Mid Hudson Regional Hospital
Mid Hudson Regional Hospital in Poughkeepsie, NY publishes cash prices for 231 common procedures listed here, from its own machine-readable price file updated Jul 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 223 of 230 procedures and below it for 7. By typical cash price it ranks #85 of 93 New York hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
241 North Road, Poughkeepsie, NY 12601 Collected Sep 27, 2026 Source price file
The price file shows no self-pay discount
For 1172 of the 1172 prices listed here, the cash price in Mid Hudson Regional Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT, MIN 3 VIEWS, BILAT | $212.00 | $212.00 | $63.60–$356.60 | — | — |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT, MIN 3 VIEWS, BILAT | $212.00 | $212.00 | $63.60–$356.60 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT, MIN 3 VIEWS, BILAT | $212.00 | $212.00 | $63.60–$212.00 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT, MIN 3 VIEWS, BILAT | $212.00 | $212.00 | $63.60–$212.00 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) FLUID | $64.00 | $64.00 | $3.71–$64.00 | 174% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $64.00 | $64.00 | $3.71–$64.00 | 174% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) FLUID | $64.00 | $64.00 | $3.71–$64.00 | 174% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $64.00 | $64.00 | $3.71–$64.00 | 174% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO (ALT) (SGPT) | $64.00 | $64.00 | $19.20–$64.00 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) FLUID | $64.00 | $64.00 | $19.20–$64.00 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO (ALT) (SGPT) | $64.00 | $64.00 | $19.20–$64.00 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) FLUID | $64.00 | $64.00 | $19.20–$64.00 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) FLUID | $63.00 | $63.00 | $3.63–$63.00 | 151% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $63.00 | $63.00 | $3.63–$63.00 | 151% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $63.00 | $63.00 | $3.63–$63.00 | 151% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) FLUID | $63.00 | $63.00 | $3.63–$63.00 | 151% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) FLUID | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST) (SGOT) | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) FLUID | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST) (SGOT) | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $569.00 | $569.00 | $33.34–$569.00 | 230% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $569.00 | $569.00 | $33.34–$569.00 | 230% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $569.00 | $569.00 | $170.70–$569.00 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $569.00 | $569.00 | $170.70–$569.00 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST-GRAPEFRUIT IGE | $63.00 | $63.00 | $3.65–$63.00 | 294% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CARROT | $63.00 | $63.00 | $3.65–$63.00 | 294% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $63.00 | $63.00 | $3.65–$63.00 | 294% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 DUCK FEATHERS IGE E86 | $63.00 | $63.00 | $3.65–$63.00 | 294% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST-GRAPEFRUIT IGE | $63.00 | $63.00 | $3.65–$63.00 | 294% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST-CARROT | $63.00 | $63.00 | $3.65–$63.00 | 294% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 DUCK FEATHERS IGE E86 | $63.00 | $63.00 | $3.65–$63.00 | 294% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $63.00 | $63.00 | $3.65–$63.00 | 294% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CARROT | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-CARROT | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-GRAPEFRUIT IGE | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUCK FEATHERS IGE E86 | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-GRAPEFRUIT IGE | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUCK FEATHERS IGE E86 | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $156.00 | $156.00 | $9.06–$156.00 | 233% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $156.00 | $156.00 | $9.06–$156.00 | 233% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY | $156.00 | $156.00 | $46.80–$156.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY | $156.00 | $156.00 | $46.80–$156.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $146.00 | $146.00 | $8.46–$146.00 | 234% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $146.00 | $146.00 | $8.46–$146.00 | 234% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES | $146.00 | $146.00 | $43.80–$146.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES | $146.00 | $146.00 | $43.80–$146.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $470.00 | $470.00 | $27.48–$470.00 | 283% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $470.00 | $470.00 | $27.48–$470.00 | 283% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $470.00 | $470.00 | $141.00–$470.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $470.00 | $470.00 | $141.00–$470.00 | — | — |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $102.00 | $102.00 | $5.92–$102.00 | 64% above | — |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $102.00 | $102.00 | $5.92–$102.00 | 64% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA | $102.00 | $102.00 | $30.60–$102.00 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA | $102.00 | $102.00 | $30.60–$102.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $507.00 | $507.00 | $65.05–$534.86 | 182% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $507.00 | $507.00 | $65.05–$534.86 | 182% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EX BY PATHOLOGIST LV 4 | $681.00 | $681.00 | $65.05–$681.00 | 278% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EX BY PATHOLOGIST LV 4 | $681.00 | $681.00 | $65.05–$681.00 | 278% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST | $507.00 | $507.00 | $152.10–$507.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST | $507.00 | $507.00 | $152.10–$507.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EX BY PATHOLOGIST LV 4 | $681.00 | $681.00 | $204.30–$681.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EX BY PATHOLOGIST LV 4 | $681.00 | $681.00 | $204.30–$681.00 | — | — |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $125.00 | $125.00 | $7.22–$125.00 | 79% above | — |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $125.00 | $125.00 | $7.22–$125.00 | 79% above | — |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA | $125.00 | $125.00 | $37.50–$125.00 | — | — |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA | $125.00 | $125.00 | $37.50–$125.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $23.00 | $23.00 | $0.01–$42.96 | 46% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $23.00 | $23.00 | $0.01–$42.96 | 46% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $45.00 | $45.00 | $0.01–$45.00 | 186% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $45.00 | $45.00 | $0.01–$45.00 | 186% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $23.00 | $23.00 | $6.90–$23.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $23.00 | $23.00 | $6.90–$23.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE | $45.00 | $45.00 | $13.50–$45.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE | $45.00 | $45.00 | $13.50–$45.00 | — | — |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $73.00 | $73.00 | $2.75–$73.00 | 306% above | — |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $73.00 | $73.00 | $2.75–$73.00 | 306% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $73.00 | $73.00 | $21.90–$73.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $73.00 | $73.00 | $21.90–$73.00 | — | — |
| Blood lead test CPT 83655 ASSAY OF LEAD | $146.00 | $146.00 | $8.48–$146.00 | 239% above | — |
| Blood lead test CPT 83655 ASSAY OF LEAD | $146.00 | $146.00 | $8.48–$146.00 | 239% above | — |
| Blood lead test inpatient CPT 83655 ASSAY OF LEAD | $146.00 | $146.00 | $43.80–$146.00 | — | — |
| Blood lead test inpatient CPT 83655 ASSAY OF LEAD | $146.00 | $146.00 | $43.80–$146.00 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $92.00 | $92.00 | $5.26–$92.00 | 159% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $92.00 | $92.00 | $5.26–$92.00 | 159% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $92.00 | $92.00 | $27.60–$92.00 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $92.00 | $92.00 | $27.60–$92.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $1,500.00 | $1,500.00 | $4.49–$1,500.00 | 883% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $1,500.00 | $1,500.00 | $4.49–$1,500.00 | 883% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC ABO | $1,500.00 | $1,500.00 | $450.00–$1,500.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC ABO | $1,500.00 | $1,500.00 | $450.00–$1,500.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $63.00 | $63.00 | $3.63–$63.00 | 113% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $63.00 | $63.00 | $3.63–$63.00 | 113% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $446.00 | $446.00 | $19.88–$446.00 | 254% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $446.00 | $446.00 | $19.88–$446.00 | 254% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE | $446.00 | $446.00 | $133.80–$446.00 | — | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE | $446.00 | $446.00 | $133.80–$446.00 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $250.00 | $250.00 | $14.57–$250.00 | 232% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $250.00 | $250.00 | $14.57–$250.00 | 232% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $250.00 | $250.00 | $75.00–$250.00 | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $250.00 | $250.00 | $75.00–$250.00 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $250.00 | $250.00 | $14.57–$250.00 | 203% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $250.00 | $250.00 | $14.57–$250.00 | 203% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMOR CA 125 | $250.00 | $250.00 | $75.00–$250.00 | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMOR CA 125 | $250.00 | $250.00 | $75.00–$250.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $215.00 | $215.00 | $35.92–$236.03 | 87% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $215.00 | $215.00 | $35.92–$236.03 | 87% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $215.00 | $215.00 | $64.50–$215.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $215.00 | $215.00 | $64.50–$215.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE | $419.00 | $419.00 | $24.56–$419.00 | 385% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE | $419.00 | $419.00 | $24.56–$419.00 | 385% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PROBE | $419.00 | $419.00 | $125.70–$419.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PROBE | $419.00 | $419.00 | $125.70–$419.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $162.00 | $162.00 | $9.37–$162.00 | 122% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $162.00 | $162.00 | $9.37–$162.00 | 122% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $162.00 | $162.00 | $48.60–$162.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $162.00 | $162.00 | $48.60–$162.00 | — | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $95.00 | $95.00 | $5.44–$95.00 | 129% above | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $95.00 | $95.00 | $5.44–$95.00 | 129% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $95.00 | $95.00 | $28.50–$95.00 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $95.00 | $95.00 | $28.50–$95.00 | — | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $79.00 | $79.00 | $4.53–$79.00 | 155% above | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $79.00 | $79.00 | $4.53–$79.00 | 155% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED | $79.00 | $79.00 | $23.70–$79.00 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED | $79.00 | $79.00 | $23.70–$79.00 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $128.00 | $128.00 | $7.39–$128.00 | 36% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $128.00 | $128.00 | $7.39–$128.00 | 36% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL | $128.00 | $128.00 | $38.40–$128.00 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL | $128.00 | $128.00 | $38.40–$128.00 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $123.00 | $123.00 | $7.13–$123.00 | 232% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $123.00 | $123.00 | $7.13–$123.00 | 232% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT | $123.00 | $123.00 | $36.90–$123.00 | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT | $123.00 | $123.00 | $36.90–$123.00 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $265.00 | $265.00 | $15.56–$265.00 | 174% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $265.00 | $265.00 | $15.56–$265.00 | 174% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE | $265.00 | $265.00 | $79.50–$265.00 | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE | $265.00 | $265.00 | $79.50–$265.00 | — | — |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $333.00 | $333.00 | $19.56–$333.00 | 229% above | — |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $333.00 | $333.00 | $19.56–$333.00 | 229% above | — |
| Estradiol blood test inpatient CPT 82670 ASSAY OF TOTAL ESTRADIOL | $333.00 | $333.00 | $99.90–$333.00 | — | — |
| Estradiol blood test inpatient CPT 82670 ASSAY OF TOTAL ESTRADIOL | $333.00 | $333.00 | $99.90–$333.00 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $223.00 | $223.00 | $13.01–$223.00 | 193% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $223.00 | $223.00 | $13.01–$223.00 | 193% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $235.00 | $235.00 | $11.12–$235.00 | 119% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $235.00 | $235.00 | $11.12–$235.00 | 119% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $235.00 | $235.00 | $70.50–$235.00 | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $235.00 | $235.00 | $70.50–$235.00 | — | — |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $164.00 | $164.00 | $9.54–$164.00 | 144% above | — |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $164.00 | $164.00 | $9.54–$164.00 | 144% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN | $164.00 | $164.00 | $49.20–$164.00 | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN | $164.00 | $164.00 | $49.20–$164.00 | — | — |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $176.00 | $176.00 | $10.29–$176.00 | 187% above | — |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $176.00 | $176.00 | $10.29–$176.00 | 187% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 ASSAY OF FOLIC ACID SERUM | $176.00 | $176.00 | $52.80–$176.00 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 ASSAY OF FOLIC ACID SERUM | $176.00 | $176.00 | $52.80–$176.00 | — | — |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $203.00 | $203.00 | $11.86–$203.00 | 128% above | — |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $203.00 | $203.00 | $11.86–$203.00 | 128% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE ASSAY (FT-3) | $203.00 | $203.00 | $60.90–$203.00 | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE ASSAY (FT-3) | $203.00 | $203.00 | $60.90–$203.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $109.00 | $109.00 | $6.31–$109.00 | 72% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $109.00 | $109.00 | $6.31–$109.00 | 72% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE | $109.00 | $109.00 | $32.70–$109.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE | $109.00 | $109.00 | $32.70–$109.00 | — | — |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $305.00 | $305.00 | $17.83–$305.00 | 231% above | — |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $305.00 | $305.00 | $17.83–$305.00 | 231% above | — |
