Hospital Minneapolis-St. Paul-Bloomington, MN-WI

Maple Grove Hospital

Listed in its price file as “Maple Grove Hospital Corporation”.

Maple Grove Hospital in Maple Grove, MN publishes cash prices for 389 common procedures listed here, from its own machine-readable price file updated Sep 25, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Minnesota median for 300 of 389 procedures and above it for 85. By typical cash price it ranks #25 of 85 Minnesota hospitals and #17 of 23 hospitals in the Minneapolis, MN area, cheapest first. Select a procedure to compare it with other hospitals nearby.

9875 Hospital Drive Maple Grove, MN 55369 Collected Oct 25, 2026 Source price file Check a bill from this hospital (763) 581-1000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 240214 · CMS hospital register NPI 1225272552

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

Minnesota law (Minn. Stat. §144.589): a hospital may not charge an uninsured patient whose household income is under $125,000 more than the lowest amount it would be paid for the same service by a private insurer, counting the insured patient's share. If the cash price below is higher, ask the billing office to apply this limit. Each hospital's page here shows the range of insurer rates in its own file (the "Insurers pay" column), a starting point when you ask. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Abdominal CT scan without and with contrast CPT 74170 CT scan abdomen before and after contrast	$649.26	$1,232.00	$123.55–$1,432.00	63% below	47%
Abdominal CT scan without and with contrast CPT 74170 CT scan abdomen before and after contrast	$649.26	$1,232.00	$123.55–$1,432.00	63% below	47%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT scan abdomen before and after contrast	$649.26	$1,232.00	$123.55–$1,432.00	—	47%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT scan abdomen before and after contrast	$649.26	$1,232.00	$123.55–$1,432.00	—	47%
Abdominal X-ray, 2 views CPT 74019 X-ray of abdomen, 2 views	$138.07	$262.00	$73.93–$892.00	50% below	47%
Abdominal X-ray, 2 views CPT 74019 X-ray of abdomen, 2 views	$138.07	$262.00	$73.93–$892.00	50% below	47%
Abdominal X-ray, 2 views inpatient CPT 74019 X-ray of abdomen, 2 views	$138.07	$262.00	$73.93–$892.00	—	47%
Abdominal X-ray, 2 views inpatient CPT 74019 X-ray of abdomen, 2 views	$138.07	$262.00	$73.93–$892.00	—	47%
Ankle X-ray, complete, 3 or more views CPT 73610 X-Ray, ankle; minimum of 3 views	$154.94	$294.00	$61.10–$892.00	33% below	47%
Ankle X-ray, complete, 3 or more views CPT 73610 X-Ray, ankle; minimum of 3 views	$154.94	$294.00	$61.10–$892.00	33% below	47%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-Ray, ankle; minimum of 3 views	$154.94	$294.00	$61.10–$892.00	—	47%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-Ray, ankle; minimum of 3 views	$154.94	$294.00	$61.10–$892.00	—	47%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound study of arm and leg arteries	$240.31	$456.00	$85.90–$364.80	31% below	47%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound study of arm and leg arteries	$240.31	$456.00	$85.90–$364.80	31% below	47%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Ultrasound study of arm and leg arteries	$240.31	$456.00	$85.90–$364.80	—	47%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Ultrasound study of arm and leg arteries	$240.31	$456.00	$85.90–$364.80	—	47%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT scan of arm	$555.98	$1,055.00	$73.93–$1,432.00	56% below	47%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT scan of arm	$555.98	$1,055.00	$73.93–$1,432.00	56% below	47%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT scan of arm	$555.98	$1,055.00	$73.93–$1,432.00	—	47%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT scan of arm	$555.98	$1,055.00	$73.93–$1,432.00	—	47%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray of esophagus	$259.81	$493.00	$123.55–$892.00	16% below	47%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray of esophagus	$259.81	$493.00	$123.55–$892.00	16% below	47%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-ray of esophagus	$259.81	$493.00	$123.55–$892.00	—	47%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-ray of esophagus	$259.81	$493.00	$123.55–$892.00	—	47%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body	$583.39	$1,107.00	$277.35–$1,873.00	52% below	47%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body	$583.39	$1,107.00	$277.35–$1,873.00	52% below	47%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone and/or joint imaging; whole body	$583.39	$1,107.00	$277.35–$1,873.00	—	47%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone and/or joint imaging; whole body	$583.39	$1,107.00	$277.35–$1,873.00	—	47%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound of one breast	$244.00	$463.00	$84.67–$370.40	39% below	47%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound of one breast	$244.00	$463.00	$84.67–$370.40	39% below	47%
Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound of one breast	$244.00	$463.00	$84.67–$370.40	—	47%
Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound of one breast	$244.00	$463.00	$84.67–$370.40	—	47%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound of one breast	$181.29	$344.00	$69.98–$275.20	42% below	47%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound of one breast	$181.29	$344.00	$69.98–$275.20	42% below	47%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound of one breast	$181.29	$344.00	$69.98–$275.20	—	47%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound of one breast	$181.29	$344.00	$69.98–$275.20	—	47%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT scan of abdominal and pelvic blood vessels with contrast	$656.11	$1,245.00	$258.61–$1,432.00	74% below	47%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT scan of abdominal and pelvic blood vessels with contrast	$656.11	$1,245.00	$258.61–$1,432.00	74% below	47%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT scan of abdominal and pelvic blood vessels with contrast	$656.11	$1,245.00	$258.61–$1,432.00	—	47%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT scan of abdominal and pelvic blood vessels with contrast	$656.11	$1,245.00	$258.61–$1,432.00	—	47%
CT angiography (CTA) of the head CPT 70496 CT scan of blood vessel of head with contrast	$668.76	$1,269.00	$123.55–$1,432.00	63% below	47%
CT angiography (CTA) of the head CPT 70496 CT scan of blood vessel of head with contrast	$668.76	$1,269.00	$123.55–$1,432.00	63% below	47%
CT angiography (CTA) of the head inpatient CPT 70496 CT scan of blood vessel of head with contrast	$668.76	$1,269.00	$123.55–$1,432.00	—	47%
CT angiography (CTA) of the head inpatient CPT 70496 CT scan of blood vessel of head with contrast	$668.76	$1,269.00	$123.55–$1,432.00	—	47%
CT angiography (CTA) of the neck CPT 70498 CT scan of neck blood vessels with contrast	$727.26	$1,380.00	$123.55–$1,432.00	59% below	47%
CT angiography (CTA) of the neck CPT 70498 CT scan of neck blood vessels with contrast	$727.26	$1,380.00	$123.55–$1,432.00	59% below	47%
CT angiography (CTA) of the neck inpatient CPT 70498 CT scan of neck blood vessels with contrast	$727.26	$1,380.00	$123.55–$1,432.00	—	47%
CT angiography (CTA) of the neck inpatient CPT 70498 CT scan of neck blood vessels with contrast	$727.26	$1,380.00	$123.55–$1,432.00	—	47%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels in chest with contrast	$727.26	$1,380.00	$123.55–$1,432.00	60% below	47%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels in chest with contrast	$727.26	$1,380.00	$123.55–$1,432.00	60% below	47%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT scan of blood vessels in chest with contrast	$727.26	$1,380.00	$123.55–$1,432.00	—	47%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT scan of blood vessels in chest with contrast	$727.26	$1,380.00	$123.55–$1,432.00	—	47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT scan of heart blood vessels and grafts with contrast dye	$656.11	$1,245.00	$123.55–$1,432.00	48% below	47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT scan of heart blood vessels and grafts with contrast dye	$656.11	$1,245.00	$123.55–$1,432.00	48% below	47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT scan of heart blood vessels and grafts with contrast dye	$656.11	$1,245.00	$123.55–$1,432.00	—	47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT scan of heart blood vessels and grafts with contrast dye	$656.11	$1,245.00	$123.55–$1,432.00	—	47%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT scan of heart with evaluation of blood vessel calcium	$52.17	$99.00	$61.10–$1,432.00	53% below	47%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT scan of heart with evaluation of blood vessel calcium	$52.17	$99.00	$61.10–$1,432.00	53% below	47%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT scan of heart with evaluation of blood vessel calcium	$52.17	$99.00	$61.10–$1,432.00	—	47%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT scan of heart with evaluation of blood vessel calcium	$52.17	$99.00	$61.10–$1,432.00	—	47%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis	$488.53	$927.00	$164.77–$1,432.00	76% below	47%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis	$488.53	$927.00	$164.77–$1,432.00	76% below	47%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT scan of abdomen and pelvis	$488.53	$927.00	$164.77–$1,432.00	—	47%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT scan of abdomen and pelvis	$488.53	$927.00	$164.77–$1,432.00	—	47%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast	$706.71	$1,341.00	$258.61–$1,432.00	72% below	47%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast	$706.71	$1,341.00	$258.61–$1,432.00	72% below	47%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT scan of abdomen and pelvis with contrast	$706.71	$1,341.00	$258.61–$1,432.00	—	47%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT scan of abdomen and pelvis with contrast	$706.71	$1,341.00	$258.61–$1,432.00	—	47%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast	$649.26	$1,232.00	$258.61–$1,432.00	76% below	47%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast	$649.26	$1,232.00	$258.61–$1,432.00	76% below	47%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT scan of abdomen and pelvis before and after contrast	$649.26	$1,232.00	$258.61–$1,432.00	—	47%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT scan of abdomen and pelvis before and after contrast	$649.26	$1,232.00	$258.61–$1,432.00	—	47%
CT scan of the abdomen with contrast CPT 74160 CT scan abdomen with contrast	$680.88	$1,292.00	$141.48–$1,432.00	51% below	47%
CT scan of the abdomen with contrast CPT 74160 CT scan abdomen with contrast	$680.88	$1,292.00	$141.48–$1,432.00	51% below	47%
CT scan of the abdomen with contrast inpatient CPT 74160 CT scan abdomen with contrast	$680.88	$1,292.00	$141.48–$1,432.00	—	47%
CT scan of the abdomen with contrast inpatient CPT 74160 CT scan abdomen with contrast	$680.88	$1,292.00	$141.48–$1,432.00	—	47%
CT scan of the abdomen without contrast CPT 74150 CT scan abdomen	$483.26	$917.00	$73.93–$1,432.00	59% below	47%
CT scan of the abdomen without contrast CPT 74150 CT scan abdomen	$483.26	$917.00	$73.93–$1,432.00	59% below	47%
CT scan of the abdomen without contrast inpatient CPT 74150 CT scan abdomen	$483.26	$917.00	$73.93–$1,432.00	—	47%
CT scan of the abdomen without contrast inpatient CPT 74150 CT scan abdomen	$483.26	$917.00	$73.93–$1,432.00	—	47%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face	$564.94	$1,072.00	$73.93–$1,432.00	55% below	47%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face	$564.94	$1,072.00	$73.93–$1,432.00	55% below	47%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT scan of face	$564.94	$1,072.00	$73.93–$1,432.00	—	47%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT scan of face	$564.94	$1,072.00	$73.93–$1,432.00	—	47%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain	$549.13	$1,042.00	$73.93–$1,432.00	56% below	47%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain	$549.13	$1,042.00	$73.93–$1,432.00	56% below	47%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT scan head or brain	$549.13	$1,042.00	$73.93–$1,432.00	—	47%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT scan head or brain	$549.13	$1,042.00	$73.93–$1,432.00	—	47%
CT scan of the head with contrast CPT 70460 Computed tomography imaging (CT), head or brain	$662.97	$1,258.00	$123.55–$1,432.00	49% below	47%
CT scan of the head with contrast CPT 70460 Computed tomography imaging (CT), head or brain	$662.97	$1,258.00	$123.55–$1,432.00	49% below	47%
CT scan of the head with contrast inpatient CPT 70460 Computed tomography imaging (CT), head or brain	$662.97	$1,258.00	$123.55–$1,432.00	—	47%
CT scan of the head with contrast inpatient CPT 70460 Computed tomography imaging (CT), head or brain	$662.97	$1,258.00	$123.55–$1,432.00	—	47%
CT scan of the head without and with contrast CPT 70470 CT scan head or brain before and after contrast	$656.11	$1,245.00	$123.55–$1,432.00	59% below	47%
CT scan of the head without and with contrast CPT 70470 CT scan head or brain before and after contrast	$656.11	$1,245.00	$123.55–$1,432.00	59% below	47%
CT scan of the head without and with contrast inpatient CPT 70470 CT scan head or brain before and after contrast	$656.11	$1,245.00	$123.55–$1,432.00	—	47%
CT scan of the head without and with contrast inpatient CPT 70470 CT scan head or brain before and after contrast	$656.11	$1,245.00	$123.55–$1,432.00	—	47%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine	$498.01	$945.00	$73.93–$1,432.00	63% below	47%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine	$498.01	$945.00	$73.93–$1,432.00	63% below	47%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT scan of lower spine	$498.01	$945.00	$73.93–$1,432.00	—	47%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT scan of lower spine	$498.01	$945.00	$73.93–$1,432.00	—	47%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine	$555.98	$1,055.00	$73.93–$1,432.00	61% below	47%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine	$555.98	$1,055.00	$73.93–$1,432.00	61% below	47%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT scan of upper spine	$555.98	$1,055.00	$73.93–$1,432.00	—	47%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT scan of upper spine	$555.98	$1,055.00	$73.93–$1,432.00	—	47%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan pelvis with contrast	$680.88	$1,292.00	$123.55–$1,432.00	52% below	47%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan pelvis with contrast	$680.88	$1,292.00	$123.55–$1,432.00	52% below	47%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT scan pelvis with contrast	$680.88	$1,292.00	$123.55–$1,432.00	—	47%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT scan pelvis with contrast	$680.88	$1,292.00	$123.55–$1,432.00	—	47%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck	$345.18	$655.00	$164.77–$524.00	58% below	47%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck	$345.18	$655.00	$164.77–$596.38	58% below	47%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck	$345.18	$655.00	$164.77–$524.00	—	47%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck	$345.18	$655.00	$164.77–$596.38	—	47%
Chest CT scan without and with contrast CPT 71270 CT scan chest before and after contrast	$727.26	$1,380.00	$123.55–$1,432.00	54% below	47%
Chest CT scan without and with contrast CPT 71270 CT scan chest before and after contrast	$727.26	$1,380.00	$123.55–$1,432.00	54% below	47%
Chest CT scan without and with contrast inpatient CPT 71270 CT scan chest before and after contrast	$727.26	$1,380.00	$123.55–$1,432.00	—	47%
Chest CT scan without and with contrast inpatient CPT 71270 CT scan chest before and after contrast	$727.26	$1,380.00	$123.55–$1,432.00	—	47%
Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views	$142.82	$271.00	$61.10–$892.00	37% below	47%
Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views	$142.82	$271.00	$61.10–$892.00	37% below	47%
Chest X-ray, 2 views inpatient CPT 71046 X-ray of chest, 2 views	$142.82	$271.00	$61.10–$892.00	—	47%
Chest X-ray, 2 views inpatient CPT 71046 X-ray of chest, 2 views	$142.82	$271.00	$61.10–$892.00	—	47%
Chest X-ray, single view CPT 71045 X-ray of chest, 1 view	$148.61	$282.00	$61.10–$892.00	26% below	47%
Chest X-ray, single view CPT 71045 X-ray of chest, 1 view	$148.61	$282.00	$61.10–$892.00	26% below	47%
Chest X-ray, single view inpatient CPT 71045 X-ray of chest, 1 view	$148.61	$282.00	$61.10–$892.00	—	47%
Chest X-ray, single view inpatient CPT 71045 X-ray of chest, 1 view	$148.61	$282.00	$61.10–$892.00	—	47%
Collarbone (clavicle) X-ray, complete CPT 73000 X-Ray; collar bone	$177.60	$337.00	$69.98–$892.00	11% below	47%
Collarbone (clavicle) X-ray, complete CPT 73000 X-Ray; collar bone	$177.60	$337.00	$69.98–$892.00	11% below	47%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-Ray; collar bone	$177.60	$337.00	$69.98–$892.00	—	47%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-Ray; collar bone	$177.60	$337.00	$69.98–$892.00	—	47%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound behind abdominal cavity	$226.61	$430.00	$73.93–$344.00	56% below	47%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound behind abdominal cavity	$226.61	$430.00	$73.93–$344.00	56% below	47%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Ultrasound behind abdominal cavity	$226.61	$430.00	$73.93–$344.00	—	47%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Ultrasound behind abdominal cavity	$226.61	$430.00	$73.93–$344.00	—	47%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound of pregnant uterus	$359.41	$682.00	$164.77–$545.60	21% below	47%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound of pregnant uterus	$359.41	$682.00	$164.77–$596.38	21% below	47%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ultrasound of pregnant uterus	$359.41	$682.00	$164.77–$596.38	—	47%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ultrasound of pregnant uterus	$359.41	$682.00	$164.77–$545.60	—	47%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan chest	$488.53	$927.00	$73.93–$1,432.00	62% below	47%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan chest	$488.53	$927.00	$73.93–$1,432.00	62% below	47%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT scan chest	$488.53	$927.00	$73.93–$1,432.00	—	47%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT scan chest	$488.53	$927.00	$73.93–$1,432.00	—	47%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan chest with contrast	$598.14	$1,135.00	$123.55–$1,432.00	59% below	47%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan chest with contrast	$598.14	$1,135.00	$123.55–$1,432.00	59% below	47%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT scan chest with contrast	$598.14	$1,135.00	$123.55–$1,432.00	—	47%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT scan chest with contrast	$598.14	$1,135.00	$123.55–$1,432.00	—	47%
Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts	$307.77	$584.00	$90.44–$581.07	4% below	47%
Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts	$307.77	$584.00	$90.44–$581.07	4% below	47%
Diagnostic mammogram, both breasts inpatient CPT 77066 Mammography of both breasts	$307.77	$584.00	$90.44–$581.07	—	47%
Diagnostic mammogram, both breasts inpatient CPT 77066 Mammography of both breasts	$307.77	$584.00	$90.44–$581.07	—	47%
Diagnostic mammogram, one breast CPT 77065 Mammography of one breast	$248.74	$472.00	$74.66–$459.00	20% below	47%
Diagnostic mammogram, one breast CPT 77065 Mammography of one breast	$248.74	$472.00	$74.66–$459.00	20% below	47%
Diagnostic mammogram, one breast inpatient CPT 77065 Mammography of one breast	$248.74	$472.00	$74.66–$459.00	—	47%
Diagnostic mammogram, one breast inpatient CPT 77065 Mammography of one breast	$248.74	$472.00	$74.66–$459.00	—	47%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound study of arteries and arterial grafts of both legs	$384.71	$730.00	$164.77–$596.38	48% below	47%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound study of arteries and arterial grafts of both legs	$384.71	$730.00	$164.77–$584.00	48% below	47%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Ultrasound study of arteries and arterial grafts of both legs	$384.71	$730.00	$164.77–$596.38	—	47%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Ultrasound study of arteries and arterial grafts of both legs	$384.71	$730.00	$164.77–$584.00	—	47%
Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers	$434.77	$825.00	$164.77–$660.00	51% below	47%
Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers	$434.77	$825.00	$164.77–$660.00	51% below	47%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers	$434.77	$825.00	$164.77–$660.00	—	47%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers	$434.77	$825.00	$164.77–$660.00	—	47%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function	$783.65	$1,487.00	$370.97–$1,569.00	46% below	47%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function	$783.65	$1,487.00	$370.97–$1,569.00	46% below	47%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function	$783.65	$1,487.00	$370.97–$1,569.00	—	47%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function	$783.65	$1,487.00	$370.97–$1,569.00	—	47%
Elbow X-ray, 2 views CPT 73070 X-Ray, elbow; 2 views	$169.17	$321.00	$69.98–$892.00	17% below	47%
Elbow X-ray, 2 views CPT 73070 X-Ray, elbow; 2 views	$169.17	$321.00	$69.98–$892.00	17% below	47%
Elbow X-ray, 2 views inpatient CPT 73070 X-Ray, elbow; 2 views	$169.17	$321.00	$69.98–$892.00	—	47%
