorax Diagnostic Without Contrast	$791.16	$2,082.00	—	—	62%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax Diagnostic With Contrast	$1,049.18	$2,761.00	—	—	62%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Thorax Diagnostic With Contrast	$1,049.18	$2,761.00	—	—	62%
Diagnostic mammogram, both breasts CPT 77066 HC Mammogram Diag Inc Cad, Bil	$271.32	$714.00	—	—	62%
Diagnostic mammogram, both breasts inpatient CPT 77066 HC Mammogram Diag Inc Cad, Bil	$271.32	$714.00	—	—	62%
Diagnostic mammogram, one breast CPT 77065 HC Mammogram Diag Inc Cad, Uni	$242.06	$637.00	—	—	62%
Diagnostic mammogram, one breast inpatient CPT 77065 HC Mammogram Diag Inc Cad, Uni	$242.06	$637.00	—	—	62%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Lower Extremity Arterial Duplx	$586.72	$1,544.00	—	—	62%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC Lower Extremity Arterial Duplx	$586.72	$1,544.00	—	—	62%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Scan of Upper/Lower Extremity Veins Complete Bilateral	$360.24	$948.00	—	—	62%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplex Scan of Upper/Lower Extremity Veins Complete Bilateral	$360.24	$948.00	—	—	62%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W/Doppler Complete Without Contrast	$1,236.14	$3,253.00	—	—	62%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Tte W/Doppler Complete Without Contrast	$1,236.14	$3,253.00	—	—	62%
Elbow X-ray, 2 views CPT 73070 HC X-Ray Exam of Elbow	$179.74	$473.00	—	—	62%
Elbow X-ray, 2 views inpatient CPT 73070 HC X-Ray Exam of Elbow	$179.74	$473.00	—	—	62%
Elbow X-ray, complete, 3 or more views CPT 73080 HC X-Ray Exam of Elbow Complete	$194.56	$512.00	—	—	62%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC X-Ray Exam of Elbow Complete	$194.56	$512.00	—	—	62%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit/Ear/Fossa W/O Dye	$1,155.96	$3,042.00	—	—	62%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT Orbit/Ear/Fossa W/O Dye	$1,155.96	$3,042.00	—	—	62%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC Facial Bones Comp	$257.26	$677.00	—	—	62%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC Facial Bones Comp	$257.26	$677.00	—	—	62%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-Ray Exam of Forearm	$149.34	$393.00	—	—	62%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC X-Ray Exam of Forearm	$149.34	$393.00	—	—	62%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary System Imaging	$333.26	$877.00	—	—	62%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM Hida Scan Only	$641.82	$1,689.00	—	—	62%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Hepatobiliary System Imaging	$333.26	$877.00	—	—	62%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM Hida Scan Only	$641.82	$1,689.00	—	—	62%
Hand X-ray, 2 views CPT 73120 HC X-Ray Exam of Hand	$202.16	$532.00	—	—	62%
Hand X-ray, 2 views inpatient CPT 73120 HC X-Ray Exam of Hand	$202.16	$532.00	—	—	62%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-Ray Exam of Heel	$145.92	$384.00	—	—	62%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC X-Ray Exam of Heel	$145.92	$384.00	—	—	62%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt	$480.70	$1,265.00	—	—	62%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt	$480.70	$1,265.00	—	—	62%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysom 6/>Yrs Cpap 4/> Parm	$1,490.36	$3,922.00	—	—	62%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysom 6/>Yrs Cpap 4/> Parm	$1,490.36	$3,922.00	—	—	62%
Knee X-ray, 3 views CPT 73562 HC X-Ray Exam of Knee 3	$226.48	$596.00	—	—	62%
Knee X-ray, 3 views inpatient CPT 73562 HC X-Ray Exam of Knee 3	$226.48	$596.00	—	—	62%
Knee X-ray, complete, 4 or more views CPT 73564 HC X-Ray Exam Knee 4 or More	$263.34	$693.00	—	—	62%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC X-Ray Exam Knee 4 or More	$263.34	$693.00	—	—	62%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Lower Extremity W/O Dye	$931.76	$2,452.00	—	—	62%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Lower Extremity W/O Dye	$931.76	$2,452.00	—	—	62%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC Echo Exam of Abdomen	$441.94	$1,163.00	—	—	62%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC Echo Exam of Abdomen	$441.94	$1,163.00	—	—	62%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Xtr Non-Vasc Lmtd	$294.50	$775.00	—	—	62%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US Xtr Non-Vasc Lmtd	$294.50	$775.00	—	—	62%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC Ldct Lung Cancer Scrn	$235.60	$620.00	—	—	62%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC Ldct Lung Cancer Scrn	$235.60	$620.00	—	—	62%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-Ray Exam of Lower Leg	$143.64	$378.00	—	—	62%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC X-Ray Exam of Lower Leg	$143.64	$378.00	—	—	62%
MR angiography (MRA) of the head without contrast CPT 70544 HC MR Angiography Head W/O Dye	$1,326.96	$3,492.00	—	—	62%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MR Angiography Head W/O Dye	$1,326.96	$3,492.00	—	—	62%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC Abbreviated MRI Breast Without & With Contrast W/Cad Bilateral	$342.00	$900.00	—	—	62%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI Breast Without & With Contrast W/Cad Bilateral	$1,242.22	$3,269.00	—	—	62%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC Abbreviated MRI Breast Without & With Contrast W/Cad Bilateral	$342.00	$900.00	—	—	62%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI Breast Without & With Contrast W/Cad Bilateral	$1,242.22	$3,269.00	—	—	62%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye	$1,629.44	$4,288.00	—	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye	$1,629.44	$4,288.00	—	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Joint Lwr Extr W/O&W/Dye	$1,840.34	$4,843.00	—	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Joint Lwr Extr W/O&W/Dye	$1,840.34	$4,843.00	—	—	62%
MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Dye	$1,513.54	$3,983.00	—	—	62%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen W/O Dye	$1,513.54	$3,983.00	—	—	62%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W/O & W/Dye	$2,058.46	$5,417.00	—	—	62%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen W/O & W/Dye	$2,058.46	$5,417.00	—	—	62%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain Stem W/O Dye	$1,347.10	$3,545.00	—	—	62%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain Stem W/O Dye	$1,347.10	$3,545.00	—	—	62%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Stem W/O & W/Dye	$1,832.74	$4,823.00	—	—	62%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain Stem W/O & W/Dye	$1,832.74	$4,823.00	—	—	62%
MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O Dye	$1,513.54	$3,983.00	—	—	62%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar Spine W/O Dye	$1,513.54	$3,983.00	—	—	62%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Lumbar Spine W/O & W/Dye	$2,058.46	$5,417.00	—	—	62%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI Lumbar Spine W/O & W/Dye	$2,058.46	$5,417.00	—	—	62%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Chest Spine W/O Dye	$1,513.54	$3,983.00	—	—	62%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI Chest Spine W/O Dye	$1,513.54	$3,983.00	—	—	62%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Neck Spine W/O & W/Dye	$2,058.46	$5,417.00	—	—	62%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI Neck Spine W/O & W/Dye	$2,058.46	$5,417.00	—	—	62%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Neck Spine W/O Dye	$1,513.54	$3,983.00	—	—	62%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI Neck Spine W/O Dye	$1,513.54	$3,983.00	—	—	62%
MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W/O & W/Dye	$1,805.38	$4,751.00	—	—	62%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Pelvis W/O & W/Dye	$1,805.38	$4,751.00	—	—	62%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Dye	$1,326.96	$3,492.00	—	—	62%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Pelvis W/O Dye	$1,326.96	$3,492.00	—	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Joint Upr Extrem W/O Dye	$1,629.44	$4,288.00	—	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI Joint Upr Extrem W/O Dye	$1,629.44	$4,288.00	—	—	62%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC X-Ray Exam Neck Spine 4/5vws	$293.74	$773.00	—	—	62%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC X-Ray Exam Neck Spine 4/5vws	$293.74	$773.00	—	—	62%
Neck soft tissue CT scan with contrast CPT 70491 HC CT Soft Tissue Neck W/Dye	$1,069.32	$2,814.00	—	—	62%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT Soft Tissue Neck W/Dye	$1,069.32	$2,814.00	—	—	62%
Neck soft tissue CT scan without contrast CPT 70490 HC CT Soft Tissue Neck W/O Dye	$915.04	$2,408.00	—	—	62%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT Soft Tissue Neck W/O Dye	$915.04	$2,408.00	—	—	62%
Neck soft tissue X-ray CPT 70360 HC X-Ray Exam of Neck	$125.02	$329.00	—	—	62%
Neck soft tissue X-ray inpatient CPT 70360 HC X-Ray Exam of Neck	$125.02	$329.00	—	—	62%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Ht Muscle Image Spect Mult	$2,288.36	$6,022.00	—	—	62%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Ht Muscle Image Spect Mult	$2,288.36	$6,022.00	—	—	62%
Pelvic CT scan without contrast CPT 72192 HC CT Pelvis W/O Dye	$1,018.40	$2,680.00	—	—	62%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT Pelvis W/O Dye	$1,018.40	$2,680.00	—	—	62%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Exam Pelvic Limited	$193.80	$510.00	—	—	62%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US Exam Pelvic Limited	$193.80	$510.00	—	—	62%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Exam Pelvic Complete	$352.26	$927.00	—	—	62%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Exam Pelvic Complete	$352.26	$927.00	—	—	62%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 Wks Sngl Fetus	$395.96	$1,042.00	—	—	62%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB US >/= 14 Wks Sngl Fetus	$395.96	$1,042.00	—	—	62%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 Wks Single Fetus	$383.42	$1,009.00	—	—	62%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OB US < 14 Wks Single Fetus	$383.42	$1,009.00	—	—	62%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US Limited Fetus(S)	$283.10	$745.00	—	—	62%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB US Limited Fetus(S)	$283.10	$745.00	—	—	62%
Rib X-ray, one side, 2 views CPT 71100 HC X-Ray Exam Ribs Uni 2 Views	$232.18	$611.00	—	—	62%
Rib X-ray, one side, 2 views inpatient CPT 71100 HC X-Ray Exam Ribs Uni 2 Views	$232.18	$611.00	—	—	62%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC X-Ray Exam Unilat Ribs/Chest	$246.24	$648.00	—	—	62%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC X-Ray Exam Unilat Ribs/Chest	$246.24	$648.00	—	—	62%
Screening mammogram, both breasts CPT 77067 HC Mammogram Screening Bil	$201.78	$531.00	—	—	62%
Screening mammogram, both breasts inpatient CPT 77067 HC Mammogram Screening Bil	$201.78	$531.00	—	—	62%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-Ray Exam of Shoulder Complete	$190.38	$501.00	—	—	62%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-Ray Exam of Shoulder Complete	$190.38	$501.00	—	—	62%
Sinus X-ray, complete, 3 or more views CPT 70220 HC X-Ray Exam of Sinuses Complete	$249.28	$656.00	—	—	62%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC X-Ray Exam of Sinuses Complete	$249.28	$656.00	—	—	62%
Skull X-ray, fewer than 4 views CPT 70250 HC X-Ray Exam of Skull	$179.36	$472.00	—	—	62%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC X-Ray Exam of Skull	$179.36	$472.00	—	—	62%
Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/>Addl Param Attnd	$1,170.40	$3,080.00	—	—	62%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysom 6/>Yrs Sleep 4/>Addl Param Attnd	$1,170.40	$3,080.00	—	—	62%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Stress Echo by Treadmill or Meds Without Contrast	$1,482.00	$3,900.00	—	—	62%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Stress Echo by Treadmill or Meds Without Contrast	$1,482.00	$3,900.00	—	—	62%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Cine/Vid X-Ray Throat/Esoph	$281.58	$741.00	—	—	62%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Cine/Vid X-Ray Throat/Esoph	$281.58	$741.00	—	—	62%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Xray Exam Femur 2/> Views	$203.30	$535.00	—	—	62%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC Xray Exam Femur 2/> Views	$203.30	$535.00	—	—	62%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Chest Spine W/O Dye	$1,087.18	$2,861.00	—	—	62%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT Chest Spine W/O Dye	$1,087.18	$2,861.00	—	—	62%
Toe X-ray, 2 or more views CPT 73660 HC X-Ray Exam of Toe(S)	$119.70	$315.00	—	—	62%
Toe X-ray, 2 or more views inpatient CPT 73660 HC X-Ray Exam of Toe(S)	$119.70	$315.00	—	—	62%
Transvaginal pelvic ultrasound CPT 76830 HC Transvaginal US Non-OB	$388.36	$1,022.00	—	—	62%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC Transvaginal US Non-OB	$388.36	$1,022.00	—	—	62%
Transvaginal ultrasound during pregnancy CPT 76817 HC Transvaginal US Obstetric	$383.42	$1,009.00	—	—	62%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC Transvaginal US Obstetric	$383.42	$1,009.00	—	—	62%