| Free testosterone test inpatient CPT 84402 ASSAY OF FREE TESTOSTERONE | $305.00 | $305.00 | $91.50–$305.00 | — | — |
| Free testosterone test inpatient CPT 84402 ASSAY OF FREE TESTOSTERONE | $305.00 | $305.00 | $91.50–$305.00 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE | $59.00 | $59.00 | $3.32–$59.00 | 177% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE | $59.00 | $59.00 | $3.32–$59.00 | 177% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE; POST GLUCOSE DOSE | $59.00 | $59.00 | $17.70–$59.00 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE; POST GLUCOSE DOSE | $59.00 | $59.00 | $17.70–$59.00 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $155.00 | $155.00 | $9.01–$155.00 | 158% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $155.00 | $155.00 | $9.01–$155.00 | 158% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $155.00 | $155.00 | $46.50–$155.00 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $155.00 | $155.00 | $46.50–$155.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $419.00 | $419.00 | $24.56–$419.00 | 315% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $419.00 | $419.00 | $24.56–$419.00 | 315% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB | $419.00 | $419.00 | $125.70–$419.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB | $419.00 | $419.00 | $125.70–$419.00 | — | — |
| H. pylori antibody blood test CPT 86677 H.PYLORI AB | $290.00 | $290.00 | $11.79–$290.00 | 452% above | — |
| H. pylori antibody blood test CPT 86677 H.PYLORI AB | $290.00 | $290.00 | $11.79–$290.00 | 452% above | — |
| H. pylori antibody blood test inpatient CPT 86677 H.PYLORI AB | $290.00 | $290.00 | $87.00–$290.00 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H.PYLORI AB | $290.00 | $290.00 | $87.00–$290.00 | — | — |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA | $173.00 | $173.00 | $10.07–$173.00 | 176% above | — |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA | $173.00 | $173.00 | $10.07–$173.00 | 176% above | — |
| H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL AG IA | $173.00 | $173.00 | $51.90–$173.00 | — | — |
| H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL AG IA | $173.00 | $173.00 | $51.90–$173.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QT BY DNA V3.0 | $1,015.00 | $1,015.00 | $59.57–$1,015.00 | 334% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $1,015.00 | $1,015.00 | $59.57–$1,015.00 | 334% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QT BY DNA V3.0 | $1,015.00 | $1,015.00 | $59.57–$1,015.00 | 334% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $1,015.00 | $1,015.00 | $59.57–$1,015.00 | 334% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QT BY DNA V3.0 | $1,015.00 | $1,015.00 | $304.50–$1,015.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $1,015.00 | $1,015.00 | $304.50–$1,015.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QT BY DNA V3.0 | $1,015.00 | $1,015.00 | $304.50–$1,015.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $1,015.00 | $1,015.00 | $304.50–$1,015.00 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $165.00 | $165.00 | $9.60–$165.00 | 189% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $165.00 | $165.00 | $9.60–$165.00 | 189% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $165.00 | $165.00 | $49.50–$165.00 | — | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $165.00 | $165.00 | $49.50–$165.00 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&2 AB AG IA | $288.00 | $288.00 | $13.65–$288.00 | 253% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&2 AB AG IA | $288.00 | $288.00 | $13.65–$288.00 | 253% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1&2 AB AG IA | $288.00 | $288.00 | $86.40–$288.00 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1&2 AB AG IA | $288.00 | $288.00 | $86.40–$288.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES | $419.00 | $419.00 | $19.10–$419.00 | 371% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES | $419.00 | $419.00 | $19.10–$419.00 | 371% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES | $419.00 | $419.00 | $125.70–$419.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES | $419.00 | $419.00 | $125.70–$419.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $117.00 | $117.00 | $6.80–$117.00 | 184% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $117.00 | $117.00 | $6.80–$117.00 | 184% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $117.00 | $117.00 | $35.10–$117.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $117.00 | $117.00 | $35.10–$117.00 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $129.00 | $129.00 | $7.52–$129.00 | 200% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $129.00 | $129.00 | $7.52–$129.00 | 200% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY | $129.00 | $129.00 | $38.70–$129.00 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY | $129.00 | $129.00 | $38.70–$129.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $125.00 | $125.00 | $7.23–$125.00 | 234% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $125.00 | $125.00 | $7.23–$125.00 | 234% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA | $125.00 | $125.00 | $37.50–$125.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA | $125.00 | $125.00 | $37.50–$125.00 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $172.00 | $172.00 | $9.99–$172.00 | 189% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $172.00 | $172.00 | $9.99–$172.00 | 189% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST | $172.00 | $172.00 | $51.60–$172.00 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST | $172.00 | $172.00 | $51.60–$172.00 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $510.00 | $510.00 | $29.99–$510.00 | 285% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $510.00 | $510.00 | $29.99–$510.00 | 285% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $510.00 | $510.00 | $153.00–$510.00 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $510.00 | $510.00 | $153.00–$510.00 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $159.00 | $159.00 | $9.23–$159.00 | 301% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $159.00 | $159.00 | $9.23–$159.00 | 301% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $159.00 | $159.00 | $47.70–$159.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $159.00 | $159.00 | $47.70–$159.00 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $233.00 | $233.00 | $13.54–$233.00 | 292% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $233.00 | $233.00 | $13.54–$233.00 | 292% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $233.00 | $233.00 | $69.90–$233.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $233.00 | $233.00 | $69.90–$233.00 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $156.00 | $156.00 | $9.06–$156.00 | 229% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $156.00 | $156.00 | $9.06–$156.00 | 229% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS | $156.00 | $156.00 | $46.80–$156.00 | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS | $156.00 | $156.00 | $46.80–$156.00 | — | — |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTINE | $215.00 | $215.00 | $12.54–$215.00 | 180% above | — |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTINE | $215.00 | $215.00 | $12.54–$215.00 | 180% above | — |
| Homocysteine blood test inpatient CPT 83090 ASSAY OF HOMOCYSTINE | $215.00 | $215.00 | $64.50–$215.00 | — | — |
| Homocysteine blood test inpatient CPT 83090 ASSAY OF HOMOCYSTINE | $215.00 | $215.00 | $64.50–$215.00 | — | — |
| Insulin blood test CPT 83525 ASSAY OF INSULIN TOTAL | $137.00 | $137.00 | $8.00–$137.00 | 193% above | — |
| Insulin blood test CPT 83525 ASSAY OF INSULIN TOTAL | $137.00 | $137.00 | $8.00–$137.00 | 193% above | — |
| Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN TOTAL | $137.00 | $137.00 | $41.10–$137.00 | — | — |
| Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN TOTAL | $137.00 | $137.00 | $41.10–$137.00 | — | — |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $79.00 | $79.00 | $4.53–$79.00 | 158% above | — |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $79.00 | $79.00 | $4.53–$79.00 | 158% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON | $79.00 | $79.00 | $23.70–$79.00 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON | $79.00 | $79.00 | $23.70–$79.00 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $105.00 | $105.00 | $6.12–$105.00 | 152% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $105.00 | $105.00 | $6.12–$105.00 | 152% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING TEST | $105.00 | $105.00 | $31.50–$105.00 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING TEST | $105.00 | $105.00 | $31.50–$105.00 | — | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $105.00 | $105.00 | $6.08–$105.00 | 59% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $105.00 | $105.00 | $6.08–$105.00 | 59% above | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $105.00 | $105.00 | $31.50–$105.00 | — | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $105.00 | $105.00 | $31.50–$105.00 | — | — |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $221.00 | $221.00 | $12.96–$221.00 | 186% above | — |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $221.00 | $221.00 | $12.96–$221.00 | 186% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 ASSAY OF GONADOTROPIN (LH) | $221.00 | $221.00 | $66.30–$221.00 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 ASSAY OF GONADOTROPIN (LH) | $221.00 | $221.00 | $66.30–$221.00 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $83.00 | $83.00 | $4.82–$83.00 | 144% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $83.00 | $83.00 | $4.82–$83.00 | 144% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE | $83.00 | $83.00 | $24.90–$83.00 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE | $83.00 | $83.00 | $24.90–$83.00 | — | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $99.00 | $99.00 | $5.72–$99.00 | 34% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $99.00 | $99.00 | $5.72–$99.00 | 34% above | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $99.00 | $99.00 | $29.70–$99.00 | — | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $99.00 | $99.00 | $29.70–$99.00 | — | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $204.00 | $204.00 | $11.92–$204.00 | 344% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $204.00 | $204.00 | $11.92–$204.00 | 344% above | — |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY | $204.00 | $204.00 | $61.20–$204.00 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY | $204.00 | $204.00 | $61.20–$204.00 | — | — |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $81.00 | $81.00 | $4.69–$81.00 | 178% above | — |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $81.00 | $81.00 | $4.69–$81.00 | 178% above | — |
| Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM | $81.00 | $81.00 | $24.30–$81.00 | — | — |
| Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM | $81.00 | $81.00 | $24.30–$81.00 | — | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $155.00 | $155.00 | $9.02–$155.00 | 242% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $155.00 | $155.00 | $9.02–$155.00 | 242% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY | $155.00 | $155.00 | $46.50–$155.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY | $155.00 | $155.00 | $46.50–$155.00 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $63.00 | $63.00 | $3.63–$63.00 | 68% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $63.00 | $63.00 | $3.63–$63.00 | 68% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODY SCREEN | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODY SCREEN | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $235.00 | $235.00 | $23.01–$235.00 | 122% above | — |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $235.00 | $235.00 | $23.01–$235.00 | 122% above | — |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $235.00 | $235.00 | $70.50–$235.00 | — | — |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $235.00 | $235.00 | $70.50–$235.00 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $220.00 | $220.00 | $12.87–$220.00 | 272% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $220.00 | $220.00 | $12.87–$220.00 | 272% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA FREE | $220.00 | $220.00 | $66.00–$220.00 | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA FREE | $220.00 | $220.00 | $66.00–$220.00 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $220.00 | $220.00 | $12.87–$220.00 | 235% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $220.00 | $220.00 | $12.87–$220.00 | 235% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL | $220.00 | $220.00 | $66.00–$220.00 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL | $220.00 | $220.00 | $66.00–$220.00 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $150.00 | $150.00 | $14.18–$171.27 | 105% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $150.00 | $150.00 | $14.18–$171.27 | 105% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER | $150.00 | $150.00 | $45.00–$150.00 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER | $150.00 | $150.00 | $45.00–$150.00 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $493.00 | $493.00 | $28.90–$493.00 | 264% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $493.00 | $493.00 | $28.90–$493.00 | 264% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 ASSAY OF PARATHORMONE | $493.00 | $493.00 | $147.90–$493.00 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 ASSAY OF PARATHORMONE | $493.00 | $493.00 | $147.90–$493.00 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $74.00 | $74.00 | $4.21–$74.00 | 148% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $74.00 | $74.00 | $4.21–$74.00 | 148% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL | $74.00 | $74.00 | $22.20–$74.00 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL | $74.00 | $74.00 | $22.20–$74.00 | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY | $6,329.00 | $6,329.00 | $531.33–$6,329.00 | 560% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY | $6,329.00 | $6,329.00 | $531.33–$6,329.00 | 560% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHRMOML ANEUPLOIDY | $6,329.00 | $6,329.00 | $1,898.70–$6,329.00 | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHRMOML ANEUPLOIDY | $6,329.00 | $6,329.00 | $1,898.70–$6,329.00 | — | — |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $251.00 | $251.00 | $14.60–$251.00 | 185% above | — |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $251.00 | $251.00 | $14.60–$251.00 | 185% above | — |