Elbow X-ray, 2 views inpatient CPT 73070 X-Ray, elbow; 2 views	$169.17	$321.00	$69.98–$892.00	—	47%
Elbow X-ray, complete, 3 or more views CPT 73080 X-Ray, elbow; minimum of 3 views	$167.06	$317.00	$61.10–$892.00	28% below	47%
Elbow X-ray, complete, 3 or more views CPT 73080 X-Ray, elbow; minimum of 3 views	$167.06	$317.00	$61.10–$892.00	28% below	47%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-Ray, elbow; minimum of 3 views	$167.06	$317.00	$61.10–$892.00	—	47%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-Ray, elbow; minimum of 3 views	$167.06	$317.00	$61.10–$892.00	—	47%
Eye socket (orbit) CT scan without contrast CPT 70480 CT scan of cranial cavity	$509.61	$967.00	$73.93–$1,432.00	57% below	47%
Eye socket (orbit) CT scan without contrast CPT 70480 CT scan of cranial cavity	$509.61	$967.00	$73.93–$1,432.00	57% below	47%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT scan of cranial cavity	$509.61	$967.00	$73.93–$1,432.00	—	47%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT scan of cranial cavity	$509.61	$967.00	$73.93–$1,432.00	—	47%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-Ray, facial bones; minimum of 3 views	$161.26	$306.00	$84.67–$892.00	37% below	47%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-Ray, facial bones; minimum of 3 views	$161.26	$306.00	$84.67–$892.00	37% below	47%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-Ray, facial bones; minimum of 3 views	$161.26	$306.00	$84.67–$892.00	—	47%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-Ray, facial bones; minimum of 3 views	$161.26	$306.00	$84.67–$892.00	—	47%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-Ray; forearm, 2 views	$145.98	$277.00	$69.98–$892.00	28% below	47%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-Ray; forearm, 2 views	$145.98	$277.00	$61.10–$892.00	28% below	47%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-Ray; forearm, 2 views	$145.98	$277.00	$61.10–$892.00	—	47%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-Ray; forearm, 2 views	$145.98	$277.00	$69.98–$892.00	—	47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Imaging of liver and bile duct system	$816.32	$1,549.00	$277.35–$1,873.00	33% below	47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Imaging of liver and bile duct system	$816.32	$1,549.00	$277.35–$1,873.00	33% below	47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Imaging of liver and bile duct system	$816.32	$1,549.00	$277.35–$1,873.00	—	47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Imaging of liver and bile duct system	$816.32	$1,549.00	$277.35–$1,873.00	—	47%
Hand X-ray, 2 views CPT 73120 X-Ray, hand; 2 views	$131.75	$250.00	$84.67–$892.00	31% below	47%
Hand X-ray, 2 views CPT 73120 X-Ray, hand; 2 views	$131.75	$250.00	$84.67–$892.00	31% below	47%
Hand X-ray, 2 views inpatient CPT 73120 X-Ray, hand; 2 views	$131.75	$250.00	$84.67–$892.00	—	47%
Hand X-ray, 2 views inpatient CPT 73120 X-Ray, hand; 2 views	$131.75	$250.00	$84.67–$892.00	—	47%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-Ray; heel of foot, minimum of 2 views	$134.38	$255.00	$69.98–$892.00	25% below	47%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-Ray; heel of foot, minimum of 2 views	$134.38	$255.00	$69.98–$892.00	25% below	47%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-Ray; heel of foot, minimum of 2 views	$134.38	$255.00	$69.98–$892.00	—	47%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-Ray; heel of foot, minimum of 2 views	$134.38	$255.00	$69.98–$892.00	—	47%
Knee X-ray, 3 views CPT 73562 X-Ray, knee; 3 views	$210.80	$400.00	$61.10–$892.00	11% below	47%
Knee X-ray, 3 views CPT 73562 X-Ray, knee; 3 views	$210.80	$400.00	$61.10–$892.00	11% below	47%
Knee X-ray, 3 views inpatient CPT 73562 X-Ray, knee; 3 views	$210.80	$400.00	$61.10–$892.00	—	47%
Knee X-ray, 3 views inpatient CPT 73562 X-Ray, knee; 3 views	$210.80	$400.00	$61.10–$892.00	—	47%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT scan leg	$555.98	$1,055.00	$73.93–$1,432.00	58% below	47%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT scan leg	$555.98	$1,055.00	$73.93–$1,688.00	58% below	47%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT scan leg	$555.98	$1,055.00	$73.93–$1,432.00	—	47%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT scan leg	$555.98	$1,055.00	$73.93–$1,688.00	—	47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound of abdomen	$225.03	$427.00	$73.93–$341.60	49% below	47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound of abdomen	$225.03	$427.00	$73.93–$341.60	49% below	47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound of abdomen	$225.03	$427.00	$73.93–$341.60	—	47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound of abdomen	$225.03	$427.00	$73.93–$341.60	—	47%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Partial ultrasound of joint or other non-blood vessel structure of arm or leg	$339.91	$645.00	$73.93–$516.00	2% below	47%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Partial ultrasound of joint or other non-blood vessel structure of arm or leg	$339.91	$645.00	$73.93–$516.00	2% below	47%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Partial ultrasound of joint or other non-blood vessel structure of arm or leg	$339.91	$645.00	$73.93–$516.00	—	47%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Partial ultrasound of joint or other non-blood vessel structure of arm or leg	$339.91	$645.00	$73.93–$516.00	—	47%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening	$158.63	$301.00	$73.93–$1,432.00	80% below	47%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening	$158.63	$301.00	$73.93–$1,432.00	80% below	47%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low dose CT scan of chest for lung cancer screening	$158.63	$301.00	$73.93–$1,432.00	—	47%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low dose CT scan of chest for lung cancer screening	$158.63	$301.00	$73.93–$1,432.00	—	47%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-Ray; lower leg bones, 2 views	$150.19	$285.00	$61.10–$892.00	29% below	47%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-Ray; lower leg bones, 2 views	$150.19	$285.00	$61.10–$892.00	29% below	47%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-Ray; lower leg bones, 2 views	$150.19	$285.00	$61.10–$892.00	—	47%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-Ray; lower leg bones, 2 views	$150.19	$285.00	$61.10–$892.00	—	47%
MR angiography (MRA) of the head without contrast CPT 70544 Magnetic resonance angiography imaging (MRA), head	$727.26	$1,380.00	$164.77–$2,340.00	66% below	47%
MR angiography (MRA) of the head without contrast CPT 70544 Magnetic resonance angiography imaging (MRA), head	$727.26	$1,380.00	$164.77–$2,340.00	66% below	47%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Magnetic resonance angiography imaging (MRA), head	$727.26	$1,380.00	$164.77–$2,340.00	—	47%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Magnetic resonance angiography imaging (MRA), head	$727.26	$1,380.00	$164.77–$2,340.00	—	47%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Magnetic resonance imaging MRI), leg joint	$806.31	$1,530.00	$164.77–$2,340.00	59% below	47%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Magnetic resonance imaging MRI), leg joint	$806.31	$1,530.00	$164.77–$2,448.00	59% below	47%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Magnetic resonance imaging MRI), leg joint	$806.31	$1,530.00	$164.77–$2,448.00	—	47%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Magnetic resonance imaging MRI), leg joint	$806.31	$1,530.00	$164.77–$2,340.00	—	47%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Magnetic resonance imaging MRI), leg joint	$1,121.46	$2,128.00	$258.61–$2,340.00	56% below	47%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Magnetic resonance imaging MRI), leg joint	$1,121.46	$2,128.00	$258.61–$2,340.00	56% below	47%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Magnetic resonance imaging MRI), leg joint	$1,121.46	$2,128.00	$258.61–$2,340.00	—	47%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Magnetic resonance imaging MRI), leg joint	$1,121.46	$2,128.00	$258.61–$2,340.00	—	47%
MRI of the abdomen without contrast CPT 74181 Magnetic resonance imaging (MRI), abdomen	$741.49	$1,407.00	$164.77–$2,340.00	65% below	47%
MRI of the abdomen without contrast CPT 74181 Magnetic resonance imaging (MRI), abdomen	$741.49	$1,407.00	$164.77–$2,340.00	65% below	47%
MRI of the abdomen without contrast inpatient CPT 74181 Magnetic resonance imaging (MRI), abdomen	$741.49	$1,407.00	$164.77–$2,340.00	—	47%
MRI of the abdomen without contrast inpatient CPT 74181 Magnetic resonance imaging (MRI), abdomen	$741.49	$1,407.00	$164.77–$2,340.00	—	47%
MRI of the abdomen, without and then with contrast dye CPT 74183 Magnetic resonance imaging (MRI), abdomen	$1,040.82	$1,975.00	$258.61–$2,340.00	65% below	47%
MRI of the abdomen, without and then with contrast dye CPT 74183 Magnetic resonance imaging (MRI), abdomen	$1,040.82	$1,975.00	$258.61–$2,340.00	65% below	47%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Magnetic resonance imaging (MRI), abdomen	$1,040.82	$1,975.00	$258.61–$2,340.00	—	47%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Magnetic resonance imaging (MRI), abdomen	$1,040.82	$1,975.00	$258.61–$2,340.00	—	47%
MRI of the brain, no contrast dye CPT 70551 Magnetic resonance imaging (MRI), brain	$727.26	$1,380.00	$164.77–$2,340.00	65% below	47%
MRI of the brain, no contrast dye CPT 70551 Magnetic resonance imaging (MRI), brain	$727.26	$1,380.00	$164.77–$2,340.00	65% below	47%
MRI of the brain, no contrast dye inpatient CPT 70551 Magnetic resonance imaging (MRI), brain	$727.26	$1,380.00	$164.77–$2,340.00	—	47%
MRI of the brain, no contrast dye inpatient CPT 70551 Magnetic resonance imaging (MRI), brain	$727.26	$1,380.00	$164.77–$2,340.00	—	47%
MRI of the brain, with and without contrast dye CPT 70553 Magnetic resonance imaging (MRI), brain	$1,040.82	$1,975.00	$258.61–$2,340.00	64% below	47%
MRI of the brain, with and without contrast dye CPT 70553 Magnetic resonance imaging (MRI), brain	$1,040.82	$1,975.00	$258.61–$2,340.00	64% below	47%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Magnetic resonance imaging (MRI), brain	$1,040.82	$1,975.00	$258.61–$2,340.00	—	47%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Magnetic resonance imaging (MRI), brain	$1,040.82	$1,975.00	$258.61–$2,340.00	—	47%
MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance imaging (MRI), spinal canal, lumbar	$741.49	$1,407.00	$164.77–$2,340.00	64% below	47%
MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance imaging (MRI), spinal canal, lumbar	$741.49	$1,407.00	$164.77–$2,340.00	64% below	47%
MRI of the lower back, no contrast dye inpatient CPT 72148 Magnetic resonance imaging (MRI), spinal canal, lumbar	$741.49	$1,407.00	$164.77–$2,340.00	—	47%
MRI of the lower back, no contrast dye inpatient CPT 72148 Magnetic resonance imaging (MRI), spinal canal, lumbar	$741.49	$1,407.00	$164.77–$2,340.00	—	47%
MRI of the lower back, without and then with contrast dye CPT 72158 Magnetic resonance imaging (MRI), spinal canal; lumbar	$1,040.82	$1,975.00	$258.61–$2,340.00	61% below	47%
MRI of the lower back, without and then with contrast dye CPT 72158 Magnetic resonance imaging (MRI), spinal canal; lumbar	$1,040.82	$1,975.00	$258.61–$2,340.00	61% below	47%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Magnetic resonance imaging (MRI), spinal canal; lumbar	$1,040.82	$1,975.00	$258.61–$2,340.00	—	47%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Magnetic resonance imaging (MRI), spinal canal; lumbar	$1,040.82	$1,975.00	$258.61–$2,340.00	—	47%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Magnetic resonance imaging (MRI); spinal canal, thoracic	$741.49	$1,407.00	$164.77–$2,340.00	64% below	47%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Magnetic resonance imaging (MRI); spinal canal, thoracic	$741.49	$1,407.00	$164.77–$2,340.00	64% below	47%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Magnetic resonance imaging (MRI); spinal canal, thoracic	$741.49	$1,407.00	$164.77–$2,340.00	—	47%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Magnetic resonance imaging (MRI); spinal canal, thoracic	$741.49	$1,407.00	$164.77–$2,340.00	—	47%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Magnetic resonance imaging (MRI), spinal canal; cervical	$1,030.28	$1,955.00	$258.61–$2,340.00	59% below	47%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Magnetic resonance imaging (MRI), spinal canal; cervical	$1,030.28	$1,955.00	$258.61–$2,340.00	59% below	47%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Magnetic resonance imaging (MRI), spinal canal; cervical	$1,030.28	$1,955.00	$258.61–$2,340.00	—	47%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Magnetic resonance imaging (MRI), spinal canal; cervical	$1,030.28	$1,955.00	$258.61–$2,340.00	—	47%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Magnetic resonance imaging (MRI); spinal canal, cervical	$827.92	$1,571.00	$164.77–$2,340.00	59% below	47%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Magnetic resonance imaging (MRI); spinal canal, cervical	$827.92	$1,571.00	$164.77–$2,340.00	59% below	47%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Magnetic resonance imaging (MRI); spinal canal, cervical	$827.92	$1,571.00	$164.77–$2,340.00	—	47%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Magnetic resonance imaging (MRI); spinal canal, cervical	$827.92	$1,571.00	$164.77–$2,340.00	—	47%
MRI of the pelvis without and with contrast CPT 72197 Magnetic resonance imaging (MRI), pelvis	$1,030.28	$1,955.00	$258.61–$2,340.00	61% below	47%
MRI of the pelvis without and with contrast CPT 72197 Magnetic resonance imaging (MRI), pelvis	$1,030.28	$1,955.00	$258.61–$2,340.00	61% below	47%
MRI of the pelvis without and with contrast inpatient CPT 72197 Magnetic resonance imaging (MRI), pelvis	$1,030.28	$1,955.00	$258.61–$2,340.00	—	47%
MRI of the pelvis without and with contrast inpatient CPT 72197 Magnetic resonance imaging (MRI), pelvis	$1,030.28	$1,955.00	$258.61–$2,340.00	—	47%
MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance imaging (MRI), pelvis	$727.26	$1,380.00	$164.77–$2,340.00	66% below	47%
MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance imaging (MRI), pelvis	$727.26	$1,380.00	$164.77–$2,340.00	66% below	47%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Magnetic resonance imaging (MRI), pelvis	$727.26	$1,380.00	$164.77–$2,340.00	—	47%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Magnetic resonance imaging (MRI), pelvis	$727.26	$1,380.00	$164.77–$2,340.00	—	47%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Magnetic resonance imaging (MRI), arm joint	$741.49	$1,407.00	$164.77–$2,340.00	65% below	47%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Magnetic resonance imaging (MRI), arm joint	$741.49	$1,407.00	$164.77–$2,340.00	65% below	47%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Magnetic resonance imaging (MRI), arm joint	$741.49	$1,407.00	$164.77–$2,340.00	—	47%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Magnetic resonance imaging (MRI), arm joint	$741.49	$1,407.00	$164.77–$2,340.00	—	47%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-Ray, spine, cervical; 4 or 5 views	$206.58	$392.00	$73.93–$892.00	34% below	47%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-Ray, spine, cervical; 4 or 5 views	$206.58	$392.00	$73.93–$892.00	34% below	47%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-Ray, spine, cervical; 4 or 5 views	$206.58	$392.00	$73.93–$892.00	—	47%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-Ray, spine, cervical; 4 or 5 views	$206.58	$392.00	$73.93–$892.00	—	47%
Neck soft tissue CT scan with contrast CPT 70491 CT scan of neck with contrast	$615.54	$1,168.00	$123.55–$1,432.00	55% below	47%
Neck soft tissue CT scan with contrast CPT 70491 CT scan of neck with contrast	$615.54	$1,168.00	$123.55–$1,432.00	55% below	47%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT scan of neck with contrast	$615.54	$1,168.00	$123.55–$1,432.00	—	47%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT scan of neck with contrast	$615.54	$1,168.00	$123.55–$1,432.00	—	47%
Neck soft tissue CT scan without contrast CPT 70490 CT scan of neck	$549.13	$1,042.00	$84.67–$1,432.00	52% below	47%
Neck soft tissue CT scan without contrast CPT 70490 CT scan of neck	$549.13	$1,042.00	$84.67–$1,432.00	52% below	47%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT scan of neck	$549.13	$1,042.00	$84.67–$1,432.00	—	47%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT scan of neck	$549.13	$1,042.00	$84.67–$1,432.00	—	47%
Neck soft tissue X-ray CPT 70360 X-Ray; neck, soft tissue	$158.10	$300.00	$61.10–$892.00	10% below	47%
Neck soft tissue X-ray CPT 70360 X-Ray; neck, soft tissue	$158.10	$300.00	$61.10–$892.00	10% below	47%
Neck soft tissue X-ray inpatient CPT 70360 X-Ray; neck, soft tissue	$158.10	$300.00	$61.10–$892.00	—	47%
Neck soft tissue X-ray inpatient CPT 70360 X-Ray; neck, soft tissue	$158.10	$300.00	$61.10–$892.00	—	47%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear medicine study of vessels of heart using drugs or exercise	$1,845.55	$3,502.00	$662.48–$2,801.60	32% below	47%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear medicine study of vessels of heart using drugs or exercise	$1,845.55	$3,502.00	$662.48–$3,220.91	32% below	47%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nuclear medicine study of vessels of heart using drugs or exercise	$1,845.55	$3,502.00	$662.48–$3,220.91	—	47%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nuclear medicine study of vessels of heart using drugs or exercise	$1,845.55	$3,502.00	$662.48–$2,801.60	—	47%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Nuclear medicine study with CT imaging skull base to mid-thigh	$2,335.14	$4,431.00	$1,204.72–$3,756.00	15% below	47%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Nuclear medicine study with CT imaging skull base to mid-thigh	$2,335.14	$4,431.00	$1,204.72–$3,756.00	15% below	47%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Nuclear medicine study with CT imaging skull base to mid-thigh	$2,335.14	$4,431.00	$1,204.72–$3,756.00	—	47%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Nuclear medicine study with CT imaging skull base to mid-thigh	$2,335.14	$4,431.00	$1,204.72–$3,756.00	—	47%
Pelvic CT scan without contrast CPT 72192 CT scan pelvis	$498.01	$945.00	$73.93–$1,432.00	62% below	47%
Pelvic CT scan without contrast CPT 72192 CT scan pelvis	$498.01	$945.00	$73.93–$1,432.00	62% below	47%
Pelvic CT scan without contrast inpatient CPT 72192 CT scan pelvis	$498.01	$945.00	$73.93–$1,432.00	—	47%
Pelvic CT scan without contrast inpatient CPT 72192 CT scan pelvis	$498.01	$945.00	$73.93–$1,432.00	—	47%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound of pelvis	$249.80	$474.00	$73.93–$379.20	26% below	47%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound of pelvis	$249.80	$474.00	$73.93–$379.20	26% below	47%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Ultrasound of pelvis	$249.80	$474.00	$73.93–$379.20	—	47%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Ultrasound of pelvis	$249.80	$474.00	$73.93–$379.20	—	47%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound of pelvis	$235.04	$446.00	$73.93–$356.80	52% below	47%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound of pelvis	$235.04	$446.00	$73.93–$356.80	52% below	47%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Ultrasound of pelvis	$235.04	$446.00	$73.93–$356.80	—	47%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Ultrasound of pelvis	$235.04	$446.00	$73.93–$356.80	—	47%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound of pregnant uterus	$320.42	$608.00	$73.93–$486.40	36% below	47%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound of pregnant uterus	$320.42	$608.00	$73.93–$486.40	36% below	47%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ultrasound of pregnant uterus	$320.42	$608.00	$73.93–$486.40	—	47%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ultrasound of pregnant uterus	$320.42	$608.00	$73.93–$486.40	—	47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound of pregnant uterus	$287.74	$546.00	$73.93–$436.80	33% below	47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound of pregnant uterus	$287.74	$546.00	$73.93–$436.80	33% below	47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ultrasound of pregnant uterus	$287.74	$546.00	$73.93–$436.80	—	47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ultrasound of pregnant uterus	$287.74	$546.00	$73.93–$436.80	—	47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound of pregnant uterus	$246.11	$467.00	$73.93–$373.60	27% below	47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound of pregnant uterus	$246.11	$467.00	$73.93–$373.60	27% below	47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ultrasound of pregnant uterus	$246.11	$467.00	$73.93–$373.60	—	47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ultrasound of pregnant uterus	$246.11	$467.00	$73.93–$373.60	—	47%
Rib X-ray, one side, 2 views one side CPT 71100 X-Ray, ribs, unilateral; 2 views	$168.64	$320.00	$61.10–$892.00	17% below	47%
