Hospital Burlington-South Burlington, VT

Northwestern Medical Center

Northwestern Medical Center in Saint Albans, VT publishes cash prices for 389 common procedures listed here, from its own machine-readable price file updated Aug 5, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Vermont median for 212 of 362 procedures and above it for 112. By typical cash price it ranks #4 of 10 Vermont hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

133 Fairfield St., , Saint Albans, VT 05478 Collected Sep 27, 2026 Source price file (802) 524-5911

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 470024 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Northwestern Medical Center in Saint Albans, VT:

Aug 25, 2021 Warning notice
Mar 9, 2022 Corrective action plan requested
Sep 12, 2022 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Vermont	Off list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 Ankle bi min 3v	$294.32	$626.22	$83.44–$92.71	—	53%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 Ankle bi min 3v	$294.32	$626.22	$83.44–$92.71	—	53%
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray exam of ankle	$294.32	$626.22	$83.44–$92.71	28% below	53%
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray exam of ankle	$294.32	$626.22	$83.44–$92.71	28% below	53%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 Ankle bi min 3v	$294.32	$626.22	$83.44–$92.71	—	53%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 Ankle bi min 3v	$294.32	$626.22	$83.44–$92.71	—	53%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray exam of ankle	$294.32	$626.22	$83.44–$92.71	—	53%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray exam of ankle	$294.32	$626.22	$83.44–$92.71	—	53%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone imaging whole body	$578.17	$1,230.15	$380.81–$423.12	68% below	53%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone imaging whole body	$578.17	$1,230.15	$380.81–$423.12	68% below	53%
Bone scan, whole body (nuclear medicine) CPT 78306 Nm	$578.17	$1,230.15	$380.81–$423.12	68% below	53%
Bone scan, whole body (nuclear medicine) CPT 78306 Nm	$578.17	$1,230.15	$380.81–$423.12	68% below	53%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nm	$578.17	$1,230.15	$380.81–$423.12	—	53%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nm	$578.17	$1,230.15	$380.81–$423.12	—	53%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone imaging whole body	$578.17	$1,230.15	$380.81–$423.12	—	53%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone imaging whole body	$578.17	$1,230.15	$380.81–$423.12	—	53%
Breast ultrasound, complete, one breast both sides CPT 76641 Us breast bi m/c acute	$395.40	$841.28	$100.78–$111.97	—	53%
Breast ultrasound, complete, one breast both sides CPT 76641 Us breast bi m/c acute	$395.40	$841.28	$100.78–$111.97	—	53%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound breast complete	$395.40	$841.28	$100.78–$111.97	22% below	53%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound breast complete	$395.40	$841.28	$100.78–$111.97	22% below	53%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 Us breast bi m/c acute	$395.40	$841.28	$100.78–$111.97	—	53%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 Us breast bi m/c acute	$395.40	$841.28	$100.78–$111.97	—	53%
Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound breast complete	$395.40	$841.28	$100.78–$111.97	—	53%
Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound breast complete	$395.40	$841.28	$100.78–$111.97	—	53%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound breast limited	$198.04	$421.36	$83.44–$92.71	47% below	53%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound breast limited	$198.04	$421.36	$83.44–$92.71	47% below	53%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us breast acute lt	$198.04	$421.36	$83.44–$92.71	47% below	53%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us breast acute lt	$198.04	$421.36	$83.44–$92.71	47% below	53%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound breast limited	$198.04	$421.36	$83.44–$92.71	—	53%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound breast limited	$198.04	$421.36	$83.44–$92.71	—	53%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Us breast acute lt	$198.04	$421.36	$83.44–$92.71	—	53%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Us breast acute lt	$198.04	$421.36	$83.44–$92.71	—	53%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angiography chest	$1,045.13	$2,223.69	$412.35–$458.17	60% below	53%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta angio chest w/wo contrast	$1,045.13	$2,223.69	$412.35–$458.17	60% below	53%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angiography chest	$1,045.13	$2,223.69	$412.35–$458.17	60% below	53%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta angio chest w/wo contrast	$1,045.13	$2,223.69	$412.35–$458.17	60% below	53%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta angio chest w/wo contrast	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta angio chest w/wo contrast	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct angiography chest	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct angiography chest	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct abd & pelvis w/o contrast	$2,051.36	$4,364.60	$212.80–$236.45	27% below	53%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct	$2,051.36	$4,364.60	$212.80–$236.45	27% below	53%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct abd & pelvis w/o contrast	$2,051.36	$4,364.60	$212.80–$236.45	27% below	53%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct	$2,051.36	$4,364.60	$212.80–$236.45	27% below	53%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct	$2,051.36	$4,364.60	$212.80–$236.45	—	53%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct	$2,051.36	$4,364.60	$212.80–$236.45	—	53%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct abd & pelvis w/o contrast	$2,051.36	$4,364.60	$212.80–$236.45	—	53%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct abd & pelvis w/o contrast	$2,051.36	$4,364.60	$212.80–$236.45	—	53%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abd & pelv w/contrast	$2,051.36	$4,364.60	$412.35–$458.17	42% below	53%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct	$2,051.36	$4,364.60	$412.35–$458.17	42% below	53%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abd & pelv w/contrast	$2,051.36	$4,364.60	$412.35–$458.17	42% below	53%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct	$2,051.36	$4,364.60	$412.35–$458.17	42% below	53%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct	$2,051.36	$4,364.60	$412.35–$458.17	—	53%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct abd & pelv w/contrast	$2,051.36	$4,364.60	$412.35–$458.17	—	53%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct	$2,051.36	$4,364.60	$412.35–$458.17	—	53%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct abd & pelv w/contrast	$2,051.36	$4,364.60	$412.35–$458.17	—	53%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct	$2,162.56	$4,601.19	$412.35–$458.17	48% below	53%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abd & pelv 1/> regns	$2,162.56	$4,601.19	$412.35–$458.17	48% below	53%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abd & pelv 1/> regns	$2,162.56	$4,601.19	$412.35–$458.17	48% below	53%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct	$2,162.56	$4,601.19	$412.35–$458.17	48% below	53%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct	$2,162.56	$4,601.19	$412.35–$458.17	—	53%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct abd & pelv 1/> regns	$2,162.56	$4,601.19	$412.35–$458.17	—	53%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct	$2,162.56	$4,601.19	$412.35–$458.17	—	53%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct abd & pelv 1/> regns	$2,162.56	$4,601.19	$412.35–$458.17	—	53%
CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/dye	$1,045.13	$2,223.69	$412.35–$458.17	54% below	53%
CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/contrast	$1,045.13	$2,223.69	$412.35–$458.17	54% below	53%
CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/contrast	$1,045.13	$2,223.69	$412.35–$458.17	54% below	53%
CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/dye	$1,045.13	$2,223.69	$412.35–$458.17	54% below	53%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/dye	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/contrast	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/dye	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/contrast	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	48% below	53%
CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	48% below	53%
CT scan of the abdomen without contrast CPT 74150 Ct abdomen wo/contrast	$1,045.13	$2,223.69	$212.80–$236.45	48% below	53%
CT scan of the abdomen without contrast CPT 74150 Ct abdomen wo/contrast	$1,045.13	$2,223.69	$212.80–$236.45	48% below	53%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen wo/contrast	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen wo/contrast	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct	$1,045.13	$2,223.69	$212.80–$236.45	41% below	53%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct maxillofacial w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	41% below	53%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct maxillofacial w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	41% below	53%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct	$1,045.13	$2,223.69	$212.80–$236.45	41% below	53%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct maxillofacial w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct maxillofacial w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the head or brain, no contrast dye CPT 70450 Ct head/brain w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	41% below	53%
CT scan of the head or brain, no contrast dye CPT 70450 Ct head/brain w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	41% below	53%
CT scan of the head or brain, no contrast dye CPT 70450 Ct	$1,045.13	$2,223.69	$212.80–$236.45	41% below	53%
CT scan of the head or brain, no contrast dye CPT 70450 Ct	$1,045.13	$2,223.69	$212.80–$236.45	41% below	53%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct head/brain w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct head/brain w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the head with contrast CPT 70460 Ct	$746.32	$1,587.92	$412.35–$458.17	62% below	53%
CT scan of the head with contrast CPT 70460 Ct head/brain w/dye	$746.32	$1,587.92	$412.35–$458.17	62% below	53%
CT scan of the head with contrast CPT 70460 Ct head/brain w/dye	$746.32	$1,587.92	$412.35–$458.17	62% below	53%
CT scan of the head with contrast CPT 70460 Ct	$746.32	$1,587.92	$412.35–$458.17	62% below	53%
CT scan of the head with contrast inpatient CPT 70460 Ct	$746.32	$1,587.92	$412.35–$458.17	—	53%
CT scan of the head with contrast inpatient CPT 70460 Ct head/brain w/dye	$746.32	$1,587.92	$412.35–$458.17	—	53%
CT scan of the head with contrast inpatient CPT 70460 Ct head/brain w/dye	$746.32	$1,587.92	$412.35–$458.17	—	53%
CT scan of the head with contrast inpatient CPT 70460 Ct	$746.32	$1,587.92	$412.35–$458.17	—	53%
CT scan of the head without and with contrast CPT 70470 Ct head/brain w/o & w/dye	$1,124.37	$2,392.27	$412.35–$458.17	55% below	53%
CT scan of the head without and with contrast CPT 70470 Ct	$1,124.37	$2,392.27	$412.35–$458.17	55% below	53%
CT scan of the head without and with contrast CPT 70470 Ct head/brain w/o & w/dye	$1,124.37	$2,392.27	$412.35–$458.17	55% below	53%
CT scan of the head without and with contrast CPT 70470 Ct	$1,124.37	$2,392.27	$412.35–$458.17	55% below	53%
CT scan of the head without and with contrast inpatient CPT 70470 Ct head/brain w/o & w/dye	$1,124.37	$2,392.27	$412.35–$458.17	—	53%
CT scan of the head without and with contrast inpatient CPT 70470 Ct	$1,124.37	$2,392.27	$412.35–$458.17	—	53%
CT scan of the head without and with contrast inpatient CPT 70470 Ct	$1,124.37	$2,392.27	$412.35–$458.17	—	53%
CT scan of the head without and with contrast inpatient CPT 70470 Ct head/brain w/o & w/dye	$1,124.37	$2,392.27	$412.35–$458.17	—	53%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct lumbar spine w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	49% below	53%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct lumbar spine w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	49% below	53%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct lumbar spine wo/contrast	$1,045.13	$2,223.69	$212.80–$236.45	49% below	53%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct lumbar spine wo/contrast	$1,045.13	$2,223.69	$212.80–$236.45	49% below	53%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct lumbar spine wo/contrast	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct lumbar spine w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct lumbar spine wo/contrast	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct lumbar spine w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct	$1,045.13	$2,223.69	$212.80–$236.45	49% below	53%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct	$1,045.13	$2,223.69	$212.80–$236.45	49% below	53%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct neck spine w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	49% below	53%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct neck spine w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	49% below	53%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct neck spine w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct neck spine w/o dye	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct	$1,045.13	$2,223.69	$212.80–$236.45	—	53%
CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/contrast	$1,045.13	$2,223.69	$412.35–$458.17	55% below	53%
CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/dye	$1,045.13	$2,223.69	$412.35–$458.17	55% below	53%
CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/contrast	$1,045.13	$2,223.69	$412.35–$458.17	55% below	53%
CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/dye	$1,045.13	$2,223.69	$412.35–$458.17	55% below	53%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis w/contrast	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis w/dye	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis w/contrast	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis w/dye	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial bilat study	$676.15	$1,438.61	$229.07–$254.53	—	53%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial bilat study	$676.15	$1,438.61	$229.07–$254.53	—	53%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Us	$676.15	$1,438.61	$229.07–$254.53	at median	53%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Us	$676.15	$1,438.61	$229.07–$254.53	at median	53%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Extracranial bilat study	$676.15	$1,438.61	$229.07–$254.53	—	53%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Extracranial bilat study	$676.15	$1,438.61	$229.07–$254.53	—	53%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Us	$676.15	$1,438.61	$229.07–$254.53	—	53%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Us	$676.15	$1,438.61	$229.07–$254.53	—	53%
Chest X-ray, 2 views CPT 71046 Chest 2 views	$302.64	$643.91	$798.52–$887.25	35% below	53%
Chest X-ray, 2 views CPT 71046 X-ray exam chest 2 views	$302.64	$643.91	$798.52–$887.25	35% below	53%
Chest X-ray, 2 views CPT 71046 Chest 2 views	$302.64	$643.91	$798.52–$887.25	35% below	53%
Chest X-ray, 2 views CPT 71046 X-ray exam chest 2 views	$302.64	$643.91	$798.52–$887.25	35% below	53%
Chest X-ray, 2 views inpatient CPT 71046 Chest 2 views	$302.64	$643.91	$798.52–$887.25	—	53%
Chest X-ray, 2 views inpatient CPT 71046 X-ray exam chest 2 views	$302.64	$643.91	$798.52–$887.25	—	53%
Chest X-ray, 2 views inpatient CPT 71046 X-ray exam chest 2 views	$302.64	$643.91	$798.52–$887.25	—	53%
Chest X-ray, 2 views inpatient CPT 71046 Chest 2 views	$302.64	$643.91	$798.52–$887.25	—	53%
Chest X-ray, single view CPT 71045 Chest 1 v	$233.64	$497.11	$798.52–$887.25	35% below	53%
Chest X-ray, single view CPT 71045 X-ray exam chest 1 view	$233.64	$497.11	$798.52–$887.25	35% below	53%
Chest X-ray, single view CPT 71045 Chest 1 v	$233.64	$497.11	$798.52–$887.25	35% below	53%
Chest X-ray, single view CPT 71045 X-ray exam chest 1 view	$233.64	$497.11	$798.52–$887.25	35% below	53%
Chest X-ray, single view inpatient CPT 71045 X-ray exam chest 1 view	$233.64	$497.11	$798.52–$887.25	—	53%
Chest X-ray, single view inpatient CPT 71045 Chest 1 v	$233.64	$497.11	$798.52–$887.25	—	53%
Chest X-ray, single view inpatient CPT 71045 X-ray exam chest 1 view	$233.64	$497.11	$798.52–$887.25	—	53%
Chest X-ray, single view inpatient CPT 71045 Chest 1 v	$233.64	$497.11	$798.52–$887.25	—	53%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us exam abdo back wall comp	$346.07	$736.31	$290.46–$322.74	49% below	53%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us kidney complete	$346.07	$736.31	$290.46–$322.74	49% below	53%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us exam abdo back wall comp	$346.07	$736.31	$290.46–$322.74	49% below	53%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us kidney complete	$346.07	$736.31	$290.46–$322.74	49% below	53%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us kidney complete	$346.07	$736.31	$290.46–$322.74	—	53%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us kidney complete	$346.07	$736.31	$290.46–$322.74	—	53%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us exam abdo back wall comp	$346.07	$736.31	$290.46–$322.74	—	53%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us exam abdo back wall comp	$346.07	$736.31	$290.46–$322.74	—	53%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone density-axial skelton	$357.19	$759.98	$100.78–$111.97	39% below	53%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa bone density axial	$357.19	$759.98	$100.78–$111.97	39% below	53%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone density-axial skelton	$357.19	$759.98	$100.78–$111.97	39% below	53%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa bone density axial	$357.19	$759.98	$100.78–$111.97	39% below	53%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bone density-axial skelton	$357.19	$759.98	$100.78–$111.97	—	53%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bone density-axial skelton	$357.19	$759.98	$100.78–$111.97	—	53%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa bone density axial	$357.19	$759.98	$100.78–$111.97	—	53%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa bone density axial	$357.19	$759.98	$100.78–$111.97	—	53%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxa bone density/peripheral	$357.19	$759.98	$83.44–$92.71	at median	53%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxa bone density/peripheral	$357.19	$759.98	$83.44–$92.71	at median	53%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dxa bone density/peripheral	$357.19	$759.98	$83.44–$92.71	—	53%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dxa bone density/peripheral	$357.19	$759.98	$83.44–$92.71	—	53%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct thorax w/o dye	$1,250.46	$2,660.56	$212.80–$236.45	37% below	53%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Low dose lung 3 to 6 month fu	$1,250.46	$2,660.56	$212.80–$236.45	37% below	53%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Low dose lung 3 to 6 month fu	$1,250.46	$2,660.56	$212.80–$236.45	37% below	53%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct thorax w/o dye	$1,250.46	$2,660.56	$212.80–$236.45	37% below	53%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Low dose lung 3 to 6 month fu	$1,250.46	$2,660.56	$212.80–$236.45	—	53%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Low dose lung 3 to 6 month fu	$1,250.46	$2,660.56	$212.80–$236.45	—	53%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct thorax w/o dye	$1,250.46	$2,660.56	$212.80–$236.45	—	53%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct thorax w/o dye	$1,250.46	$2,660.56	$212.80–$236.45	—	53%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct thorax w/dye	$1,045.13	$2,223.69	$412.35–$458.17	54% below	53%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct	$1,045.13	$2,223.69	$412.35–$458.17	54% below	53%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct	$1,045.13	$2,223.69	$412.35–$458.17	54% below	53%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct thorax w/dye	$1,045.13	$2,223.69	$412.35–$458.17	54% below	53%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct thorax w/dye	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct thorax w/dye	$1,045.13	$2,223.69	$412.35–$458.17	—	53%
Diagnostic mammogram, both breasts both sides CPT 77066 Dx mammo incl cad bi	$255.25	$543.08	$136.68–$151.87	—	53%
Diagnostic mammogram, both breasts both sides CPT 77066 Digital mammo bilat diagnostic	$255.25	$543.08	$136.68–$151.87	—	53%
Diagnostic mammogram, both breasts both sides CPT 77066 Digital mammo bilat diagnostic	$255.25	$543.08	$136.68–$151.87	—	53%
Diagnostic mammogram, both breasts both sides CPT 77066 Dx mammo incl cad bi	$255.25	$543.08	$136.68–$151.87	—	53%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx mammo incl cad bi	$255.25	$543.08	$136.68–$151.87	—	53%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Digital mammo bilat diagnostic	$255.25	$543.08	$136.68–$151.87	—	53%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Digital mammo bilat diagnostic	$255.25	$543.08	$136.68–$151.87	—	53%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx mammo incl cad bi	$255.25	$543.08	$136.68–$151.87	—	53%
Diagnostic mammogram, one breast CPT 77065 Dx mammo incl cad uni	$228.64	$486.46	$108.32–$120.35	56% below	53%
Diagnostic mammogram, one breast CPT 77065 Dx mammo incl cad uni	$228.64	$486.46	$108.32–$120.35	56% below	53%
Diagnostic mammogram, one breast one side CPT 77065 Mammo uni lt diagnostic	$228.64	$486.46	$108.32–$120.35	56% below	53%
Diagnostic mammogram, one breast one side CPT 77065 Mammo uni lt diagnostic	$228.64	$486.46	$108.32–$120.35	56% below	53%
Diagnostic mammogram, one breast inpatient CPT 77065 Dx mammo incl cad uni	$228.64	$486.46	$108.32–$120.35	—	53%
Diagnostic mammogram, one breast inpatient CPT 77065 Dx mammo incl cad uni	$228.64	$486.46	$108.32–$120.35	—	53%
Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammo uni lt diagnostic	$228.64	$486.46	$108.32–$120.35	—	53%
Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammo uni lt diagnostic	$228.64	$486.46	$108.32–$120.35	—	53%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Lower extremity study	$611.52	$1,301.10	$229.07–$254.53	—	53%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Us	$611.52	$1,301.10	$229.07–$254.53	—	53%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Lower extremity study	$611.52	$1,301.10	$229.07–$254.53	—	53%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Us	$611.52	$1,301.10	$229.07–$254.53	—	53%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Us	$611.52	$1,301.10	$229.07–$254.53	—	53%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Lower extremity study	$611.52	$1,301.10	$229.07–$254.53	—	53%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Lower extremity study	$611.52	$1,301.10	$229.07–$254.53	—	53%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Us	$611.52	$1,301.10	$229.07–$254.53	—	53%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us ext ven w/dopp bi	$1,031.25	$2,194.14	$229.07–$254.53	—	53%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us ext ven w/dopp bi	$1,031.25	$2,194.14	$229.07–$254.53	—	53%
Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study	$1,031.25	$2,194.14	$229.07–$254.53	31% above	53%
Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study	$1,031.25	$2,194.14	$229.07–$254.53	31% above	53%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Us ext ven w/dopp bi	$1,031.25	$2,194.14	$229.07–$254.53	—	53%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Us ext ven w/dopp bi	$1,031.25	$2,194.14	$229.07–$254.53	—	53%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity study	$1,031.25	$2,194.14	$229.07–$254.53	—	53%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity study	$1,031.25	$2,194.14	$229.07–$254.53	—	53%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram	$1,398.14	$2,974.77	$519.61–$577.35	40% below	53%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte w/doppler complete	$1,398.14	$2,974.77	$519.61–$577.35	40% below	53%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram	$1,398.14	$2,974.77	$519.61–$577.35	40% below	53%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte w/doppler complete	$1,398.14	$2,974.77	$519.61–$577.35	40% below	53%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte w/doppler complete	$1,398.14	$2,974.77	$519.61–$577.35	—	53%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram	$1,398.14	$2,974.77	$519.61–$577.35	—	53%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram	$1,398.14	$2,974.77	$519.61–$577.35	—	53%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte w/doppler complete	$1,398.14	$2,974.77	$519.61–$577.35	—	53%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging	$510.75	$1,086.71	$380.81–$423.12	70% below	53%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm hida scan wo pharmacy	$510.75	$1,086.71	$380.81–$423.12	70% below	53%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging	$510.75	$1,086.71	$380.81–$423.12	70% below	53%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm hida scan wo pharmacy	$510.75	$1,086.71	$380.81–$423.12	70% below	53%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nm hida scan wo pharmacy	$510.75	$1,086.71	$380.81–$423.12	—	53%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary system imaging	$510.75	$1,086.71	$380.81–$423.12	—	53%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nm hida scan wo pharmacy	$510.75	$1,086.71	$380.81–$423.12	—	53%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary system imaging	$510.75	$1,086.71	$380.81–$423.12	—	53%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Home sleep study	$205.00	$436.18	$148.27–$164.75	16% below	53%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study unatt&resp efft	$205.00	$436.18	$148.27–$164.75	16% below	53%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study unatt&resp efft	$205.00	$436.18	$148.27–$164.75	16% below	53%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Home sleep study	$205.00	$436.18	$148.27–$164.75	16% below	53%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep study unatt&resp efft	$205.00	$436.18	$148.27–$164.75	—	53%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep study unatt&resp efft	$205.00	$436.18	$148.27–$164.75	—	53%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Home sleep study	$205.00	$436.18	$148.27–$164.75	—	53%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Home sleep study	$205.00	$436.18	$148.27–$164.75	—	53%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>yrs cpap 4/> parm	$959.99	$2,042.54	$964.16–$1,071.29	84% below	53%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>yrs cpap 4/> parm	$959.99	$2,042.54	$964.16–$1,071.29	84% below	53%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6/>yrs cpap 4/> parm	$959.99	$2,042.54	$964.16–$1,071.29	—	53%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6/>yrs cpap 4/> parm	$959.99	$2,042.54	$964.16–$1,071.29	—	53%
Knee X-ray, 3 views both sides CPT 73562 Knee 3v bilateral	$460.60	$980.00	$83.44–$92.71	—	53%
Knee X-ray, 3 views both sides CPT 73562 Knee 3v bilateral	$460.60	$980.00	$83.44–$92.71	—	53%
Knee X-ray, 3 views CPT 73562 X-ray exam of knee 3	$460.60	$980.00	$83.44–$92.71	4% above	53%
Knee X-ray, 3 views CPT 73562 X-ray exam of knee 3	$460.60	$980.00	$83.44–$92.71	4% above	53%
Knee X-ray, 3 views inpatient both sides CPT 73562 Knee 3v bilateral	$460.60	$980.00	$83.44–$92.71	—	53%
Knee X-ray, 3 views inpatient both sides CPT 73562 Knee 3v bilateral	$460.60	$980.00	$83.44–$92.71	—	53%
Knee X-ray, 3 views inpatient CPT 73562 X-ray exam of knee 3	$460.60	$980.00	$83.44–$92.71	—	53%
Knee X-ray, 3 views inpatient CPT 73562 X-ray exam of knee 3	$460.60	$980.00	$83.44–$92.71	—	53%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo exam of abdomen	$353.71	$752.57	$290.46–$322.74	30% below	53%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo exam of abdomen	$353.71	$752.57	$290.46–$322.74	30% below	53%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us abd limited 1 org 1 quad	$353.71	$752.57	$290.46–$322.74	30% below	53%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us abd limited 1 org 1 quad	$353.71	$752.57	$290.46–$322.74	30% below	53%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo exam of abdomen	$353.71	$752.57	$290.46–$322.74	—	53%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo exam of abdomen	$353.71	$752.57	$290.46–$322.74	—	53%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us abd limited 1 org 1 quad	$353.71	$752.57	$290.46–$322.74	—	53%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us abd limited 1 org 1 quad	$353.71	$752.57	$290.46–$322.74	—	53%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose lung screening	$1,250.46	$2,660.56	$100.78–$111.97	10% above	53%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct thorax lung cancer scr c-	$1,250.46	$2,660.56	$100.78–$111.97	10% above	53%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose lung screening	$1,250.46	$2,660.56	$100.78–$111.97	10% above	53%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct thorax lung cancer scr c-	$1,250.46	$2,660.56	$100.78–$111.97	10% above	53%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct thorax lung cancer scr c-	$1,250.46	$2,660.56	$100.78–$111.97	—	53%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low dose lung screening	$1,250.46	$2,660.56	$100.78–$111.97	—	53%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low dose lung screening	$1,250.46	$2,660.56	$100.78–$111.97	—	53%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct thorax lung cancer scr c-	$1,250.46	$2,660.56	$100.78–$111.97	—	53%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri	$2,665.76	$5,671.83	$512.00–$568.89	8% below	53%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri jnt of lwr extre w/o dye	$2,665.76	$5,671.83	$512.00–$568.89	8% below	53%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri jnt of lwr extre w/o dye	$2,665.76	$5,671.83	$512.00–$568.89	8% below	53%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri	$2,665.76	$5,671.83	$512.00–$568.89	8% below	53%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri	$2,665.76	$5,671.83	$512.00–$568.89	—	53%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri	$2,665.76	$5,671.83	$512.00–$568.89	—	53%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri jnt of lwr extre w/o dye	$2,665.76	$5,671.83	$512.00–$568.89	—	53%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri jnt of lwr extre w/o dye	$2,665.76	$5,671.83	$512.00–$568.89	—	53%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri	$2,665.76	$5,671.83	$810.10–$900.11	38% below	53%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri joint lwr extr w/o&w/dye	$2,665.76	$5,671.83	$810.10–$900.11	38% below	53%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri	$2,665.76	$5,671.83	$810.10–$900.11	38% below	53%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri joint lwr extr w/o&w/dye	$2,665.76	$5,671.83	$810.10–$900.11	38% below	53%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri joint lwr extr w/o&w/dye	$2,665.76	$5,671.83	$810.10–$900.11	—	53%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri joint lwr extr w/o&w/dye	$2,665.76	$5,671.83	$810.10–$900.11	—	53%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri	$2,665.76	$5,671.83	$810.10–$900.11	—	53%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri	$2,665.76	$5,671.83	$810.10–$900.11	—	53%
MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o dye	$1,333.81	$2,837.90	$512.00–$568.89	49% below	53%
MRI of the abdomen without contrast CPT 74181 Mri	$1,333.81	$2,837.90	$512.00–$568.89	49% below	53%
MRI of the abdomen without contrast CPT 74181 Mri	$1,333.81	$2,837.90	$512.00–$568.89	49% below	53%
MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o dye	$1,333.81	$2,837.90	$512.00–$568.89	49% below	53%
MRI of the abdomen without contrast inpatient CPT 74181 Mri abdomen w/o dye	$1,333.81	$2,837.90	$512.00–$568.89	—	53%
MRI of the abdomen without contrast inpatient CPT 74181 Mri	$1,333.81	$2,837.90	$512.00–$568.89	—	53%
MRI of the abdomen without contrast inpatient CPT 74181 Mri abdomen w/o dye	$1,333.81	$2,837.90	$512.00–$568.89	—	53%
MRI of the abdomen without contrast inpatient CPT 74181 Mri	$1,333.81	$2,837.90	$512.00–$568.89	—	53%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abdomen w/o & w/dye	$1,333.81	$2,837.90	$810.10–$900.11	64% below	53%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri	$1,333.81	$2,837.90	$810.10–$900.11	64% below	53%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abdomen w/o & w/dye	$1,333.81	$2,837.90	$810.10–$900.11	64% below	53%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri	$1,333.81	$2,837.90	$810.10–$900.11	64% below	53%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri	$1,333.81	$2,837.90	$810.10–$900.11	—	53%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri abdomen w/o & w/dye	$1,333.81	$2,837.90	$810.10–$900.11	—	53%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri	$1,333.81	$2,837.90	$810.10–$900.11	—	53%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri abdomen w/o & w/dye	$1,333.81	$2,837.90	$810.10–$900.11	—	53%
MRI of the brain, no contrast dye CPT 70551 Mri brain stem w/o dye	$1,200.37	$2,553.97	$512.00–$568.89	58% below	53%
MRI of the brain, no contrast dye CPT 70551 Mri	$1,200.37	$2,553.97	$512.00–$568.89	58% below	53%
MRI of the brain, no contrast dye CPT 70551 Mri brain stem w/o dye	$1,200.37	$2,553.97	$512.00–$568.89	58% below	53%