| Progesterone blood test inpatient CPT 84144 ASSAY OF PROGESTERONE | $251.00 | $251.00 | $75.30–$251.00 | — | — |
| Progesterone blood test inpatient CPT 84144 ASSAY OF PROGESTERONE | $251.00 | $251.00 | $75.30–$251.00 | — | — |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $233.00 | $233.00 | $13.57–$233.00 | 226% above | — |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $233.00 | $233.00 | $13.57–$233.00 | 226% above | — |
| Prolactin blood test inpatient CPT 84146 ASSAY OF PROLACTIN | $233.00 | $233.00 | $69.90–$233.00 | — | — |
| Prolactin blood test inpatient CPT 84146 ASSAY OF PROLACTIN | $233.00 | $233.00 | $69.90–$233.00 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $53.00 | $53.00 | $3.00–$53.00 | 179% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $53.00 | $53.00 | $3.00–$53.00 | 179% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $53.00 | $53.00 | $15.90–$53.00 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $53.00 | $53.00 | $15.90–$53.00 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE CUP DRUG SCREEN | $741.00 | $741.00 | $5.98–$741.00 | 2026% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE CUP DRUG SCREEN | $741.00 | $741.00 | $5.98–$741.00 | 2026% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE CUP DRUG SCREEN | $741.00 | $741.00 | $222.30–$741.00 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE CUP DRUG SCREEN | $741.00 | $741.00 | $222.30–$741.00 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $199.00 | $199.00 | $11.58–$199.00 | 390% above | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $199.00 | $199.00 | $11.58–$199.00 | 390% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC | $199.00 | $199.00 | $59.70–$199.00 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC | $199.00 | $199.00 | $59.70–$199.00 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $198.00 | $198.00 | $11.57–$198.00 | 399% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $198.00 | $198.00 | $11.57–$198.00 | 399% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC | $198.00 | $198.00 | $59.40–$198.00 | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC | $198.00 | $198.00 | $59.40–$198.00 | — | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $69.00 | $69.00 | $3.97–$69.00 | 151% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $69.00 | $69.00 | $3.97–$69.00 | 151% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT | $69.00 | $69.00 | $20.70–$69.00 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT | $69.00 | $69.00 | $20.70–$69.00 | — | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $173.00 | $173.00 | $10.07–$173.00 | 307% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $173.00 | $173.00 | $10.07–$173.00 | 307% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY | $173.00 | $173.00 | $51.90–$173.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY | $173.00 | $173.00 | $51.90–$173.00 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $50.00 | $50.00 | $1.89–$50.00 | 102% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $50.00 | $50.00 | $1.89–$50.00 | 102% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED | $50.00 | $50.00 | $15.00–$50.00 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED | $50.00 | $50.00 | $15.00–$50.00 | — | — |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $108.00 | $108.00 | $6.23–$108.00 | 179% above | — |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $108.00 | $108.00 | $6.23–$108.00 | 179% above | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS | $108.00 | $108.00 | $32.40–$108.00 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS | $108.00 | $108.00 | $32.40–$108.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $55.00 | $55.00 | $3.07–$55.00 | 264% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $55.00 | $55.00 | $3.07–$55.00 | 264% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES | $55.00 | $55.00 | $16.50–$55.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES | $55.00 | $55.00 | $16.50–$55.00 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $254.00 | $254.00 | $11.14–$254.00 | 464% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $254.00 | $254.00 | $11.14–$254.00 | 464% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY TEST FOR BLOOD FECAL | $254.00 | $254.00 | $76.20–$254.00 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY TEST FOR BLOOD FECAL | $254.00 | $254.00 | $76.20–$254.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $53.00 | $53.00 | $2.99–$53.00 | 188% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $53.00 | $53.00 | $2.99–$53.00 | 188% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL | $53.00 | $53.00 | $15.90–$53.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL | $53.00 | $53.00 | $15.90–$53.00 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $740.00 | $740.00 | $43.39–$740.00 | 393% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $740.00 | $740.00 | $43.39–$740.00 | 393% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE | $740.00 | $740.00 | $222.00–$740.00 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE | $740.00 | $740.00 | $222.00–$740.00 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $309.00 | $309.00 | $18.07–$309.00 | 256% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $309.00 | $309.00 | $18.07–$309.00 | 256% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $309.00 | $309.00 | $92.70–$309.00 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $309.00 | $309.00 | $92.70–$309.00 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $175.00 | $175.00 | $10.19–$175.00 | 248% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $175.00 | $175.00 | $10.19–$175.00 | 248% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY EACH | $175.00 | $175.00 | $52.50–$175.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY EACH | $175.00 | $175.00 | $52.50–$175.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $201.00 | $201.00 | $11.76–$201.00 | 155% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $201.00 | $201.00 | $11.76–$201.00 | 155% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE | $201.00 | $201.00 | $60.30–$201.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE | $201.00 | $201.00 | $60.30–$201.00 | — | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $419.00 | $419.00 | $19.15–$419.00 | 471% above | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $419.00 | $419.00 | $19.15–$419.00 | 471% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $419.00 | $419.00 | $125.70–$419.00 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $419.00 | $419.00 | $125.70–$419.00 | — | — |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $56.00 | $56.00 | $3.16–$56.00 | 138% above | — |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $56.00 | $56.00 | $3.16–$56.00 | 138% above | — |
| Uric acid blood test inpatient CPT 84550 ASSAY OF BLOOD/URIC ACID | $56.00 | $56.00 | $16.80–$56.00 | — | — |
| Uric acid blood test inpatient CPT 84550 ASSAY OF BLOOD/URIC ACID | $56.00 | $56.00 | $16.80–$56.00 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $59.00 | $59.00 | $2.22–$59.00 | 100% above | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $59.00 | $59.00 | $2.22–$59.00 | 100% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE | $59.00 | $59.00 | $17.70–$59.00 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE | $59.00 | $59.00 | $17.70–$59.00 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $42.00 | $42.00 | $1.57–$42.00 | 147% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $42.00 | $42.00 | $1.57–$42.00 | 147% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE | $42.00 | $42.00 | $12.60–$42.00 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE | $42.00 | $42.00 | $12.60–$42.00 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $63.00 | $63.00 | $2.44–$63.00 | 435% above | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $63.00 | $63.00 | $2.44–$63.00 | 435% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $63.00 | $63.00 | $18.90–$63.00 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $98.00 | $98.00 | $5.65–$98.00 | 131% above | — |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $98.00 | $98.00 | $5.65–$98.00 | 131% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT | $98.00 | $98.00 | $29.40–$98.00 | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT | $98.00 | $98.00 | $29.40–$98.00 | — | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $61.00 | $61.00 | $6.03–$74.36 | 96% above | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $61.00 | $61.00 | $6.03–$74.36 | 96% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $181.00 | $181.00 | $6.03–$181.00 | 483% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $181.00 | $181.00 | $6.03–$181.00 | 483% above | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISUAL COLOR | $181.00 | $181.00 | $6.03–$181.00 | 483% above | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISUAL COLOR | $181.00 | $181.00 | $6.03–$181.00 | 483% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $61.00 | $61.00 | $18.30–$61.00 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $61.00 | $61.00 | $18.30–$61.00 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE | $181.00 | $181.00 | $54.30–$181.00 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY VISUAL COLOR | $181.00 | $181.00 | $54.30–$181.00 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY VISUAL COLOR | $181.00 | $181.00 | $54.30–$181.00 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE | $181.00 | $181.00 | $54.30–$181.00 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $182.00 | $182.00 | $10.56–$182.00 | 183% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $182.00 | $182.00 | $10.56–$182.00 | 183% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $182.00 | $182.00 | $54.60–$182.00 | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $182.00 | $182.00 | $54.60–$182.00 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $353.00 | $353.00 | $20.72–$353.00 | 297% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $353.00 | $353.00 | $20.72–$353.00 | 297% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $353.00 | $353.00 | $105.90–$353.00 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $353.00 | $353.00 | $105.90–$353.00 | — | — |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $137.00 | $137.00 | $7.97–$137.00 | 296% above | — |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $137.00 | $137.00 | $7.97–$137.00 | 296% above | — |
| Zinc blood test inpatient CPT 84630 ASSAY OF ZINC | $137.00 | $137.00 | $41.10–$137.00 | — | — |
| Zinc blood test inpatient CPT 84630 ASSAY OF ZINC | $137.00 | $137.00 | $41.10–$137.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $182.00 | $182.00 | $10.54–$182.00 | 198% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $182.00 | $182.00 | $10.54–$182.00 | 198% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN TEST | $182.00 | $182.00 | $54.60–$182.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN TEST | $182.00 | $182.00 | $54.60–$182.00 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CL TX DSTL FIB FX WO MANIP | $5,357.00 | $5,357.00 | $250.00–$5,357.00 | 1022% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CL TX DSTL FIB FX WO MANIP | $5,357.00 | $5,357.00 | $250.00–$5,357.00 | 1022% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CL TX DSTL FIB FX WO MANIP | $5,357.00 | $5,357.00 | $1,607.10–$5,357.00 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CL TX DSTL FIB FX WO MANIP | $5,357.00 | $5,357.00 | $1,607.10–$5,357.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION | $3,903.00 | $3,903.00 | $365.94–$3,903.00 | 289% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $3,903.00 | $3,903.00 | $365.94–$3,903.00 | 289% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION | $3,903.00 | $3,903.00 | $365.94–$3,903.00 | 289% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $3,903.00 | $3,903.00 | $365.94–$3,903.00 | 289% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTIVE CARDIOVERSION | $3,903.00 | $3,903.00 | $1,170.90–$3,903.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT | $3,903.00 | $3,903.00 | $1,170.90–$3,903.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT | $3,903.00 | $3,903.00 | $1,170.90–$3,903.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTIVE CARDIOVERSION | $3,903.00 | $3,903.00 | $1,170.90–$3,903.00 | — | — |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $2,789.00 | $2,789.00 | $258.78–$7,951.00 | 138% above | — |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $2,789.00 | $2,789.00 | $258.78–$7,951.00 | 138% above | — |
| Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX | $2,789.00 | $2,789.00 | $836.70–$2,789.00 | — | — |
| Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX | $2,789.00 | $2,789.00 | $836.70–$2,789.00 | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $6,363.00 | $6,363.00 | $680.58–$6,363.00 | 150% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $6,363.00 | $6,363.00 | $680.58–$6,363.00 | 150% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUM 28 DAYS OR OLDER | $6,363.00 | $6,363.00 | $1,908.90–$6,363.00 | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUM 28 DAYS OR OLDER | $6,363.00 | $6,363.00 | $1,908.90–$6,363.00 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $7,362.00 | $7,362.00 | $327.18–$7,362.00 | 367% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $7,362.00 | $7,362.00 | $327.18–$7,362.00 | 367% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $7,362.00 | $7,362.00 | $2,208.60–$7,362.00 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $7,362.00 | $7,362.00 | $2,208.60–$7,362.00 | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE <=28 DAYS | $4,016.00 | $4,016.00 | $498.18–$4,016.00 | 259% above | — |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE <=28 DAYS | $4,016.00 | $4,016.00 | $498.18–$4,016.00 | 259% above | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION NEONATE <=28 DAYS | $4,016.00 | $4,016.00 | $1,204.80–$4,016.00 | — | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION NEONATE <=28 DAYS | $4,016.00 | $4,016.00 | $1,204.80–$4,016.00 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TRT FRACTUR RADIUS/ULNA | $588.00 | $588.00 | $176.40–$3,371.00 | 19% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TRT FRACTUR RADIUS/ULNA | $588.00 | $588.00 | $176.40–$3,371.00 | 19% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TRT FRACTUR RADIUS/ULNA | $588.00 | $588.00 | $176.40–$588.00 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TRT FRACTUR RADIUS/ULNA | $588.00 | $588.00 | $176.40–$588.00 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $4,314.00 | $4,314.00 | $272.46–$7,951.00 | 216% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $4,314.00 | $4,314.00 | $272.46–$7,951.00 | 216% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $4,314.00 | $4,314.00 | $870.42–$15,694.00 | 216% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $4,314.00 | $4,314.00 | $870.42–$15,694.00 | 216% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY | $4,314.00 | $4,314.00 | $1,294.20–$4,314.00 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY | $4,314.00 | $4,314.00 | $1,294.20–$4,314.00 