Ultrasound of the abdomen, complete CPT 76700 HC US Exam Abdom Complete	$553.66	$1,457.00	—	—	62%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Exam Abdom Complete	$553.66	$1,457.00	—	—	62%
Ultrasound of the scrotum and testicles CPT 76870 HC US Exam Scrotum	$353.40	$930.00	—	—	62%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US Exam Scrotum	$353.40	$930.00	—	—	62%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Exam of Head and Neck	$353.40	$930.00	—	—	62%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Exam of Head and Neck	$353.40	$930.00	—	—	62%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-Ray Upper GI Delay W/O Kub	$627.38	$1,651.00	—	—	62%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-Ray Upper GI Delay W/O Kub	$627.38	$1,651.00	—	—	62%
Upper arm X-ray (humerus), 2 views CPT 73060 HC X-Ray Exam of Humerus	$184.30	$485.00	—	—	62%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC X-Ray Exam of Humerus	$184.30	$485.00	—	—	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Extremity Study	$315.40	$830.00	—	—	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Extremity Study	$315.40	$830.00	—	—	62%
Wrist X-ray, 2 views CPT 73100 HC X-Ray Exam of Wrist	$180.12	$474.00	—	—	62%
Wrist X-ray, 2 views inpatient CPT 73100 HC X-Ray Exam of Wrist	$180.12	$474.00	—	—	62%
Wrist X-ray, complete, 3 or more views CPT 73110 HC X-Ray Exam of Wrist	$218.12	$574.00	—	—	62%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-Ray Exam of Wrist	$218.12	$574.00	—	—	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC Xray Exam Hip Uni 2-3 Views	$211.66	$557.00	—	—	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC Xray Exam Hip Uni 2-3 Views	$211.66	$557.00	—	—	62%
X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Exam of Abdomen 1 View	$165.30	$435.00	—	—	62%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-Ray Exam of Abdomen 1 View	$165.30	$435.00	—	—	62%
X-ray of the ankle, 2 views CPT 73600 HC X-Ray Exam of Ankle	$235.22	$619.00	—	—	62%
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-Ray Exam of Ankle	$235.22	$619.00	—	—	62%
X-ray of the finger(s), 2 or more views CPT 73140 HC X-Ray Exam of Finger(S)	$104.50	$275.00	—	—	62%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-Ray Exam of Finger(S)	$104.50	$275.00	—	—	62%
X-ray of the foot, 2 views CPT 73620 HC X-Ray Rheumatoid Feet	$137.94	$363.00	—	—	62%
X-ray of the foot, 2 views CPT 73620 HC X-Ray Exam of Foot	$215.84	$568.00	—	—	62%
X-ray of the foot, 2 views inpatient CPT 73620 HC X-Ray Rheumatoid Feet	$137.94	$363.00	—	—	62%
X-ray of the foot, 2 views inpatient CPT 73620 HC X-Ray Exam of Foot	$215.84	$568.00	—	—	62%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-Ray Exam of Foot Complete	$253.84	$668.00	—	—	62%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-Ray Exam of Foot Complete	$253.84	$668.00	—	—	62%
X-ray of the hand, 3 or more views CPT 73130 HC X-Ray Exam of Hand	$165.30	$435.00	—	—	62%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-Ray Exam of Hand	$165.30	$435.00	—	—	62%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-Ray Exam of Knee 1 or 2	$188.48	$496.00	—	—	62%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-Ray Exam of Knee 1 or 2	$188.48	$496.00	—	—	62%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-Ray Exam L-S Spine 2/3 Vws	$220.02	$579.00	—	—	62%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-Ray Exam L-S Spine 2/3 Vws	$220.02	$579.00	—	—	62%
X-ray of the lower back, 4 or more views CPT 72110 HC X-Ray Exam L-2 Spine 4/>Vws	$292.98	$771.00	—	—	62%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-Ray Exam L-2 Spine 4/>Vws	$292.98	$771.00	—	—	62%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-Ray Exam Thorac Spine 2vws	$195.32	$514.00	—	—	62%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-Ray Exam Thorac Spine 2vws	$195.32	$514.00	—	—	62%
X-ray of the nasal bones, 3 or more views CPT 70160 HC X-Ray Exam of Nasal Bones	$153.52	$404.00	—	—	62%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-Ray Exam of Nasal Bones	$153.52	$404.00	—	—	62%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC X-Ray Exam Neck Spine 3/<Vws	$235.22	$619.00	—	—	62%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC X-Ray Exam Neck Spine 3/<Vws	$235.22	$619.00	—	—	62%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-Ray Exam of Pelvis	$155.04	$408.00	—	—	62%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-Ray Exam of Pelvis	$155.04	$408.00	—	—	62%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-Ray Exam Sacrum Tailbone	$152.00	$400.00	—	—	62%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-Ray Exam Sacrum Tailbone	$152.00	$400.00	—	—	62%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
ACTH blood test CPT 82024 HC Assay of Acth	$55.10	$145.00	—	—	62%
ACTH blood test inpatient CPT 82024 HC Assay of Acth	$55.10	$145.00	—	—	62%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alanine Amino (Alt) (Sgpt)	$25.84	$68.00	—	—	62%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Alanine Amino (Alt) (Sgpt)	$25.84	$68.00	—	—	62%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase (Ast) (Sgot)	$12.16	$32.00	—	—	62%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Transferase (Ast) (Sgot)	$12.16	$32.00	—	—	62%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel	$269.42	$709.00	—	—	62%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Acute Hepatitis Panel	$269.42	$709.00	—	—	62%
Albumin blood test CPT 82040 HC Assay of Serum Albumin	$8.36	$22.00	—	—	62%
Albumin blood test CPT 82040 HC Assay of Serum Albumin - Myo	$18.24	$48.00	—	—	62%
Albumin blood test CPT 82040 HC Assay of Serum Albumin - Nsai Reflex - Myo	$26.22	$69.00	—	—	62%
Albumin blood test CPT 82040 HC Assay of Serum Albumin - Reflex - Myo	$66.88	$176.00	—	—	62%
Albumin blood test inpatient CPT 82040 HC Assay of Serum Albumin	$8.36	$22.00	—	—	62%
Albumin blood test inpatient CPT 82040 HC Assay of Serum Albumin - Myo	$18.24	$48.00	—	—	62%
Albumin blood test inpatient CPT 82040 HC Assay of Serum Albumin - Nsai Reflex - Myo	$26.22	$69.00	—	—	62%
Albumin blood test inpatient CPT 82040 HC Assay of Serum Albumin - Reflex - Myo	$66.88	$176.00	—	—	62%
Aldosterone blood test CPT 82088 HC Assay of Aldosterone	$70.68	$186.00	—	—	62%
Aldosterone blood test inpatient CPT 82088 HC Assay of Aldosterone	$70.68	$186.00	—	—	62%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Assay Alkaline Phosphatase	$20.14	$53.00	—	—	62%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Assay Alkaline Phosphatase	$20.14	$53.00	—	—	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allg Spec Ige Crude Xtrc Ea	$17.86	$47.00	—	—	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allg Spec Ige Crude Xtrc Ea - Lc - Tier 2	$23.94	$63.00	—	—	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allg Spec Ige Crude Xtrc Ea - Lc - Tier 3	$33.06	$87.00	—	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allg Spec Ige Crude Xtrc Ea	$17.86	$47.00	—	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allg Spec Ige Crude Xtrc Ea - Lc - Tier 2	$23.94	$63.00	—	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allg Spec Ige Crude Xtrc Ea - Lc - Tier 3	$33.06	$87.00	—	—	62%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein Serum	$26.22	$69.00	—	—	62%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Alpha-Fetoprotein Serum	$26.22	$69.00	—	—	62%
Ammonia blood test CPT 82140 HC Assay of Ammonia - Lc	$19.00	$50.00	—	—	62%
Ammonia blood test CPT 82140 HC Assay of Ammonia	$28.12	$74.00	—	—	62%
Ammonia blood test inpatient CPT 82140 HC Assay of Ammonia - Lc	$19.00	$50.00	—	—	62%
Ammonia blood test inpatient CPT 82140 HC Assay of Ammonia	$28.12	$74.00	—	—	62%
Amylase blood test CPT 82150 HC Assay of Amylase	$18.24	$48.00	—	—	62%
Amylase blood test inpatient CPT 82150 HC Assay of Amylase	$18.24	$48.00	—	—	62%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP Antibody	$23.18	$61.00	—	—	62%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP Antibody Ana Rflx-Lc	$33.44	$88.00	—	—	62%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP Antibody	$23.18	$61.00	—	—	62%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP Antibody Ana Rflx-Lc	$33.44	$88.00	—	—	62%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies	$25.46	$67.00	—	—	62%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies Ana 12 Plus-Lc	$37.62	$99.00	—	—	62%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies	$25.46	$67.00	—	—	62%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies Ana 12 Plus-Lc	$37.62	$99.00	—	—	62%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Assay of Natriuretic Peptide	$53.58	$141.00	—	—	62%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Assay of Natriuretic Peptide - Myo	$98.80	$260.00	—	—	62%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Assay of Natriuretic Peptide	$53.58	$141.00	—	—	62%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Assay of Natriuretic Peptide - Myo	$98.80	$260.00	—	—	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Othr Specimn Aerobic - Lc - 8482	$14.06	$37.00	—	—	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Othr Specimn Aerobic	$32.68	$86.00	—	—	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Othr Specimn Aerobic - Lc - 188656	$83.60	$220.00	—	—	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Othr Specimn Aerobic - Lc - 183474	$113.24	$298.00	—	—	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Othr Specimn Aerobic - Lc - 8482	$14.06	$37.00	—	—	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Othr Specimn Aerobic	$32.68	$86.00	—	—	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Othr Specimn Aerobic - Lc - 188656	$83.60	$220.00	—	—	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Othr Specimn Aerobic - Lc - 183474	$113.24	$298.00	—	—	62%
Basic metabolic panel (blood test) CPT 80048 HC Metabolic Panel Total Ca	$78.28	$206.00	—	—	62%
Basic metabolic panel (blood test) inpatient CPT 80048 HC Metabolic Panel Total Ca	$78.28	$206.00	—	—	62%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total	$12.92	$34.00	—	—	62%
Bilirubin blood test, total inpatient CPT 82247 HC Bilirubin Total	$12.92	$34.00	—	—	62%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Level IV Biopsy	$80.56	$212.00	—	—	62%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Level IV Biopsy	$80.56	$212.00	—	—	62%
Blood culture for bacteria CPT 87040 HC Blood Culture for Bacteria	$67.26	$177.00	—	—	62%
Blood culture for bacteria inpatient CPT 87040 HC Blood Culture for Bacteria	$67.26	$177.00	—	—	62%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Routine Venipuncture	$8.36	$22.00	—	—	62%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Routine Venipuncture	$8.36	$22.00	—	—	62%
Blood glucose (sugar) test CPT 82947 HC Assay Glucose Blood Quant	$8.74	$23.00	—	—	62%
Blood glucose (sugar) test inpatient CPT 82947 HC Assay Glucose Blood Quant	$8.74	$23.00	—	—	62%
Blood lead test CPT 83655 HC Assay of Lead	$8.36	$22.00	—	—	62%
Blood lead test inpatient CPT 83655 HC Assay of Lead	$8.36	$22.00	—	—	62%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Chorionic Gonadotropin Assay	$10.64	$28.00	—	—	62%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Chorionic Gonadotropin Assay	$10.64	$28.00	—	—	62%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo	$16.72	$44.00	—	—	62%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Versiti	$108.68	$286.00	—	—	62%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Abo	$16.72	$44.00	—	—	62%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Serologic Abo - Versiti	$108.68	$286.00	—	—	62%
Blood urea nitrogen (BUN) test CPT 84520 HC Assay of Urea Nitrogen	$12.92	$34.00	—	—	62%
Blood urea nitrogen (BUN) test CPT 84520 HC Assay of Urea Nitrogen - Lc	$13.68	$36.00	—	—	62%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Assay of Urea Nitrogen	$12.92	$34.00	—	—	62%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Assay of Urea Nitrogen - Lc	$13.68	$36.00	—	—	62%
C-peptide blood test CPT 84681 HC Assay of C-Peptide	$28.50	$75.00	—	—	62%
C-peptide blood test inpatient CPT 84681 HC Assay of C-Peptide	$28.50	$75.00	—	—	62%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein	$11.78	$31.00	—	—	62%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein	$11.78	$31.00	—	—	62%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Amplified Probe	$50.92	$134.00	—	—	62%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C Diff Amplified Probe	$50.92	$134.00	—	—	62%
CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay Tumor Ca 19-9	$34.96	$92.00	—	—	62%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Immunoassay Tumor Ca 19-9	$34.96	$92.00	—	—	62%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay Tumor Ca 125	$28.50	$75.00	—	—	62%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay Tumor Ca Myo 125	$125.78	$331.00	—	—	62%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassay Tumor Ca 125	$28.50	$75.00	—	—	62%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassay Tumor Ca Myo 125	$125.78	$331.00	—	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars - Cov-2 Covid-19 Amp Prb	$48.26	$127.00	—	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb-Myo	$74.48	$196.00	—	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Bdmax Covid19	$84.74	$223.00	—	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb Idnow	$112.48	$296.00	—	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb-Panthr	$136.80	$360.00	—	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Cepheid Covid19	$167.20	$440.00	—	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Sars - Cov-2 Covid-19 Amp Prb	$48.26	$127.00	—	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb-Myo	$74.48	$196.00	—	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Bdmax Covid19	$84.74	$223.00	—	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb Idnow	$112.48	$296.00	—	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb-Panthr	$136.80	$360.00	—	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Cepheid Covid19	$167.20	$440.00	—	—	62%
Calcium blood test, total CPT 82310 HC Assay of Calcium Total	$9.50	$25.00	—	—	62%
Calcium blood test, total CPT 82310 HC Calcium Serum	$12.54	$33.00	—	—	62%
Calcium blood test, total inpatient CPT 82310 HC Assay of Calcium Total	$9.50	$25.00	—	—	62%
Calcium blood test, total inpatient CPT 82310 HC Calcium Serum	$12.54	$33.00	—	—	62%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen	$25.84	$68.00	—	—	62%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen Cea-Myo	$50.16	$132.00	—	—	62%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Carcinoembryonic Antigen	$25.84	$68.00	—	—	62%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Carcinoembryonic Antigen Cea-Myo	$50.16	$132.00	—	—	62%
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster Antibody	$25.46	$67.00	—	—	62%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Varicella-Zoster Antibody	$25.46	$67.00	—	—	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chylmd Trach Dna Amp Probe	$43.32	$114.00	—	—	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chylmd Trach Dna Amp Probe	$43.32	$114.00	—	—	62%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel	$76.76	$202.00	—	—	62%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel	$76.76	$202.00	—	—	62%
Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc W/ Auto Diff Wbc	$18.24	$48.00	—	—	62%
Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc W/Auto Diff Wbc	$55.48	$146.00	—	—	62%
Complete blood count (CBC) with differential inpatient CPT 85025 HC Complete Cbc W/ Auto Diff Wbc	$18.24	$48.00	—	—	62%
Complete blood count (CBC) with differential inpatient CPT 85025 HC Complete Cbc W/Auto Diff Wbc	$55.48	$146.00	—	—	62%
Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc Automated	$35.72	$94.00	—	—	62%
Complete blood count (CBC), no differential inpatient CPT 85027 HC Complete Cbc Automated	$35.72	$94.00	—	—	62%
Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehen Metabolic Panel	$119.70	$315.00	—	—	62%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehen Metabolic Panel	$119.70	$315.00	—	—	62%
Cortisol blood test, total CPT 82533 HC Total Cortisol	$65.74	$173.00	—	—	62%
Cortisol blood test, total inpatient CPT 82533 HC Total Cortisol	$65.74	$173.00	—	—	62%
Creatine kinase (CK) blood test, total CPT 82550 HC Assay of CK (Cpk)	$28.12	$74.00	—	—	62%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Assay of CK (Cpk)	$28.12	$74.00	—	—	62%
Creatinine blood test CPT 82565 HC Assay of Creatinine	$11.02	$29.00	—	—	62%
Creatinine blood test inpatient CPT 82565 HC Assay of Creatinine	$11.02	$29.00	—	—	62%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Cmv Antibody Lc	$14.82	$39.00	—	—	62%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Cmv Antibody With Avidity Lc Reflex	$99.18	$261.00	—	—	62%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Cmv Antibody Lc	$14.82	$39.00	—	—	62%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Cmv Antibody With Avidity Lc Reflex	$99.18	$261.00	—	—	62%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradation D-Dimer Quant	$18.24	$48.00	—	—	62%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradation Quant	$30.40	$80.00	—	—	62%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Fibrin Degradation D-Dimer Quant	$18.24	$48.00	—	—	62%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Fibrin Degradation Quant	$30.40	$80.00	—	—	62%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea-S	$33.06	$87.00	—	—	62%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dhea-S	$33.06	$87.00	—	—	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzer	$101.46	$267.00	—	—	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr	$103.74	$273.00	—	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test Prsmv Chem Anlyzer	$101.46	$267.00	—	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test Prsmv Chem Anlyzr	$103.74	$273.00	—	—	62%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel	$26.98	$71.00	—	—	62%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Electrolyte Panel	$26.98	$71.00	—	—	62%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca	$22.04	$58.00	—	—	62%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Epstein-Barr Capsid Vca	$22.04	$58.00	—	—	62%
Estradiol blood test CPT 82670 HC Assay of Estradiol	$56.62	$149.00	—	—	62%
Estradiol blood test inpatient CPT 82670 HC Assay of Estradiol	$56.62	$149.00	—	—	62%
FSH (follicle-stimulating hormone) test CPT 83001 HC Assay of Gonadotropin (Fsh)	$36.10	$95.00	—	—	62%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Assay of Gonadotropin (Fsh)	$36.10	$95.00	—	—	62%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Assay for Calprotectin Fecal - Myo	$130.34	$343.00	—	—	62%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Assay for Calprotectin Fecal - Myo	$130.34	$343.00	—	—	62%
Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin	$33.82	$89.00	—	—	62%
Ferritin blood test (iron stores) inpatient CPT 82728 HC Assay of Ferritin	$33.82	$89.00	—	—	62%
Fibrinogen blood test CPT 85384 HC K Time	$16.34	$43.00	—	—	62%
Fibrinogen blood test CPT 85384 HC Fibrinogen Activity	$38.00	$100.00	—	—	62%
Fibrinogen blood test inpatient CPT 85384 HC K Time	$16.34	$43.00	—	—	62%
Fibrinogen blood test inpatient CPT 85384 HC Fibrinogen Activity	$38.00	$100.00	—	—	62%
Folate (folic acid) blood test CPT 82746 HC Assay of Folic Acid Serum	$21.66	$57.00	—	—	62%
Folate (folic acid) blood test inpatient CPT 82746 HC Assay of Folic Acid Serum	$21.66	$57.00	—	—	62%
Free T3 thyroid hormone test CPT 84481 HC Free Assay (Ft-3)	$23.18	$61.00	—	—	62%
Free T3 thyroid hormone test inpatient CPT 84481 HC Free Assay (Ft-3)	$23.18	$61.00	—	—	62%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine	$16.72	$44.00	—	—	62%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Assay of Free Thyroxine	$16.72	$44.00	—	—	62%
Free testosterone test CPT 84402 HC Assay of Free Testosterone	$71.82	$189.00	—	—	62%
Free testosterone test inpatient CPT 84402 HC Assay of Free Testosterone	$71.82	$189.00	—	—	62%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Ggt	$34.96	$92.00	—	—	62%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Assay of Ggt	$34.96	$92.00	—	—	62%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel	$106.78	$281.00	—	—	62%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel	$106.78	$281.00	—	—	62%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test	$9.12	$24.00	—	—	62%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose Test	$9.12	$24.00	—	—	62%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt)	$27.36	$72.00	—	—	62%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test (Gtt)	$27.36	$72.00	—	—	62%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhoeae Dna Amp Prob	$43.32	$114.00	—	—	62%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.Gonorrhoeae Dna Amp Prob	$43.32	$114.00	—	—	62%
H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori Antibody	$25.08	$66.00	—	—	62%
H. pylori antibody blood test inpatient CPT 86677 HC Helicobacter Pylori Antibody	$25.08	$66.00	—	—	62%
H. pylori stool antigen test CPT 87338 HC Hpylori Stool Eia	$25.08	$66.00	—	—	62%
H. pylori stool antigen test inpatient CPT 87338 HC Hpylori Stool Eia	$25.08	$66.00	—	—	62%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj	$117.42	$309.00	—	—	62%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj	$117.42	$309.00	—	—	62%
HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv-1/Hiv-2 Single Result	$18.62	$49.00	—	—	62%
HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv-1/Hiv-2 1 Result Antbdy	$53.58	$141.00	—	—	62%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Hiv-1/Hiv-2 Single Result	$18.62	$49.00	—	—	62%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Hiv-1/Hiv-2 1 Result Antbdy	$53.58	$141.00	—	—	62%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab	$22.42	$59.00	—	—	62%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Ag W/Hiv-1&-2 Ab Ag Ia - Rex	$56.62	$149.00	—	—	62%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab	$22.42	$59.00	—	—	62%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hiv-1 Ag W/Hiv-1&-2 Ab Ag Ia - Rex	$56.62	$149.00	—	—	62%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv-High Risk	$45.22	$119.00	—	—	62%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv High-Risk Types - Myo	$104.12	$274.00	—	—	62%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Hpv-High Risk	$45.22	$119.00	—	—	62%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Hpv High-Risk Types - Myo	$104.12	$274.00	—	—	62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test	$20.14	$53.00	—	—	62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Glycosylated Hemoglobin Test	$20.14	$53.00	—	—	62%
Hemoglobin blood test CPT 85018 HC Hemoglobin	$11.40	$30.00	—	—	62%
Hemoglobin blood test CPT 85018 HC Blood Count Hemoglobin - Lc	$14.44	$38.00	—	—	62%
Hemoglobin blood test inpatient CPT 85018 HC Hemoglobin	$11.40	$30.00	—	—	62%
Hemoglobin blood test inpatient CPT 85018 HC Blood Count Hemoglobin - Lc	$14.44	$38.00	—	—	62%
Hepatitis B core antibody test (total) CPT 86704 HC Hep B Core Antibody Total	$21.28	$56.00	—	—	62%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC Hep B Core Antibody Total	$21.28	$56.00	—	—	62%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hep B Surface Antibody	$15.96	$42.00	—	—	62%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hep B Surface Antibody - Rex	$28.12	$74.00	—	—	62%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hep B Surface Antibody	$15.96	$42.00	—	—	62%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hep B Surface Antibody - Rex	$28.12	$74.00	—	—	62%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Ag Ia - Rex	$25.46	$67.00	—	—	62%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Ag Eia	$26.22	$69.00	—	—	62%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hep B Surface Ag Eia	$31.16	$82.00	—	—	62%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Hepatitis B Surface Ag Ia - Rex	$25.46	$67.00	—	—	62%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Hepatitis B Surface Ag Eia	$26.22	$69.00	—	—	62%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Hep B Surface Ag Eia	$31.16	$82.00	—	—	62%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab Test	$29.26	$77.00	—	—	62%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab Test - Rex	$30.02	$79.00	—	—	62%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Ab Test	$29.26	$77.00	—	—	62%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Ab Test - Rex	$30.02	$79.00	—	—	62%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hepatitis C Revrs Trnscrpj	$69.92	$184.00	—	—	62%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Hepatitis C Revrs Trnscrpj	$69.92	$184.00	—	—	62%
Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Type 1 Test	$23.18	$61.00	—	—	62%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Herpes Simplex Type 1 Test	$23.18	$61.00	—	—	62%
Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Type 2 Test	$31.92	$84.00	—	—	62%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Herpes Simplex Type 2 Test	$31.92	$84.00	—	—	62%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein Hs - Lc	$13.68	$36.00	—	—	62%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein Hs	$52.82	$139.00	—	—	62%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein Hs - Lc	$13.68	$36.00	—	—	62%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein Hs	$52.82	$139.00	—	—	62%
Homocysteine blood test CPT 83090 HC Assay of Homocystine	$45.60	$120.00	—	—	62%
Homocysteine blood test inpatient CPT 83090 HC Assay of Homocystine	$45.60	$120.00	—	—	62%
Insulin blood test CPT 83525 HC Assay of Insulin Total	$9.12	$24.00	—	—	62%
Insulin blood test CPT 83525 HC Insulin	$19.00	$50.00	—	—	62%
Insulin blood test inpatient CPT 83525 HC Assay of Insulin Total	$9.12	$24.00	—	—	62%
Insulin blood test inpatient CPT 83525 HC Insulin	$19.00	$50.00	—	—	62%
Iron blood test (serum iron) CPT 83540 HC Assay of Ferritin	$13.68	$36.00	—	—	62%
Iron blood test (serum iron) CPT 83540 HC Assay of Iron	$22.42	$59.00	—	—	62%
Iron blood test (serum iron) inpatient CPT 83540 HC Assay of Ferritin	$13.68	$36.00	—	—	62%
Iron blood test (serum iron) inpatient CPT 83540 HC Assay of Iron	$22.42	$59.00	—	—	62%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity	$15.96	$42.00	—	—	62%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test	$43.70	$115.00	—	—	62%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Capacity	$15.96	$42.00	—	—	62%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Test	$43.70	$115.00	—	—	62%