MRI of the brain, no contrast dye CPT 70551 Mri	$1,200.37	$2,553.97	$512.00–$568.89	58% below	53%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri brain stem w/o dye	$1,200.37	$2,553.97	$512.00–$568.89	—	53%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri	$1,200.37	$2,553.97	$512.00–$568.89	—	53%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri brain stem w/o dye	$1,200.37	$2,553.97	$512.00–$568.89	—	53%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri	$1,200.37	$2,553.97	$512.00–$568.89	—	53%
MRI of the brain, with and without contrast dye CPT 70553 Mri	$1,466.64	$3,120.50	$810.10–$900.11	66% below	53%
MRI of the brain, with and without contrast dye CPT 70553 Mri	$1,466.64	$3,120.50	$810.10–$900.11	66% below	53%
MRI of the brain, with and without contrast dye CPT 70553 Mri brain stem w/o & w/dye	$1,466.64	$3,120.50	$810.10–$900.11	66% below	53%
MRI of the brain, with and without contrast dye CPT 70553 Mri brain stem w/o & w/dye	$1,466.64	$3,120.50	$810.10–$900.11	66% below	53%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri	$1,466.64	$3,120.50	$810.10–$900.11	—	53%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri brain stem w/o & w/dye	$1,466.64	$3,120.50	$810.10–$900.11	—	53%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri	$1,466.64	$3,120.50	$810.10–$900.11	—	53%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri brain stem w/o & w/dye	$1,466.64	$3,120.50	$810.10–$900.11	—	53%
MRI of the lower back, no contrast dye CPT 72148 Mri	$1,466.64	$3,120.50	$512.00–$568.89	50% below	53%
MRI of the lower back, no contrast dye CPT 72148 Mri lumbar spine w/o dye	$1,466.64	$3,120.50	$512.00–$568.89	50% below	53%
MRI of the lower back, no contrast dye CPT 72148 Mri lumbar spine w/o dye	$1,466.64	$3,120.50	$512.00–$568.89	50% below	53%
MRI of the lower back, no contrast dye CPT 72148 Mri	$1,466.64	$3,120.50	$512.00–$568.89	50% below	53%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri lumbar spine w/o dye	$1,466.64	$3,120.50	$512.00–$568.89	—	53%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri lumbar spine w/o dye	$1,466.64	$3,120.50	$512.00–$568.89	—	53%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri	$1,466.64	$3,120.50	$512.00–$568.89	—	53%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri	$1,466.64	$3,120.50	$512.00–$568.89	—	53%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri	$1,466.64	$3,120.50	$810.10–$900.11	63% below	53%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri lumbar spine w/o & w/dye	$1,466.64	$3,120.50	$810.10–$900.11	63% below	53%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri lumbar spine w/o & w/dye	$1,466.64	$3,120.50	$810.10–$900.11	63% below	53%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri	$1,466.64	$3,120.50	$810.10–$900.11	63% below	53%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri lumbar spine w/o & w/dye	$1,466.64	$3,120.50	$810.10–$900.11	—	53%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri lumbar spine w/o & w/dye	$1,466.64	$3,120.50	$810.10–$900.11	—	53%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri	$1,466.64	$3,120.50	$810.10–$900.11	—	53%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri	$1,466.64	$3,120.50	$810.10–$900.11	—	53%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri	$1,466.64	$3,120.50	$512.00–$568.89	51% below	53%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri	$1,466.64	$3,120.50	$512.00–$568.89	51% below	53%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri chest spine w/o dye	$1,466.64	$3,120.50	$512.00–$568.89	51% below	53%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri chest spine w/o dye	$1,466.64	$3,120.50	$512.00–$568.89	51% below	53%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri chest spine w/o dye	$1,466.64	$3,120.50	$512.00–$568.89	—	53%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri	$1,466.64	$3,120.50	$512.00–$568.89	—	53%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri chest spine w/o dye	$1,466.64	$3,120.50	$512.00–$568.89	—	53%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri	$1,466.64	$3,120.50	$512.00–$568.89	—	53%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri	$1,466.64	$3,120.50	$810.10–$900.11	63% below	53%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri neck spine w/o & w/dye	$1,466.64	$3,120.50	$810.10–$900.11	63% below	53%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri	$1,466.64	$3,120.50	$810.10–$900.11	63% below	53%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri neck spine w/o & w/dye	$1,466.64	$3,120.50	$810.10–$900.11	63% below	53%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri neck spine w/o & w/dye	$1,466.64	$3,120.50	$810.10–$900.11	—	53%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri neck spine w/o & w/dye	$1,466.64	$3,120.50	$810.10–$900.11	—	53%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri	$1,466.64	$3,120.50	$810.10–$900.11	—	53%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri	$1,466.64	$3,120.50	$810.10–$900.11	—	53%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri	$1,466.64	$3,120.50	$512.00–$568.89	52% below	53%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri neck spine w/o dye	$1,466.64	$3,120.50	$512.00–$568.89	52% below	53%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri	$1,466.64	$3,120.50	$512.00–$568.89	52% below	53%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri neck spine w/o dye	$1,466.64	$3,120.50	$512.00–$568.89	52% below	53%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri	$1,466.64	$3,120.50	$512.00–$568.89	—	53%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri	$1,466.64	$3,120.50	$512.00–$568.89	—	53%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri neck spine w/o dye	$1,466.64	$3,120.50	$512.00–$568.89	—	53%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri neck spine w/o dye	$1,466.64	$3,120.50	$512.00–$568.89	—	53%
MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/o & w/dye	$1,379.34	$2,934.76	$810.10–$900.11	65% below	53%
MRI of the pelvis without and with contrast CPT 72197 Mri	$1,379.34	$2,934.76	$810.10–$900.11	65% below	53%
MRI of the pelvis without and with contrast CPT 72197 Mri	$1,379.34	$2,934.76	$810.10–$900.11	65% below	53%
MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/o & w/dye	$1,379.34	$2,934.76	$810.10–$900.11	65% below	53%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri	$1,379.34	$2,934.76	$810.10–$900.11	—	53%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri	$1,379.34	$2,934.76	$810.10–$900.11	—	53%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri pelvis w/o & w/dye	$1,379.34	$2,934.76	$810.10–$900.11	—	53%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri pelvis w/o & w/dye	$1,379.34	$2,934.76	$810.10–$900.11	—	53%
MRI of the pelvis, no contrast dye CPT 72195 Mri	$1,333.19	$2,836.57	$512.00–$568.89	35% below	53%
MRI of the pelvis, no contrast dye CPT 72195 Mri	$1,333.19	$2,836.57	$512.00–$568.89	35% below	53%
MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o dye	$1,333.19	$2,836.57	$512.00–$568.89	35% below	53%
MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o dye	$1,333.19	$2,836.57	$512.00–$568.89	35% below	53%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri	$1,333.19	$2,836.57	$512.00–$568.89	—	53%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri	$1,333.19	$2,836.57	$512.00–$568.89	—	53%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri pelvis w/o dye	$1,333.19	$2,836.57	$512.00–$568.89	—	53%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri pelvis w/o dye	$1,333.19	$2,836.57	$512.00–$568.89	—	53%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri	$2,931.39	$6,237.01	$512.00–$568.89	1% below	53%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri	$2,931.39	$6,237.01	$512.00–$568.89	1% below	53%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri joint upr extrem w/o dye	$2,931.39	$6,237.01	$512.00–$568.89	1% below	53%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri joint upr extrem w/o dye	$2,931.39	$6,237.01	$512.00–$568.89	1% below	53%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri	$2,931.39	$6,237.01	$512.00–$568.89	—	53%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri joint upr extrem w/o dye	$2,931.39	$6,237.01	$512.00–$568.89	—	53%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri	$2,931.39	$6,237.01	$512.00–$568.89	—	53%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri joint upr extrem w/o dye	$2,931.39	$6,237.01	$512.00–$568.89	—	53%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm	$1,334.92	$2,840.25	$1,237.17–$1,374.64	56% below	53%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht muscle image spect mult	$1,334.92	$2,840.25	$1,237.17–$1,374.64	56% below	53%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm	$1,334.92	$2,840.25	$1,237.17–$1,374.64	56% below	53%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht muscle image spect mult	$1,334.92	$2,840.25	$1,237.17–$1,374.64	56% below	53%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht muscle image spect mult	$1,334.92	$2,840.25	$1,237.17–$1,374.64	—	53%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht muscle image spect mult	$1,334.92	$2,840.25	$1,237.17–$1,374.64	—	53%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nm	$1,334.92	$2,840.25	$1,237.17–$1,374.64	—	53%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nm	$1,334.92	$2,840.25	$1,237.17–$1,374.64	—	53%
OCT scan of the retina (optical coherence tomography) CPT 92134 Cptr ophth dx img post segmt	$52.98	$112.72	$56.29–$62.55	—	53%
OCT scan of the retina (optical coherence tomography) CPT 92134 Cptr ophth dx img post segmt	$52.98	$112.72	$56.29–$62.55	—	53%
OCT scan of the retina (optical coherence tomography) CPT 92134 Computerized opth di retina	$52.98	$112.72	$56.29–$62.55	—	53%
OCT scan of the retina (optical coherence tomography) CPT 92134 Computerized opth di retina	$52.98	$112.72	$56.29–$62.55	—	53%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Cptr ophth dx img post segmt	$52.98	$112.72	$56.29–$62.55	—	53%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Computerized opth di retina	$52.98	$112.72	$56.29–$62.55	—	53%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Cptr ophth dx img post segmt	$52.98	$112.72	$56.29–$62.55	—	53%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Computerized opth di retina	$52.98	$112.72	$56.29–$62.55	—	53%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us exam pelvic limited	$182.08	$387.41	$290.46–$322.74	65% below	53%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us	$182.08	$387.41	$290.46–$322.74	65% below	53%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us exam pelvic limited	$182.08	$387.41	$290.46–$322.74	65% below	53%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us	$182.08	$387.41	$290.46–$322.74	65% below	53%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us exam pelvic limited	$182.08	$387.41	$290.46–$322.74	—	53%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us	$182.08	$387.41	$290.46–$322.74	—	53%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us	$182.08	$387.41	$290.46–$322.74	—	53%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us exam pelvic limited	$182.08	$387.41	$290.46–$322.74	—	53%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us exam pelvic complete	$320.34	$681.58	$290.46–$322.74	51% below	53%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 U/s pelvic non-ob complete	$320.34	$681.58	$290.46–$322.74	51% below	53%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us exam pelvic complete	$320.34	$681.58	$290.46–$322.74	51% below	53%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 U/s pelvic non-ob complete	$320.34	$681.58	$290.46–$322.74	51% below	53%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 U/s pelvic non-ob complete	$320.34	$681.58	$290.46–$322.74	—	53%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 U/s pelvic non-ob complete	$320.34	$681.58	$290.46–$322.74	—	53%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us exam pelvic complete	$320.34	$681.58	$290.46–$322.74	—	53%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us exam pelvic complete	$320.34	$681.58	$290.46–$322.74	—	53%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob us >= 14 wks sngl fetus	$286.01	$608.53	$100.78–$111.97	56% below	53%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us	$286.01	$608.53	$100.78–$111.97	56% below	53%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob us >= 14 wks sngl fetus	$286.01	$608.53	$100.78–$111.97	56% below	53%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us	$286.01	$608.53	$100.78–$111.97	56% below	53%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us	$286.01	$608.53	$100.78–$111.97	—	53%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us	$286.01	$608.53	$100.78–$111.97	—	53%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob us >= 14 wks sngl fetus	$286.01	$608.53	$100.78–$111.97	—	53%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob us >= 14 wks sngl fetus	$286.01	$608.53	$100.78–$111.97	—	53%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us preg uterus trans abd<14 wk	$286.01	$608.53	$100.78–$111.97	56% below	53%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob us < 14 wks single fetus	$286.01	$608.53	$100.78–$111.97	56% below	53%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us preg uterus trans abd<14 wk	$286.01	$608.53	$100.78–$111.97	56% below	53%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob us < 14 wks single fetus	$286.01	$608.53	$100.78–$111.97	56% below	53%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob us < 14 wks single fetus	$286.01	$608.53	$100.78–$111.97	—	53%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob us < 14 wks single fetus	$286.01	$608.53	$100.78–$111.97	—	53%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Us preg uterus trans abd<14 wk	$286.01	$608.53	$100.78–$111.97	—	53%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Us preg uterus trans abd<14 wk	$286.01	$608.53	$100.78–$111.97	—	53%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us	$254.42	$541.32	$100.78–$111.97	49% below	53%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob us limited fetus(s)	$254.42	$541.32	$100.78–$111.97	49% below	53%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us	$254.42	$541.32	$100.78–$111.97	49% below	53%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob us limited fetus(s)	$254.42	$541.32	$100.78–$111.97	49% below	53%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us	$254.42	$541.32	$100.78–$111.97	—	53%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us	$254.42	$541.32	$100.78–$111.97	—	53%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob us limited fetus(s)	$254.42	$541.32	$100.78–$111.97	—	53%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob us limited fetus(s)	$254.42	$541.32	$100.78–$111.97	—	53%
Screening mammogram, both breasts both sides CPT 77067 Scr mammo bi incl cad	$222.00	$472.33	$110.76–$123.07	—	53%
Screening mammogram, both breasts both sides CPT 77067 Digital mammo bilat implant sc	$222.00	$472.33	$110.76–$123.07	—	53%
Screening mammogram, both breasts both sides CPT 77067 Scr mammo bi incl cad	$222.00	$472.33	$110.76–$123.07	—	53%
Screening mammogram, both breasts both sides CPT 77067 Digital mammo bilat implant sc	$222.00	$472.33	$110.76–$123.07	—	53%
Screening mammogram, both breasts inpatient both sides CPT 77067 Digital mammo bilat implant sc	$222.00	$472.33	$110.76–$123.07	—	53%
Screening mammogram, both breasts inpatient both sides CPT 77067 Digital mammo bilat implant sc	$222.00	$472.33	$110.76–$123.07	—	53%
Screening mammogram, both breasts inpatient both sides CPT 77067 Scr mammo bi incl cad	$222.00	$472.33	$110.76–$123.07	—	53%
Screening mammogram, both breasts inpatient both sides CPT 77067 Scr mammo bi incl cad	$222.00	$472.33	$110.76–$123.07	—	53%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 Shoulder min 2v bi m/c	$337.56	$718.21	$83.44–$92.71	—	53%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 Shoulder min 2v bi m/c	$337.56	$718.21	$83.44–$92.71	—	53%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray exam of shoulder	$337.56	$718.21	$83.44–$92.71	20% below	53%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray exam of shoulder	$337.56	$718.21	$83.44–$92.71	20% below	53%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 Shoulder min 2v bi m/c	$337.56	$718.21	$83.44–$92.71	—	53%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 Shoulder min 2v bi m/c	$337.56	$718.21	$83.44–$92.71	—	53%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray exam of shoulder	$337.56	$718.21	$83.44–$92.71	—	53%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray exam of shoulder	$337.56	$718.21	$83.44–$92.71	—	53%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/> yrs 4/> param	$955.79	$2,033.60	$964.16–$1,071.29	81% below	53%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/>yrs 4/>param	$955.79	$2,033.60	$964.16–$1,071.29	81% below	53%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/> yrs 4/> param	$955.79	$2,033.60	$964.16–$1,071.29	81% below	53%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/>yrs 4/>param	$955.79	$2,033.60	$964.16–$1,071.29	81% below	53%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/>yrs 4/>param	$955.79	$2,033.60	$964.16–$1,071.29	—	53%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/> yrs 4/> param	$955.79	$2,033.60	$964.16–$1,071.29	—	53%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/>yrs 4/>param	$955.79	$2,033.60	$964.16–$1,071.29	—	53%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/> yrs 4/> param	$955.79	$2,033.60	$964.16–$1,071.29	—	53%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-ray xm swlng funcj c+	$233.64	$497.11	$168.71–$187.45	67% below	53%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Modified ba swallow	$233.64	$497.11	$168.71–$187.45	67% below	53%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-ray xm swlng funcj c+	$233.64	$497.11	$168.71–$187.45	67% below	53%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Modified ba swallow	$233.64	$497.11	$168.71–$187.45	67% below	53%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Modified ba swallow	$233.64	$497.11	$168.71–$187.45	—	53%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-ray xm swlng funcj c+	$233.64	$497.11	$168.71–$187.45	—	53%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-ray xm swlng funcj c+	$233.64	$497.11	$168.71–$187.45	—	53%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Modified ba swallow	$233.64	$497.11	$168.71–$187.45	—	53%
Transvaginal pelvic ultrasound CPT 76830 Us	$508.83	$1,082.61	$100.78–$111.97	22% below	53%
Transvaginal pelvic ultrasound CPT 76830 Us	$508.83	$1,082.61	$100.78–$111.97	22% below	53%
Transvaginal pelvic ultrasound CPT 76830 Transvaginal us non-ob	$508.83	$1,082.61	$100.78–$111.97	22% below	53%
Transvaginal pelvic ultrasound CPT 76830 Transvaginal us non-ob	$508.83	$1,082.61	$100.78–$111.97	22% below	53%
Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal us non-ob	$508.83	$1,082.61	$100.78–$111.97	—	53%
Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal us non-ob	$508.83	$1,082.61	$100.78–$111.97	—	53%
Transvaginal pelvic ultrasound inpatient CPT 76830 Us	$508.83	$1,082.61	$100.78–$111.97	—	53%
Transvaginal pelvic ultrasound inpatient CPT 76830 Us	$508.83	$1,082.61	$100.78–$111.97	—	53%
Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal us obstetric	$311.77	$663.35	$100.78–$111.97	44% below	53%
Transvaginal ultrasound during pregnancy CPT 76817 Us	$311.77	$663.35	$100.78–$111.97	44% below	53%
Transvaginal ultrasound during pregnancy CPT 76817 Us	$311.77	$663.35	$100.78–$111.97	44% below	53%
Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal us obstetric	$311.77	$663.35	$100.78–$111.97	44% below	53%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Transvaginal us obstetric	$311.77	$663.35	$100.78–$111.97	—	53%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Us	$311.77	$663.35	$100.78–$111.97	—	53%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Transvaginal us obstetric	$311.77	$663.35	$100.78–$111.97	—	53%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Us	$311.77	$663.35	$100.78–$111.97	—	53%
Ultrasound of the abdomen, complete CPT 76700 Us abdomen complete	$461.45	$981.80	$290.46–$322.74	32% below	53%
Ultrasound of the abdomen, complete CPT 76700 Us abdomen complete	$461.45	$981.80	$290.46–$322.74	32% below	53%
Ultrasound of the abdomen, complete CPT 76700 Us exam abdom complete	$461.45	$981.80	$290.46–$322.74	32% below	53%
Ultrasound of the abdomen, complete CPT 76700 Us exam abdom complete	$461.45	$981.80	$290.46–$322.74	32% below	53%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us abdomen complete	$461.45	$981.80	$290.46–$322.74	—	53%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us exam abdom complete	$461.45	$981.80	$290.46–$322.74	—	53%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us exam abdom complete	$461.45	$981.80	$290.46–$322.74	—	53%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us abdomen complete	$461.45	$981.80	$290.46–$322.74	—	53%
Ultrasound of the scrotum and testicles CPT 76870 Us	$265.46	$564.81	$100.78–$111.97	61% below	53%
Ultrasound of the scrotum and testicles CPT 76870 Us exam scrotum	$265.46	$564.81	$100.78–$111.97	61% below	53%
Ultrasound of the scrotum and testicles CPT 76870 Us	$265.46	$564.81	$100.78–$111.97	61% below	53%
Ultrasound of the scrotum and testicles CPT 76870 Us exam scrotum	$265.46	$564.81	$100.78–$111.97	61% below	53%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us	$265.46	$564.81	$100.78–$111.97	—	53%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us exam scrotum	$265.46	$564.81	$100.78–$111.97	—	53%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us exam scrotum	$265.46	$564.81	$100.78–$111.97	—	53%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us	$265.46	$564.81	$100.78–$111.97	—	53%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us thyroid/soft tissue neck	$265.46	$564.81	$100.78–$111.97	61% below	53%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us thyroid/soft tissue neck	$265.46	$564.81	$100.78–$111.97	61% below	53%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us exam of head and neck	$265.46	$564.81	$100.78–$111.97	61% below	53%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us exam of head and neck	$265.46	$564.81	$100.78–$111.97	61% below	53%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us thyroid/soft tissue neck	$265.46	$564.81	$100.78–$111.97	—	53%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us thyroid/soft tissue neck	$265.46	$564.81	$100.78–$111.97	—	53%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us exam of head and neck	$265.46	$564.81	$100.78–$111.97	—	53%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us exam of head and neck	$265.46	$564.81	$100.78–$111.97	—	53%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray xm upr gi trc 1cntrst	$502.18	$1,068.46	$168.71–$187.45	53% below	53%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugi single cont w ba swallow	$502.18	$1,068.46	$168.71–$187.45	53% below	53%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugi single cont w ba swallow	$502.18	$1,068.46	$168.71–$187.45	53% below	53%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray xm upr gi trc 1cntrst	$502.18	$1,068.46	$168.71–$187.45	53% below	53%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray xm upr gi trc 1cntrst	$502.18	$1,068.46	$168.71–$187.45	—	53%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray xm upr gi trc 1cntrst	$502.18	$1,068.46	$168.71–$187.45	—	53%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Ugi single cont w ba swallow	$502.18	$1,068.46	$168.71–$187.45	—	53%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Ugi single cont w ba swallow	$502.18	$1,068.46	$168.71–$187.45	—	53%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Extremity study	$516.32	$1,098.55	$100.78–$111.97	at median	53%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Extremity study	$516.32	$1,098.55	$100.78–$111.97	at median	53%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us extremity rt ven w doppler	$516.32	$1,098.55	$100.78–$111.97	at median	53%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us extremity rt ven w doppler	$516.32	$1,098.55	$100.78–$111.97	at median	53%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Extremity study	$516.32	$1,098.55	$100.78–$111.97	—	53%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Extremity study	$516.32	$1,098.55	$100.78–$111.97	—	53%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us extremity rt ven w doppler	$516.32	$1,098.55	$100.78–$111.97	—	53%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us extremity rt ven w doppler	$516.32	$1,098.55	$100.78–$111.97	—	53%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 Wrist min 3v bi	$280.19	$596.15	$83.44–$92.71	—	53%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 Wrist min 3v bi	$280.19	$596.15	$83.44–$92.71	—	53%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray exam of wrist	$280.19	$596.15	$83.44–$92.71	32% below	53%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray exam of wrist	$280.19	$596.15	$83.44–$92.71	32% below	53%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 Wrist min 3v bi	$280.19	$596.15	$83.44–$92.71	—	53%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 Wrist min 3v bi	$280.19	$596.15	$83.44–$92.71	—	53%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray exam of wrist	$280.19	$596.15	$83.44–$92.71	—	53%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray exam of wrist	$280.19	$596.15	$83.44–$92.71	—	53%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray exam hip uni 2-3 views	$209.52	$445.78	$83.44–$92.71	63% below	53%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray exam hip uni 2-3 views	$209.52	$445.78	$83.44–$92.71	63% below	53%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip 2-3 views right w/wo pelvi	$209.52	$445.78	$83.44–$92.71	63% below	53%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip 2-3 views right w/wo pelvi	$209.52	$445.78	$83.44–$92.71	63% below	53%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray exam hip uni 2-3 views	$209.52	$445.78	$83.44–$92.71	—	53%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray exam hip uni 2-3 views	$209.52	$445.78	$83.44–$92.71	—	53%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hip 2-3 views right w/wo pelvi	$209.52	$445.78	$83.44–$92.71	—	53%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hip 2-3 views right w/wo pelvi	$209.52	$445.78	$83.44–$92.71	—	53%
X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 vw (kub)	$222.00	$472.33	$83.44–$92.71	42% below	53%
X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 vw (kub)	$222.00	$472.33	$83.44–$92.71	42% below	53%
X-ray of the abdomen, 1 view CPT 74018 X-ray exam abdomen 1 view	$222.00	$472.33	$83.44–$92.71	42% below	53%
X-ray of the abdomen, 1 view CPT 74018 X-ray exam abdomen 1 view	$222.00	$472.33	$83.44–$92.71	42% below	53%
X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen 1 vw (kub)	$222.00	$472.33	$83.44–$92.71	—	53%
X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen 1 vw (kub)	$222.00	$472.33	$83.44–$92.71	—	53%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray exam abdomen 1 view	$222.00	$472.33	$83.44–$92.71	—	53%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray exam abdomen 1 view	$222.00	$472.33	$83.44–$92.71	—	53%
X-ray of the ankle, 2 views both sides CPT 73600 Ankle 2v bilat	$280.19	$596.15	$83.44–$92.71	—	53%
X-ray of the ankle, 2 views both sides CPT 73600 Ankle 2v bilat	$280.19	$596.15	$83.44–$92.71	—	53%
X-ray of the ankle, 2 views CPT 73600 X-ray exam of ankle	$280.19	$596.15	$83.44–$92.71	32% below	53%
X-ray of the ankle, 2 views CPT 73600 X-ray exam of ankle	$280.19	$596.15	$83.44–$92.71	32% below	53%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 Ankle 2v bilat	$280.19	$596.15	$83.44–$92.71	—	53%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 Ankle 2v bilat	$280.19	$596.15	$83.44–$92.71	—	53%
X-ray of the ankle, 2 views inpatient CPT 73600 X-ray exam of ankle	$280.19	$596.15	$83.44–$92.71	—	53%
X-ray of the ankle, 2 views inpatient CPT 73600 X-ray exam of ankle	$280.19	$596.15	$83.44–$92.71	—	53%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray exam of finger(s)	$82.30	$175.11	$83.44–$92.71	78% below	53%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray exam of finger(s)	$82.30	$175.11	$83.44–$92.71	78% below	53%
X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(s) min 2v lt	$82.30	$175.11	$83.44–$92.71	78% below	53%
X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(s) min 2v lt	$82.30	$175.11	$83.44–$92.71	78% below	53%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray exam of finger(s)	$82.30	$175.11	$83.44–$92.71	—	53%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray exam of finger(s)	$82.30	$175.11	$83.44–$92.71	—	53%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Finger(s) min 2v lt	$82.30	$175.11	$83.44–$92.71	—	53%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Finger(s) min 2v lt	$82.30	$175.11	$83.44–$92.71	—	53%
X-ray of the foot, 2 views both sides CPT 73620 Foot 2v bilat	$280.19	$596.15	$83.44–$92.71	—	53%
X-ray of the foot, 2 views both sides CPT 73620 Foot 2v bilat	$280.19	$596.15	$83.44–$92.71	—	53%
X-ray of the foot, 2 views CPT 73620 X-ray exam of foot	$280.19	$596.15	$83.44–$92.71	30% below	53%
X-ray of the foot, 2 views CPT 73620 X-ray exam of foot	$280.19	$596.15	$83.44–$92.71	30% below	53%
X-ray of the foot, 2 views inpatient both sides CPT 73620 Foot 2v bilat	$280.19	$596.15	$83.44–$92.71	—	53%
X-ray of the foot, 2 views inpatient both sides CPT 73620 Foot 2v bilat	$280.19	$596.15	$83.44–$92.71	—	53%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray exam of foot	$280.19	$596.15	$83.44–$92.71	—	53%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray exam of foot	$280.19	$596.15	$83.44–$92.71	—	53%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 Foot bi min 3v	$294.32	$626.22	$83.44–$92.71	—	53%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 Foot bi min 3v	$294.32	$626.22	$83.44–$92.71	—	53%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray exam of foot	$294.32	$626.22	$83.44–$92.71	28% below	53%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray exam of foot	$294.32	$626.22	$83.44–$92.71	28% below	53%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 Foot bi min 3v	$294.32	$626.22	$83.44–$92.71	—	53%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 Foot bi min 3v	$294.32	$626.22	$83.44–$92.71	—	53%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray exam of foot	$294.32	$626.22	$83.44–$92.71	—	53%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray exam of foot	$294.32	$626.22	$83.44–$92.71	—	53%
X-ray of the hand, 3 or more views both sides CPT 73130 Hand min 3v bi m/c	$255.25	$543.08	$83.44–$92.71	—	53%
X-ray of the hand, 3 or more views both sides CPT 73130 Hand min 3v bi m/c	$255.25	$543.08	$83.44–$92.71	—	53%
X-ray of the hand, 3 or more views CPT 73130 X-ray exam of hand	$255.25	$543.08	$83.44–$92.71	36% below	53%
X-ray of the hand, 3 or more views CPT 73130 X-ray exam of hand	$255.25	$543.08	$83.44–$92.71	36% below	53%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 Hand min 3v bi m/c	$255.25	$543.08	$83.44–$92.71	—	53%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 Hand min 3v bi m/c	$255.25	$543.08	$83.44–$92.71	—	53%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray exam of hand	$255.25	$543.08	$83.44–$92.71	—	53%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray exam of hand	$255.25	$543.08	$83.44–$92.71	—	53%
X-ray of the knee, 1 or 2 views both sides CPT 73560 Knee 1 or 2v bi m/c	$391.59	$833.18	$83.44–$92.71	—	53%
X-ray of the knee, 1 or 2 views both sides CPT 73560 Knee 1 or 2v bi m/c	$391.59	$833.18	$83.44–$92.71	—	53%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray exam of knee 1 or 2	$391.59	$833.18	$83.44–$92.71	1% above	53%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray exam of knee 1 or 2	$391.59	$833.18	$83.44–$92.71	1% above	53%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 Knee 1 or 2v bi m/c	$391.59	$833.18	$83.44–$92.71	—	53%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 Knee 1 or 2v bi m/c	$391.59	$833.18	$83.44–$92.71	—	53%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray exam of knee 1 or 2	$391.59	$833.18	$83.44–$92.71	—	53%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray exam of knee 1 or 2	$391.59	$833.18	$83.44–$92.71	—	53%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar spine 2/3 views	$192.06	$408.63	$100.78–$111.97	68% below	53%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray exam l-s spine 2/3 vws	$192.06	$408.63	$100.78–$111.97	68% below	53%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar spine 2/3 views	$192.06	$408.63	$100.78–$111.97	68% below	53%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray exam l-s spine 2/3 vws	$192.06	$408.63	$100.78–$111.97	68% below	53%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbar spine 2/3 views	$192.06	$408.63	$100.78–$111.97	—	53%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray exam l-s spine 2/3 vws	$192.06	$408.63	$100.78–$111.97	—	53%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbar spine 2/3 views	$192.06	$408.63	$100.78–$111.97	—	53%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray exam l-s spine 2/3 vws	$192.06	$408.63	$100.78–$111.97	—	53%
X-ray of the lower back, 4 or more views CPT 72110 X-ray exam l-2 spine 4/>vws	$231.96	$493.53	$100.78–$111.97	69% below	53%
X-ray of the lower back, 4 or more views CPT 72110 Lumbar spine w/obliq min-4v	$231.96	$493.53	$100.78–$111.97	69% below	53%
X-ray of the lower back, 4 or more views CPT 72110 Lumbar spine w/obliq min-4v	$231.96	$493.53	$100.78–$111.97	69% below	53%