Rib X-ray, one side, 2 views one side CPT 71100 X-Ray, ribs, unilateral; 2 views	$168.64	$320.00	$61.10–$892.00	17% below	47%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 X-Ray, ribs, unilateral; 2 views	$168.64	$320.00	$61.10–$892.00	—	47%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 X-Ray, ribs, unilateral; 2 views	$168.64	$320.00	$61.10–$892.00	—	47%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-Ray, ribs, unilateral; minimum of 3 views	$180.23	$342.00	$73.93–$892.00	38% below	47%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-Ray, ribs, unilateral; minimum of 3 views	$180.23	$342.00	$73.93–$892.00	38% below	47%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X-Ray, ribs, unilateral; minimum of 3 views	$180.23	$342.00	$73.93–$892.00	—	47%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X-Ray, ribs, unilateral; minimum of 3 views	$180.23	$342.00	$73.93–$892.00	—	47%
Screening mammogram, both breasts CPT 77067 Mammography of both breasts	$243.47	$462.00	$38.02–$468.77	26% below	47%
Screening mammogram, both breasts CPT 77067 Mammography of both breasts	$243.47	$462.00	$38.02–$468.77	26% below	47%
Screening mammogram, both breasts CPT 77067 Mammography of both breasts	$243.47	$462.00	$38.02–$468.77	26% below	47%
Screening mammogram, both breasts CPT 77067 Mammography of both breasts	$243.47	$462.00	$38.02–$468.77	26% below	47%
Screening mammogram, both breasts inpatient CPT 77067 Mammography of both breasts	$243.47	$462.00	$38.02–$468.77	—	47%
Screening mammogram, both breasts inpatient CPT 77067 Mammography of both breasts	$243.47	$462.00	$38.02–$468.77	—	47%
Screening mammogram, both breasts inpatient CPT 77067 Mammography of both breasts	$243.47	$462.00	$38.02–$468.77	—	47%
Screening mammogram, both breasts inpatient CPT 77067 Mammography of both breasts	$243.47	$462.00	$38.02–$468.77	—	47%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-Ray, shoulder; minimum of 2 views	$176.02	$334.00	$61.10–$892.00	25% below	47%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-Ray, shoulder; minimum of 2 views	$176.02	$334.00	$61.10–$892.00	25% below	47%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-Ray, shoulder; minimum of 2 views	$176.02	$334.00	$61.10–$892.00	—	47%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-Ray, shoulder; minimum of 2 views	$176.02	$334.00	$61.10–$892.00	—	47%
Sinus X-ray, complete, 3 or more views CPT 70220 X-ray of paranasal sinus, minimum of 3 views	$148.09	$281.00	$69.98–$892.00	36% below	47%
Sinus X-ray, complete, 3 or more views CPT 70220 X-ray of paranasal sinus, minimum of 3 views	$148.09	$281.00	$69.98–$892.00	36% below	47%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-ray of paranasal sinus, minimum of 3 views	$148.09	$281.00	$69.98–$892.00	—	47%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-ray of paranasal sinus, minimum of 3 views	$148.09	$281.00	$69.98–$892.00	—	47%
Skull X-ray, fewer than 4 views CPT 70250 X-Ray, skull; less than 4 views	$160.73	$305.00	$73.93–$892.00	29% below	47%
Skull X-ray, fewer than 4 views CPT 70250 X-Ray, skull; less than 4 views	$160.73	$305.00	$73.93–$892.00	29% below	47%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-Ray, skull; less than 4 views	$160.73	$305.00	$73.93–$892.00	—	47%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-Ray, skull; less than 4 views	$160.73	$305.00	$73.93–$892.00	—	47%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report	$706.18	$1,340.00	$424.82–$1,569.00	57% below	47%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report	$706.18	$1,340.00	$424.82–$1,569.00	57% below	47%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report	$706.18	$1,340.00	$424.82–$1,569.00	—	47%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report	$706.18	$1,340.00	$424.82–$1,569.00	—	47%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function	$242.42	$460.00	$123.55–$892.00	34% below	47%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function	$242.42	$460.00	$123.55–$892.00	34% below	47%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Imaging for evaluation of swallowing function	$242.42	$460.00	$123.55–$892.00	—	47%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Imaging for evaluation of swallowing function	$242.42	$460.00	$123.55–$892.00	—	47%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray of femur, minimum 2 views	$134.38	$255.00	$61.10–$892.00	41% below	47%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray of femur, minimum 2 views	$134.38	$255.00	$61.10–$892.00	41% below	47%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray of femur, minimum 2 views	$134.38	$255.00	$61.10–$892.00	—	47%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray of femur, minimum 2 views	$134.38	$255.00	$61.10–$892.00	—	47%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT scan of middle spine	$555.98	$1,055.00	$73.93–$1,432.00	58% below	47%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT scan of middle spine	$555.98	$1,055.00	$73.93–$1,432.00	58% below	47%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT scan of middle spine	$555.98	$1,055.00	$73.93–$1,432.00	—	47%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT scan of middle spine	$555.98	$1,055.00	$73.93–$1,432.00	—	47%
Toe X-ray, 2 or more views CPT 73660 X-Ray; toe(s), minimum of 2 views	$137.55	$261.00	$69.98–$892.00	26% below	47%
Toe X-ray, 2 or more views CPT 73660 X-Ray; toe(s), minimum of 2 views	$137.55	$261.00	$69.98–$892.00	26% below	47%
Toe X-ray, 2 or more views inpatient CPT 73660 X-Ray; toe(s), minimum of 2 views	$137.55	$261.00	$69.98–$892.00	—	47%
Toe X-ray, 2 or more views inpatient CPT 73660 X-Ray; toe(s), minimum of 2 views	$137.55	$261.00	$69.98–$892.00	—	47%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina	$194.99	$370.00	$73.93–$296.00	51% below	47%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina	$194.99	$370.00	$73.93–$296.00	51% below	47%
Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound pelvis through vagina	$194.99	$370.00	$73.93–$296.00	—	47%
Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound pelvis through vagina	$194.99	$370.00	$73.93–$296.00	—	47%
Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound of pregnant uterus	$244.53	$464.00	$73.93–$371.20	31% below	47%
Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound of pregnant uterus	$244.53	$464.00	$73.93–$371.20	31% below	47%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Ultrasound of pregnant uterus	$244.53	$464.00	$73.93–$371.20	—	47%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Ultrasound of pregnant uterus	$244.53	$464.00	$73.93–$371.20	—	47%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen	$328.32	$623.00	$73.93–$498.40	46% below	47%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen	$328.32	$623.00	$73.93–$498.40	46% below	47%
Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound of abdomen	$328.32	$623.00	$73.93–$498.40	—	47%
Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound of abdomen	$328.32	$623.00	$73.93–$498.40	—	47%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound of scrotum	$254.01	$482.00	$73.93–$385.60	43% below	47%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound of scrotum	$254.01	$482.00	$73.93–$385.60	43% below	47%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound of scrotum	$254.01	$482.00	$73.93–$385.60	—	47%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound of scrotum	$254.01	$482.00	$73.93–$385.60	—	47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound, soft tissues of head and neck	$259.28	$492.00	$73.93–$393.60	41% below	47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound, soft tissues of head and neck	$259.28	$492.00	$73.93–$393.60	41% below	47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound, soft tissues of head and neck	$259.28	$492.00	$73.93–$393.60	—	47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound, soft tissues of head and neck	$259.28	$492.00	$73.93–$393.60	—	47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray of upper digestive tract	$225.56	$428.00	$123.55–$892.00	43% below	47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray of upper digestive tract	$225.56	$428.00	$123.55–$892.00	43% below	47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray of upper digestive tract	$225.56	$428.00	$123.55–$892.00	—	47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray of upper digestive tract	$225.56	$428.00	$123.55–$892.00	—	47%
Upper arm X-ray (humerus), 2 views CPT 73060 X-Ray; upper arm, minimum of 2 views	$162.84	$309.00	$69.98–$892.00	24% below	47%
Upper arm X-ray (humerus), 2 views CPT 73060 X-Ray; upper arm, minimum of 2 views	$162.84	$309.00	$61.10–$892.00	24% below	47%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-Ray; upper arm, minimum of 2 views	$162.84	$309.00	$61.10–$892.00	—	47%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-Ray; upper arm, minimum of 2 views	$162.84	$309.00	$69.98–$892.00	—	47%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	$244.53	$464.00	$73.93–$371.20	55% below	47%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	$244.53	$464.00	$73.93–$371.20	55% below	47%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	$244.53	$464.00	$73.93–$371.20	—	47%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	$244.53	$464.00	$73.93–$371.20	—	47%
Wrist X-ray, 2 views CPT 73100 X-Ray, wrist; 2 views	$157.05	$298.00	$69.98–$892.00	20% below	47%
Wrist X-ray, 2 views CPT 73100 X-Ray, wrist; 2 views	$157.05	$298.00	$69.98–$892.00	20% below	47%
Wrist X-ray, 2 views inpatient CPT 73100 X-Ray, wrist; 2 views	$157.05	$298.00	$69.98–$892.00	—	47%
Wrist X-ray, 2 views inpatient CPT 73100 X-Ray, wrist; 2 views	$157.05	$298.00	$69.98–$892.00	—	47%
Wrist X-ray, complete, 3 or more views CPT 73110 X-Ray, wrist; minimum of 3 views	$166.53	$316.00	$69.98–$892.00	28% below	47%
Wrist X-ray, complete, 3 or more views CPT 73110 X-Ray, wrist; minimum of 3 views	$166.53	$316.00	$61.10–$892.00	28% below	47%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-Ray, wrist; minimum of 3 views	$166.53	$316.00	$61.10–$892.00	—	47%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-Ray, wrist; minimum of 3 views	$166.53	$316.00	$69.98–$892.00	—	47%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip with pelvis, 2-3 views	$172.86	$328.00	$61.10–$892.00	37% below	47%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip with pelvis, 2-3 views	$172.86	$328.00	$61.10–$892.00	37% below	47%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray of hip with pelvis, 2-3 views	$172.86	$328.00	$61.10–$892.00	—	47%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray of hip with pelvis, 2-3 views	$172.86	$328.00	$61.10–$892.00	—	47%
X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view	$140.71	$267.00	$61.10–$892.00	33% below	47%
X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view	$140.71	$267.00	$61.10–$892.00	33% below	47%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray of abdomen, 1 view	$140.71	$267.00	$61.10–$892.00	—	47%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray of abdomen, 1 view	$140.71	$267.00	$61.10–$892.00	—	47%
X-ray of the ankle, 2 views CPT 73600 X-Ray, ankle; 2 views	$150.19	$285.00	$69.98–$892.00	27% below	47%
X-ray of the ankle, 2 views CPT 73600 X-Ray, ankle; 2 views	$150.19	$285.00	$69.98–$892.00	27% below	47%
X-ray of the ankle, 2 views inpatient CPT 73600 X-Ray, ankle; 2 views	$150.19	$285.00	$69.98–$892.00	—	47%
X-ray of the ankle, 2 views inpatient CPT 73600 X-Ray, ankle; 2 views	$150.19	$285.00	$69.98–$892.00	—	47%
X-ray of the finger(s), 2 or more views CPT 73140 X-Ray, finger(s), minimum of 2 views	$141.76	$269.00	$61.10–$892.00	27% below	47%
X-ray of the finger(s), 2 or more views CPT 73140 X-Ray, finger(s), minimum of 2 views	$141.76	$269.00	$61.10–$892.00	27% below	47%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-Ray, finger(s), minimum of 2 views	$141.76	$269.00	$61.10–$892.00	—	47%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-Ray, finger(s), minimum of 2 views	$141.76	$269.00	$61.10–$892.00	—	47%
X-ray of the foot, 2 views CPT 73620 X-Ray, foot; 2 views	$163.37	$310.00	$69.98–$892.00	15% below	47%
X-ray of the foot, 2 views CPT 73620 X-Ray, foot; 2 views	$163.37	$310.00	$69.98–$892.00	15% below	47%
X-ray of the foot, 2 views inpatient CPT 73620 X-Ray, foot; 2 views	$163.37	$310.00	$69.98–$892.00	—	47%
X-ray of the foot, 2 views inpatient CPT 73620 X-Ray, foot; 2 views	$163.37	$310.00	$69.98–$892.00	—	47%
X-ray of the foot, complete, 3 or more views CPT 73630 X-Ray, foot; minimum of 3 views	$154.41	$293.00	$61.10–$892.00	30% below	47%
X-ray of the foot, complete, 3 or more views CPT 73630 X-Ray, foot; minimum of 3 views	$154.41	$293.00	$61.10–$892.00	30% below	47%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-Ray, foot; minimum of 3 views	$154.41	$293.00	$61.10–$892.00	—	47%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-Ray, foot; minimum of 3 views	$154.41	$293.00	$61.10–$892.00	—	47%
X-ray of the hand, 3 or more views CPT 73130 X-Ray, hand; minimum of 3 views	$152.30	$289.00	$69.98–$892.00	31% below	47%
X-ray of the hand, 3 or more views CPT 73130 X-Ray, hand; minimum of 3 views	$152.30	$289.00	$61.10–$892.00	31% below	47%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-Ray, hand; minimum of 3 views	$152.30	$289.00	$61.10–$892.00	—	47%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-Ray, hand; minimum of 3 views	$152.30	$289.00	$69.98–$892.00	—	47%
X-ray of the knee, 1 or 2 views CPT 73560 X-Ray, knee; 1 or 2 views	$188.14	$357.00	$61.10–$892.00	13% below	47%
X-ray of the knee, 1 or 2 views CPT 73560 X-Ray, knee; 1 or 2 views	$188.14	$357.00	$61.10–$892.00	13% below	47%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-Ray, knee; 1 or 2 views	$188.14	$357.00	$61.10–$892.00	—	47%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-Ray, knee; 1 or 2 views	$188.14	$357.00	$61.10–$892.00	—	47%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-Ray, spine, lumbosacral; 2 or 3 views	$190.77	$362.00	$73.93–$892.00	26% below	47%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-Ray, spine, lumbosacral; 2 or 3 views	$190.77	$362.00	$73.93–$892.00	26% below	47%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-Ray, spine, lumbosacral; 2 or 3 views	$190.77	$362.00	$73.93–$892.00	—	47%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-Ray, spine, lumbosacral; 2 or 3 views	$190.77	$362.00	$73.93–$892.00	—	47%
X-ray of the lower back, 4 or more views CPT 72110 X-Ray, spine, lumbosacral; minimum of 4 views	$221.87	$421.00	$73.93–$892.00	33% below	47%
X-ray of the lower back, 4 or more views CPT 72110 X-Ray, spine, lumbosacral; minimum of 4 views	$221.87	$421.00	$73.93–$892.00	33% below	47%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-Ray, spine, lumbosacral; minimum of 4 views	$221.87	$421.00	$73.93–$892.00	—	47%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-Ray, spine, lumbosacral; minimum of 4 views	$221.87	$421.00	$73.93–$892.00	—	47%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-Ray, spine; thoracic, 2 views	$188.67	$358.00	$73.93–$892.00	19% below	47%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-Ray, spine; thoracic, 2 views	$188.67	$358.00	$73.93–$892.00	19% below	47%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-Ray, spine; thoracic, 2 views	$188.67	$358.00	$73.93–$892.00	—	47%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-Ray, spine; thoracic, 2 views	$188.67	$358.00	$73.93–$892.00	—	47%
X-ray of the nasal bones, 3 or more views CPT 70160 X-Ray, nasal bones; minimum of 3 views	$204.48	$388.00	$69.98–$892.00	7% below	47%
X-ray of the nasal bones, 3 or more views CPT 70160 X-Ray, nasal bones; minimum of 3 views	$204.48	$388.00	$69.98–$892.00	7% below	47%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-Ray, nasal bones; minimum of 3 views	$204.48	$388.00	$69.98–$892.00	—	47%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-Ray, nasal bones; minimum of 3 views	$204.48	$388.00	$69.98–$892.00	—	47%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of spine of neck, 2 or 3 views	$190.77	$362.00	$61.10–$892.00	22% below	47%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of spine of neck, 2 or 3 views	$190.77	$362.00	$61.10–$892.00	22% below	47%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray of spine of neck, 2 or 3 views	$190.77	$362.00	$61.10–$892.00	—	47%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray of spine of neck, 2 or 3 views	$190.77	$362.00	$61.10–$892.00	—	47%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-Ray, pelvis; 1 or 2 views	$152.83	$290.00	$73.93–$892.00	31% below	47%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-Ray, pelvis; 1 or 2 views	$152.83	$290.00	$73.93–$892.00	31% below	47%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-Ray, pelvis; 1 or 2 views	$152.83	$290.00	$73.93–$892.00	—	47%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-Ray, pelvis; 1 or 2 views	$152.83	$290.00	$73.93–$892.00	—	47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-Ray, tail bones, minimum of 2 views	$131.22	$249.00	$61.10–$892.00	41% below	47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-Ray, tail bones, minimum of 2 views	$131.22	$249.00	$69.98–$892.00	41% below	47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-Ray, tail bones, minimum of 2 views	$131.22	$249.00	$69.98–$892.00	—	47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-Ray, tail bones, minimum of 2 views	$131.22	$249.00	$61.10–$892.00	—	47%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) level	$36.64	$69.52	$25.80–$114.80	66% below	47%
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) level	$36.64	$69.52	$25.80–$69.52	66% below	47%
ACTH blood test inpatient CPT 82024 Adrenocorticotropic hormone (ACTH) level	$36.64	$69.52	$25.80–$69.52	—	47%
ACTH blood test inpatient CPT 82024 Adrenocorticotropic hormone (ACTH) level	$36.64	$69.52	$25.80–$114.80	—	47%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level	$11.59	$22.00	$3.83–$17.60	76% below	47%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level	$11.59	$22.00	$3.83–$17.60	76% below	47%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Liver enzyme (SGPT), level	$11.59	$22.00	$3.83–$17.60	—	47%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Liver enzyme (SGPT), level	$11.59	$22.00	$3.83–$17.60	—	47%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level	$11.59	$22.00	$3.83–$17.60	77% below	47%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level	$11.59	$22.00	$3.83–$17.60	77% below	47%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Liver enzyme (SGOT), level	$11.59	$22.00	$3.83–$17.60	—	47%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Liver enzyme (SGOT), level	$11.59	$22.00	$3.83–$17.60	—	47%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Panel of hepatitis A/B/C	$70.09	$133.00	$8.17–$141.99	70% below	47%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Panel of hepatitis A/B/C	$70.09	$133.00	$8.17–$141.99	70% below	47%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Panel of hepatitis A/B/C	$70.09	$133.00	$8.17–$141.99	—	47%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Panel of hepatitis A/B/C	$70.09	$133.00	$8.17–$141.99	—	47%
Albumin blood test CPT 82040 Albumin (protein) level	$18.97	$36.00	$3.59–$28.80	33% below	47%
Albumin blood test CPT 82040 Albumin (protein) level	$18.97	$36.00	$3.59–$28.80	33% below	47%
Albumin blood test inpatient CPT 82040 Albumin (protein) level	$18.97	$36.00	$3.59–$28.80	—	47%
Albumin blood test inpatient CPT 82040 Albumin (protein) level	$18.97	$36.00	$3.59–$28.80	—	47%
Aldosterone blood test CPT 82088 Aldosterone hormone level	$38.66	$73.35	$13.44–$73.35	45% below	47%
Aldosterone blood test CPT 82088 Aldosterone hormone level	$38.66	$73.35	$13.44–$73.35	45% below	47%
Aldosterone blood test inpatient CPT 82088 Aldosterone hormone level	$38.66	$73.35	$13.44–$73.35	—	47%
Aldosterone blood test inpatient CPT 82088 Aldosterone hormone level	$38.66	$73.35	$13.44–$73.35	—	47%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase (enzyme) level	$11.59	$22.00	$3.83–$17.60	70% below	47%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase (enzyme) level	$11.59	$22.00	$3.83–$17.60	70% below	47%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Phosphatase (enzyme) level	$11.59	$22.00	$3.83–$17.60	—	47%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Phosphatase (enzyme) level	$11.59	$22.00	$3.83–$17.60	—	47%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein (AFP) level, serum	$43.21	$82.00	$12.21–$65.60	10% below	47%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein (AFP) level, serum	$43.21	$82.00	$12.21–$65.60	10% below	47%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-fetoprotein (AFP) level, serum	$43.21	$82.00	$12.21–$65.60	—	47%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-fetoprotein (AFP) level, serum	$43.21	$82.00	$12.21–$65.60	—	47%
Ammonia blood test CPT 82140 Ammonia level	$34.25	$65.00	$9.35–$52.00	62% below	47%
Ammonia blood test CPT 82140 Ammonia level	$34.25	$65.00	$9.35–$52.00	62% below	47%
Ammonia blood test inpatient CPT 82140 Ammonia level	$34.25	$65.00	$9.35–$52.00	—	47%
Ammonia blood test inpatient CPT 82140 Ammonia level	$34.25	$65.00	$9.35–$52.00	—	47%
Amylase blood test CPT 82150 Amylase (enzyme) level	$18.44	$35.00	$4.78–$28.83	72% below	47%
Amylase blood test CPT 82150 Amylase (enzyme) level	$18.44	$35.00	$4.78–$28.83	72% below	47%
Amylase blood test inpatient CPT 82150 Amylase (enzyme) level	$18.44	$35.00	$4.78–$28.83	—	47%