Kidney function blood test panel CPT 80069 HC Renal Function Panel	$17.48	$46.00	—	—	62%
Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel	$17.48	$46.00	—	—	62%
LH (luteinizing hormone) test CPT 83002 HC Assay of Gonadotropin (Lh)	$34.96	$92.00	—	—	62%
LH (luteinizing hormone) test inpatient CPT 83002 HC Assay of Gonadotropin (Lh)	$34.96	$92.00	—	—	62%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid	$27.74	$73.00	—	—	62%
Lactate (lactic acid) blood test CPT 83605 Laboratory Services/Procedures	$90.44	$238.00	—	—	62%
Lactate (lactic acid) blood test inpatient CPT 83605 HC Assay of Lactic Acid	$27.74	$73.00	—	—	62%
Lactate (lactic acid) blood test inpatient CPT 83605 Laboratory Services/Procedures	$90.44	$238.00	—	—	62%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld)(Ldh) Enzyme	$9.50	$25.00	—	—	62%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld) (Ldh) Enzyme	$20.14	$53.00	—	—	62%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lactate (Ld)(Ldh) Enzyme	$9.50	$25.00	—	—	62%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lactate (Ld) (Ldh) Enzyme	$20.14	$53.00	—	—	62%
Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase	$27.36	$72.00	—	—	62%
Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase - Myo	$37.24	$98.00	—	—	62%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Assay of Lipase	$27.36	$72.00	—	—	62%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Assay of Lipase - Myo	$37.24	$98.00	—	—	62%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel	$59.28	$156.00	—	—	62%
Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel	$59.28	$156.00	—	—	62%
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - Myo	$28.12	$74.00	—	—	62%
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - CSF - Myo	$86.26	$227.00	—	—	62%
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - Reflex - Myo	$206.72	$544.00	—	—	62%
Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Antibody - Myo	$28.12	$74.00	—	—	62%
Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Antibody - CSF - Myo	$86.26	$227.00	—	—	62%
Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Antibody - Reflex - Myo	$206.72	$544.00	—	—	62%
Magnesium blood test CPT 83735 HC Assay of Magnesium	$12.54	$33.00	—	—	62%
Magnesium blood test CPT 83735 HC Assay of Magnesium - Lc - UR	$13.68	$36.00	—	—	62%
Magnesium blood test CPT 83735 HC Assay of Magnesium - Lc - RBC	$42.56	$112.00	—	—	62%
Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium	$12.54	$33.00	—	—	62%
Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium - Lc - UR	$13.68	$36.00	—	—	62%
Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium - Lc - RBC	$42.56	$112.00	—	—	62%
Measles (rubeola) antibody test CPT 86765 HC Rubeola Antibody	$17.86	$47.00	—	—	62%
Measles (rubeola) antibody test CPT 86765 HC Rubeola Antibody - Myo	$32.68	$86.00	—	—	62%
Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola Antibody	$17.86	$47.00	—	—	62%
Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola Antibody - Myo	$32.68	$86.00	—	—	62%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibody Screen	$37.62	$99.00	—	—	62%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Heterophile Antibody Screen	$37.62	$99.00	—	—	62%
Mumps immunity blood test CPT 86735 HC Mumps Antibody-Lc	$10.64	$28.00	—	—	62%
Mumps immunity blood test CPT 86735 HC Mumps Antibody	$17.86	$47.00	—	—	62%
Mumps immunity blood test inpatient CPT 86735 HC Mumps Antibody-Lc	$10.64	$28.00	—	—	62%
Mumps immunity blood test inpatient CPT 86735 HC Mumps Antibody	$17.86	$47.00	—	—	62%
Obstetric blood test panel CPT 80055 HC Obstetric Panel	$102.22	$269.00	—	—	62%
Obstetric blood test panel inpatient CPT 80055 HC Obstetric Panel	$102.22	$269.00	—	—	62%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Assay of Psa Free	$27.36	$72.00	—	—	62%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Assay of Psa Free	$27.36	$72.00	—	—	62%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Psa Total	$36.86	$97.00	—	—	62%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Assay of Psa Total	$36.86	$97.00	—	—	62%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytopath C/V Auto Fluid Redo	$71.44	$188.00	—	—	62%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Cytopath C/V Auto Fluid Redo	$71.44	$188.00	—	—	62%
Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone	$56.62	$149.00	—	—	62%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Assay of Parathormone	$56.62	$149.00	—	—	62%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial	$22.80	$60.00	—	—	62%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Antithrombin III Activity	$23.56	$62.00	—	—	62%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplastin Time Partial	$22.80	$60.00	—	—	62%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Antithrombin III Activity	$23.56	$62.00	—	—	62%
Phosphorus (phosphate) blood test CPT 84100 HC Assay of Phosphorus	$15.20	$40.00	—	—	62%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC Assay of Phosphorus	$15.20	$40.00	—	—	62%
Potassium blood test CPT 84132 HC Assay of Serum Potassium	$9.88	$26.00	—	—	62%
Potassium blood test inpatient CPT 84132 HC Assay of Serum Potassium	$9.88	$26.00	—	—	62%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Fetal Chrmomi Aneuploidy	$852.34	$2,243.00	—	—	62%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC Fetal Chrmomi Aneuploidy	$852.34	$2,243.00	—	—	62%
Progesterone blood test CPT 84144 HC Assay of Progesterone	$94.62	$249.00	—	—	62%
Progesterone blood test inpatient CPT 84144 HC Assay of Progesterone	$94.62	$249.00	—	—	62%
Prolactin blood test CPT 84146 HC Assay of Prolactin - Myo	$42.18	$111.00	—	—	62%
Prolactin blood test CPT 84146 HC Assay of Prolactin	$47.12	$124.00	—	—	62%
Prolactin blood test inpatient CPT 84146 HC Assay of Prolactin - Myo	$42.18	$111.00	—	—	62%
Prolactin blood test inpatient CPT 84146 HC Assay of Prolactin	$47.12	$124.00	—	—	62%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time POCT-Inr	$12.16	$32.00	—	—	62%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time	$18.62	$49.00	—	—	62%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time POCT-Inr	$12.16	$32.00	—	—	62%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time	$18.62	$49.00	—	—	62%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Immunoassay W/Optical Obs	$22.42	$59.00	—	—	62%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Strep a Immunoassay W/Optical Obs	$22.42	$59.00	—	—	62%
Renin blood test CPT 84244 HC Assay of Renin	$38.00	$100.00	—	—	62%
Renin blood test inpatient CPT 84244 HC Assay of Renin	$38.00	$100.00	—	—	62%
Rh blood typing CPT 86901 HC Blood Typing Rh (D)	$16.72	$44.00	—	—	62%
Rh blood typing CPT 86901 HC Blood Typing Serologic Rh(D) - Versiti	$34.20	$90.00	—	—	62%
Rh blood typing inpatient CPT 86901 HC Blood Typing Rh (D)	$16.72	$44.00	—	—	62%
Rh blood typing inpatient CPT 86901 HC Blood Typing Serologic Rh(D) - Versiti	$34.20	$90.00	—	—	62%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quant	$14.82	$39.00	—	—	62%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor Quant	$14.82	$39.00	—	—	62%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Antibody	$30.78	$81.00	—	—	62%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Antibody	$30.78	$81.00	—	—	62%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC Sed Rate Automated	$20.90	$55.00	—	—	62%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC Sed Rate Automated	$20.90	$55.00	—	—	62%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Anal Vol/Count/Mot	$96.52	$254.00	—	—	62%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC Semen Anal Vol/Count/Mot	$96.52	$254.00	—	—	62%
Sodium blood test CPT 84295 HC Assay of Serum Sodium	$10.26	$27.00	—	—	62%
Sodium blood test inpatient CPT 84295 HC Assay of Serum Sodium	$10.26	$27.00	—	—	62%
Stool ova and parasites exam CPT 87177 HC Ova and Parasites Smear	$7.60	$20.00	—	—	62%
Stool ova and parasites exam CPT 87177 HC Ova and Parasites Smears	$53.96	$142.00	—	—	62%
Stool ova and parasites exam inpatient CPT 87177 HC Ova and Parasites Smear	$7.60	$20.00	—	—	62%
Stool ova and parasites exam inpatient CPT 87177 HC Ova and Parasites Smears	$53.96	$142.00	—	—	62%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Blood Feces	$15.20	$40.00	—	—	62%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Occult Blood Feces	$15.20	$40.00	—	—	62%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Assay Test for Blood Fecal	$44.46	$117.00	—	—	62%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Assay Test for Blood Fecal	$44.46	$117.00	—	—	62%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Treponema Pallidum - Myo	$40.66	$107.00	—	—	62%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Treponema Pallidum	$48.64	$128.00	—	—	62%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Treponema Pallidum - Myo	$40.66	$107.00	—	—	62%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Treponema Pallidum	$48.64	$128.00	—	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non-Trep Qual	$18.62	$49.00	—	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non-Trep Qual - Rex	$28.88	$76.00	—	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non-Trep Qual - Myo	$36.48	$96.00	—	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non-Trep Qual	$18.62	$49.00	—	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non-Trep Qual - Rex	$28.88	$76.00	—	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non-Trep Qual - Myo	$36.48	$96.00	—	—	62%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test Cell Immun Measure	$84.74	$223.00	—	—	62%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test Cell Immun Measure Qgold	$84.74	$223.00	—	—	62%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB Test Cell Immun Measure	$84.74	$223.00	—	—	62%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB Test Cell Immun Measure Qgold	$84.74	$223.00	—	—	62%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone	$67.64	$178.00	—	—	62%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Assay of Total Testosterone	$67.64	$178.00	—	—	62%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody Each	$32.68	$86.00	—	—	62%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody Ea Ana Rflx-Lc	$37.62	$99.00	—	—	62%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibody Each	$32.68	$86.00	—	—	62%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibody Ea Ana Rflx-Lc	$37.62	$99.00	—	—	62%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone	$26.60	$70.00	—	—	62%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Assay Thyroid Stim Hormone	$26.60	$70.00	—	—	62%
Total IgE blood test CPT 82785 HC Assay of Ige	$30.78	$81.00	—	—	62%
Total IgE blood test CPT 82785 HC Assay of Ige - Lc - Tier 2	$84.74	$223.00	—	—	62%
Total IgE blood test inpatient CPT 82785 HC Assay of Ige	$30.78	$81.00	—	—	62%
Total IgE blood test inpatient CPT 82785 HC Assay of Ige - Lc - Tier 2	$84.74	$223.00	—	—	62%
Total cholesterol blood test CPT 82465 HC Assay Bld/Serum Cholesterol	$28.12	$74.00	—	—	62%
Total cholesterol blood test inpatient CPT 82465 HC Assay Bld/Serum Cholesterol	$28.12	$74.00	—	—	62%
Total thyroxine (T4) blood test CPT 84436 HC Assay of Total Thyroxine	$12.16	$32.00	—	—	62%
Total thyroxine (T4) blood test inpatient CPT 84436 HC Assay of Total Thyroxine	$12.16	$32.00	—	—	62%
Total triiodothyronine (T3) blood test CPT 84480 HC Assay Triiodothyronine (T3)	$22.42	$59.00	—	—	62%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC Assay Triiodothyronine (T3)	$22.42	$59.00	—	—	62%
Transferrin blood test CPT 84466 HC Assay of Transferrin	$20.14	$53.00	—	—	62%
Transferrin blood test inpatient CPT 84466 HC Assay of Transferrin	$20.14	$53.00	—	—	62%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vagin Dir Probe	$43.32	$114.00	—	—	62%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Pcr	$47.88	$126.00	—	—	62%
Trichomonas test (NAAT) inpatient CPT 87661 HC Trichomonas Vagin Dir Probe	$43.32	$114.00	—	—	62%
Trichomonas test (NAAT) inpatient CPT 87661 HC Trichomonas Vaginalis Pcr	$47.88	$126.00	—	—	62%
Triglycerides blood test CPT 84478 HC Assay of Triglycerides - Myo	$23.18	$61.00	—	—	62%
Triglycerides blood test CPT 84478 HC Assay of Triglycerides	$28.12	$74.00	—	—	62%
Triglycerides blood test inpatient CPT 84478 HC Assay of Triglycerides - Myo	$23.18	$61.00	—	—	62%
Triglycerides blood test inpatient CPT 84478 HC Assay of Triglycerides	$28.12	$74.00	—	—	62%
Troponin test, quantitative CPT 84484 HC Assay of Troponin Quant	$74.10	$195.00	—	—	62%
Troponin test, quantitative inpatient CPT 84484 HC Assay of Troponin Quant	$74.10	$195.00	—	—	62%
Uric acid blood test CPT 84550 HC Assay of Blood/Uric Acid	$13.68	$36.00	—	—	62%
Uric acid blood test inpatient CPT 84550 HC Assay of Blood/Uric Acid	$13.68	$36.00	—	—	62%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis Auto W/Scope	$25.08	$66.00	—	—	62%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis Auto W/Scope	$25.08	$66.00	—	—	62%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto W/O Scope	$10.26	$27.00	—	—	62%
Urinalysis without microscope exam, automated CPT 81003 STRIP UA MLSTX 10SG 10 PRMTR 100 TST NS LF DISP	$163.87	$431.23	—	—	62%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Auto W/O Scope	$10.26	$27.00	—	—	62%