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY | $4,314.00 | $4,314.00 | $1,294.20–$4,314.00 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY | $4,314.00 | $4,314.00 | $1,294.20–$4,314.00 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 CAUTERY OF WOUND ELECTRICAL | $286.00 | $286.00 | $85.80–$7,951.00 | 22% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 CAUTERY OF WOUND ELECTRICAL | $286.00 | $286.00 | $85.80–$7,951.00 | 22% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 CAUTERY OF WOUND ELECTRICAL | $286.00 | $286.00 | $85.80–$286.00 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 CAUTERY OF WOUND ELECTRICAL | $286.00 | $286.00 | $85.80–$286.00 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $361.00 | $361.00 | $53.58–$7,951.00 | 237% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $361.00 | $361.00 | $53.58–$7,951.00 | 237% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI | $361.00 | $361.00 | $108.30–$361.00 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI | $361.00 | $361.00 | $108.30–$361.00 | — | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $617.00 | $617.00 | $73.64–$7,951.00 | 395% above | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $617.00 | $617.00 | $73.64–$7,951.00 | 395% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX UNI | $617.00 | $617.00 | $185.10–$617.00 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX UNI | $617.00 | $617.00 | $185.10–$617.00 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $2,193.00 | $2,193.00 | $250.00–$3,371.00 | 403% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $2,193.00 | $2,193.00 | $250.00–$3,371.00 | 403% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING | $2,193.00 | $2,193.00 | $657.90–$2,193.00 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING | $2,193.00 | $2,193.00 | $657.90–$2,193.00 | — | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG | $2,597.00 | $2,597.00 | $250.00–$3,371.00 | 261% above | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG | $2,597.00 | $2,597.00 | $250.00–$3,371.00 | 261% above | — |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INJECTION EYE DRUG | $2,597.00 | $2,597.00 | $779.10–$2,597.00 | — | — |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INJECTION EYE DRUG | $2,597.00 | $2,597.00 | $779.10–$2,597.00 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSON INJECTION | $367.00 | $367.00 | $110.10–$15,694.00 | 43% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSON INJECTION | $367.00 | $367.00 | $110.10–$15,694.00 | 43% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $592.00 | $592.00 | $177.60–$15,694.00 | 130% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $592.00 | $592.00 | $177.60–$15,694.00 | 130% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSON INJECTION | $367.00 | $367.00 | $110.10–$367.00 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSON INJECTION | $367.00 | $367.00 | $110.10–$367.00 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATHETER FOR HYSTEROGRAPHY | $592.00 | $592.00 | $177.60–$592.00 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATHETER FOR HYSTEROGRAPHY | $592.00 | $592.00 | $177.60–$592.00 | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $611.00 | $611.00 | $46.70–$611.00 | 150% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $611.00 | $611.00 | $46.70–$611.00 | 150% above | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE | $611.00 | $611.00 | $183.30–$611.00 | — | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE | $611.00 | $611.00 | $183.30–$611.00 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS SMPL | $1,041.00 | $1,041.00 | $250.00–$3,371.00 | 186% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS SNGL | $1,041.00 | $1,041.00 | $250.45–$7,951.00 | 186% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS SMPL | $1,041.00 | $1,041.00 | $250.00–$3,371.00 | 186% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS SNGL | $1,041.00 | $1,041.00 | $250.45–$7,951.00 | 186% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS SMPL | $1,041.00 | $1,041.00 | $312.30–$1,041.00 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS SNGL | $1,041.00 | $1,041.00 | $312.30–$1,041.00 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS SMPL | $1,041.00 | $1,041.00 | $312.30–$1,041.00 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS SNGL | $1,041.00 | $1,041.00 | $312.30–$1,041.00 | — | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA | $11,436.00 | $11,436.00 | $250.00–$15,274.00 | 174% above | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA | $11,436.00 | $11,436.00 | $250.00–$15,274.00 | 174% above | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INGUINAL HERNIA | $11,436.00 | $11,436.00 | $3,430.80–$11,436.00 | — | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INGUINAL HERNIA | $11,436.00 | $11,436.00 | $3,430.80–$11,436.00 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON/LIGAMENT/C | $1,007.00 | $1,007.00 | $250.00–$3,371.00 | 146% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON/LIGAMENT/C | $1,007.00 | $1,007.00 | $250.00–$3,371.00 | 146% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT TENDON/LIGAMENT/C | $1,007.00 | $1,007.00 | $302.10–$1,007.00 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT TENDON/LIGAMENT/C | $1,007.00 | $1,007.00 | $302.10–$1,007.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MJR JNT/BURSA W/O US | $1,182.00 | $1,182.00 | $107.06–$1,182.00 | 224% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MJR JNT/BURSA W/O US | $1,182.00 | $1,182.00 | $107.06–$1,182.00 | 224% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MJR JNT/BURSA W/O US | $1,182.00 | $1,182.00 | $354.60–$1,182.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MJR JNT/BURSA W/O US | $1,182.00 | $1,182.00 | $354.60–$1,182.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INT JNT/BURSA W/O US | $1,133.00 | $1,133.00 | $86.27–$1,133.00 | 224% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INT JNT/BURSA W/O US | $1,133.00 | $1,133.00 | $86.27–$1,133.00 | 224% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INT JNT/BURSA W/O US | $1,133.00 | $1,133.00 | $339.90–$1,133.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INT JNT/BURSA W/O US | $1,133.00 | $1,133.00 | $339.90–$1,133.00 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SML JNT/BURSA W/O US | $1,511.00 | $1,511.00 | $83.20–$1,511.00 | 333% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SML JNT/BURSA W/O US | $1,511.00 | $1,511.00 | $83.20–$1,511.00 | 333% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ SML JNT/BURSA W/O US | $1,511.00 | $1,511.00 | $453.30–$1,511.00 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ SML JNT/BURSA W/O US | $1,511.00 | $1,511.00 | $453.30–$1,511.00 | — | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $20,018.00 | $20,018.00 | $250.00–$20,018.00 | 265% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $20,018.00 | $20,018.00 | $250.00–$20,018.00 | 265% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY APPENDECTOMY | $20,018.00 | $20,018.00 | $6,005.40–$20,018.00 | — | — |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY APPENDECTOMY | $20,018.00 | $20,018.00 | $6,005.40–$20,018.00 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $2,846.00 | $2,846.00 | $250.00–$3,371.00 | 412% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $2,846.00 | $2,846.00 | $250.00–$3,371.00 | 412% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $2,846.00 | $2,846.00 | $853.80–$2,846.00 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $2,846.00 | $2,846.00 | $853.80–$2,846.00 | — | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $10,846.00 | $10,846.00 | $250.00–$15,274.00 | 182% above | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $10,846.00 | $10,846.00 | $250.00–$15,274.00 | 182% above | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE OF MISCARRIAGE | $10,846.00 | $10,846.00 | $3,253.80–$10,846.00 | — | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE OF MISCARRIAGE | $10,846.00 | $10,846.00 | $3,253.80–$10,846.00 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF SKIN LESION | $1,836.00 | $1,836.00 | $250.00–$3,371.00 | 110% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF SKIN LESION | $1,836.00 | $1,836.00 | $250.00–$3,371.00 | 110% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 REMOVAL OF SKIN LESION | $1,836.00 | $1,836.00 | $550.80–$1,836.00 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 REMOVAL OF SKIN LESION | $1,836.00 | $1,836.00 | $550.80–$1,836.00 | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $3,333.00 | $3,333.00 | $250.00–$3,371.00 | 267% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $3,333.00 | $3,333.00 | $250.00–$3,371.00 | 267% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $3,333.00 | $3,333.00 | $999.90–$3,333.00 | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $3,333.00 | $3,333.00 | $999.90–$3,333.00 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $840.00 | $840.00 | $183.54–$7,951.00 | 196% above | — |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $840.00 | $840.00 | $183.54–$7,951.00 | 196% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE | $840.00 | $840.00 | $252.00–$840.00 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE | $840.00 | $840.00 | $252.00–$840.00 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $1,213.00 | $1,213.00 | $250.00–$3,371.00 | 210% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $1,213.00 | $1,213.00 | $250.00–$3,371.00 | 210% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA&/STRD GR OCPL NRV | $1,213.00 | $1,213.00 | $363.90–$1,213.00 | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA&/STRD GR OCPL NRV | $1,213.00 | $1,213.00 | $363.90–$1,213.00 | — | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $2,007.00 | $2,007.00 | $602.10–$15,694.00 | 50% above | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $2,007.00 | $2,007.00 | $602.10–$15,694.00 | 50% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING | $2,007.00 | $2,007.00 | $602.10–$2,007.00 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING | $2,007.00 | $2,007.00 | $602.10–$2,007.00 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $2,592.00 | $2,592.00 | $349.98–$7,951.00 | 346% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $2,592.00 | $2,592.00 | $349.98–$7,951.00 | 346% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED | $2,592.00 | $2,592.00 | $777.60–$2,592.00 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED | $2,592.00 | $2,592.00 | $777.60–$2,592.00 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SMPL | $1,522.00 | $1,522.00 | $250.00–$3,371.00 | 175% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SMPL | $1,522.00 | $1,522.00 | $250.00–$3,371.00 | 175% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY SMPL | $1,522.00 | $1,522.00 | $456.60–$1,522.00 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY SMPL | $1,522.00 | $1,522.00 | $456.60–$1,522.00 | — | — |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $11,514.00 | $11,514.00 | $2,303.94–$15,274.00 | 200% above | — |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $11,514.00 | $11,514.00 | $2,303.94–$15,274.00 | 200% above | — |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 REPAIR OF NASAL SEPTUM | $11,514.00 | $11,514.00 | $3,454.20–$11,514.00 | — | — |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 REPAIR OF NASAL SEPTUM | $11,514.00 | $11,514.00 | $3,454.20–$11,514.00 | — | — |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $1,205.00 | $1,205.00 | $250.00–$3,371.00 | 274% above | — |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $1,205.00 | $1,205.00 | $250.00–$3,371.00 | 274% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION OF FOREARM CAST | $1,205.00 | $1,205.00 | $361.50–$1,205.00 | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION OF FOREARM CAST | $1,205.00 | $1,205.00 | $361.50–$1,205.00 | — | — |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $784.00 | $784.00 | $166.08–$3,371.00 | 323% above | — |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $784.00 | $784.00 | $166.08–$3,371.00 | 323% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT | $784.00 | $784.00 | $235.20–$784.00 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT | $784.00 | $784.00 | $235.20–$784.00 | — | — |
| Short leg cast (below the knee) CPT 29405 APLY SHORT LEG CAST BLW KN | $1,603.00 | $1,603.00 | $250.00–$3,371.00 | 370% above | — |
| Short leg cast (below the knee) CPT 29405 APLY SHORT LEG CAST BLW KN | $1,603.00 | $1,603.00 | $250.00–$3,371.00 | 370% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 APLY SHORT LEG CAST BLW KN | $1,603.00 | $1,603.00 | $480.90–$1,603.00 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 APLY SHORT LEG CAST BLW KN | $1,603.00 | $1,603.00 | $480.90–$1,603.00 | — | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $850.00 | $850.00 | $173.28–$7,951.00 | 342% above | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $850.00 | $850.00 | $173.28–$7,951.00 | 342% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT | $850.00 | $850.00 | $255.00–$850.00 | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT | $850.00 | $850.00 | $255.00–$850.00 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $1,514.00 | $1,514.00 | $250.00–$3,371.00 | 377% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $1,514.00 | $1,514.00 | $250.00–$3,371.00 | 377% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $1,514.00 | $1,514.00 | $454.20–$1,514.00 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $1,514.00 | $1,514.00 | $454.20–$1,514.00 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $892.00 | $892.00 | $159.60–$7,951.00 | 51% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $892.00 | $892.00 | $159.60–$7,951.00 | 51% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $892.00 | $892.00 | $267.60–$892.00 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $892.00 | $892.00 | $267.60–$892.00 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS <W/15 | $740.00 | $740.00 | $222.00–$3,371.00 | 148% above | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS <W/15 | $740.00 | $740.00 | $222.00–$3,371.00 | 148% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS <W/15 | $740.00 | $740.00 | $222.00–$740.00 | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS <W/15 | $740.00 | $740.00 | $222.00–$740.00 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $1,568.00 | $1,568.00 | $470.40–$15,694.00 | 66% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $1,568.00 | $1,568.00 | $470.40–$15,694.00 | 66% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $2,612.00 | $2,612.00 | $250.00–$3,371.00 | 176% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $2,612.00 | $2,612.00 | $250.00–$3,371.00 | 176% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE | $1,568.00 | $1,568.00 | $470.40–$1,568.00 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE | $1,568.00 | $1,568.00 | $470.40–$1,568.00 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LMBR SPI PNXR | $2,612.00 | $2,612.00 | $783.60–$2,612.00 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LMBR SPI PNXR | $2,612.00 | $2,612.00 | $783.60–$2,612.00 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $1,912.00 | $1,912.00 | $250.00–$3,371.00 | 436% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $1,912.00 | $1,912.00 | $250.00–$3,371.00 | 436% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $1,912.00 | $1,912.00 | $573.60–$1,912.00 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $1,912.00 | $1,912.00 | $573.60–$1,912.00 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $1,912.00 | $1,912.00 | $250.00–$3,371.00 | 531% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $1,912.00 | $1,912.00 | $250.00–$3,371.00 | 531% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $1,912.00 | $1,912.00 | $573.60–$1,912.00 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $1,912.00 | $1,912.00 | $573.60–$1,912.00 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $837.00 | $837.00 | $127.68–$7,951.00 | 82% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $837.00 | $837.00 | $127.68–$7,951.00 | 82% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES | $837.00 | $837.00 | $251.10–$837.00 | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES | $837.00 | $837.00 | $251.10–$837.00 | — | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W IMAGING | $2,246.00 | $2,246.00 | $673.80–$15,694.00 | 83% above | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W IMAGING | $2,246.00 | $2,246.00 | $673.80–$15,694.00 | 83% above | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $2,323.00 | $2,323.00 | $250.00–$3,371.00 | 89% above | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $2,323.00 | $2,323.00 | $250.00–$3,371.00 | 89% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W IMAGING | $2,246.00 | $2,246.00 | $673.80–$2,246.00 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W IMAGING | $2,246.00 | $2,246.00 | $673.80–$2,246.00 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING | $2,323.00 | $2,323.00 | $696.90–$2,323.00 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING | $2,323.00 | $2,323.00 | $696.90–$2,323.00 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $1,422.00 | $1,422.00 | $250.00–$3,371.00 | 307% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $1,422.00 | $1,422.00 | $250.00–$3,371.00 | 307% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $1,422.00 | $1,422.00 | $426.60–$1,422.00 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $1,422.00 | $1,422.00 | $426.60–$1,422.00 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $3,580.00 | $3,580.00 | $1,074.00–$15,694.00 | 28% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $3,580.00 | $3,580.00 | $1,074.00–$15,694.00 | 28% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG | $3,580.00 | $3,580.00 | $1,074.00–$3,580.00 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG | $3,580.00 | $3,580.00 | $1,074.00–$3,580.00 | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDOSCOPY, DILATIO | $4,157.00 | $4,157.00 | $250.00–$4,723.00 | 85% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDOSCOPY, DILATIO | $4,157.00 | $4,157.00 | $250.00–$4,723.00 | 85% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH ENDOSCOPY, DILATIO | $4,157.00 | $4,157.00 | $1,247.10–$4,157.00 | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH ENDOSCOPY, DILATIO | $4,157.00 | $4,157.00 | $1,247.10–$4,157.00 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOP | $2,640.00 | $2,640.00 | $250.00–$4,723.00 | 129% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOP | $2,640.00 | $2,640.00 | $250.00–$4,723.00 | 129% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY, BIOP | $2,640.00 | $2,640.00 | $792.00–$2,640.00 | — | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY, BIOP | $2,640.00 | $2,640.00 | $792.00–$2,640.00 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $3,951.00 | $3,951.00 | $250.00–$4,723.00 | 256% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $3,951.00 | $3,951.00 | $250.00–$4,723.00 | 256% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $3,951.00 | $3,951.00 | $1,185.30–$3,951.00 | — | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $3,951.00 | $3,951.00 | $1,185.30–$3,951.00 | — | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC DELIVERY | $15,449.00 | $15,449.00 | $4,634.70–$15,449.00 | 375% above | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC DELIVERY | $15,449.00 | $15,449.00 | $4,634.70–$15,449.00 | 375% above | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 VBAC DELIVERY | $15,449.00 | $15,449.00 | $4,634.70–$15,449.00 | — | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 VBAC DELIVERY | $15,449.00 | $15,449.00 | $4,634.70–$15,449.00 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 VASECTOMY | $7,273.00 | $7,273.00 | $796.86–$7,951.00 | 231% above | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 VASECTOMY | $7,273.00 | $7,273.00 | $796.86–$7,951.00 | 231% above | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $7,273.00 | $7,273.00 | $2,181.90–$15,694.00 | 231% above | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $7,273.00 | $7,273.00 | $2,181.90–$15,694.00 | 231% above | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 REMOVAL OF SPERM DUCT(S) | $7,273.00 | $7,273.00 | $2,181.90–$7,273.00 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 VASECTOMY | $7,273.00 | $7,273.00 | $2,181.90–$7,273.00 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 REMOVAL OF SPERM DUCT(S) | $7,273.00 | $7,273.00 | $2,181.90–$7,273.00 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 VASECTOMY | $7,273.00 | $7,273.00 | $2,181.90–$7,273.00 | — | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT LESION 1-14 | $1,278.00 | $1,278.00 | $250.00–$3,371.00 | 440% above | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT LESION 1-14 | $1,278.00 | $1,278.00 | $250.00–$3,371.00 | 440% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT LESION 1-14 | $1,278.00 | $1,278.00 | $383.40–$1,278.00 | — | — |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT LESION 1-14 | $1,278.00 | $1,278.00 | $383.40–$1,278.00 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $2,919.00 | $2,919.00 | $207.48–$7,951.00 | 305% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $2,919.00 | $2,919.00 | $207.48–$7,951.00 | 305% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $2,919.00 | $2,919.00 | $875.70–$2,919.00 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $2,919.00 | $2,919.00 | $875.70–$2,919.00 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COM | $4,917.00 | $4,917.00 | $147.06–$7,951.00 | 555% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COM | $4,917.00 | $4,917.00 | $147.06–$7,951.00 | 555% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD | $4,917.00 | $4,917.00 | $147.06–$7,951.00 | 555% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $4,917.00 | $4,917.00 | $147.06–$7,951.00 | 555% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD | $4,917.00 | $4,917.00 | $147.06–$7,951.00 | 555% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $4,917.00 | $4,917.00 | $147.06–$7,951.00 | 555% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE | $4,917.00 | $4,917.00 | $1,475.10–$4,917.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COM | $4,917.00 | $4,917.00 | $1,475.10–$4,917.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COM | $4,917.00 | $4,917.00 | $1,475.10–$4,917.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD | $4,917.00 | $4,917.00 | $1,475.10–$4,917.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE | $4,917.00 | $4,917.00 | $1,475.10–$4,917.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD | $4,917.00 | $4,917.00 | $1,475.10–$4,917.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $874.00 | $874.00 | $27.36–$874.00 | 290% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $874.00 | $874.00 | $27.36–$874.00 | 290% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $874.00 | $874.00 | $262.20–$874.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $874.00 | $874.00 | $262.20–$874.00 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN INFUSION UP TO 1HR | $1,487.00 | $1,487.00 | $412.32–$2,554.00 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN INFUSION UP TO 1HR | $1,487.00 | $1,487.00 | $412.32–$2,554.00 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $1,487.00 | $1,487.00 | $412.32–$2,554.00 | 153% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $1,487.00 | $1,487.00 | $412.32–$2,554.00 | 153% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR | $1,487.00 | $1,487.00 | $446.10–$1,487.00 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR | $1,487.00 | $1,487.00 | $446.10–$1,487.00 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN INFUSION UP TO 1HR | $1,487.00 | $1,487.00 | $446.10–$1,487.00 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN INFUSION UP TO 1HR | $1,487.00 | $1,487.00 | $446.10–$1,487.00 | — | — |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 EYE EXAM NEW PT 1+VSTS CMPHNSV | $535.00 | $535.00 | $85.00–$536.00 | 133% above | — |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 EYE EXAM NEW PT 1+VSTS CMPHNSV | $535.00 | $535.00 | $85.00–$536.00 | 133% above | — |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 EYE EXAM NEW PT 1+VSTS CMPHNSV | $535.00 | $535.00 | $160.50–$535.00 | — | — |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 EYE EXAM NEW PT 1+VSTS CMPHNSV | $535.00 | $535.00 | $160.50–$535.00 | — | — |
| Comprehensive eye exam, returning patient CPT 92014 EYE EXAM&TX ESTAB PT 1/>VST | $489.00 | $489.00 | $85.00–$536.00 | 130% above | — |
| Comprehensive eye exam, returning patient CPT 92014 EYE EXAM&TX ESTAB PT 1/>VST | $489.00 | $489.00 | $85.00–$536.00 | 130% above | — |
| Comprehensive eye exam, returning patient inpatient CPT 92014 EYE EXAM&TX ESTAB PT 1/>VST | $489.00 | $489.00 | $146.70–$489.00 | — | — |
| Comprehensive eye exam, returning patient inpatient CPT 92014 EYE EXAM&TX ESTAB PT 1/>VST | $489.00 | $489.00 | $146.70–$489.00 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $678.00 | $678.00 | $108.30–$678.00 | 178% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $678.00 | $678.00 | $108.30–$678.00 | 178% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE HEARING TEST | $678.00 | $678.00 | $203.40–$678.00 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE HEARING TEST | $678.00 | $678.00 | $203.40–$678.00 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $9,183.00 | $9,183.00 | $250.00–$9,183.00 | 467% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $9,183.00 | $9,183.00 | $250.00–$9,183.00 | 467% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR | $9,183.00 | $9,183.00 | $2,754.90–$9,183.00 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR | $9,183.00 | $9,183.00 | $2,754.90–$9,183.00 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $2,217.00 | $2,217.00 | $250.00–$3,371.00 | 307% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $2,217.00 | $2,217.00 | $250.00–$3,371.00 | 307% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY | $2,217.00 | $2,217.00 | $665.10–$2,217.00 | — | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY | $2,217.00 | $2,217.00 | $665.10–$2,217.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $708.00 | $708.00 | $21.63–$950.00 | 391% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $708.00 | $708.00 | $21.63–$950.00 | 391% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $708.00 | $708.00 | $21.63–$950.00 | 391% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $708.00 | $708.00 | $21.63–$950.00 | 391% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $708.00 | $708.00 | $212.40–$708.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $708.00 | $708.00 | $212.40–$708.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING | $708.00 | $708.00 | $212.40–$708.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING | $708.00 | $708.00 | $212.40–$708.00 | — | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY | $3,228.00 | $3,228.00 | $114.40–$3,228.00 | 240% above | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY | $3,228.00 | $3,228.00 | $114.40–$3,228.00 | 240% above | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROCONVULSIVE THERAPY | $3,228.00 | $3,228.00 | $968.40–$3,228.00 | — | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROCONVULSIVE THERAPY | $3,228.00 | $3,228.00 | $968.40–$3,228.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT LEV 1 OB | $2,481.00 | $2,481.00 | $105.26–$3,371.00 | 1501% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT LEVEL 1 | $2,481.00 | $2,481.00 | $105.26–$3,371.00 | 1501% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT LEV 1 OB | $2,481.00 | $2,481.00 | $105.26–$3,371.00 | 1501% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT LEV 1 TG | $2,481.00 | $2,481.00 | $105.26–$3,371.00 | 1501% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT LEVEL 1 | $2,481.00 | $2,481.00 | $105.26–$3,371.00 | 1501% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT LEV 1 TG | $2,481.00 | $2,481.00 | $105.26–$3,371.00 | 1501% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPT VISIT LEVEL 1 | $2,481.00 | $2,481.00 | $744.30–$2,481.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPT VISIT LEV 1 TG | $2,481.00 | $2,481.00 | $744.30–$2,481.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPT VISIT LEV 1 OB | $2,481.00 | $2,481.00 | $744.30–$2,481.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPT VISIT LEVEL 1 | $2,481.00 | $2,481.00 | $744.30–$2,481.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPT VISIT LEV 1 TG | $2,481.00 | $2,481.00 | $744.30–$2,481.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPT VISIT LEV 1 OB | $2,481.00 | $2,481.00 | $744.30–$2,481.00 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT LEV 2 OB | $3,685.00 | $3,685.00 | $191.67–$3,685.00 | 1012% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT LEVEL 2 | $3,685.00 | $3,685.00 | $191.67–$3,685.00 | 1012% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT LEVEL 2 | $3,685.00 | $3,685.00 | $191.67–$3,685.00 | 1012% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT LEV 2 OB | $3,685.00 | $3,685.00 | $191.67–$3,685.00 | 1012% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT LEV 2 OB | $3,685.00 | $3,685.00 | $1,105.50–$3,685.00 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT LEV 2 OB | $3,685.00 | $3,685.00 | $1,105.50–$3,685.00 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT LEVEL 2 | $3,685.00 | $3,685.00 | $1,105.50–$3,685.00 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT LEVEL 2 | $3,685.00 | $3,685.00 | $1,105.50–$3,685.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LEVEL 3 | $5,157.00 | $5,157.00 | $250.00–$5,157.00 | 1035% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LEV 3 OB | $5,157.00 | $5,157.00 | $250.00–$5,157.00 | 1035% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LEV 3 OB | $5,157.00 | $5,157.00 | $250.00–$5,157.00 | 1035% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LEVEL 3 | $5,157.00 | $5,157.00 | $250.00–$5,157.00 | 1035% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LEV 3 OB | $5,157.00 | $5,157.00 | $1,547.10–$5,157.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LEVEL 3 | $5,157.00 | $5,157.00 | $1,547.10–$5,157.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LEV 3 OB | $5,157.00 | $5,157.00 | $1,547.10–$5,157.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LEVEL 3 | $5,157.00 | $5,157.00 | $1,547.10–$5,157.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT LEV 4 OB | $6,447.00 | $6,447.00 | $250.00–$6,447.00 | 855% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT LEV 4 OB | $6,447.00 | $6,447.00 | $250.00–$6,447.00 | 855% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT LEVEL 4 | $6,447.00 | $6,447.00 | $250.00–$6,447.00 | 855% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT LEVEL 4 | $6,447.00 | $6,447.00 | $250.00–$6,447.00 | 855% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT LEVEL 4 | $6,447.00 | $6,447.00 | $1,934.10–$6,447.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT LEV 4 OB | $6,447.00 | $6,447.00 | $1,934.10–$6,447.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT LEVEL 4 | $6,447.00 | $6,447.00 | $1,934.10–$6,447.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT LEV 4 OB | $6,447.00 | $6,447.00 | $1,934.10–$6,447.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT LEVEL 5 | $8,288.00 | $8,288.00 | $250.00–$8,288.00 | 793% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT LEV 5 OB | $8,288.00 | $8,288.00 | $250.00–$8,288.00 | 793% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT LEVEL 5 | $8,288.00 | $8,288.00 | $250.00–$8,288.00 | 793% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT LEV 5 OB | $8,288.00 | $8,288.00 | $250.00–$8,288.00 | 793% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT LEV 5 OB | $8,288.00 | $8,288.00 | $2,486.40–$8,288.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT LEVEL 5 | $8,288.00 | $8,288.00 | $2,486.40–$8,288.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT LEV 5 OB | $8,288.00 | $8,288.00 | $2,486.40–$8,288.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT LEVEL 5 | $8,288.00 | $8,288.00 | $2,486.40–$8,288.00 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $1,712.00 | $1,712.00 | $119.81–$1,712.00 | 197% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $1,712.00 | $1,712.00 | $119.81–$1,712.00 | 197% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST | $1,712.00 | $1,712.00 | $513.60–$1,712.00 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST | $1,712.00 | $1,712.00 | $513.60–$1,712.00 | — | — |
