SelfPayRates
Hospital Lansing-East Lansing, MI

University of Michigan Health-Sparrow Eaton

University of Michigan Health-Sparrow Eaton in Charlotte, MI publishes cash prices for 381 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Michigan median for 366 of 373 procedures and above it for 3. By typical cash price it ranks #2 of 86 Michigan hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

321 E Harris Street, Charlotte, MI 48813 Collected Sep 27, 2026 Source price file (517) 543-1050

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 1 of 5 CCN 231327 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs MichiganOff list
Ankle X-ray, complete, 3 or more views CPT 73610 CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS $36.50 $73.00 $32.78–$58.05 80% below 50%
Ankle X-ray, complete, 3 or more views CPT 73610 HB X-Ray Exam of Ankle 3+ Views $61.50 $246.00 $41.87–$230.26 67% below 75%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS $36.50 $73.00 $32.78–$58.05 — 50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL $81.50 $163.00 $73.34–$130.49 73% below 50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB Upr/L Xtremity Art 2 Levels $113.00 $452.00 $107.84–$423.07 62% below 75%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL $81.50 $163.00 $73.34–$130.49 — 50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HB Esophagram $90.50 $362.00 $14.00–$362.00 62% below 75%
Bone scan, whole body (nuclear medicine) CPT 78306 HB Bone Imaging, Whole Body $404.00 $1,616.00 $290.52–$1,512.58 49% below 75%
Breast ultrasound, complete, one breast CPT 76641 HB Us, Breast(S), Real Time $51.75 $207.00 $49.39–$193.75 83% below 75%
Breast ultrasound, limited (one breast or one area) CPT 76642 HB Ultrasound Breast Limited $59.50 $238.00 $56.78–$222.77 73% below 75%
Breast ultrasound, limited (one breast or one area) CPT 76642 CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED $84.50 $169.00 $77.23–$135.28 61% below 50%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED $84.50 $169.00 $77.23–$135.28 — 50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CT Angiography Chest $355.50 $1,422.00 $13.00–$1,330.99 74% below 75%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CHG CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST $327.50 $655.00 $298.23–$524.08 75% below 50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CHG CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST $327.50 $655.00 $298.23–$524.08 — 50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CHG CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM $102.00 $204.00 $92.26–$162.98 14% below 50%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CHG CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM $102.00 $204.00 $92.26–$162.98 — 50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT Scan,Abdomen and Pelvis, W/O Contrast $655.25 $2,621.00 $13.00–$3,374.12 62% below 75%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT Scan,Abdomen and Pelvis, W Contrast $668.00 $2,672.00 $12.00–$2,672.00 71% below 75%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT Abd & Pelv 1/> Regns $764.00 $3,056.00 $258.20–$2,860.42 67% below 75%
CT scan of the abdomen with contrast CPT 74160 HB CT Scan of Abdomen Contrast $355.50 $1,422.00 $128.71–$1,330.99 72% below 75%
CT scan of the abdomen without contrast CPT 74150 CHG CT ABDOMEN W/O CONTRAST MATERIAL $138.00 $276.00 $126.23–$221.03 85% below 50%
CT scan of the abdomen without contrast CPT 74150 HB CT Scan,Abdomen,W/O Contrast $327.50 $1,310.00 $175.34–$1,226.16 63% below 75%
CT scan of the abdomen without contrast inpatient CPT 74150 CHG CT ABDOMEN W/O CONTRAST MATERIAL $138.00 $276.00 $126.23–$221.03 — 50%
CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT Scan,Maxillofacial Area,W/O Contrast $327.50 $1,310.00 $23.00–$1,226.16 66% below 75%
CT scan of the head or brain, no contrast dye CPT 70450 HB CT Scan,Head/Brain,W/O Contrast Matl $327.50 $1,310.00 $11.00–$2,257.92 60% below 75%
CT scan of the head with contrast CPT 70460 HB CT Scan Head Contrast $355.50 $1,422.00 $128.71–$1,330.99 71% below 75%
CT scan of the head without and with contrast CPT 70470 HB CT Scan Head Combo $381.75 $1,527.00 $128.71–$1,429.27 70% below 75%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT Scan,Lumbar Spine,W/O Contrast $327.50 $1,310.00 $15.00–$1,310.00 65% below 75%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT Scan,Cervical Spine,W/O Contrast $327.50 $1,310.00 $90.00–$2,520.00 66% below 75%
CT scan of the pelvis, with contrast dye CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL $229.50 $459.00 $207.26–$367.49 81% below 50%
CT scan of the pelvis, with contrast dye CPT 72193 HB CT Scan of Pelvis Contrast $355.50 $1,422.00 $128.71–$1,330.99 71% below 75%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL $229.50 $459.00 $207.26–$367.49 — 50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB Duplex Scan Extracranial,Bilat $166.00 $664.00 $19.00–$621.50 — 75%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY $187.00 $374.00 $168.67–$299.32 — 50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY $187.00 $374.00 $168.67–$299.32 — 50%
Chest X-ray, 2 views CPT 71046 CHG RADIOLOGIC EXAM CHEST 2 VIEWS $33.50 $67.00 $30.57–$53.79 79% below 50%
Chest X-ray, 2 views CPT 71046 HB X-Ray Exam Chest 2 Views $65.25 $261.00 $19.00–$396.00 59% below 75%
Chest X-ray, 2 views inpatient CPT 71046 CHG RADIOLOGIC EXAM CHEST 2 VIEWS $33.50 $67.00 $30.57–$53.79 — 50%
Chest X-ray, single view CPT 71045 CHG RADIOLOGIC EXAM CHEST SINGLE VIEW $26.00 $52.00 $23.67–$41.54 80% below 50%
Chest X-ray, single view CPT 71045 HB X-Ray Exam Chest 1 View $53.50 $214.00 $13.00–$206.00 59% below 75%
Chest X-ray, single view inpatient CPT 71045 CHG RADIOLOGIC EXAM CHEST SINGLE VIEW $26.00 $52.00 $23.67–$41.54 — 50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 CHG US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE $107.50 $215.00 $97.82–$172.03 80% below 50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB US,Retroperit, B-Scan/Real Time,Complete $112.75 $451.00 $76.88–$422.14 79% below 75%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 CHG US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE $107.50 $215.00 $97.82–$172.03 — 50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 CHG DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL $39.50 $79.00 $35.52–$62.85 87% below 50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB Dexa,Bone Density, 1 + Site, Axial Skeleton $126.00 $504.00 $13.00–$504.00 58% below 75%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 CHG DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL $39.50 $79.00 $35.52–$62.85 — 50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 CHG DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL $32.00 $64.00 $29.03–$51.13 74% below 50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB DXA Bone Density/Peripheral 1+ Sites $126.00 $504.00 $35.68–$471.74 1% above 75%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 CHG DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL $32.00 $64.00 $29.03–$51.13 — 50%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB OB US Detailed Sngl Fetus $145.75 $583.00 $139.10–$545.69 75% below 75%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 CHG US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION $177.00 $354.00 $162.83–$283.34 69% below 50%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 CHG US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION $177.00 $354.00 $162.83–$283.34 — 50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST $135.00 $270.00 $122.96–$215.70 85% below 50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT Scan,Thorax,W/O Contrast $327.50 $1,310.00 $16.00–$3,780.00 63% below 75%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST $135.00 $270.00 $122.96–$215.70 — 50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB Cat Scan of Chest Contrast $355.50 $1,422.00 $20.00–$2,667.00 71% below 75%
Diagnostic mammogram, both breasts both sides CPT 77066 HB Mammo Dx Bilat Digital $104.50 $418.00 $69.72–$391.25 — 75%
Diagnostic mammogram, both breasts both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $158.00 $316.00 $143.36–$252.99 — 50%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $158.00 $316.00 $143.36–$252.99 — 50%
Diagnostic mammogram, one breast CPT 77065 HB Mammo Diagnostic Uni Digital $80.50 $322.00 $32.00–$301.39 71% below 75%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB Duplex Le Art/Bpg; Bilat $142.75 $571.00 $136.23–$534.46 — 75%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY $235.50 $471.00 $211.78–$377.08 — 50%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY $235.50 $471.00 $211.78–$377.08 — 50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HB Duplex Extrem Venous,Bilat $136.75 $547.00 $130.51–$511.99 — 75%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY $184.00 $368.00 $165.65–$294.53 — 50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY $184.00 $368.00 $165.65–$294.53 — 50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PR ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D $193.50 $387.00 $176.00–$309.44 85% below 50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB Tte W/Doppler Complete $337.00 $1,348.00 $321.62–$1,261.73 74% below 75%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 PR ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D $193.50 $387.00 $176.00–$309.44 — 50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB Hepatobiliary Syst Imaging Including Gallbladder $370.00 $1,480.00 $339.22–$1,385.28 56% below 75%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT $96.00 $192.00 $87.97–$153.39 77% below 50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB Sleep Study Unatt&Resp Efft $137.50 $550.00 $14.00–$514.80 66% below 75%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT $96.00 $192.00 $87.97–$153.39 — 50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND $517.00 $1,034.00 $590.20–$827.40 84% below 50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB Polysomnography W/Cpap $896.75 $3,587.00 $32.00–$4,802.78 72% below 75%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND $517.00 $1,034.00 $590.20–$827.40 — 50%
Knee X-ray, 3 views CPT 73562 HB X-Ray Knee 3 View $57.75 $231.00 $45.98–$216.22 64% below 75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 CHG US ABDOMINAL REAL TIME W/IMAGE LIMITED $86.50 $173.00 $78.65–$138.48 79% below 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US, Abdomen Limited $109.25 $437.00 $69.00–$409.03 73% below 75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 CHG US ABDOMINAL REAL TIME W/IMAGE LIMITED $86.50 $173.00 $78.65–$138.48 — 50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Lung Cancer Scr C- $319.25 $1,277.00 $55.00–$1,277.00 17% above 75%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HB MRI Breast C-+ W/Cad Bi $261.50 $1,046.00 $28.00–$979.06 — 75%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI Lower Extrem Jt, W/O Contrast $606.00 $2,424.00 $259.18–$2,268.86 57% below 75%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI, Joint of Leg. Combo $857.50 $3,430.00 $496.33–$3,210.48 57% below 75%
MRI of the abdomen without contrast CPT 74181 HB MRI, Abdomen (MRI) $606.00 $2,424.00 $252.46–$2,268.86 58% below 75%
MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI, Abdomen, Combo $909.50 $3,638.00 $19.00–$9,331.26 68% below 75%
MRI of the brain, no contrast dye CPT 70551 HB MRI Brain $606.00 $2,424.00 $174.76–$2,268.86 58% below 75%
MRI of the brain, with and without contrast dye CPT 70553 HB MRI Brain Combo $909.50 $3,638.00 $258.20–$3,405.17 59% below 75%
MRI of the lower back, no contrast dye CPT 72148 HB MRI, Lumbar Spine $606.00 $2,424.00 $174.76–$2,268.86 60% below 75%
MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI, Lumbar Spine Combo $909.50 $3,638.00 $258.20–$3,405.17 66% below 75%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI, Dorsal Spine $691.00 $2,764.00 $244.92–$2,587.10 55% below 75%
MRI of the neck (cervical spine) without and with contrast CPT 72156 CHG MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL $324.00 $648.00 $294.96–$518.75 87% below 50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI, Cerv Spine Combo $909.50 $3,638.00 $25.00–$3,405.17 64% below 75%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CHG MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL $324.00 $648.00 $294.96–$518.75 — 50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI, Cerv Spine $606.00 $2,424.00 $244.92–$2,268.86 60% below 75%
MRI of the pelvis without and with contrast CPT 72197 HB MRI, Pelvis, Combo $909.50 $3,638.00 $258.20–$3,405.17 66% below 75%
MRI of the pelvis, no contrast dye CPT 72195 HB MRI, Pelvis, W/O Contrast $606.00 $2,424.00 $294.20–$2,268.86 55% below 75%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB MRI Upper Extremity Combo $606.00 $2,424.00 $259.59–$2,268.86 61% below 75%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CHG MYOCARDIAL SPECT MULTIPLE STUDIES $421.00 $842.00 $378.15–$673.21 83% below 50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HB Myocardial Spect Multiple Studies $982.75 $3,931.00 $32.00–$3,780.00 60% below 75%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CHG MYOCARDIAL SPECT MULTIPLE STUDIES $421.00 $842.00 $378.15–$673.21 — 50%
OCT scan of the retina (optical coherence tomography) both sides CPT 92134 PR CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA $32.50 $65.00 $29.67–$51.66 — 50%
OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 PR CPTRIZED OPH DX IMG PST SEGMENT UNI/BI RETINA $32.50 $65.00 $29.67–$51.66 — 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $50.00 $100.00 $45.90–$79.89 79% below 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US Exam Pelvic Limited $118.50 $474.00 $56.10–$443.66 51% below 75%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $50.00 $100.00 $45.90–$79.89 — 50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 CHG US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE $104.50 $209.00 $94.94–$167.24 79% below 50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB Echo,Pelvic (Nonobstetric) $134.25 $537.00 $71.00–$502.63 73% below 75%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 CHG US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE $104.50 $209.00 $94.94–$167.24 — 50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $134.00 $268.00 $121.82–$214.11 71% below 50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US, OB >/= 14 Wks, Sngl Fetus $150.25 $601.00 $143.39–$562.54 67% below 75%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $134.00 $268.00 $121.82–$214.11 — 50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 CHG US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT $116.00 $232.00 $106.12–$185.88 71% below 50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US, OB < 14 Wks, Single Fetus $130.25 $521.00 $15.00–$487.66 67% below 75%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 CHG US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT $116.00 $232.00 $106.12–$185.88 — 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US,Pregnant Uterus,Limited, 1/> Fetuses $51.75 $207.00 $49.39–$193.75 83% below 75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 CHG US PREGNANT UTERUS LIMITED 1/> FETUSES $80.50 $161.00 $73.52–$128.89 74% below 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 CHG US PREGNANT UTERUS LIMITED 1/> FETUSES $80.50 $161.00 $73.52–$128.89 — 50%
Screening mammogram, both breasts CPT 77067 HB Mammogram, Screening $99.75 $399.00 $13.00–$950.00 61% below 75%
Shoulder X-ray, complete, 2 or more views CPT 73030 CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS $34.50 $69.00 $31.33–$55.39 82% below 50%
Shoulder X-ray, complete, 2 or more views CPT 73030 HB X-Ray Exam of Shoulder 2+ Views $64.50 $258.00 $39.31–$241.49 66% below 75%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS $34.50 $69.00 $31.33–$55.39 — 50%
Sleep study in a lab (polysomnography) CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $494.00 $988.00 $563.52–$790.02 84% below 50%
Sleep study in a lab (polysomnography) CPT 95810 HB Polysom 6/>Yrs Sleep 4/> Addl Param Attnd $782.75 $3,131.00 $29.00–$6,022.00 75% below 75%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $494.00 $988.00 $563.52–$790.02 — 50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 PR ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG $229.00 $458.00 $208.54–$366.43 74% below 50%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 PR ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG $229.00 $458.00 $208.54–$366.43 — 50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HB Swallowing Fcn,W/Cine &/or Video $119.25 $477.00 $16.00–$446.47 65% below 75%
Transvaginal pelvic ultrasound CPT 76830 CHG US TRANSVAGINAL $117.50 $235.00 $106.43–$188.01 67% below 50%
Transvaginal pelvic ultrasound CPT 76830 HB Echography,Transvaginal $128.25 $513.00 $21.93–$480.17 64% below 75%
Transvaginal pelvic ultrasound inpatient CPT 76830 CHG US TRANSVAGINAL $117.50 $235.00 $106.43–$188.01 — 50%
Transvaginal ultrasound during pregnancy CPT 76817 CHG US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG $91.50 $183.00 $83.53–$146.47 69% below 50%
Transvaginal ultrasound during pregnancy CPT 76817 HB US,Pregnant Uterus,Transvaginal $128.25 $513.00 $106.41–$480.17 57% below 75%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 CHG US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG $91.50 $183.00 $83.53–$146.47 — 50%
Ultrasound of the abdomen, complete CPT 76700 HB US, Abdom,B-Scan &/or Real Time,Complete $109.50 $438.00 $12.00–$409.97 80% below 75%
Ultrasound of the abdomen, complete CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $115.00 $230.00 $104.80–$184.28 79% below 50%
Ultrasound of the abdomen, complete inpatient CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $115.00 $230.00 $104.80–$184.28 — 50%
Ultrasound of the scrotum and testicles CPT 76870 CHG US SCROTUM & CONTENTS $99.50 $199.00 $90.37–$159.25 80% below 50%
Ultrasound of the scrotum and testicles CPT 76870 HB US Scrotum and Contents $128.25 $513.00 $15.00–$480.17 74% below 75%
Ultrasound of the scrotum and testicles inpatient CPT 76870 CHG US SCROTUM & CONTENTS $99.50 $199.00 $90.37–$159.25 — 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 CHG US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM $109.00 $218.00 $98.69–$174.69 75% below 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US Exam of Head and Neck $128.25 $513.00 $122.40–$480.17 70% below 75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 CHG US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM $109.00 $218.00 $98.69–$174.69 — 50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB X-Ray Upper GI Delay W/O Kub $144.75 $579.00 $128.71–$541.94 57% below 75%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HB Duplex Extrem Venous,Uni or Ltd $93.50 $374.00 $50.00–$360.00 81% below 75%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY $118.00 $236.00 $106.03–$188.54 76% below 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY $118.00 $236.00 $106.03–$188.54 — 50%
Wrist X-ray, complete, 3 or more views CPT 73110 CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS $41.50 $83.00 $37.20–$66.04 75% below 50%
Wrist X-ray, complete, 3 or more views CPT 73110 HB X-Ray Exam of Wrist 3+ Views $61.50 $246.00 $46.32–$230.26 63% below 75%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS $41.50 $83.00 $37.20–$66.04 — 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HB X-Ray Exam Hip Uni 2-3 Views $69.75 $279.00 $53.16–$261.14 58% below 75%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS $47.50 $95.00 $42.94–$76.16 71% below 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS $47.50 $95.00 $42.94–$76.16 — 50%
X-ray of the abdomen, 1 view CPT 74018 CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW $30.00 $60.00 $27.21–$47.93 79% below 50%
X-ray of the abdomen, 1 view CPT 74018 HB X-Ray Exam Abdomen 1 View $52.00 $208.00 $24.00–$194.69 63% below 75%
X-ray of the abdomen, 1 view inpatient CPT 74018 CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW $30.00 $60.00 $27.21–$47.93 — 50%
X-ray of the ankle, 2 views CPT 73600 CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS $32.00 $64.00 $28.92–$51.13 79% below 50%
X-ray of the ankle, 2 views CPT 73600 HB X-Ray Exam of Ankle 2 Views $53.25 $213.00 $37.02–$199.37 66% below 75%
X-ray of the ankle, 2 views inpatient CPT 73600 CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS $32.00 $64.00 $28.92–$51.13 — 50%
X-ray of the finger(s), 2 or more views CPT 73140 CHG RADEX FINGR MINIMUM 2 VIEWS $38.50 $77.00 $34.43–$61.25 68% below 50%
X-ray of the finger(s), 2 or more views CPT 73140 HB X-Ray Exam of Finger(S) 2+ Views $53.50 $214.00 $42.84–$200.30 55% below 75%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 CHG RADEX FINGR MINIMUM 2 VIEWS $38.50 $77.00 $34.43–$61.25 — 50%
X-ray of the foot, 2 views CPT 73620 CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS $28.50 $57.00 $25.68–$45.27 78% below 50%
X-ray of the foot, 2 views CPT 73620 HB X-Ray Exam of Foot; 2 Views $53.50 $214.00 $32.20–$200.30 58% below 75%
X-ray of the foot, 2 views inpatient CPT 73620 CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS $28.50 $57.00 $25.68–$45.27 — 50%
X-ray of the foot, complete, 3 or more views CPT 73630 CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS $34.00 $68.00 $30.72–$54.33 77% below 50%
X-ray of the foot, complete, 3 or more views CPT 73630 HB X-Ray Exam of Foot; 3+ Views $61.50 $246.00 $38.91–$230.26 58% below 75%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS $34.00 $68.00 $30.72–$54.33 — 50%
X-ray of the hand, 3 or more views CPT 73130 CHG RADEX HAND MINIMUM 3 VIEWS $37.50 $75.00 $33.66–$59.65 76% below 50%
X-ray of the hand, 3 or more views CPT 73130 HB X-Ray Exam of Hand 3+ Views $61.25 $245.00 $41.87–$229.32 62% below 75%
X-ray of the hand, 3 or more views inpatient CPT 73130 CHG RADEX HAND MINIMUM 3 VIEWS $37.50 $75.00 $33.66–$59.65 — 50%
X-ray of the knee, 1 or 2 views CPT 73560 HB X-Ray Exam of Knee 1 or 2 $53.25 $213.00 $38.87–$199.37 58% below 75%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS $39.50 $79.00 $35.87–$63.38 80% below 50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB X-Ray Exam of Lower Spine 2-3 Views $65.25 $261.00 $45.38–$244.30 67% below 75%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS $39.50 $79.00 $35.87–$63.38 — 50%
X-ray of the lower back, 4 or more views CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $52.00 $104.00 $46.89–$83.09 82% below 50%
X-ray of the lower back, 4 or more views CPT 72110 HB X-Ray Exam of Lower Spine 4+ Views $96.50 $386.00 $58.13–$386.00 66% below 75%
X-ray of the lower back, 4 or more views inpatient CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $52.00 $104.00 $46.89–$83.09 — 50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 CHG RADEX SPINE THORACIC 2 VIEWS $33.00 $66.00 $29.92–$52.73 80% below 50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB X-Ray Exam of Thoracic Spine 2 Views $53.50 $214.00 $37.53–$200.30 68% below 75%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CHG RADEX SPINE THORACIC 2 VIEWS $33.00 $66.00 $29.92–$52.73 — 50%
X-ray of the nasal bones, 3 or more views CPT 70160 CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS $37.50 $75.00 $33.96–$60.18 76% below 50%
X-ray of the nasal bones, 3 or more views CPT 70160 HB X-Ray Exam of Nasal Bones 3+ Views $53.50 $214.00 $43.35–$200.30 66% below 75%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS $37.50 $75.00 $33.96–$60.18 — 50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS $39.50 $79.00 $35.87–$63.38 79% below 50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB X-Ray Exam Neck Spine 2-3 Vw $65.25 $261.00 $45.01–$244.30 65% below 75%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS $39.50 $79.00 $35.87–$63.38 — 50%
X-ray of the pelvis, 1 or 2 views CPT 72170 CHG RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS $28.00 $56.00 $25.41–$44.74 82% below 50%
X-ray of the pelvis, 1 or 2 views CPT 72170 HB X-Ray Exam of Pelvis 1-2 Views $53.50 $214.00 $11.00–$200.30 65% below 75%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CHG RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS $28.00 $56.00 $25.41–$44.74 — 50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS $32.50 $65.00 $29.54–$52.19 79% below 50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB X-Ray Exam of Tailbone 2+ Views $53.50 $214.00 $37.05–$200.30 66% below 75%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS $32.50 $65.00 $29.54–$52.19 — 50%

Lab tests

ProcedureCash price List priceInsurers payvs MichiganOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Alt (Sgpt) P5p $6.89 $27.56 $3.74–$42.00 68% below 75%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Apolipoprotein a-1 $6.89 $27.56 $3.74–$42.00 68% below 75%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Haptoglobin $6.74 $26.94 $3.65–$36.00 69% below 75%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB Hepatitis Panel $61.92 $247.68 $33.58–$382.95 63% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ige (F253) Pine Nut $6.79 $27.14 $3.68–$25.40 12% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Allg Spec Ige Crude Xtrc Ea $6.79 $27.14 $3.68–$25.40 12% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ige (F232) Ovalbumin $6.79 $27.14 $3.68–$25.40 12% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ige (F345) Macadamia Nut $6.79 $27.14 $3.68–$25.40 12% above 75%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB Assay of Natriuretic Peptide $51.04 $204.15 $22.00–$327.68 27% below 75%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CHG LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM $65.50 $131.00 $65.68–$105.03 30% below 50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CHG LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM $65.50 $131.00 $65.68–$105.03 — 50%
Blood culture for bacteria CPT 87040 HB Cipro Resistance Culture $13.42 $53.66 $7.28–$138.30 78% below 75%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB Collection Venous Blood,Venipuncture $3.75 $15.00 $4.95–$14.04 71% below 75%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PR COLLECTION VENOUS BLOOD VENIPUNCTURE $4.00 $8.00 $6.75 69% below 50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PR COLLECTION VENOUS BLOOD VENIPUNCTURE $4.00 $8.00 $6.75 — 50%
Blood glucose (sugar) test CPT 82947 HB Steatosis Grade $5.11 $20.44 $2.77–$19.13 79% below 75%
Blood glucose (sugar) test CPT 82947 HB POC Glucose $5.11 $20.44 $2.77–$19.13 79% below 75%
Blood lead test CPT 83655 CHG ASSAY OF LEAD $5.50 $11.00 $9.08 61% below 50%
Blood lead test inpatient CPT 83655 CHG ASSAY OF LEAD $5.50 $11.00 $9.08 — 50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB Chorionic Gonadotropin, Qual $11.00 $44.00 $5.30–$357.00 70% below 75%
C. difficile toxin gene test (stool PCR) CPT 87493 HB C. Difficile Pcr $48.45 $193.80 $26.28–$181.40 54% below 75%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ $44.00 $88.00 $70.00 50% below 50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Rapid Sars-Cov-2 by Pcr $66.70 $266.81 $36.17–$249.73 24% below 75%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB 2019 Novel Coronavirus (Covid-19) by Pcr $66.70 $266.81 $36.17–$249.73 24% below 75%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ $44.00 $88.00 $70.00 — 50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Advanced Lipid Panel, Cardio Iq $17.41 $69.63 $9.44–$65.17 66% below 75%
Complete blood count (CBC), no differential CPT 85027 HB Complete Cbc Automated $8.41 $33.64 $4.56–$53.00 68% below 75%
D-dimer blood test (blood clot marker) CPT 85379 HB POC Dimer $13.24 $52.94 $7.18–$164.00 61% below 75%
Estradiol blood test CPT 82670 HB Estradiol, Mass Spectrometry, S $36.32 $145.29 $19.70–$260.36 49% below 75%
Estradiol blood test CPT 82670 HB Estradiol Sensitive $36.32 $145.29 $19.70–$260.36 49% below 75%
Estradiol blood test CPT 82670 HB Assay of Total Estradiol $36.32 $145.29 $19.70–$260.36 49% below 75%
Fecal calprotectin (stool inflammation test) CPT 83993 HB Calprotectin, Feces $25.52 $102.08 $13.84–$95.55 58% below 75%
Ferritin blood test (iron stores) CPT 82728 HB Assay of Ferritin $17.72 $70.88 $9.61–$66.34 70% below 75%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB Pediatric T4 (Thyroxine), Free, S $11.73 $46.90 $6.36–$43.90 63% below 75%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB T4(Thyroxine), Free, Dialysis, Serum $11.73 $46.90 $6.36–$43.90 63% below 75%