Urinalysis without microscope exam, automated inpatient CPT 81003 STRIP UA MLSTX 10SG 10 PRMTR 100 TST NS LF DISP	$163.87	$431.23	—	—	62%
Urine culture for bacteria, with colony count CPT 87086 HC Urine Culture/Colony Count	$35.34	$93.00	—	—	62%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC Urine Culture/Colony Count	$35.34	$93.00	—	—	62%
Urine microalbumin (albumin) test CPT 82043 HC Albumin: Urine(Eg, Microalbumin), Quantitative	$18.62	$49.00	—	—	62%
Urine microalbumin (albumin) test inpatient CPT 82043 HC Albumin: Urine(Eg, Microalbumin), Quantitative	$18.62	$49.00	—	—	62%
Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test	$55.86	$147.00	—	—	62%
Urine pregnancy test, read by color change CPT 81025 KIT CLNTST HCG CSST UA 25 TST	$192.64	$506.94	—	—	62%
Urine pregnancy test, read by color change inpatient CPT 81025 HC Urine Pregnancy Test	$55.86	$147.00	—	—	62%
Urine pregnancy test, read by color change inpatient CPT 81025 KIT CLNTST HCG CSST UA 25 TST	$192.64	$506.94	—	—	62%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12	$21.28	$56.00	—	—	62%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Cyanocobalamin Vitamin B-12	$22.42	$59.00	—	—	62%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Vitamin B-12	$21.28	$56.00	—	—	62%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Cyanocobalamin Vitamin B-12	$22.42	$59.00	—	—	62%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D 25 Hydroxy	$42.94	$113.00	—	—	62%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Vitamin D 25 Hydroxy	$42.94	$113.00	—	—	62%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Vit D 1 25-Dihydroxy	$55.10	$145.00	—	—	62%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC Vit D 1 25-Dihydroxy	$55.10	$145.00	—	—	62%
Zinc blood test CPT 84630 HC Assay of Zinc	$25.46	$67.00	—	—	62%
Zinc blood test inpatient CPT 84630 HC Assay of Zinc	$25.46	$67.00	—	—	62%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chorionic Gonadotropin Test	$20.52	$54.00	—	—	62%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Chorionic Gonadotropin Test	$20.52	$54.00	—	—	62%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Mam St Bx 3d Tomosynthesis	$2,128.38	$5,601.00	—	—	62%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC Mammo Sterotactic Localization Lt/Rt	$2,128.38	$5,601.00	—	—	62%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Mam St Bx 3d Tomosynthesis	$2,128.38	$5,601.00	—	—	62%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC Mammo Sterotactic Localization Lt/Rt	$2,128.38	$5,601.00	—	—	62%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Treatment of Ankle Fracture W/O Malip	$387.60	$1,020.00	—	—	62%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Treatment of Ankle Fracture W/O Malip	$387.60	$1,020.00	—	—	62%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Treat Metatarsal Fracture	$361.76	$952.00	—	—	62%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC Treat Metatarsal Fracture	$361.76	$952.00	—	—	62%
Cardiac catheterization with coronary angiogram CPT 93458 HC Coronaries Lhc With or Without Lv	$5,177.50	$13,625.00	—	—	62%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC Coronaries Lhc With or Without Lv	$5,177.50	$13,625.00	—	—	62%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Electric Ext	$845.88	$2,226.00	—	—	62%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Electric Ext	$845.88	$2,226.00	—	—	62%
Catheter ablation for atrial fibrillation CPT 93656 HC Ep Tx Atrial Fib Pulm Vein Isol	$19,385.32	$51,014.00	—	—	62%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Ep Tx Atrial Fib Pulm Vein Isol	$19,385.32	$51,014.00	—	—	62%
Cervical biopsy CPT 57500 HC Biopsy of Cervix, Single or Mult	$767.98	$2,021.00	—	—	62%
Cervical biopsy inpatient CPT 57500 HC Biopsy of Cervix, Single or Mult	$767.98	$2,021.00	—	—	62%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Radius Distal Colles-Smith W/O	$387.60	$1,020.00	—	—	62%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC Radius Distal Colles-Smith W/O	$387.60	$1,020.00	—	—	62%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC Bx of Cervix W/Scope Leep	$2,173.98	$5,721.00	—	—	62%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC Bx of Cervix W/Scope Leep	$2,173.98	$5,721.00	—	—	62%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC Bx/Curett of Cervix W/Scope	$238.26	$627.00	—	—	62%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC Bx/Curett of Cervix W/Scope	$238.26	$627.00	—	—	62%
Coronary stent placement, one artery CPT 92928 HC Coronary Bare Metal Stent Ptca Single	$9,049.32	$23,814.00	—	—	62%
Coronary stent placement, one artery inpatient CPT 92928 HC Coronary Bare Metal Stent Ptca Single	$9,049.32	$23,814.00	—	—	62%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy	$491.72	$1,294.00	—	—	62%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC Cystourethroscopy	$491.72	$1,294.00	—	—	62%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC Dilation and Curettage	$1,792.08	$4,716.00	—	—	62%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC Dilation and Curettage	$1,792.08	$4,716.00	—	—	62%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Remove Impacted Ear Wax Uni	$59.28	$156.00	—	—	62%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Remove Impacted Ear Wax Uni	$59.28	$156.00	—	—	62%
Earwax removal with instruments, one ear CPT 69210 HC Remove Impacted Ear Wax	$233.70	$615.00	—	—	62%
Earwax removal with instruments, one ear inpatient CPT 69210 HC Remove Impacted Ear Wax	$233.70	$615.00	—	—	62%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Biopsy of Uterus Lining	$158.08	$416.00	—	—	62%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC Biopsy of Uterus Lining	$158.08	$416.00	—	—	62%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Inj Spine Subarac/Cerv/Thorac Esi	$1,042.34	$2,743.00	—	—	62%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Inj Spine Subarac/Cerv/Thorac Esi	$1,042.34	$2,743.00	—	—	62%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC Injection Eye Drug	$271.32	$714.00	—	—	62%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC Injection Eye Drug	$271.32	$714.00	—	—	62%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Lum/Sacral Inj Paravert Facet Sngl Level	$1,042.34	$2,743.00	—	—	62%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Lum/Sacral Inj Paravert Facet Sngl Level	$1,042.34	$2,743.00	—	—	62%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Catheter for Hysterography	$88.16	$232.00	—	—	62%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Catheter for Hysterography	$88.16	$232.00	—	—	62%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC Hysteroscopy Biopsy	$2,497.36	$6,572.00	—	—	62%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC Hysteroscopy Biopsy	$2,497.36	$6,572.00	—	—	62%
IUD insertion (the device itself billed separately) CPT 58300 HC Insert Intrauterine Device	$95.38	$251.00	—	—	62%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC Insert Intrauterine Device	$95.38	$251.00	—	—	62%
Incision and drainage of a simple or single skin abscess CPT 10060 HC Drainage of Skin Abscess	$285.76	$752.00	—	—	62%
Incision and drainage of a simple or single skin abscess CPT 10060 HC Wound Care Drainage of Skin Abscess	$285.76	$752.00	—	—	62%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Drainage of Skin Abscess	$285.76	$752.00	—	—	62%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Wound Care Drainage of Skin Abscess	$285.76	$752.00	—	—	62%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injection Single Tendon Sheath or Ligament	$294.88	$776.00	—	—	62%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Injection Single Tendon Sheath or Ligament	$294.88	$776.00	—	—	62%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Drain/Inject Joint/Bursa Major	$294.88	$776.00	—	—	62%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Drain/Inject Joint/Bursa Major	$294.88	$776.00	—	—	62%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insert Drug Implant Device	$127.30	$335.00	—	—	62%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC Insert Drug Implant Device	$127.30	$335.00	—	—	62%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Drain/Inject Joint/Bursa Intermediate	$294.88	$776.00	—	—	62%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Drain/Inject Joint/Bursa Intermediate	$294.88	$776.00	—	—	62%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis Asp/Inj:Sm Jnt	$294.88	$776.00	—	—	62%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthrocentesis Asp/Inj:Sm Jnt	$294.88	$776.00	—	—	62%
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/<	$397.10	$1,045.00	—	—	62%
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/<	$397.10	$1,045.00	—	—	62%
Left heart catheterization, diagnostic one side CPT 93452 HC Left Hrt Cath W/Ventrclgrphy	$4,142.76	$10,902.00	—	—	62%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Left Hrt Cath W/Ventrclgrphy	$4,142.76	$10,902.00	—	—	62%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Inj Spine Lumb/Sacral/Caudal Esi	$906.30	$2,385.00	—	—	62%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Inj Spine Lumb/Sacral/Caudal Esi	$906.30	$2,385.00	—	—	62%
Lower-back epidural injection, without imaging guidance CPT 62322 HC Inject Spine Lumbar/Sacral	$410.40	$1,080.00	—	—	62%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Inject Spine Lumbar/Sacral	$410.40	$1,080.00	—	—	62%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Lumbar/Sacral Transfor Level I	$823.98	$2,168.36	—	—	62%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Lumbar/Sacral Transfor Level I	$823.98	$2,168.36	—	—	62%
Miscarriage treatment with D&C, first trimester CPT 59820 HC Care of Miscarriage	$2,305.46	$6,067.00	—	—	62%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC Care of Miscarriage	$2,305.46	$6,067.00	—	—	62%
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<	$559.36	$1,472.00	—	—	62%
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<	$559.36	$1,472.00	—	—	62%
Nail removal (partial or complete), one nail CPT 11730 HC Removal of Nail Plate	$297.92	$784.00	—	—	62%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Removal of Nail Plate	$297.92	$784.00	—	—	62%
Occipital nerve block (injection for headaches) CPT 64405 HC Nerve Block Inj Occipital	$233.32	$614.00	—	—	62%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Nerve Block Inj Occipital	$233.32	$614.00	—	—	62%
Pacemaker implant (dual chamber) CPT 33208 HC Ins New/Rep Pm W a-V Ld(S)	$9,513.30	$25,035.00	—	—	62%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC Ins New/Rep Pm W a-V Ld(S)	$9,513.30	$25,035.00	—	—	62%
Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W/Imaging	$471.96	$1,242.00	—	—	62%
Paracentesis with imaging guidance inpatient CPT 49083 HC Abd Paracentesis W/Imaging	$471.96	$1,242.00	—	—	62%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed	$297.92	$784.00	—	—	62%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Removal of Nail Bed	$297.92	$784.00	—	—	62%
Prostate biopsy CPT 55700 HC Biopsy of Prostate	$1,447.42	$3,809.00	—	—	62%
Prostate biopsy inpatient CPT 55700 HC Biopsy of Prostate	$1,447.42	$3,809.00	—	—	62%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Destruct Lumbar/Sacral Ablation Jt 1st Level	$1,239.94	$3,263.00	—	—	62%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Destruct Lumbar/Sacral Ablation Jt 1st Level	$1,239.94	$3,263.00	—	—	62%
Removal of a foreign object under the skin, simple CPT 10120 HC Incision Removal Foreign Body	$397.10	$1,045.00	—	—	62%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Incision Removal Foreign Body	$397.10	$1,045.00	—	—	62%
Short arm cast (elbow to hand) CPT 29075 HC Application of Forearm Cast	$162.26	$427.00	—	—	62%
Short arm cast (elbow to hand) CPT 29075 HC Pt Application of Forearm Cast	$162.26	$427.00	—	—	62%
Short arm cast (elbow to hand) CPT 29075 HC Ot Application of Forearm Cast	$162.26	$427.00	—	—	62%
Short arm cast (elbow to hand) inpatient CPT 29075 HC Ot Application of Forearm Cast	$162.26	$427.00	—	—	62%
Short arm cast (elbow to hand) inpatient CPT 29075 HC Pt Application of Forearm Cast	$162.26	$427.00	—	—	62%
Short arm cast (elbow to hand) inpatient CPT 29075 HC Application of Forearm Cast	$162.26	$427.00	—	—	62%
Short arm splint (forearm and hand) CPT 29125 HC Apply Forearm Splint	$254.22	$669.00	—	—	62%
Short arm splint (forearm and hand) inpatient CPT 29125 HC Apply Forearm Splint	$254.22	$669.00	—	—	62%
Short leg cast (below the knee) CPT 29405 HC Apply Short Leg Cast	$159.22	$419.00	—	—	62%
Short leg cast (below the knee) inpatient CPT 29405 HC Apply Short Leg Cast	$159.22	$419.00	—	—	62%
Short leg splint (calf to foot) CPT 29515 HC Application Lower Leg Splint	$86.26	$227.00	—	—	62%
Short leg splint (calf to foot) inpatient CPT 29515 HC Application Lower Leg Splint	$86.26	$227.00	—	—	62%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Rpr S/N/Ax/Gen/Trnk 2.5cm/<	$329.84	$868.00	—	—	62%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Rpr S/N/Ax/Gen/Trnk 2.5cm/<	$329.84	$868.00	—	—	62%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion	$397.10	$1,045.00	—	—	62%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy Skin Single Lesion	$397.10	$1,045.00	—	—	62%