| Eye exam, returning patient, intermediate CPT 92012 EYE EXAM ESTABLISH PT INTERIM | $489.00 | $489.00 | $85.00–$536.00 | 152% above | — |
| Eye exam, returning patient, intermediate CPT 92012 EYE EXAM ESTABLISH PT INTERIM | $489.00 | $489.00 | $85.00–$536.00 | 152% above | — |
| Eye exam, returning patient, intermediate inpatient CPT 92012 EYE EXAM ESTABLISH PT INTERIM | $489.00 | $489.00 | $146.70–$489.00 | — | — |
| Eye exam, returning patient, intermediate inpatient CPT 92012 EYE EXAM ESTABLISH PT INTERIM | $489.00 | $489.00 | $146.70–$489.00 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $1,224.00 | $1,224.00 | $22.50–$1,224.00 | 385% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $1,224.00 | $1,224.00 | $22.50–$1,224.00 | 385% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT 50 MIN | $1,224.00 | $1,224.00 | $367.20–$1,224.00 | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT 50 MIN | $1,224.00 | $1,224.00 | $367.20–$1,224.00 | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $554.00 | $554.00 | $60.00–$554.00 | 118% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $554.00 | $554.00 | $60.00–$554.00 | 118% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $554.00 | $554.00 | $166.20–$554.00 | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $554.00 | $554.00 | $166.20–$554.00 | — | — |
| Group psychotherapy session CPT 90853 GROUP THERAPY NOT MULTI-FAMILY | $223.00 | $223.00 | $22.50–$480.00 | 50% above | — |
| Group psychotherapy session CPT 90853 GROUP THERAPY NOT MULTI-FAMILY | $223.00 | $223.00 | $22.50–$480.00 | 50% above | — |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $399.00 | $399.00 | $22.50–$480.00 | 169% above | — |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $399.00 | $399.00 | $22.50–$480.00 | 169% above | — |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY NOT MULTI-FAMILY | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY NOT MULTI-FAMILY | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $399.00 | $399.00 | $119.70–$399.00 | — | — |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $399.00 | $399.00 | $119.70–$399.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $876.00 | $876.00 | $106.02–$1,487.68 | 151% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $876.00 | $876.00 | $106.02–$1,487.68 | 151% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT | $876.00 | $876.00 | $262.80–$876.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT | $876.00 | $876.00 | $262.80–$876.00 | — | — |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $1,424.00 | $1,424.00 | $74.22–$1,424.00 | 274% above | — |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $1,424.00 | $1,424.00 | $74.22–$1,424.00 | 274% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT | $1,424.00 | $1,424.00 | $427.20–$1,424.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT | $1,424.00 | $1,424.00 | $427.20–$1,424.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HYPERBARIC; INJECTION SQ/IM | $403.00 | $403.00 | $49.02–$1,487.68 | 379% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $403.00 | $403.00 | $49.02–$1,487.68 | 379% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER PROPH DIAG INJ SC IM | $403.00 | $403.00 | $49.02–$1,487.68 | 379% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HYPERBARIC; INJECTION SQ/IM | $403.00 | $403.00 | $49.02–$1,487.68 | 379% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $403.00 | $403.00 | $49.02–$1,487.68 | 379% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER PROPH DIAG INJ SC IM | $403.00 | $403.00 | $49.02–$1,487.68 | 379% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER PROPH DIAG INJ SC IM | $403.00 | $403.00 | $120.90–$403.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER PROPH DIAG INJ SC IM | $403.00 | $403.00 | $120.90–$403.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HYPERBARIC; INJECTION SQ/IM | $403.00 | $403.00 | $120.90–$403.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM | $403.00 | $403.00 | $120.90–$403.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HYPERBARIC; INJECTION SQ/IM | $403.00 | $403.00 | $120.90–$403.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM | $403.00 | $403.00 | $120.90–$403.00 | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $423.00 | $423.00 | $78.00–$593.62 | 95% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $423.00 | $423.00 | $78.00–$593.62 | 95% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $423.00 | $423.00 | $126.90–$423.00 | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $423.00 | $423.00 | $126.90–$423.00 | — | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30-44 MIN | $223.00 | $223.00 | $66.90–$7,951.00 | 13% above | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30-44 MIN | $223.00 | $223.00 | $66.90–$7,951.00 | 13% above | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPAT VISIT NEW 30 MIN | $345.00 | $345.00 | $71.00–$480.00 | 75% above | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPAT VISIT NEW 30 MIN | $345.00 | $345.00 | $71.00–$480.00 | 75% above | — |
| New patient office visit, about 30 minutes CPT 99203 HYPERBARIC OP NEW INT. | $378.00 | $378.00 | $71.00–$7,951.00 | 92% above | — |
| New patient office visit, about 30 minutes CPT 99203 HYPERBARIC OP NEW INT. | $378.00 | $378.00 | $71.00–$7,951.00 | 92% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30-44 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30-44 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPAT VISIT NEW 30 MIN | $345.00 | $345.00 | $103.50–$345.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPAT VISIT NEW 30 MIN | $345.00 | $345.00 | $103.50–$345.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HYPERBARIC OP NEW INT. | $378.00 | $378.00 | $113.40–$378.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HYPERBARIC OP NEW INT. | $378.00 | $378.00 | $113.40–$378.00 | — | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45-59 MIN | $223.00 | $223.00 | $22.50–$7,951.00 | 22% below | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45-59 MIN | $223.00 | $223.00 | $22.50–$7,951.00 | 22% below | — |
| New patient office visit, about 45 minutes CPT 99204 HYPERBARIC NEW PT. EXTENSIVE | $347.00 | $347.00 | $22.50–$7,951.00 | 21% above | — |
| New patient office visit, about 45 minutes CPT 99204 HYPERBARIC NEW PT. EXTENSIVE | $347.00 | $347.00 | $22.50–$7,951.00 | 21% above | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPAT VISIT NEW 45 MIN | $460.00 | $460.00 | $22.50–$531.98 | 60% above | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPAT VISIT NEW 45 MIN | $460.00 | $460.00 | $22.50–$531.98 | 60% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45-59 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45-59 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HYPERBARIC NEW PT. EXTENSIVE | $347.00 | $347.00 | $104.10–$347.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HYPERBARIC NEW PT. EXTENSIVE | $347.00 | $347.00 | $104.10–$347.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPAT VISIT NEW 45 MIN | $460.00 | $460.00 | $138.00–$460.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPAT VISIT NEW 45 MIN | $460.00 | $460.00 | $138.00–$460.00 | — | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60-74 MIN | $223.00 | $223.00 | $66.90–$7,951.00 | 21% below | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60-74 MIN | $223.00 | $223.00 | $66.90–$7,951.00 | 21% below | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPAT VISIT NEW 60 MIN | $628.00 | $628.00 | $133.00–$723.60 | 123% above | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPAT VISIT NEW 60 MIN | $628.00 | $628.00 | $133.00–$723.60 | 123% above | — |
| New patient office visit, about 60 minutes CPT 99205 E/M PROV. ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $84.00–$4,441.00 | 1480% above | — |
| New patient office visit, about 60 minutes CPT 99205 E/M PROV ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $84.00–$4,441.00 | 1480% above | — |
| New patient office visit, about 60 minutes CPT 99205 E/M PROV. ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $84.00–$4,441.00 | 1480% above | — |
| New patient office visit, about 60 minutes CPT 99205 E/M PROV ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $84.00–$4,441.00 | 1480% above | — |
| New patient office visit, about 60 minutes CPT 99205 E/M PROV ESKETAMINE >56MG N | $6,738.00 | $6,738.00 | $84.00–$6,738.00 | 2298% above | — |
| New patient office visit, about 60 minutes CPT 99205 E/M PROV. ESKETAMINE >56MG N | $6,738.00 | $6,738.00 | $84.00–$6,738.00 | 2298% above | — |
| New patient office visit, about 60 minutes CPT 99205 E/M PROV ESKETAMINE >56MG N | $6,738.00 | $6,738.00 | $84.00–$6,738.00 | 2298% above | — |
| New patient office visit, about 60 minutes CPT 99205 E/M PROV. ESKETAMINE >56MG N | $6,738.00 | $6,738.00 | $84.00–$6,738.00 | 2298% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60-74 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60-74 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPAT VISIT NEW 60 MIN | $628.00 | $628.00 | $188.40–$628.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPAT VISIT NEW 60 MIN | $628.00 | $628.00 | $188.40–$628.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 E/M PROV. ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $1,332.30–$4,441.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 E/M PROV ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $1,332.30–$4,441.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 E/M PROV ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $1,332.30–$4,441.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 E/M PROV. ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $1,332.30–$4,441.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 E/M PROV. ESKETAMINE >56MG N | $6,738.00 | $6,738.00 | $2,021.40–$6,738.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 E/M PROV ESKETAMINE >56MG N | $6,738.00 | $6,738.00 | $2,021.40–$6,738.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 E/M PROV ESKETAMINE >56MG N | $6,738.00 | $6,738.00 | $2,021.40–$6,738.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 E/M PROV. ESKETAMINE >56MG N | $6,738.00 | $6,738.00 | $2,021.40–$6,738.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15-29 MIN | $223.00 | $223.00 | $49.00–$7,951.00 | 42% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15-29 MIN | $223.00 | $223.00 | $49.00–$7,951.00 | 42% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE O/P NEW SF 15-29 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE O/P NEW SF 15-29 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT NUTRITION THER EA 15M | $156.00 | $156.00 | $20.38–$156.00 | 173% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT NUTRITION THER EA 15M | $156.00 | $156.00 | $20.38–$156.00 | 173% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 INIT NUTRITION THER EA 15M | $156.00 | $156.00 | $46.80–$156.