Free testosterone test CPT 84402 HB Assay of Free Testosterone $33.11 $132.44 $17.96–$170.00 16% below 75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ $16.50 $33.00 $26.32 82% below 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ $16.50 $33.00 $26.32 — 50%
H. pylori stool antigen test CPT 87338 HB Helicobacter Pylori Ag, Fecal $18.70 $74.78 $10.14–$69.99 70% below 75%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Hpv High-Risk Types $45.62 $182.47 $24.74–$170.79 38% below 75%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CHG HEMOGLOBIN GLYCOSYLATED A1C $9.00 $18.00 $14.71 76% below 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CHG HEMOGLOBIN GLYCOSYLATED A1C $9.00 $18.00 $14.71 — 50%
Herpes blood test, HSV-1 antibody CPT 86695 HB Hsv-1 Igg Ab $17.15 $68.59 $9.30–$64.20 59% below 75%
Herpes blood test, HSV-2 antibody CPT 86696 HB Hsv-2 Igg Ab $25.16 $100.62 $13.64–$94.18 40% below 75%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB High Sensitivity Crp $16.84 $67.34 $9.13–$63.03 63% below 75%
Insulin blood test CPT 83525 HB Assay of Insulin $14.86 $59.44 $8.06–$55.64 63% below 75%
Liver function blood test panel CPT 80076 HB POC Hepatic Panel $10.62 $42.48 $5.76–$68.55 79% below 75%
Lyme disease antibody test CPT 86618 HB Lyme Antibodies $22.14 $88.56 $12.01–$202.32 16% below 75%
Lyme disease antibody test CPT 86618 HB Ehrlichia Chaffeensis (Hme) Ab, Igg $22.14 $88.56 $12.01–$202.32 16% below 75%
Magnesium blood test CPT 83735 HB Magnesium, 24 Hr Urine $8.71 $34.84 $4.72–$674.00 56% below 75%
Magnesium blood test CPT 83735 HB Magnesium, Ionized $8.71 $34.84 $4.72–$674.00 56% below 75%
Magnesium blood test CPT 83735 HB Magnesium Labor and Delivery $8.71 $34.84 $4.72–$674.00 56% below 75%
Measles (rubeola) antibody test CPT 86765 HB Measles (Rubeola) Igg $16.75 $66.98 $9.08–$62.69 29% below 75%
Pap test (liquid-based, automated screening with review) CPT 88175 CHG CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS $12.50 $25.00 $19.96 83% below 50%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CHG CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS $12.50 $25.00 $19.96 — 50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CHG CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN $9.50 $19.00 $15.20 86% below 50%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CHG CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN $9.50 $19.00 $15.20 — 50%
Progesterone blood test CPT 84144 HB 17-Alpha-Hydroxyprogesterone $27.12 $108.47 $14.71–$101.53 55% below 75%
Prolactin blood test CPT 84146 HB Monomeric Prolactin $25.20 $100.78 $13.66–$94.33 64% below 75%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Prothrombin Time $11.50 $46.00 $3.02–$1,119.36 17% below 75%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Pt/Inr $11.50 $46.00 $3.02–$264.00 17% below 75%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 CHG DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE $6.00 $12.00 $9.45 82% below 50%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 CHG DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE $6.00 $12.00 $9.45 — 50%
Rapid flu test (influenza antigen) CPT 87804 CHG IAADIADOO INFLUENZA $10.50 $21.00 $16.55 78% below 50%
Rapid flu test (influenza antigen) inpatient CPT 87804 CHG IAADIADOO INFLUENZA $10.50 $21.00 $16.55 — 50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 CHG IAADIADOO STREPTOCOCCUS GROUP A $10.50 $21.00 $16.53 78% below 50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB Strep a Assay W/Optic $12.75 $51.00 $11.00–$154.04 73% below 75%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 CHG IAADIADOO STREPTOCOCCUS GROUP A $10.50 $21.00 $16.53 — 50%
Rubella antibody test (immunity check) CPT 86762 HB Rubella Ab, Igg $18.71 $74.83 $10.14–$70.04 55% below 75%
Stool ova and parasites exam CPT 87177 HB Ova and Parasites Smears $11.57 $46.28 $6.27–$43.32 70% below 75%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 CHG BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 $10.00 $20.00 $15.92 73% below 50%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 CHG BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 $10.00 $20.00 $15.92 — 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Syphilis Test Non-Trep Qual $5.55 $22.20 $3.01–$20.78 68% below 75%
Testosterone blood test, total (not free testosterone) CPT 84403 HB 11-Desoxycortisol $33.55 $134.21 $18.20–$289.00 49% below 75%
Trichomonas test (NAAT) CPT 87661 CHG IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH $16.50 $33.00 $26.32 74% below 50%
Trichomonas test (NAAT) CPT 87661 HB Trichomonas Vaginalis Amplif $45.62 $182.47 $24.74–$170.79 29% below 75%
Trichomonas test (NAAT) CPT 87661 HB Trichomonas Vaginalis Dna by Pcr $45.62 $182.47 $24.74–$170.79 29% below 75%
Trichomonas test (NAAT) CPT 87661 HB Trichomonas Vaginalis Dna $45.62 $182.47 $24.74–$170.79 29% below 75%
Trichomonas test (NAAT) inpatient CPT 87661 CHG IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH $16.50 $33.00 $26.32 — 50%
Urinalysis with microscope exam, manual CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY $2.50 $5.00 $4.02 75% below 50%
Urinalysis with microscope exam, manual inpatient CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY $2.50 $5.00 $4.02 — 50%
Urinalysis without microscope exam, automated CPT 81003 HB POC Routine Urinalysis $2.93 $11.70 $1.59–$10.95 72% below 75%
Urinalysis without microscope exam, manual CPT 81002 HB Urinalysis Nonauto W/O Scope $4.00 $16.00 $1.65–$14.98 69% below 75%
Urine pregnancy test, read by color change CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS $5.50 $11.00 $8.61 74% below 50%
Urine pregnancy test, read by color change CPT 81025 HB Urine Pregnancy Visual Color $11.19 $44.77 $6.07–$41.90 47% below 75%
Urine pregnancy test, read by color change inpatient CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS $5.50 $11.00 $8.61 — 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Vitamin D 25 Hydroxy $38.48 $153.92 $20.87–$144.07 56% below 75%

Surgery and procedures

ProcedureCash price List priceInsurers payvs MichiganOff list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 $1,722.50 $3,445.00 $1,102.06–$2,755.67 52% below 50%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 $1,722.50 $3,445.00 $1,102.06–$2,755.67 — 50%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 PR APPENDEC RPTD APPENDIX ABSC/PRITONITIS $882.00 $1,764.00 $564.45–$1,411.39 47% below 50%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 PR APPENDEC RPTD APPENDIX ABSC/PRITONITIS $882.00 $1,764.00 $564.45–$1,411.39 — 50%
Appendectomy, open surgery CPT 44950 PR APPENDECTOMY $646.50 $1,293.00 $413.65–$1,034.31 56% below 50%
Appendectomy, open surgery inpatient CPT 44950 PR APPENDECTOMY $646.50 $1,293.00 $413.65–$1,034.31 — 50%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ $1,082.50 $2,165.00 $630.48–$1,731.90 75% below 50%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ $1,082.50 $2,165.00 $630.48–$1,731.90 — 50%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR $1,081.00 $2,162.00 $691.61–$1,729.35 45% below 50%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR $1,081.00 $2,162.00 $691.61–$1,729.35 — 50%
Botox injections for chronic migraine CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine $76.50 $306.00 $100.98–$286.42 87% below 75%
Botox injections for chronic migraine CPT 64615 HB Chemodenerv Musc Migraine $146.75 $587.00 $140.05–$549.43 74% below 75%
Botox injections for chronic migraine CPT 64615 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE $153.00 $306.00 $79.02–$146.22 73% below 50%
Botox injections for chronic migraine inpatient CPT 64615 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE $153.00 $306.00 $79.02–$146.22 — 50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID $484.50 $969.00 $102.67–$441.32 79% below 50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HB Bx Breast 1st Lesion Strtctc $1,413.25 $5,653.00 $1,348.75–$5,291.21 38% below 75%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID $484.50 $969.00 $102.67–$441.32 — 50%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HB Cl Tx Dstl Fib Fx WO Manip $120.50 $482.00 $115.00–$451.15 64% below 75%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ $259.00 $518.00 $192.34–$304.03 24% below 50%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ $259.00 $518.00 $192.34–$304.03 — 50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HB Cl Tx Metatarsal Fx; WO Manip $69.00 $276.00 $65.85–$258.34 80% below 75%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PR CLOSED TX METATARSAL FRACTURE W/O MANIPULATION $179.00 $358.00 $136.96–$208.89 47% below 50%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 PR CLOSED TX METATARSAL FRACTURE W/O MANIPULATION $179.00 $358.00 $136.96–$208.89 — 50%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT $876.00 $1,752.00 $334.62–$805.74 55% below 50%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT $876.00 $1,752.00 $334.62–$805.74 — 50%
Cardiac catheterization with coronary angiogram CPT 93458 PR CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I $991.00 $1,982.00 $902.61–$1,585.55 89% below 50%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 PR CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I $991.00 $1,982.00 $902.61–$1,585.55 — 50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL $167.50 $335.00 $68.37–$142.08 82% below 50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HB Cardioversion, Elective;Extern $181.00 $724.00 $172.74–$677.66 80% below 75%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL $167.50 $335.00 $68.37–$142.08 — 50%
Carpal tunnel release, open surgery CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne $228.25 $913.00 $316.35–$1,411.85 88% below 75%
Carpal tunnel release, open surgery CPT 64721 PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE $456.50 $913.00 $287.34–$426.99 75% below 50%
Carpal tunnel release, open surgery inpatient CPT 64721 PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE $456.50 $913.00 $287.34–$426.99 — 50%
Cataract surgery with lens implant CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP $537.00 $1,074.00 $343.57–$859.08 62% below 50%
Cataract surgery with lens implant inpatient CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP $537.00 $1,074.00 $343.57–$859.08 — 50%
Cervical biopsy CPT 57500 PR BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX $118.50 $237.00 $48.35–$138.34 84% below 50%
Cervical biopsy CPT 57500 HB Biopsy Cervix, 1 or More, or Excision of Lesion $250.50 $1,002.00 $239.07–$937.87 65% below 75%
Cervical biopsy inpatient CPT 57500 PR BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX $118.50 $237.00 $48.35–$138.34 — 50%
Cesarean delivery, including prenatal and postpartum care CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM $2,190.50 $4,381.00 $2,475.76–$3,504.67 42% below 50%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM $2,190.50 $4,381.00 $2,475.76–$3,504.67 — 50%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PR CIRCUMCISION AGE >28 DAYS $198.50 $397.00 $127.16–$317.96 62% below 50%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 PR CIRCUMCISION AGE >28 DAYS $198.50 $397.00 $127.16–$317.96 — 50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PR CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK $148.00 $296.00 $61.13–$138.63 88% below 50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 PR CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK $148.00 $296.00 $61.13–$138.63 — 50%
Circumcision, surgical, older than a newborn CPT 54160 PR CIRCUMCISION NEONATE $220.50 $441.00 $93.08–$205.11 44% below 50%
Circumcision, surgical, older than a newborn inpatient CPT 54160 PR CIRCUMCISION NEONATE $220.50 $441.00 $93.08–$205.11 — 50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB Cltx Dstl Radial Fx/Epiphysl Sep WO Mnp $90.50 $362.00 $86.37–$338.83 74% below 75%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ $282.50 $565.00 $220.03–$329.95 20% below 50%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ $282.50 $565.00 $220.03–$329.95 — 50%
Colonoscopy with endoscopic ultrasound CPT 45391 PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX $253.50 $507.00 $162.09–$405.31 19% below 50%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX $253.50 $507.00 $162.09–$405.31 — 50%
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $224.00 $896.00 $295.68–$838.66 80% below 75%
Colonoscopy with polyp removal CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $448.00 $896.00 $159.96–$414.54 61% below 50%
Colonoscopy with polyp removal inpatient CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $448.00 $896.00 $159.96–$414.54 — 50%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple $213.25 $853.00 $281.49–$798.41 81% below 75%
Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $426.50 $853.00 $126.95–$392.01 62% below 50%
Colonoscopy with tissue sample inpatient CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $426.50 $853.00 $126.95–$392.01 — 50%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd $168.50 $674.00 $222.42–$630.86 81% below 75%
Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $337.00 $674.00 $116.72–$311.54 61% below 50%
Colonoscopy, diagnostic CPT 45378 HB Colonoscopy,Diagnostic $440.75 $1,763.00 $420.63–$1,650.17 49% below 75%
Colonoscopy, diagnostic inpatient CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $337.00 $674.00 $116.72–$311.54 — 50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX $307.50 $615.00 $102.45–$284.58 88% below 50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HB Colposcopy,Cervix W/Adj Vag,W/Loop Bx $914.25 $3,657.00 $872.52–$3,422.95 66% below 75%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX $307.50 $615.00 $102.45–$284.58 — 50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage $66.50 $266.00 $92.17–$248.98 79% below 75%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HB Colposc,Cervix W/Adj Vag,W/Bx & Curretag $87.50 $350.00 $83.51–$327.60 73% below 75%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE $133.00 $266.00 $85.63–$159.41 59% below 50%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE $133.00 $266.00 $85.63–$159.41 — 50%