X-ray of the lower back, 4 or more views CPT 72110 X-ray exam l-2 spine 4/>vws	$231.96	$493.53	$100.78–$111.97	69% below	53%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbar spine w/obliq min-4v	$231.96	$493.53	$100.78–$111.97	—	53%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbar spine w/obliq min-4v	$231.96	$493.53	$100.78–$111.97	—	53%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-ray exam l-2 spine 4/>vws	$231.96	$493.53	$100.78–$111.97	—	53%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-ray exam l-2 spine 4/>vws	$231.96	$493.53	$100.78–$111.97	—	53%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray exam thorac spine 2vws	$231.96	$493.53	$100.78–$111.97	55% below	53%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray exam thorac spine 2vws	$231.96	$493.53	$100.78–$111.97	55% below	53%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic spine 2v	$231.96	$493.53	$100.78–$111.97	55% below	53%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic spine 2v	$231.96	$493.53	$100.78–$111.97	55% below	53%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic spine 2v	$231.96	$493.53	$100.78–$111.97	—	53%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray exam thorac spine 2vws	$231.96	$493.53	$100.78–$111.97	—	53%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray exam thorac spine 2vws	$231.96	$493.53	$100.78–$111.97	—	53%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic spine 2v	$231.96	$493.53	$100.78–$111.97	—	53%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal bones min 3v	$221.17	$470.57	$83.44–$92.71	49% below	53%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal bones min 3v	$221.17	$470.57	$83.44–$92.71	49% below	53%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray exam of nasal bones	$221.17	$470.57	$83.44–$92.71	49% below	53%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray exam of nasal bones	$221.17	$470.57	$83.44–$92.71	49% below	53%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal bones min 3v	$221.17	$470.57	$83.44–$92.71	—	53%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray exam of nasal bones	$221.17	$470.57	$83.44–$92.71	—	53%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal bones min 3v	$221.17	$470.57	$83.44–$92.71	—	53%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray exam of nasal bones	$221.17	$470.57	$83.44–$92.71	—	53%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray exam neck spine 2-3 vw	$205.36	$436.94	$83.44–$92.71	50% below	53%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray exam neck spine 2-3 vw	$205.36	$436.94	$83.44–$92.71	50% below	53%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C spine 2-3 (trauma)	$205.36	$436.94	$83.44–$92.71	50% below	53%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C spine 2-3 (trauma)	$205.36	$436.94	$83.44–$92.71	50% below	53%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C spine 2-3 (trauma)	$205.36	$436.94	$83.44–$92.71	—	53%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray exam neck spine 2-3 vw	$205.36	$436.94	$83.44–$92.71	—	53%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray exam neck spine 2-3 vw	$205.36	$436.94	$83.44–$92.71	—	53%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C spine 2-3 (trauma)	$205.36	$436.94	$83.44–$92.71	—	53%
X-ray of the pelvis, 1 or 2 views CPT 72170 Hip 2vw with ap pelvis	$177.93	$378.57	$100.78–$111.97	57% below	53%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray exam of pelvis	$177.93	$378.57	$100.78–$111.97	57% below	53%
X-ray of the pelvis, 1 or 2 views CPT 72170 Hip 2vw with ap pelvis	$177.93	$378.57	$100.78–$111.97	57% below	53%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray exam of pelvis	$177.93	$378.57	$100.78–$111.97	57% below	53%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hip 2vw with ap pelvis	$177.93	$378.57	$100.78–$111.97	—	53%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hip 2vw with ap pelvis	$177.93	$378.57	$100.78–$111.97	—	53%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray exam of pelvis	$177.93	$378.57	$100.78–$111.97	—	53%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray exam of pelvis	$177.93	$378.57	$100.78–$111.97	—	53%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum &/or coccyx min 2vw	$155.47	$330.78	$83.44–$92.71	66% below	53%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray exam sacrum tailbone	$155.47	$330.78	$83.44–$92.71	66% below	53%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum &/or coccyx min 2vw	$155.47	$330.78	$83.44–$92.71	66% below	53%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray exam sacrum tailbone	$155.47	$330.78	$83.44–$92.71	66% below	53%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum &/or coccyx min 2vw	$155.47	$330.78	$83.44–$92.71	—	53%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray exam sacrum tailbone	$155.47	$330.78	$83.44–$92.71	—	53%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum &/or coccyx min 2vw	$155.47	$330.78	$83.44–$92.71	—	53%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray exam sacrum tailbone	$155.47	$330.78	$83.44–$92.71	—	53%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Vermont	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt/alt	$16.63	$35.39	—	57% below	53%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine amino (alt) (sgpt)	$16.63	$35.39	—	57% below	53%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt/alt	$16.63	$35.39	—	57% below	53%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine amino (alt) (sgpt)	$16.63	$35.39	—	57% below	53%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine amino (alt) (sgpt)	$16.63	$35.39	—	—	53%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine amino (alt) (sgpt)	$16.63	$35.39	—	—	53%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Sgpt/alt	$16.63	$35.39	—	—	53%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Sgpt/alt	$16.63	$35.39	—	—	53%
AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot/ast	$16.63	$35.39	—	65% below	53%
AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot/ast	$16.63	$35.39	—	65% below	53%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (ast) (sgot)	$16.63	$35.39	—	65% below	53%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (ast) (sgot)	$16.63	$35.39	—	65% below	53%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Sgot/ast	$16.63	$35.39	—	—	53%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (ast) (sgot)	$16.63	$35.39	—	—	53%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Sgot/ast	$16.63	$35.39	—	—	53%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (ast) (sgot)	$16.63	$35.39	—	—	53%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel	$128.04	$272.42	—	69% below	53%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis acute panel	$128.04	$272.42	—	69% below	53%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel	$128.04	$272.42	—	69% below	53%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis acute panel	$128.04	$272.42	—	69% below	53%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis acute panel	$128.04	$272.42	—	—	53%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute hepatitis panel	$128.04	$272.42	—	—	53%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis acute panel	$128.04	$272.42	—	—	53%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute hepatitis panel	$128.04	$272.42	—	—	53%
Allergy blood test, specific IgE, per allergen CPT 86003 Galactose alpha 1 3 gal ige	$84.07	$178.88	—	72% above	53%
Allergy blood test, specific IgE, per allergen CPT 86003 Allg spec ige crude xtrc ea	$84.07	$178.88	—	72% above	53%
Allergy blood test, specific IgE, per allergen CPT 86003 Allg spec ige crude xtrc ea	$84.07	$178.88	—	72% above	53%
Allergy blood test, specific IgE, per allergen CPT 86003 Galactose alpha 1 3 gal ige	$84.07	$178.88	—	72% above	53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Galactose alpha 1 3 gal ige	$84.07	$178.88	—	—	53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg spec ige crude xtrc ea	$84.07	$178.88	—	—	53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg spec ige crude xtrc ea	$84.07	$178.88	—	—	53%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Galactose alpha 1 3 gal ige	$84.07	$178.88	—	—	53%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp abs	$14.65	$31.16	—	86% below	53%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp abs	$14.65	$31.16	—	86% below	53%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp antibody	$14.65	$31.16	—	86% below	53%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp antibody	$14.65	$31.16	—	86% below	53%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp abs	$14.65	$31.16	—	—	53%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp antibody	$14.65	$31.16	—	—	53%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp abs	$14.65	$31.16	—	—	53%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp antibody	$14.65	$31.16	—	—	53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies	$89.53	$190.49	—	at median	53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-nuclear ab by ifa	$89.53	$190.49	—	at median	53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies	$89.53	$190.49	—	at median	53%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-nuclear ab by ifa	$89.53	$190.49	—	at median	53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear antibodies	$89.53	$190.49	—	—	53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti-nuclear ab by ifa	$89.53	$190.49	—	—	53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti-nuclear ab by ifa	$89.53	$190.49	—	—	53%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear antibodies	$89.53	$190.49	—	—	53%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay of natriuretic peptide	$87.30	$185.75	—	51% below	53%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay of natriuretic peptide	$87.30	$185.75	—	51% below	53%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt pro bnp	$87.30	$185.75	—	51% below	53%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt pro bnp	$87.30	$185.75	—	51% below	53%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Nt pro bnp	$87.30	$185.75	—	—	53%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay of natriuretic peptide	$87.30	$185.75	—	—	53%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Nt pro bnp	$87.30	$185.75	—	—	53%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay of natriuretic peptide	$87.30	$185.75	—	—	53%
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel	$33.26	$70.77	—	64% below	53%
Basic metabolic panel (blood test) CPT 80048 Metabolic panel total ca	$33.26	$70.77	—	64% below	53%
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel	$33.26	$70.77	—	64% below	53%
Basic metabolic panel (blood test) CPT 80048 Metabolic panel total ca	$33.26	$70.77	—	64% below	53%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic metabolic panel	$33.26	$70.77	—	—	53%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic metabolic panel	$33.26	$70.77	—	—	53%
Basic metabolic panel (blood test) inpatient CPT 80048 Metabolic panel total ca	$33.26	$70.77	—	—	53%
Basic metabolic panel (blood test) inpatient CPT 80048 Metabolic panel total ca	$33.26	$70.77	—	—	53%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Phys fee-path level iv	$261.69	$556.78	$50.63–$56.26	7% above	53%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue exam by pathologist	$261.69	$556.78	$50.63–$56.26	7% above	53%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Phys fee-path level iv	$261.69	$556.78	$50.63–$56.26	7% above	53%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue exam by pathologist	$261.69	$556.78	$50.63–$56.26	7% above	53%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Phys fee-path level iv	$261.69	$556.78	$50.63–$56.26	—	53%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue exam by pathologist	$261.69	$556.78	$50.63–$56.26	—	53%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Phys fee-path level iv	$261.69	$556.78	$50.63–$56.26	—	53%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue exam by pathologist	$261.69	$556.78	$50.63–$56.26	—	53%
Blood culture for bacteria CPT 87040 Culture bacterial; blood	$177.90	$378.51	—	at median	53%
Blood culture for bacteria CPT 87040 Blood culture for bacteria	$177.90	$378.51	—	at median	53%
Blood culture for bacteria CPT 87040 Culture bacterial; blood	$177.90	$378.51	—	at median	53%
Blood culture for bacteria CPT 87040 Blood culture for bacteria	$177.90	$378.51	—	at median	53%
Blood culture for bacteria inpatient CPT 87040 Culture bacterial; blood	$177.90	$378.51	—	—	53%
Blood culture for bacteria inpatient CPT 87040 Culture bacterial; blood	$177.90	$378.51	—	—	53%
Blood culture for bacteria inpatient CPT 87040 Blood culture for bacteria	$177.90	$378.51	—	—	53%
Blood culture for bacteria inpatient CPT 87040 Blood culture for bacteria	$177.90	$378.51	—	—	53%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine venipuncture	$77.07	$163.98	—	320% above	53%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine venipuncture	$77.07	$163.98	—	320% above	53%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine venipuncture	$77.07	$163.98	—	—	53%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine venipuncture	$77.07	$163.98	—	—	53%
Blood glucose (sugar) test CPT 82947 Assay glucose blood quant	$16.63	$35.39	$3.54–$3.93	55% below	53%
Blood glucose (sugar) test CPT 82947 Assay glucose blood quant	$16.63	$35.39	$3.54–$3.93	55% below	53%
Blood glucose (sugar) test CPT 82947 Glucose	$16.63	$35.39	$3.54–$3.93	55% below	53%
Blood glucose (sugar) test CPT 82947 Glucose	$16.63	$35.39	$3.54–$3.93	55% below	53%
Blood glucose (sugar) test inpatient CPT 82947 Assay glucose blood quant	$16.63	$35.39	$3.54–$3.93	—	53%
Blood glucose (sugar) test inpatient CPT 82947 Glucose	$16.63	$35.39	$3.54–$3.93	—	53%
Blood glucose (sugar) test inpatient CPT 82947 Assay glucose blood quant	$16.63	$35.39	$3.54–$3.93	—	53%
Blood glucose (sugar) test inpatient CPT 82947 Glucose	$16.63	$35.39	$3.54–$3.93	—	53%
Blood lead test CPT 83655 Assay of lead	$55.70	$118.52	—	13% below	53%
Blood lead test CPT 83655 Ulead lead urine	$55.70	$118.52	—	13% below	53%
Blood lead test CPT 83655 Assay of lead	$55.70	$118.52	—	13% below	53%
Blood lead test CPT 83655 Ulead lead urine	$55.70	$118.52	—	13% below	53%
Blood lead test inpatient CPT 83655 Assay of lead	$55.70	$118.52	—	—	53%
Blood lead test inpatient CPT 83655 Ulead lead urine	$55.70	$118.52	—	—	53%
Blood lead test inpatient CPT 83655 Assay of lead	$55.70	$118.52	—	—	53%
Blood lead test inpatient CPT 83655 Ulead lead urine	$55.70	$118.52	—	—	53%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg qualitative	$22.24	$47.31	—	68% below	53%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg qualitative	$22.24	$47.31	—	68% below	53%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic gonadotropin assay	$22.24	$47.31	—	68% below	53%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic gonadotropin assay	$22.24	$47.31	—	68% below	53%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg qualitative	$22.24	$47.31	—	—	53%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic gonadotropin assay	$22.24	$47.31	—	—	53%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg qualitative	$22.24	$47.31	—	—	53%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic gonadotropin assay	$22.24	$47.31	—	—	53%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Arc abo type	$79.85	$169.89	$122.16–$135.73	11% below	53%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing serologic abo	$79.85	$169.89	$122.16–$135.73	11% below	53%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing serologic abo	$79.85	$169.89	$122.16–$135.73	11% below	53%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Arc abo type	$79.85	$169.89	$122.16–$135.73	11% below	53%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood typing serologic abo	$79.85	$169.89	$122.16–$135.73	—	53%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Arc abo type	$79.85	$169.89	$122.16–$135.73	—	53%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Arc abo type	$79.85	$169.89	$122.16–$135.73	—	53%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood typing serologic abo	$79.85	$169.89	$122.16–$135.73	—	53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein	$16.63	$35.39	—	73% below	53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein (crp)	$16.63	$35.39	—	73% below	53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein	$16.63	$35.39	—	73% below	53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein (crp)	$16.63	$35.39	—	73% below	53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-reactive protein (crp)	$16.63	$35.39	—	—	53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-reactive protein	$16.63	$35.39	—	—	53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-reactive protein (crp)	$16.63	$35.39	—	—	53%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-reactive protein	$16.63	$35.39	—	—	53%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff molecular detection	$39.07	$83.13	—	81% below	53%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff molecular detection	$39.07	$83.13	—	81% below	53%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff amplified probe	$39.07	$83.13	—	81% below	53%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff amplified probe	$39.07	$83.13	—	81% below	53%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff amplified probe	$39.07	$83.13	—	—	53%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff molecular detection	$39.07	$83.13	—	—	53%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff amplified probe	$39.07	$83.13	—	—	53%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff molecular detection	$39.07	$83.13	—	—	53%
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay tumor ca 19-9	$54.05	$115.00	—	75% below	53%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9	$54.05	$115.00	—	75% below	53%
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay tumor ca 19-9	$54.05	$115.00	—	75% below	53%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9	$54.05	$115.00	—	75% below	53%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9	$54.05	$115.00	—	—	53%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunoassay tumor ca 19-9	$54.05	$115.00	—	—	53%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9	$54.05	$115.00	—	—	53%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunoassay tumor ca 19-9	$54.05	$115.00	—	—	53%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125	$42.41	$90.23	—	71% below	53%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125	$42.41	$90.23	—	71% below	53%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay tumor ca 125	$42.41	$90.23	—	71% below	53%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay tumor ca 125	$42.41	$90.23	—	71% below	53%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca 125	$42.41	$90.23	—	—	53%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunoassay tumor ca 125	$42.41	$90.23	—	—	53%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca 125	$42.41	$90.23	—	—	53%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunoassay tumor ca 125	$42.41	$90.23	—	—	53%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 covid-19 amp prb	$42.76	$90.97	$46.18–$51.31	43% below	53%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 covid-19 amp prb	$42.76	$90.97	$46.18–$51.31	43% below	53%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 Cdc 2019-ncov rt-pcr	$42.76	$90.97	$46.18–$51.31	43% below	53%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 Cdc 2019-ncov rt-pcr	$42.76	$90.97	$46.18–$51.31	43% below	53%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-cov-2 covid-19 amp prb	$42.76	$90.97	$46.18–$51.31	—	53%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-cov-2 covid-19 amp prb	$42.76	$90.97	$46.18–$51.31	—	53%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 Cdc 2019-ncov rt-pcr	$42.76	$90.97	$46.18–$51.31	—	53%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 Cdc 2019-ncov rt-pcr	$42.76	$90.97	$46.18–$51.31	—	53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trach misc sources	$48.23	$102.61	—	59% below	53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trach misc sources	$48.23	$102.61	—	59% below	53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd trach dna amp probe	$48.23	$102.61	—	59% below	53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd trach dna amp probe	$48.23	$102.61	—	59% below	53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trach misc sources	$48.23	$102.61	—	—	53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd trach dna amp probe	$48.23	$102.61	—	—	53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd trach dna amp probe	$48.23	$102.61	—	—	53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trach misc sources	$48.23	$102.61	—	—	53%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel mml	$33.29	$70.83	$12.05–$13.39	66% below	53%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel	$33.29	$70.83	$12.05–$13.39	66% below	53%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel mml	$33.29	$70.83	$12.05–$13.39	66% below	53%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel	$33.29	$70.83	$12.05–$13.39	66% below	53%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid panel	$33.29	$70.83	$12.05–$13.39	—	53%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid panel mml	$33.29	$70.83	$12.05–$13.39	—	53%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid panel	$33.29	$70.83	$12.05–$13.39	—	53%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid panel mml	$33.29	$70.83	$12.05–$13.39	—	53%
Complete blood count (CBC) with differential CPT 85025 Complete cbc w/auto diff wbc	$39.90	$84.90	—	37% below	53%
Complete blood count (CBC) with differential CPT 85025 Complete cbc w/auto diff wbc	$39.90	$84.90	—	37% below	53%
Complete blood count (CBC) with differential CPT 85025 Cbc w/ man diff	$39.90	$84.90	—	37% below	53%
Complete blood count (CBC) with differential CPT 85025 Cbc w/ man diff	$39.90	$84.90	—	37% below	53%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete cbc w/auto diff wbc	$39.90	$84.90	—	—	53%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc w/ man diff	$39.90	$84.90	—	—	53%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete cbc w/auto diff wbc	$39.90	$84.90	—	—	53%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc w/ man diff	$39.90	$84.90	—	—	53%
Complete blood count (CBC), no differential CPT 85027 Complete cbc automated	$23.27	$49.51	—	58% below	53%
Complete blood count (CBC), no differential CPT 85027 Complete cbc automated	$23.27	$49.51	—	58% below	53%
Complete blood count (CBC), no differential CPT 85027 Cbc(cpo)	$23.27	$49.51	—	58% below	53%
Complete blood count (CBC), no differential CPT 85027 Cbc(cpo)	$23.27	$49.51	—	58% below	53%
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc(cpo)	$23.27	$49.51	—	—	53%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete cbc automated	$23.27	$49.51	—	—	53%
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc(cpo)	$23.27	$49.51	—	—	53%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete cbc automated	$23.27	$49.51	—	—	53%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehen metabolic panel	$33.26	$70.77	—	73% below	53%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel	$33.26	$70.77	—	73% below	53%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel	$33.26	$70.77	—	73% below	53%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehen metabolic panel	$33.26	$70.77	—	73% below	53%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen metabolic panel	$33.26	$70.77	—	—	53%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive metabolic panel	$33.26	$70.77	—	—	53%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen metabolic panel	$33.26	$70.77	—	—	53%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive metabolic panel	$33.26	$70.77	—	—	53%
D-dimer blood test (blood clot marker) CPT 85379 D-dimer quantitiative	$44.60	$94.89	—	53% below	53%
D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation quant	$44.60	$94.89	—	53% below	53%
D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation quant	$44.60	$94.89	—	53% below	53%
D-dimer blood test (blood clot marker) CPT 85379 D-dimer quantitiative	$44.60	$94.89	—	53% below	53%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin degradation quant	$44.60	$94.89	—	—	53%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-dimer quantitiative	$44.60	$94.89	—	—	53%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-dimer quantitiative	$44.60	$94.89	—	—	53%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin degradation quant	$44.60	$94.89	—	—	53%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dheas	$53.21	$113.22	—	80% below	53%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone	$53.21	$113.22	—	80% below	53%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dheas	$53.21	$113.22	—	80% below	53%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone	$53.21	$113.22	—	80% below	53%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone	$53.21	$113.22	—	—	53%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dheas	$53.21	$113.22	—	—	53%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone	$53.21	$113.22	—	—	53%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dheas	$53.21	$113.22	—	—	53%
Estradiol blood test CPT 82670 Assay of estradiol	$152.15	$323.72	—	at median	53%
Estradiol blood test CPT 82670 Assay of estradiol	$152.15	$323.72	—	at median	53%
Estradiol blood test CPT 82670 Estradiol pediatric (mayo)	$152.15	$323.72	—	at median	53%
Estradiol blood test CPT 82670 Estradiol pediatric (mayo)	$152.15	$323.72	—	at median	53%
Estradiol blood test inpatient CPT 82670 Estradiol pediatric (mayo)	$152.15	$323.72	—	—	53%
Estradiol blood test inpatient CPT 82670 Assay of estradiol	$152.15	$323.72	—	—	53%
Estradiol blood test inpatient CPT 82670 Estradiol pediatric (mayo)	$152.15	$323.72	—	—	53%
Estradiol blood test inpatient CPT 82670 Assay of estradiol	$152.15	$323.72	—	—	53%
FSH (follicle-stimulating hormone) test CPT 83001 Assay of gonadotropin (fsh)	$24.95	$53.08	—	83% below	53%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh	$24.95	$53.08	—	83% below	53%
FSH (follicle-stimulating hormone) test CPT 83001 Assay of gonadotropin (fsh)	$24.95	$53.08	—	83% below	53%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh	$24.95	$53.08	—	83% below	53%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh	$24.95	$53.08	—	—	53%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Assay of gonadotropin (fsh)	$24.95	$53.08	—	—	53%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Assay of gonadotropin (fsh)	$24.95	$53.08	—	—	53%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh	$24.95	$53.08	—	—	53%
Fecal calprotectin (stool inflammation test) CPT 83993 Assay for calprotectin fecal	$247.43	$526.45	—	18% below	53%
Fecal calprotectin (stool inflammation test) CPT 83993 Assay for calprotectin fecal	$247.43	$526.45	—	18% below	53%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin fecal	$247.43	$526.45	—	18% below	53%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin fecal	$247.43	$526.45	—	18% below	53%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Assay for calprotectin fecal	$247.43	$526.45	—	—	53%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin fecal	$247.43	$526.45	—	—	53%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Assay for calprotectin fecal	$247.43	$526.45	—	—	53%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin fecal	$247.43	$526.45	—	—	53%
Ferritin blood test (iron stores) CPT 82728 Assay of ferritin	$75.74	$161.14	—	39% below	53%
Ferritin blood test (iron stores) CPT 82728 Ferritin fahc	$75.74	$161.14	—	39% below	53%
Ferritin blood test (iron stores) CPT 82728 Ferritin fahc	$75.74	$161.14	—	39% below	53%
Ferritin blood test (iron stores) CPT 82728 Assay of ferritin	$75.74	$161.14	—	39% below	53%
Ferritin blood test (iron stores) inpatient CPT 82728 Assay of ferritin	$75.74	$161.14	—	—	53%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin fahc	$75.74	$161.14	—	—	53%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin fahc	$75.74	$161.14	—	—	53%
Ferritin blood test (iron stores) inpatient CPT 82728 Assay of ferritin	$75.74	$161.14	—	—	53%
Folate (folic acid) blood test CPT 82746 Assay of folic acid serum	$27.44	$58.38	—	76% below	53%
Folate (folic acid) blood test CPT 82746 Folate	$27.44	$58.38	—	76% below	53%
Folate (folic acid) blood test CPT 82746 Folate	$27.44	$58.38	—	76% below	53%
Folate (folic acid) blood test CPT 82746 Assay of folic acid serum	$27.44	$58.38	—	76% below	53%
Folate (folic acid) blood test inpatient CPT 82746 Assay of folic acid serum	$27.44	$58.38	—	—	53%
Folate (folic acid) blood test inpatient CPT 82746 Assay of folic acid serum	$27.44	$58.38	—	—	53%
Folate (folic acid) blood test inpatient CPT 82746 Folate	$27.44	$58.38	—	—	53%
Folate (folic acid) blood test inpatient CPT 82746 Folate	$27.44	$58.38	—	—	53%
Free T3 thyroid hormone test CPT 84481 T3 free	$42.41	$90.23	—	72% below	53%
Free T3 thyroid hormone test CPT 84481 T3 free	$42.41	$90.23	—	72% below	53%
Free T3 thyroid hormone test CPT 84481 Free assay (ft-3)	$42.41	$90.23	—	72% below	53%
Free T3 thyroid hormone test CPT 84481 Free assay (ft-3)	$42.41	$90.23	—	72% below	53%
Free T3 thyroid hormone test inpatient CPT 84481 T3 free	$42.41	$90.23	—	—	53%
Free T3 thyroid hormone test inpatient CPT 84481 T3 free	$42.41	$90.23	—	—	53%
Free T3 thyroid hormone test inpatient CPT 84481 Free assay (ft-3)	$42.41	$90.23	—	—	53%
Free T3 thyroid hormone test inpatient CPT 84481 Free assay (ft-3)	$42.41	$90.23	—	—	53%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Assy of free thyroxine	$102.14	$217.31	—	at median	53%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay of free thyroxine	$102.14	$217.31	—	at median	53%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay of free thyroxine	$102.14	$217.31	—	at median	53%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Assy of free thyroxine	$102.14	$217.31	—	at median	53%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assy of free thyroxine	$102.14	$217.31	—	—	53%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay of free thyroxine	$102.14	$217.31	—	—	53%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assy of free thyroxine	$102.14	$217.31	—	—	53%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay of free thyroxine	$102.14	$217.31	—	—	53%
Free testosterone test CPT 84402 Assay of free testosterone	$24.39	$51.90	—	73% below	53%
Free testosterone test CPT 84402 Testosterone free	$24.39	$51.90	—	73% below	53%
Free testosterone test CPT 84402 Assay of free testosterone	$24.39	$51.90	—	73% below	53%
Free testosterone test CPT 84402 Testosterone free	$24.39	$51.90	—	73% below	53%
Free testosterone test inpatient CPT 84402 Assay of free testosterone	$24.39	$51.90	—	—	53%
Free testosterone test inpatient CPT 84402 Testosterone free	$24.39	$51.90	—	—	53%
Free testosterone test inpatient CPT 84402 Assay of free testosterone	$24.39	$51.90	—	—	53%
Free testosterone test inpatient CPT 84402 Testosterone free	$24.39	$51.90	—	—	53%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel	$106.42	$226.42	—	62% below	53%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Profile general health	$106.42	$226.42	—	62% below	53%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel	$106.42	$226.42	—	62% below	53%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Profile general health	$106.42	$226.42	—	62% below	53%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General health panel	$106.42	$226.42	—	—	53%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Profile general health	$106.42	$226.42	—	—	53%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General health panel	$106.42	$226.42	—	—	53%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Profile general health	$106.42	$226.42	—	—	53%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose test	$54.20	$115.31	$4.28–$4.75	at median	53%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 2hr pc glucose/glucola	$54.20	$115.31	$4.28–$4.75	at median	53%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose test	$54.20	$115.31	$4.28–$4.75	at median	53%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 2hr pc glucose/glucola	$54.20	$115.31	$4.28–$4.75	at median	53%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 2hr pc glucose/glucola	$54.20	$115.31	$4.28–$4.75	—	53%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose test	$54.20	$115.31	$4.28–$4.75	—	53%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 2hr pc glucose/glucola	$54.20	$115.31	$4.28–$4.75	—	53%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose test	$54.20	$115.31	$4.28–$4.75	—	53%
Glucose tolerance test, 3 samples CPT 82951 Lactose tolerance test	$117.43	$249.86	$11.58–$12.87	18% below	53%
Glucose tolerance test, 3 samples CPT 82951 Glucose tolerance test (gtt)	$117.43	$249.86	$11.58–$12.87	18% below	53%
Glucose tolerance test, 3 samples CPT 82951 Lactose tolerance test	$117.43	$249.86	$11.58–$12.87	18% below	53%
Glucose tolerance test, 3 samples CPT 82951 Glucose tolerance test (gtt)	$117.43	$249.86	$11.58–$12.87	18% below	53%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose tolerance test (gtt)	$117.43	$249.86	$11.58–$12.87	—	53%
Glucose tolerance test, 3 samples inpatient CPT 82951 Lactose tolerance test	$117.43	$249.86	$11.58–$12.87	—	53%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose tolerance test (gtt)	$117.43	$249.86	$11.58–$12.87	—	53%
Glucose tolerance test, 3 samples inpatient CPT 82951 Lactose tolerance test	$117.43	$249.86	$11.58–$12.87	—	53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gon rna probe	$48.23	$102.61	—	61% below	53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gon rna probe	$48.23	$102.61	—	61% below	53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae dna amp prob	$48.23	$102.61	—	61% below	53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae dna amp prob	$48.23	$102.61	—	61% below	53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.gonorrhoeae dna amp prob	$48.23	$102.61	—	—	53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gon rna probe	$48.23	$102.61	—	—	53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gon rna probe	$48.23	$102.61	—	—	53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.gonorrhoeae dna amp prob	$48.23	$102.61	—	—	53%
H. pylori antibody blood test CPT 86677 H pylori igm antibody	$59.04	$125.61	—	at median	53%
H. pylori antibody blood test CPT 86677 Helicobacter pylori antibody	$59.04	$125.61	—	at median	53%
H. pylori antibody blood test CPT 86677 H pylori igm antibody	$59.04	$125.61	—	at median	53%
H. pylori antibody blood test CPT 86677 Helicobacter pylori antibody	$59.04	$125.61	—	at median	53%