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 INIT NUTRITION THER EA 15M | $156.00 | $156.00 | $46.80–$156.00 | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 PED HLTH SPVSN NEW 18 TO 39YR | $251.00 | $251.00 | $75.30–$536.00 | 24% above | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 PED HLTH SPVSN NEW 18 TO 39YR | $251.00 | $251.00 | $75.30–$536.00 | 24% above | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PED HLTH SPVSN NEW 18 TO 39YR | $251.00 | $251.00 | $75.30–$251.00 | — | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PED HLTH SPVSN NEW 18 TO 39YR | $251.00 | $251.00 | $75.30–$251.00 | — | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $364.00 | $364.00 | $85.00–$536.00 | 76% above | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $364.00 | $364.00 | $85.00–$536.00 | 76% above | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VISIT NEW AGE 40-64 | $364.00 | $364.00 | $109.20–$364.00 | — | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VISIT NEW AGE 40-64 | $364.00 | $364.00 | $109.20–$364.00 | — | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 INT PM E/M NEW PAT 65+ YRS | $666.00 | $666.00 | $85.00–$666.00 | 160% above | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 INT PM E/M NEW PAT 65+ YRS | $666.00 | $666.00 | $85.00–$666.00 | 160% above | — |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INT PM E/M NEW PAT 65+ YRS | $666.00 | $666.00 | $199.80–$666.00 | — | — |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INT PM E/M NEW PAT 65+ YRS | $666.00 | $666.00 | $199.80–$666.00 | — | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39 | $341.00 | $341.00 | $79.43–$536.00 | 88% above | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39 | $341.00 | $341.00 | $79.43–$536.00 | 88% above | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREV VISIT EST AGE 18-39 | $341.00 | $341.00 | $102.30–$341.00 | — | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREV VISIT EST AGE 18-39 | $341.00 | $341.00 | $102.30–$341.00 | — | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 | $302.00 | $302.00 | $85.00–$536.00 | 47% above | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 | $302.00 | $302.00 | $85.00–$536.00 | 47% above | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV VISIT EST AGE 40-64 | $302.00 | $302.00 | $90.60–$302.00 | — | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV VISIT EST AGE 40-64 | $302.00 | $302.00 | $90.60–$302.00 | — | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YRS | $524.00 | $524.00 | $85.00–$536.00 | 163% above | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YRS | $524.00 | $524.00 | $85.00–$536.00 | 163% above | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PER PM REEVAL EST PAT 65+ YRS | $524.00 | $524.00 | $157.20–$524.00 | — | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PER PM REEVAL EST PAT 65+ YRS | $524.00 | $524.00 | $157.20–$524.00 | — | — |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MD | $423.00 | $423.00 | $78.00–$480.00 | 50% above | — |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MD | $423.00 | $423.00 | $78.00–$480.00 | 50% above | — |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $795.00 | $795.00 | $78.00–$795.00 | 182% above | — |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $795.00 | $795.00 | $78.00–$795.00 | 182% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MD | $423.00 | $423.00 | $126.90–$423.00 | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MD | $423.00 | $423.00 | $126.90–$423.00 | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $795.00 | $795.00 | $238.50–$795.00 | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $795.00 | $795.00 | $238.50–$795.00 | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $1,106.00 | $1,106.00 | $114.81–$1,106.00 | 366% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $1,106.00 | $1,106.00 | $114.81–$1,106.00 | 366% above | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $1,106.00 | $1,106.00 | $331.80–$1,106.00 | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $1,106.00 | $1,106.00 | $331.80–$1,106.00 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MIN | $349.00 | $349.00 | $40.00–$480.00 | 76% above | — |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MIN | $349.00 | $349.00 | $40.00–$480.00 | 76% above | — |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $554.00 | $554.00 | $40.00–$554.00 | 180% above | — |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $554.00 | $554.00 | $40.00–$554.00 | 180% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MIN | $349.00 | $349.00 | $104.70–$349.00 | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MIN | $349.00 | $349.00 | $104.70–$349.00 | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30 MINUTES | $554.00 | $554.00 | $166.20–$554.00 | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30 MINUTES | $554.00 | $554.00 | $166.20–$554.00 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 1500 PSYTX PT&/FAMILY 45 MINU | $349.00 | $349.00 | $79.80–$480.00 | 37% above | — |
| Psychotherapy session, 45 minutes CPT 90834 1500 PSYTX PT&/FAMILY 45 MINU | $349.00 | $349.00 | $79.80–$480.00 | 37% above | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAMILY 45 MIN | $423.00 | $423.00 | $79.80–$480.00 | 67% above | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAMILY 45 MIN | $423.00 | $423.00 | $79.80–$480.00 | 67% above | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $554.00 | $554.00 | $79.80–$554.00 | 118% above | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $554.00 | $554.00 | $79.80–$554.00 | 118% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 1500 PSYTX PT&/FAMILY 45 MINU | $349.00 | $349.00 | $104.70–$349.00 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 1500 PSYTX PT&/FAMILY 45 MINU | $349.00 | $349.00 | $104.70–$349.00 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAMILY 45 MIN | $423.00 | $423.00 | $126.90–$423.00 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAMILY 45 MIN | $423.00 | $423.00 | $126.90–$423.00 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINUTES | $554.00 | $554.00 | $166.20–$554.00 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINUTES | $554.00 | $554.00 | $166.20–$554.00 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $609.00 | $609.00 | $114.81–$609.00 | 107% above | — |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $609.00 | $609.00 | $114.81–$609.00 | 107% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES | $609.00 | $609.00 | $182.70–$609.00 | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES | $609.00 | $609.00 | $182.70–$609.00 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $121.00 | $121.00 | $36.30–$121.00 | 186% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $121.00 | $121.00 | $36.30–$121.00 | 186% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $121.00 | $121.00 | $36.30–$121.00 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $121.00 | $121.00 | $36.30–$121.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40-54 MIN | $223.00 | $223.00 | $84.90–$7,951.00 | 6% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40-54 MIN | $223.00 | $223.00 | $84.90–$7,951.00 | 6% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPAT VISIT EST 40 MIN | $440.00 | $440.00 | $84.90–$480.00 | 86% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPAT VISIT EST 40 MIN | $440.00 | $440.00 | $84.90–$480.00 | 86% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HYPERBARIC EST. PT. COMPLEX | $711.00 | $711.00 | $84.90–$7,951.00 | 200% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HYPERBARIC EST. PT. COMPLEX | $711.00 | $711.00 | $84.90–$7,951.00 | 200% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 E/M PROV ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $84.00–$4,441.00 | 1775% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 E/M PROV. ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $84.00–$4,441.00 | 1775% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 E/M PROV. ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $84.00–$4,441.00 | 1775% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 E/M PROV ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $84.00–$4,441.00 | 1775% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 E/M PROV ESKETAMINE >56MG -ES | $6,738.00 | $6,738.00 | $84.00–$6,738.00 | 2744% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 E/M PROV. ESKETAMINE >56MG -ES | $6,738.00 | $6,738.00 | $84.00–$6,738.00 | 2744% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 E/M PROV ESKETAMINE >56MG -ES | $6,738.00 | $6,738.00 | $84.00–$6,738.00 | 2744% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 E/M PROV. ESKETAMINE >56MG -ES | $6,738.00 | $6,738.00 | $84.00–$6,738.00 | 2744% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE O/P EST HI 40-54 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE O/P EST HI 40-54 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OUTPAT VISIT EST 40 MIN | $440.00 | $440.00 | $132.00–$440.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OUTPAT VISIT EST 40 MIN | $440.00 | $440.00 | $132.00–$440.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HYPERBARIC EST. PT. COMPLEX | $711.00 | $711.00 | $213.30–$711.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HYPERBARIC EST. PT. COMPLEX | $711.00 | $711.00 | $213.30–$711.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E/M PROV ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $1,332.30–$4,441.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E/M PROV ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $1,332.30–$4,441.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E/M PROV. ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $1,332.30–$4,441.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E/M PROV. ESKETAMINE <OR =56MG | $4,441.00 | $4,441.00 | $1,332.30–$4,441.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E/M PROV. ESKETAMINE >56MG -ES | $6,738.00 | $6,738.00 | $2,021.40–$6,738.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E/M PROV ESKETAMINE >56MG -ES | $6,738.00 | $6,738.00 | $2,021.40–$6,738.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E/M PROV. ESKETAMINE >56MG -ES | $6,738.00 | $6,738.00 | $2,021.40–$6,738.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E/M PROV ESKETAMINE >56MG -ES | $6,738.00 | $6,738.00 | $2,021.40–$6,738.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20-29 MIN | $223.00 | $223.00 | $39.00–$7,951.00 | 31% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20-29 MIN | $223.00 | $223.00 | $39.00–$7,951.00 | 31% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPAT VISIT EST 20 MIN | $259.00 | $259.00 | $39.00–$480.00 | 52% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPAT VISIT EST 20 MIN | $259.00 | $259.00 | $39.00–$480.00 | 52% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE O/P EST LOW 20-29 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE O/P EST LOW 20-29 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPAT VISIT EST 20 MIN | $259.00 | $259.00 | $77.70–$259.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPAT VISIT EST 20 MIN | $259.00 | $259.00 | $77.70–$259.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30-39 MIN | $223.00 | $223.00 | $56.70–$7,951.00 | 16% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30-39 MIN | $223.00 | $223.00 | $56.70–$7,951.00 | 16% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPAT VISIT EST 30 MIN | $340.00 | $340.00 | $56.70–$480.00 | 77% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPAT VISIT EST 30 MIN | $340.00 | $340.00 | $56.70–$480.00 | 77% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HYPERBARIC OP CONT. EXT. | $484.00 | $484.00 | $56.70–$7,951.00 | 152% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HYPERBARIC OP CONT. EXT. | $484.00 | $484.00 | $56.70–$7,951.00 | 152% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE O/P EST MOD 30-39 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE O/P EST MOD 30-39 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPAT VISIT EST 30 MIN | $340.00 | $340.00 | $102.00–$340.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPAT VISIT EST 30 MIN | $340.00 | $340.00 | $102.00–$340.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HYPERBARIC OP CONT. EXT. | $484.00 | $484.00 | $145.20–$484.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HYPERBARIC OP CONT. EXT. | $484.00 | $484.00 | $145.20–$484.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10-19 MIN | $223.00 | $223.00 | $21.00–$7,951.00 | 73% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10-19 MIN | $223.00 | $223.00 | $21.00–$7,951.00 | 73% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPAT VISIT EST 10 MIN | $259.00 | $259.00 | $21.00–$480.00 | 101% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPAT VISIT EST 10 MIN | $259.00 | $259.00 | $21.00–$480.00 | 101% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE O/P EST SF 10-19 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE O/P EST SF 10-19 MIN | $223.00 | $223.00 | $66.90–$223.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPAT VISIT EST 10 MIN | $259.00 | $259.00 | $77.70–$259.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPAT VISIT EST 10 MIN | $259.00 | $259.00 | $77.70–$259.00 | — | — |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $1,258.00 | $1,258.00 | $149.86–$1,258.00 | 220% above | — |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $1,258.00 | $1,258.00 | $149.86–$1,258.00 | 220% above | — |
| Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN | $1,258.00 | $1,258.00 | $377.40–$1,258.00 | — | — |
| Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN | $1,258.00 | $1,258.00 | $377.40–$1,258.00 | — | — |
| Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY INDV CC | $605.00 | $605.00 | $50.37–$605.00 | 233% above | — |
| Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY INDV CC | $605.00 | $605.00 | $50.37–$605.00 | 233% above | — |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/HEARING THERAPY INDV CC | $605.00 | $605.00 | $181.50–$605.00 | — | — |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/HEARING THERAPY INDV CC | $605.00 | $605.00 | $181.50–$605.00 | — | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $696.00 | $696.00 | $66.12–$2,172.00 | 200% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $696.00 | $696.00 | $66.12–$2,172.00 | 200% above | — |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $696.00 | $696.00 | $208.80–$696.00 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $696.00 | $696.00 | $208.80–$696.00 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEU ACTIVITY DIRECT | $363.00 | $363.00 | $22.69–$455.00 | 288% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEU ACTIVITY DIRECT | $363.00 | $363.00 | $22.69–$455.00 | 288% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEU ACTIVITY DIRECT | $363.00 | $363.00 | $108.90–$363.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEU ACTIVITY DIRECT | $363.00 | $363.00 | $108.90–$363.00 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $620.00 | $620.00 | $166.08–$620.00 | 192% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $620.00 | $620.00 | $166.08–$620.00 | 192% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $620.00 | $620.00 | $186.00–$620.00 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $620.00 | $620.00 | $186.00–$620.00 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACCINE(FLUAD)0.5SYR | $311.00 | $311.00 | $32.65–$311.00 | 153% above | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACCINE(FLUAD)0.5SYR | $311.00 | $311.00 | $32.65–$311.00 | 153% above | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VACCINE(FLUAD)0.5SYR | $311.00 | $311.00 | $93.30–$311.00 | — | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VACCINE(FLUAD)0.5SYR | $311.00 | $311.00 | $93.30–$311.00 | — | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM | $511.00 | $511.00 | $53.66–$511.00 | 138% above | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM | $511.00 | $511.00 | $53.66–$511.00 | 138% above | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM | $511.00 | $511.00 | $153.30–$511.00 | — | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM | $511.00 | $511.00 | $153.30–$511.00 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACC INJ 0.5ML | $692.00 | $692.00 | $203.64–$692.00 | 228% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACC INJ 0.5ML | $692.00 | $692.00 | $203.64–$692.00 | 228% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACC INJ 0.5ML | $692.00 | $692.00 | $207.60–$692.00 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACC INJ 0.5ML | $692.00 | $692.00 | $207.60–$692.00 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLU TRIVALPF(FLULAVAL)0.5 | $71.00 | $71.00 | $7.46–$71.00 | 128% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLU TRIVALPF(FLULAVAL)0.5 | $71.00 | $71.00 | $7.46–$71.00 | 128% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUVPF(FLUARIX)TRIVALENT 0.5 | $72.00 | $72.00 | $7.56–$72.00 | 132% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUVPF(FLUARIX)TRIVALENT 0.5 | $72.00 | $72.00 | $7.56–$72.00 | 132% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUTRIVAL(FLUZONE)0.5 | $75.00 | $75.00 | $7.87–$75.00 | 141% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUTRIVAL(FLUZONE)0.5 | $75.00 | $75.00 | $7.87–$75.00 | 141% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AFLURIA