Complex cataract surgery with lens implant CPT 66982 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP $735.50 $1,471.00 $470.52–$1,176.51 47% below 50%
Complex cataract surgery with lens implant inpatient CPT 66982 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP $735.50 $1,471.00 $470.52–$1,176.51 — 50%
Cystoscopy with ureteral stent placement CPT 52332 PR CYSTO W/INSERT URETERAL STENT $373.00 $746.00 $98.83–$341.42 83% below 50%
Cystoscopy with ureteral stent placement CPT 52332 HB Cyst W Ins of Indwelling Ureter Stent $991.75 $3,967.00 $946.49–$3,713.11 54% below 75%
Cystoscopy with ureteral stent placement inpatient CPT 52332 PR CYSTO W/INSERT URETERAL STENT $373.00 $746.00 $98.83–$341.42 — 50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy $109.75 $439.00 $63.49–$410.90 85% below 75%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HB Cystoscopy $192.00 $768.00 $183.24–$718.85 74% below 75%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 PR CYSTOURETHROSCOPY $219.50 $439.00 $50.91–$200.12 70% below 50%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 PR CYSTOURETHROSCOPY $219.50 $439.00 $50.91–$200.12 — 50%
D&C (dilation and curettage), not related to pregnancy CPT 58120 PR DILATION & CURETTAGE DX&/THER NONOBSTETRIC $297.50 $595.00 $150.17–$278.86 62% below 50%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 PR DILATION & CURETTAGE DX&/THER NONOBSTETRIC $297.50 $595.00 $150.17–$278.86 — 50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1st $27.00 $108.00 $37.42–$101.09 70% below 75%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HB Destruct Premalg Lesion $51.00 $204.00 $48.67–$190.94 44% below 75%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PR DESTRUCTION PREMALIGNANT LESION 1ST $54.00 $108.00 $35.36–$62.59 41% below 50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PR DESTRUCTION PREMALIGNANT LESION 1ST $54.00 $108.00 $35.36–$62.59 — 50%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 PR TYMPANOSTOMY GENERAL ANESTHESIA $161.50 $323.00 $103.31–$258.31 71% below 50%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 PR TYMPANOSTOMY GENERAL ANESTHESIA $161.50 $323.00 $103.31–$258.31 — 50%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HB Create Eardrum Opening $143.50 $574.00 $136.95–$537.26 at median 75%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA $158.50 $317.00 $85.84–$184.37 10% above 50%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA $158.50 $317.00 $85.84–$184.37 — 50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HB Remove Impacted Ear Wax Uni $35.25 $141.00 $33.64–$131.98 50% below 75%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT $15.50 $31.00 $13.93–$25.03 78% below 50%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT $15.50 $31.00 $13.93–$25.03 — 50%
Earwax removal with instruments, one ear CPT 69210 HB Remove Impacted Ear Wax Uni $32.75 $131.00 $31.26–$122.62 61% below 75%
Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat $19.00 $76.00 $25.48–$71.14 77% below 75%
Earwax removal with instruments, one ear one side CPT 69210 PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT $38.00 $76.00 $20.45–$44.78 55% below 50%
Earwax removal with instruments, one ear inpatient one side CPT 69210 PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT $38.00 $76.00 $20.45–$44.78 — 50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx $39.50 $158.00 $50.61–$147.89 83% below 75%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HB Endometrial Bx WO Cervical Dilation $58.00 $232.00 $55.35–$217.15 74% below 75%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 PR ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX $79.00 $158.00 $40.26–$93.88 65% below 50%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 PR ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX $79.00 $158.00 $40.26–$93.88 — 50%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY $321.50 $643.00 $205.76–$514.49 38% below 50%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY $321.50 $643.00 $205.76–$514.49 — 50%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS $376.00 $752.00 $240.69–$601.84 39% below 50%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS $376.00 $752.00 $240.69–$601.84 — 50%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 PR NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY $181.00 $362.00 $115.66–$289.20 29% below 50%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 PR NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY $181.00 $362.00 $115.66–$289.20 — 50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn $129.25 $517.00 $13.00–$1,308.60 83% below 75%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN $258.50 $517.00 $68.37–$235.81 67% below 50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HB Njx Interlaminar Crv/Thrc Single-Shot $378.00 $1,512.00 $13.00–$3,433.00 51% below 75%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN $258.50 $517.00 $68.37–$235.81 — 50%
Eye injection into the vitreous (intravitreal injection) CPT 67028 PR INTRAVITREAL NJX PHARMACOLOGIC AGT SPX $112.00 $224.00 $58.36–$104.47 75% below 50%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 PR INTRAVITREAL NJX PHARMACOLOGIC AGT SPX $112.00 $224.00 $58.36–$104.47 — 50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $177.00 $354.00 $58.15–$162.50 83% below 50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1st Level $312.00 $1,248.00 $297.76–$1,168.13 71% below 75%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $177.00 $354.00 $58.15–$162.50 — 50%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE $574.00 $1,148.00 $367.43–$918.74 43% below 50%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE $574.00 $1,148.00 $367.43–$918.74 — 50%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE $774.50 $1,549.00 $495.44–$1,238.83 2% below 50%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE $774.50 $1,549.00 $495.44–$1,238.83 — 50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE $343.00 $686.00 $219.60–$549.11 42% below 50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE $343.00 $686.00 $219.60–$549.11 — 50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD $146.00 $292.00 $36.42–$167.65 73% below 50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD $146.00 $292.00 $36.42–$167.65 — 50%
Gallbladder removal, laparoscopic CPT 47562 PR LAPAROSCOPY SURG CHOLECYSTECTOMY $668.00 $1,336.00 $427.28–$1,068.40 70% below 50%
Gallbladder removal, laparoscopic CPT 47562 HB Laparoscopic Cholecystectomy $2,688.00 $10,752.00 $32.00–$16,558.50 22% above 75%
Gallbladder removal, laparoscopic inpatient CPT 47562 PR LAPAROSCOPY SURG CHOLECYSTECTOMY $668.00 $1,336.00 $427.28–$1,068.40 — 50%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY $726.00 $1,452.00 $464.55–$1,161.60 53% below 50%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY $726.00 $1,452.00 $464.55–$1,161.60 — 50%
Gallbladder removal, open surgery through a larger incision CPT 47600 PR CHOLECYSTECTOMY $1,078.50 $2,157.00 $690.12–$1,725.62 40% below 50%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 PR CHOLECYSTECTOMY $1,078.50 $2,157.00 $690.12–$1,725.62 — 50%
Hammertoe correction surgery CPT 28285 PR CORRECTION HAMMERTOE $594.00 $1,188.00 $253.04–$499.82 29% below 50%
Hammertoe correction surgery inpatient CPT 28285 PR CORRECTION HAMMERTOE $594.00 $1,188.00 $253.04–$499.82 — 50%
Hemorrhoid banding (rubber band ligation) CPT 46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS $226.50 $453.00 $125.46–$263.86 56% below 50%
Hemorrhoid banding (rubber band ligation) CPT 46221 HB Ligation of Hemorrhoid(S) $262.25 $1,049.00 $250.28–$981.86 49% below 75%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS $226.50 $453.00 $125.46–$263.86 — 50%
Hemorrhoidectomy (internal and external), one area CPT 46255 PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP $521.50 $1,043.00 $229.83–$483.50 55% below 50%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP $521.50 $1,043.00 $229.83–$483.50 — 50%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 PR CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT $1,682.50 $3,365.00 $1,076.72–$2,692.29 58% below 50%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 PR CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT $1,682.50 $3,365.00 $1,076.72–$2,692.29 — 50%
Hysterectomy through an abdominal incision (total) CPT 58150 PR TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY $1,022.00 $2,044.00 $653.91–$1,635.08 61% below 50%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 PR TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY $1,022.00 $2,044.00 $653.91–$1,635.08 — 50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB Cath/Inject Hysterosalpingogram $42.75 $171.00 $56.43–$160.06 89% below 75%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 PR CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI $232.50 $465.00 $37.28–$209.49 39% below 50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 PR CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI $232.50 $465.00 $37.28–$209.49 — 50%
Hysteroscopy with endometrial ablation CPT 58563 PR HYSTEROSCOPY ENDOMETRIAL ABLATION $1,965.00 $3,930.00 $156.77–$1,758.62 45% below 50%
Hysteroscopy with endometrial ablation inpatient CPT 58563 PR HYSTEROSCOPY ENDOMETRIAL ABLATION $1,965.00 $3,930.00 $156.77–$1,758.62 — 50%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C $1,242.50 $2,485.00 $147.82–$1,117.75 56% below 50%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C $1,242.50 $2,485.00 $147.82–$1,117.75 — 50%
IUD insertion (the device itself billed separately) CPT 58300 PR INSERTION INTRAUTERINE DEVICE IUD $85.50 $171.00 $32.16 65% below 50%
IUD insertion (the device itself billed separately) inpatient CPT 58300 PR INSERTION INTRAUTERINE DEVICE IUD $85.50 $171.00 $32.16 — 50%
Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Abscess Simple/Single $50.50 $202.00 $12.00–$228.60 79% below 75%
Incision and drainage of a simple or single skin abscess CPT 10060 HB I&D Absc; Smpl or Sgl $63.50 $254.00 $12.00–$237.74 74% below 75%
Incision and drainage of a simple or single skin abscess CPT 10060 PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE $101.00 $202.00 $69.01–$117.77 59% below 50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE $101.00 $202.00 $69.01–$117.77 — 50%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE $530.50 $1,061.00 $339.52–$848.96 55% below 50%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HB Prp I/Hern Init Reduc 5+ Yr $1,809.00 $7,236.00 $359.19–$6,772.90 54% above 75%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE $530.50 $1,061.00 $339.52–$848.96 — 50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS $46.00 $92.00 $24.92–$54.58 88% below 50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB Inj Sgl Tendon Shth or Ligament $137.00 $548.00 $130.75–$512.93 63% below 75%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS $46.00 $92.00 $24.92–$54.58 — 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US $51.50 $103.00 $28.97–$61.13 86% below 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB Drain/Inject Large Joint/Bursa $90.25 $361.00 $86.13–$337.90 76% below 75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US $51.50 $103.00 $28.97–$61.13 — 50%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HB Insert Drug Implant Device $37.25 $149.00 $0.33–$139.46 75% below 75%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 PR INSERTION DRUG DELIVERY IMPLANT $101.00 $202.00 $40.26–$94.35 33% below 50%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 PR INSERTION DRUG DELIVERY IMPLANT $101.00 $202.00 $40.26–$94.35 — 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US $43.50 $87.00 $23.43–$51.26 86% below 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB Drain/Inject Intermediate Joint/Bursa $86.50 $346.00 $82.55–$323.86 73% below 75%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US $43.50 $87.00 $23.43–$51.26 — 50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US $42.50 $85.00 $22.79–$50.32 88% below 50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB Drain/Inject Small Joint/Bursa $80.50 $322.00 $76.83–$301.39 77% below 75%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US $42.50 $85.00 $22.79–$50.32 — 50%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL $771.00 $1,542.00 $449.00–$1,233.39 59% below 50%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL $771.00 $1,542.00 $449.00–$1,233.39 — 50%
Knee arthroscopy with meniscus trim CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $608.50 $1,217.00 $354.43–$973.61 66% below 50%
Knee arthroscopy with meniscus trim inpatient CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $608.50 $1,217.00 $354.43–$973.61 — 50%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING $631.00 $1,262.00 $367.64–$1,009.88 71% below 50%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING $631.00 $1,262.00 $367.64–$1,009.88 — 50%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG $697.00 $1,394.00 $405.98–$1,115.20 62% below 50%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG $697.00 $1,394.00 $405.98–$1,115.20 — 50%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM $1,742.50 $3,485.00 $1,115.06–$2,788.16 29% below 50%
Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM $1,742.50 $3,485.00 $1,115.06–$2,788.16 — 50%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 PR LAPAROSCOPIC APPENDECTOMY $609.00 $1,218.00 $389.58–$974.13 55% below 50%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 PR LAPAROSCOPIC APPENDECTOMY $609.00 $1,218.00 $389.58–$974.13 — 50%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 PR LAPS SURG ESOPG/GSTR FUNDOPLASTY $1,081.50 $2,163.00 $692.04–$1,730.42 64% below 50%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 PR LAPS SURG ESOPG/GSTR FUNDOPLASTY $1,081.50 $2,163.00 $692.04–$1,730.42 — 50%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 PR LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/< $811.00 $1,622.00 $519.08–$1,297.95 53% below 50%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 PR LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/< $811.00 $1,622.00 $519.08–$1,297.95 — 50%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 PR LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY $911.50 $1,823.00 $583.19–$1,458.26 51% below 50%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 PR LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY $911.50 $1,823.00 $583.19–$1,458.26 — 50%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia $220.00 $880.00 $297.05–$823.68 79% below 75%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA $440.00 $880.00 $281.59–$704.10 58% below 50%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA $440.00 $880.00 $281.59–$704.10 — 50%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia $287.00 $1,148.00 $387.83–$1,074.53 74% below 75%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 PR LAPS SURG RPR RECURRENT INGUINAL HERNIA $574.00 $1,148.00 $367.21–$918.20 48% below 50%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 PR LAPS SURG RPR RECURRENT INGUINAL HERNIA $574.00 $1,148.00 $367.21–$918.20 — 50%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 PR LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES $654.00 $1,308.00 $418.55–$1,046.56 67% below 50%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 PR LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES $654.00 $1,308.00 $418.55–$1,046.56 — 50%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 PR LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY $1,698.00 $3,396.00 $706.52–$2,717.09 10% above 50%
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 PR LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY $1,698.00 $3,396.00 $706.52–$2,717.09 — 50%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 PR POST-CATARACT LASER SURGERY $329.00 $658.00 $196.81–$303.40 71% below 50%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 PR POST-CATARACT LASER SURGERY $329.00 $658.00 $196.81–$303.40 — 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB Layr Clos Wnd Trunk,Arm,Leg $161.25 $645.00 $153.89–$603.72 58% below 75%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< $205.50 $411.00 $97.34–$238.23 46% below 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< $205.50 $411.00 $97.34–$238.23 — 50%
Left heart catheterization, diagnostic CPT 93452 PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I $854.00 $1,708.00 $776.47–$1,366.65 87% below 50%
Left heart catheterization, diagnostic inpatient CPT 93452 PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I $854.00 $1,708.00 $776.47–$1,366.65 — 50%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $127.00 $508.00 $24.00–$2,920.38 81% below 75%
Lower-back epidural injection, with imaging guidance CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $254.00 $508.00 $63.26–$231.46 62% below 50%
Lower-back epidural injection, with imaging guidance CPT 62323 HB Njx Interlaminar Lmbr/Sac Singe-Shot $378.00 $1,512.00 $24.00–$2,920.38 43% below 75%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $254.00 $508.00 $63.26–$231.46 — 50%
Lower-back epidural injection, without imaging guidance CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN $131.50 $263.00 $49.84–$122.22 86% below 50%
Lower-back epidural injection, without imaging guidance CPT 62322 HB Inj Lumbar/Sacral,W/WO Cntrst $378.00 $1,512.00 $360.75–$1,415.23 60% below 75%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN $131.50 $263.00 $49.84–$122.22 — 50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $243.00 $486.00 $70.93–$221.94 77% below 50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level $303.00 $1,212.00 $289.17–$1,165.00 71% below 75%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $243.00 $486.00 $70.93–$221.94 — 50%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR $1,290.50 $2,581.00 $597.68–$2,064.65 65% below 50%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR $1,290.50 $2,581.00 $597.68–$2,064.65 — 50%
Lumbar laminectomy (spinal decompression), one level CPT 63047 PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR $1,238.00 $2,476.00 $721.01–$1,980.56 71% below 50%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR $1,238.00 $2,476.00 $721.01–$1,980.56 — 50%
Lumbar spinal fusion (posterior), one level CPT 22612 PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR $1,756.50 $3,513.00 $1,023.04–$2,810.24 59% below 50%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR $1,756.50 $3,513.00 $1,023.04–$2,810.24 — 50%
Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial $333.00 $1,332.00 $451.26–$1,246.75 65% below 75%
Lumpectomy (partial mastectomy) CPT 19301 PR MASTECTOMY PARTIAL $666.00 $1,332.00 $426.21–$1,065.73 29% below 50%
Lumpectomy (partial mastectomy) inpatient CPT 19301 PR MASTECTOMY PARTIAL $666.00 $1,332.00 $426.21–$1,065.73 — 50%
Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete $483.75 $1,935.00 $656.71–$1,811.16 74% below 75%
Mastectomy (total removal of the breast) CPT 19303 PR MASTECTOMY SIMPLE COMPLETE $967.50 $1,935.00 $619.19–$1,548.27 48% below 50%
Mastectomy (total removal of the breast) inpatient CPT 19303 PR MASTECTOMY SIMPLE COMPLETE $967.50 $1,935.00 $619.19–$1,548.27 — 50%
Miscarriage treatment with D&C, first trimester CPT 59820 PR TX MISSED ABORTION FIRST TRIMESTER SURGICAL $441.00 $882.00 $249.85–$416.84 52% below 50%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 PR TX MISSED ABORTION FIRST TRIMESTER SURGICAL $441.00 $882.00 $249.85–$416.84 — 50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< $101.00 $202.00 $54.74–$116.85 82% below 50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HB Exc Skin Benig $202.50 $810.00 $193.26–$758.16 63% below 75%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< $101.00 $202.00 $54.74–$116.85 — 50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< $112.00 $224.00 $69.44–$129.87 80% below 50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HB Exc Face-Mm B9+Marg 0.5cm/< $202.50 $810.00 $193.26–$758.16 64% below 75%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< $112.00 $224.00 $69.44–$129.87 — 50%
Nail removal (partial or complete), one nail CPT 11730 HB Spl Avulse Np; Sgl $38.25 $153.00 $36.50–$143.21 81% below 75%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Partial/Complete Simple 1 $45.00 $180.00 $42.52–$168.48 78% below 75%
Nail removal (partial or complete), one nail CPT 11730 PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 $90.00 $180.00 $34.29–$104.48 55% below 50%
Nail removal (partial or complete), one nail inpatient CPT 11730 PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 $90.00 $180.00 $34.29–$104.48 — 50%
Occipital nerve block (injection for headaches) CPT 64405 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE $75.50 $151.00 $33.87–$71.46 82% below 50%
Occipital nerve block (injection for headaches) CPT 64405 HB Inj Anesth ; Greater Occipital Nerve $90.25 $361.00 $86.13–$337.90 79% below 75%
Occipital nerve block (injection for headaches) inpatient CPT 64405 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE $75.50 $151.00 $33.87–$71.46 — 50%
Paracentesis with imaging guidance CPT 49083 Abdom Paracentesis Dx/Ther W/Imaging Guidance $142.75 $571.00 $83.38–$534.46 87% below 75%
Paracentesis with imaging guidance CPT 49083 PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE $285.50 $571.00 $67.10–$259.99 73% below 50%
Paracentesis with imaging guidance CPT 49083 HB Abdom Paracentesis Dx/Ther W Imaging Guidance $301.50 $1,206.00 $287.74–$1,128.82 72% below 75%
Paracentesis with imaging guidance inpatient CPT 49083 PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE $285.50 $571.00 $67.10–$259.99 — 50%
Partial knee replacement (one compartment) CPT 27446 PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT $1,160.50 $2,321.00 $742.73–$1,857.18 74% below 50%
Partial knee replacement (one compartment) inpatient CPT 27446 PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT $1,160.50 $2,321.00 $742.73–$1,857.18 — 50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PR EXCISION NAIL MATRIX PERMANENT REMOVAL $126.00 $252.00 $65.39–$147.10 74% below 50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB Removal of Nail Bed $127.00 $508.00 $121.20–$475.49 74% below 75%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PR EXCISION NAIL MATRIX PERMANENT REMOVAL $126.00 $252.00 $65.39–$147.10 — 50%
Prostate biopsy CPT 55700 PR PROSTATE NEEDLE BIOPSY ANY APPROACH $240.00 $480.00 $82.22–$222.12 82% below 50%
Prostate biopsy CPT 55700 HB Biopsy of Prostate,Needle/Punch $589.00 $2,356.00 $777.48–$2,205.22 57% below 75%
Prostate biopsy inpatient CPT 55700 PR PROSTATE NEEDLE BIOPSY ANY APPROACH $240.00 $480.00 $82.22–$222.12 — 50%
Prostate removal (prostatectomy), laparoscopic CPT 55866 PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT $1,190.50 $2,381.00 $761.69–$1,904.58 64% below 50%
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT $1,190.50 $2,381.00 $761.69–$1,904.58 — 50%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $432.50 $865.00 $122.90–$395.10 74% below 50%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HB Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral $563.00 $2,252.00 $537.30–$2,107.87 66% below 75%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL $432.50 $865.00 $122.90–$395.10 — 50%
Removal of a breast lump, open surgery CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $525.50 $1,051.00 $271.79–$494.42 81% below 50%
Removal of a breast lump, open surgery CPT 19120 HB Removal of Breast Lesion 1+ $1,101.00 $4,404.00 $285.82–$4,122.14 59% below 75%
Removal of a breast lump, open surgery inpatient CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $525.50 $1,051.00 $271.79–$494.42 — 50%
Removal of a foreign object under the skin, simple CPT 10120 HB Remove Foreign Body Simple $53.50 $214.00 $51.06–$288.86 85% below 75%
Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple $75.75 $303.00 $82.38–$288.86 79% below 75%
Removal of a foreign object under the skin, simple CPT 10120 PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE $151.50 $303.00 $68.16–$138.86 58% below 50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE $151.50 $303.00 $68.16–$138.86 — 50%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PR TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY $712.50 $1,425.00 $455.82–$1,139.76 69% below 50%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 PR TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY $712.50 $1,425.00 $455.82–$1,139.76 — 50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind $168.75 $675.00 $45.00–$1,782.00 81% below 75%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 PR COLON CA SCRN NOT HI RSK IND $337.50 $675.00 $116.94–$311.92 61% below 50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HB Colon Ca Scrn Not Hi Rsk Ind $472.75 $1,891.00 $11.00–$4,090.74 46% below 75%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 PR COLON CA SCRN NOT HI RSK IND $337.50 $675.00 $116.94–$311.92 — 50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind $168.50 $674.00 $14.00–$2,194.20 81% below 75%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PR COLORECTAL SCRN; HI RISK IND $337.00 $674.00 $116.72–$311.54 61% below 50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 PR COLORECTAL SCRN; HI RISK IND $337.00 $674.00 $116.72–$311.54 — 50%
Septoplasty to straighten the nasal septum CPT 30520 PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF $672.50 $1,345.00 $430.47–$1,076.38 56% below 50%
Septoplasty to straighten the nasal septum inpatient CPT 30520 PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF $672.50 $1,345.00 $430.47–$1,076.38 — 50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 PR LITHOTRIPSY XTRCORP SHOCK WAVE $810.50 $1,621.00 $367.43–$691.05 65% below 50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 PR LITHOTRIPSY XTRCORP SHOCK WAVE $810.50 $1,621.00 $367.43–$691.05 — 50%
Short arm cast (elbow to hand) CPT 29075 PR APPLICATION CAST ELBOW FINGER SHORT ARM $72.00 $144.00 $41.11–$84.61 67% below 50%
Short arm cast (elbow to hand) CPT 29075 HB Apply Forearm Cast $76.50 $306.00 $73.01–$286.42 65% below 75%
Short arm cast (elbow to hand) inpatient CPT 29075 PR APPLICATION CAST ELBOW FINGER SHORT ARM $72.00 $144.00 $41.11–$84.61 — 50%
Short arm splint (forearm and hand) CPT 29125 HB Apply Short Arm Splint Static $67.50 $270.00 $64.42–$252.72 62% below 75%
Short arm splint (forearm and hand) CPT 29125 PR APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC $69.00 $138.00 $26.20–$63.41 61% below 50%
Short arm splint (forearm and hand) inpatient CPT 29125 PR APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC $69.00 $138.00 $26.20–$63.41 — 50%
Short leg cast (below the knee) CPT 29405 PR APPLICATION SHORT LEG CAST BELOW KNEE-TOE $65.50 $131.00 $38.13–$77.07 76% below 50%
Short leg cast (below the knee) CPT 29405 HB Apply Short Leg Cast $137.25 $549.00 $130.99–$513.86 49% below 75%
Short leg cast (below the knee) inpatient CPT 29405 PR APPLICATION SHORT LEG CAST BELOW KNEE-TOE $65.50 $131.00 $38.13–$77.07 — 50%
Short leg splint (calf to foot) CPT 29515 PR APPLICATION SHORT LEG SPLINT CALF FOOT $75.00 $150.00 $32.38–$69.72 53% below 50%
Short leg splint (calf to foot) CPT 29515 HB Apply Lower Leg Splint $78.00 $312.00 $74.44–$292.03 51% below 75%
Short leg splint (calf to foot) inpatient CPT 29515 PR APPLICATION SHORT LEG SPLINT CALF FOOT $75.00 $150.00 $32.38–$69.72 — 50%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC $759.50 $1,519.00 $442.40–$1,215.25 47% below 50%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC $759.50 $1,519.00 $442.40–$1,215.25 — 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/< $47.00 $188.00 $35.97–$227.70 78% below 75%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB Srep S/N/a/G/Tr/E; 2.5cm/< $63.25 $253.00 $36.00–$236.81 70% below 75%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< $94.00 $188.00 $28.54–$86.87 55% below 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< $94.00 $188.00 $28.54–$86.87 — 50%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion $48.50 $194.00 $36.99–$181.58 85% below 75%
Skin biopsy, punch, one lesion CPT 11104 PR PUNCH BIOPSY SKIN SINGLE LESION $97.00 $194.00 $29.82–$111.97 69% below 50%