H. pylori antibody blood test inpatient CPT 86677 H pylori igm antibody	$59.04	$125.61	—	—	53%
H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori antibody	$59.04	$125.61	—	—	53%
H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori antibody	$59.04	$125.61	—	—	53%
H. pylori antibody blood test inpatient CPT 86677 H pylori igm antibody	$59.04	$125.61	—	—	53%
H. pylori stool antigen test CPT 87338 H pylori antigen feces	$502.08	$1,068.25	—	135% above	53%
H. pylori stool antigen test CPT 87338 Hpylori stool ia	$502.08	$1,068.25	—	135% above	53%
H. pylori stool antigen test CPT 87338 H pylori antigen feces	$502.08	$1,068.25	—	135% above	53%
H. pylori stool antigen test CPT 87338 Hpylori stool ia	$502.08	$1,068.25	—	135% above	53%
H. pylori stool antigen test inpatient CPT 87338 H pylori antigen feces	$502.08	$1,068.25	—	—	53%
H. pylori stool antigen test inpatient CPT 87338 H pylori antigen feces	$502.08	$1,068.25	—	—	53%
H. pylori stool antigen test inpatient CPT 87338 Hpylori stool ia	$502.08	$1,068.25	—	—	53%
H. pylori stool antigen test inpatient CPT 87338 Hpylori stool ia	$502.08	$1,068.25	—	—	53%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv rna quantification	$148.00	$314.89	—	60% below	53%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 quant&revrse trnscrpj	$148.00	$314.89	—	60% below	53%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv rna quantification	$148.00	$314.89	—	60% below	53%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 quant&revrse trnscrpj	$148.00	$314.89	—	60% below	53%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 quant&revrse trnscrpj	$148.00	$314.89	—	—	53%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv rna quantification	$148.00	$314.89	—	—	53%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 quant&revrse trnscrpj	$148.00	$314.89	—	—	53%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv rna quantification	$148.00	$314.89	—	—	53%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv- 1/2 antibody screen	$107.01	$227.69	—	at median	53%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/hiv-2 1 result antbdy	$107.01	$227.69	—	at median	53%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv- 1/2 antibody screen	$107.01	$227.69	—	at median	53%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/hiv-2 1 result antbdy	$107.01	$227.69	—	at median	53%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv- 1/2 antibody screen	$107.01	$227.69	—	—	53%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/hiv-2 1 result antbdy	$107.01	$227.69	—	—	53%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/hiv-2 1 result antbdy	$107.01	$227.69	—	—	53%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv- 1/2 antibody screen	$107.01	$227.69	—	—	53%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv dna detection with genotyp	$62.36	$132.68	—	62% below	53%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv high-risk types	$62.36	$132.68	—	62% below	53%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv dna detection with genotyp	$62.36	$132.68	—	62% below	53%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv high-risk types	$62.36	$132.68	—	62% below	53%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv high-risk types	$62.36	$132.68	—	—	53%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv dna detection with genotyp	$62.36	$132.68	—	—	53%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv high-risk types	$62.36	$132.68	—	—	53%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv dna detection with genotyp	$62.36	$132.68	—	—	53%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Fahc hgba1c with est glucose	$57.37	$122.06	—	at median	53%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Fahc hgba1c with est glucose	$57.37	$122.06	—	at median	53%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated hemoglobin test	$57.37	$122.06	—	at median	53%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated hemoglobin test	$57.37	$122.06	—	at median	53%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Fahc hgba1c with est glucose	$57.37	$122.06	—	—	53%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Fahc hgba1c with est glucose	$57.37	$122.06	—	—	53%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated hemoglobin test	$57.37	$122.06	—	—	53%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated hemoglobin test	$57.37	$122.06	—	—	53%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis b surface ab	$35.75	$76.06	—	63% below	53%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep b surface antibody	$35.75	$76.06	—	63% below	53%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep b surface antibody	$35.75	$76.06	—	63% below	53%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis b surface ab	$35.75	$76.06	—	63% below	53%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep b surface antibody	$35.75	$76.06	—	—	53%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis b surface ab	$35.75	$76.06	—	—	53%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep b surface antibody	$35.75	$76.06	—	—	53%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis b surface ab	$35.75	$76.06	—	—	53%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis b surface ag ia	$29.94	$63.70	—	60% below	53%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis b surface ag ia	$29.94	$63.70	—	60% below	53%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis b surface ag	$29.94	$63.70	—	60% below	53%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis b surface ag	$29.94	$63.70	—	60% below	53%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis b surface ag ia	$29.94	$63.70	—	—	53%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis b surface ag ia	$29.94	$63.70	—	—	53%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis b surface ag	$29.94	$63.70	—	—	53%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis b surface ag	$29.94	$63.70	—	—	53%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis c ab test	$41.57	$88.45	—	50% below	53%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis c antibody	$41.57	$88.45	—	50% below	53%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis c antibody	$41.57	$88.45	—	50% below	53%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis c ab test	$41.57	$88.45	—	50% below	53%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis c ab test	$41.57	$88.45	—	—	53%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis c ab test	$41.57	$88.45	—	—	53%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis c antibody	$41.57	$88.45	—	—	53%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis c antibody	$41.57	$88.45	—	—	53%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis c revrs trnscrpj	$466.28	$992.08	—	2% above	53%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep c quant	$466.28	$992.08	—	2% above	53%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis c revrs trnscrpj	$466.28	$992.08	—	2% above	53%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep c quant	$466.28	$992.08	—	2% above	53%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis c revrs trnscrpj	$466.28	$992.08	—	—	53%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep c quant	$466.28	$992.08	—	—	53%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep c quant	$466.28	$992.08	—	—	53%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis c revrs trnscrpj	$466.28	$992.08	—	—	53%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex type 1 test	$82.70	$175.95	—	25% below	53%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex type 1 test	$82.70	$175.95	—	25% below	53%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex 1	$82.70	$175.95	—	25% below	53%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex 1	$82.70	$175.95	—	25% below	53%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes simplex type 1 test	$82.70	$175.95	—	—	53%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes simplex 1	$82.70	$175.95	—	—	53%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes simplex 1	$82.70	$175.95	—	—	53%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes simplex type 1 test	$82.70	$175.95	—	—	53%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes simplex 2	$82.70	$175.95	—	31% below	53%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes simplex 2	$82.70	$175.95	—	31% below	53%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes simplex type 2 test	$82.70	$175.95	—	31% below	53%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes simplex type 2 test	$82.70	$175.95	—	31% below	53%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes simplex 2	$82.70	$175.95	—	—	53%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes simplex 2	$82.70	$175.95	—	—	53%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes simplex type 2 test	$82.70	$175.95	—	—	53%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes simplex type 2 test	$82.70	$175.95	—	—	53%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein hs	$78.42	$166.86	—	18% below	53%
High-sensitivity CRP (hs-CRP) test CPT 86141 Crp high sensitivity	$78.42	$166.86	—	18% below	53%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein hs	$78.42	$166.86	—	18% below	53%
High-sensitivity CRP (hs-CRP) test CPT 86141 Crp high sensitivity	$78.42	$166.86	—	18% below	53%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-reactive protein hs	$78.42	$166.86	—	—	53%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-reactive protein hs	$78.42	$166.86	—	—	53%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Crp high sensitivity	$78.42	$166.86	—	—	53%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Crp high sensitivity	$78.42	$166.86	—	—	53%
Homocysteine blood test CPT 83090 Homocysteinetotal	$487.55	$1,037.34	—	140% above	53%
Homocysteine blood test CPT 83090 Assay of homocystine	$487.55	$1,037.34	—	140% above	53%
Homocysteine blood test CPT 83090 Homocysteinetotal	$487.55	$1,037.34	—	140% above	53%
Homocysteine blood test CPT 83090 Assay of homocystine	$487.55	$1,037.34	—	140% above	53%
Homocysteine blood test inpatient CPT 83090 Assay of homocystine	$487.55	$1,037.34	—	—	53%
Homocysteine blood test inpatient CPT 83090 Homocysteinetotal	$487.55	$1,037.34	—	—	53%
Homocysteine blood test inpatient CPT 83090 Assay of homocystine	$487.55	$1,037.34	—	—	53%
Homocysteine blood test inpatient CPT 83090 Homocysteinetotal	$487.55	$1,037.34	—	—	53%
Insulin blood test CPT 83525 Assay of insulin	$42.41	$90.23	—	57% below	53%
Insulin blood test CPT 83525 Assay of insulin	$42.41	$90.23	—	57% below	53%
Insulin blood test CPT 83525 Insulin	$42.41	$90.23	—	57% below	53%
Insulin blood test CPT 83525 Insulin	$42.41	$90.23	—	57% below	53%
Insulin blood test inpatient CPT 83525 Assay of insulin	$42.41	$90.23	—	—	53%
Insulin blood test inpatient CPT 83525 Insulin	$42.41	$90.23	—	—	53%
Insulin blood test inpatient CPT 83525 Insulin	$42.41	$90.23	—	—	53%
Insulin blood test inpatient CPT 83525 Assay of insulin	$42.41	$90.23	—	—	53%
Iron blood test (serum iron) CPT 83540 Iron	$16.63	$35.39	—	76% below	53%
Iron blood test (serum iron) CPT 83540 Iron	$16.63	$35.39	—	76% below	53%
Iron blood test (serum iron) CPT 83540 Assay of iron	$16.63	$35.39	—	76% below	53%
Iron blood test (serum iron) CPT 83540 Assay of iron	$16.63	$35.39	—	76% below	53%
Iron blood test (serum iron) inpatient CPT 83540 Assay of iron	$16.63	$35.39	—	—	53%
Iron blood test (serum iron) inpatient CPT 83540 Iron	$16.63	$35.39	—	—	53%
Iron blood test (serum iron) inpatient CPT 83540 Assay of iron	$16.63	$35.39	—	—	53%
Iron blood test (serum iron) inpatient CPT 83540 Iron	$16.63	$35.39	—	—	53%
Iron-binding capacity (TIBC) test CPT 83550 Total iron binding capacity	$20.79	$44.23	—	75% below	53%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding test	$20.79	$44.23	—	75% below	53%
Iron-binding capacity (TIBC) test CPT 83550 Total iron binding capacity	$20.79	$44.23	—	75% below	53%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding test	$20.79	$44.23	—	75% below	53%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Total iron binding capacity	$20.79	$44.23	—	—	53%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding test	$20.79	$44.23	—	—	53%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Total iron binding capacity	$20.79	$44.23	—	—	53%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding test	$20.79	$44.23	—	—	53%
Kidney function blood test panel CPT 80069 Renal function panel	$19.95	$42.45	—	84% below	53%
Kidney function blood test panel CPT 80069 Panel renal function	$19.95	$42.45	—	84% below	53%
Kidney function blood test panel CPT 80069 Renal function panel	$19.95	$42.45	—	84% below	53%
Kidney function blood test panel CPT 80069 Panel renal function	$19.95	$42.45	—	84% below	53%
Kidney function blood test panel inpatient CPT 80069 Panel renal function	$19.95	$42.45	—	—	53%
Kidney function blood test panel inpatient CPT 80069 Renal function panel	$19.95	$42.45	—	—	53%
Kidney function blood test panel inpatient CPT 80069 Renal function panel	$19.95	$42.45	—	—	53%
Kidney function blood test panel inpatient CPT 80069 Panel renal function	$19.95	$42.45	—	—	53%
LH (luteinizing hormone) test CPT 83002 Lh pediatrics	$317.57	$675.68	—	124% above	53%
LH (luteinizing hormone) test CPT 83002 Lh pediatrics	$317.57	$675.68	—	124% above	53%
LH (luteinizing hormone) test CPT 83002 Assay of gonadotropin (lh)	$317.57	$675.68	—	124% above	53%
LH (luteinizing hormone) test CPT 83002 Assay of gonadotropin (lh)	$317.57	$675.68	—	124% above	53%
LH (luteinizing hormone) test inpatient CPT 83002 Lh pediatrics	$317.57	$675.68	—	—	53%
LH (luteinizing hormone) test inpatient CPT 83002 Lh pediatrics	$317.57	$675.68	—	—	53%
LH (luteinizing hormone) test inpatient CPT 83002 Assay of gonadotropin (lh)	$317.57	$675.68	—	—	53%
LH (luteinizing hormone) test inpatient CPT 83002 Assay of gonadotropin (lh)	$317.57	$675.68	—	—	53%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase body fluid	$49.04	$104.35	—	at median	53%
Lipase blood test (pancreas enzyme) CPT 83690 Assay of lipase	$49.04	$104.35	—	at median	53%
Lipase blood test (pancreas enzyme) CPT 83690 Assay of lipase	$49.04	$104.35	—	at median	53%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase body fluid	$49.04	$104.35	—	at median	53%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay of lipase	$49.04	$104.35	—	—	53%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase body fluid	$49.04	$104.35	—	—	53%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay of lipase	$49.04	$104.35	—	—	53%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase body fluid	$49.04	$104.35	—	—	53%
Liver function blood test panel CPT 80076 Hepatic function panel	$24.95	$53.08	—	75% below	53%
Liver function blood test panel CPT 80076 Hepatic function panel	$24.95	$53.08	—	75% below	53%
Liver function blood test panel inpatient CPT 80076 Hepatic function panel	$24.95	$53.08	—	—	53%
Liver function blood test panel inpatient CPT 80076 Hepatic function panel	$24.95	$53.08	—	—	53%
Lyme disease antibody test CPT 86618 Csf lyme antibody	$99.77	$212.27	—	2% above	53%
Lyme disease antibody test CPT 86618 Lyme disease antibody	$99.77	$212.27	—	2% above	53%
Lyme disease antibody test CPT 86618 Csf lyme antibody	$99.77	$212.27	—	2% above	53%
Lyme disease antibody test CPT 86618 Lyme disease antibody	$99.77	$212.27	—	2% above	53%
Lyme disease antibody test inpatient CPT 86618 Csf lyme antibody	$99.77	$212.27	—	—	53%
Lyme disease antibody test inpatient CPT 86618 Lyme disease antibody	$99.77	$212.27	—	—	53%
Lyme disease antibody test inpatient CPT 86618 Lyme disease antibody	$99.77	$212.27	—	—	53%
Lyme disease antibody test inpatient CPT 86618 Csf lyme antibody	$99.77	$212.27	—	—	53%
Magnesium blood test CPT 83735 Magnesium rbc	$73.16	$155.67	—	30% above	53%
Magnesium blood test CPT 83735 Magnesium rbc	$73.16	$155.67	—	30% above	53%
Magnesium blood test CPT 83735 Assay of magnesium	$73.16	$155.67	—	30% above	53%
Magnesium blood test CPT 83735 Assay of magnesium	$73.16	$155.67	—	30% above	53%
Magnesium blood test inpatient CPT 83735 Assay of magnesium	$73.16	$155.67	—	—	53%
Magnesium blood test inpatient CPT 83735 Magnesium rbc	$73.16	$155.67	—	—	53%
Magnesium blood test inpatient CPT 83735 Magnesium rbc	$73.16	$155.67	—	—	53%
Magnesium blood test inpatient CPT 83735 Assay of magnesium	$73.16	$155.67	—	—	53%
Measles (rubeola) antibody test CPT 86765 Rubeola igg ab	$61.07	$129.94	—	24% below	53%
Measles (rubeola) antibody test CPT 86765 Rubeola antibody	$61.07	$129.94	—	24% below	53%
Measles (rubeola) antibody test CPT 86765 Rubeola igg ab	$61.07	$129.94	—	24% below	53%
Measles (rubeola) antibody test CPT 86765 Rubeola antibody	$61.07	$129.94	—	24% below	53%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola igg ab	$61.07	$129.94	—	—	53%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola antibody	$61.07	$129.94	—	—	53%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola igg ab	$61.07	$129.94	—	—	53%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola antibody	$61.07	$129.94	—	—	53%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibody screen	$21.62	$46.01	—	48% below	53%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibody screen	$21.62	$46.01	—	48% below	53%
Mono test (heterophile antibody, Monospot) CPT 86308 Monotest	$21.62	$46.01	—	48% below	53%
Mono test (heterophile antibody, Monospot) CPT 86308 Monotest	$21.62	$46.01	—	48% below	53%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monotest	$21.62	$46.01	—	—	53%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile antibody screen	$21.62	$46.01	—	—	53%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile antibody screen	$21.62	$46.01	—	—	53%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monotest	$21.62	$46.01	—	—	53%
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of psa free	$74.95	$159.47	—	28% below	53%
PSA (prostate-specific antigen) blood test, free CPT 84154 Free psa	$74.95	$159.47	—	28% below	53%
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of psa free	$74.95	$159.47	—	28% below	53%
PSA (prostate-specific antigen) blood test, free CPT 84154 Free psa	$74.95	$159.47	—	28% below	53%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of psa free	$74.95	$159.47	—	—	53%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free psa	$74.95	$159.47	—	—	53%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free psa	$74.95	$159.47	—	—	53%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of psa free	$74.95	$159.47	—	—	53%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of psa total	$174.42	$371.11	—	30% above	53%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa ultrasensitive	$174.42	$371.11	—	30% above	53%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of psa total	$174.42	$371.11	—	30% above	53%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa ultrasensitive	$174.42	$371.11	—	30% above	53%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa ultrasensitive	$174.42	$371.11	—	—	53%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of psa total	$174.42	$371.11	—	—	53%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of psa total	$174.42	$371.11	—	—	53%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa ultrasensitive	$174.42	$371.11	—	—	53%
Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath c/v auto fluid redo	$76.49	$162.74	—	21% below	53%
Pap test (liquid-based, automated screening with review) CPT 88175 Thin prep diagnostic	$76.49	$162.74	—	21% below	53%
Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath c/v auto fluid redo	$76.49	$162.74	—	21% below	53%
Pap test (liquid-based, automated screening with review) CPT 88175 Thin prep diagnostic	$76.49	$162.74	—	21% below	53%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopath c/v auto fluid redo	$76.49	$162.74	—	—	53%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thin prep diagnostic	$76.49	$162.74	—	—	53%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopath c/v auto fluid redo	$76.49	$162.74	—	—	53%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thin prep diagnostic	$76.49	$162.74	—	—	53%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin prep manual read pap	$63.93	$136.03	—	23% below	53%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath c/v thin layer	$63.93	$136.03	—	23% below	53%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath c/v thin layer	$63.93	$136.03	—	23% below	53%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin prep manual read pap	$63.93	$136.03	—	23% below	53%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath c/v thin layer	$63.93	$136.03	—	—	53%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thin prep manual read pap	$63.93	$136.03	—	—	53%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath c/v thin layer	$63.93	$136.03	—	—	53%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thin prep manual read pap	$63.93	$136.03	—	—	53%
Parathyroid hormone (PTH) blood test CPT 83970 Pth intact	$149.66	$318.42	—	20% below	53%
Parathyroid hormone (PTH) blood test CPT 83970 Assay of parathormone	$149.66	$318.42	—	20% below	53%
Parathyroid hormone (PTH) blood test CPT 83970 Assay of parathormone	$149.66	$318.42	—	20% below	53%
Parathyroid hormone (PTH) blood test CPT 83970 Pth intact	$149.66	$318.42	—	20% below	53%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay of parathormone	$149.66	$318.42	—	—	53%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth intact	$149.66	$318.42	—	—	53%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth intact	$149.66	$318.42	—	—	53%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay of parathormone	$149.66	$318.42	—	—	53%
Partial thromboplastin time (PTT) clotting test CPT 85730 Mayo ptt	$74.36	$158.21	—	36% above	53%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time partial	$74.36	$158.21	—	36% above	53%
Partial thromboplastin time (PTT) clotting test CPT 85730 Mayo ptt	$74.36	$158.21	—	36% above	53%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time partial	$74.36	$158.21	—	36% above	53%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Mayo ptt	$74.36	$158.21	—	—	53%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin time partial	$74.36	$158.21	—	—	53%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin time partial	$74.36	$158.21	—	—	53%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Mayo ptt	$74.36	$158.21	—	—	53%
Progesterone blood test CPT 84144 Assay of progesterone	$39.07	$83.13	—	74% below	53%
Progesterone blood test CPT 84144 Assay of progesterone	$39.07	$83.13	—	74% below	53%
Progesterone blood test CPT 84144 Progesterone	$39.07	$83.13	—	74% below	53%
Progesterone blood test CPT 84144 Progesterone	$39.07	$83.13	—	74% below	53%
Progesterone blood test inpatient CPT 84144 Progesterone	$39.07	$83.13	—	—	53%
Progesterone blood test inpatient CPT 84144 Assay of progesterone	$39.07	$83.13	—	—	53%
Progesterone blood test inpatient CPT 84144 Progesterone	$39.07	$83.13	—	—	53%
Progesterone blood test inpatient CPT 84144 Assay of progesterone	$39.07	$83.13	—	—	53%
Prolactin blood test CPT 84146 Prolactin	$25.78	$54.86	—	82% below	53%
Prolactin blood test CPT 84146 Prolactin	$25.78	$54.86	—	82% below	53%
Prolactin blood test CPT 84146 Assay of prolactin	$25.78	$54.86	—	82% below	53%
Prolactin blood test CPT 84146 Assay of prolactin	$25.78	$54.86	—	82% below	53%
Prolactin blood test inpatient CPT 84146 Prolactin	$25.78	$54.86	—	—	53%
Prolactin blood test inpatient CPT 84146 Assay of prolactin	$25.78	$54.86	—	—	53%
Prolactin blood test inpatient CPT 84146 Prolactin	$25.78	$54.86	—	—	53%
Prolactin blood test inpatient CPT 84146 Assay of prolactin	$25.78	$54.86	—	—	53%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time	$54.20	$115.31	—	78% above	53%
Prothrombin time (PT/INR) clotting test CPT 85610 Mayo protime	$54.20	$115.31	—	78% above	53%
Prothrombin time (PT/INR) clotting test CPT 85610 Mayo protime	$54.20	$115.31	—	78% above	53%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time	$54.20	$115.31	—	78% above	53%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Mayo protime	$54.20	$115.31	—	—	53%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin time	$54.20	$115.31	—	—	53%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Mayo protime	$54.20	$115.31	—	—	53%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin time	$54.20	$115.31	—	—	53%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Poc drug test presumptive any	$38.98	$82.93	—	3% above	53%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug test prsmv dir opt obs	$38.98	$82.93	—	3% above	53%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug test prsmv dir opt obs	$38.98	$82.93	—	3% above	53%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Poc drug test presumptive any	$38.98	$82.93	—	3% above	53%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug test prsmv dir opt obs	$38.98	$82.93	—	—	53%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug test prsmv dir opt obs	$38.98	$82.93	—	—	53%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Poc drug test presumptive any	$38.98	$82.93	—	—	53%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Poc drug test presumptive any	$38.98	$82.93	—	—	53%
Rapid flu test (influenza antigen) CPT 87804 Influenza assay w/optic	$28.04	$59.67	—	2% below	53%
Rapid flu test (influenza antigen) CPT 87804 Infect agent antigendetect flu	$28.04	$59.67	—	2% below	53%
Rapid flu test (influenza antigen) CPT 87804 Influenza assay w/optic	$28.04	$59.67	—	2% below	53%
Rapid flu test (influenza antigen) CPT 87804 Infect agent antigendetect flu	$28.04	$59.67	—	2% below	53%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza assay w/optic	$28.04	$59.67	—	—	53%
Rapid flu test (influenza antigen) inpatient CPT 87804 Infect agent antigendetect flu	$28.04	$59.67	—	—	53%
Rapid flu test (influenza antigen) inpatient CPT 87804 Infect agent antigendetect flu	$28.04	$59.67	—	—	53%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza assay w/optic	$28.04	$59.67	—	—	53%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid strep	$42.41	$90.23	—	at median	53%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid strep	$42.41	$90.23	—	at median	53%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a assay w/optic	$42.41	$90.23	—	at median	53%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a assay w/optic	$42.41	$90.23	—	at median	53%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a assay w/optic	$42.41	$90.23	—	—	53%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid strep	$42.41	$90.23	—	—	53%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a assay w/optic	$42.41	$90.23	—	—	53%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid strep	$42.41	$90.23	—	—	53%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor quant	$19.95	$42.45	—	65% below	53%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor quant	$19.95	$42.45	—	65% below	53%
Rheumatoid factor (RF) test CPT 86431 Ra titer	$19.95	$42.45	—	65% below	53%
Rheumatoid factor (RF) test CPT 86431 Ra titer	$19.95	$42.45	—	65% below	53%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor quant	$19.95	$42.45	—	—	53%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor quant	$19.95	$42.45	—	—	53%
Rheumatoid factor (RF) test inpatient CPT 86431 Ra titer	$19.95	$42.45	—	—	53%
Rheumatoid factor (RF) test inpatient CPT 86431 Ra titer	$19.95	$42.45	—	—	53%
Rubella antibody test (immunity check) CPT 86762 Rubella antibody	$51.20	$108.94	—	48% below	53%
Rubella antibody test (immunity check) CPT 86762 Rubella	$51.20	$108.94	—	48% below	53%
Rubella antibody test (immunity check) CPT 86762 Rubella	$51.20	$108.94	—	48% below	53%
Rubella antibody test (immunity check) CPT 86762 Rubella antibody	$51.20	$108.94	—	48% below	53%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella antibody	$51.20	$108.94	—	—	53%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella	$51.20	$108.94	—	—	53%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella antibody	$51.20	$108.94	—	—	53%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella	$51.20	$108.94	—	—	53%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Rbc sed rate automated	$16.63	$35.39	—	60% below	53%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed rate westergren	$16.63	$35.39	—	60% below	53%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed rate westergren	$16.63	$35.39	—	60% below	53%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Rbc sed rate automated	$16.63	$35.39	—	60% below	53%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Rbc sed rate automated	$16.63	$35.39	—	—	53%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sed rate westergren	$16.63	$35.39	—	—	53%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sed rate westergren	$16.63	$35.39	—	—	53%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Rbc sed rate automated	$16.63	$35.39	—	—	53%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen analysis	$104.24	$221.79	—	11% below	53%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen anal vol/count/mot	$104.24	$221.79	—	11% below	53%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen analysis	$104.24	$221.79	—	11% below	53%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen anal vol/count/mot	$104.24	$221.79	—	11% below	53%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen analysis	$104.24	$221.79	—	—	53%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen anal vol/count/mot	$104.24	$221.79	—	—	53%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen anal vol/count/mot	$104.24	$221.79	—	—	53%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen analysis	$104.24	$221.79	—	—	53%
Stool ova and parasites exam CPT 87177 Ova & parasites	$104.76	$222.90	—	at median	53%
Stool ova and parasites exam CPT 87177 Ova & parasites	$104.76	$222.90	—	at median	53%
Stool ova and parasites exam CPT 87177 Ova and parasites smears	$104.76	$222.90	—	at median	53%
Stool ova and parasites exam CPT 87177 Ova and parasites smears	$104.76	$222.90	—	at median	53%
Stool ova and parasites exam inpatient CPT 87177 Ova & parasites	$104.76	$222.90	—	—	53%
Stool ova and parasites exam inpatient CPT 87177 Ova and parasites smears	$104.76	$222.90	—	—	53%
Stool ova and parasites exam inpatient CPT 87177 Ova & parasites	$104.76	$222.90	—	—	53%
Stool ova and parasites exam inpatient CPT 87177 Ova and parasites smears	$104.76	$222.90	—	—	53%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult blood feces	$18.28	$38.90	$3.94–$4.38	5% below	53%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Screening occult blood feces	$18.28	$38.90	$3.94–$4.38	5% below	53%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult blood feces	$18.28	$38.90	$3.94–$4.38	5% below	53%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Screening occult blood feces	$18.28	$38.90	$3.94–$4.38	5% below	53%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult blood feces	$18.28	$38.90	$3.94–$4.38	—	53%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Screening occult blood feces	$18.28	$38.90	$3.94–$4.38	—	53%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult blood feces	$18.28	$38.90	$3.94–$4.38	—	53%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Screening occult blood feces	$18.28	$38.90	$3.94–$4.38	—	53%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal immunochemical test	$77.42	$164.73	—	21% below	53%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay test for blood fecal	$77.42	$164.73	—	21% below	53%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay test for blood fecal	$77.42	$164.73	—	21% below	53%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal immunochemical test	$77.42	$164.73	—	21% below	53%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Assay test for blood fecal	$77.42	$164.73	—	—	53%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal immunochemical test	$77.42	$164.73	—	—	53%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Assay test for blood fecal	$77.42	$164.73	—	—	53%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal immunochemical test	$77.42	$164.73	—	—	53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis test non-trep qual	$108.57	$231.01	$3.84–$4.27	51% above	53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr	$108.57	$231.01	$3.84–$4.27	51% above	53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis test non-trep qual	$108.57	$231.01	$3.84–$4.27	51% above	53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr	$108.57	$231.01	$3.84–$4.27	51% above	53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis test non-trep qual	$108.57	$231.01	$3.84–$4.27	—	53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr	$108.57	$231.01	$3.84–$4.27	—	53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr	$108.57	$231.01	$3.84–$4.27	—	53%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis test non-trep qual	$108.57	$231.01	$3.84–$4.27	—	53%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb test cell immun measure	$139.69	$297.21	—	30% below	53%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 M.tb by quantiferon-tb gold b	$139.69	$297.21	—	30% below	53%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 M.tb by quantiferon-tb gold b	$139.69	$297.21	—	30% below	53%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb test cell immun measure	$139.69	$297.21	—	30% below	53%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tb test cell immun measure	$139.69	$297.21	—	—	53%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 M.tb by quantiferon-tb gold b	$139.69	$297.21	—	—	53%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 M.tb by quantiferon-tb gold b	$139.69	$297.21	—	—	53%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tb test cell immun measure	$139.69	$297.21	—	—	53%
Testosterone blood test, total (not free testosterone) CPT 84403 Assay of total testosterone	$36.58	$77.84	—	73% below	53%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone	$36.58	$77.84	—	73% below	53%