Skin tag removal, up to 15 tags CPT 11200 HC Rmvl Skin Tags Up to & Inc 15	$239.40	$630.00	—	—	62%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC Rmvl Skin Tags Up to & Inc 15	$239.40	$630.00	—	—	62%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Fluid Tap Diagnostic	$684.76	$1,802.00	—	—	62%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Fluid Tap Diagnostic	$684.76	$1,802.00	—	—	62%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Rpr S/N/Ax/Gen/Trnk2.6-7.5cm	$329.84	$868.00	—	—	62%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Rpr S/N/Ax/Gen/Trnk2.6-7.5cm	$329.84	$868.00	—	—	62%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Rpr F/E/E/N/L/M 2.5 Cm/<	$329.84	$868.00	—	—	62%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Rpr F/E/E/N/L/M 2.5 Cm/<	$329.84	$868.00	—	—	62%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion	$129.96	$342.00	—	—	62%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Biopsy Skin Single Lesion	$129.96	$342.00	—	—	62%
Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis W/Imaging	$676.40	$1,780.00	—	—	62%
Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis With Imaging Tube	$792.68	$2,086.00	—	—	62%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis W/Imaging	$676.40	$1,780.00	—	—	62%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis With Imaging Tube	$792.68	$2,086.00	—	—	62%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Trigger Point Inj 1-2 Muscles	$367.08	$966.00	—	—	62%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Trigger Point Inj 1-2 Muscles	$367.08	$966.00	—	—	62%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC Mammo Guided Breast Biopsy Lt/Rt	$1,039.68	$2,736.00	—	—	62%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC Mammo Guided Breast Biopsy Lt/Rt	$1,039.68	$2,736.00	—	—	62%
Vein ablation, radiofrequency, first vein CPT 36475 HC Endovenous Rf 1st Vein	$1,602.84	$4,218.00	—	—	62%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC Endovenous Rf 1st Vein	$1,602.84	$4,218.00	—	—	62%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Deb Subq Tissue 20 Sq Cm/<	$397.10	$1,045.00	—	—	62%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Deb Subq Tissue 20 Sq Cm/<	$397.10	$1,045.00	—	—	62%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion Service	$111.34	$293.00	—	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Transfusion Service	$111.34	$293.00	—	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Airway Inhalation Treatment	$89.68	$236.00	—	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Inhalation Tx Subsequent	$89.68	$236.00	—	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Mdi Inhalation Tx Subsequent	$89.68	$236.00	—	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Inhalation Tx Initial	$179.36	$472.00	—	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Mdi Inhalation Tx Initial	$179.36	$472.00	—	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Airway Inhalation Treatment	$89.68	$236.00	—	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC Rt Mdi Inhalation Tx Subsequent	$89.68	$236.00	—	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC Rt Inhalation Tx Subsequent	$89.68	$236.00	—	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC Rt Mdi Inhalation Tx Initial	$179.36	$472.00	—	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC Rt Inhalation Tx Initial	$179.36	$472.00	—	—	62%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemo IV Infusion 1 Hr	$278.16	$732.00	—	—	62%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo IV Infusion 1 Hr	$278.16	$732.00	—	—	62%
Critical care, first 30 to 74 minutes CPT 99291 HC Emergency Dept Visit Level VI	$2,348.40	$6,180.00	—	—	62%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Emergency Dept Visit Level VI	$2,348.40	$6,180.00	—	—	62%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake Adult/Reduced	$299.06	$787.00	—	—	62%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake Pediatric/Reduced	$307.42	$809.00	—	—	62%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eg - Awake Adult	$598.12	$1,574.00	—	—	62%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg - Awake Pediatric	$615.22	$1,619.00	—	—	62%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg Awake Adult/Reduced	$299.06	$787.00	—	—	62%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg Awake Pediatric/Reduced	$307.42	$809.00	—	—	62%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eg - Awake Adult	$598.12	$1,574.00	—	—	62%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg - Awake Pediatric	$615.22	$1,619.00	—	—	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram Tracing	$142.88	$376.00	—	—	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Electrocardiogram Tracing	$142.88	$376.00	—	—	62%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC Emergency Dept Visit Level I	$171.38	$451.00	—	—	62%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC Emergency Dept Visit Level I	$171.38	$451.00	—	—	62%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Emergency Dept Visit Level II	$294.12	$774.00	—	—	62%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC Emergency Dept Visit Level II	$294.12	$774.00	—	—	62%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Dept Visit Level III	$608.00	$1,600.00	—	—	62%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC Emergency Dept Visit Level III	$608.00	$1,600.00	—	—	62%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Dept Visit Level IV	$1,213.34	$3,193.00	—	—	62%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC Emergency Dept Visit Level IV	$1,213.34	$3,193.00	—	—	62%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Dept Visit Level V	$1,495.30	$3,935.00	—	—	62%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Emergency Dept Visit Level V	$1,495.30	$3,935.00	—	—	62%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiovascular Stress Test	$300.96	$792.00	—	—	62%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Treadmill	$560.12	$1,474.00	—	—	62%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiovascular Stress Test	$300.96	$792.00	—	—	62%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Treadmill	$560.12	$1,474.00	—	—	62%
Family therapy with the patient, 50 minutes CPT 90847 HC Family Psytx W/Pt 50 Min	$153.90	$405.00	—	4% above	62%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Psytx W/Pt 50 Min	$153.90	$405.00	—	—	62%
Family therapy without the patient, 50 minutes CPT 90846 HC Family Psytx W/O Pt 50 Min	$157.70	$415.00	—	88% above	62%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Psytx W/O Pt 50 Min	$157.70	$415.00	—	—	62%
Group psychotherapy session CPT 90853 HC Group Psychotherapy	$57.76	$152.00	—	45% below	62%
Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy	$57.76	$152.00	—	—	62%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Hydration IV Infusion Init	$197.60	$520.00	—	—	62%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC Hydration IV Infusion Init	$197.60	$520.00	—	—	62%
IV infusion of a medicine, first hour CPT 96365 HC Ther/Proph/Diag IV Inf Init	$225.34	$593.00	—	—	62%
IV infusion of a medicine, first hour CPT 96365 HC Ep Ther/Proph/Diag IV Inf Init	$225.34	$593.00	—	—	62%
IV infusion of a medicine, first hour inpatient CPT 96365 HC Ther/Proph/Diag IV Inf Init	$225.34	$593.00	—	—	62%
IV infusion of a medicine, first hour inpatient CPT 96365 HC Ep Ther/Proph/Diag IV Inf Init	$225.34	$593.00	—	—	62%
IV push of a medicine, first drug CPT 96374 HC Ther/Proph/Diag Inj IV Push	$136.04	$358.00	—	—	62%
IV push of a medicine, first drug inpatient CPT 96374 HC Ther/Proph/Diag Inj IV Push	$136.04	$358.00	—	—	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Ther/Proph/Diag Inj Sc/Im	$82.84	$218.00	—	—	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Ther/Proph/Diag Inj Sc/Im	$82.84	$218.00	—	—	62%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psych Diagnostic Evaluation	$308.18	$811.00	—	98% above	62%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Psych Diagnostic Evaluation	$308.18	$811.00	—	—	62%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Motor&Sens 7-8 Nrv Cndj Test	$654.74	$1,723.00	—	—	62%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Motor&Sens 7-8 Nrv Cndj Test	$654.74	$1,723.00	—	—	62%
Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromuscular Re-ED Ea 15m	$49.40	$130.00	—	—	62%
Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromuscular Re-ED Ea 15m	$49.40	$130.00	—	—	62%
Neuromuscular re-education, 15 minutes CPT 97112 HC Pulmonary Pt Neuromuscular Re-ED Ea 15m	$49.40	$130.00	—	—	62%
Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromuscular Re-ED Ea 15 M	$49.40	$130.00	—	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Neuromuscular Re-ED Ea 15m	$49.40	$130.00	—	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pulmonary Pt Neuromuscular Re-ED Ea 15m	$49.40	$130.00	—	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromuscular Re-ED Ea 15m	$49.40	$130.00	—	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromuscular Re-ED Ea 15 M	$49.40	$130.00	—	—	62%
New patient office visit, about 30 minutes CPT 99203 HC Wound Care Office OP Visit-New L3	$114.00	$300.00	—	—	62%
New patient office visit, about 30 minutes CPT 99203 HC Office OP Visit-New L3	$114.00	$300.00	—	—	62%
New patient office visit, about 30 minutes inpatient CPT 99203 HC Office OP Visit-New L3	$114.00	$300.00	—	—	62%
New patient office visit, about 30 minutes inpatient CPT 99203 HC Wound Care Office OP Visit-New L3	$114.00	$300.00	—	—	62%
New patient office visit, about 45 minutes CPT 99204 HC Wound Care Office OP Visit-New L4	$133.00	$350.00	—	—	62%
New patient office visit, about 45 minutes CPT 99204 HC Office OP Visit-New L4	$133.00	$350.00	—	—	62%
New patient office visit, about 45 minutes inpatient CPT 99204 HC Wound Care Office OP Visit-New L4	$133.00	$350.00	—	—	62%
New patient office visit, about 45 minutes inpatient CPT 99204 HC Office OP Visit-New L4	$133.00	$350.00	—	—	62%
New patient office visit, about 60 minutes CPT 99205 HC Office OP Visit-New L5	$152.00	$400.00	—	—	62%
New patient office visit, about 60 minutes CPT 99205 HC Wound Care Office OP Visit-New L5	$152.00	$400.00	—	—	62%
New patient office visit, about 60 minutes inpatient CPT 99205 HC Office OP Visit-New L5	$152.00	$400.00	—	—	62%
New patient office visit, about 60 minutes inpatient CPT 99205 HC Wound Care Office OP Visit-New L5	$152.00	$400.00	—	—	62%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Office OP Visit-New L2	$95.00	$250.00	—	—	62%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Wound Care Office OP Visit-New L2	$95.00	$250.00	—	—	62%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Office OP Visit-New L2	$95.00	$250.00	—	—	62%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Wound Care Office OP Visit-New L2	$95.00	$250.00	—	—	62%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Medical Nutrition Indiv Int 15 Min	$26.98	$71.00	—	—	62%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Medical Nutrition Indiv Int 15 Min	$26.98	$71.00	—	—	62%
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Evaluation Low Complexity	$128.44	$338.00	—	—	62%
Occupational therapy evaluation, low complexity CPT 97165 HC Wound Ot Evaluation Low Complexity	$128.44	$338.00	—	—	62%
Occupational therapy evaluation, low complexity CPT 97165 HC Inpt Ot Evaluation Low Complexity	$128.44	$338.00	—	—	62%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Wound Ot Evaluation Low Complexity	$128.44	$338.00	—	—	62%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Inpt Ot Evaluation Low Complexity	$128.44	$338.00	—	—	62%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Evaluation Low Complexity	$128.44	$338.00	—	—	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Evaluation High Complexity	$256.50	$675.00	—	—	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Inpt Pt Evaluation High Complexity	$256.50	$675.00	—	—	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pulmonary Pt Evaluation High Complexity	$256.50	$675.00	—	—	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Wound Pt Evaluation High Complexity	$256.50	$675.00	—	—	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Inpt Pt Evaluation High Complexity	$256.50	$675.00	—	—	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Evaluation High Complexity	$256.50	$675.00	—	—	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pulmonary Pt Evaluation High Complexity	$256.50	$675.00	—	—	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Wound Pt Evaluation High Complexity	$256.50	$675.00	—	—	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pulmonary Pt Evaluation Low Complexity	$119.70	$315.00	—	—	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Wound Pt Evaluation Low Complexity	$119.70	$315.00	—	—	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Inpt Pt Evaluation Low Complexity	$119.70	$315.00	—	—	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Evaluation Low Complexity	$119.70	$315.00	—	—	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Evaluation Low Complexity	$119.70	$315.00	—	—	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pulmonary Pt Evaluation Low Complexity	$119.70	$315.00	—	—	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Wound Pt Evaluation Low Complexity	$119.70	$315.00	—	—	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Inpt Pt Evaluation Low Complexity	$119.70	$315.00	—	—	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pulmonary Pt Evaluation Moderate