Skin biopsy, punch, one lesion CPT 11104 HB Punch Bx Skin Single Lesion $121.50 $486.00 $115.95–$454.90 62% below 75%
Skin biopsy, punch, one lesion inpatient CPT 11104 PR PUNCH BIOPSY SKIN SINGLE LESION $97.00 $194.00 $29.82–$111.97 — 50%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/< $196.50 $393.00 $78.60–$180.63 28% below 50%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HB Exc Tr-Ext Mal+Marg 0.5 < Cm $202.50 $810.00 $193.26–$758.16 26% below 75%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/< $196.50 $393.00 $78.60–$180.63 — 50%
Skin tag removal, up to 15 tags CPT 11200 Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15 $36.50 $146.00 $50.59–$136.66 78% below 75%
Skin tag removal, up to 15 tags CPT 11200 HB Removal of Skin Tags, Up to 15 $40.00 $160.00 $38.17–$157.57 76% below 75%
Skin tag removal, up to 15 tags CPT 11200 PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 $73.00 $146.00 $49.63–$85.25 56% below 50%
Skin tag removal, up to 15 tags inpatient CPT 11200 PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 $73.00 $146.00 $49.63–$85.25 — 50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE $146.00 $292.00 $41.11–$134.95 82% below 50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HB Spinal Puncture,Lumbar,Diagnostic $155.25 $621.00 $148.16–$581.26 81% below 75%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE $146.00 $292.00 $41.11–$134.95 — 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm $57.00 $228.00 $16.00–$251.10 76% below 75%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB Resup Npterf Wnd Body 2.6-7.5 Cm $69.75 $279.00 $16.00–$261.14 71% below 75%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM $114.00 $228.00 $37.49–$106.22 53% below 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM $114.00 $228.00 $37.49–$106.22 — 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair F/E/E/N/L/M 2.5cm/< $56.00 $224.00 $19.00–$271.80 76% below 75%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HB Srep F/E/N/L/Mm; 2.5cm/< $78.50 $314.00 $19.00–$293.90 67% below 75%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< $112.00 $224.00 $35.57–$104.17 53% below 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< $112.00 $224.00 $35.57–$104.17 — 50%
TURP (transurethral resection of the prostate) CPT 52601 PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE $727.50 $1,455.00 $465.62–$1,164.26 71% below 50%
TURP (transurethral resection of the prostate) inpatient CPT 52601 PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE $727.50 $1,455.00 $465.62–$1,164.26 — 50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion $38.75 $155.00 $29.44–$145.08 82% below 75%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 PR TANGENTIAL BIOPSY SKIN SINGLE LESION $77.50 $155.00 $23.86–$89.63 64% below 50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HB Tangntl Bx Skin Single Les $112.00 $448.00 $106.89–$419.33 48% below 75%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 PR TANGENTIAL BIOPSY SKIN SINGLE LESION $77.50 $155.00 $23.86–$89.63 — 50%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis Needle/Cath Pleura W/Imaging $153.00 $612.00 $201.96–$572.83 85% below 75%
Thoracentesis with imaging guidance CPT 32555 PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING $306.00 $612.00 $68.37–$279.12 70% below 50%
Thoracentesis with imaging guidance inpatient CPT 32555 PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING $306.00 $612.00 $68.37–$279.12 — 50%
Tonsil and adenoid removal, age 12 or older CPT 42821 PR TONSILLECTOMY & ADENOIDECTOMY AGE 12/> $308.50 $617.00 $197.45–$493.72 64% below 50%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 PR TONSILLECTOMY & ADENOIDECTOMY AGE 12/> $308.50 $617.00 $197.45–$493.72 — 50%
Tonsil and adenoid removal, child under 12 CPT 42820 PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $296.00 $592.00 $189.36–$473.48 59% below 50%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $296.00 $592.00 $189.36–$473.48 — 50%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $260.50 $521.00 $166.57–$416.49 65% below 50%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $260.50 $521.00 $166.57–$416.49 — 50%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 PR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 $274.00 $548.00 $175.30–$438.33 at median 50%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 PR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 $274.00 $548.00 $175.30–$438.33 — 50%
Total hip replacement CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT $1,423.50 $2,847.00 $829.21–$2,277.79 75% below 50%
Total hip replacement inpatient CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT $1,423.50 $2,847.00 $829.21–$2,277.79 — 50%
Total knee replacement CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS $1,422.00 $2,844.00 $828.14–$2,274.87 75% below 50%
Total knee replacement inpatient CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS $1,422.00 $2,844.00 $828.14–$2,274.87 — 50%
Total shoulder replacement CPT 23472 PR ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER $1,456.00 $2,912.00 $931.66–$2,329.59 55% below 50%
Total shoulder replacement inpatient CPT 23472 PR ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER $1,456.00 $2,912.00 $931.66–$2,329.59 — 50%
Total thyroid removal (thyroidectomy) CPT 60240 PR THYROIDECTOMY TOTAL/COMPLETE $922.00 $1,844.00 $590.01–$1,475.30 63% below 50%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 PR THYROIDECTOMY TOTAL/COMPLETE $922.00 $1,844.00 $590.01–$1,475.30 — 50%
Trigger finger release surgery CPT 26055 Tendon Sheath Incision $293.00 $1,172.00 $234.63–$1,096.99 80% below 75%
Trigger finger release surgery CPT 26055 HB Incise Finger Tendon Sheath $460.25 $1,841.00 $439.24–$1,723.18 69% below 75%
Trigger finger release surgery CPT 26055 PR TENDON SHEATH INCISION $586.00 $1,172.00 $193.83–$532.96 60% below 50%
Trigger finger release surgery inpatient CPT 26055 PR TENDON SHEATH INCISION $586.00 $1,172.00 $193.83–$532.96 — 50%
Trigger point injections, 1 or 2 muscles CPT 20552 PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES $52.50 $105.00 $23.22–$48.76 86% below 50%
Trigger point injections, 1 or 2 muscles CPT 20552 HB Inject Trigger Point, 1 or 2 $80.25 $321.00 $76.59–$300.46 79% below 75%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES $52.50 $105.00 $23.22–$48.76 — 50%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 PR LAPAROSCOPY FULGURATION OVIDUCTS $373.50 $747.00 $238.99–$597.58 62% below 50%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 PR LAPAROSCOPY FULGURATION OVIDUCTS $373.50 $747.00 $238.99–$597.58 — 50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID $479.50 $959.00 $96.49–$435.80 70% below 50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID $479.50 $959.00 $96.49–$435.80 — 50%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM $1,020.00 $2,040.00 $96.92–$913.46 39% below 50%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM $1,020.00 $2,040.00 $96.92–$913.46 — 50%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple $183.75 $735.00 $242.55–$687.96 79% below 75%
Upper endoscopy (EGD) with biopsy CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $367.50 $735.00 $87.33–$334.66 58% below 50%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $367.50 $735.00 $87.33–$334.66 — 50%
Upper endoscopy (EGD) with injection into the lining CPT 43236 PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION $391.00 $782.00 $87.33–$355.29 at median 50%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION $391.00 $782.00 $87.33–$355.29 — 50%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH $481.50 $963.00 $123.54–$440.03 40% below 50%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH $481.50 $963.00 $123.54–$440.03 — 50%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS $404.50 $809.00 $104.80–$369.46 42% below 50%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS $404.50 $809.00 $104.80–$369.46 — 50%
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic $142.25 $569.00 $81.68–$2,754.00 84% below 75%
Upper endoscopy (EGD), diagnostic CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $284.50 $569.00 $77.75–$259.96 67% below 50%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $284.50 $569.00 $77.75–$259.96 — 50%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 PR EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST $384.00 $768.00 $245.80–$614.62 20% below 50%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 PR EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST $384.00 $768.00 $245.80–$614.62 — 50%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 PR CYSTO W/URETEROSCOPY W/LITHOTRIPSY $386.00 $772.00 $247.08–$617.82 50% below 50%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 PR CYSTO W/URETEROSCOPY W/LITHOTRIPSY $386.00 $772.00 $247.08–$617.82 — 50%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB $2,300.00 $4,600.00 $2,335.79–$3,679.92 40% below 50%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB $2,300.00 $4,600.00 $2,335.79–$3,679.92 — 50%
Vaginal delivery, including prenatal and postpartum care CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM $2,190.50 $4,381.00 $2,220.73–$3,504.67 35% below 50%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM $2,190.50 $4,381.00 $2,220.73–$3,504.67 — 50%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 PR VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS $263.00 $526.00 $148.89–$308.06 — 50%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HB Vasectomy Unil or Bilat $589.00 $2,356.00 $562.12–$2,205.22 — 75%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 PR VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS $263.00 $526.00 $148.89–$308.06 — 50%
Vein ablation, radiofrequency, first vein CPT 36475 HB Endovenous Rf 1st Vein $905.00 $3,620.00 $863.70–$3,388.32 57% below 75%
Vein ablation, radiofrequency, first vein CPT 36475 PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN $1,018.50 $2,037.00 $173.81–$926.71 52% below 50%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN $1,018.50 $2,037.00 $173.81–$926.71 — 50%
Wart removal, up to 14 warts CPT 17110 HB Destruct B9 Lesion 1-14 $34.75 $139.00 $11.00–$196.47 81% below 75%
Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up to 14 $44.75 $179.00 $53.31–$167.54 75% below 75%
Wart removal, up to 14 warts CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 $89.50 $179.00 $44.52–$102.71 51% below 50%
Wart removal, up to 14 warts inpatient CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 $89.50 $179.00 $44.52–$102.71 — 50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue 1st 20 Sq Cm/< $64.50 $258.00 $47.93–$241.49 86% below 75%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/< $129.00 $258.00 $38.77–$118.05 72% below 50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB Debridement, Skin, Sub-Q Tissue,= $157.25 $629.00 $150.07–$588.74 65% below 75%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/< $129.00 $258.00 $38.77–$118.05 — 50%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 PR OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION $761.50 $1,523.00 $487.13–$1,218.06 31% below 50%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 PR OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION $761.50 $1,523.00 $487.13–$1,218.06 — 50%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs MichiganOff list
Blood transfusion (giving blood or blood components) CPT 36430 HB Blood Transfusion Service $199.00 $796.00 $189.92–$2,502.64 68% below 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB Inhal Rx, Airway Obst/Dx Sputum Induct $98.75 $395.00 $11.00–$902.88 42% below 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB Airway Inhalation Treatment $98.75 $395.00 $11.00–$902.88 42% below 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB Hi Fi Trach Stm Init $104.25 $417.00 $11.00–$902.88 39% below 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB Hi Fi Trach Stm Sub $104.25 $417.00 $11.00–$902.88 39% below 75%
Chemotherapy IV infusion, first hour CPT 96413 PR CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG $123.00 $246.00 $110.05–$196.53 74% below 50%
Chemotherapy IV infusion, first hour CPT 96413 HB Chemother, IV Infusion, 1 Hr $182.50 $730.00 $52.00–$1,895.40 61% below 75%
Chemotherapy IV infusion, first hour inpatient CPT 96413 PR CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG $123.00 $246.00 $110.05–$196.53 — 50%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 PR OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST $107.50 $215.00 $58.79–$135.83 2% below 50%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 PR OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST $107.50 $215.00 $58.79–$135.83 — 50%
Comprehensive eye exam, returning patient CPT 92014 PR OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST $91.00 $182.00 $47.50–$114.64 17% below 50%
Comprehensive eye exam, returning patient inpatient CPT 92014 PR OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST $91.00 $182.00 $47.50–$114.64 — 50%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 PR COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ $36.50 $73.00 $20.24–$34.02 81% below 50%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 PR COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ $36.50 $73.00 $20.24–$34.02 — 50%
Critical care, first 30 to 74 minutes CPT 99291 PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN $273.50 $547.00 $135.47–$258.61 83% below 50%
Critical care, first 30 to 74 minutes CPT 99291 HB Critical Care, E/M 30-74 Minutes $320.50 $1,282.00 $23.00–$1,982.67 80% below 75%
Critical care, first 30 to 74 minutes inpatient CPT 99291 PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN $273.50 $547.00 $135.47–$258.61 — 50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HB Eeg,W/Awake & Drowsy Record $149.00 $596.00 $142.20–$557.86 78% below 75%
EEG (brain wave test), awake and drowsy, routine CPT 95816 PR ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY $387.00 $774.00 $346.20–$618.88 42% below 50%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 PR ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY $387.00 $774.00 $346.20–$618.88 — 50%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $11.50 $23.00 $13.33–$18.06 46% below 50%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $11.50 $23.00 $13.33–$18.06 — 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB Electrocardiogram, Tracing $32.25 $129.00 $11.00–$741.00 71% below 75%