Amylase blood test inpatient CPT 82150 Amylase (enzyme) level	$18.44	$35.00	$4.78–$28.83	—	47%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment	$21.08	$40.00	$9.58–$32.00	63% below	47%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment	$21.08	$40.00	$9.58–$32.00	63% below	47%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Measurement of antibody for rheumatoid arthritis assessment	$21.08	$40.00	$9.58–$32.00	—	47%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Measurement of antibody for rheumatoid arthritis assessment	$21.08	$40.00	$9.58–$32.00	—	47%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder	$22.13	$42.00	$8.86–$36.25	57% below	47%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder	$22.13	$42.00	$8.86–$36.25	57% below	47%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Screening test for autoimmune disorder	$22.13	$42.00	$8.86–$36.25	—	47%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Screening test for autoimmune disorder	$22.13	$42.00	$8.86–$36.25	—	47%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level	$95.27	$180.78	$13.60–$144.62	40% below	47%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level	$95.27	$180.78	$13.60–$144.62	40% below	47%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic peptide (heart and blood vessel protein) level	$95.27	$180.78	$13.60–$144.62	—	47%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic peptide (heart and blood vessel protein) level	$95.27	$180.78	$13.60–$144.62	—	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial culture, any other source except urine, blood or stool, aerobic	$31.62	$60.00	$6.23–$48.00	55% below	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial culture, any other source except urine, blood or stool, aerobic	$31.62	$60.00	$6.23–$48.00	55% below	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial culture	$34.78	$66.00	$6.23–$52.80	50% below	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial culture	$34.78	$66.00	$6.23–$52.80	50% below	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bacterial culture, any other source except urine, blood or stool, aerobic	$31.62	$60.00	$6.23–$48.00	—	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bacterial culture, any other source except urine, blood or stool, aerobic	$31.62	$60.00	$6.23–$48.00	—	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bacterial culture	$34.78	$66.00	$6.23–$52.80	—	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bacterial culture	$34.78	$66.00	$6.23–$52.80	—	47%
Basic metabolic panel (blood test) CPT 80048 Basic metbolic panel	$24.77	$47.00	$6.23–$50.13	75% below	47%
Basic metabolic panel (blood test) CPT 80048 Basic metbolic panel	$24.77	$47.00	$6.23–$50.13	75% below	47%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic metbolic panel	$24.77	$47.00	$6.23–$50.13	—	47%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic metbolic panel	$24.77	$47.00	$6.23–$50.13	—	47%
Bilirubin blood test, total CPT 82247 Bilirubin level	$11.59	$22.00	$3.59–$17.60	76% below	47%
Bilirubin blood test, total CPT 82247 Bilirubin level	$11.59	$22.00	$3.59–$17.60	76% below	47%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin level	$11.59	$22.00	$3.59–$17.60	—	47%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin level	$11.59	$22.00	$3.59–$17.60	—	47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope	$84.32	$160.00	$36.44–$269.04	39% below	47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope	$84.32	$160.00	$36.44–$269.04	39% below	47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity	$305.13	$579.00	$36.44–$463.20	121% above	47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity	$305.13	$579.00	$36.44–$463.20	121% above	47%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology examination of tissue using a microscope	$84.32	$160.00	$36.44–$269.04	—	47%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology examination of tissue using a microscope	$84.32	$160.00	$36.44–$269.04	—	47%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity	$305.13	$579.00	$36.44–$463.20	—	47%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity	$305.13	$579.00	$36.44–$463.20	—	47%
Blood culture for bacteria CPT 87040 Bacterial blood culture	$37.42	$71.00	$7.66–$56.80	69% below	47%
Blood culture for bacteria CPT 87040 Bacterial blood culture	$37.42	$71.00	$7.66–$56.80	69% below	47%
Blood culture for bacteria inpatient CPT 87040 Bacterial blood culture	$37.42	$71.00	$7.66–$56.80	—	47%
Blood culture for bacteria inpatient CPT 87040 Bacterial blood culture	$37.42	$71.00	$7.66–$56.80	—	47%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample	$10.01	$19.00	$2.50–$16.36	54% below	47%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample	$10.01	$19.00	$2.50–$16.36	54% below	47%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Insertion of needle into vein for collection of blood sample	$10.01	$19.00	$2.50–$16.36	—	47%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Insertion of needle into vein for collection of blood sample	$10.01	$19.00	$2.50–$16.36	—	47%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) test performed by hand-held instrument	$5.27	$10.00	$2.87–$12.08	89% below	47%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) test performed by hand-held instrument	$5.27	$10.00	$2.87–$12.08	89% below	47%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level	$12.12	$23.00	$2.87–$18.40	74% below	47%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level	$12.12	$23.00	$2.87–$18.40	74% below	47%
Blood glucose (sugar) test inpatient CPT 82947 Blood glucose (sugar) test performed by hand-held instrument	$5.27	$10.00	$2.87–$12.08	—	47%
Blood glucose (sugar) test inpatient CPT 82947 Blood glucose (sugar) test performed by hand-held instrument	$5.27	$10.00	$2.87–$12.08	—	47%
Blood glucose (sugar) test inpatient CPT 82947 Blood glucose (sugar) level	$12.12	$23.00	$2.87–$18.40	—	47%
Blood glucose (sugar) test inpatient CPT 82947 Blood glucose (sugar) level	$12.12	$23.00	$2.87–$18.40	—	47%
Blood lead test CPT 83655 Lead level	$11.49	$21.80	$8.86–$21.99	75% below	47%
Blood lead test CPT 83655 Lead level	$11.49	$21.80	$8.86–$21.99	75% below	47%
Blood lead test inpatient CPT 83655 Lead level	$11.49	$21.80	$8.86–$21.99	—	47%
Blood lead test inpatient CPT 83655 Lead level	$11.49	$21.80	$8.86–$21.99	—	47%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Mbc Abo	$31.09	$59.00	$2.16–$318.03	42% below	47%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO)	$31.09	$59.00	$2.16–$238.46	42% below	47%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO)	$73.78	$140.00	$2.16–$318.03	38% above	47%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood group typing (ABO)	$31.09	$59.00	$2.16–$238.46	—	47%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Mbc Abo	$31.09	$59.00	$2.16–$318.03	—	47%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood group typing (ABO)	$73.78	$140.00	$2.16–$318.03	—	47%
Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen level to assess kidney function	$11.59	$22.00	$2.87–$17.60	75% below	47%
Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen level to assess kidney function	$11.59	$22.00	$2.87–$17.60	75% below	47%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea nitrogen level to assess kidney function	$11.59	$22.00	$2.87–$17.60	—	47%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea nitrogen level to assess kidney function	$11.59	$22.00	$2.87–$17.60	—	47%
C-peptide blood test CPT 84681 C-peptide (protein) level	$20.55	$39.00	$15.05–$37.46	75% below	47%
C-peptide blood test CPT 84681 C-peptide (protein) level	$20.55	$39.00	$15.05–$37.46	75% below	47%
C-peptide blood test inpatient CPT 84681 C-peptide (protein) level	$20.55	$39.00	$15.05–$37.46	—	47%
C-peptide blood test inpatient CPT 84681 C-peptide (protein) level	$20.55	$39.00	$15.05–$37.46	—	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation	$14.23	$27.00	$3.83–$21.60	77% below	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation	$14.23	$27.00	$3.83–$21.60	77% below	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Measurement C-reactive protein for detection of infection or inflammation	$14.23	$27.00	$3.83–$21.60	—	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Measurement C-reactive protein for detection of infection or inflammation	$14.23	$27.00	$3.83–$21.60	—	47%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection test for clostridium difficile	$60.08	$114.00	$27.29–$110.77	56% below	47%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection test for clostridium difficile	$60.08	$114.00	$27.29–$110.77	56% below	47%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Detection test for clostridium difficile	$60.08	$114.00	$27.29–$110.77	—	47%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Detection test for clostridium difficile	$60.08	$114.00	$27.29–$110.77	—	47%
CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9	$19.74	$37.45	$15.33–$61.43	81% below	47%
CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9	$19.74	$37.45	$15.33–$61.43	81% below	47%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9	$19.74	$37.45	$15.33–$61.43	—	47%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9	$19.74	$37.45	$15.33–$61.43	—	47%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis for detection of tumor antigen, quantitative; CA 125	$41.63	$79.00	$5.18–$63.20	59% below	47%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis for detection of tumor antigen, quantitative; CA 125	$41.63	$79.00	$5.18–$63.20	59% below	47%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunologic analysis for detection of tumor antigen, quantitative; CA 125	$41.63	$79.00	$5.18–$63.20	—	47%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunologic analysis for detection of tumor antigen, quantitative; CA 125	$41.63	$79.00	$5.18–$63.20	—	47%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of Covid-19 antigen	$63.77	$121.00	$37.59–$142.63	47% below	47%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of Covid-19 antigen	$63.77	$121.00	$37.59–$142.63	47% below	47%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Rna Detection	$105.40	$200.00	$37.59–$160.00	12% below	47%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Rna Detection	$105.40	$200.00	$37.59–$160.00	12% below	47%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Amplifed DNA or RNA probe detection of Covid-19 antigen	$63.77	$121.00	$37.59–$142.63	—	47%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Amplifed DNA or RNA probe detection of Covid-19 antigen	$63.77	$121.00	$37.59–$142.63	—	47%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Rna Detection	$105.40	$200.00	$37.59–$160.00	—	47%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Rna Detection	$105.40	$200.00	$37.59–$160.00	—	47%
Calcium blood test, total CPT 82310 Calcium level, total	$11.07	$21.00	$3.83–$16.80	77% below	47%
Calcium blood test, total CPT 82310 Calcium level, total	$11.07	$21.00	$3.83–$16.80	77% below	47%
Calcium blood test, total CPT 82310 Calcium level	$11.59	$22.00	$3.83–$17.60	76% below	47%
Calcium blood test, total CPT 82310 Calcium level	$11.59	$22.00	$3.83–$17.60	76% below	47%
Calcium blood test, total inpatient CPT 82310 Calcium level, total	$11.07	$21.00	$3.83–$16.80	—	47%
Calcium blood test, total inpatient CPT 82310 Calcium level, total	$11.07	$21.00	$3.83–$16.80	—	47%
Calcium blood test, total inpatient CPT 82310 Calcium level	$11.59	$22.00	$3.83–$17.60	—	47%
Calcium blood test, total inpatient CPT 82310 Calcium level	$11.59	$22.00	$3.83–$17.60	—	47%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) protein level	$38.47	$73.00	$13.89–$58.40	62% below	47%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) protein level	$38.47	$73.00	$13.89–$58.40	62% below	47%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic antigen (CEA) protein level	$38.47	$73.00	$13.89–$58.40	—	47%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic antigen (CEA) protein level	$38.47	$73.00	$13.89–$58.40	—	47%
Chickenpox (varicella) immunity blood test CPT 86787 Analysis for antibody to varicella-zoster virus (chicken pox)	$24.35	$46.20	$9.34–$36.96	55% below	47%
Chickenpox (varicella) immunity blood test CPT 86787 Analysis for antibody to varicella-zoster virus (chicken pox)	$24.35	$46.20	$9.34–$36.96	55% below	47%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Analysis for antibody to varicella-zoster virus (chicken pox)	$24.35	$46.20	$9.34–$36.96	—	47%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Analysis for antibody to varicella-zoster virus (chicken pox)	$24.35	$46.20	$9.34–$36.96	—	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test for chlamydia	$64.29	$122.00	$25.62–$203.41	32% below	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test for chlamydia	$64.29	$122.00	$25.62–$203.41	32% below	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Detection test for chlamydia	$64.29	$122.00	$25.62–$203.41	—	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Detection test for chlamydia	$64.29	$122.00	$25.62–$203.41	—	47%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides)	$18.44	$35.00	$8.68–$40.28	80% below	47%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides)	$18.44	$35.00	$8.68–$40.28	80% below	47%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid profile	$22.13	$42.00	$8.68–$40.28	77% below	47%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid profile	$22.13	$42.00	$8.68–$40.28	77% below	47%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Blood test, lipids (cholesterol and triglycerides)	$18.44	$35.00	$8.68–$40.28	—	47%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Blood test, lipids (cholesterol and triglycerides)	$18.44	$35.00	$8.68–$40.28	—	47%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid profile	$22.13	$42.00	$8.68–$40.28	—	47%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid profile	$22.13	$42.00	$8.68–$40.28	—	47%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test	$22.13	$42.00	$5.75–$33.60	74% below	47%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test	$22.13	$42.00	$5.75–$33.60	74% below	47%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test	$22.13	$42.00	$5.75–$33.60	—	47%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test	$22.13	$42.00	$5.75–$33.60	—	47%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	$19.50	$37.00	$4.31–$29.60	73% below	47%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	$19.50	$37.00	$4.31–$29.60	73% below	47%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	$19.50	$37.00	$4.31–$29.60	—	47%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	$19.50	$37.00	$4.31–$29.60	—	47%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel	$31.09	$59.00	$7.66–$47.81	71% below	47%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel	$31.09	$59.00	$7.66–$47.81	71% below	47%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive metabolic panel	$31.09	$59.00	$7.66–$47.81	—	47%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive metabolic panel	$31.09	$59.00	$7.66–$47.81	—	47%
Cortisol blood test, total CPT 82533 Cortisol (hormone) measurement, total	$43.74	$83.00	$4.64–$66.40	31% below	47%
Cortisol blood test, total CPT 82533 Cortisol (hormone) measurement, total	$43.74	$83.00	$4.64–$66.40	31% below	47%
Cortisol blood test, total inpatient CPT 82533 Cortisol (hormone) measurement, total	$43.74	$83.00	$4.64–$66.40	—	47%
Cortisol blood test, total inpatient CPT 82533 Cortisol (hormone) measurement, total	$43.74	$83.00	$4.64–$66.40	—	47%
Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (cardiac enzyme) level	$13.70	$26.00	$4.78–$20.80	77% below	47%
Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (cardiac enzyme) level	$13.70	$26.00	$4.78–$20.80	77% below	47%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine kinase (cardiac enzyme) level	$13.70	$26.00	$4.78–$20.80	—	47%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine kinase (cardiac enzyme) level	$13.70	$26.00	$4.78–$20.80	—	47%
Creatinine blood test CPT 82565 Blood creatinine level	$12.65	$24.00	$3.83–$19.20	75% below	47%
Creatinine blood test CPT 82565 Blood creatinine level	$12.65	$24.00	$3.83–$19.20	75% below	47%
Creatinine blood test inpatient CPT 82565 Blood creatinine level	$12.65	$24.00	$3.83–$19.20	—	47%
Creatinine blood test inpatient CPT 82565 Blood creatinine level	$12.65	$24.00	$3.83–$19.20	—	47%
Cytomegalovirus (CMV) antibody test CPT 86644 Analysis for antibody to Cytomegalovirus (CMV)	$158.10	$300.00	$10.54–$240.00	148% above	47%
Cytomegalovirus (CMV) antibody test CPT 86644 Analysis for antibody to Cytomegalovirus (CMV)	$158.10	$300.00	$10.54–$240.00	148% above	47%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Analysis for antibody to Cytomegalovirus (CMV)	$158.10	$300.00	$10.54–$240.00	—	47%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Analysis for antibody to Cytomegalovirus (CMV)	$158.10	$300.00	$10.54–$240.00	—	47%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative	$59.03	$112.02	$7.42–$89.62	43% below	47%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative	$59.03	$112.02	$7.42–$89.62	43% below	47%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Coagulation function measurement, D-dimer; quantitative	$59.03	$112.02	$7.42–$89.62	—	47%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Coagulation function measurement, D-dimer; quantitative	$59.03	$112.02	$7.42–$89.62	—	47%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level	$25.77	$48.90	$16.28–$40.01	55% below	47%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level	$25.77	$48.90	$16.28–$40.01	55% below	47%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level	$25.77	$48.90	$16.28–$40.01	—	47%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level	$25.77	$48.90	$16.28–$40.01	—	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for presence of drug	$71.67	$136.00	$32.62–$184.28	at median	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for presence of drug	$71.67	$136.00	$32.62–$184.28	at median	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for presence of drug, by chemistry analyzers	$74.31	$141.00	$62.14–$211.02	4% above	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for presence of drug, by chemistry analyzers	$74.31	$141.00	$62.14–$211.02	4% above	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drugs or substances measurement, 7 or more	$120.75	$229.12	$32.62–$184.28	68% above	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drugs or substances measurement, 7 or more	$120.75	$229.12	$32.62–$184.28	68% above	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Testing for presence of drug	$71.67	$136.00	$32.62–$184.28	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Testing for presence of drug	$71.67	$136.00	$32.62–$184.28	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Testing for presence of drug, by chemistry analyzers	$74.31	$141.00	$62.14–$211.02	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Testing for presence of drug, by chemistry analyzers	$74.31	$141.00	$62.14–$211.02	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drugs or substances measurement, 7 or more	$120.75	$229.12	$32.62–$184.28	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drugs or substances measurement, 7 or more	$120.75	$229.12	$32.62–$184.28	—	47%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	$12.65	$24.00	$5.03–$21.15	84% below	47%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	$12.65	$24.00	$5.03–$21.15	84% below	47%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	$12.65	$24.00	$5.03–$21.15	—	47%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	$12.65	$24.00	$5.03–$21.15	—	47%
Epstein-Barr virus (EBV) antibody test CPT 86665 Analysis for antibody to Epstein-Barr virus (mononucleosis virus)	$16.86	$32.00	$10.18–$54.38	67% below	47%
Epstein-Barr virus (EBV) antibody test CPT 86665 Analysis for antibody to Epstein-Barr virus (mononucleosis virus)	$16.86	$32.00	$10.18–$32.65	67% below	47%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Analysis for antibody to Epstein-Barr virus (mononucleosis virus)	$16.86	$32.00	$10.18–$54.38	—	47%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Analysis for antibody to Epstein-Barr virus (mononucleosis virus)	$16.86	$32.00	$10.18–$32.65	—	47%
Estradiol blood test CPT 82670 Estradiol (hormone) level	$45.32	$86.00	$20.35–$82.57	32% below	47%
Estradiol blood test CPT 82670 Estradiol (hormone) level	$45.32	$86.00	$20.35–$82.57	32% below	47%
Estradiol blood test inpatient CPT 82670 Estradiol (hormone) level	$45.32	$86.00	$20.35–$82.57	—	47%
Estradiol blood test inpatient CPT 82670 Estradiol (hormone) level	$45.32	$86.00	$20.35–$82.57	—	47%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level	$35.84	$68.00	$13.65–$55.39	57% below	47%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level	$35.84	$68.00	$13.65–$55.39	57% below	47%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level	$35.84	$68.00	$13.65–$55.39	—	47%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level	$35.84	$68.00	$13.65–$55.39	—	47%
Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level	$94.86	$180.00	$5.50–$144.00	8% above	47%
Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level	$94.86	$180.00	$5.50–$144.00	8% above	47%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Stool calprotectin (protein) level	$94.86	$180.00	$5.50–$144.00	—	47%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Stool calprotectin (protein) level	$94.86	$180.00	$5.50–$144.00	—	47%
Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level	$28.46	$54.00	$10.05–$64.41	70% below	47%
Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level	$28.46	$54.00	$10.05–$64.41	70% below	47%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin (blood protein) level	$28.46	$54.00	$10.05–$64.41	—	47%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin (blood protein) level	$28.46	$54.00	$10.05–$64.41	—	47%
Fibrinogen blood test CPT 85384 Fibrinogen (factor 1) activity measurement	$56.37	$106.96	$7.18–$85.57	17% above	47%