Testosterone blood test, total (not free testosterone) CPT 84403 Assay of total testosterone	$36.58	$77.84	—	73% below	53%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone	$36.58	$77.84	—	73% below	53%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay of total testosterone	$36.58	$77.84	—	—	53%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay of total testosterone	$36.58	$77.84	—	—	53%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone	$36.58	$77.84	—	—	53%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone	$36.58	$77.84	—	—	53%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibody each	$144.75	$307.97	—	33% above	53%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroperoxidase ab	$144.75	$307.97	—	33% above	53%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroperoxidase ab	$144.75	$307.97	—	33% above	53%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibody each	$144.75	$307.97	—	33% above	53%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibody each	$144.75	$307.97	—	—	53%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibody each	$144.75	$307.97	—	—	53%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroperoxidase ab	$144.75	$307.97	—	—	53%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroperoxidase ab	$144.75	$307.97	—	—	53%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 S-tsh	$165.56	$352.26	—	8% below	53%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay thyroid stim hormone	$165.56	$352.26	—	8% below	53%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay thyroid stim hormone	$165.56	$352.26	—	8% below	53%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 S-tsh	$165.56	$352.26	—	8% below	53%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay thyroid stim hormone	$165.56	$352.26	—	—	53%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 S-tsh	$165.56	$352.26	—	—	53%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 S-tsh	$165.56	$352.26	—	—	53%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay thyroid stim hormone	$165.56	$352.26	—	—	53%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis amplif	$84.06	$178.85	—	72% above	53%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis amplif	$84.06	$178.85	—	72% above	53%
Trichomonas test (NAAT) CPT 87661 Trichomonas vag rna panel	$84.06	$178.85	—	72% above	53%
Trichomonas test (NAAT) CPT 87661 Trichomonas vag rna panel	$84.06	$178.85	—	72% above	53%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis amplif	$84.06	$178.85	—	—	53%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vag rna panel	$84.06	$178.85	—	—	53%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vag rna panel	$84.06	$178.85	—	—	53%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis amplif	$84.06	$178.85	—	—	53%
Uric acid blood test CPT 84550 Fahc uric acid	$25.02	$53.23	—	54% below	53%
Uric acid blood test CPT 84550 Fahc uric acid	$25.02	$53.23	—	54% below	53%
Uric acid blood test CPT 84550 Assay of blood/uric acid	$25.02	$53.23	—	54% below	53%
Uric acid blood test CPT 84550 Assay of blood/uric acid	$25.02	$53.23	—	54% below	53%
Uric acid blood test inpatient CPT 84550 Fahc uric acid	$25.02	$53.23	—	—	53%
Uric acid blood test inpatient CPT 84550 Assay of blood/uric acid	$25.02	$53.23	—	—	53%
Uric acid blood test inpatient CPT 84550 Assay of blood/uric acid	$25.02	$53.23	—	—	53%
Uric acid blood test inpatient CPT 84550 Fahc uric acid	$25.02	$53.23	—	—	53%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis auto w/scope	$29.87	$63.56	—	43% below	53%
Urinalysis with microscope exam, automated CPT 81001 Er dip/lab micro	$29.87	$63.56	—	43% below	53%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis auto w/scope	$29.87	$63.56	—	43% below	53%
Urinalysis with microscope exam, automated CPT 81001 Er dip/lab micro	$29.87	$63.56	—	43% below	53%
Urinalysis with microscope exam, automated inpatient CPT 81001 Er dip/lab micro	$29.87	$63.56	—	—	53%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis auto w/scope	$29.87	$63.56	—	—	53%
Urinalysis with microscope exam, automated inpatient CPT 81001 Er dip/lab micro	$29.87	$63.56	—	—	53%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis auto w/scope	$29.87	$63.56	—	—	53%
Urinalysis with microscope exam, manual CPT 81000 Npc	$8.01	$17.04	—	51% below	53%
Urinalysis with microscope exam, manual CPT 81000 Npc	$8.01	$17.04	—	51% below	53%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis nonauto w/scope	$8.01	$17.04	—	51% below	53%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis nonauto w/scope	$8.01	$17.04	—	51% below	53%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis nonauto w/scope	$8.01	$17.04	—	—	53%
Urinalysis with microscope exam, manual inpatient CPT 81000 Npc	$8.01	$17.04	—	—	53%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis nonauto w/scope	$8.01	$17.04	—	—	53%
Urinalysis with microscope exam, manual inpatient CPT 81000 Npc	$8.01	$17.04	—	—	53%
Urinalysis without microscope exam, automated CPT 81003 Urine dip stat	$38.25	$81.39	—	6% above	53%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis auto w/o scope	$38.25	$81.39	—	6% above	53%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis auto w/o scope	$38.25	$81.39	—	6% above	53%
Urinalysis without microscope exam, automated CPT 81003 Urine dip stat	$38.25	$81.39	—	6% above	53%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine dip stat	$38.25	$81.39	—	—	53%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis auto w/o scope	$38.25	$81.39	—	—	53%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis auto w/o scope	$38.25	$81.39	—	—	53%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine dip stat	$38.25	$81.39	—	—	53%
Urinalysis without microscope exam, manual CPT 81002 Ua non auto w/o micro	$4.69	$9.98	—	48% below	53%
Urinalysis without microscope exam, manual CPT 81002 Ua non auto w/o micro	$4.69	$9.98	—	48% below	53%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis nonauto w/o scope	$4.69	$9.98	—	48% below	53%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis nonauto w/o scope	$4.69	$9.98	—	48% below	53%
Urinalysis without microscope exam, manual inpatient CPT 81002 Ua non auto w/o micro	$4.69	$9.98	—	—	53%
Urinalysis without microscope exam, manual inpatient CPT 81002 Ua non auto w/o micro	$4.69	$9.98	—	—	53%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis nonauto w/o scope	$4.69	$9.98	—	—	53%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis nonauto w/o scope	$4.69	$9.98	—	—	53%
Urine culture for bacteria, with colony count CPT 87086 Bact cx aerobic urn mayo	$220.90	$470.00	—	209% above	53%
Urine culture for bacteria, with colony count CPT 87086 Bact cx aerobic urn mayo	$220.90	$470.00	—	209% above	53%
Urine culture for bacteria, with colony count CPT 87086 Urine culture/colony count	$220.90	$470.00	—	209% above	53%
Urine culture for bacteria, with colony count CPT 87086 Urine culture/colony count	$220.90	$470.00	—	209% above	53%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine culture/colony count	$220.90	$470.00	—	—	53%
Urine culture for bacteria, with colony count inpatient CPT 87086 Bact cx aerobic urn mayo	$220.90	$470.00	—	—	53%
Urine culture for bacteria, with colony count inpatient CPT 87086 Bact cx aerobic urn mayo	$220.90	$470.00	—	—	53%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine culture/colony count	$220.90	$470.00	—	—	53%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test	$95.60	$203.41	—	141% above	53%
Urine pregnancy test, read by color change CPT 81025 Urine preg test	$95.60	$203.41	—	141% above	53%
Urine pregnancy test, read by color change CPT 81025 Urine preg test	$95.60	$203.41	—	141% above	53%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test	$95.60	$203.41	—	141% above	53%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine preg test	$95.60	$203.41	—	—	53%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine preg test	$95.60	$203.41	—	—	53%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test	$95.60	$203.41	—	—	53%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test	$95.60	$203.41	—	—	53%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b-12	$15.80	$33.61	—	84% below	53%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b12	$15.80	$33.61	—	84% below	53%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b12	$15.80	$33.61	—	84% below	53%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b-12	$15.80	$33.61	—	84% below	53%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b-12	$15.80	$33.61	—	—	53%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b12	$15.80	$33.61	—	—	53%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b-12	$15.80	$33.61	—	—	53%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b12	$15.80	$33.61	—	—	53%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin d 25 hydroxy	$58.20	$123.83	—	69% below	53%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-hydroxyvitamin d2 & d3	$58.20	$123.83	—	69% below	53%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-hydroxyvitamin d2 & d3	$58.20	$123.83	—	69% below	53%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin d 25 hydroxy	$58.20	$123.83	—	69% below	53%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-hydroxyvitamin d2 & d3	$58.20	$123.83	—	—	53%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin d 25 hydroxy	$58.20	$123.83	—	—	53%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-hydroxyvitamin d2 & d3	$58.20	$123.83	—	—	53%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin d 25 hydroxy	$58.20	$123.83	—	—	53%
Zinc blood test CPT 84630 Zinc serum	$132.19	$281.26	—	at median	53%
Zinc blood test CPT 84630 Assay of zinc	$132.19	$281.26	—	at median	53%
Zinc blood test CPT 84630 Assay of zinc	$132.19	$281.26	—	at median	53%
Zinc blood test CPT 84630 Zinc serum	$132.19	$281.26	—	at median	53%
Zinc blood test inpatient CPT 84630 Zinc serum	$132.19	$281.26	—	—	53%
Zinc blood test inpatient CPT 84630 Assay of zinc	$132.19	$281.26	—	—	53%
Zinc blood test inpatient CPT 84630 Zinc serum	$132.19	$281.26	—	—	53%
Zinc blood test inpatient CPT 84630 Assay of zinc	$132.19	$281.26	—	—	53%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg quantitative	$16.63	$35.39	—	87% below	53%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic gonadotropin test	$16.63	$35.39	—	87% below	53%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic gonadotropin test	$16.63	$35.39	—	87% below	53%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg quantitative	$16.63	$35.39	—	87% below	53%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg quantitative	$16.63	$35.39	—	—	53%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic gonadotropin test	$16.63	$35.39	—	—	53%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg quantitative	$16.63	$35.39	—	—	53%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic gonadotropin test	$16.63	$35.39	—	—	53%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Vermont	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Removal of adenoids	$4,332.54	$9,218.18	$3,073.38–$3,414.87	1121% above	53%
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Removal of adenoids	$4,332.54	$9,218.18	$3,073.38–$3,414.87	1121% above	53%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 Removal of adenoids	$4,332.54	$9,218.18	$3,073.38–$3,414.87	—	53%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 Removal of adenoids	$4,332.54	$9,218.18	$3,073.38–$3,414.87	—	53%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Neck spine fuse&remov bel c2	$19,680.86	$41,874.16	$12,193.60–$13,548.44	657% above	53%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Neck spine fuse&remov bel c2	$19,680.86	$41,874.16	$12,193.60–$13,548.44	657% above	53%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 Neck spine fuse&remov bel c2	$19,680.86	$41,874.16	$12,193.60–$13,548.44	—	53%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 Neck spine fuse&remov bel c2	$19,680.86	$41,874.16	$12,193.60–$13,548.44	—	53%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy ruptured appendix	$1,094.62	$2,328.98	—	13% below	53%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy ruptured appendix	$1,094.62	$2,328.98	—	13% below	53%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy	$1,094.62	$2,328.98	—	13% below	53%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy	$1,094.62	$2,328.98	—	13% below	53%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 Appendectomy ruptured appendix	$1,094.62	$2,328.98	—	—	53%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 Appendectomy ruptured appendix	$1,094.62	$2,328.98	—	—	53%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 Appendectomy	$17,437.88	$37,101.87	—	—	53%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 Appendectomy	$17,437.88	$37,101.87	—	—	53%
Appendectomy, open surgery inpatient CPT 44950 Appendectomy	$17,437.88	$37,101.87	$5,913.27–$6,570.30	—	53%
Appendectomy, open surgery inpatient CPT 44950 Appendectomy	$17,437.88	$37,101.87	$5,913.27–$6,570.30	—	53%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery	$14,803.74	$31,497.32	$6,769.95–$7,522.17	565% above	53%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery	$16,171.59	$34,407.64	$6,769.95–$7,522.17	626% above	53%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery	$16,171.59	$34,407.64	$6,769.95–$7,522.17	626% above	53%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Knee arthroscopy/surgery	$11,674.44	$24,839.23	$6,769.95–$7,522.17	—	53%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Knee arthroscopy/surgery	$11,674.44	$24,839.23	$6,769.95–$7,522.17	—	53%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Knee arthroscopy/surgery	$14,803.74	$31,497.32	$6,769.95–$7,522.17	—	53%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscop rotator cuff repr	$12,202.75	$25,963.30	$6,769.95–$7,522.17	584% above	53%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscop rotator cuff repr	$12,202.75	$25,963.30	$6,769.95–$7,522.17	584% above	53%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Arthroscop rotator cuff repr	$12,202.75	$25,963.30	$6,769.95–$7,522.17	—	53%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Arthroscop rotator cuff repr	$12,202.75	$25,963.30	$6,769.95–$7,522.17	—	53%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nsl/sins ndsc surg max sins	$1,965.11	$4,181.08	$6,560.27–$7,289.19	—	53%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nsl/sins ndsc surg max sins	$1,965.11	$4,181.08	$6,560.27–$7,289.19	—	53%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nsl endscpyw/dltnmax sns otv	$1,965.11	$4,181.08	$6,560.27–$7,289.19	—	53%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nsl endscpyw/dltnmax sns otv	$1,965.11	$4,181.08	$6,560.27–$7,289.19	—	53%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 Nsl endscpyw/dltnmax sns otv	$1,965.11	$4,181.08	$6,560.27–$7,289.19	—	53%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 Nsl endscpyw/dltnmax sns otv	$1,965.11	$4,181.08	$6,560.27–$7,289.19	—	53%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 Nsl/sins ndsc surg max sins	$1,965.11	$4,181.08	$6,560.27–$7,289.19	—	53%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 Nsl/sins ndsc surg max sins	$1,965.11	$4,181.08	$6,560.27–$7,289.19	—	53%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion both sides CPT 19081 Bx breast w imaging bilat	$2,507.92	$5,336.00	$1,535.47–$1,706.07	—	53%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion both sides CPT 19081 Bx breast w imaging bilat	$2,507.92	$5,336.00	$1,535.47–$1,706.07	—	53%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx breast 1st lesion strtctc	$2,507.92	$5,336.00	$1,535.47–$1,706.07	13% below	53%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx breast 1st lesion strtctc	$2,507.92	$5,336.00	$1,535.47–$1,706.07	13% below	53%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient both sides CPT 19081 Bx breast w imaging bilat	$2,507.92	$5,336.00	$1,535.47–$1,706.07	—	53%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient both sides CPT 19081 Bx breast w imaging bilat	$2,507.92	$5,336.00	$1,535.47–$1,706.07	—	53%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx breast 1st lesion strtctc	$2,507.92	$5,336.00	$1,535.47–$1,706.07	—	53%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx breast 1st lesion strtctc	$2,507.92	$5,336.00	$1,535.47–$1,706.07	—	53%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat metatarsal fracture	$251.72	$535.57	$227.33–$252.59	22% below	53%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Fract metatarsal	$251.72	$535.57	$227.33–$252.59	22% below	53%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Fract metatarsal	$251.72	$535.57	$227.33–$252.59	22% below	53%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat metatarsal fracture	$251.72	$535.57	$227.33–$252.59	22% below	53%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Fract metatarsal	$251.72	$535.57	$227.33–$252.59	—	53%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treat metatarsal fracture	$251.72	$535.57	$227.33–$252.59	—	53%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Fract metatarsal	$251.72	$535.57	$227.33–$252.59	—	53%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treat metatarsal fracture	$251.72	$535.57	$227.33–$252.59	—	53%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction hallux valgus	$8,952.40	$19,047.65	$3,074.84–$3,416.49	731% above	53%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction hallux valgus	$8,952.40	$19,047.65	$3,074.84–$3,416.49	731% above	53%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction hallux valgus	$11,745.88	$24,991.24	$3,074.84–$3,416.49	990% above	53%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Correction hallux valgus	$11,745.88	$24,991.24	$3,074.84–$3,416.49	—	53%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Correction hallux valgus	$15,056.05	$32,034.14	$3,074.84–$3,416.49	—	53%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Correction hallux valgus	$15,056.05	$32,034.14	$3,074.84–$3,416.49	—	53%
Bunion correction with removal of part of the big toe joint CPT 28292 Correction hallux valgus	$8,142.78	$17,325.07	$3,074.84–$3,416.49	668% above	53%
Bunion correction with removal of part of the big toe joint CPT 28292 Correction hallux valgus	$9,797.13	$20,844.95	$3,074.84–$3,416.49	824% above	53%
Bunion correction with removal of part of the big toe joint CPT 28292 Correction hallux valgus	$9,797.13	$20,844.95	$3,074.84–$3,416.49	824% above	53%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 Correction hallux valgus	$8,142.78	$17,325.07	$3,074.84–$3,416.49	—	53%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 Correction hallux valgus	$15,056.05	$32,034.14	$3,074.84–$3,416.49	—	53%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 Correction hallux valgus	$15,056.05	$32,034.14	$3,074.84–$3,416.49	—	53%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion electric ext	$1,338.13	$2,847.09	$620.14–$689.05	at median	53%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion electric ext	$1,338.13	$2,847.09	$620.14–$689.05	at median	53%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion electric ext	$1,338.13	$2,847.09	$620.14–$689.05	—	53%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion electric ext	$1,338.13	$2,847.09	$620.14–$689.05	—	53%
Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery	$3,871.08	$8,236.34	$1,850.60–$2,056.22	151% above	53%
Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery	$3,871.08	$8,236.34	$1,850.60–$2,056.22	151% above	53%
Carpal tunnel release, open surgery inpatient CPT 64721 Carpal tunnel surgery	$3,871.08	$8,236.34	$1,850.60–$2,056.22	—	53%
Carpal tunnel release, open surgery inpatient CPT 64721 Carpal tunnel surgery	$3,871.08	$8,236.34	$1,850.60–$2,056.22	—	53%
Cataract surgery with lens implant CPT 66984 Xcapsl ctrc rmvl w/o ecp	$3,598.43	$7,656.24	$2,161.40–$2,401.55	at median	53%
Cataract surgery with lens implant CPT 66984 Xcapsl ctrc rmvl w/o ecp	$3,598.43	$7,656.24	$2,161.40–$2,401.55	at median	53%
Cataract surgery with lens implant inpatient CPT 66984 Xcapsl ctrc rmvl w/o ecp	$3,598.43	$7,656.24	$2,161.40–$2,401.55	—	53%
Cataract surgery with lens implant inpatient CPT 66984 Xcapsl ctrc rmvl w/o ecp	$3,598.43	$7,656.24	$2,161.40–$2,401.55	—	53%
Cervical biopsy CPT 57500 Gl biopsy of cervix	$200.92	$427.48	$825.18–$916.87	9% below	53%
Cervical biopsy CPT 57500 Gl biopsy of cervix	$200.92	$427.48	$825.18–$916.87	9% below	53%
Cervical biopsy CPT 57500 Biopsy of cervix	$200.92	$427.48	$825.18–$916.87	9% below	53%
Cervical biopsy CPT 57500 Biopsy of cervix	$200.92	$427.48	$825.18–$916.87	9% below	53%
Cervical biopsy inpatient CPT 57500 Biopsy of cervix	$200.92	$427.48	$825.18–$916.87	—	53%
Cervical biopsy inpatient CPT 57500 Gl biopsy of cervix	$200.92	$427.48	$825.18–$916.87	—	53%
Cervical biopsy inpatient CPT 57500 Gl biopsy of cervix	$200.92	$427.48	$825.18–$916.87	—	53%
Cervical biopsy inpatient CPT 57500 Biopsy of cervix	$200.92	$427.48	$825.18–$916.87	—	53%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Cesarean delivery	$8,726.49	$18,567.00	—	—	53%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Cesarean delivery	$8,726.49	$18,567.00	—	—	53%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 days or older	$4,904.11	$10,434.27	$1,941.33–$2,157.03	1366% above	53%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 days or older	$4,904.11	$10,434.27	$1,941.33–$2,157.03	1366% above	53%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circum 28 days or older	$1,987.27	$4,228.23	$1,941.33–$2,157.03	—	53%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circum 28 days or older	$1,987.27	$4,228.23	$1,941.33–$2,157.03	—	53%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block	$4,482.45	$9,537.13	$1,941.33–$2,157.03	83% above	53%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block	$4,482.45	$9,537.13	$1,941.33–$2,157.03	83% above	53%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision w/regionl block	$1,987.27	$4,228.23	$1,941.33–$2,157.03	—	53%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision w/regionl block	$1,987.27	$4,228.23	$1,941.33–$2,157.03	—	53%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision neonate	$1,987.27	$4,228.23	$632.55–$702.83	—	53%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision neonate	$1,987.27	$4,228.23	$632.55–$702.83	—	53%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Gl treat fracture radius/ulna	$433.41	$922.14	$227.33–$252.59	at median	53%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Gl treat fracture radius/ulna	$433.41	$922.14	$227.33–$252.59	at median	53%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat fracture radius/ulna	$433.41	$922.14	$227.33–$252.59	at median	53%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat fracture radius/ulna	$433.41	$922.14	$227.33–$252.59	at median	53%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Gl treat fracture radius/ulna	$433.41	$922.14	$227.33–$252.59	—	53%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Gl treat fracture radius/ulna	$433.41	$922.14	$227.33–$252.59	—	53%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treat fracture radius/ulna	$7,333.75	$15,603.73	$227.33–$252.59	—	53%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treat fracture radius/ulna	$7,333.75	$15,603.73	$227.33–$252.59	—	53%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colonoscopy w/endoscope us	$12,789.11	$27,210.87	$1,117.39–$1,241.54	—	53%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colonoscopy w/endoscope us	$12,789.11	$27,210.87	$1,117.39–$1,241.54	—	53%
Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal	$1,155.88	$2,459.32	$1,117.39–$1,241.54	at median	53%
Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal	$1,155.88	$2,459.32	$1,117.39–$1,241.54	at median	53%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy w/lesion removal	$1,155.88	$2,459.32	$1,117.39–$1,241.54	—	53%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy w/lesion removal	$1,155.88	$2,459.32	$1,117.39–$1,241.54	—	53%
Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy	$1,177.28	$2,504.86	$1,117.39–$1,241.54	at median	53%
Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy	$1,177.28	$2,504.86	$1,117.39–$1,241.54	at median	53%
Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy	$1,279.58	$2,722.50	$1,117.39–$1,241.54	9% above	53%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy and biopsy	$1,279.58	$2,722.50	$1,117.39–$1,241.54	—	53%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy and biopsy	$11,239.78	$23,914.42	$1,117.39–$1,241.54	—	53%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy and biopsy	$11,239.78	$23,914.42	$1,117.39–$1,241.54	—	53%
Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy	$1,015.32	$2,160.26	$864.01–$960.01	at median	53%
Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy	$1,015.32	$2,160.26	$864.01–$960.01	at median	53%
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic colonoscopy	$12,789.11	$27,210.87	$864.01–$960.01	—	53%
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic colonoscopy	$12,789.11	$27,210.87	$864.01–$960.01	—	53%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Gl	$401.66	$854.59	$3,013.17–$3,347.97	13% below	53%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx of cervix w/scope leep	$401.66	$854.59	$3,013.17–$3,347.97	13% below	53%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx of cervix w/scope leep	$401.66	$854.59	$3,013.17–$3,347.97	13% below	53%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Gl	$401.66	$854.59	$3,013.17–$3,347.97	13% below	53%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Gl	$401.66	$854.59	$3,013.17–$3,347.97	—	53%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Gl	$401.66	$854.59	$3,013.17–$3,347.97	—	53%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Bx of cervix w/scope leep	$401.66	$854.59	$3,013.17–$3,347.97	—	53%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Bx of cervix w/scope leep	$401.66	$854.59	$3,013.17–$3,347.97	—	53%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx/curett of cervix w/scope	$184.98	$393.58	$288.27–$320.30	25% below	53%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx/curett of cervix w/scope	$184.98	$393.58	$288.27–$320.30	25% below	53%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Bx/curett of cervix w/scope	$184.98	$393.58	$288.27–$320.30	—	53%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Bx/curett of cervix w/scope	$184.98	$393.58	$288.27–$320.30	—	53%
Complex cataract surgery with lens implant CPT 66982 Xcapsl ctrc rmvl cplx wo ecp	$3,773.66	$8,029.07	$2,161.40–$2,401.55	at median	53%
Complex cataract surgery with lens implant CPT 66982 Xcapsl ctrc rmvl cplx wo ecp	$3,773.66	$8,029.07	$2,161.40–$2,401.55	at median	53%
Complex cataract surgery with lens implant inpatient CPT 66982 Xcapsl ctrc rmvl cplx wo ecp	$3,773.66	$8,029.07	$2,161.40–$2,401.55	—	53%
Complex cataract surgery with lens implant inpatient CPT 66982 Xcapsl ctrc rmvl cplx wo ecp	$3,773.66	$8,029.07	$2,161.40–$2,401.55	—	53%
Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment	$7,460.91	$15,874.28	$3,268.51–$3,631.68	482% above	53%
Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment	$7,460.91	$15,874.28	$3,268.51–$3,631.68	482% above	53%
Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment	$8,775.57	$18,671.42	$3,268.51–$3,631.68	584% above	53%
Cystoscopy with ureteral stent placement inpatient CPT 52332 Cystoscopy and treatment	$8,775.57	$18,671.42	$3,268.51–$3,631.68	—	53%
Cystoscopy with ureteral stent placement inpatient CPT 52332 Cystoscopy and treatment	$15,459.53	$32,892.61	$3,268.51–$3,631.68	—	53%
Cystoscopy with ureteral stent placement inpatient CPT 52332 Cystoscopy and treatment	$15,459.53	$32,892.61	$3,268.51–$3,631.68	—	53%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$4,278.07	$9,102.28	$632.55–$702.83	1056% above	53%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$4,278.07	$9,102.28	$632.55–$702.83	1056% above	53%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy	$7,593.72	$16,156.86	$632.55–$702.83	—	53%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy	$7,593.72	$16,156.86	$632.55–$702.83	—	53%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and curettage	$5,228.18	$11,123.79	$3,013.17–$3,347.97	86% above	53%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and curettage	$5,228.18	$11,123.79	$3,013.17–$3,347.97	86% above	53%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation and curettage	$25,360.95	$53,959.47	$3,013.17–$3,347.97	—	53%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation and curettage	$25,360.95	$53,959.47	$3,013.17–$3,347.97	—	53%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct premalg lesion	$84.93	$180.71	$188.30–$209.23	at median	53%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of lesion first	$84.93	$180.71	$188.30–$209.23	at median	53%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct premalg lesion	$84.93	$180.71	$188.30–$209.23	at median	53%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of lesion first	$84.93	$180.71	$188.30–$209.23	at median	53%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct premalg lesion	$84.93	$180.71	$188.30–$209.23	—	53%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction of lesion first	$84.93	$180.71	$188.30–$209.23	—	53%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct premalg lesion	$84.93	$180.71	$188.30–$209.23	—	53%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction of lesion first	$84.93	$180.71	$188.30–$209.23	—	53%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening	$4,371.33	$9,300.71	$1,403.78–$1,559.75	1154% above	53%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening	$4,371.33	$9,300.71	$1,403.78–$1,559.75	1154% above	53%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Create eardrum opening	$4,371.33	$9,300.71	$1,403.78–$1,559.75	—	53%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Create eardrum opening	$4,371.33	$9,300.71	$1,403.78–$1,559.75	—	53%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy w/anes	$256.83	$546.44	$482.60–$536.23	17% below	53%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create eardrum opening	$256.83	$546.44	$482.60–$536.23	17% below	53%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy w/anes	$256.83	$546.44	$482.60–$536.23	17% below	53%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create eardrum opening	$256.83	$546.44	$482.60–$536.23	17% below	53%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Create eardrum opening	$256.83	$546.44	$482.60–$536.23	—	53%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Tympanostomy w/anes	$256.83	$546.44	$482.60–$536.23	—	53%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Create eardrum opening	$256.83	$546.44	$482.60–$536.23	—	53%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Tympanostomy w/anes	$256.83	$546.44	$482.60–$536.23	—	53%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Uc	$60.22	$128.13	$56.29–$62.55	1% above	53%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Uc	$60.22	$128.13	$56.29–$62.55	1% above	53%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax uni	$60.22	$128.13	$56.29–$62.55	1% above	53%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax uni	$60.22	$128.13	$56.29–$62.55	1% above	53%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Uc	$60.22	$128.13	$56.29–$62.55	—	53%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Uc	$60.22	$128.13	$56.29–$62.55	—	53%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove impacted ear wax uni	$2,899.09	$6,168.28	$56.29–$62.55	—	53%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove impacted ear wax uni	$2,899.09	$6,168.28	$56.29–$62.55	—	53%
Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni	$3,541.96	$7,536.08	$56.29–$62.55	2407% above	53%
Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni	$3,541.96	$7,536.08	$56.29–$62.55	2407% above	53%
Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni	$3,541.96	$7,536.08	$56.29–$62.55	2407% above	53%
Earwax removal with instruments, one ear inpatient CPT 69210 Remove impacted ear wax uni	$2,899.09	$6,168.28	$56.29–$62.55	—	53%
Earwax removal with instruments, one ear inpatient CPT 69210 Remove impacted ear wax uni	$2,899.09	$6,168.28	$56.29–$62.55	—	53%