Electroconvulsive therapy (ECT), one session CPT 90870 PR ELECTROCONVULSIVE THERAPY $171.50 $343.00 $67.72–$159.80 79% below 50%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 PR ELECTROCONVULSIVE THERAPY $171.50 $343.00 $67.72–$159.80 — 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB Emergency Dept Visit,Level I $34.50 $138.00 $32.93–$129.17 74% below 75%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PR EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM $41.50 $83.00 $26.63–$66.58 87% below 50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB Emergency Dept Visit,Level II $45.25 $181.00 $15.00–$169.42 86% below 75%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 PR EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM $41.50 $83.00 $26.63–$66.58 — 50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PR EMERGENCY DEPARTMENT VISIT LOW MDM $70.00 $140.00 $44.94–$112.38 87% below 50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB Emergency Dept Visit,Level III $105.75 $423.00 $12.00–$503.91 80% below 75%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 PR EMERGENCY DEPARTMENT VISIT LOW MDM $70.00 $140.00 $44.94–$112.38 — 50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PR EMERGENCY DEPARTMENT VISIT MODERATE MDM $120.00 $240.00 $76.68–$191.74 87% below 50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB Emergency Dept Visit,Level IV $214.75 $859.00 $11.00–$1,407.78 76% below 75%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 PR EMERGENCY DEPARTMENT VISIT MODERATE MDM $120.00 $240.00 $76.68–$191.74 — 50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PR EMERGENCY DEPARTMENT VISIT HIGH MDM $174.00 $348.00 $111.19–$278.02 86% below 50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB Emergency Dept Visit,Level V $251.00 $1,004.00 $13.00–$1,551.72 80% below 75%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PR EMERGENCY DEPARTMENT VISIT HIGH MDM $174.00 $348.00 $111.19–$278.02 — 50%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB Cardiac Stress Tst,Tracing Only $160.75 $643.00 $82.00–$643.00 79% below 75%
Eye exam, returning patient, intermediate CPT 92012 PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE EST PT $64.00 $128.00 $31.52–$80.70 43% below 50%
Eye exam, returning patient, intermediate inpatient CPT 92012 PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE EST PT $64.00 $128.00 $31.52–$80.70 — 50%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $41.75 $167.00 $57.87–$156.31 67% below 75%
Family therapy with the patient, 50 minutes CPT 90847 HB Family Psychotherapy W Phys $74.25 $297.00 $98.01–$277.99 42% below 75%
Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $83.50 $167.00 $68.96–$102.10 35% below 50%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $83.50 $167.00 $68.96–$102.10 — 50%
Family therapy without the patient, 50 minutes CPT 90846 HB Family Psychotherapy,No Pt $74.25 $297.00 $70.86–$277.99 40% below 75%
Family therapy without the patient, 50 minutes CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $101.50 $203.00 $97.96 18% below 50%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $101.50 $203.00 $97.96 — 50%
Group psychotherapy session CPT 90853 PR GROUP PSYCHOTHERAPY $23.00 $46.00 $16.35–$27.68 61% below 50%
Group psychotherapy session CPT 90853 HB Group Psychotherapy $41.50 $166.00 $54.78–$155.38 29% below 75%
Group psychotherapy session inpatient CPT 90853 PR GROUP PSYCHOTHERAPY $23.00 $46.00 $16.35–$27.68 — 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB IV Infusion, Hydration, 31-60 Min $51.25 $205.00 $48.91–$328.86 80% below 75%
IV infusion of a medicine, first hour CPT 96365 PR IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR $59.50 $119.00 $53.69–$95.34 80% below 50%
IV infusion of a medicine, first hour CPT 96365 HB IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour $79.25 $317.00 $11.00–$915.00 73% below 75%
IV infusion of a medicine, first hour inpatient CPT 96365 PR IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR $59.50 $119.00 $53.69–$95.34 — 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB Therapeutic Inj Sub Im $19.00 $76.00 $13.00–$192.00 79% below 75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB Injection,Therap/Proph/Diagnost, Im or Subcut $19.00 $76.00 $13.00–$192.00 79% below 75%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation $67.75 $271.00 $93.90–$253.66 70% below 75%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Psychiatric Diagnostic Interview $74.25 $297.00 $98.01–$277.99 67% below 75%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION $135.50 $271.00 $142.15–$163.96 39% below 50%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION $135.50 $271.00 $142.15–$163.96 — 50%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB Nrv Cndj Test 7-8 Studies $100.50 $402.00 $35.00–$376.27 78% below 75%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 PR NERVE CONDUCTION STUDIES 7-8 STUDIES $173.00 $346.00 $159.37–$276.42 63% below 50%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 PR NERVE CONDUCTION STUDIES 7-8 STUDIES $173.00 $346.00 $159.37–$276.42 — 50%
Neuromuscular re-education, 15 minutes CPT 97112 PR THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA $22.00 $44.00 $30.70–$35.34 72% below 50%
Neuromuscular re-education, 15 minutes CPT 97112 HB Neuromusc Reeducat,1+ Areas, Ea 15 Min $43.00 $172.00 $22.26–$881.00 46% below 75%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PR THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA $22.00 $44.00 $30.70–$35.34 — 50%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $47.00 $188.00 $55.10–$175.97 57% below 75%
New patient office visit, about 30 minutes CPT 99203 HB Office/Outpt Visit,New,Levl III $86.50 $346.00 $82.55–$323.86 21% below 75%
New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $94.00 $188.00 $52.19–$105.27 15% below 50%
New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $94.00 $188.00 $52.19–$105.27 — 50%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $71.75 $287.00 $89.60–$268.63 39% below 75%
New patient office visit, about 45 minutes CPT 99204 HB Office/Outpatient Visit New Level IV $99.50 $398.00 $94.96–$372.53 16% below 75%
New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $143.50 $287.00 $84.99–$158.33 21% above 50%
New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $143.50 $287.00 $84.99–$158.33 — 50%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes $90.75 $363.00 $121.94–$339.77 38% below 75%
New patient office visit, about 60 minutes CPT 99205 HB Office/Outpatient Visit New Level V $114.75 $459.00 $109.51–$429.62 22% below 75%
New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES $181.50 $363.00 $115.66–$209.51 23% above 50%
New patient office visit, about 60 minutes inpatient CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES $181.50 $363.00 $115.66–$209.51 — 50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient New Sf Mdm 15 Minutes $33.25 $133.00 $31.39–$124.49 53% below 75%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES $66.50 $133.00 $29.82–$66.92 7% below 50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB Office/Outpatient Visit New Level II $75.50 $302.00 $72.05–$282.67 6% above 75%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES $66.50 $133.00 $29.82–$66.92 — 50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB Med Nutr Ther, 1st, Indiv, Ea 15 Min $16.75 $67.00 $15.99–$137.00 60% below 75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 PR MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI $36.50 $73.00 $34.02 13% below 50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 PR MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI $36.50 $73.00 $34.02 — 50%
Occupational therapy evaluation, low complexity CPT 97165 HB Ot Eval Low Complex 30 Min $58.25 $233.00 $68.26–$218.09 71% below 75%
Occupational therapy evaluation, low complexity CPT 97165 PR OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $62.50 $125.00 $96.42–$99.66 68% below 50%
Occupational therapy evaluation, low complexity inpatient CPT 97165 PR OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $62.50 $125.00 $96.42–$99.66 — 50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB Pt Eval High Complex 45 Min $71.75 $287.00 $66.53–$268.63 67% below 75%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB Pt Eval Low Complex 20 Min $71.75 $287.00 $66.53–$268.63 63% below 75%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB Pt Eval Mod Complex 30 Min $71.75 $287.00 $66.53–$268.63 68% below 75%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PR MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES $18.50 $37.00 $26.08–$29.99 77% below 50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB Manual Ther Tech,1+Regions,Ea 15 Min $43.00 $172.00 $18.87–$2,924.00 47% below 75%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PR MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES $18.50 $37.00 $26.08–$29.99 — 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES $20.00 $40.00 $27.61–$31.77 73% below 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB Therapeutic Exercises $37.75 $151.00 $19.78–$11,141.00 50% below 75%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES $20.00 $40.00 $27.61–$31.77 — 50%
Preventive checkup, new patient aged 18–39 CPT 99385 HB Prev Visit New Age 18-39 $37.25 $149.00 $35.55–$139.46 68% below 75%
Preventive checkup, new patient aged 18–39 CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $121.00 $242.00 $69.00 5% above 50%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $121.00 $242.00 $69.00 — 50%
Preventive checkup, new patient aged 40–64 CPT 99386 HB Prev Visit New Age 40-64 $37.25 $149.00 $35.55–$139.46 78% below 75%
Preventive checkup, new patient aged 40–64 CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $139.50 $279.00 $84.51 16% below 50%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $139.50 $279.00 $84.51 — 50%
Preventive checkup, new patient aged 65 or older CPT 99387 HB Init Pm E/M New Pat 65+ Yrs $37.25 $149.00 $35.55–$139.46 83% below 75%
Preventive checkup, new patient aged 65 or older CPT 99387 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> $151.50 $303.00 $92.42 31% below 50%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> $151.50 $303.00 $92.42 — 50%
Preventive checkup, returning patient aged 18–39 CPT 99395 HB Prev Visit Est Age 18-39 $37.25 $149.00 $35.55–$139.46 68% below 75%
Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic Preventive Med Est Patient 18-39 Yrs $54.75 $219.00 $69.07–$204.98 53% below 75%
Preventive checkup, returning patient aged 18–39 CPT 99395 PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS $109.50 $219.00 $61.08 6% below 50%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS $109.50 $219.00 $61.08 — 50%
Preventive checkup, returning patient aged 40–64 CPT 99396 HB Prev Visit Est Age 40-64 $37.25 $149.00 $35.55–$139.46 73% below 75%
Preventive checkup, returning patient aged 40–64 CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS $116.00 $232.00 $69.00 14% below 50%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS $116.00 $232.00 $69.00 — 50%
Preventive checkup, returning patient aged 65 or older CPT 99397 HB per Pm Reeval Est Pat 65+ Yr $37.25 $149.00 $35.55–$139.46 80% below 75%
Preventive checkup, returning patient aged 65 or older CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER $125.50 $251.00 $76.91 34% below 50%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER $125.50 $251.00 $76.91 — 50%
Psychiatric evaluation with medical services CPT 90792 HB Psych Diag Eval W/Med Srvcs $46.25 $185.00 $61.05–$173.16 70% below 75%
Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Eval W/Medical Services $76.25 $305.00 $105.68–$285.48 51% below 75%
Psychiatric evaluation with medical services CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES $152.50 $305.00 $162.44–$184.54 2% below 50%
Psychiatric evaluation with medical services inpatient CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES $152.50 $305.00 $162.44–$184.54 — 50%
Psychotherapy for crisis, first 60 minutes CPT 90839 HB Psytx Crisis Initial 60 Min $74.25 $297.00 $98.01–$277.99 33% below 75%
Psychotherapy for crisis, first 60 minutes CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES $120.50 $241.00 $87.70–$145.98 9% above 50%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES $120.50 $241.00 $87.70–$145.98 — 50%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes $32.00 $128.00 $44.35–$235.22 77% below 75%
Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES $64.00 $128.00 $46.37–$77.59 55% below 50%
Psychotherapy session, 30 minutes CPT 90832 HB Psychotherpy, Office (20-30) $74.25 $297.00 $16.00–$277.99 48% below 75%
Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES $64.00 $128.00 $46.37–$77.59 — 50%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes $42.25 $169.00 $22.00–$235.22 72% below 75%
Psychotherapy session, 45 minutes CPT 90834 HB Psychotherpy, Office (45-50) $74.25 $297.00 $22.00–$277.99 52% below 75%
Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES $84.50 $169.00 $61.15–$102.36 45% below 50%
Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES $84.50 $169.00 $61.15–$102.36 — 50%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes $62.50 $250.00 $70.00–$235.22 71% below 75%
Psychotherapy session, 60 minutes CPT 90837 HB Psychotherpy, Office (75-80) $74.25 $297.00 $19.00–$477.57 65% below 75%
Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES $125.00 $250.00 $90.56–$151.69 41% below 50%
Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES $125.00 $250.00 $90.56–$151.69 — 50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes $5.25 $21.00 $7.28–$28.90 84% below 75%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB Tobacco Use Cessation Intermediate 3-10 Minutes $8.75 $35.00 $8.35–$32.76 73% below 75%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES $10.50 $21.00 $7.46–$13.53 67% below 50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES $10.50 $21.00 $7.46–$13.53 — 50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Established High Mdm 40 Min $67.50 $270.00 $93.56–$252.72 43% below 75%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB Office/Outpt Visit,Est,Levl V $89.75 $359.00 $85.65–$336.02 24% below 75%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN $135.00 $270.00 $91.38–$169.85 14% above 50%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN $135.00 $270.00 $91.38–$169.85 — 50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Established Low Mdm 20 Min $34.25 $137.00 $44.16–$128.23 59% below 75%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB Office/Outpt Visit,Est,Levl III $51.50 $206.00 $49.15–$192.82 38% below 75%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $68.50 $137.00 $41.96–$85.63 18% below 50%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $68.50 $137.00 $41.96–$85.63 — 50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Established Mod Mdm 30 Min $49.75 $199.00 $65.04–$186.26 57% below 75%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB Office/Outpt Visit,Est,Levl IV $70.75 $283.00 $67.52–$264.89 39% below 75%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $99.50 $199.00 $61.77–$120.84 15% below 50%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $99.50 $199.00 $61.77–$120.84 — 50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Established Sf Mdm 10 Min $21.75 $87.00 $23.53–$81.43 51% below 75%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB Visit Infusion Center $30.25 $121.00 $28.87–$113.26 32% below 75%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB Office/Outpt Visit,Est,Levl II $38.50 $154.00 $36.74–$144.14 13% below 75%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN $43.50 $87.00 $22.37–$52.53 2% below 50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN $43.50 $87.00 $22.37–$52.53 — 50%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HB Office Consultation $37.25 $149.00 $35.55–$139.46 73% below 75%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $112.50 $225.00 $56.02 17% below 50%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $112.50 $225.00 $56.02 — 50%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HB Office Consultation $37.25 $149.00 $35.55–$139.46 80% below 75%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $160.00 $320.00 $84.99 16% below 50%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $160.00 $320.00 $84.99 — 50%
Speech and language evaluation CPT 92523 HB Speech Sound Lang Comprehen $133.75 $535.00 $22.00–$500.76 61% below 75%
Speech therapy session, individual CPT 92507 HB Speech/Hearing Therapy, Individual $95.50 $382.00 $60.78–$357.55 54% below 75%
Spirometry (breathing test) CPT 94010 PR SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ $27.50 $55.00 $24.82–$43.67 84% below 50%
Spirometry (breathing test) CPT 94010 HB Spirometry $71.50 $286.00 $68.24–$267.70 59% below 75%
Spirometry (breathing test) inpatient CPT 94010 PR SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ $27.50 $55.00 $24.82–$43.67 — 50%
Spirometry before and after a bronchodilator CPT 94060 HB Eval of Bronchospasm $127.25 $509.00 $17.00–$476.42 67% below 75%
Therapeutic activities (functional training), 15 minutes CPT 97530 PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN $24.00 $48.00 $32.88–$38.20 69% below 50%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB Therapeutic Activities $37.75 $151.00 $23.65–$141.34 51% below 75%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN $24.00 $48.00 $32.88–$38.20 — 50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB Phlebotomy Therapeutic $45.25 $181.00 $26.00–$169.42 78% below 75%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PR PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE $89.50 $179.00 $79.61–$143.27 57% below 50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PR PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE $89.50 $179.00 $79.61–$143.27 — 50%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 PR CV STRS TST XERS&/OR RX CONT ECG W/SI&R $73.00 $146.00 $67.03–$116.64 33% below 50%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 PR CV STRS TST XERS&/OR RX CONT ECG W/SI&R $73.00 $146.00 $67.03–$116.64 — 50%
Visual field test, extended both sides CPT 92083 PR EXTENDED VISUAL FIELD XM UNI/BI I&R $63.00 $126.00 $57.30–$100.66 — 50%
Visual field test, extended inpatient both sides CPT 92083 PR EXTENDED VISUAL FIELD XM UNI/BI I&R $63.00 $126.00 $57.30–$100.66 — 50%

Vaccines

ProcedureCash price List priceInsurers payvs MichiganOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Iiv Adjuvanted Vaccine for Intramuscular Use $22.50 $90.00 $16.09–$107.98 52% below 75%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $45.00 $90.00 $72.06 4% below 50%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY $49.97 $199.88 $29.70–$187.09 7% above 75%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $45.00 $90.00 $72.06 — 50%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HB Sarscov2 Vac 50 Mcg/0.5ml Im $43.00 $172.00 $56.76–$177.82 84% below 75%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 PR SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE $87.00 $174.00 $139.53 68% below 50%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 PR SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE $87.00 $174.00 $139.53 — 50%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HB Sarscv2 Vac 30mcg Trs-Suc Im $39.75 $159.00 $26.00–$242.69 80% below 75%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vacc 30mcg/0.3ml Tris-Sucrose Im Use $42.00 $168.00 $26.00–$242.69 79% below 75%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 PR SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE $84.00 $168.00 $134.56 58% below 50%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 PR SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE $84.00 $168.00 $134.56 — 50%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 PR VAR VACCINE LIVE FOR SUBCUTANEOUS USE $112.50 $225.00 $179.94 44% below 50%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR $185.71 $742.84 $193.19–$695.30 8% below 75%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 PR VAR VACCINE LIVE FOR SUBCUTANEOUS USE $112.50 $225.00 $179.94 — 50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use $6.50 $26.00 $4.75–$25.54 73% below 75%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $13.00 $26.00 $21.12 47% below 50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY $13.53 $54.12 $7.56–$50.66 45% below 75%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE $13.00 $26.00 $21.12 — 50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv Vacc 2/3 Dose Sched Im Use $94.50 $378.00 $124.74–$357.80 68% below 75%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 PR 9VHPV VACC 2/3 DOSE SCHED IM USE $189.00 $378.00 $302.56 37% below 50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY $322.74 $1,290.97 $325.27–$1,208.35 8% above 75%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 PR 9VHPV VACC 2/3 DOSE SCHED IM USE $189.00 $378.00 $302.56 — 50%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 PR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM $81.50 $163.00 $130.06 51% below 50%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 PR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM $81.50 $163.00 $130.06 — 50%
Hepatitis A vaccine, adult dose CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use $26.50 $106.00 $34.98–$99.22 76% below 75%
Hepatitis A vaccine, adult dose CPT 90632 PR HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE $53.00 $106.00 $84.64 51% below 50%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY $66.74 $266.96 $88.10–$249.87 39% below 75%
Hepatitis A vaccine, adult dose inpatient CPT 90632 PR HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE $53.00 $106.00 $84.64 — 50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY WRAPPER PYXIS ID 2637 $19.16 $76.65 $25.29–$77.42 75% below 75%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use $22.25 $89.00 $14.00–$83.30 71% below 75%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY $43.72 $174.88 $29.16–$163.69 43% below 75%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE $44.50 $89.00 $70.96 42% below 50%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE $44.50 $89.00 $70.96 — 50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv Vaccine Preserv Free Increased Ag Content Im $22.50 $90.00 $29.70–$107.98 67% below 75%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM $45.00 $90.00 $72.06 33% below 50%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM $45.00 $90.00 $72.06 — 50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles Mumps Rubella Virus Vaccine Live Subq $29.25 $117.00 $38.61–$109.51 77% below 75%
MMR vaccine (measles, mumps and rubella), live CPT 90707 PR MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ $58.50 $117.00 $93.30 55% below 50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC SC SUSR $79.59 $318.36 $75.96–$297.98 39% below 75%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR $89.14 $356.55 $85.07–$333.73 31% below 75%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 PR MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ $58.50 $117.00 $93.30 — 50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE $102.50 $205.00 $163.95 43% below 50%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE $102.50 $205.00 $163.95 — 50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY $74.48 $297.92 $98.31–$278.85 75% below 75%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 PR MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM $146.00 $292.00 $233.20 51% below 50%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 PR MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM $146.00 $292.00 $233.20 — 50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine for Intramuscular Use $160.75 $643.00 $15.00–$601.85 58% below 75%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY $264.65 $1,058.58 $134.28–$990.83 31% below 75%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PR PCV20 VACCINE FOR INTRAMUSCULAR USE $321.50 $643.00 $514.58 16% below 50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PR PCV20 VACCINE FOR INTRAMUSCULAR USE $321.50 $643.00 $514.58 — 50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE $144.00 $288.00 $230.41 at median 50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE $144.00 $288.00 $230.41 — 50%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 PR RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE $342.00 $684.00 $547.23 54% below 50%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 PR RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE $342.00 $684.00 $547.23 — 50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $203.00 $406.00 $325.00 59% below 50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE $203.00 $406.00 $325.00 — 50%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE $181.00 $362.00 $289.29 64% below 50%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 PR RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE $181.00 $362.00 $289.29 — 50%
Rabies vaccine, one dose CPT 90675 PR RABIES VACCINE INTRAMUSCULAR $277.50 $555.00 $443.93 46% below 50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR $317.81 $1,271.25 $303.31–$1,189.89 38% below 75%
Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR $412.68 $1,650.71 $393.84–$1,545.06 20% below 75%
Rabies vaccine, one dose inpatient CPT 90675 PR RABIES VACCINE INTRAMUSCULAR $277.50 $555.00 $443.93 — 50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Use $66.25 $265.00 $87.45–$248.04 70% below 75%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE $132.50 $265.00 $212.06 41% below 50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR $411.00 $1,643.99 $542.52–$1,538.77 84% above 75%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE $132.50 $265.00 $212.06 — 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE $24.50 $49.00 $39.41 53% below 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP $37.78 $151.12 $36.06–$141.45 27% below 75%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE $24.50 $49.00 $39.41 — 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 7 Yrs/> Im $15.00 $60.00 $14.32–$56.16 77% below 75%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PR TDAP VACCINE 7 YRS/> IM $30.00 $60.00 $48.04 54% below 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY $33.15 $132.60 $31.64–$124.11 49% below 75%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM WRAPPER PYXIS ID 9336 $33.15 $132.60 $31.64–$124.11 49% below 75%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PR TDAP VACCINE 7 YRS/> IM $30.00 $60.00 $48.04 — 50%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 PR TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM $90.00 $180.00 $144.22 42% below 50%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 PR TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM $90.00 $180.00 $144.22 — 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Im Adm Prq ID Subq/Im Njxs 1 Vaccine $11.50 $46.00 $15.18–$81.00 50% below 75%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB Immuniz Admin,1 Single/Comb Vac/Toxoid $12.25 $49.00 $16.13–$81.00 47% below 75%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE $23.00 $46.00 $18.84–$28.95 at median 50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE $23.00 $46.00 $18.84–$28.95 — 50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB Immuniz,Admin,Each Addl $7.00 $28.00 $6.68–$26.21 64% below 75%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Im Adm Prq ID Subq/Im Njxs Ea Vaccine $7.50 $30.00 $7.16–$28.08 62% below 75%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PR IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE $15.00 $30.00 $13.48–$18.48 23% below 50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 PR IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE $15.00 $30.00 $13.48–$18.48 — 50%

Source file: https://www.uofmhealthsparrow.org/sites/default/files/2026-03/um-health-sparrow-eaton-machine-readable-file-03-31-2026.csv