Fibrinogen blood test CPT 85384 Fibrinogen (factor 1) activity measurement	$56.37	$106.96	$7.18–$85.57	17% above	47%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen (factor 1) activity measurement	$56.37	$106.96	$7.18–$85.57	—	47%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen (factor 1) activity measurement	$56.37	$106.96	$7.18–$85.57	—	47%
Folate (folic acid) blood test CPT 82746 Folic acid level	$23.71	$45.00	$10.77–$43.30	72% below	47%
Folate (folic acid) blood test CPT 82746 Folic acid level	$23.71	$45.00	$10.77–$43.30	72% below	47%
Folate (folic acid) blood test inpatient CPT 82746 Folic acid level	$23.71	$45.00	$10.77–$43.30	—	47%
Folate (folic acid) blood test inpatient CPT 82746 Folic acid level	$23.71	$45.00	$10.77–$43.30	—	47%
Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free	$25.82	$49.00	$12.45–$50.35	76% below	47%
Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free	$25.82	$49.00	$12.45–$50.35	76% below	47%
Free T3 thyroid hormone test inpatient CPT 84481 Thyroid hormone, T3 measurement, free	$25.82	$49.00	$12.45–$50.35	—	47%
Free T3 thyroid hormone test inpatient CPT 84481 Thyroid hormone, T3 measurement, free	$25.82	$49.00	$12.45–$50.35	—	47%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical) measurement	$17.92	$34.00	$6.70–$27.20	74% below	47%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical) measurement	$17.92	$34.00	$6.70–$27.20	74% below	47%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (thyroid chemical) measurement	$17.92	$34.00	$6.70–$27.20	—	47%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (thyroid chemical) measurement	$17.92	$34.00	$6.70–$27.20	—	47%
Free testosterone test CPT 84402 Testosterone (hormone) level, free	$24.16	$45.85	$18.68–$75.53	62% below	47%
Free testosterone test CPT 84402 Testosterone (hormone) level, free	$24.16	$45.85	$18.68–$75.53	62% below	47%
Free testosterone test inpatient CPT 84402 Testosterone (hormone) level, free	$24.16	$45.85	$18.68–$75.53	—	47%
Free testosterone test inpatient CPT 84402 Testosterone (hormone) level, free	$24.16	$45.85	$18.68–$75.53	—	47%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase (liver enzyme) level	$6.83	$12.96	$5.26–$21.15	85% below	47%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase (liver enzyme) level	$6.83	$12.96	$5.26–$21.15	85% below	47%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Glutamyltransferase (liver enzyme) level	$6.83	$12.96	$5.26–$21.15	—	47%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Glutamyltransferase (liver enzyme) level	$6.83	$12.96	$5.26–$21.15	—	47%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose	$18.44	$35.00	$3.59–$28.00	57% below	47%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose	$18.44	$35.00	$3.59–$28.00	57% below	47%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Blood glucose (sugar) level after receiving dose of glucose	$18.44	$35.00	$3.59–$28.00	—	47%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Blood glucose (sugar) level after receiving dose of glucose	$18.44	$35.00	$3.59–$28.00	—	47%
Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test	$17.39	$33.00	$3.92–$26.40	83% below	47%
Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test	$17.39	$33.00	$3.92–$26.40	83% below	47%
Glucose tolerance test, 3 samples inpatient CPT 82951 Blood glucose (sugar) tolerance test	$17.39	$33.00	$3.92–$26.40	—	47%
Glucose tolerance test, 3 samples inpatient CPT 82951 Blood glucose (sugar) tolerance test	$17.39	$33.00	$3.92–$26.40	—	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique	$46.38	$88.00	$25.62–$104.73	46% below	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique	$46.38	$88.00	$25.62–$104.73	46% below	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique	$46.38	$88.00	$25.62–$104.73	—	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique	$46.38	$88.00	$25.62–$104.73	—	47%
H. pylori stool antigen test CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool	$25.30	$48.00	$10.54–$42.29	77% below	47%
H. pylori stool antigen test CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool	$25.30	$48.00	$10.54–$42.29	77% below	47%
H. pylori stool antigen test inpatient CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool	$25.30	$48.00	$10.54–$42.29	—	47%
H. pylori stool antigen test inpatient CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool	$25.30	$48.00	$10.54–$42.29	—	47%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification	$94.86	$180.00	$21.92–$153.18	17% below	47%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification	$94.86	$180.00	$21.92–$153.18	17% below	47%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification	$94.86	$180.00	$21.92–$153.18	—	47%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification	$94.86	$180.00	$21.92–$153.18	—	47%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies	$36.89	$70.00	$17.72–$71.50	52% below	47%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies	$36.89	$70.00	$17.72–$71.50	52% below	47%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies	$36.89	$70.00	$17.72–$71.50	—	47%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies	$36.89	$70.00	$17.72–$71.50	—	47%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Detection test by nucleic acid for human papillomavirus (hpv), high-risk types	$56.92	$108.00	$25.62–$104.73	55% below	47%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Detection test by nucleic acid for human papillomavirus (hpv), high-risk types	$56.92	$108.00	$25.62–$104.73	55% below	47%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Detection test by nucleic acid for human papillomavirus (hpv), high-risk types	$56.92	$108.00	$25.62–$104.73	—	47%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Detection test by nucleic acid for human papillomavirus (hpv), high-risk types	$56.92	$108.00	$25.62–$104.73	—	47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level	$17.92	$34.00	$7.18–$29.20	72% below	47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level	$17.92	$34.00	$7.18–$29.20	72% below	47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C level	$17.92	$34.00	$7.18–$29.20	—	47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C level	$17.92	$34.00	$7.18–$29.20	—	47%
Hemoglobin blood test CPT 85018 Blood count, hemoglobin	$7.90	$15.00	$1.68–$12.00	77% below	47%
Hemoglobin blood test CPT 85018 Blood count, hemoglobin	$7.90	$15.00	$1.68–$12.00	77% below	47%
Hemoglobin blood test inpatient CPT 85018 Blood count, hemoglobin	$7.90	$15.00	$1.68–$12.00	—	47%
Hemoglobin blood test inpatient CPT 85018 Blood count, hemoglobin	$7.90	$15.00	$1.68–$12.00	—	47%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody measurement	$11.43	$21.69	$8.86–$21.69	84% below	47%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody measurement	$11.43	$21.69	$8.86–$21.69	84% below	47%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B core antibody measurement	$11.43	$21.69	$8.86–$21.69	—	47%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B core antibody measurement	$11.43	$21.69	$8.86–$21.69	—	47%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement	$22.66	$43.00	$7.91–$34.40	69% below	47%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement	$22.66	$43.00	$7.91–$34.40	69% below	47%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B surface antibody measurement	$22.66	$43.00	$7.91–$34.40	—	47%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B surface antibody measurement	$22.66	$43.00	$7.91–$34.40	—	47%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen	$10.54	$20.00	$7.66–$30.21	82% below	47%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen	$10.54	$20.00	$7.66–$30.21	82% below	47%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test for Hepatitis B surface antigen	$22.66	$43.00	$7.66–$34.40	62% below	47%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test for Hepatitis B surface antigen	$22.66	$43.00	$7.66–$34.40	62% below	47%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen	$10.54	$20.00	$7.66–$30.21	—	47%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen	$10.54	$20.00	$7.66–$30.21	—	47%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Detection test for Hepatitis B surface antigen	$22.66	$43.00	$7.66–$34.40	—	47%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Detection test for Hepatitis B surface antigen	$22.66	$43.00	$7.66–$34.40	—	47%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement	$27.93	$53.00	$10.54–$42.40	71% below	47%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement	$27.93	$53.00	$10.54–$42.40	71% below	47%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C antibody measurement	$27.93	$53.00	$10.54–$42.40	—	47%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C antibody measurement	$27.93	$53.00	$10.54–$42.40	—	47%
Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification	$79.05	$150.00	$29.80–$120.00	38% below	47%
Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification	$79.05	$150.00	$29.80–$120.00	38% below	47%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification	$79.05	$150.00	$29.80–$120.00	—	47%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification	$79.05	$150.00	$29.80–$120.00	—	47%
High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-reactive protein for detection of infection or inflammation, high sensitivity	$12.65	$24.00	$9.58–$25.45	83% below	47%
High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-reactive protein for detection of infection or inflammation, high sensitivity	$12.65	$24.00	$9.58–$25.45	83% below	47%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Measurement C-reactive protein for detection of infection or inflammation, high sensitivity	$12.65	$24.00	$9.58–$25.45	—	47%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Measurement C-reactive protein for detection of infection or inflammation, high sensitivity	$12.65	$24.00	$9.58–$25.45	—	47%
Homocysteine blood test CPT 83090 Homocysteine (amino acid) level	$17.00	$32.26	$13.17–$53.37	82% below	47%
Homocysteine blood test CPT 83090 Homocysteine (amino acid) level	$17.00	$32.26	$13.17–$53.37	82% below	47%
Homocysteine blood test inpatient CPT 83090 Homocysteine (amino acid) level	$17.00	$32.26	$13.17–$53.37	—	47%
Homocysteine blood test inpatient CPT 83090 Homocysteine (amino acid) level	$17.00	$32.26	$13.17–$53.37	—	47%
Insulin blood test CPT 83525 Insulin, Serum	$10.84	$20.57	$8.38–$20.57	81% below	47%
Insulin blood test CPT 83525 Insulin, Serum	$10.84	$20.57	$8.38–$20.57	81% below	47%
Insulin blood test inpatient CPT 83525 Insulin, Serum	$10.84	$20.57	$8.38–$20.57	—	47%
Insulin blood test inpatient CPT 83525 Insulin, Serum	$10.84	$20.57	$8.38–$20.57	—	47%
Iron blood test (serum iron) CPT 83540 Iron level	$12.65	$24.00	$4.78–$19.20	76% below	47%
Iron blood test (serum iron) CPT 83540 Iron level	$12.65	$24.00	$4.78–$19.20	76% below	47%
Iron blood test (serum iron) inpatient CPT 83540 Iron level	$12.65	$24.00	$4.78–$19.20	—	47%
Iron blood test (serum iron) inpatient CPT 83540 Iron level	$12.65	$24.00	$4.78–$19.20	—	47%
Kidney function blood test panel CPT 80069 Kidney function blood test panel	$11.59	$22.00	$6.47–$47.63	89% below	47%
Kidney function blood test panel CPT 80069 Kidney function blood test panel	$11.59	$22.00	$6.47–$47.63	89% below	47%
Kidney function blood test panel inpatient CPT 80069 Kidney function blood test panel	$11.59	$22.00	$6.47–$47.63	—	47%
Kidney function blood test panel inpatient CPT 80069 Kidney function blood test panel	$11.59	$22.00	$6.47–$47.63	—	47%
LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level	$31.62	$60.00	$13.65–$55.39	62% below	47%
LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level	$31.62	$60.00	$13.65–$55.39	62% below	47%
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level	$31.62	$60.00	$13.65–$55.39	—	47%
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level	$31.62	$60.00	$13.65–$55.39	—	47%
Lactate (lactic acid) blood test CPT 83605 Lactic acid level	$35.31	$67.00	$6.04–$53.60	57% below	47%
Lactate (lactic acid) blood test CPT 83605 Lactic acid level	$35.31	$67.00	$6.04–$53.60	57% below	47%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic acid level	$35.31	$67.00	$6.04–$53.60	—	47%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic acid level	$35.31	$67.00	$6.04–$53.60	—	47%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate dehydrogenase (enzyme) level	$14.76	$28.00	$4.31–$22.40	69% below	47%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate dehydrogenase (enzyme) level	$14.76	$28.00	$4.31–$22.40	69% below	47%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate dehydrogenase (enzyme) level	$14.76	$28.00	$4.31–$22.40	—	47%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate dehydrogenase (enzyme) level	$14.76	$28.00	$4.31–$22.40	—	47%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level	$19.50	$37.00	$5.03–$29.60	71% below	47%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level	$19.50	$37.00	$5.03–$29.60	71% below	47%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (fat enzyme) level	$19.50	$37.00	$5.03–$29.60	—	47%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (fat enzyme) level	$19.50	$37.00	$5.03–$29.60	—	47%
Liver function blood test panel CPT 80076 Liver profile panel	$24.24	$46.00	$5.99–$74.86	76% below	47%
Liver function blood test panel CPT 80076 Liver profile panel	$24.24	$46.00	$5.99–$74.86	76% below	47%
Liver function blood test panel inpatient CPT 80076 Liver profile panel	$24.24	$46.00	$5.99–$74.86	—	47%
Liver function blood test panel inpatient CPT 80076 Liver profile panel	$24.24	$46.00	$5.99–$74.86	—	47%
Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)	$40.05	$76.00	$12.45–$60.80	42% below	47%
Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)	$40.05	$76.00	$12.45–$60.80	42% below	47%
Lyme disease antibody test inpatient CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)	$40.05	$76.00	$12.45–$60.80	—	47%
Lyme disease antibody test inpatient CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)	$40.05	$76.00	$12.45–$60.80	—	47%
Magnesium blood test CPT 83735 Magnesium level	$15.89	$30.16	$4.78–$24.13	62% below	47%
Magnesium blood test CPT 83735 Magnesium level	$15.89	$30.16	$4.78–$24.13	62% below	47%
Magnesium blood test inpatient CPT 83735 Magnesium level	$15.89	$30.16	$4.78–$24.13	—	47%
Magnesium blood test inpatient CPT 83735 Magnesium level	$15.89	$30.16	$4.78–$24.13	—	47%
Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus)	$32.06	$60.84	$9.34–$48.67	20% below	47%
Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus)	$32.06	$60.84	$9.34–$48.67	20% below	47%
Measles (rubeola) antibody test inpatient CPT 86765 Analysis for antibody to Rubeola (measles virus)	$32.06	$60.84	$9.34–$48.67	—	47%
Measles (rubeola) antibody test inpatient CPT 86765 Analysis for antibody to Rubeola (measles virus)	$32.06	$60.84	$9.34–$48.67	—	47%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono)	$15.81	$30.00	$3.83–$24.00	71% below	47%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono)	$15.81	$30.00	$3.83–$24.00	71% below	47%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Screening test for mononucleosis (mono)	$15.81	$30.00	$3.83–$24.00	—	47%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Screening test for mononucleosis (mono)	$15.81	$30.00	$3.83–$24.00	—	47%
Mumps immunity blood test CPT 86735 Analysis for antibody to mumps virus	$24.24	$46.00	$9.58–$36.80	52% below	47%
Mumps immunity blood test CPT 86735 Analysis for antibody to mumps virus	$24.24	$46.00	$9.58–$36.80	52% below	47%
Mumps immunity blood test inpatient CPT 86735 Analysis for antibody to mumps virus	$24.24	$46.00	$9.58–$36.80	—	47%
Mumps immunity blood test inpatient CPT 86735 Analysis for antibody to mumps virus	$24.24	$46.00	$9.58–$36.80	—	47%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free	$17.44	$33.10	$3.67–$33.10	70% below	47%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free	$17.44	$33.10	$3.67–$33.10	70% below	47%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA (prostate specific antigen) measurement, free	$17.44	$33.10	$3.67–$33.10	—	47%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA (prostate specific antigen) measurement, free	$17.44	$33.10	$3.67–$33.10	—	47%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total	$17.44	$33.10	$13.42–$54.38	81% below	47%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total	$17.44	$33.10	$13.42–$54.38	81% below	47%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (prostate specific antigen) measurement, total	$17.44	$33.10	$13.42–$54.38	—	47%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (prostate specific antigen) measurement, total	$17.44	$33.10	$13.42–$54.38	—	47%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap test, automated thin layer preparation; automated system and manual rescreening	$27.93	$53.00	$19.39–$79.55	67% below	47%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap test, automated thin layer preparation; automated system and manual rescreening	$27.93	$53.00	$19.39–$79.55	67% below	47%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap test, automated thin layer preparation; automated system and manual rescreening	$27.93	$53.00	$19.39–$79.55	—	47%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap test, automated thin layer preparation; automated system and manual rescreening	$27.93	$53.00	$19.39–$79.55	—	47%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level	$59.02	$112.00	$3.58–$122.85	51% below	47%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level	$59.02	$112.00	$3.58–$122.85	51% below	47%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (parathyroid hormone) level	$59.02	$112.00	$3.58–$122.85	—	47%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (parathyroid hormone) level	$59.02	$112.00	$3.58–$122.85	—	47%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood	$34.86	$66.14	$4.31–$52.91	46% below	47%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood	$34.86	$66.14	$4.31–$52.91	46% below	47%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation assessment blood test, plasma or whole blood	$34.86	$66.14	$4.31–$52.91	—	47%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation assessment blood test, plasma or whole blood	$34.86	$66.14	$4.31–$52.91	—	47%
Phosphorus (phosphate) blood test CPT 84100 Phosphate level	$11.59	$22.00	$3.35–$17.60	70% below	47%
Phosphorus (phosphate) blood test CPT 84100 Phosphate level	$11.59	$22.00	$3.35–$17.60	70% below	47%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphate level	$11.59	$22.00	$3.35–$17.60	—	47%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphate level	$11.59	$22.00	$3.35–$17.60	—	47%
Potassium blood test CPT 84132 Blood potassium level	$12.12	$23.00	$3.59–$18.40	73% below	47%
Potassium blood test CPT 84132 Blood potassium level	$12.12	$23.00	$3.59–$18.40	73% below	47%
Potassium blood test inpatient CPT 84132 Blood potassium level	$12.12	$23.00	$3.59–$18.40	—	47%
Potassium blood test inpatient CPT 84132 Blood potassium level	$12.12	$23.00	$3.59–$18.40	—	47%
Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level	$35.31	$67.00	$15.33–$53.60	59% below	47%
Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level	$35.31	$67.00	$15.33–$53.60	59% below	47%
Progesterone blood test inpatient CPT 84144 Progesterone (reproductive hormone) level	$35.31	$67.00	$15.33–$53.60	—	47%
Progesterone blood test inpatient CPT 84144 Progesterone (reproductive hormone) level	$35.31	$67.00	$15.33–$53.60	—	47%
Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level	$18.38	$34.88	$14.12–$41.77	80% below	47%
Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level	$18.38	$34.88	$14.12–$41.77	80% below	47%
Prolactin blood test inpatient CPT 84146 Prolactin (milk producing hormone) level	$18.38	$34.88	$14.12–$41.77	—	47%
Prolactin blood test inpatient CPT 84146 Prolactin (milk producing hormone) level	$18.38	$34.88	$14.12–$41.77	—	47%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time	$24.87	$47.20	$3.11–$37.76	25% below	47%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time	$24.87	$47.20	$3.11–$37.76	25% below	47%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood test, clotting time	$24.87	$47.20	$3.11–$37.76	—	47%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood test, clotting time	$24.87	$47.20	$3.11–$37.76	—	47%
Renin blood test CPT 84244 Renin (kidney enzyme) level	$20.86	$39.58	$16.04–$39.58	55% below	47%
Renin blood test CPT 84244 Renin (kidney enzyme) level	$20.86	$39.58	$16.04–$39.58	55% below	47%
Renin blood test inpatient CPT 84244 Renin (kidney enzyme) level	$20.86	$39.58	$16.04–$39.58	—	47%
Renin blood test inpatient CPT 84244 Renin (kidney enzyme) level	$20.86	$39.58	$16.04–$39.58	—	47%
Rh blood typing CPT 86901 Blood typing for Rh (D) antigen	$23.71	$45.00	$2.16–$96.84	45% below	47%
Rh blood typing CPT 86901 Blood typing for Rh (D) antigen	$31.09	$59.00	$2.16–$73.98	28% below	47%
Rh blood typing CPT 86901 Mbc Rh	$31.09	$59.00	$2.16–$96.84	28% below	47%
Rh blood typing inpatient CPT 86901 Blood typing for Rh (D) antigen	$23.71	$45.00	$2.16–$96.84	—	47%
Rh blood typing inpatient CPT 86901 Mbc Rh	$31.09	$59.00	$2.16–$96.84	—	47%
Rh blood typing inpatient CPT 86901 Blood typing for Rh (D) antigen	$31.09	$59.00	$2.16–$73.98	—	47%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level	$19.48	$36.96	$4.08–$61.98	60% below	47%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level	$19.48	$36.96	$4.08–$61.98	60% below	47%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor level	$19.48	$36.96	$4.08–$61.98	—	47%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor level	$19.48	$36.96	$4.08–$61.98	—	47%
Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus)	$26.88	$51.00	$10.54–$42.29	44% below	47%
Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus)	$26.88	$51.00	$10.54–$42.29	44% below	47%