Earwax removal with instruments, one ear inpatient CPT 69210 Remove impacted ear wax uni	$3,541.96	$7,536.08	$56.29–$62.55	—	53%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Gl biopsy of uterus lining	$129.92	$276.42	$190.64–$211.83	31% below	53%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Gl biopsy of uterus lining	$129.92	$276.42	$190.64–$211.83	31% below	53%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of uterus lining	$129.92	$276.42	$190.64–$211.83	31% below	53%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of uterus lining	$129.92	$276.42	$190.64–$211.83	31% below	53%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of uterus lining	$129.92	$276.42	$190.64–$211.83	—	53%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Gl biopsy of uterus lining	$129.92	$276.42	$190.64–$211.83	—	53%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Gl biopsy of uterus lining	$129.92	$276.42	$190.64–$211.83	—	53%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of uterus lining	$129.92	$276.42	$190.64–$211.83	—	53%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nsl/sins ndsc w/tot ethmdct	$8,109.25	$17,253.72	$6,560.27–$7,289.19	—	53%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nsl/sins ndsc w/tot ethmdct	$8,109.25	$17,253.72	$6,560.27–$7,289.19	—	53%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 Nsl/sins ndsc w/tot ethmdct	$8,109.25	$17,253.72	$6,560.27–$7,289.19	—	53%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 Nsl/sins ndsc w/tot ethmdct	$8,109.25	$17,253.72	$6,560.27–$7,289.19	—	53%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nsl/sins ndsc frnt tiss rmvl	$7,535.86	$16,033.75	$6,560.27–$7,289.19	—	53%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nsl/sins ndsc frnt tiss rmvl	$7,535.86	$16,033.75	$6,560.27–$7,289.19	—	53%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 Nsl/sins ndsc frnt tiss rmvl	$7,535.86	$16,033.75	$6,560.27–$7,289.19	—	53%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 Nsl/sins ndsc frnt tiss rmvl	$7,535.86	$16,033.75	$6,560.27–$7,289.19	—	53%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Exploration maxillary sinus	$6,001.25	$12,768.62	$3,494.04–$3,882.27	—	53%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Exploration maxillary sinus	$6,001.25	$12,768.62	$3,494.04–$3,882.27	—	53%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 Exploration maxillary sinus	$6,001.25	$12,768.62	$3,494.04–$3,882.27	—	53%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 Exploration maxillary sinus	$6,001.25	$12,768.62	$3,494.04–$3,882.27	—	53%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy maxillary sinus	$7,190.30	$15,298.50	$6,560.27–$7,289.19	1072% above	53%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy maxillary sinus	$7,190.30	$15,298.50	$6,560.27–$7,289.19	1072% above	53%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Endoscopy maxillary sinus	$7,190.30	$15,298.50	$6,560.27–$7,289.19	—	53%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Endoscopy maxillary sinus	$7,190.30	$15,298.50	$6,560.27–$7,289.19	—	53%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj dx/thera cvc/thr w/img	$321.39	$683.81	$656.29–$729.21	58% below	53%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx interlaminar crv/thrc	$321.39	$683.81	$656.29–$729.21	58% below	53%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx interlaminar crv/thrc	$321.39	$683.81	$656.29–$729.21	58% below	53%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj dx/thera cvc/thr w/img	$321.39	$683.81	$656.29–$729.21	58% below	53%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inj dx/thera cvc/thr w/img	$321.39	$683.81	$656.29–$729.21	—	53%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inj dx/thera cvc/thr w/img	$321.39	$683.81	$656.29–$729.21	—	53%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx interlaminar crv/thrc	$321.39	$683.81	$656.29–$729.21	—	53%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx interlaminar crv/thrc	$321.39	$683.81	$656.29–$729.21	—	53%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj dx/thera lumbra/sacral	$221.99	$472.31	$843.71–$937.45	70% below	53%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj dx/thera lumbra/sacral	$221.99	$472.31	$843.71–$937.45	70% below	53%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj paravert f jnt l/s 1 lev	$221.99	$472.31	$843.71–$937.45	70% below	53%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj paravert f jnt l/s 1 lev	$221.99	$472.31	$843.71–$937.45	70% below	53%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj dx/thera lumbra/sacral	$221.99	$472.31	$843.71–$937.45	—	53%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj dx/thera lumbra/sacral	$221.99	$472.31	$843.71–$937.45	—	53%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj paravert f jnt l/s 1 lev	$221.99	$472.31	$843.71–$937.45	—	53%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj paravert f jnt l/s 1 lev	$221.99	$472.31	$843.71–$937.45	—	53%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc	$6,743.86	$14,348.64	$5,913.27–$6,570.30	468% above	53%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc	$6,743.86	$14,348.64	$5,913.27–$6,570.30	468% above	53%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Rpr aa hrn 1st 3-10 rdc	$6,743.86	$14,348.64	$5,913.27–$6,570.30	—	53%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Rpr aa hrn 1st 3-10 rdc	$6,743.86	$14,348.64	$5,913.27–$6,570.30	—	53%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st > 10 rdc	$13,265.82	$28,225.14	$5,913.27–$6,570.30	1084% above	53%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st > 10 rdc	$13,265.82	$28,225.14	$5,913.27–$6,570.30	1084% above	53%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 Rpr aa hrn 1st > 10 rdc	$13,265.82	$28,225.14	$5,913.27–$6,570.30	—	53%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 Rpr aa hrn 1st > 10 rdc	$13,265.82	$28,225.14	$5,913.27–$6,570.30	—	53%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc	$4,713.23	$10,028.15	$3,344.41–$3,716.01	420% above	53%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc	$4,713.23	$10,028.15	$3,344.41–$3,716.01	420% above	53%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Rpr aa hrn 1st < 3 cm rdc	$4,713.23	$10,028.15	$3,344.41–$3,716.01	—	53%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Rpr aa hrn 1st < 3 cm rdc	$4,713.23	$10,028.15	$3,344.41–$3,716.01	—	53%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy	$1,255.84	$2,671.99	$864.01–$960.01	at median	53%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy	$1,255.84	$2,671.99	$864.01–$960.01	at median	53%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic sigmoidoscopy	$12,789.11	$27,210.87	$864.01–$960.01	—	53%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic sigmoidoscopy	$12,789.11	$27,210.87	$864.01–$960.01	—	53%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy	$7,244.06	$15,412.89	$5,529.09–$6,143.44	550% above	53%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy	$7,244.06	$15,412.89	$5,529.09–$6,143.44	550% above	53%
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopic cholecystectomy	$15,499.49	$32,977.64	$5,529.09–$6,143.44	—	53%
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopic cholecystectomy	$15,499.49	$32,977.64	$5,529.09–$6,143.44	—	53%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy/graph	$7,927.72	$16,867.49	$5,529.09–$6,143.44	577% above	53%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy/graph	$7,927.72	$16,867.49	$5,529.09–$6,143.44	577% above	53%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Laparo cholecystectomy/graph	$7,927.72	$16,867.49	$5,529.09–$6,143.44	—	53%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Laparo cholecystectomy/graph	$7,927.72	$16,867.49	$5,529.09–$6,143.44	—	53%
Gallbladder removal, open surgery through a larger incision CPT 47600 Gl removal of gallbladder	$1,334.81	$2,840.02	—	8% below	53%
Gallbladder removal, open surgery through a larger incision CPT 47600 Removal of gallbladder	$1,334.81	$2,840.02	—	8% below	53%
Gallbladder removal, open surgery through a larger incision CPT 47600 Removal of gallbladder	$1,334.81	$2,840.02	—	8% below	53%
Gallbladder removal, open surgery through a larger incision CPT 47600 Gl removal of gallbladder	$1,334.81	$2,840.02	—	8% below	53%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Gl removal of gallbladder	$1,334.81	$2,840.02	—	—	53%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Gl removal of gallbladder	$1,334.81	$2,840.02	—	—	53%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Removal of gallbladder	$22,294.52	$47,435.14	—	—	53%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Removal of gallbladder	$22,294.52	$47,435.14	—	—	53%
Hammertoe correction surgery CPT 28285 Repair of hammertoe	$8,501.54	$18,088.39	$3,074.84–$3,416.49	802% above	53%
Hammertoe correction surgery CPT 28285 Repair of hammertoe	$8,501.54	$18,088.39	$3,074.84–$3,416.49	802% above	53%
Hammertoe correction surgery inpatient CPT 28285 Repair of hammertoe	$8,501.54	$18,088.39	$3,074.84–$3,416.49	—	53%
Hammertoe correction surgery inpatient CPT 28285 Repair of hammertoe	$8,501.54	$18,088.39	$3,074.84–$3,416.49	—	53%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s)	$3,954.84	$8,414.56	$864.01–$960.01	337% above	53%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s)	$3,954.84	$8,414.56	$864.01–$960.01	337% above	53%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of hemorrhoid(s)	$3,954.84	$8,414.56	$864.01–$960.01	—	53%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of hemorrhoid(s)	$3,954.84	$8,414.56	$864.01–$960.01	—	53%
Hemorrhoidectomy (internal and external), one area CPT 46255 Remove int/ext hem 1 group	$3,846.85	$8,184.79	$2,598.90–$2,887.67	437% above	53%
Hemorrhoidectomy (internal and external), one area CPT 46255 Remove int/ext hem 1 group	$3,846.85	$8,184.79	$2,598.90–$2,887.67	437% above	53%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Remove int/ext hem 1 group	$3,846.85	$8,184.79	$2,598.90–$2,887.67	—	53%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Remove int/ext hem 1 group	$3,846.85	$8,184.79	$2,598.90–$2,887.67	—	53%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Total hip arthroplasty	$2,271.05	$4,832.02	—	26% below	53%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Total hip arthroplasty	$2,271.05	$4,832.02	—	26% below	53%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 Total hip arthroplasty	$28,308.14	$60,230.09	—	—	53%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 Total hip arthroplasty	$28,308.14	$60,230.09	—	—	53%
Hysterectomy through an abdominal incision (total) CPT 58150 Total hysterectomy	$11,101.19	$23,619.55	—	601% above	53%
Hysterectomy through an abdominal incision (total) CPT 58150 Total hysterectomy	$11,101.19	$23,619.55	—	601% above	53%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Total hysterectomy	$13,878.39	$29,528.49	—	—	53%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Total hysterectomy	$13,878.39	$29,528.49	—	—	53%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Injection for hysterosalpingog	$299.31	$636.83	—	20% below	53%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Injection for hysterosalpingog	$299.31	$636.83	—	20% below	53%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter for hysterography	$299.31	$636.83	—	20% below	53%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter for hysterography	$299.31	$636.83	—	20% below	53%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Injection for hysterosalpingog	$299.31	$636.83	—	—	53%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheter for hysterography	$299.31	$636.83	—	—	53%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheter for hysterography	$299.31	$636.83	—	—	53%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Injection for hysterosalpingog	$299.31	$636.83	—	—	53%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy ablation	$3,774.86	$8,031.62	$4,678.16–$5,197.96	18% above	53%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy ablation	$3,774.86	$8,031.62	$4,678.16–$5,197.96	18% above	53%
Hysteroscopy with endometrial ablation inpatient CPT 58563 Hysteroscopy ablation	$3,774.86	$8,031.62	$4,678.16–$5,197.96	—	53%
Hysteroscopy with endometrial ablation inpatient CPT 58563 Hysteroscopy ablation	$3,774.86	$8,031.62	$4,678.16–$5,197.96	—	53%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy	$4,344.42	$9,243.44	$3,013.17–$3,347.97	88% above	53%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy	$4,344.42	$9,243.44	$3,013.17–$3,347.97	88% above	53%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy biopsy	$4,344.42	$9,243.44	$3,013.17–$3,347.97	—	53%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy biopsy	$4,344.42	$9,243.44	$3,013.17–$3,347.97	—	53%
IUD insertion (the device itself billed separately) CPT 58300 Insert intrauterine device	$4,148.43	$8,826.45	—	675% above	53%
IUD insertion (the device itself billed separately) CPT 58300 Insert intrauterine device	$4,148.43	$8,826.45	—	675% above	53%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert intrauterine device	$4,148.43	$8,826.45	—	—	53%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert intrauterine device	$4,148.43	$8,826.45	—	—	53%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess	$3,876.59	$8,248.06	$188.30–$209.23	755% above	53%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess	$3,876.59	$8,248.06	$188.30–$209.23	755% above	53%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess	$3,876.59	$8,248.06	$188.30–$209.23	755% above	53%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of skin abscess	$3,876.59	$8,248.06	$188.30–$209.23	—	53%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of skin abscess	$11,454.37	$24,371.01	$188.30–$209.23	—	53%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of skin abscess	$11,454.37	$24,371.01	$188.30–$209.23	—	53%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr	$5,005.83	$10,650.70	$3,344.41–$3,716.01	540% above	53%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr	$5,667.17	$12,057.81	$3,344.41–$3,716.01	624% above	53%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr	$5,667.17	$12,057.81	$3,344.41–$3,716.01	624% above	53%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Prp i/hern init reduc >5 yr	$5,005.83	$10,650.70	$3,344.41–$3,716.01	—	53%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Prp i/hern init reduc >5 yr	$20,046.19	$42,651.47	$3,344.41–$3,716.01	—	53%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Prp i/hern init reduc >5 yr	$20,046.19	$42,651.47	$3,344.41–$3,716.01	—	53%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament	$3,747.42	$7,973.23	$279.74–$310.83	1162% above	53%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament	$3,747.42	$7,973.23	$279.74–$310.83	1162% above	53%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj tendon sheath/ligament	$3,747.42	$7,973.23	$279.74–$310.83	—	53%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj tendon sheath/ligament	$3,747.42	$7,973.23	$279.74–$310.83	—	53%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us	$5,554.27	$11,817.60	$279.74–$310.83	927% above	53%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us	$5,554.27	$11,817.60	$279.74–$310.83	927% above	53%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/inj joint/bursa w/o us	$5,554.27	$11,817.60	$279.74–$310.83	—	53%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/inj joint/bursa w/o us	$5,554.27	$11,817.60	$279.74–$310.83	—	53%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert drug implant device	$181.18	$385.48	$122.16–$135.73	5% below	53%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert drug implant device	$181.18	$385.48	$122.16–$135.73	5% below	53%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert drug implant device	$181.18	$385.48	$122.16–$135.73	—	53%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert drug implant device	$181.18	$385.48	$122.16–$135.73	—	53%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis inter joint	$150.50	$320.21	$279.74–$310.83	8% below	53%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us	$150.50	$320.21	$279.74–$310.83	8% below	53%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis inter joint	$150.50	$320.21	$279.74–$310.83	8% below	53%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us	$150.50	$320.21	$279.74–$310.83	8% below	53%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/inj joint/bursa w/o us	$150.50	$320.21	$279.74–$310.83	—	53%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis inter joint	$150.50	$320.21	$279.74–$310.83	—	53%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/inj joint/bursa w/o us	$150.50	$320.21	$279.74–$310.83	—	53%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis inter joint	$150.50	$320.21	$279.74–$310.83	—	53%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Small joint injection	$299.31	$636.83	$279.74–$310.83	17% below	53%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inj joint/bursa w/o us	$299.31	$636.83	$279.74–$310.83	17% below	53%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Small joint injection	$299.31	$636.83	$279.74–$310.83	17% below	53%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inj joint/bursa w/o us	$299.31	$636.83	$279.74–$310.83	17% below	53%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/inj joint/bursa w/o us	$299.31	$636.83	$279.74–$310.83	—	53%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/inj joint/bursa w/o us	$299.31	$636.83	$279.74–$310.83	—	53%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Small joint injection	$299.31	$636.83	$279.74–$310.83	—	53%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Small joint injection	$299.31	$636.83	$279.74–$310.83	—	53%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopy/surgery	$11,511.90	$24,493.41	$3,074.84–$3,416.49	644% above	53%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopy/surgery	$11,511.90	$24,493.41	$3,074.84–$3,416.49	644% above	53%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 Knee arthroscopy/surgery	$11,511.90	$24,493.41	$3,074.84–$3,416.49	—	53%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 Knee arthroscopy/surgery	$11,511.90	$24,493.41	$3,074.84–$3,416.49	—	53%
Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery	$6,381.27	$13,577.16	$3,074.84–$3,416.49	401% above	53%
Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery	$7,977.64	$16,973.70	$3,074.84–$3,416.49	526% above	53%
Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery	$7,977.64	$16,973.70	$3,074.84–$3,416.49	526% above	53%
Knee arthroscopy with meniscus trim inpatient CPT 29881 Knee arthroscopy/surgery	$6,381.27	$13,577.16	$3,074.84–$3,416.49	—	53%
Knee arthroscopy with meniscus trim inpatient CPT 29881 Knee arthroscopy/surgery	$13,727.59	$29,207.64	$3,074.84–$3,416.49	—	53%
Knee arthroscopy with meniscus trim inpatient CPT 29881 Knee arthroscopy/surgery	$13,727.59	$29,207.64	$3,074.84–$3,416.49	—	53%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery	$6,719.02	$14,295.79	$3,074.84–$3,416.49	387% above	53%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery	$6,719.02	$14,295.79	$3,074.84–$3,416.49	387% above	53%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery	$6,719.02	$14,295.79	$3,074.84–$3,416.49	387% above	53%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Knee arthroscopy/surgery	$6,719.02	$14,295.79	$3,074.84–$3,416.49	—	53%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Knee arthroscopy/surgery	$13,727.59	$29,207.64	$3,074.84–$3,416.49	—	53%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Knee arthroscopy/surgery	$13,727.59	$29,207.64	$3,074.84–$3,416.49	—	53%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery	$10,061.09	$21,406.58	$3,074.84–$3,416.49	689% above	53%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery	$10,061.09	$21,406.58	$3,074.84–$3,416.49	689% above	53%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery	$10,061.09	$21,406.58	$3,074.84–$3,416.49	689% above	53%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Knee arthroscopy/surgery	$10,061.09	$21,406.58	$3,074.84–$3,416.49	—	53%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Knee arthroscopy/surgery	$13,727.59	$29,207.64	$3,074.84–$3,416.49	—	53%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Knee arthroscopy/surgery	$13,727.59	$29,207.64	$3,074.84–$3,416.49	—	53%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy	$8,673.06	$18,453.31	$5,529.09–$6,143.44	859% above	53%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy	$8,673.06	$18,453.31	$5,529.09–$6,143.44	859% above	53%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopy appendectomy	$12,211.84	$25,982.64	$5,529.09–$6,143.44	—	53%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopy appendectomy	$12,211.84	$25,982.64	$5,529.09–$6,143.44	—	53%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laparoscopy fundoplasty	$8,615.52	$18,330.89	$9,866.48–$10,962.76	394% above	53%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laparoscopy fundoplasty	$8,615.52	$18,330.89	$9,866.48–$10,962.76	394% above	53%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 Laparoscopy fundoplasty	$8,615.52	$18,330.89	$9,866.48–$10,962.76	—	53%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 Laparoscopy fundoplasty	$8,615.52	$18,330.89	$9,866.48–$10,962.76	—	53%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh w/t/o 250 g or less	$9,566.73	$20,354.74	$9,866.48–$10,962.76	521% above	53%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh w/t/o 250 g or less	$9,566.73	$20,354.74	$9,866.48–$10,962.76	521% above	53%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Tlh w/t/o 250 g or less	$11,787.12	$25,078.97	$9,866.48–$10,962.76	—	53%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Tlh w/t/o 250 g or less	$11,787.12	$25,078.97	$9,866.48–$10,962.76	—	53%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init	$6,355.25	$13,521.81	$5,529.09–$6,143.44	668% above	53%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init	$6,355.25	$13,521.81	$5,529.09–$6,143.44	668% above	53%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Lap ing hernia repair init	$6,355.25	$13,521.81	$5,529.09–$6,143.44	—	53%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Lap ing hernia repair init	$6,355.25	$13,521.81	$5,529.09–$6,143.44	—	53%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur	$5,009.23	$10,657.94	$5,529.09–$6,143.44	468% above	53%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur	$5,009.23	$10,657.94	$5,529.09–$6,143.44	468% above	53%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur	$5,009.23	$10,657.94	$5,529.09–$6,143.44	468% above	53%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Lap ing hernia repair recur	$5,009.23	$10,657.94	$5,529.09–$6,143.44	—	53%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Lap ing hernia repair recur	$20,046.19	$42,651.47	$5,529.09–$6,143.44	—	53%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Lap ing hernia repair recur	$20,046.19	$42,651.47	$5,529.09–$6,143.44	—	53%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa	$4,733.17	$10,070.57	$5,529.09–$6,143.44	337% above	53%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa	$10,594.60	$22,541.70	$5,529.09–$6,143.44	877% above	53%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa	$10,594.60	$22,541.70	$5,529.09–$6,143.44	877% above	53%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Laparoscopy remove adnexa	$4,733.17	$10,070.57	$5,529.09–$6,143.44	—	53%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Laparoscopy remove adnexa	$11,787.12	$25,078.97	$5,529.09–$6,143.44	—	53%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Laparoscopy remove adnexa	$11,787.12	$25,078.97	$5,529.09–$6,143.44	—	53%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 After cataract laser surgery	$427.27	$909.08	$519.90–$577.66	57% below	53%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Cataract laser surgery	$427.27	$909.08	$519.90–$577.66	57% below	53%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Cataract laser surgery	$427.27	$909.08	$519.90–$577.66	57% below	53%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 After cataract laser surgery	$427.27	$909.08	$519.90–$577.66	57% below	53%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 After cataract laser surgery	$427.27	$909.08	$519.90–$577.66	—	53%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Cataract laser surgery	$427.27	$909.08	$519.90–$577.66	—	53%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 After cataract laser surgery	$427.27	$909.08	$519.90–$577.66	—	53%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Cataract laser surgery	$427.27	$909.08	$519.90–$577.66	—	53%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/<	$453.88	$965.70	$378.63–$420.70	56% above	53%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/<	$453.88	$965.70	$378.63–$420.70	56% above	53%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Uc repairintermediate >2.5cm	$453.88	$965.70	$378.63–$420.70	56% above	53%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Uc repairintermediate >2.5cm	$453.88	$965.70	$378.63–$420.70	56% above	53%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Uc repairintermediate >2.5cm	$453.88	$965.70	$378.63–$420.70	—	53%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Uc repairintermediate >2.5cm	$453.88	$965.70	$378.63–$420.70	—	53%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/<	$11,780.83	$25,065.59	$378.63–$420.70	—	53%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/<	$11,780.83	$25,065.59	$378.63–$420.70	—	53%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac	$317.33	$675.16	$656.29–$729.21	58% below	53%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac	$317.33	$675.16	$656.29–$729.21	58% below	53%
Lower-back epidural injection, with imaging guidance CPT 62323 Dx/thera inj lmbr/sac w/image	$317.33	$675.16	$656.29–$729.21	58% below	53%
Lower-back epidural injection, with imaging guidance CPT 62323 Dx/thera inj lmbr/sac w/image	$317.33	$675.16	$656.29–$729.21	58% below	53%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Dx/thera inj lmbr/sac w/image	$317.33	$675.16	$656.29–$729.21	—	53%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx interlaminar lmbr/sac	$317.33	$675.16	$656.29–$729.21	—	53%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Dx/thera inj lmbr/sac w/image	$317.33	$675.16	$656.29–$729.21	—	53%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx interlaminar lmbr/sac	$317.33	$675.16	$656.29–$729.21	—	53%
Lower-back epidural injection, without imaging guidance CPT 62322 Njx interlaminar lmbr/sac	$112.29	$238.92	$843.71–$937.45	89% below	53%
Lower-back epidural injection, without imaging guidance CPT 62322 Njx interlaminar lmbr/sac	$112.29	$238.92	$843.71–$937.45	89% below	53%
Lower-back epidural injection, without imaging guidance CPT 62322 Pbb	$112.29	$238.92	$843.71–$937.45	89% below	53%
Lower-back epidural injection, without imaging guidance CPT 62322 Pbb	$112.29	$238.92	$843.71–$937.45	89% below	53%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Pbb	$112.29	$238.92	$843.71–$937.45	—	53%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Pbb	$112.29	$238.92	$843.71–$937.45	—	53%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx interlaminar lmbr/sac	$112.29	$238.92	$843.71–$937.45	—	53%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx interlaminar lmbr/sac	$112.29	$238.92	$843.71–$937.45	—	53%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj foramen epidural l/s	$661.55	$1,407.56	$843.71–$937.45	40% below	53%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Ct	$661.55	$1,407.56	$843.71–$937.45	40% below	53%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Ct	$661.55	$1,407.56	$843.71–$937.45	40% below	53%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj foramen epidural l/s	$661.55	$1,407.56	$843.71–$937.45	40% below	53%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj foramen epidural l/s	$661.55	$1,407.56	$843.71–$937.45	—	53%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Ct	$661.55	$1,407.56	$843.71–$937.45	—	53%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Ct	$661.55	$1,407.56	$843.71–$937.45	—	53%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj foramen epidural l/s	$661.55	$1,407.56	$843.71–$937.45	—	53%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Low back disk surgery	$15,262.91	$32,474.28	$6,769.95–$7,522.17	—	53%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Low back disk surgery	$15,262.91	$32,474.28	$6,769.95–$7,522.17	—	53%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 Low back disk surgery	$15,262.91	$32,474.28	$6,769.95–$7,522.17	—	53%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 Low back disk surgery	$15,262.91	$32,474.28	$6,769.95–$7,522.17	—	53%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Remove spine lamina 1 lmbr	$18,642.10	$39,664.04	$6,769.95–$7,522.17	—	53%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Remove spine lamina 1 lmbr	$18,642.10	$39,664.04	$6,769.95–$7,522.17	—	53%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 Remove spine lamina 1 lmbr	$18,642.10	$39,664.04	$6,769.95–$7,522.17	—	53%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 Remove spine lamina 1 lmbr	$18,642.10	$39,664.04	$6,769.95–$7,522.17	—	53%
Lumbar spinal fusion (posterior), one level CPT 22612 Lumbar spine fusion	$2,132.00	$4,536.17	$17,427.84–$19,364.26	—	53%
Lumbar spinal fusion (posterior), one level CPT 22612 Lumber spine fusion	$2,132.00	$4,536.17	$17,427.84–$19,364.26	—	53%
Lumbar spinal fusion (posterior), one level CPT 22612 Lumber spine fusion	$2,132.00	$4,536.17	$17,427.84–$19,364.26	—	53%
Lumbar spinal fusion (posterior), one level CPT 22612 Lumbar spine fusion	$2,132.00	$4,536.17	$17,427.84–$19,364.26	—	53%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 Lumber spine fusion	$2,132.00	$4,536.17	$17,427.84–$19,364.26	—	53%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 Lumbar spine fusion	$2,132.00	$4,536.17	$17,427.84–$19,364.26	—	53%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 Lumbar spine fusion	$2,132.00	$4,536.17	$17,427.84–$19,364.26	—	53%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 Lumber spine fusion	$2,132.00	$4,536.17	$17,427.84–$19,364.26	—	53%
Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy	$9,279.88	$19,744.43	$3,628.92–$4,032.14	173% above	53%
Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy	$9,279.88	$19,744.43	$3,628.92–$4,032.14	173% above	53%
Lumpectomy (partial mastectomy) inpatient CPT 19301 Partial mastectomy	$9,279.88	$19,744.43	$3,628.92–$4,032.14	—	53%
Lumpectomy (partial mastectomy) inpatient CPT 19301 Partial mastectomy	$9,279.88	$19,744.43	$3,628.92–$4,032.14	—	53%
Mastectomy (total removal of the breast) CPT 19303 Mast simple complete	$15,043.18	$32,006.76	$6,180.24–$6,866.93	862% above	53%
Mastectomy (total removal of the breast) CPT 19303 Mast simple complete	$15,043.18	$32,006.76	$6,180.24–$6,866.93	862% above	53%
Mastectomy (total removal of the breast) inpatient CPT 19303 Mast simple complete	$15,043.18	$32,006.76	$6,180.24–$6,866.93	—	53%
Mastectomy (total removal of the breast) inpatient CPT 19303 Mast simple complete	$15,043.18	$32,006.76	$6,180.24–$6,866.93	—	53%
Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage	$3,865.10	$8,223.61	$3,013.17–$3,347.97	73% above	53%
Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage	$3,865.10	$8,223.61	$3,013.17–$3,347.97	73% above	53%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Care of miscarriage	$8,123.47	$17,283.97	$3,013.17–$3,347.97	—	53%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Care of miscarriage	$8,123.47	$17,283.97	$3,013.17–$3,347.97	—	53%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Mohs 1 stage h/n/hf/g	$13,038.35	$27,741.16	$580.10–$644.56	—	53%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Mohs 1 stage h/n/hf/g	$13,038.35	$27,741.16	$580.10–$644.56	—	53%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc tr-ext b9+marg 0.5 cm<	$214.55	$456.49	$666.78–$740.86	at median	53%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc tr-ext b9+marg 0.5 cm<	$214.55	$456.49	$666.78–$740.86	at median	53%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Npc exc lesion trunk/arms/legs	$214.55	$456.49	$666.78–$740.86	at median	53%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Npc exc lesion trunk/arms/legs	$214.55	$456.49	$666.78–$740.86	at median	53%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Npc exc lesion trunk/arms/legs	$214.55	$456.49	$666.78–$740.86	—	53%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Npc exc lesion trunk/arms/legs	$214.55	$456.49	$666.78–$740.86	—	53%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc tr-ext b9+marg 0.5 cm<	$13,460.05	$28,638.40	$666.78–$740.86	—	53%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc tr-ext b9+marg 0.5 cm<	$13,460.05	$28,638.40	$666.78–$740.86	—	53%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Gl exc ben face/mm lesion <0.5	$187.96	$399.91	$666.78–$740.86	39% below	53%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc face-mm b9+marg 0.5 cm/<	$187.96	$399.91	$666.78–$740.86	39% below	53%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Gl exc ben face/mm lesion <0.5	$187.96	$399.91	$666.78–$740.86	39% below	53%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc face-mm b9+marg 0.5 cm/<	$187.96	$399.91	$666.78–$740.86	39% below	53%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Gl exc ben face/mm lesion <0.5	$187.96	$399.91	$666.78–$740.86	—	53%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc face-mm b9+marg 0.5 cm/<	$187.96	$399.91	$666.78–$740.86	—	53%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Gl exc ben face/mm lesion <0.5	$187.96	$399.91	$666.78–$740.86	—	53%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc face-mm b9+marg 0.5 cm/<	$187.96	$399.91	$666.78–$740.86	—	53%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate	$4,463.81	$9,497.47	$188.30–$209.23	1257% above	53%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate	$4,463.81	$9,497.47	$188.30–$209.23	1257% above	53%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate	$4,463.81	$9,497.47	$188.30–$209.23	1257% above	53%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate	$4,463.81	$9,497.47	$188.30–$209.23	—	53%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate	$6,136.96	$13,057.36	$188.30–$209.23	—	53%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate	$6,136.96	$13,057.36	$188.30–$209.23	—	53%
Occipital nerve block (injection for headaches) CPT 64405 Inj for nerve block occipital	$130.93	$278.58	$279.74–$310.83	59% below	53%
Occipital nerve block (injection for headaches) CPT 64405 Njx aa&/strd gr ocpl nrv	$130.93	$278.58	$279.74–$310.83	59% below	53%
Occipital nerve block (injection for headaches) CPT 64405 Njx aa&/strd gr ocpl nrv	$130.93	$278.58	$279.74–$310.83	59% below	53%
Occipital nerve block (injection for headaches) CPT 64405 Inj for nerve block occipital	$130.93	$278.58	$279.74–$310.83	59% below	53%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Inj for nerve block occipital	$130.93	$278.58	$279.74–$310.83	—	53%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx aa&/strd gr ocpl nrv	$130.93	$278.58	$279.74–$310.83	—	53%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Inj for nerve block occipital	$130.93	$278.58	$279.74–$310.83	—	53%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx aa&/strd gr ocpl nrv	$130.93	$278.58	$279.74–$310.83	—	53%
Paracentesis with imaging guidance CPT 49083 Us abdominal paracentesis	$605.26	$1,287.78	$888.50–$987.23	34% below	53%
Paracentesis with imaging guidance CPT 49083 Abd paracentesis w/imaging	$605.26	$1,287.78	$888.50–$987.23	34% below	53%
Paracentesis with imaging guidance CPT 49083 Us abdominal paracentesis	$605.26	$1,287.78	$888.50–$987.23	34% below	53%
Paracentesis with imaging guidance CPT 49083 Abd paracentesis w/imaging	$605.26	$1,287.78	$888.50–$987.23	34% below	53%
Paracentesis with imaging guidance inpatient CPT 49083 Abd paracentesis w/imaging	$605.26	$1,287.78	$888.50–$987.23	—	53%
Paracentesis with imaging guidance inpatient CPT 49083 Us abdominal paracentesis	$605.26	$1,287.78	$888.50–$987.23	—	53%
Paracentesis with imaging guidance inpatient CPT 49083 Abd paracentesis w/imaging	$605.26	$1,287.78	$888.50–$987.23	—	53%
Paracentesis with imaging guidance inpatient CPT 49083 Us abdominal paracentesis	$605.26	$1,287.78	$888.50–$987.23	—	53%
Partial knee replacement (one compartment) CPT 27446 Revision of knee joint	$18,712.75	$39,814.36	$12,193.60–$13,548.44	771% above	53%
Partial knee replacement (one compartment) CPT 27446 Revision of knee joint	$18,712.75	$39,814.36	$12,193.60–$13,548.44	771% above	53%