Complexity	$213.56	$562.00	—	—	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Evaluation Moderate Complexity	$213.56	$562.00	—	—	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Inpt Pt Evaluation Moderate Complexity	$213.56	$562.00	—	—	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Wound Pt Evaluation Moderate Complexity	$213.56	$562.00	—	—	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pulmonary Pt Evaluation Moderate Complexity	$213.56	$562.00	—	—	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Evaluation Moderate Complexity	$213.56	$562.00	—	—	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Inpt Pt Evaluation Moderate Complexity	$213.56	$562.00	—	—	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Wound Pt Evaluation Moderate Complexity	$213.56	$562.00	—	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therapy Ea 15 Min	$48.64	$128.00	—	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pulmonary Pt Manual Therapy Ea 15min	$48.64	$128.00	—	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Therapy Ea 15 Min	$48.64	$128.00	—	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Wound Care Pt Manual Therapy Ea 15 Min	$48.64	$128.00	—	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Wound Ot Manual Therapy Ea 15 Min	$48.64	$128.00	—	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Wound Ot Manual Therapy Ea 15 Min	$48.64	$128.00	—	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pulmonary Pt Manual Therapy Ea 15min	$48.64	$128.00	—	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Therapy Ea 15 Min	$48.64	$128.00	—	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Wound Care Pt Manual Therapy Ea 15 Min	$48.64	$128.00	—	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Therapy Ea 15 Min	$48.64	$128.00	—	—	62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Wound Care Therapeutic Exercises Ea 15 Min	$49.40	$130.00	—	—	62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pulmonary Pt Thera Ex Ea 15 Min	$49.40	$130.00	—	—	62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Thera Ex Ea 15 Min	$49.40	$130.00	—	—	62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Thera Ex Ea 15 Min	$49.40	$130.00	—	—	62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Exercises Ea 15 Min	$49.40	$130.00	—	—	62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Wound Care Therapeutic Exercises Ea 15 Min	$49.40	$130.00	—	—	62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercises Ea 15 Min	$49.40	$130.00	—	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Exercises Ea 15 Min	$49.40	$130.00	—	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Exercises Ea 15 Min	$49.40	$130.00	—	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Wound Care Therapeutic Exercises Ea 15 Min	$49.40	$130.00	—	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Thera Ex Ea 15 Min	$49.40	$130.00	—	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Wound Care Therapeutic Exercises Ea 15 Min	$49.40	$130.00	—	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pulmonary Pt Thera Ex Ea 15 Min	$49.40	$130.00	—	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Thera Ex Ea 15 Min	$49.40	$130.00	—	—	62%
Psychiatric evaluation with medical services CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services	$104.12	$274.00	—	at median	62%
Psychiatric evaluation with medical services inpatient CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services	$104.12	$274.00	—	—	62%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC Psychological Tst Eval Svc Phys/Qhp First Hour	$205.20	$540.00	—	—	62%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC Psychological Tst Eval Svc Phys/Qhp First Hour	$205.20	$540.00	—	—	62%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC Psychotherapy for Crisis Initial 60 Minutes	$157.70	$415.00	—	38% above	62%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC Psychotherapy for Crisis Initial 60 Minutes	$157.70	$415.00	—	—	62%
Psychotherapy session, 30 minutes CPT 90832 HC Psytx W Pt 30 Minutes	$86.26	$227.00	—	1% above	62%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC Psytx W Pt 30 Minutes	$86.26	$227.00	—	—	62%
Psychotherapy session, 45 minutes CPT 90834 HC Psytx W Pt 45 Minutes	$129.20	$340.00	—	15% above	62%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC Psytx W Pt 45 Minutes	$129.20	$340.00	—	—	62%
Psychotherapy session, 60 minutes CPT 90837 HC Psytx W Pt 60 Minutes	$172.52	$454.00	—	28% above	62%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC Psytx W Pt 60 Minutes	$172.52	$454.00	—	—	62%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Behav Chng Smoking 3-10 Min	$31.54	$83.00	—	—	62%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Behav Chng Smoking 3-10 Min	$31.54	$83.00	—	—	62%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Wound Care Office OP Visit-Est L5	$133.00	$350.00	—	—	62%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office OP Visit-Est L5	$133.00	$350.00	—	—	62%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Wound Care Office OP Visit-Est L5	$133.00	$350.00	—	—	62%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Office OP Visit-Est L5	$133.00	$350.00	—	—	62%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office OP Visit-Est L3	$95.00	$250.00	—	—	62%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Wound Care Office OP Visit-Est L3	$95.00	$250.00	—	—	62%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Wound Care Office OP Visit-Est L3	$95.00	$250.00	—	—	62%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Office OP Visit-Est L3	$95.00	$250.00	—	—	62%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Wound Care Office OP Visit-Est L4	$114.00	$300.00	—	—	62%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office OP Visit-Est L4	$114.00	$300.00	—	—	62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Wound Care Office OP Visit-Est L4	$114.00	$300.00	—	—	62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Office OP Visit-Est L4	$114.00	$300.00	—	—	62%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office OP Visit-Est L2	$76.00	$200.00	—	—	62%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Wound Care Office OP Visit Est L2	$76.00	$200.00	—	—	62%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Wound Care Office OP Visit Est L2	$76.00	$200.00	—	—	62%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Office OP Visit-Est L2	$76.00	$200.00	—	—	62%
Speech and language evaluation CPT 92523 HC Slp Eval Comprehensive	$258.40	$680.00	—	—	62%
Speech and language evaluation inpatient CPT 92523 HC Slp Eval Comprehensive	$258.40	$680.00	—	—	62%
Speech therapy session, individual CPT 92507 HC Speech/Hearing Therapy	$194.94	$513.00	—	—	62%
Speech therapy session, individual CPT 92507 HC Treatment of Speech	$194.94	$513.00	—	—	62%
Speech therapy session, individual inpatient CPT 92507 HC Treatment of Speech	$194.94	$513.00	—	—	62%
Speech therapy session, individual inpatient CPT 92507 HC Speech/Hearing Therapy	$194.94	$513.00	—	—	62%
Spirometry (breathing test) CPT 94010 HC Breathing Capacity Test	$331.74	$873.00	—	—	62%
Spirometry (breathing test) inpatient CPT 94010 HC Breathing Capacity Test	$331.74	$873.00	—	—	62%
Spirometry before and after a bronchodilator CPT 94060 HC Evaluation of Wheezing	$558.98	$1,471.00	—	—	62%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC Evaluation of Wheezing	$558.98	$1,471.00	—	—	62%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Ped Dev Ther Act Ea 15 Min	$27.74	$73.00	—	—	62%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeutic Act Ea 15 Min	$49.40	$130.00	—	—	62%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeutic Act Ea 15 Min	$49.40	$130.00	—	—	62%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeutic Activities	$49.40	$130.00	—	—	62%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Wound Care Pt Therapeutic Activities	$49.40	$130.00	—	—	62%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Wound Care Ot Therapeutic Activities	$49.40	$130.00	—	—	62%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pulmonary Pt Therapeutic Act Ea15min	$49.40	$130.00	—	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Ped Dev Ther Act Ea 15 Min	$27.74	$73.00	—	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pulmonary Pt Therapeutic Act Ea15min	$49.40	$130.00	—	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therapeutic Activities	$49.40	$130.00	—	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeutic Act Ea 15 Min	$49.40	$130.00	—	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Wound Care Pt Therapeutic Activities	$49.40	$130.00	—	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Wound Care Ot Therapeutic Activities	$49.40	$130.00	—	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therapeutic Act Ea 15 Min	$49.40	$130.00	—	—	62%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy	$178.60	$470.00	—	—	62%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Therapeutic Phlebotomy	$178.60	$470.00	—	—	62%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy	$178.60	$470.00	—	—	62%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Therapeutic Phlebotomy	$178.60	$470.00	—	—	62%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC Iiv Adjuvanted Vaccine for Intramuscular Use	$145.35	$382.51	—	—	62%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 flu vaccine (HIGH-DOSE) 2025-26 (65YR+)(PF) 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe	$156.98	$413.12	—	—	62%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC Iiv Adjuvanted Vaccine for Intramuscular Use	$145.35	$382.51	—	—	62%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 flu vaccine (HIGH-DOSE) 2025-26 (65YR+)(PF) 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe	$156.98	$413.12	—	—	62%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID vac23-24(12up)(andu)(PF) 50 mcg/0.5 mL 0.5 mL Vial	$192.61	$506.88	—	—	62%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID vac23-24(12up)(andu)(PF) 50 mcg/0.5 mL 0.5 mL Syringe	$194.87	$512.82	—	—	62%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC Moderna Sarscov2 Vac 25 Mcg/.25ml Im (12 Years & Up)	$213.38	$561.53	—	—	62%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID vaccine 2024-25 (12 yr+) 50 mcg/0.5 mL Syrg 0.5 mL Syringe	$213.38	$561.53	—	—	62%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID vac23-24(12up)(andu)(PF) 50 mcg/0.5 mL 0.5 mL Vial	$192.61	$506.88	—	—	62%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID vac23-24(12up)(andu)(PF) 50 mcg/0.5 mL 0.5 mL Syringe	$194.87	$512.82	—	—	62%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC Moderna Sarscov2 Vac 25 Mcg/.25ml Im (12 Years & Up)	$213.38	$561.53	—	—	62%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID vaccine 2024-25 (12 yr+) 50 mcg/0.5 mL Syrg 0.5 mL Syringe	$213.38	$561.53	—	—	62%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC Var Vaccine Live Subq	$227.00	$597.37	—	—	62%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus live (PF) 1,350 unit/0.5 mL Susr 1 each Vial	$239.63	$630.59	—	—	62%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC Var Vaccine Live Subq	$227.00	$597.37	—	—	62%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus live (PF) 1,350 unit/0.5 mL Susr 1 each Vial	$239.63	$630.59	—	—	62%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC Dtap-Ipv Vaccine 4-6 Yrs Im	$113.54	$298.79	—	—	62%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HC Dtap-Ipv Vaccine 4-6 Yrs Im	$113.54	$298.79	—	—	62%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 tetanus-pertuss-diphth PEDS (DTaP) 25-58-10 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe	$57.82	$152.16	—	—	62%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC Dtap Vaccine < 7 Yrs Im	$66.73	$175.61	—	—	62%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 tetanus-pertuss-diphth PEDS (DTaP) 25-58-10 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe	$57.82	$152.16	—	—	62%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC Dtap Vaccine < 7 Yrs Im	$66.73	$175.61	—	—	62%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC Dtap-Hep B-Ipv Vaccine Im	$179.00	$471.06	—	—	62%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HC Dtap-Hep B-Ipv Vaccine Im	$179.00	$471.06	—	—	62%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 diphth-tetanus-pertuss-polio-Haemophilus B 15Lf-20mcg-5Lf- 62 DU/0.5 mL Kit 1 each KIT	$205.04	$539.58	—	—	62%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 diphth-tetanus-pertuss-polio-Haemophilus B 15Lf-20mcg-5Lf- 62 DU/0.5 mL Kit 1 each KIT	$205.04	$539.58	—	—	62%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 HC Dtap-Ipv-Hib-Hepb Vaccine Im	$203.63	$535.88	—	—	62%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 HC Dtap-Ipv-Hib-Hepb Vaccine Im	$203.63	$535.88	—	—	62%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Iiv3 Vacc No Prsv 0.5 Ml Im	$47.52	$125.04	—	—	62%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 flu vaccine 2025-26 (6 mos+)(PF) 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe	$49.42	$130.04	—	—	62%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC Iiv3 Vacc No Prsv 0.5 Ml Im	$47.52	$125.04	—	—	62%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 flu vaccine 2025-26 (6 mos+)(PF) 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe	$49.42	$130.04	—	—	62%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC 9vhpv Vaccine 2/3 Dose Im	$381.43	$1,003.77	—	—	62%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 human papillomavirus 9-valent (PF) 0.5 mL Syrg 0.5 mL Syringe	$403.32	$1,061.37	—	—	62%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 human papillomavirus 9-valent (PF) 0.5 mL Susp 0.5 mL Vial	$403.32	$1,061.37	—	—	62%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC 9vhpv Vaccine 2/3 Dose Im	$381.43	$1,003.77	—	—	62%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 human papillomavirus 9-valent (PF) 0.5 mL Syrg 0.5 mL Syringe	$403.32	$1,061.37	—	—	62%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 human papillomavirus 9-valent (PF) 0.5 mL Susp 0.5 mL Vial	$403.32	$1,061.37	—	—	62%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC Hep a/Hep B Vacc Adult Im	$193.46	$509.11	—	—	62%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC Hep a/Hep B Vacc Adult Im	$193.46	$509.11	—	—	62%