Rubella antibody test (immunity check) inpatient CPT 86762 Analysis for antibody to Rubella (German measles virus)	$26.88	$51.00	$10.54–$42.29	—	47%
Rubella antibody test (immunity check) inpatient CPT 86762 Analysis for antibody to Rubella (German measles virus)	$26.88	$51.00	$10.54–$42.29	—	47%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red blood cell sedimentation rate, to detect inflammation, automated	$7.90	$15.00	$1.92–$12.00	79% below	47%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red blood cell sedimentation rate, to detect inflammation, automated	$7.90	$15.00	$1.92–$12.00	79% below	47%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Red blood cell sedimentation rate, to detect inflammation, automated	$7.90	$15.00	$1.92–$12.00	—	47%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Red blood cell sedimentation rate, to detect inflammation, automated	$7.90	$15.00	$1.92–$12.00	—	47%
Sodium blood test CPT 84295 Blood sodium level	$12.12	$23.00	$3.59–$18.40	73% below	47%
Sodium blood test CPT 84295 Blood sodium level	$12.12	$23.00	$3.59–$18.40	73% below	47%
Sodium blood test inpatient CPT 84295 Blood sodium level	$12.12	$23.00	$3.59–$18.40	—	47%
Sodium blood test inpatient CPT 84295 Blood sodium level	$12.12	$23.00	$3.59–$18.40	—	47%
Stool ova and parasites exam CPT 87177 Smear for parasites	$8.44	$16.02	$4.75–$26.18	82% below	47%
Stool ova and parasites exam CPT 87177 Smear for parasites	$8.44	$16.02	$4.75–$26.18	82% below	47%
Stool ova and parasites exam inpatient CPT 87177 Smear for parasites	$8.44	$16.02	$4.75–$26.18	—	47%
Stool ova and parasites exam inpatient CPT 87177 Smear for parasites	$8.44	$16.02	$4.75–$26.18	—	47%
Syphilis antibody test (Treponema pallidum) CPT 86780 Analysis for antibody, Treponema pallidum	$26.05	$49.44	$9.58–$39.55	52% below	47%
Syphilis antibody test (Treponema pallidum) CPT 86780 Analysis for antibody, Treponema pallidum	$26.05	$49.44	$9.58–$39.55	52% below	47%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Analysis for antibody, Treponema pallidum	$26.05	$49.44	$9.58–$39.55	—	47%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Analysis for antibody, Treponema pallidum	$26.05	$49.44	$9.58–$39.55	—	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test	$17.92	$34.00	$3.11–$27.20	46% below	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test	$17.92	$34.00	$3.11–$27.20	46% below	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis detection test	$17.92	$34.00	$3.11–$27.20	—	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis detection test	$17.92	$34.00	$3.11–$27.20	—	47%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon	$58.79	$111.56	$45.26–$111.56	51% below	47%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon	$58.79	$111.56	$45.26–$111.56	51% below	47%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tuberculosis test, gamma interferon	$58.79	$111.56	$45.26–$111.56	—	47%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tuberculosis test, gamma interferon	$58.79	$111.56	$45.26–$111.56	—	47%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total	$24.48	$46.46	$18.91–$76.53	62% below	47%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total	$24.48	$46.46	$18.91–$76.53	62% below	47%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone (hormone) level, total	$24.48	$46.46	$18.91–$76.53	—	47%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone (hormone) level, total	$24.48	$46.46	$18.91–$76.53	—	47%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement	$15.81	$30.00	$10.54–$26.19	71% below	47%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement	$15.81	$30.00	$10.54–$43.30	71% below	47%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibodies (autoantibody) measurement	$15.81	$30.00	$10.54–$43.30	—	47%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibodies (autoantibody) measurement	$15.81	$30.00	$10.54–$26.19	—	47%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$15.94	$30.24	$12.21–$50.86	83% below	47%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$15.94	$30.24	$12.21–$50.86	83% below	47%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$15.94	$30.24	$12.21–$50.86	—	47%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$15.94	$30.24	$12.21–$50.86	—	47%
Total IgE blood test CPT 82785 IgE (immune system protein) level	$15.62	$29.63	$8.02–$29.63	70% below	47%
Total IgE blood test CPT 82785 IgE (immune system protein) level	$15.62	$29.63	$8.02–$29.63	70% below	47%
Total IgE blood test inpatient CPT 82785 IgE (immune system protein) level	$15.62	$29.63	$8.02–$29.63	—	47%
Total IgE blood test inpatient CPT 82785 IgE (immune system protein) level	$15.62	$29.63	$8.02–$29.63	—	47%
Total cholesterol blood test CPT 82465 Cholesterol level	$11.59	$22.00	$3.11–$17.60	67% below	47%
Total cholesterol blood test CPT 82465 Cholesterol level	$11.59	$22.00	$3.11–$17.60	67% below	47%
Total cholesterol blood test inpatient CPT 82465 Cholesterol level	$11.59	$22.00	$3.11–$17.60	—	47%
Total cholesterol blood test inpatient CPT 82465 Cholesterol level	$11.59	$22.00	$3.11–$17.60	—	47%
Total thyroxine (T4) blood test CPT 84436 Thyroxine (thyroid chemical), total	$6.52	$12.37	$5.03–$12.37	85% below	47%
Total thyroxine (T4) blood test CPT 84436 Thyroxine (thyroid chemical), total	$6.52	$12.37	$5.03–$12.37	85% below	47%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (thyroid chemical), total	$6.52	$12.37	$5.03–$12.37	—	47%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (thyroid chemical), total	$6.52	$12.37	$5.03–$12.37	—	47%
Total triiodothyronine (T3) blood test CPT 84480 Thyroid hormone, T3 measurement, total	$13.70	$26.00	$10.30–$25.52	80% below	47%
Total triiodothyronine (T3) blood test CPT 84480 Thyroid hormone, T3 measurement, total	$13.70	$26.00	$10.30–$42.29	80% below	47%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Thyroid hormone, T3 measurement, total	$13.70	$26.00	$10.30–$25.52	—	47%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Thyroid hormone, T3 measurement, total	$13.70	$26.00	$10.30–$42.29	—	47%
Transferrin blood test CPT 84466 Transferrin (iron binding protein) level	$20.03	$38.00	$5.74–$38.27	73% below	47%
Transferrin blood test CPT 84466 Transferrin (iron binding protein) level	$20.03	$38.00	$5.74–$38.27	73% below	47%
Transferrin blood test inpatient CPT 84466 Transferrin (iron binding protein) level	$20.03	$38.00	$5.74–$38.27	—	47%
Transferrin blood test inpatient CPT 84466 Transferrin (iron binding protein) level	$20.03	$38.00	$5.74–$38.27	—	47%
Trichomonas test (NAAT) CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique	$47.43	$90.00	$25.62–$72.00	5% below	47%
Trichomonas test (NAAT) CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique	$47.43	$90.00	$25.62–$72.00	5% below	47%
Trichomonas test (NAAT) inpatient CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique	$47.43	$90.00	$25.62–$72.00	—	47%
Trichomonas test (NAAT) inpatient CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique	$47.43	$90.00	$25.62–$72.00	—	47%
Triglycerides blood test CPT 84478 Triglycerides level	$8.43	$16.00	$4.31–$17.12	80% below	47%
Triglycerides blood test CPT 84478 Triglycerides level	$8.43	$16.00	$4.31–$17.12	80% below	47%
Triglycerides blood test inpatient CPT 84478 Triglycerides level	$8.43	$16.00	$4.31–$17.12	—	47%
Triglycerides blood test inpatient CPT 84478 Triglycerides level	$8.43	$16.00	$4.31–$17.12	—	47%
Troponin test, quantitative CPT 84484 Troponin (protein) analysis	$13.17	$25.00	$7.20–$37.26	87% below	47%
Troponin test, quantitative CPT 84484 Troponin (protein) analysis	$13.17	$25.00	$7.20–$37.26	87% below	47%
Troponin test, quantitative inpatient CPT 84484 Troponin (protein) analysis	$13.17	$25.00	$7.20–$37.26	—	47%
Troponin test, quantitative inpatient CPT 84484 Troponin (protein) analysis	$13.17	$25.00	$7.20–$37.26	—	47%
Uric acid blood test CPT 84550 Uric acid level, blood	$12.12	$23.00	$3.35–$18.40	74% below	47%
Uric acid blood test CPT 84550 Uric acid level, blood	$12.12	$23.00	$3.35–$18.40	74% below	47%
Uric acid blood test inpatient CPT 84550 Uric acid level, blood	$12.12	$23.00	$3.35–$18.40	—	47%
Uric acid blood test inpatient CPT 84550 Uric acid level, blood	$12.12	$23.00	$3.35–$18.40	—	47%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis W/ Microscopic	$14.76	$28.00	$2.40–$22.40	71% below	47%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis W/ Microscopic	$14.76	$28.00	$2.40–$22.40	71% below	47%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis W/ Microscopic	$14.76	$28.00	$2.40–$22.40	—	47%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis W/ Microscopic	$14.76	$28.00	$2.40–$22.40	—	47%
Urinalysis without microscope exam, automated CPT 81003 Urine Macroscopic	$7.38	$14.00	$1.68–$11.20	72% below	47%
Urinalysis without microscope exam, automated CPT 81003 Urine Macroscopic	$7.38	$14.00	$1.68–$11.20	72% below	47%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Macroscopic	$7.38	$14.00	$1.68–$11.20	—	47%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Macroscopic	$7.38	$14.00	$1.68–$11.20	—	47%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test	$3.16	$6.00	$2.25–$6.26	86% below	47%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test	$3.16	$6.00	$2.25–$6.26	86% below	47%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis, manual test	$3.16	$6.00	$2.25–$6.26	—	47%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis, manual test	$3.16	$6.00	$2.25–$6.26	—	47%
Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine	$28.98	$55.00	$5.99–$44.00	51% below	47%
Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine	$28.98	$55.00	$5.99–$44.00	51% below	47%
Urine culture for bacteria, with colony count inpatient CPT 87086 Bacterial colony count, urine	$28.98	$55.00	$5.99–$44.00	—	47%
Urine culture for bacteria, with colony count inpatient CPT 87086 Bacterial colony count, urine	$28.98	$55.00	$5.99–$44.00	—	47%
Urine microalbumin (albumin) test CPT 82043 Urine microalbumin (protein) level	$5.80	$11.00	$4.31–$17.12	90% below	47%
Urine microalbumin (albumin) test CPT 82043 Urine microalbumin (protein) level	$5.80	$11.00	$4.31–$17.12	90% below	47%
Urine microalbumin (albumin) test inpatient CPT 82043 Urine microalbumin (protein) level	$5.80	$11.00	$4.31–$17.12	—	47%
Urine microalbumin (albumin) test inpatient CPT 82043 Urine microalbumin (protein) level	$5.80	$11.00	$4.31–$17.12	—	47%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test	$25.30	$48.00	$3.64–$38.40	39% below	47%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test	$25.30	$48.00	$3.64–$38.40	39% below	47%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test	$25.30	$48.00	$3.64–$38.40	—	47%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test	$25.30	$48.00	$3.64–$38.40	—	47%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Serum	$26.88	$51.00	$11.02–$45.32	70% below	47%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Serum	$26.88	$51.00	$11.02–$45.32	70% below	47%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Serum	$26.88	$51.00	$11.02–$45.32	—	47%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Serum	$26.88	$51.00	$11.02–$45.32	—	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level	$39.52	$75.00	$21.55–$87.61	63% below	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level	$39.52	$75.00	$21.55–$87.61	63% below	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D-3 level	$39.52	$75.00	$21.55–$87.61	—	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D-3 level	$39.52	$75.00	$21.55–$87.61	—	47%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Dihydroxyvitamin D, 1, 25 level	$36.52	$69.30	$11.53–$69.30	53% below	47%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Dihydroxyvitamin D, 1, 25 level	$36.52	$69.30	$11.53–$69.30	53% below	47%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Dihydroxyvitamin D, 1, 25 level	$36.52	$69.30	$11.53–$69.30	—	47%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Dihydroxyvitamin D, 1, 25 level	$36.52	$69.30	$11.53–$69.30	—	47%
Zinc blood test CPT 84630 Zinc level	$17.90	$33.96	$8.38–$34.24	41% below	47%
Zinc blood test CPT 84630 Zinc level	$17.90	$33.96	$8.38–$34.24	41% below	47%
Zinc blood test inpatient CPT 84630 Zinc level	$17.90	$33.96	$8.38–$34.24	—	47%
Zinc blood test inpatient CPT 84630 Zinc level	$17.90	$33.96	$8.38–$34.24	—	47%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level	$19.30	$36.62	$7.52–$44.31	79% below	47%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level	$19.30	$36.62	$7.52–$44.31	79% below	47%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin, chorionic (reproductive hormone) level	$19.30	$36.62	$7.52–$44.31	—	47%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin, chorionic (reproductive hormone) level	$19.30	$36.62	$7.52–$44.31	—	47%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd Ant Interbody Decompress Cervical Belw C2	$16,686.25	$31,662.72	$3,614.00–$24,278.31	25% above	47%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr	$9,306.25	$17,658.91	$3,614.00–$13,215.74	157% above	47%
Botox injections for chronic migraine CPT 64615 Injection of chemical for destruction of facial and neck nerve muscles on both sides of face	$423.71	$804.00	$228.07–$643.20	30% below	47%
Botox injections for chronic migraine CPT 64615 Injection of chemical for destruction of facial and neck nerve muscles on both sides of face	$423.71	$804.00	$228.07–$643.20	30% below	47%
Botox injections for chronic migraine inpatient CPT 64615 Injection of chemical for destruction of facial and neck nerve muscles on both sides of face	$423.71	$804.00	$228.07–$643.20	—	47%
Botox injections for chronic migraine inpatient CPT 64615 Injection of chemical for destruction of facial and neck nerve muscles on both sides of face	$423.71	$804.00	$228.07–$643.20	—	47%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy, breast, with placement of breast localization device(s) and imaging of the biopsy specimen; first lesion	$1,718.55	$3,261.00	$984.00–$3,197.00	at median	47%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy, breast, with placement of breast localization device(s) and imaging of the biopsy specimen; first lesion	$1,718.55	$3,261.00	$984.00–$3,997.49	at median	47%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Biopsy, breast, with placement of breast localization device(s) and imaging of the biopsy specimen; first lesion	$1,718.55	$3,261.00	$984.00–$3,197.00	—	47%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Biopsy, breast, with placement of breast localization device(s) and imaging of the biopsy specimen; first lesion	$1,718.55	$3,261.00	$984.00–$3,997.49	—	47%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot	$5,891.01	$11,178.39	$2,036.00–$6,002.46	168% above	47%
Cardiac catheterization with coronary angiogram one side CPT 93458 Insertion of catheter in left heart for imaging of blood vessels and left lower heart	$4,147.49	$7,870.00	$2,509.29–$6,712.00	at median	47%
Cardiac catheterization with coronary angiogram one side CPT 93458 Insertion of catheter in left heart for imaging of blood vessels and left lower heart	$4,147.49	$7,870.00	$2,509.29–$7,935.62	at median	47%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Insertion of catheter in left heart for imaging of blood vessels and left lower heart	$4,147.49	$7,870.00	$2,509.29–$7,935.62	—	47%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Insertion of catheter in left heart for imaging of blood vessels and left lower heart	$4,147.49	$7,870.00	$2,509.29–$6,712.00	—	47%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat	$926.47	$1,758.00	$501.17–$1,406.40	11% below	47%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia	$926.47	$1,758.00	$501.17–$1,406.40	11% below	47%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat	$926.47	$1,758.00	$501.17–$1,614.51	11% below	47%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia	$926.47	$1,758.00	$501.17–$1,614.51	11% below	47%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External shock to heart to regulate heart beat	$926.47	$1,758.00	$501.17–$1,406.40	—	47%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia	$926.47	$1,758.00	$501.17–$1,406.40	—	47%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia	$926.47	$1,758.00	$501.17–$1,614.51	—	47%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External shock to heart to regulate heart beat	$926.47	$1,758.00	$501.17–$1,614.51	—	47%
Carpal tunnel release, open surgery CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne	$2,879.17	$5,463.33	$1,298.35–$3,989.00	48% above	47%
Catheter ablation for atrial fibrillation CPT 93656 Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm	$23,507.89	$44,607.00	$11,508.61–$60,526.71	16% above	47%
Catheter ablation for atrial fibrillation CPT 93656 Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm	$23,507.89	$44,607.00	$11,508.61–$45,384.20	16% above	47%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm	$23,507.89	$44,607.00	$11,508.61–$45,384.20	—	47%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm	$23,507.89	$44,607.00	$11,508.61–$60,526.71	—	47%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB Closed Tx Distal Radial Fx/Epiphyseal Separation W/O Manipulation	$296.17	$562.00	$181.59–$449.60	40% below	47%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB Closed Tx Distal Radial Fx/Epiphyseal Separation W/O Manipulation	$296.17	$562.00	$181.59–$449.60	40% below	47%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HB Closed Tx Distal Radial Fx/Epiphyseal Separation W/O Manipulation	$296.17	$562.00	$181.59–$449.60	—	47%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HB Closed Tx Distal Radial Fx/Epiphyseal Separation W/O Manipulation	$296.17	$562.00	$181.59–$449.60	—	47%
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$2,539.97	$4,819.67	$793.54–$3,197.00	55% above	47%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$2,510.84	$4,764.40	$793.54–$3,197.00	57% above	47%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx DX W/Collj Spec When Pfrmd	$2,074.75	$3,936.91	$614.59–$3,197.00	55% above	47%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage	$3,404.94	$6,460.98	$215.73–$917.00	394% above	47%
Coronary stent placement, one artery CPT 92928 Catheter placement of stents in major coronary artery or branch, one artery or branch	$10,626.95	$20,165.00	$3,614.00–$27,979.73	11% below	47%
Coronary stent placement, one artery CPT 92928 Catheter placement of stents in major coronary artery or branch, one artery or branch	$10,626.95	$20,165.00	$3,614.00–$20,979.80	11% below	47%
Coronary stent placement, one artery inpatient CPT 92928 Catheter placement of stents in major coronary artery or branch, one artery or branch	$10,626.95	$20,165.00	$3,614.00–$27,979.73	—	47%
Coronary stent placement, one artery inpatient CPT 92928 Catheter placement of stents in major coronary artery or branch, one artery or branch	$10,626.95	$20,165.00	$3,614.00–$20,979.80	—	47%
Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent	$10,638.35	$20,186.63	$1,858.00–$6,430.90	190% above	47%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and scraping of uterus	$3,542.92	$6,722.80	$1,858.00–$5,882.06	110% above	47%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthesia	$2,551.20	$4,840.98	$1,025.51–$10,494.00	39% above	47%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing	$72.73	$138.00	$47.10–$110.40	6% below	47%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing	$72.73	$138.00	$47.10–$220.80	6% below	47%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of impacted ear wax by washing	$72.73	$138.00	$47.10–$110.40	—	47%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of impacted ear wax by washing	$72.73	$138.00	$47.10–$220.80	—	47%
Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax	$95.39	$181.00	$47.10–$289.60	23% below	47%
Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax	$95.39	$181.00	$47.10–$144.80	23% below	47%
Earwax removal with instruments, one ear inpatient CPT 69210 Removal of impacted ear wax	$95.39	$181.00	$47.10–$289.60	—	47%
Earwax removal with instruments, one ear inpatient CPT 69210 Removal of impacted ear wax	$95.39	$181.00	$47.10–$144.80	—	47%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Biopsy	$247.69	$470.00	$207.74–$376.00	at median	47%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Biopsy	$247.69	$470.00	$207.74–$376.00	at median	47%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$3,507.64	$6,655.86	$56.84–$917.00	1313% above	47%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Biopsy	$247.69	$470.00	$207.74–$376.00	—	47%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Biopsy	$247.69	$470.00	$207.74–$376.00	—	47%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus	$13,121.90	$24,899.25	$2,036.00–$12,806.41	102% above	47%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Nasal/Sinus Endoscopy W/Maxillary Antrostomy	$8,667.28	$16,446.45	$1,858.00–$13,265.09	490% above	47%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus	$8,470.19	$16,072.46	$1,858.00–$12,806.41	64% above	47%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of substance into spinal canal of upper or middle back	$895.90	$1,700.00	$532.53–$4,126.00	26% below	47%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of substance into spinal canal of upper or middle back	$895.90	$1,700.00	$532.53–$4,126.00	26% below	47%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Injection of substance into spinal canal of upper or middle back	$895.90	$1,700.00	$532.53–$4,126.00	—	47%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Injection of substance into spinal canal of upper or middle back	$895.90	$1,700.00	$532.53–$4,126.00	—	47%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	$1,184.70	$2,248.00	$611.00–$4,126.00	15% below	47%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	$1,184.70	$2,248.00	$611.00–$4,126.00	15% below	47%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	$1,184.70	$2,248.00	$611.00–$4,126.00	—	47%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	$1,184.70	$2,248.00	$611.00–$4,126.00	—	47%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible	$9,931.20	$18,844.78	$502.50–$11,543.40	471% above	47%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr Aa Hernia 1st > 10 Cm Reducible	$13,243.11	$25,129.25	$2,036.00–$11,543.40	437% above	47%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible	$5,303.47	$10,063.51	$2,036.00–$6,528.68	104% above	47%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx DX W/Collj Spec Br/Wa if Pfrmd	$2,251.83	$4,272.93	$611.00–$4,126.00	138% above	47%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy	$6,829.71	$12,959.60	$3,614.00–$10,793.43	59% above	47%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography	$7,775.09	$14,753.49	$3,614.00–$10,793.43	79% above	47%