Partial knee replacement (one compartment) inpatient CPT 27446 Revision of knee joint	$18,712.75	$39,814.36	$12,193.60–$13,548.44	—	53%
Partial knee replacement (one compartment) inpatient CPT 27446 Revision of knee joint	$18,712.75	$39,814.36	$12,193.60–$13,548.44	—	53%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed	$6,399.39	$13,615.72	$378.63–$420.70	729% above	53%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed	$6,399.39	$13,615.72	$378.63–$420.70	729% above	53%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of nail bed	$6,136.96	$13,057.36	$378.63–$420.70	—	53%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of nail bed	$6,136.96	$13,057.36	$378.63–$420.70	—	53%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy lumb/sac facet jnt	$498.65	$1,060.95	$1,850.60–$2,056.22	29% below	53%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy lumb/sac facet jnt	$498.65	$1,060.95	$1,850.60–$2,056.22	29% below	53%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy lumb/sac facet jnt	$498.65	$1,060.95	$1,850.60–$2,056.22	—	53%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy lumb/sac facet jnt	$498.65	$1,060.95	$1,850.60–$2,056.22	—	53%
Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion	$6,326.55	$13,460.74	$3,628.92–$4,032.14	124% above	53%
Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion	$6,326.55	$13,460.74	$3,628.92–$4,032.14	124% above	53%
Removal of a breast lump, open surgery inpatient CPT 19120 Removal of breast lesion	$6,326.55	$13,460.74	$3,628.92–$4,032.14	—	53%
Removal of a breast lump, open surgery inpatient CPT 19120 Removal of breast lesion	$6,326.55	$13,460.74	$3,628.92–$4,032.14	—	53%
Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body	$3,443.65	$7,326.91	$378.63–$420.70	824% above	53%
Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body	$3,612.12	$7,685.36	$378.63–$420.70	869% above	53%
Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body	$3,612.12	$7,685.36	$378.63–$420.70	869% above	53%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body	$3,443.65	$7,326.91	$378.63–$420.70	—	53%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body	$16,157.51	$34,377.69	$378.63–$420.70	—	53%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body	$16,157.51	$34,377.69	$378.63–$420.70	—	53%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial removal of thyroid	$11,335.07	$24,117.18	$5,529.09–$6,143.44	825% above	53%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial removal of thyroid	$11,335.07	$24,117.18	$5,529.09–$6,143.44	825% above	53%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 Partial removal of thyroid	$11,335.07	$24,117.18	$5,529.09–$6,143.44	—	53%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 Partial removal of thyroid	$11,335.07	$24,117.18	$5,529.09–$6,143.44	—	53%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind	$1,017.12	$2,164.09	$864.01–$960.01	77% above	53%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind	$1,017.12	$2,164.09	$864.01–$960.01	77% above	53%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon ca scrn not hi rsk ind	$1,017.12	$2,164.09	$864.01–$960.01	—	53%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon ca scrn not hi rsk ind	$1,017.12	$2,164.09	$864.01–$960.01	—	53%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind	$1,006.49	$2,141.46	$864.01–$960.01	70% above	53%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind	$1,006.49	$2,141.46	$864.01–$960.01	70% above	53%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal scrn; hi risk ind	$1,006.49	$2,141.46	$864.01–$960.01	—	53%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal scrn; hi risk ind	$1,006.49	$2,141.46	$864.01–$960.01	—	53%
Septoplasty to straighten the nasal septum CPT 30520 Repair of nasal septum	$5,357.88	$11,399.75	$3,073.38–$3,414.87	475% above	53%
Septoplasty to straighten the nasal septum CPT 30520 Repair of nasal septum	$5,357.88	$11,399.75	$3,073.38–$3,414.87	475% above	53%
Septoplasty to straighten the nasal septum inpatient CPT 30520 Repair of nasal septum	$5,357.88	$11,399.75	$3,073.38–$3,414.87	—	53%
Septoplasty to straighten the nasal septum inpatient CPT 30520 Repair of nasal septum	$5,357.88	$11,399.75	$3,073.38–$3,414.87	—	53%
Short arm cast (elbow to hand) CPT 29075 Application of forearm cast	$112.05	$238.40	$251.68–$279.65	72% below	53%
Short arm cast (elbow to hand) CPT 29075 Apply cast short arm	$112.05	$238.40	$251.68–$279.65	72% below	53%
Short arm cast (elbow to hand) CPT 29075 Application of forearm cast	$112.05	$238.40	$251.68–$279.65	72% below	53%
Short arm cast (elbow to hand) CPT 29075 Apply cast short arm	$112.05	$238.40	$251.68–$279.65	72% below	53%
Short arm cast (elbow to hand) inpatient CPT 29075 Application of forearm cast	$112.05	$238.40	$251.68–$279.65	—	53%
Short arm cast (elbow to hand) inpatient CPT 29075 Apply cast short arm	$112.05	$238.40	$251.68–$279.65	—	53%
Short arm cast (elbow to hand) inpatient CPT 29075 Apply cast short arm	$112.05	$238.40	$251.68–$279.65	—	53%
Short arm cast (elbow to hand) inpatient CPT 29075 Application of forearm cast	$112.05	$238.40	$251.68–$279.65	—	53%
Short arm splint (forearm and hand) CPT 29125 Apply forearm splint	$142.19	$302.53	$122.16–$135.73	at median	53%
Short arm splint (forearm and hand) CPT 29125 Uc	$142.19	$302.53	$122.16–$135.73	at median	53%
Short arm splint (forearm and hand) CPT 29125 Apply forearm splint	$142.19	$302.53	$122.16–$135.73	at median	53%
Short arm splint (forearm and hand) CPT 29125 Uc	$142.19	$302.53	$122.16–$135.73	at median	53%
Short arm splint (forearm and hand) inpatient CPT 29125 Uc	$142.19	$302.53	$122.16–$135.73	—	53%
Short arm splint (forearm and hand) inpatient CPT 29125 Apply forearm splint	$142.19	$302.53	$122.16–$135.73	—	53%
Short arm splint (forearm and hand) inpatient CPT 29125 Apply forearm splint	$142.19	$302.53	$122.16–$135.73	—	53%
Short arm splint (forearm and hand) inpatient CPT 29125 Uc	$142.19	$302.53	$122.16–$135.73	—	53%
Short leg cast (below the knee) CPT 29405 Apply short leg cast	$186.24	$396.25	$251.68–$279.65	32% below	53%
Short leg cast (below the knee) CPT 29405 Apply short leg cast	$186.24	$396.25	$251.68–$279.65	32% below	53%
Short leg cast (below the knee) CPT 29405 Pt application of short leg ca	$186.24	$396.25	$251.68–$279.65	32% below	53%
Short leg cast (below the knee) CPT 29405 Pt application of short leg ca	$186.24	$396.25	$251.68–$279.65	32% below	53%
Short leg cast (below the knee) inpatient CPT 29405 Apply short leg cast	$186.24	$396.25	$251.68–$279.65	—	53%
Short leg cast (below the knee) inpatient CPT 29405 Pt application of short leg ca	$186.24	$396.25	$251.68–$279.65	—	53%
Short leg cast (below the knee) inpatient CPT 29405 Apply short leg cast	$186.24	$396.25	$251.68–$279.65	—	53%
Short leg cast (below the knee) inpatient CPT 29405 Pt application of short leg ca	$186.24	$396.25	$251.68–$279.65	—	53%
Short leg splint (calf to foot) CPT 29515 Uc	$174.17	$370.58	$149.53–$166.15	32% below	53%
Short leg splint (calf to foot) CPT 29515 Uc	$174.17	$370.58	$149.53–$166.15	32% below	53%
Short leg splint (calf to foot) CPT 29515 Application lower leg splint	$174.17	$370.58	$149.53–$166.15	32% below	53%
Short leg splint (calf to foot) CPT 29515 Application lower leg splint	$174.17	$370.58	$149.53–$166.15	32% below	53%
Short leg splint (calf to foot) inpatient CPT 29515 Uc	$174.17	$370.58	$149.53–$166.15	—	53%
Short leg splint (calf to foot) inpatient CPT 29515 Uc	$174.17	$370.58	$149.53–$166.15	—	53%
Short leg splint (calf to foot) inpatient CPT 29515 Application lower leg splint	$19,782.05	$42,089.46	$149.53–$166.15	—	53%
Short leg splint (calf to foot) inpatient CPT 29515 Application lower leg splint	$19,782.05	$42,089.46	$149.53–$166.15	—	53%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Shoulder arthroscopy/surgery	$8,127.67	$17,292.92	$3,074.84–$3,416.49	668% above	53%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Shoulder arthroscopy/surgery	$8,127.67	$17,292.92	$3,074.84–$3,416.49	668% above	53%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Shoulder arthroscopy/surgery	$8,127.67	$17,292.92	$3,074.84–$3,416.49	—	53%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Shoulder arthroscopy/surgery	$8,127.67	$17,292.92	$3,074.84–$3,416.49	—	53%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shoulder arthroscopy/surgery	$13,160.62	$28,001.32	—	811% above	53%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shoulder arthroscopy/surgery	$13,160.62	$28,001.32	—	811% above	53%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Shoulder arthroscopy/surgery	$13,160.62	$28,001.32	—	—	53%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Shoulder arthroscopy/surgery	$13,160.62	$28,001.32	—	—	53%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Uc	$217.88	$463.57	$188.30–$209.23	at median	53%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/<	$217.88	$463.57	$188.30–$209.23	at median	53%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/<	$217.88	$463.57	$188.30–$209.23	at median	53%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Uc	$217.88	$463.57	$188.30–$209.23	at median	53%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Uc	$217.88	$463.57	$188.30–$209.23	—	53%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Uc	$217.88	$463.57	$188.30–$209.23	—	53%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/<	$9,763.33	$20,773.05	$188.30–$209.23	—	53%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/<	$9,763.33	$20,773.05	$188.30–$209.23	—	53%
Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion	$229.06	$487.37	$378.63–$420.70	34% below	53%
Skin biopsy, punch, one lesion CPT 11104 Ed phy punch bx skinsingle	$229.06	$487.37	$378.63–$420.70	34% below	53%
Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion	$229.06	$487.37	$378.63–$420.70	34% below	53%
Skin biopsy, punch, one lesion CPT 11104 Ed phy punch bx skinsingle	$229.06	$487.37	$378.63–$420.70	34% below	53%
Skin biopsy, punch, one lesion inpatient CPT 11104 Ed phy punch bx skinsingle	$229.06	$487.37	$378.63–$420.70	—	53%
Skin biopsy, punch, one lesion inpatient CPT 11104 Ed phy punch bx skinsingle	$229.06	$487.37	$378.63–$420.70	—	53%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch bx skin single lesion	$14,279.89	$30,382.74	$378.63–$420.70	—	53%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch bx skin single lesion	$14,279.89	$30,382.74	$378.63–$420.70	—	53%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc tr-ext mal+marg 0.5 cm/<	$267.67	$569.50	$666.78–$740.86	23% below	53%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Gl excise mal lest/a/l <0.5cm	$267.67	$569.50	$666.78–$740.86	23% below	53%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc tr-ext mal+marg 0.5 cm/<	$267.67	$569.50	$666.78–$740.86	23% below	53%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Gl excise mal lest/a/l <0.5cm	$267.67	$569.50	$666.78–$740.86	23% below	53%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Gl excise mal lest/a/l <0.5cm	$267.67	$569.50	$666.78–$740.86	—	53%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Gl excise mal lest/a/l <0.5cm	$267.67	$569.50	$666.78–$740.86	—	53%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc tr-ext mal+marg 0.5 cm/<	$17,073.32	$36,326.21	$666.78–$740.86	—	53%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc tr-ext mal+marg 0.5 cm/<	$17,073.32	$36,326.21	$666.78–$740.86	—	53%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tags <w/15	$4,894.29	$10,413.39	$188.30–$209.23	1278% above	53%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tags <w/15	$4,894.29	$10,413.39	$188.30–$209.23	1278% above	53%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tags <w/15	$15,041.66	$32,003.54	$188.30–$209.23	—	53%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tags <w/15	$15,041.66	$32,003.54	$188.30–$209.23	—	53%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx lmbr spi pnxr	$409.90	$872.13	$656.29–$729.21	17% below	53%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar puncture	$409.90	$872.13	$656.29–$729.21	17% below	53%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx lmbr spi pnxr	$409.90	$872.13	$656.29–$729.21	17% below	53%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar puncture	$409.90	$872.13	$656.29–$729.21	17% below	53%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar puncture	$409.90	$872.13	$656.29–$729.21	—	53%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar puncture	$409.90	$872.13	$656.29–$729.21	—	53%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Dx lmbr spi pnxr	$13,469.78	$28,659.10	$656.29–$729.21	—	53%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Dx lmbr spi pnxr	$13,469.78	$28,659.10	$656.29–$729.21	—	53%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Ed sim repr wound 2.6-7.5cm	$236.95	$504.15	$188.30–$209.23	at median	53%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm	$236.95	$504.15	$188.30–$209.23	at median	53%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Ed sim repr wound 2.6-7.5cm	$236.95	$504.15	$188.30–$209.23	at median	53%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm	$236.95	$504.15	$188.30–$209.23	at median	53%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Ed sim repr wound 2.6-7.5cm	$236.95	$504.15	$188.30–$209.23	—	53%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Ed sim repr wound 2.6-7.5cm	$236.95	$504.15	$188.30–$209.23	—	53%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm	$9,763.33	$20,773.05	$188.30–$209.23	—	53%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm	$9,763.33	$20,773.05	$188.30–$209.23	—	53%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/<	$232.82	$495.36	$188.30–$209.23	10% below	53%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Uc	$232.82	$495.36	$188.30–$209.23	10% below	53%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/<	$232.82	$495.36	$188.30–$209.23	10% below	53%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Uc	$232.82	$495.36	$188.30–$209.23	10% below	53%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Uc	$232.82	$495.36	$188.30–$209.23	—	53%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Uc	$232.82	$495.36	$188.30–$209.23	—	53%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/<	$11,106.64	$23,631.14	$188.30–$209.23	—	53%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/<	$11,106.64	$23,631.14	$188.30–$209.23	—	53%
TURP (transurethral resection of the prostate) inpatient CPT 52601 Prostatectomy (turp)	$12,686.44	$26,992.42	$4,817.63–$5,352.93	—	53%
TURP (transurethral resection of the prostate) inpatient CPT 52601 Prostatectomy (turp)	$12,686.44	$26,992.42	$4,817.63–$5,352.93	—	53%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Gl	$136.29	$289.98	$188.30–$209.23	15% below	53%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single les	$136.29	$289.98	$188.30–$209.23	15% below	53%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single les	$136.29	$289.98	$188.30–$209.23	15% below	53%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Gl	$136.29	$289.98	$188.30–$209.23	15% below	53%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Gl	$136.29	$289.98	$188.30–$209.23	—	53%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Gl	$136.29	$289.98	$188.30–$209.23	—	53%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl bx skin single les	$14,279.89	$30,382.74	$188.30–$209.23	—	53%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl bx skin single les	$14,279.89	$30,382.74	$188.30–$209.23	—	53%
Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging	$710.20	$1,511.06	$585.91–$651.01	42% below	53%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis w imaging guidan	$710.20	$1,511.06	$585.91–$651.01	42% below	53%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis w imaging guidan	$710.20	$1,511.06	$585.91–$651.01	42% below	53%
Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging	$710.20	$1,511.06	$585.91–$651.01	42% below	53%
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis w imaging guidan	$710.20	$1,511.06	$585.91–$651.01	—	53%
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis w imaging guidan	$710.20	$1,511.06	$585.91–$651.01	—	53%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate pleura w/ imaging	$8,949.21	$19,040.88	$585.91–$651.01	—	53%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate pleura w/ imaging	$8,949.21	$19,040.88	$585.91–$651.01	—	53%
Tonsil and adenoid removal, age 12 or older CPT 42821 Remove tonsils and adenoids	$4,941.10	$10,512.98	$3,073.38–$3,414.87	815% above	53%
Tonsil and adenoid removal, age 12 or older CPT 42821 Remove tonsils and adenoids	$4,941.10	$10,512.98	$3,073.38–$3,414.87	815% above	53%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Remove tonsils and adenoids	$4,941.10	$10,512.98	$3,073.38–$3,414.87	—	53%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Remove tonsils and adenoids	$4,941.10	$10,512.98	$3,073.38–$3,414.87	—	53%
Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids	$4,709.87	$10,021.00	$5,606.14–$6,229.04	844% above	53%
Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids	$4,709.87	$10,021.00	$5,606.14–$6,229.04	844% above	53%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Remove tonsils and adenoids	$4,709.87	$10,021.00	$5,606.14–$6,229.04	—	53%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Remove tonsils and adenoids	$4,709.87	$10,021.00	$5,606.14–$6,229.04	—	53%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils	$5,098.02	$10,846.85	$3,073.38–$3,414.87	1048% above	53%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils	$5,098.02	$10,846.85	$3,073.38–$3,414.87	1048% above	53%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Removal of tonsils	$5,098.02	$10,846.85	$3,073.38–$3,414.87	—	53%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Removal of tonsils	$5,098.02	$10,846.85	$3,073.38–$3,414.87	—	53%
Total hip replacement CPT 27130 Total hip arthroplasty	$20,986.48	$44,652.09	$12,193.60–$13,548.44	663% above	53%
Total hip replacement CPT 27130 Total hip arthroplasty	$22,395.28	$47,649.53	$12,193.60–$13,548.44	714% above	53%
Total hip replacement CPT 27130 Total hip arthroplasty	$22,395.28	$47,649.53	$12,193.60–$13,548.44	714% above	53%
Total hip replacement inpatient CPT 27130 Total hip arthroplasty	$20,986.48	$44,652.09	$12,193.60–$13,548.44	—	53%
Total hip replacement inpatient CPT 27130 Total hip arthroplasty	$28,308.14	$60,230.09	$12,193.60–$13,548.44	—	53%
Total hip replacement inpatient CPT 27130 Total hip arthroplasty	$28,308.14	$60,230.09	$12,193.60–$13,548.44	—	53%
Total knee replacement CPT 27447 Total knee arthroplasty	$20,579.78	$43,786.77	$12,193.60–$13,548.44	582% above	53%
Total knee replacement CPT 27447 Total knee arthroplasty	$22,294.83	$47,435.81	$12,193.60–$13,548.44	639% above	53%
Total knee replacement CPT 27447 Total knee arthroplasty	$22,294.83	$47,435.81	$12,193.60–$13,548.44	639% above	53%
Total knee replacement inpatient CPT 27447 Total knee arthroplasty	$20,579.78	$43,786.77	$12,193.60–$13,548.44	—	53%
Total knee replacement inpatient CPT 27447 Total knee arthroplasty	$32,446.40	$69,034.89	$12,193.60–$13,548.44	—	53%
Total knee replacement inpatient CPT 27447 Total knee arthroplasty	$32,446.40	$69,034.89	$12,193.60–$13,548.44	—	53%
Total shoulder replacement CPT 23472 Reconstruct shoulder joint	$33,746.97	$71,802.06	$17,427.84–$19,364.26	1175% above	53%
Total shoulder replacement CPT 23472 Reconstruct shoulder joint	$33,746.97	$71,802.06	$17,427.84–$19,364.26	1175% above	53%
Total shoulder replacement CPT 23472 Reconstruct shoulder joint	$36,113.47	$76,837.18	$17,427.84–$19,364.26	1264% above	53%
Total shoulder replacement inpatient CPT 23472 Reconstruct shoulder joint	$36,113.47	$76,837.18	$17,427.84–$19,364.26	—	53%
Total shoulder replacement inpatient CPT 23472 Reconstruct shoulder joint	$53,957.92	$114,804.08	$17,427.84–$19,364.26	—	53%
Total shoulder replacement inpatient CPT 23472 Reconstruct shoulder joint	$53,957.92	$114,804.08	$17,427.84–$19,364.26	—	53%
Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid	$1,151.35	$2,449.69	$5,529.09–$6,143.44	at median	53%
Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid	$1,151.35	$2,449.69	$5,529.09–$6,143.44	at median	53%
Total thyroid removal (thyroidectomy) CPT 60240 Gl removal of thyroid	$1,151.35	$2,449.69	$5,529.09–$6,143.44	at median	53%
Total thyroid removal (thyroidectomy) CPT 60240 Gl removal of thyroid	$1,151.35	$2,449.69	$5,529.09–$6,143.44	at median	53%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 Gl removal of thyroid	$1,151.35	$2,449.69	$5,529.09–$6,143.44	—	53%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 Removal of thyroid	$1,151.35	$2,449.69	$5,529.09–$6,143.44	—	53%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 Gl removal of thyroid	$1,151.35	$2,449.69	$5,529.09–$6,143.44	—	53%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 Removal of thyroid	$1,151.35	$2,449.69	$5,529.09–$6,143.44	—	53%
Trigger finger release surgery CPT 26055 Incise finger tendon sheath	$4,123.26	$8,772.89	$1,516.67–$1,685.19	309% above	53%
Trigger finger release surgery CPT 26055 Incise finger tendon sheath	$4,123.26	$8,772.89	$1,516.67–$1,685.19	309% above	53%
Trigger finger release surgery inpatient CPT 26055 Incise finger tendon sheath	$4,123.26	$8,772.89	$1,516.67–$1,685.19	—	53%
Trigger finger release surgery inpatient CPT 26055 Incise finger tendon sheath	$4,123.26	$8,772.89	$1,516.67–$1,685.19	—	53%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1/2 muscl	$3,918.64	$8,337.53	$279.74–$310.83	752% above	53%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1/2 muscl	$3,918.64	$8,337.53	$279.74–$310.83	752% above	53%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj trigger point 1/2 muscl	$3,918.64	$8,337.53	$279.74–$310.83	—	53%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj trigger point 1/2 muscl	$3,918.64	$8,337.53	$279.74–$310.83	—	53%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st lesion w/ us	$868.75	$1,848.40	$1,535.47–$1,706.07	39% below	53%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st lesion us imag	$868.75	$1,848.40	$1,535.47–$1,706.07	39% below	53%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st lesion w/ us	$868.75	$1,848.40	$1,535.47–$1,706.07	39% below	53%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st lesion us imag	$868.75	$1,848.40	$1,535.47–$1,706.07	39% below	53%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx breast 1st lesion us imag	$868.75	$1,848.40	$1,535.47–$1,706.07	—	53%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx breast 1st lesion us imag	$868.75	$1,848.40	$1,535.47–$1,706.07	—	53%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx breast 1st lesion w/ us	$868.75	$1,848.40	$1,535.47–$1,706.07	—	53%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx breast 1st lesion w/ us	$868.75	$1,848.40	$1,535.47–$1,706.07	—	53%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm	$1,521.46	$3,237.15	$1,797.73–$1,997.48	at median	53%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm	$1,521.46	$3,237.15	$1,797.73–$1,997.48	at median	53%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esoph egd dilation <30 mm	$14,611.15	$31,087.56	$1,797.73–$1,997.48	—	53%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esoph egd dilation <30 mm	$14,611.15	$31,087.56	$1,797.73–$1,997.48	—	53%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple	$1,567.96	$3,336.08	$888.50–$987.23	at median	53%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple	$1,567.96	$3,336.08	$888.50–$987.23	at median	53%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd biopsy single/multiple	$11,717.98	$24,931.87	$888.50–$987.23	—	53%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd biopsy single/multiple	$11,717.98	$24,931.87	$888.50–$987.23	—	53%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Uppr gi scope w/submuc inj	$11,863.06	$25,240.56	$888.50–$987.23	—	53%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Uppr gi scope w/submuc inj	$11,863.06	$25,240.56	$888.50–$987.23	—	53%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd remove lesion snare	$1,649.06	$3,508.64	$1,797.73–$1,997.48	at median	53%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd remove lesion snare	$1,649.06	$3,508.64	$1,797.73–$1,997.48	at median	53%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd remove lesion snare	$1,649.06	$3,508.64	$1,797.73–$1,997.48	—	53%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd remove lesion snare	$1,649.06	$3,508.64	$1,797.73–$1,997.48	—	53%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash	$2,413.94	$5,136.04	$888.50–$987.23	at median	53%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash	$2,413.94	$5,136.04	$888.50–$987.23	at median	53%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd diagnostic brush wash	$11,691.88	$24,876.33	$888.50–$987.23	—	53%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd diagnostic brush wash	$11,691.88	$24,876.33	$888.50–$987.23	—	53%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cystouretero w/lithotripsy	$13,165.30	$28,011.27	$4,817.63–$5,352.93	—	53%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cystouretero w/lithotripsy	$13,165.30	$28,011.27	$4,817.63–$5,352.93	—	53%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy	$6,481.18	$13,789.75	$4,817.63–$5,352.93	979% above	53%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy	$6,481.18	$13,789.75	$4,817.63–$5,352.93	979% above	53%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy	$7,799.32	$16,594.30	$4,817.63–$5,352.93	1198% above	53%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cysto/uretero w/lithotripsy	$7,799.32	$16,594.30	$4,817.63–$5,352.93	—	53%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cysto/uretero w/lithotripsy	$15,237.46	$32,420.13	$4,817.63–$5,352.93	—	53%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cysto/uretero w/lithotripsy	$15,237.46	$32,420.13	$4,817.63–$5,352.93	—	53%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Vbac delivery	$2,856.90	$6,078.51	—	—	53%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Vbac delivery	$2,856.90	$6,078.51	—	—	53%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Obstetrical care	$2,856.97	$6,078.67	—	—	53%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Obstetrical care	$2,856.97	$6,078.67	—	—	53%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct(s)	$4,036.65	$8,588.62	$1,941.33–$2,157.03	465% above	53%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct(s)	$4,036.65	$8,588.62	$1,941.33–$2,157.03	465% above	53%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of sperm duct(s)	$4,036.65	$8,588.62	$1,941.33–$2,157.03	—	53%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of sperm duct(s)	$4,036.65	$8,588.62	$1,941.33–$2,157.03	—	53%
Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14	$9,882.13	$21,025.81	$188.30–$209.23	9454% above	53%
Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14	$9,882.13	$21,025.81	$188.30–$209.23	9454% above	53%
Wart removal, up to 14 warts inpatient CPT 17110 Destruct b9 lesion 1-14	$9,882.13	$21,025.81	$188.30–$209.23	—	53%
Wart removal, up to 14 warts inpatient CPT 17110 Destruct b9 lesion 1-14	$9,882.13	$21,025.81	$188.30–$209.23	—	53%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb subq tissue 20 sq cm/<	$3,812.09	$8,110.84	$378.63–$420.70	923% above	53%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb subq tissue 20 sq cm/<	$3,827.26	$8,143.10	$378.63–$420.70	927% above	53%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb subq tissue 20 sq cm/<	$3,827.26	$8,143.10	$378.63–$420.70	927% above	53%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb subq tissue 20 sq cm/<	$3,812.09	$8,110.84	$378.63–$420.70	—	53%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb subq tissue 20 sq cm/<	$16,619.51	$35,360.67	$378.63–$420.70	—	53%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb subq tissue 20 sq cm/<	$16,619.51	$35,360.67	$378.63–$420.70	—	53%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treat fx rad extra-articul	$6,777.58	$14,420.39	$6,769.95–$7,522.17	521% above	53%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treat fx rad extra-articul	$6,777.58	$14,420.39	$6,769.95–$7,522.17	521% above	53%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treat fx rad extra-articul	$6,779.03	$14,423.46	$6,769.95–$7,522.17	521% above	53%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Treat fx rad extra-articul	$6,779.03	$14,423.46	$6,769.95–$7,522.17	—	53%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Treat fx rad extra-articul	$24,585.76	$52,310.13	$6,769.95–$7,522.17	—	53%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Treat fx rad extra-articul	$24,585.76	$52,310.13	$6,769.95–$7,522.17	—	53%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Vermont	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion	$274.37	$583.77	$414.31–$460.34	55% below	53%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion	$274.37	$583.77	$414.31–$460.34	55% below	53%
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion service	$274.37	$583.77	$414.31–$460.34	55% below	53%
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion service	$274.37	$583.77	$414.31–$460.34	55% below	53%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion	$274.37	$583.77	$414.31–$460.34	—	53%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion	$274.37	$583.77	$414.31–$460.34	—	53%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion service	$10,376.40	$22,077.44	$414.31–$460.34	—	53%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion service	$10,376.40	$22,077.44	$414.31–$460.34	—	53%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment	$194.28	$413.37	$192.75–$214.16	3% below	53%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pbb uc	$194.28	$413.37	$192.75–$214.16	3% below	53%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment	$194.28	$413.37	$192.75–$214.16	3% below	53%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pbb uc	$194.28	$413.37	$192.75–$214.16	3% below	53%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Pbb uc	$194.28	$413.37	$192.75–$214.16	—	53%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment	$194.28	$413.37	$192.75–$214.16	—	53%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment	$194.28	$413.37	$192.75–$214.16	—	53%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Pbb uc	$194.28	$413.37	$192.75–$214.16	—	53%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye exam new patient comp	$194.73	$414.32	$122.13–$135.70	—	53%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye exam new patient	$194.73	$414.32	$122.13–$135.70	—	53%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye exam new patient comp	$194.73	$414.32	$122.13–$135.70	—	53%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye exam new patient	$194.73	$414.32	$122.13–$135.70	—	53%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Eye exam new patient comp	$194.73	$414.32	$122.13–$135.70	—	53%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Eye exam new patient	$194.73	$414.32	$122.13–$135.70	—	53%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Eye exam new patient comp	$194.73	$414.32	$122.13–$135.70	—	53%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Eye exam new patient	$194.73	$414.32	$122.13–$135.70	—	53%
Comprehensive eye exam, returning patient CPT 92014 Eye exam&tx estab pt 1/>vst	$90.61	$192.78	$122.13–$135.70	—	53%
Comprehensive eye exam, returning patient CPT 92014 Eye exam&tx estab pt 1/>vst	$90.61	$192.78	$122.13–$135.70	—	53%
Comprehensive eye exam, returning patient CPT 92014 Pbb	$90.61	$192.78	$122.13–$135.70	—	53%
Comprehensive eye exam, returning patient CPT 92014 Pbb	$90.61	$192.78	$122.13–$135.70	—	53%
Comprehensive eye exam, returning patient inpatient CPT 92014 Pbb	$90.61	$192.78	$122.13–$135.70	—	53%
Comprehensive eye exam, returning patient inpatient CPT 92014 Eye exam&tx estab pt 1/>vst	$90.61	$192.78	$122.13–$135.70	—	53%
Comprehensive eye exam, returning patient inpatient CPT 92014 Pbb	$90.61	$192.78	$122.13–$135.70	—	53%
Comprehensive eye exam, returning patient inpatient CPT 92014 Eye exam&tx estab pt 1/>vst	$90.61	$192.78	$122.13–$135.70	—	53%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive hearing test	$48.71	$103.63	$148.27–$164.75	58% below	53%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive audiometry exam	$48.71	$103.63	$148.27–$164.75	58% below	53%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive hearing test	$48.71	$103.63	$148.27–$164.75	58% below	53%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive audiometry exam	$48.71	$103.63	$148.27–$164.75	58% below	53%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive hearing test	$48.71	$103.63	$148.27–$164.75	—	53%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive audiometry exam	$48.71	$103.63	$148.27–$164.75	—	53%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive hearing test	$48.71	$103.63	$148.27–$164.75	—	53%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive audiometry exam	$48.71	$103.63	$148.27–$164.75	—	53%
Critical care, first 30 to 74 minutes CPT 99291 Critical care 30-74 mins	$442.32	$941.11	$798.52–$887.25	70% below	53%
Critical care, first 30 to 74 minutes CPT 99291 Critical care first hour	$442.32	$941.11	$798.52–$887.25	70% below	53%
Critical care, first 30 to 74 minutes CPT 99291 Critical care first hour	$442.32	$941.11	$798.52–$887.25	70% below	53%