VACCINE PF 0.5 ML | $81.00 | $81.00 | $8.50–$81.00 | 161% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AFLURIA VACCINE PF 0.5 ML | $81.00 | $81.00 | $8.50–$81.00 | 161% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLU TRIVALPF(FLULAVAL)0.5 | $71.00 | $71.00 | $21.30–$71.00 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLU TRIVALPF(FLULAVAL)0.5 | $71.00 | $71.00 | $21.30–$71.00 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUVPF(FLUARIX)TRIVALENT 0.5 | $72.00 | $72.00 | $21.60–$72.00 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUVPF(FLUARIX)TRIVALENT 0.5 | $72.00 | $72.00 | $21.60–$72.00 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUTRIVAL(FLUZONE)0.5 | $75.00 | $75.00 | $22.50–$75.00 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUTRIVAL(FLUZONE)0.5 | $75.00 | $75.00 | $22.50–$75.00 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 AFLURIA VACCINE PF 0.5 ML | $81.00 | $81.00 | $24.30–$81.00 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 AFLURIA VACCINE PF 0.5 ML | $81.00 | $81.00 | $24.30–$81.00 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV VACCINE 9-VALENT PF | $1,185.00 | $1,185.00 | $348.84–$1,185.00 | 108% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV VACCINE 9-VALENT PF | $1,185.00 | $1,185.00 | $348.84–$1,185.00 | 108% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV VACCINE 9-VALENT PF | $1,185.00 | $1,185.00 | $355.50–$1,185.00 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV VACCINE 9-VALENT PF | $1,185.00 | $1,185.00 | $355.50–$1,185.00 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HAVRIX 1440 UNIT/0.5ML SYRINGE | $320.00 | $320.00 | $96.00–$320.00 | 211% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HAVRIX 1440 UNIT/0.5ML SYRINGE | $320.00 | $320.00 | $96.00–$320.00 | 211% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX 1440 UNIT/0.5ML SYRINGE | $320.00 | $320.00 | $96.00–$320.00 | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX 1440 UNIT/0.5ML SYRINGE | $320.00 | $320.00 | $96.00–$320.00 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B 20MCG/ML IM 1ML VIAL | $268.00 | $268.00 | $28.14–$268.00 | 230% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B 20MCG/ML IM 1ML VIAL | $268.00 | $268.00 | $28.14–$268.00 | 230% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B 20MCG/ML IM 1ML VIAL | $268.00 | $268.00 | $80.40–$268.00 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B 20MCG/ML IM 1ML VIAL | $268.00 | $268.00 | $80.40–$268.00 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VACCINE | $353.00 | $353.00 | $105.90–$353.00 | 223% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VACCINE | $353.00 | $353.00 | $105.90–$353.00 | 223% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VACCINE | $353.00 | $353.00 | $105.90–$353.00 | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VACCINE | $353.00 | $353.00 | $105.90–$353.00 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCC VACC ACYW 0.5ML | $510.00 | $510.00 | $153.00–$510.00 | 162% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCC VACC ACYW 0.5ML | $510.00 | $510.00 | $153.00–$510.00 | 162% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCC VACC ACYW 0.5ML | $510.00 | $510.00 | $153.00–$510.00 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCC VACC ACYW 0.5ML | $510.00 | $510.00 | $153.00–$510.00 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCB VACC OMV ADJUV 0.5ML | $903.00 | $903.00 | $251.35–$903.00 | 174% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCB VACC OMV ADJUV 0.5ML | $903.00 | $903.00 | $251.35–$903.00 | 174% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCB VACC OMV ADJUV 0.5ML | $903.00 | $903.00 | $270.90–$903.00 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCB VACC OMV ADJUV 0.5ML | $903.00 | $903.00 | $270.90–$903.00 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 | $1,078.00 | $1,078.00 | $113.19–$1,078.00 | 152% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 | $1,078.00 | $1,078.00 | $113.19–$1,078.00 | 152% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 | $1,078.00 | $1,078.00 | $323.40–$1,078.00 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 | $1,078.00 | $1,078.00 | $323.40–$1,078.00 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOC 23-POLYVAL VAC 0.5ML | $422.00 | $422.00 | $44.31–$422.00 | 197% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOC 23-POLYVAL VAC 0.5ML | $422.00 | $422.00 | $44.31–$422.00 | 197% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOC 23-POLYVAL VAC 0.5ML | $422.00 | $422.00 | $126.60–$422.00 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOC 23-POLYVAL VAC 0.5ML | $422.00 | $422.00 | $126.60–$422.00 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB 50MG/0.5ML INJ | $2,143.00 | $2,143.00 | $630.77–$2,143.00 | 108% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB 50MG/0.5ML INJ | $2,143.00 | $2,143.00 | $630.77–$2,143.00 | 108% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB 50MG/0.5ML INJ | $2,143.00 | $2,143.00 | $642.90–$2,143.00 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB 50MG/0.5ML INJ | $2,143.00 | $2,143.00 | $642.90–$2,143.00 | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 ABRYSVO RSV VACCINE PF 0.5 ML | $1,149.00 | $1,149.00 | $325.21–$1,149.00 | 186% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 ABRYSVO RSV VACCINE PF 0.5 ML | $1,149.00 | $1,149.00 | $325.21–$1,149.00 | 186% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 ABRYSVO RSV VACCINE PF 0.5 ML | $1,149.00 | $1,149.00 | $344.70–$1,149.00 | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 ABRYSVO RSV VACCINE PF 0.5 ML | $1,149.00 | $1,149.00 | $344.70–$1,149.00 | — | — |
| Rabies vaccine, one dose CPT 90675 RABIE VAC EMBRY CELL 2.5UN INJ | $1,565.00 | $1,565.00 | $469.50–$1,565.00 | 226% above | — |
| Rabies vaccine, one dose CPT 90675 RABIE VAC EMBRY CELL 2.5UN INJ | $1,565.00 | $1,565.00 | $469.50–$1,565.00 | 226% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIE VAC EMBRY CELL 2.5UN INJ | $1,565.00 | $1,565.00 | $469.50–$1,565.00 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIE VAC EMBRY CELL 2.5UN INJ | $1,565.00 | $1,565.00 | $469.50–$1,565.00 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACC INACT ADJUV IM INJ | $845.00 | $845.00 | $228.44–$845.00 | 209% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACC INACT ADJUV IM INJ | $845.00 | $845.00 | $228.44–$845.00 | 209% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VACC INACT ADJUV IM INJ | $845.00 | $845.00 | $253.50–$845.00 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VACC INACT ADJUV IM INJ | $845.00 | $845.00 | $253.50–$845.00 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTH-TET TOX (DT) PED 0.5ML | $475.00 | $475.00 | $38.97–$475.00 | 751% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTH-TET TOX (DT) PED 0.5ML | $475.00 | $475.00 | $38.97–$475.00 | 751% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPHTH-TET TOX (DT) PED 0.5ML | $475.00 | $475.00 | $142.50–$475.00 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPHTH-TET TOX (DT) PED 0.5ML | $475.00 | $475.00 | $142.50–$475.00 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL TDAP IM SUSP 0.5ML | $173.00 | $173.00 | $51.90–$173.00 | 208% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL TDAP IM SUSP 0.5ML | $173.00 | $173.00 | $51.90–$173.00 | 208% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPHTH/PERTUSSIS 0.5ML | $184.00 | $184.00 | $55.20–$184.00 | 227% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPHTH/PERTUSSIS 0.5ML | $184.00 | $184.00 | $55.20–$184.00 | 227% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL TDAP IM SUSP 0.5ML | $173.00 | $173.00 | $51.90–$173.00 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL TDAP IM SUSP 0.5ML | $173.00 | $173.00 | $51.90–$173.00 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS/DIPHTH/PERTUSSIS 0.5ML | $184.00 | $184.00 | $55.20–$184.00 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS/DIPHTH/PERTUSSIS 0.5ML | $184.00 | $184.00 | $55.20–$184.00 | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE INACTIV 0.5ML | $582.00 | $582.00 | $174.60–$582.00 | 119% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE INACTIV 0.5ML | $582.00 | $582.00 | $174.60–$582.00 | 119% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACCINE INACTIV 0.5ML | $582.00 | $582.00 | $174.60–$582.00 | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACCINE INACTIV 0.5ML | $582.00 | $582.00 | $174.60–$582.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNE ADMIN FLU | $270.00 | $270.00 | $70.68–$270.00 | 264% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNE ADMIN | $270.00 | $270.00 | $70.68–$270.00 | 264% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNE ADMIN FLU | $270.00 | $270.00 | $70.68–$270.00 | 264% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNE ADMIN PNEUMOCOCCAL | $270.00 | $270.00 | $70.68–$270.00 | 264% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNE ADMIN HEPATITIS B | $270.00 | $270.00 | $70.68–$270.00 | 264% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE | $270.00 | $270.00 | $70.68–$270.00 | 264% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNE ADMIN | $270.00 | $270.00 | $70.68–$270.00 | 264% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNE ADMIN PNEUMOCOCCAL | $270.00 | $270.00 | $70.68–$270.00 | 264% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNE ADMIN HEPATITIS B | $270.00 | $270.00 | $70.68–$270.00 | 264% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE | $270.00 | $270.00 | $70.68–$270.00 | 264% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1 VACCINE | $270.00 | $270.00 | $81.00–$270.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNE ADMIN | $270.00 | $270.00 | $81.00–$270.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNE ADMIN | $270.00 | $270.00 | $81.00–$270.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNE ADMIN FLU | $270.00 | $270.00 | $81.00–$270.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNE ADMIN FLU | $270.00 | $270.00 | $81.00–$270.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNE ADMIN HEPATITIS B | $270.00 | $270.00 | $81.00–$270.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNE ADMIN PNEUMOCOCCAL | $270.00 | $270.00 | $81.00–$270.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1 VACCINE | $270.00 | $270.00 | $81.00–$270.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNE ADMIN HEPATITIS B | $270.00 | $270.00 | $81.00–$270.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNE ADMIN PNEUMOCOCCAL | $270.00 | $270.00 | $81.00–$270.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNE ADMIN EACH ADD | $219.00 | $219.00 | $50.16–$261.00 | 586% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $219.00 | $219.00 | $65.70–$3,371.00 | 586% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNE ADMIN EACH ADD | $219.00 | $219.00 | $50.16–$261.00 | 586% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $219.00 | $219.00 | $65.70–$3,371.00 | 586% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD | $219.00 | $219.00 | $65.70–$219.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNE ADMIN EACH ADD | $219.00 | $219.00 | $65.70–$219.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNE ADMIN EACH ADD | $219.00 | $219.00 | $65.70–$219.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD | $219.00 | $219.00 | $65.70–$219.00 | — | — |
Dental
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 PERIODONTAL SCALING & ROOT | $204.00 | $204.00 | $61.20–$807.00 | 78% below | — |
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 PERIODONTAL SCALING & ROOT | $204.00 | $204.00 | $61.20–$807.00 | 78% below | — |
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant inpatient CDT D4341 PERIODONTAL SCALING & ROOT | $204.00 | $204.00 | $61.20–$204.00 | — | — |
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant inpatient CDT D4341 PERIODONTAL SCALING & ROOT | $204.00 | $204.00 | $61.20–$204.00 | — | — |
| Dental implant, surgical placement CDT D6010 ODONTICS ENDOSTEAL IMPLANT | $827.00 | $827.00 | $248.10–$827.00 | 23% below | — |
| Dental implant, surgical placement CDT D6010 ODONTICS ENDOSTEAL IMPLANT | $827.00 | $827.00 | $248.10–$827.00 | 23% below | — |
| Dental implant, surgical placement inpatient CDT D6010 ODONTICS ENDOSTEAL IMPLANT | $827.00 | $827.00 | $248.10–$827.00 | — | — |
| Dental implant, surgical placement inpatient CDT D6010 ODONTICS ENDOSTEAL IMPLANT | $827.00 | $827.00 | $248.10–$827.00 | — | — |
| Porcelain crown CDT D2740 CROWN PORCELAIN/CERAMIC | $1,524.00 | $1,524.00 | $457.20–$1,524.00 | 41% above | — |
| Porcelain crown CDT D2740 CROWN PORCELAIN/CERAMIC | $1,524.00 | $1,524.00 | $457.20–$1,524.00 | 41% above | — |
| Porcelain crown inpatient CDT D2740 CROWN PORCELAIN/CERAMIC | $1,524.00 | $1,524.00 | $457.20–$1,524.00 | — | — |
| Porcelain crown inpatient CDT D2740 CROWN PORCELAIN/CERAMIC | $1,524.00 | $1,524.00 | $457.20–$1,524.00 | — | — |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 IMPACT TOOTH REMOV COMP BONY | $773.00 | $773.00 | $231.90–$807.00 | 5% below | — |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 IMPACT TOOTH REMOV COMP BONY | $773.00 | $773.00 | $231.90–$807.00 | 5% below | — |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 IMPACT TOOTH REMOV COMP BONY | $773.00 | $773.00 | $231.90–$773.00 | — | — |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 IMPACT TOOTH REMOV COMP BONY | $773.00 | $773.00 | $231.90–$773.00 | — | — |
| Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 END THXPY, MOLAR TOOTH | $1,212.00 | $1,212.00 | $363.60–$1,212.00 | 12% above | — |
| Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 END THXPY, MOLAR TOOTH | $1,212.00 | $1,212.00 | $363.60–$1,212.00 | 12% above | — |
| Root canal treatment on a molar (back tooth), not including the final crown inpatient CDT D3330 END THXPY, MOLAR TOOTH | $1,212.00 | $1,212.00 | $363.60–$1,212.00 | — | — |
| Root canal treatment on a molar (back tooth), not including the final crown inpatient CDT D3330 END THXPY, MOLAR TOOTH | $1,212.00 | $1,212.00 | $363.60–$1,212.00 | — | — |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 DENTAL PROPHYLAXIS ADULT | $141.00 | $141.00 | $42.30–$166.19 | 8% below | — |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 DENTAL PROPHYLAXIS ADULT | $141.00 | $141.00 | $42.30–$166.19 | 8% below | — |
| Routine teeth cleaning (prophylaxis), adult or teen inpatient CDT D1110 DENTAL PROPHYLAXIS ADULT | $141.00 | $141.00 | $42.30–$141.00 | — | — |
| Routine teeth cleaning (prophylaxis), adult or teen inpatient CDT D1110 DENTAL PROPHYLAXIS ADULT | $141.00 | $141.00 | $42.30–$141.00 | — | — |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 EXTRACTION ERUPTED TOOTH/EXR | $369.00 | $369.00 | $52.50–$807.00 | 8% above | — |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 EXTRACTION ERUPTED TOOTH/EXR | $369.00 | $369.00 | $52.50–$807.00 | 8% above | — |
| Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 EXTRACTION ERUPTED TOOTH/EXR | $369.00 | $369.00 | $110.70–$369.00 | — | — |
| Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 EXTRACTION ERUPTED TOOTH/EXR | $369.00 | $369.00 | $110.70–$369.00 | — | — |
Source file: https://www.wmchealth.org/wp-content/uploads/2026/08/133964321-mid-hudson-regional-hospital_standardcharges.csv