Hammertoe correction surgery CPT 28285 Correction Hammertoe	$3,870.80	$7,344.97	$1,858.00–$6,002.46	65% above	47%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Conv Prev Hip Tot Hip Arthrp W/WO Agrft/Algrft	$24,387.21	$46,275.54	$1,448.48–$23,309.85	224% above	47%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes	$315.67	$599.00	$1.00–$917.00	1% above	47%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes	$315.67	$599.00	$1.00–$917.00	1% above	47%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes	$315.67	$599.00	$1.00–$917.00	—	47%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes	$315.67	$599.00	$1.00–$917.00	—	47%
Hysteroscopy with endometrial ablation CPT 58563 Exam of uterus with destruction of lining of uterus using an endoscope	$5,254.53	$9,970.64	$222.48–$9,175.36	40% above	47%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$4,354.41	$8,262.63	$209.53–$10,494.00	81% above	47%
IUD insertion (the device itself billed separately) CPT 58300 Insertion Intrauterine Device Iud	$4,995.54	$9,479.21	$8.61–$917.00	1504% above	47%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess	$261.39	$496.00	$154.16–$917.00	9% below	47%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess	$261.39	$496.00	$154.16–$917.00	9% below	47%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or single drainage of skin abscess	$261.39	$496.00	$154.16–$917.00	—	47%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or single drainage of skin abscess	$261.39	$496.00	$154.16–$917.00	—	47%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$4,530.85	$8,597.43	$2,036.00–$6,528.68	58% above	47%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament	$434.77	$825.00	$228.07–$660.00	18% above	47%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament	$434.77	$825.00	$228.07–$660.00	18% above	47%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection into tendon or ligament	$434.77	$825.00	$228.07–$660.00	—	47%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection into tendon or ligament	$434.77	$825.00	$228.07–$660.00	—	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa; without ultrasound guidance	$435.83	$827.00	$199.17–$917.00	21% above	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa; without ultrasound guidance	$435.83	$827.00	$199.17–$917.00	21% above	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa; without ultrasound guidance	$435.83	$827.00	$199.17–$917.00	—	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa; without ultrasound guidance	$435.83	$827.00	$199.17–$917.00	—	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa; without ultrasound guidance	$420.55	$798.00	$199.17–$917.00	38% above	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa; without ultrasound guidance	$420.55	$798.00	$199.17–$917.00	38% above	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa; without ultrasound guidance	$420.55	$798.00	$199.17–$917.00	—	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa; without ultrasound guidance	$420.55	$798.00	$199.17–$917.00	—	47%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis, aspiration and/or injection, small joint or bursa; without ultrasound guidance	$367.85	$698.00	$199.17–$917.00	14% above	47%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis, aspiration and/or injection, small joint or bursa; without ultrasound guidance	$367.85	$698.00	$199.17–$917.00	14% above	47%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis, aspiration and/or injection, small joint or bursa; without ultrasound guidance	$367.85	$698.00	$199.17–$917.00	—	47%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis, aspiration and/or injection, small joint or bursa; without ultrasound guidance	$367.85	$698.00	$199.17–$917.00	—	47%
Knee arthroscopy with meniscus trim CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg	$5,632.27	$10,687.41	$2,036.00–$6,002.46	131% above	47%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy	$6,680.18	$12,675.86	$3,614.00–$10,793.43	65% above	47%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy W Total Hysterectomy Uterus 250 Gm/<	$9,375.28	$17,789.91	$3,614.00–$19,260.52	11% below	47%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary	$9,439.65	$17,912.04	$3,614.00–$19,260.52	7% below	47%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$9,274.36	$17,598.40	$395.06–$10,793.43	301% above	47%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia	$10,724.03	$20,349.21	$3,614.00–$19,260.52	310% above	47%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures	$7,546.81	$14,320.33	$3,614.00–$10,793.43	96% above	47%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	$395.78	$751.00	$307.06–$739.12	13% below	47%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	$395.78	$751.00	$307.06–$985.73	13% below	47%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	$395.78	$751.00	$307.06–$985.73	—	47%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	$395.78	$751.00	$307.06–$739.12	—	47%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into lower spine canal using imaging guidance	$895.90	$1,700.00	$532.53–$4,126.00	25% below	47%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into lower spine canal using imaging guidance	$895.90	$1,700.00	$532.53–$4,126.00	25% below	47%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Injection of substance into lower spine canal using imaging guidance	$895.90	$1,700.00	$532.53–$4,126.00	—	47%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Injection of substance into lower spine canal using imaging guidance	$895.90	$1,700.00	$532.53–$4,126.00	—	47%
Lower-back epidural injection, without imaging guidance CPT 62322 HB Inj Interlaminar/Subarachnoid L/S, W/O Img	$961.25	$1,824.00	$600.10–$1,647.02	13% below	47%
Lower-back epidural injection, without imaging guidance CPT 62322 HB Inj Interlaminar/Subarachnoid L/S, W/O Img	$961.25	$1,824.00	$600.10–$1,647.02	13% below	47%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HB Inj Interlaminar/Subarachnoid L/S, W/O Img	$961.25	$1,824.00	$600.10–$1,647.02	—	47%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HB Inj Interlaminar/Subarachnoid L/S, W/O Img	$961.25	$1,824.00	$600.10–$1,647.02	—	47%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$1,252.15	$2,376.00	$611.00–$4,126.00	3% below	47%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$1,252.15	$2,376.00	$611.00–$4,126.00	3% below	47%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$1,252.15	$2,376.00	$611.00–$4,126.00	—	47%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$1,252.15	$2,376.00	$611.00–$4,126.00	—	47%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr	$6,924.51	$13,139.48	$3,614.00–$13,215.74	22% above	47%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 Arthrodesis Combined Tq 1ntrspc Lumbar	$29,705.52	$56,367.22	$12,531.78–$34,377.88	at median	47%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar	$7,241.34	$13,740.69	$3,614.00–$13,215.74	33% above	47%
Lumbar spinal fusion (posterior), one level CPT 22612 Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar	$30,817.41	$58,477.05	$12,531.78–$34,377.88	128% above	47%
Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial	$5,629.98	$10,683.07	$1,858.00–$7,084.08	233% above	47%
Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete	$9,313.95	$17,673.53	$2,036.00–$12,064.55	82% above	47%
Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Abortion First Trimester Surgical	$3,639.75	$6,906.54	$1,858.00–$5,882.06	112% above	47%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate, partial or complete, simple; single	$186.03	$353.00	$154.16–$367.59	31% below	47%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate, partial or complete, simple; single	$186.03	$353.00	$154.16–$490.25	31% below	47%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate, partial or complete, simple; single	$2,385.90	$4,527.32	$134.62–$917.00	791% above	47%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate, partial or complete, simple; single	$186.03	$353.00	$154.16–$490.25	—	47%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate, partial or complete, simple; single	$186.03	$353.00	$154.16–$367.59	—	47%
Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into greater occipital nerve of upper neck and back of head	$604.47	$1,147.00	$228.07–$917.60	1% below	47%
Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into greater occipital nerve of upper neck and back of head	$604.47	$1,147.00	$228.07–$917.60	1% below	47%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection of anesthetic agent and/or steroid into greater occipital nerve of upper neck and back of head	$604.47	$1,147.00	$228.07–$917.60	—	47%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection of anesthetic agent and/or steroid into greater occipital nerve of upper neck and back of head	$604.47	$1,147.00	$228.07–$917.60	—	47%
Pacemaker implant (dual chamber) CPT 33208 Insertion of new/replacement of permanent pacemaker	$11,079.12	$21,023.00	$8,222.93–$25,820.32	16% below	47%
Pacemaker implant (dual chamber) CPT 33208 Insertion of new/replacement of permanent pacemaker	$11,079.12	$21,023.00	$8,222.93–$19,360.63	16% below	47%
Pacemaker implant (dual chamber) inpatient CPT 33208 Insertion of new/replacement of permanent pacemaker	$11,079.12	$21,023.00	$8,222.93–$25,820.32	—	47%
Pacemaker implant (dual chamber) inpatient CPT 33208 Insertion of new/replacement of permanent pacemaker	$11,079.12	$21,023.00	$8,222.93–$19,360.63	—	47%
Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance	$1,026.07	$1,947.00	$609.56–$3,197.00	15% above	47%
Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance	$1,026.07	$1,947.00	$609.56–$3,197.00	15% above	47%
Paracentesis with imaging guidance inpatient CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance	$1,026.07	$1,947.00	$609.56–$3,197.00	—	47%
Paracentesis with imaging guidance inpatient CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance	$1,026.07	$1,947.00	$609.56–$3,197.00	—	47%
Partial knee replacement (one compartment) CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt	$16,157.34	$30,659.08	$6,822.00–$24,278.31	269% above	47%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail	$491.69	$933.00	$307.06–$746.40	4% below	47%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail	$491.69	$933.00	$307.06–$985.73	4% below	47%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail	$2,519.25	$4,780.36	$268.13–$917.00	393% above	47%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Permanent removal fingernail or toenail	$491.69	$933.00	$307.06–$746.40	—	47%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Permanent removal fingernail or toenail	$491.69	$933.00	$307.06–$985.73	—	47%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	$2,056.35	$3,902.00	$1,283.76–$6,243.20	4% below	47%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	$2,056.35	$3,902.00	$1,283.76–$3,612.58	4% below	47%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	$2,056.35	$3,902.00	$1,283.76–$3,612.58	—	47%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	$2,056.35	$3,902.00	$1,283.76–$6,243.20	—	47%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$13,386.62	$25,401.55	$383.27–$23,099.13	567% above	47%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple	$371.01	$704.00	$307.06–$739.12	8% below	47%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple	$371.01	$704.00	$307.06–$985.73	8% below	47%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple	$3,955.33	$7,505.37	$268.13–$917.00	877% above	47%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple	$371.01	$704.00	$307.06–$985.73	—	47%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple	$371.01	$704.00	$307.06–$739.12	—	47%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy	$9,146.15	$17,355.13	$3,614.00–$10,793.43	571% above	47%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon cancer screening not high risk individual	$2,102.12	$3,988.84	$611.00–$4,126.00	35% above	47%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Cancer Screening	$2,109.38	$4,002.61	$168.55–$4,126.00	39% above	47%
Septoplasty to straighten the nasal septum CPT 30520 Septoplasty/Submucous Resecj W/WO Cartilage Grf	$5,072.21	$9,624.68	$639.57–$11,404.57	109% above	47%
Short arm splint (forearm and hand) CPT 29125 Application of non-moveable, short arm splint (forearm to hand)	$145.98	$277.00	$98.37–$238.46	27% below	47%
Short arm splint (forearm and hand) CPT 29125 Application of non-moveable, short arm splint (forearm to hand)	$145.98	$277.00	$98.37–$318.03	27% below	47%
Short arm splint (forearm and hand) inpatient CPT 29125 Application of non-moveable, short arm splint (forearm to hand)	$145.98	$277.00	$98.37–$238.46	—	47%
Short arm splint (forearm and hand) inpatient CPT 29125 Application of non-moveable, short arm splint (forearm to hand)	$145.98	$277.00	$98.37–$318.03	—	47%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint (calf to foot)	$196.04	$372.00	$121.34–$297.60	12% below	47%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint (calf to foot)	$196.04	$372.00	$121.34–$297.60	12% below	47%
Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint (calf to foot)	$196.04	$372.00	$121.34–$297.60	—	47%
Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint (calf to foot)	$196.04	$372.00	$121.34–$297.60	—	47%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less	$202.89	$385.00	$126.67–$367.59	27% below	47%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less	$202.89	$385.00	$126.67–$367.59	27% below	47%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less	$202.89	$385.00	$126.67–$367.59	—	47%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less	$202.89	$385.00	$126.67–$367.59	—	47%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth	$322.00	$611.00	$201.02–$739.12	8% above	47%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth	$322.00	$611.00	$201.02–$739.12	8% above	47%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch biopsy, first skin growth	$322.00	$611.00	$201.02–$739.12	—	47%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch biopsy, first skin growth	$322.00	$611.00	$201.02–$739.12	—	47%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags	$196.04	$372.00	$154.16–$367.59	8% below	47%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags	$196.04	$372.00	$154.16–$490.25	8% below	47%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tag, 1-15 skin tags	$196.04	$372.00	$154.16–$367.59	—	47%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tag, 1-15 skin tags	$196.04	$372.00	$154.16–$490.25	—	47%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test	$759.41	$1,441.00	$532.53–$4,126.00	3% above	47%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test	$759.41	$1,441.00	$532.53–$4,126.00	3% above	47%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test	$759.41	$1,441.00	$532.53–$4,126.00	—	47%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test	$759.41	$1,441.00	$532.53–$4,126.00	—	47%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm	$200.79	$381.00	$154.16–$367.59	38% below	47%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm	$200.79	$381.00	$154.16–$490.25	38% below	47%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm	$200.79	$381.00	$154.16–$367.59	—	47%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm	$200.79	$381.00	$154.16–$490.25	—	47%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	$209.75	$398.00	$154.16–$367.59	27% below	47%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	$209.75	$398.00	$154.16–$490.25	27% below	47%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	$209.75	$398.00	$154.16–$490.25	—	47%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	$209.75	$398.00	$154.16–$367.59	—	47%
Thoracentesis with imaging guidance CPT 32555 Removal of fluid from chest cavity	$893.79	$1,696.00	$422.44–$4,126.00	3% below	47%
Thoracentesis with imaging guidance CPT 32555 Removal of fluid from chest cavity	$893.79	$1,696.00	$422.44–$4,126.00	3% below	47%
Thoracentesis with imaging guidance inpatient CPT 32555 Removal of fluid from chest cavity	$893.79	$1,696.00	$422.44–$4,126.00	—	47%
Thoracentesis with imaging guidance inpatient CPT 32555 Removal of fluid from chest cavity	$893.79	$1,696.00	$422.44–$4,126.00	—	47%
Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & Adenoidectomy Age 12/>	$5,135.32	$9,744.44	$288.48–$5,999.61	198% above	47%
Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$16,187.71	$30,716.72	$6,822.00–$24,278.31	134% above	47%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments	$15,508.45	$29,427.79	$6,822.00–$24,278.31	112% above	47%
Total shoulder replacement CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder	$20,351.33	$38,617.33	$12,179.08–$34,377.88	257% above	47%
Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy Total/Complete	$11,121.61	$21,103.62	$3,614.00–$10,793.43	331% above	47%
Trigger finger release surgery CPT 26055 Tendon Sheath Incision	$4,393.41	$8,336.65	$984.00–$3,197.00	254% above	47%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles	$475.88	$903.00	$228.07–$722.40	49% above	47%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles	$475.88	$903.00	$228.07–$722.40	49% above	47%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection of trigger points, 1-2 muscles	$475.88	$903.00	$228.07–$722.40	—	47%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection of trigger points, 1-2 muscles	$475.88	$903.00	$228.07–$722.40	—	47%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast and placement of locating device using ultrasound, first growth	$1,777.57	$3,373.00	$984.00–$3,197.00	1% above	47%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast and placement of locating device using ultrasound, first growth	$1,777.57	$3,373.00	$984.00–$3,997.49	1% above	47%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy of breast and placement of locating device using ultrasound, first growth	$1,777.57	$3,373.00	$984.00–$3,197.00	—	47%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy of breast and placement of locating device using ultrasound, first growth	$1,777.57	$3,373.00	$984.00–$3,997.49	—	47%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam	$2,572.38	$4,881.18	$984.00–$3,510.13	37% above	47%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple	$2,425.90	$4,603.23	$126.89–$3,197.00	73% above	47%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$2,433.32	$4,617.30	$984.00–$3,510.13	36% above	47%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$2,495.89	$4,736.03	$609.56–$3,197.00	55% above	47%
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$2,039.77	$3,870.54	$609.56–$3,197.00	68% above	47%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue first 20 sq cm or less	$518.57	$984.00	$307.06–$787.20	15% above	47%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue first 20 sq cm or less	$518.57	$984.00	$307.06–$787.20	15% above	47%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue 1st 20 Sq Cm/<	$4,658.16	$8,839.01	$1.16–$917.00	934% above	47%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal of skin and tissue first 20 sq cm or less	$518.57	$984.00	$307.06–$787.20	—	47%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal of skin and tissue first 20 sq cm or less	$518.57	$984.00	$307.06–$787.20	—	47%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx Dstl Rdl X-Artic Fx/Epiphysl Separation	$9,102.32	$17,271.96	$3,614.00–$13,215.74	203% above	47%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, blood or blood components	$634.51	$1,204.00	$291.91–$1,078.62	10% below	47%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, blood or blood components	$634.51	$1,204.00	$291.91–$963.20	10% below	47%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion, blood or blood components	$634.51	$1,204.00	$291.91–$1,078.62	—	47%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion, blood or blood components	$634.51	$1,204.00	$291.91–$963.20	—	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment	$182.34	$346.00	$112.71–$393.46	56% above	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation nebulizer treatment	$182.34	$346.00	$112.71–$501.82	56% above	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production	$182.34	$346.00	$112.71–$501.82	56% above	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment	$182.34	$346.00	$112.71–$501.82	56% above	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation nebulizer treatment	$182.34	$346.00	$112.71–$393.46	56% above	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production	$182.34	$346.00	$112.71–$393.46	56% above	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Treatment	$182.34	$346.00	$112.71–$393.46	—	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation treatment for airway obstruction or sputum production	$182.34	$346.00	$112.71–$393.46	—	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation treatment for airway obstruction or sputum production	$182.34	$346.00	$112.71–$501.82	—	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Treatment	$182.34	$346.00	$112.71–$501.82	—	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation nebulizer treatment	$182.34	$346.00	$112.71–$393.46	—	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation nebulizer treatment	$182.34	$346.00	$112.71–$501.82	—	47%