Hepatitis A vaccine, adult dose CPT 90632 HC Hepa Vaccine Adult Im	$129.35	$340.40	—	—	62%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A virus vaccine (PF) 1,440 ELISA unit/mL Syrg 1 mL Syringe	$129.35	$340.40	—	—	62%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A virus vaccine (PF) 1,440 ELISA unit/mL Susp 1 mL Vial	$146.14	$384.57	—	—	62%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A virus vaccine (PF) 1,440 ELISA unit/mL Syrg 1 mL Syringe	$129.35	$340.40	—	—	62%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC Hepa Vaccine Adult Im	$129.35	$340.40	—	—	62%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A virus vaccine (PF) 1,440 ELISA unit/mL Susp 1 mL Vial	$146.14	$384.57	—	—	62%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 hepatitis A virus vaccine (PF) 720 ELISA unit/0.5 mL Syrg 0.5 mL Syringe	$76.56	$201.48	—	—	62%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 hepatitis A virus vaccine (PF) 720 ELISA unit/0.5 mL Susp 0.5 mL Vial	$82.87	$218.09	—	—	62%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC Hepa Vacc Ped/Adol 2 Dose Im	$89.49	$235.49	—	—	62%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 hepatitis A virus vaccine (PF) 720 ELISA unit/0.5 mL Syrg 0.5 mL Syringe	$76.56	$201.48	—	—	62%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 hepatitis A virus vaccine (PF) 720 ELISA unit/0.5 mL Susp 0.5 mL Vial	$82.87	$218.09	—	—	62%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC Hepa Vacc Ped/Adol 2 Dose Im	$89.49	$235.49	—	—	62%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B virus vacc.rec(PF) 10 mcg/0.5 mL Syrg 0.5 mL Vial	$55.83	$146.91	—	—	62%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepb Vaccine Adult 3 Dose Schedule for Im Use	$130.70	$343.95	—	—	62%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B (PF) 10 mcg/mL Syrg 1 mL Syringe	$136.25	$358.54	—	—	62%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B virus vacc.rec(PF) 10 mcg/0.5 mL Syrg 0.5 mL Vial	$55.83	$146.91	—	—	62%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC Hepb Vaccine Adult 3 Dose Schedule for Im Use	$130.70	$343.95	—	—	62%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B (PF) 10 mcg/mL Syrg 1 mL Syringe	$136.25	$358.54	—	—	62%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC Hepb Vacc 2/4 Dose Adult Im	$189.54	$498.79	—	—	62%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC Hepb Vacc 2/4 Dose Adult Im	$189.54	$498.79	—	—	62%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B virus vacc.rec(PF) 10 mcg/0.5 mL Syrg 0.5 mL Syringe	$55.25	$145.40	—	—	62%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B (PF) 0.5 mL Syringe	$55.25	$145.40	—	—	62%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B (PF) 0.5 mL Vial	$64.08	$168.64	—	—	62%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC Hepb Vacc 3 Dose Ped/Adol Im	$65.61	$172.67	—	—	62%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B (PF) 0.5 mL Syringe	$55.25	$145.40	—	—	62%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B virus vacc.rec(PF) 10 mcg/0.5 mL Syrg 0.5 mL Syringe	$55.25	$145.40	—	—	62%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B (PF) 0.5 mL Vial	$64.08	$168.64	—	—	62%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC Hepb Vacc 3 Dose Ped/Adol Im	$65.61	$172.67	—	—	62%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HC Hib Prp-Omp Vacc 3 Dose Im	$69.90	$183.95	—	—	62%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HC Hib Prp-Omp Vacc 3 Dose Im	$69.90	$183.95	—	—	62%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC Hib Prp-T Vaccine 4 Dose Schedule	$43.79	$115.23	—	—	62%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus B polysac-tetanus toxoid 10 mcg/0.5 mL Solr 1 each Vial	$200.04	$526.43	—	—	62%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC Hib Prp-T Vaccine 4 Dose Schedule	$43.79	$115.23	—	—	62%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 haemophilus B polysac-tetanus toxoid 10 mcg/0.5 mL Solr 1 each Vial	$200.04	$526.43	—	—	62%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC Mmr Vaccine Sc	$174.04	$458.00	—	—	62%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles, mumps and rubella vaccine 1,000-12,500 TCID50/0.5 mL Solr 1 each Vial	$175.39	$461.56	—	—	62%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC Mmr Vaccine Sc	$174.04	$458.00	—	—	62%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles, mumps and rubella vaccine 1,000-12,500 TCID50/0.5 mL Solr 1 each Vial	$175.39	$461.56	—	—	62%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HC Mmrv Vaccine Sc	$375.47	$988.08	—	—	62%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HC Mmrv Vaccine Sc	$375.47	$988.08	—	—	62%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC Menacwyd/Menacwy-CRM Conj Vacc Grps Acwy Im Use	$213.04	$560.64	—	—	62%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC Menacwyd/Menacwy-CRM Conj Vacc Grps Acwy Im Use	$213.04	$560.64	—	—	62%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HC Menacwy-Tt Vaccine Im	$211.69	$557.09	—	—	62%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 meningococcal conjugate 10 mcg/0.5 mL Soln 0.5 mL Vial	$222.65	$585.92	—	—	62%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HC Menacwy-Tt Vaccine Im	$211.69	$557.09	—	—	62%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 meningococcal conjugate 10 mcg/0.5 mL Soln 0.5 mL Vial	$222.65	$585.92	—	—	62%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal group B 50-50-50-25 mcg/0.5 mL Syrg 0.5 mL Syringe	$238.58	$627.84	—	—	62%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC Menb-4c Vacc 2 Dose Im	$302.72	$796.63	—	—	62%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal group B 50-50-50-25 mcg/0.5 mL Syrg 0.5 mL Syringe	$238.58	$627.84	—	—	62%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC Menb-4c Vacc 2 Dose Im	$302.72	$796.63	—	—	62%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HC Laiv3 Vaccine Live for Intranasal Use	$45.08	$118.62	—	—	62%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HC Laiv3 Vaccine Live for Intranasal Use	$45.08	$118.62	—	—	62%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC Pcv13 Vaccine Im	$340.54	$896.17	—	—	62%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC Pcv13 Vaccine Im	$340.54	$896.17	—	—	62%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC Pcv20 Vaccine Im	$385.30	$1,013.96	—	—	62%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent conjugate 0.5 mL Syrg 0.5 mL Syringe	$393.01	$1,034.23	—	—	62%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC Pcv20 Vaccine Im	$385.30	$1,013.96	—	—	62%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent conjugate 0.5 mL Syrg 0.5 mL Syringe	$393.01	$1,034.23	—	—	62%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$234.38	$616.78	—	—	62%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$234.38	$616.78	—	—	62%
Polio vaccine, inactivated (IPV) CPT 90713 poliovirus (inactivate) 40-8-32 unit/0.5 mL Susp 5 mL Vial	$57.17	$150.45	—	—	62%
Polio vaccine, inactivated (IPV) CPT 90713 HC Poliovirus Ipv Sc/Im	$58.11	$152.93	—	—	62%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 poliovirus (inactivate) 40-8-32 unit/0.5 mL Susp 5 mL Vial	$57.17	$150.45	—	—	62%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC Poliovirus Ipv Sc/Im	$58.11	$152.93	—	—	62%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 nirsevimab-alip 100 mg/mL Syrg 1 mL Syringe	$744.88	$1,960.20	—	—	62%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HC Rsv Monoc Antb Seasn 1 Ml Im	$744.88	$1,960.20	—	—	62%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 HC Rsv Monoc Antb Seasn 1 Ml Im	$744.88	$1,960.20	—	—	62%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 nirsevimab-alip 100 mg/mL Syrg 1 mL Syringe	$744.88	$1,960.20	—	—	62%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC Rsv Monoc Antb Seasn .5ml Im	$744.88	$1,960.20	—	—	62%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 nirsevimab-alip 50 mg/0.5 mL Syrg 0.5 mL Syringe	$744.88	$1,960.20	—	—	62%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC Rsv Monoc Antb Seasn .5ml Im	$744.88	$1,960.20	—	—	62%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 nirsevimab-alip 50 mg/0.5 mL Syrg 0.5 mL Syringe	$744.88	$1,960.20	—	—	62%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC Rsv Vacv Pref Bivalent Im	$443.92	$1,168.20	—	—	62%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC Rsv Vacv Pref Bivalent Im	$443.92	$1,168.20	—	—	62%
Rabies vaccine, one dose CPT 90675 rabies vaccine 2.5 unit Susr 1 each KIT	$470.70	$1,238.69	—	—	62%
Rabies vaccine, one dose CPT 90675 rabies vaccine 2.5 unit Susr 1 each Vial	$470.70	$1,238.69	—	—	62%
Rabies vaccine, one dose CPT 90675 rabies vacc,human diploid (PF) 2.5 unit Solr 1 each Vial	$498.44	$1,311.68	—	—	62%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine 2.5 unit Susr 1 each Vial	$470.70	$1,238.69	—	—	62%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine 2.5 unit Susr 1 each KIT	$470.70	$1,238.69	—	—	62%
Rabies vaccine, one dose inpatient CPT 90675 rabies vacc,human diploid (PF) 2.5 unit Solr 1 each Vial	$498.44	$1,311.68	—	—	62%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 HC Rv1 Vacc 2 Dose Live Oral	$202.55	$533.02	—	—	62%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 HC Rv1 Vacc 2 Dose Live Oral	$202.55	$533.02	—	—	62%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC Rv5 Vacc 3 Dose Live Oral	$180.91	$476.08	—	—	62%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC Rv5 Vacc 3 Dose Live Oral	$180.91	$476.08	—	—	62%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC Hzv Vacc Recombinant Im	$201.42	$530.05	—	—	62%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 varicella-zoster gE-AS01B (PF) 50 mcg/0.5 mL Susr 1 each KIT	$201.42	$530.05	—	—	62%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC Hzv Vacc Recombinant Im	$201.42	$530.05	—	—	62%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 varicella-zoster gE-AS01B (PF) 50 mcg/0.5 mL Susr 1 each KIT	$201.42	$530.05	—	—	62%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria (Td)(PF) 2-2 Lf unit/0.5 mL Susp 0.5 mL Vial	$58.37	$153.61	—	—	62%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria (Td)(PF) 5-2 Lf unit/0.5 mL Syrg 0.5 mL Syringe	$78.99	$207.88	—	—	62%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria (Td)(PF) 2-2 Lf unit/0.5 mL Susp 0.5 mL Vial	$58.37	$153.61	—	—	62%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria (Td)(PF) 5-2 Lf unit/0.5 mL Syrg 0.5 mL Syringe	$78.99	$207.88	—	—	62%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diph,pertuss(acel),tet vac(PF) 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL Syrg 0.5 mL Syringe	$84.06	$221.21	—	—	62%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus-pertuss-diphth (Tdap) 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL Susp 0.5 mL Vial	$84.96	$223.58	—	—	62%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Tdap Vaccine 7 Yrs/> Im	$88.93	$234.03	—	—	62%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphth,pertus(acell),tetanus 2.5-8-5 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe	$96.12	$252.95	—	—	62%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diph,pertuss(acel),tet vac(PF) 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL Syrg 0.5 mL Syringe	$84.06	$221.21	—	—	62%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus-pertuss-diphth (Tdap) 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL Susp 0.5 mL Vial	$84.96	$223.58	—	—	62%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC Tdap Vaccine 7 Yrs/> Im	$88.93	$234.03	—	—	62%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphth,pertus(acell),tetanus 2.5-8-5 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe	$96.12	$252.95	—	—	62%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immunization Admin	$79.04	$208.00	—	—	62%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immunization Admin	$79.04	$208.00	—	—	62%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immunization Admin Each Add	$58.14	$153.00	—	—	62%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Immunization Admin Each Add	$58.14	$153.00	—	—	62%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://www.wakemed.org/sites/default/files/PricingTransparency/566017737_wakemed-mental-health-and-well-being-hospital-wakebrook_standardcharges.csv