Chemotherapy IV infusion, first hour CPT 96413 Infusion of chemotherapy into a vein up to 1 hour	$433.72	$823.00	$260.80–$818.36	15% below	47%
Chemotherapy IV infusion, first hour CPT 96413 Infusion of chemotherapy into a vein up to 1 hour	$433.72	$823.00	$260.80–$658.40	15% below	47%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Infusion of chemotherapy into a vein up to 1 hour	$433.72	$823.00	$260.80–$818.36	—	47%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Infusion of chemotherapy into a vein up to 1 hour	$433.72	$823.00	$260.80–$658.40	—	47%
Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes	$1,432.91	$2,719.00	$683.33–$2,175.20	10% below	47%
Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes	$1,432.91	$2,719.00	$683.33–$2,175.20	10% below	47%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes	$1,432.91	$2,719.00	$683.33–$2,175.20	—	47%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes	$1,432.91	$2,719.00	$683.33–$2,175.20	—	47%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Measurement and recording of brain wave (EEG) activity, awake and drowsy	$443.21	$841.00	$241.70–$672.80	15% below	47%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Measurement and recording of brain wave (EEG) activity, awake and drowsy	$443.21	$841.00	$241.70–$768.28	15% below	47%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Measurement and recording of brain wave (EEG) activity, awake and drowsy	$443.21	$841.00	$241.70–$768.28	—	47%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Measurement and recording of brain wave (EEG) activity, awake and drowsy	$443.21	$841.00	$241.70–$672.80	—	47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (EKG) with tracing using at least 12 leads	$98.02	$186.00	$41.13–$148.80	43% below	47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (EKG) with tracing using at least 12 leads	$98.02	$186.00	$41.13–$148.80	43% below	47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine electrocardiogram (EKG) with tracing using at least 12 leads	$98.02	$186.00	$41.13–$148.80	—	47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine electrocardiogram (EKG) with tracing using at least 12 leads	$98.02	$186.00	$41.13–$148.80	—	47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit, self limited or minor problem	$127.53	$242.00	$68.37–$393.00	37% below	47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit, self limited or minor problem	$127.53	$242.00	$68.37–$393.00	37% below	47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit, self limited or minor problem	$127.53	$242.00	$68.37–$393.00	—	47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit, self limited or minor problem	$127.53	$242.00	$68.37–$393.00	—	47%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit, low to moderately severe problem	$205.53	$390.00	$125.95–$670.00	32% below	47%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit, low to moderately severe problem	$205.53	$390.00	$125.95–$670.00	32% below	47%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit, low to moderately severe problem	$205.53	$390.00	$125.95–$670.00	—	47%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit, low to moderately severe problem	$205.53	$390.00	$125.95–$670.00	—	47%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit, moderately severe problem	$338.33	$642.00	$219.71–$874.00	30% below	47%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit, moderately severe problem	$338.33	$642.00	$219.71–$874.00	30% below	47%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit, moderately severe problem	$338.33	$642.00	$219.71–$874.00	—	47%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit, moderately severe problem	$338.33	$642.00	$219.71–$874.00	—	47%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit, problem of high severity	$558.09	$1,059.00	$341.07–$1,076.00	28% below	47%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit, problem of high severity	$558.09	$1,059.00	$341.07–$1,076.00	28% below	47%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit, problem of high severity	$558.09	$1,059.00	$341.07–$1,076.00	—	47%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit, problem of high severity	$558.09	$1,059.00	$341.07–$1,076.00	—	47%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit, problem with significant threat to life or function	$740.96	$1,406.00	$494.63–$1,429.00	36% below	47%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit, problem with significant threat to life or function	$740.96	$1,406.00	$494.63–$1,512.65	36% below	47%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit, problem with significant threat to life or function	$740.96	$1,406.00	$494.63–$1,429.00	—	47%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit, problem with significant threat to life or function	$740.96	$1,406.00	$494.63–$1,512.65	—	47%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring	$461.65	$876.00	$241.70–$700.80	36% below	47%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring	$461.65	$876.00	$241.70–$768.28	36% below	47%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring	$461.65	$876.00	$241.70–$700.80	—	47%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring	$461.65	$876.00	$241.70–$768.28	—	47%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour	$264.55	$502.00	$108.65–$401.60	3% below	47%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour	$264.55	$502.00	$108.65–$519.82	3% below	47%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour	$264.55	$502.00	$108.65–$401.60	—	47%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour	$264.55	$502.00	$108.65–$519.82	—	47%
IV infusion of a medicine, first hour CPT 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour	$293.54	$557.00	$108.65–$445.60	10% below	47%
IV infusion of a medicine, first hour CPT 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour	$293.54	$557.00	$108.65–$519.82	10% below	47%
IV infusion of a medicine, first hour inpatient CPT 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour	$293.54	$557.00	$108.65–$445.60	—	47%
IV infusion of a medicine, first hour inpatient CPT 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour	$293.54	$557.00	$108.65–$519.82	—	47%
IV push of a medicine, first drug CPT 96374 Injection of drug or substance into vein	$233.99	$444.00	$108.65–$519.82	27% above	47%
IV push of a medicine, first drug CPT 96374 Injection of drug or substance into vein	$233.99	$444.00	$108.65–$389.77	27% above	47%
IV push of a medicine, first drug inpatient CPT 96374 Injection of drug or substance into vein	$233.99	$444.00	$108.65–$519.82	—	47%
IV push of a medicine, first drug inpatient CPT 96374 Injection of drug or substance into vein	$233.99	$444.00	$108.65–$389.77	—	47%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle	$94.33	$179.00	$54.25–$143.20	22% above	47%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle	$94.33	$179.00	$54.25–$175.60	22% above	47%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle	$94.33	$179.00	$54.25–$143.20	—	47%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle	$94.33	$179.00	$54.25–$175.60	—	47%
Neuromuscular re-education, 15 minutes CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	$67.98	$129.00	$28.29–$266.00	16% below	47%
Neuromuscular re-education, 15 minutes CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	$67.98	$129.00	$28.29–$266.00	16% below	47%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	$67.98	$129.00	$28.29–$266.00	—	47%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	$67.98	$129.00	$28.29–$266.00	—	47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure for nutrition management, each 15 minutes	$49.54	$94.00	$21.95–$102.61	19% below	47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure for nutrition management, each 15 minutes	$49.54	$94.00	$21.95–$102.61	19% below	47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Therapy procedure for nutrition management, each 15 minutes	$49.54	$94.00	$21.95–$102.61	—	47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Therapy procedure for nutrition management, each 15 minutes	$49.54	$94.00	$21.95–$102.61	—	47%
Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy, typically 30 minutes	$145.98	$277.00	$77.37–$266.00	14% below	47%
Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy, typically 30 minutes	$145.98	$277.00	$77.37–$266.00	14% below	47%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Evaluation for occupational therapy, typically 30 minutes	$145.98	$277.00	$77.37–$266.00	—	47%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Evaluation for occupational therapy, typically 30 minutes	$145.98	$277.00	$77.37–$266.00	—	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy, typically 45 minutes	$193.94	$368.00	$52.98–$294.40	3% below	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy, typically 45 minutes	$193.94	$368.00	$52.98–$294.40	3% below	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Evaluation for physical therapy, typically 45 minutes	$193.94	$368.00	$52.98–$294.40	—	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Evaluation for physical therapy, typically 45 minutes	$193.94	$368.00	$52.98–$294.40	—	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy, typically 20 minutes	$145.98	$277.00	$76.84–$266.00	13% below	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy, typically 20 minutes	$145.98	$277.00	$76.84–$266.00	13% below	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Evaluation for physical therapy, typically 20 minutes	$145.98	$277.00	$76.84–$266.00	—	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Evaluation for physical therapy, typically 20 minutes	$145.98	$277.00	$76.84–$266.00	—	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for physical therapy, typically 30 minutes	$155.46	$295.00	$76.84–$266.00	19% below	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for physical therapy, typically 30 minutes	$155.46	$295.00	$76.84–$266.00	19% below	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Evaluation for physical therapy, typically 30 minutes	$155.46	$295.00	$76.84–$266.00	—	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Evaluation for physical therapy, typically 30 minutes	$155.46	$295.00	$76.84–$266.00	—	47%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy procedure using manual technique, each 15 minutes	$84.85	$161.00	$13.37–$266.00	at median	47%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy procedure using manual technique, each 15 minutes	$84.85	$161.00	$13.37–$266.00	at median	47%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Therapy procedure using manual technique, each 15 minutes	$84.85	$161.00	$13.37–$266.00	—	47%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Therapy procedure using manual technique, each 15 minutes	$84.85	$161.00	$13.37–$266.00	—	47%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$74.83	$142.00	$24.31–$266.00	18% below	47%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$74.83	$142.00	$24.31–$266.00	18% below	47%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$74.83	$142.00	$24.31–$266.00	—	47%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$74.83	$142.00	$24.31–$266.00	—	47%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use intensive counseling, 4-10 minutes	$35.31	$67.00	$22.04–$73.50	3% above	47%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use intensive counseling, 4-10 minutes	$35.31	$67.00	$22.04–$55.11	3% above	47%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking and tobacco use intensive counseling, 4-10 minutes	$35.31	$67.00	$22.04–$55.11	—	47%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking and tobacco use intensive counseling, 4-10 minutes	$35.31	$67.00	$22.04–$73.50	—	47%
Speech and language evaluation CPT 92523 Evaluation of speech sound production; with evaluation of language comprehension and expression (eg, receptive and expressive language)	$323.58	$614.00	$83.66–$491.20	at median	47%
Speech and language evaluation CPT 92523 Evaluation of speech sound production; with evaluation of language comprehension and expression (eg, receptive and expressive language)	$323.58	$614.00	$83.66–$491.20	at median	47%
Speech and language evaluation inpatient CPT 92523 Evaluation of speech sound production; with evaluation of language comprehension and expression (eg, receptive and expressive language)	$323.58	$614.00	$83.66–$491.20	—	47%
Speech and language evaluation inpatient CPT 92523 Evaluation of speech sound production; with evaluation of language comprehension and expression (eg, receptive and expressive language)	$323.58	$614.00	$83.66–$491.20	—	47%
Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual	$173.38	$329.00	$18.09–$276.64	18% below	47%
Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual	$173.38	$329.00	$18.09–$276.64	18% below	47%
Speech therapy session, individual inpatient CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual	$173.38	$329.00	$18.09–$276.64	—	47%
Speech therapy session, individual inpatient CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual	$173.38	$329.00	$18.09–$276.64	—	47%
Spirometry (breathing test) CPT 94010 Measurement and graphic recording of total and timed exhaled air capacity	$168.64	$320.00	$105.28–$386.01	3% above	47%
Spirometry (breathing test) CPT 94010 Measurement and graphic recording of total and timed exhaled air capacity	$168.64	$320.00	$105.28–$289.45	3% above	47%
Spirometry (breathing test) inpatient CPT 94010 Measurement and graphic recording of total and timed exhaled air capacity	$168.64	$320.00	$105.28–$386.01	—	47%
Spirometry (breathing test) inpatient CPT 94010 Measurement and graphic recording of total and timed exhaled air capacity	$168.64	$320.00	$105.28–$289.45	—	47%
Spirometry before and after a bronchodilator CPT 94060 Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration	$362.58	$688.00	$226.35–$576.08	14% above	47%
Spirometry before and after a bronchodilator CPT 94060 Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration	$362.58	$688.00	$226.35–$768.28	14% above	47%
Spirometry before and after a bronchodilator inpatient CPT 94060 Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration	$362.58	$688.00	$226.35–$576.08	—	47%
Spirometry before and after a bronchodilator inpatient CPT 94060 Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration	$362.58	$688.00	$226.35–$768.28	—	47%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities	$70.09	$133.00	$30.82–$266.00	10% below	47%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities	$70.09	$133.00	$30.82–$266.00	10% below	47%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapy procedure using functional activities	$70.09	$133.00	$30.82–$266.00	—	47%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapy procedure using functional activities	$70.09	$133.00	$30.82–$266.00	—	47%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic removal of whole blood to correct blood level imbalance	$226.08	$429.00	$85.90–$343.20	11% above	47%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic removal of whole blood to correct blood level imbalance	$226.08	$429.00	$85.90–$343.20	11% above	47%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic removal of whole blood to correct blood level imbalance	$226.08	$429.00	$85.90–$343.20	—	47%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic removal of whole blood to correct blood level imbalance	$226.08	$429.00	$85.90–$343.20	—	47%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$51.06	$96.88	$1.00–$77.50	3% below	47%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$52.16	$98.97	$1.00–$79.18	1% below	47%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$51.06	$96.88	$1.00–$77.50	—	47%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$52.16	$98.97	$1.00–$79.18	—	47%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$104.44	$198.17	$47.45–$158.54	24% above	47%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$106.86	$202.77	$60.83–$162.22	26% above	47%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$104.44	$198.17	$47.45–$158.54	—	47%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$106.86	$202.77	$60.83–$162.22	—	47%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$40.08	$76.06	$14.10–$60.85	81% above	47%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$40.08	$76.06	$14.10–$60.85	—	47%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE WRAPPER	$82.18	$155.93	$21.95–$124.74	58% above	47%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE WRAPPER	$82.18	$155.93	$21.95–$124.74	58% above	47%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE WRAPPER	$82.18	$155.93	$21.95–$124.74	—	47%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE WRAPPER	$82.18	$155.93	$21.95–$124.74	—	47%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN	$57.72	$109.53	$1.00–$87.62	19% below	47%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN	$57.75	$109.59	$1.00–$87.67	19% below	47%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN	$57.72	$109.53	$1.00–$87.62	—	47%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN	$57.75	$109.59	$1.00–$87.67	—	47%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$90.65	$172.01	$49.51–$240.80	40% above	47%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$90.65	$172.01	$49.51–$240.80	—	47%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$117.56	$223.08	$1.00–$178.46	at median	47%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$117.56	$223.08	$1.00–$178.46	at median	47%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$117.56	$223.08	$1.00–$178.46	—	47%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$117.56	$223.08	$1.00–$178.46	—	47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$314.79	$597.32	$167.20–$789.79	22% below	47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$326.75	$620.02	$186.01–$789.79	19% below	47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$314.79	$597.32	$167.20–$789.79	—	47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$326.75	$620.02	$186.01–$789.79	—	47%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM WRAPPER	$477.96	$906.95	$216.47–$725.56	7% below	47%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM WRAPPER	$477.96	$906.95	$216.47–$725.56	7% below	47%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM WRAPPER	$477.96	$906.95	$216.47–$725.56	—	47%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM WRAPPER	$477.96	$906.95	$216.47–$725.56	—	47%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP	$72.82	$138.18	$1.00–$110.54	17% above	47%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP	$74.86	$142.04	$1.00–$113.63	20% above	47%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP	$72.82	$138.18	$1.00–$110.54	—	47%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP	$74.86	$142.04	$1.00–$113.63	—	47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$67.85	$128.74	$1.00–$102.99	13% below	47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$69.20	$131.30	$1.00–$105.04	12% below	47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$67.85	$128.74	$1.00–$102.99	—	47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$69.20	$131.30	$1.00–$105.04	—	47%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization administration; 1 vaccine	$54.81	$104.00	$8.50–$131.66	33% above	47%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization administration; 1 vaccine	$54.81	$104.00	$8.50–$175.60	33% above	47%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization administration; 1 vaccine	$54.81	$104.00	$8.50–$175.60	—	47%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization administration; 1 vaccine	$54.81	$104.00	$8.50–$131.66	—	47%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization administration; each additional vaccine	$18.97	$36.00	$1.00–$28.80	25% below	47%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization administration; each additional vaccine	$18.97	$36.00	$1.00–$28.80	25% below	47%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization administration; each additional vaccine	$18.97	$36.00	$1.00–$28.80	—	47%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization administration; each additional vaccine	$18.97	$36.00	$1.00–$28.80	—	47%

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

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

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

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

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

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

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

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

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

Source file: https://northmemorial.com/wp-content/uploads/2026/09/208316475_maple-grove-hospital-corporation_standardcharges.csv