Critical care, first 30 to 74 minutes CPT 99291 Critical care 30-74 mins	$442.32	$941.11	$798.52–$887.25	70% below	53%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care first hour	$442.32	$941.11	$798.52–$887.25	—	53%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care 30-74 mins	$442.32	$941.11	$798.52–$887.25	—	53%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care 30-74 mins	$442.32	$941.11	$798.52–$887.25	—	53%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care first hour	$442.32	$941.11	$798.52–$887.25	—	53%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram complete	$163.15	$347.13	—	40% above	53%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ekg complete	$163.15	$347.13	—	40% above	53%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ekg complete	$163.15	$347.13	—	40% above	53%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram complete	$163.15	$347.13	—	40% above	53%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ekg complete	$163.15	$347.13	—	—	53%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ekg complete	$163.15	$347.13	—	—	53%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram complete	$163.15	$347.13	—	—	53%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram complete	$163.15	$347.13	—	—	53%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram tracing	$129.99	$276.57	$56.29–$62.55	12% above	53%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram tracing	$129.99	$276.57	$56.29–$62.55	12% above	53%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg trace only	$129.99	$276.57	$56.29–$62.55	12% above	53%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg trace only	$129.99	$276.57	$56.29–$62.55	12% above	53%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg trace only	$129.99	$276.57	$56.29–$62.55	—	53%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram tracing	$129.99	$276.57	$56.29–$62.55	—	53%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg trace only	$129.99	$276.57	$56.29–$62.55	—	53%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram tracing	$129.99	$276.57	$56.29–$62.55	—	53%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency dept visit	$126.38	$268.90	$83.44–$92.71	20% below	53%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency dept visit	$126.38	$268.90	$83.44–$92.71	20% below	53%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er fee class 1	$126.38	$268.90	$83.44–$92.71	20% below	53%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er fee class 1	$126.38	$268.90	$83.44–$92.71	20% below	53%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Er fee class 1	$126.38	$268.90	$83.44–$92.71	—	53%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Er fee class 1	$126.38	$268.90	$83.44–$92.71	—	53%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency dept visit	$126.38	$268.90	$83.44–$92.71	—	53%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency dept visit	$126.38	$268.90	$83.44–$92.71	—	53%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency dept visit	$217.01	$461.72	$150.07–$166.75	20% below	53%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er fee class 2	$217.01	$461.72	$150.07–$166.75	20% below	53%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency dept visit	$217.01	$461.72	$150.07–$166.75	20% below	53%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er fee class 2	$217.01	$461.72	$150.07–$166.75	20% below	53%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency dept visit	$217.01	$461.72	$150.07–$166.75	—	53%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency dept visit	$217.01	$461.72	$150.07–$166.75	—	53%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Er fee class 2	$217.01	$461.72	$150.07–$166.75	—	53%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Er fee class 2	$217.01	$461.72	$150.07–$166.75	—	53%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er fee class 3	$327.57	$696.96	$262.40–$291.56	at median	53%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er fee class 3	$327.57	$696.96	$262.40–$291.56	at median	53%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency dept visit	$327.57	$696.96	$262.40–$291.56	at median	53%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency dept visit	$327.57	$696.96	$262.40–$291.56	at median	53%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency dept visit	$327.57	$696.96	$262.40–$291.56	—	53%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er fee class 3	$327.57	$696.96	$262.40–$291.56	—	53%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er fee class 3	$327.57	$696.96	$262.40–$291.56	—	53%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency dept visit	$327.57	$696.96	$262.40–$291.56	—	53%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency dept visit	$582.83	$1,240.07	$403.54–$448.38	21% below	53%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er fee class 4	$582.83	$1,240.07	$403.54–$448.38	21% below	53%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er fee class 4	$582.83	$1,240.07	$403.54–$448.38	21% below	53%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency dept visit	$582.83	$1,240.07	$403.54–$448.38	21% below	53%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency dept visit	$582.83	$1,240.07	$403.54–$448.38	—	53%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Er fee class 4	$582.83	$1,240.07	$403.54–$448.38	—	53%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency dept visit	$582.83	$1,240.07	$403.54–$448.38	—	53%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Er fee class 4	$582.83	$1,240.07	$403.54–$448.38	—	53%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er fee class 5	$937.85	$1,995.42	$581.02–$645.58	12% below	53%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency dept visit	$937.85	$1,995.42	$581.02–$645.58	12% below	53%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er fee class 5	$937.85	$1,995.42	$581.02–$645.58	12% below	53%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency dept visit	$937.85	$1,995.42	$581.02–$645.58	12% below	53%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency dept visit	$937.85	$1,995.42	$581.02–$645.58	—	53%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency dept visit	$937.85	$1,995.42	$581.02–$645.58	—	53%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Er fee class 5	$937.85	$1,995.42	$581.02–$645.58	—	53%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Er fee class 5	$937.85	$1,995.42	$581.02–$645.58	—	53%
Exercise stress test, tracing only, the hospital charge CPT 93017 Estrol test	$453.08	$964.01	$295.11–$327.90	34% below	53%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test	$453.08	$964.01	$295.11–$327.90	34% below	53%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test	$453.08	$964.01	$295.11–$327.90	34% below	53%
Exercise stress test, tracing only, the hospital charge CPT 93017 Estrol test	$453.08	$964.01	$295.11–$327.90	34% below	53%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular stress test	$453.08	$964.01	$295.11–$327.90	—	53%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Estrol test	$453.08	$964.01	$295.11–$327.90	—	53%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Estrol test	$453.08	$964.01	$295.11–$327.90	—	53%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular stress test	$453.08	$964.01	$295.11–$327.90	—	53%
Eye exam, returning patient, intermediate CPT 92012 Eye exam establish patient	$62.94	$133.92	$122.13–$135.70	—	53%
Eye exam, returning patient, intermediate CPT 92012 Pbb	$62.94	$133.92	$122.13–$135.70	—	53%
Eye exam, returning patient, intermediate CPT 92012 Eye exam establish patient	$62.94	$133.92	$122.13–$135.70	—	53%
Eye exam, returning patient, intermediate CPT 92012 Pbb	$62.94	$133.92	$122.13–$135.70	—	53%
Eye exam, returning patient, intermediate inpatient CPT 92012 Eye exam establish patient	$62.94	$133.92	$122.13–$135.70	—	53%
Eye exam, returning patient, intermediate inpatient CPT 92012 Pbb	$62.94	$133.92	$122.13–$135.70	—	53%
Eye exam, returning patient, intermediate inpatient CPT 92012 Pbb	$62.94	$133.92	$122.13–$135.70	—	53%
Eye exam, returning patient, intermediate inpatient CPT 92012 Eye exam establish patient	$62.94	$133.92	$122.13–$135.70	—	53%
Group psychotherapy session CPT 90853 Group psychotherapy	$35.76	$76.08	$387.17–$430.19	42% below	53%
Group psychotherapy session CPT 90853 Psychotherapy group	$35.76	$76.08	$387.17–$430.19	42% below	53%
Group psychotherapy session CPT 90853 Psychotherapy group	$35.76	$76.08	$387.17–$430.19	42% below	53%
Group psychotherapy session CPT 90853 Group psychotherapy	$35.76	$76.08	$387.17–$430.19	42% below	53%
Group psychotherapy session inpatient CPT 90853 Group psychotherapy	$35.76	$76.08	$387.17–$430.19	—	53%
Group psychotherapy session inpatient CPT 90853 Group psychotherapy	$35.76	$76.08	$387.17–$430.19	—	53%
Group psychotherapy session inpatient CPT 90853 Psychotherapy group	$35.76	$76.08	$387.17–$430.19	—	53%
Group psychotherapy session inpatient CPT 90853 Psychotherapy group	$35.76	$76.08	$387.17–$430.19	—	53%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Ecg complete	$150.94	$321.14	—	—	53%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Ecg complete	$150.94	$321.14	—	—	53%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Ecg monit/reprt up to 48 hrs	$150.94	$321.14	—	—	53%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Ecg monit/reprt up to 48 hrs	$150.94	$321.14	—	—	53%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Ecg monit/reprt up to 48 hrs	$150.94	$321.14	—	—	53%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Ecg monit/reprt up to 48 hrs	$150.94	$321.14	—	—	53%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Ecg complete	$150.94	$321.14	—	—	53%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Ecg complete	$150.94	$321.14	—	—	53%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion hydration first hr	$208.69	$444.02	$199.67–$221.85	14% below	53%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion hydration first hr	$208.69	$444.02	$199.67–$221.85	14% below	53%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration iv infusion init	$208.69	$444.02	$199.67–$221.85	14% below	53%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration iv infusion init	$208.69	$444.02	$199.67–$221.85	14% below	53%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration iv infusion init	$208.69	$444.02	$199.67–$221.85	—	53%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infusion hydration first hr	$208.69	$444.02	$199.67–$221.85	—	53%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infusion hydration first hr	$208.69	$444.02	$199.67–$221.85	—	53%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration iv infusion init	$208.69	$444.02	$199.67–$221.85	—	53%
IV infusion of a medicine, first hour CPT 96365 Infusion therapeutic first hr	$208.69	$444.02	$199.67–$221.85	33% below	53%
IV infusion of a medicine, first hour CPT 96365 Ther/proph/diag iv inf init	$208.69	$444.02	$199.67–$221.85	33% below	53%
IV infusion of a medicine, first hour CPT 96365 Infusion therapeutic first hr	$208.69	$444.02	$199.67–$221.85	33% below	53%
IV infusion of a medicine, first hour CPT 96365 Ther/proph/diag iv inf init	$208.69	$444.02	$199.67–$221.85	33% below	53%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion therapeutic first hr	$208.69	$444.02	$199.67–$221.85	—	53%
IV infusion of a medicine, first hour inpatient CPT 96365 Ther/proph/diag iv inf init	$208.69	$444.02	$199.67–$221.85	—	53%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion therapeutic first hr	$208.69	$444.02	$199.67–$221.85	—	53%
IV infusion of a medicine, first hour inpatient CPT 96365 Ther/proph/diag iv inf init	$208.69	$444.02	$199.67–$221.85	—	53%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Uc	$66.99	$142.54	$67.45–$74.94	at median	53%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag inj sc/im	$66.99	$142.54	$67.45–$74.94	at median	53%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Uc	$66.99	$142.54	$67.45–$74.94	at median	53%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag inj sc/im	$66.99	$142.54	$67.45–$74.94	at median	53%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Uc	$66.99	$142.54	$67.45–$74.94	—	53%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Uc	$66.99	$142.54	$67.45–$74.94	—	53%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/proph/diag inj sc/im	$66.99	$142.54	$67.45–$74.94	—	53%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/proph/diag inj sc/im	$66.99	$142.54	$67.45–$74.94	—	53%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diag eval	$182.98	$389.32	$387.17–$430.19	15% below	53%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diag eval	$182.98	$389.32	$387.17–$430.19	15% below	53%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych diagnostic evaluation	$182.98	$389.32	$387.17–$430.19	15% below	53%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych diagnostic evaluation	$182.98	$389.32	$387.17–$430.19	15% below	53%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric diag eval	$182.98	$389.32	$387.17–$430.19	—	53%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych diagnostic evaluation	$182.98	$389.32	$387.17–$430.19	—	53%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric diag eval	$182.98	$389.32	$387.17–$430.19	—	53%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych diagnostic evaluation	$182.98	$389.32	$387.17–$430.19	—	53%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv cndj test 7-8 studies	$275.71	$586.61	$295.11–$327.90	17% below	53%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv cndj test 7-8 studies	$275.71	$586.61	$295.11–$327.90	17% below	53%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nrv cndj test 7-8 studies	$275.71	$586.61	$295.11–$327.90	—	53%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nrv cndj test 7-8 studies	$275.71	$586.61	$295.11–$327.90	—	53%
Neuromuscular re-education, 15 minutes CPT 97112 Ot	$112.57	$239.52	$28.58–$31.76	at median	53%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation	$112.57	$239.52	$28.58–$31.76	at median	53%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation	$112.57	$239.52	$28.58–$31.76	at median	53%
Neuromuscular re-education, 15 minutes CPT 97112 Ot	$112.57	$239.52	$28.58–$31.76	at median	53%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation	$112.57	$239.52	$28.58–$31.76	—	53%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation	$112.57	$239.52	$28.58–$31.76	—	53%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot	$112.57	$239.52	$28.58–$31.76	—	53%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot	$112.57	$239.52	$28.58–$31.76	—	53%
New patient office visit, about 30 minutes CPT 99203 Uc office visit new level 3	$180.67	$384.40	—	13% above	53%
New patient office visit, about 30 minutes CPT 99203 Office/outpatient visit new	$180.67	$384.40	—	13% above	53%
New patient office visit, about 30 minutes CPT 99203 Uc office visit new level 3	$180.67	$384.40	—	13% above	53%
New patient office visit, about 30 minutes CPT 99203 Office/outpatient visit new	$180.67	$384.40	—	13% above	53%
New patient office visit, about 30 minutes inpatient CPT 99203 Uc office visit new level 3	$180.67	$384.40	—	—	53%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/outpatient visit new	$180.67	$384.40	—	—	53%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/outpatient visit new	$180.67	$384.40	—	—	53%
New patient office visit, about 30 minutes inpatient CPT 99203 Uc office visit new level 3	$180.67	$384.40	—	—	53%
New patient office visit, about 45 minutes CPT 99204 Office visit new level 4	$247.47	$526.54	—	3% above	53%
New patient office visit, about 45 minutes CPT 99204 Office visit new level 4	$247.47	$526.54	—	3% above	53%
New patient office visit, about 45 minutes CPT 99204 Office/outpatient visit new	$247.47	$526.54	—	3% above	53%
New patient office visit, about 45 minutes CPT 99204 Office/outpatient visit new	$247.47	$526.54	—	3% above	53%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/outpatient visit new	$247.47	$526.54	—	—	53%
New patient office visit, about 45 minutes inpatient CPT 99204 Office visit new level 4	$247.47	$526.54	—	—	53%
New patient office visit, about 45 minutes inpatient CPT 99204 Office visit new level 4	$247.47	$526.54	—	—	53%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/outpatient visit new	$247.47	$526.54	—	—	53%
New patient office visit, about 60 minutes CPT 99205 Office visit new level 5	$310.94	$661.57	—	at median	53%
New patient office visit, about 60 minutes CPT 99205 Office visit new level 5	$310.94	$661.57	—	at median	53%
New patient office visit, about 60 minutes CPT 99205 Office/outpatient visit new	$310.94	$661.57	—	at median	53%
New patient office visit, about 60 minutes CPT 99205 Office/outpatient visit new	$310.94	$661.57	—	at median	53%
New patient office visit, about 60 minutes inpatient CPT 99205 Office visit new level 5	$310.94	$661.57	—	—	53%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/outpatient visit new	$310.94	$661.57	—	—	53%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/outpatient visit new	$310.94	$661.57	—	—	53%
New patient office visit, about 60 minutes inpatient CPT 99205 Office visit new level 5	$310.94	$661.57	—	—	53%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/outpatient visit new	$156.57	$333.13	—	24% above	53%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Uc office visit new level 2	$156.57	$333.13	—	24% above	53%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/outpatient visit new	$156.57	$333.13	—	24% above	53%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Uc office visit new level 2	$156.57	$333.13	—	24% above	53%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/outpatient visit new	$156.57	$333.13	—	—	53%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Uc office visit new level 2	$156.57	$333.13	—	—	53%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/outpatient visit new	$156.57	$333.13	—	—	53%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Uc office visit new level 2	$156.57	$333.13	—	—	53%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Bc dm initial visit (15 mins)	$66.51	$141.51	$28.01–$31.12	at median	53%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Bc dm initial visit (15 mins)	$66.51	$141.51	$28.01–$31.12	at median	53%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition indiv in	$66.51	$141.51	$28.01–$31.12	at median	53%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition indiv in	$66.51	$141.51	$28.01–$31.12	at median	53%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical nutrition indiv in	$66.51	$141.51	$28.01–$31.12	—	53%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Bc dm initial visit (15 mins)	$66.51	$141.51	$28.01–$31.12	—	53%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Bc dm initial visit (15 mins)	$66.51	$141.51	$28.01–$31.12	—	53%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical nutrition indiv in	$66.51	$141.51	$28.01–$31.12	—	53%
Occupational therapy evaluation, low complexity CPT 97165 Ip ot eval low complexity	$162.86	$346.50	$89.67–$99.63	36% below	53%
Occupational therapy evaluation, low complexity CPT 97165 Ot eval low complex 30 min	$162.86	$346.50	$89.67–$99.63	36% below	53%
Occupational therapy evaluation, low complexity CPT 97165 Ot eval low complex 30 min	$162.86	$346.50	$89.67–$99.63	36% below	53%
Occupational therapy evaluation, low complexity CPT 97165 Ip ot eval low complexity	$162.86	$346.50	$89.67–$99.63	36% below	53%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot eval low complex 30 min	$162.86	$346.50	$89.67–$99.63	—	53%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ip ot eval low complexity	$162.86	$346.50	$89.67–$99.63	—	53%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ip ot eval low complexity	$162.86	$346.50	$89.67–$99.63	—	53%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot eval low complex 30 min	$162.86	$346.50	$89.67–$99.63	—	53%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt eval high complex 45 min	$168.12	$357.70	$87.35–$97.06	48% below	53%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Ip pt eval high complexity	$168.12	$357.70	$87.35–$97.06	48% below	53%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt eval high complex 45 min	$168.12	$357.70	$87.35–$97.06	48% below	53%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Ip pt eval high complexity	$168.12	$357.70	$87.35–$97.06	48% below	53%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt eval high complex 45 min	$168.12	$357.70	$87.35–$97.06	—	53%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Ip pt eval high complexity	$168.12	$357.70	$87.35–$97.06	—	53%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Ip pt eval high complexity	$168.12	$357.70	$87.35–$97.06	—	53%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt eval high complex 45 min	$168.12	$357.70	$87.35–$97.06	—	53%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Ip pt function eval low compl	$168.12	$357.70	$87.35–$97.06	48% below	53%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt eval low complex 20 min	$168.12	$357.70	$87.35–$97.06	48% below	53%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Ip pt function eval low compl	$168.12	$357.70	$87.35–$97.06	48% below	53%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt eval low complex 20 min	$168.12	$357.70	$87.35–$97.06	48% below	53%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt eval low complex 20 min	$168.12	$357.70	$87.35–$97.06	—	53%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Ip pt function eval low compl	$168.12	$357.70	$87.35–$97.06	—	53%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Ip pt function eval low compl	$168.12	$357.70	$87.35–$97.06	—	53%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt eval low complex 20 min	$168.12	$357.70	$87.35–$97.06	—	53%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt eval mod complex 30 min	$168.12	$357.70	$87.35–$97.06	48% below	53%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Ip pt function eval mod comple	$168.12	$357.70	$87.35–$97.06	48% below	53%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Ip pt function eval mod comple	$168.12	$357.70	$87.35–$97.06	48% below	53%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt eval mod complex 30 min	$168.12	$357.70	$87.35–$97.06	48% below	53%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt eval mod complex 30 min	$168.12	$357.70	$87.35–$97.06	—	53%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Ip pt function eval mod comple	$168.12	$357.70	$87.35–$97.06	—	53%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt eval mod complex 30 min	$168.12	$357.70	$87.35–$97.06	—	53%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Ip pt function eval mod comple	$168.12	$357.70	$87.35–$97.06	—	53%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy 1/> regions	$112.57	$239.52	$24.23–$26.92	2% below	53%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot	$112.57	$239.52	$24.23–$26.92	2% below	53%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy 1/> regions	$112.57	$239.52	$24.23–$26.92	2% below	53%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot	$112.57	$239.52	$24.23–$26.92	2% below	53%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ot	$112.57	$239.52	$24.23–$26.92	—	53%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy 1/> regions	$112.57	$239.52	$24.23–$26.92	—	53%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ot	$112.57	$239.52	$24.23–$26.92	—	53%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy 1/> regions	$112.57	$239.52	$24.23–$26.92	—	53%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercises	$112.57	$239.52	$25.69–$28.54	at median	53%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercises	$112.57	$239.52	$25.69–$28.54	at median	53%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot	$112.57	$239.52	$25.69–$28.54	at median	53%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot	$112.57	$239.52	$25.69–$28.54	at median	53%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic exercises	$112.57	$239.52	$25.69–$28.54	—	53%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic exercises	$112.57	$239.52	$25.69–$28.54	—	53%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot	$112.57	$239.52	$25.69–$28.54	—	53%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot	$112.57	$239.52	$25.69–$28.54	—	53%
Psychiatric evaluation with medical services CPT 90792 Psych diag eval w/med srvcs	$241.80	$514.47	$387.17–$430.19	2% above	53%
Psychiatric evaluation with medical services CPT 90792 Psych diag eval w/med srvcs	$241.80	$514.47	$387.17–$430.19	2% above	53%
Psychiatric evaluation with medical services inpatient CPT 90792 Psych diag eval w/med srvcs	$241.80	$514.47	$387.17–$430.19	—	53%
Psychiatric evaluation with medical services inpatient CPT 90792 Psych diag eval w/med srvcs	$241.80	$514.47	$387.17–$430.19	—	53%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco cessation intr 3-10min	$17.61	$37.47	$28.23–$31.37	22% below	53%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav chng smoking 3-10 min	$17.61	$37.47	$28.23–$31.37	22% below	53%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco cessation intr 3-10min	$17.61	$37.47	$28.23–$31.37	22% below	53%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav chng smoking 3-10 min	$17.61	$37.47	$28.23–$31.37	22% below	53%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco cessation intr 3-10min	$17.61	$37.47	$28.23–$31.37	—	53%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behav chng smoking 3-10 min	$17.61	$37.47	$28.23–$31.37	—	53%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco cessation intr 3-10min	$17.61	$37.47	$28.23–$31.37	—	53%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behav chng smoking 3-10 min	$17.61	$37.47	$28.23–$31.37	—	53%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office visit est level 5	$264.78	$563.36	—	1% above	53%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office visit est level 5	$264.78	$563.36	—	1% above	53%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/outpatient visit est	$264.78	$563.36	—	1% above	53%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/outpatient visit est	$264.78	$563.36	—	1% above	53%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office visit est level 5	$264.78	$563.36	—	—	53%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/outpatient visit est	$264.78	$563.36	—	—	53%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office visit est level 5	$264.78	$563.36	—	—	53%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/outpatient visit est	$264.78	$563.36	—	—	53%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Uc office visit est level 3	$155.04	$329.88	—	13% above	53%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Uc office visit est level 3	$155.04	$329.88	—	13% above	53%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/outpatient visit est	$155.04	$329.88	—	13% above	53%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/outpatient visit est	$155.04	$329.88	—	13% above	53%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/outpatient visit est	$155.04	$329.88	—	—	53%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Uc office visit est level 3	$155.04	$329.88	—	—	53%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/outpatient visit est	$155.04	$329.88	—	—	53%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Uc office visit est level 3	$155.04	$329.88	—	—	53%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Uc office visit est level 4	$180.93	$384.96	—	1% above	53%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/outpatient visit est	$180.93	$384.96	—	1% above	53%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Uc office visit est level 4	$180.93	$384.96	—	1% above	53%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/outpatient visit est	$180.93	$384.96	—	1% above	53%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/outpatient visit est	$180.93	$384.96	—	—	53%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Uc office visit est level 4	$180.93	$384.96	—	—	53%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Uc office visit est level 4	$180.93	$384.96	—	—	53%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/outpatient visit est	$180.93	$384.96	—	—	53%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Uc	$133.48	$284.00	—	3% above	53%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/outpatient visit est	$133.48	$284.00	—	3% above	53%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Uc	$133.48	$284.00	—	3% above	53%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/outpatient visit est	$133.48	$284.00	—	3% above	53%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/outpatient visit est	$133.48	$284.00	—	—	53%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Uc	$133.48	$284.00	—	—	53%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Uc	$133.48	$284.00	—	—	53%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/outpatient visit est	$133.48	$284.00	—	—	53%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office consult level 3	$161.66	$343.96	—	6% above	53%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office consultation	$161.66	$343.96	—	6% above	53%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office consultation	$161.66	$343.96	—	6% above	53%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office consult level 3	$161.66	$343.96	—	6% above	53%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office consult level 3	$161.66	$343.96	—	—	53%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office consult level 3	$161.66	$343.96	—	—	53%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office consultation	$161.66	$343.96	—	—	53%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office consultation	$161.66	$343.96	—	—	53%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office consult level 4	$239.70	$510.00	—	8% above	53%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office consultation	$239.70	$510.00	—	8% above	53%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office consult level 4	$239.70	$510.00	—	8% above	53%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office consultation	$239.70	$510.00	—	8% above	53%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office consult level 4	$239.70	$510.00	—	—	53%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office consult level 4	$239.70	$510.00	—	—	53%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office consultation	$239.70	$510.00	—	—	53%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office consultation	$239.70	$510.00	—	—	53%
Speech and language evaluation CPT 92523 Speech sound lang comprehen	$220.29	$468.70	$199.15–$221.28	43% below	53%
Speech and language evaluation CPT 92523 Eval speech sound lang compreh	$220.29	$468.70	$199.15–$221.28	43% below	53%
Speech and language evaluation CPT 92523 Speech sound lang comprehen	$220.29	$468.70	$199.15–$221.28	43% below	53%
Speech and language evaluation CPT 92523 Eval speech sound lang compreh	$220.29	$468.70	$199.15–$221.28	43% below	53%
Speech and language evaluation inpatient CPT 92523 Speech sound lang comprehen	$220.29	$468.70	$199.15–$221.28	—	53%
Speech and language evaluation inpatient CPT 92523 Eval speech sound lang compreh	$220.29	$468.70	$199.15–$221.28	—	53%
Speech and language evaluation inpatient CPT 92523 Speech sound lang comprehen	$220.29	$468.70	$199.15–$221.28	—	53%
Speech and language evaluation inpatient CPT 92523 Eval speech sound lang compreh	$220.29	$468.70	$199.15–$221.28	—	53%
Speech therapy session, individual CPT 92507 St speech treatment	$238.36	$507.15	$66.92–$74.35	1% above	53%
Speech therapy session, individual CPT 92507 Speech/hearing therapy	$238.36	$507.15	$66.92–$74.35	1% above	53%
Speech therapy session, individual CPT 92507 Speech/hearing therapy	$238.36	$507.15	$66.92–$74.35	1% above	53%
Speech therapy session, individual CPT 92507 St speech treatment	$238.36	$507.15	$66.92–$74.35	1% above	53%
Speech therapy session, individual inpatient CPT 92507 St speech treatment	$238.36	$507.15	$66.92–$74.35	—	53%
Speech therapy session, individual inpatient CPT 92507 Speech/hearing therapy	$238.36	$507.15	$66.92–$74.35	—	53%
Speech therapy session, individual inpatient CPT 92507 Speech/hearing therapy	$238.36	$507.15	$66.92–$74.35	—	53%
Speech therapy session, individual inpatient CPT 92507 St speech treatment	$238.36	$507.15	$66.92–$74.35	—	53%
Spirometry (breathing test) CPT 94010 Breathing capacity test	$72.36	$153.95	$148.27–$164.75	77% below	53%
Spirometry (breathing test) CPT 94010 Prof/tech pft	$72.36	$153.95	$148.27–$164.75	77% below	53%
Spirometry (breathing test) CPT 94010 Breathing capacity test	$72.36	$153.95	$148.27–$164.75	77% below	53%
Spirometry (breathing test) CPT 94010 Prof/tech pft	$72.36	$153.95	$148.27–$164.75	77% below	53%
Spirometry (breathing test) inpatient CPT 94010 Breathing capacity test	$72.36	$153.95	$148.27–$164.75	—	53%
Spirometry (breathing test) inpatient CPT 94010 Prof/tech pft	$72.36	$153.95	$148.27–$164.75	—	53%
Spirometry (breathing test) inpatient CPT 94010 Breathing capacity test	$72.36	$153.95	$148.27–$164.75	—	53%
Spirometry (breathing test) inpatient CPT 94010 Prof/tech pft	$72.36	$153.95	$148.27–$164.75	—	53%
Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing	$122.33	$260.28	$295.11–$327.90	81% below	53%
Spirometry before and after a bronchodilator CPT 94060 Prof/tech sprio w brocho	$122.33	$260.28	$295.11–$327.90	81% below	53%
Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing	$122.33	$260.28	$295.11–$327.90	81% below	53%
Spirometry before and after a bronchodilator CPT 94060 Prof/tech sprio w brocho	$122.33	$260.28	$295.11–$327.90	81% below	53%
Spirometry before and after a bronchodilator inpatient CPT 94060 Prof/tech sprio w brocho	$122.33	$260.28	$295.11–$327.90	—	53%
Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation of wheezing	$122.33	$260.28	$295.11–$327.90	—	53%
Spirometry before and after a bronchodilator inpatient CPT 94060 Prof/tech sprio w brocho	$122.33	$260.28	$295.11–$327.90	—	53%
Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation of wheezing	$122.33	$260.28	$295.11–$327.90	—	53%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities	$112.57	$239.52	$30.88–$34.31	3% below	53%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot	$112.57	$239.52	$30.88–$34.31	3% below	53%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities	$112.57	$239.52	$30.88–$34.31	3% below	53%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot	$112.57	$239.52	$30.88–$34.31	3% below	53%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities	$112.57	$239.52	$30.88–$34.31	—	53%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities	$112.57	$239.52	$30.88–$34.31	—	53%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot	$112.57	$239.52	$30.88–$34.31	—	53%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot	$112.57	$239.52	$30.88–$34.31	—	53%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy	$189.02	$402.17	$122.16–$135.73	2% below	53%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy outpatient	$189.02	$402.17	$122.16–$135.73	2% below	53%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy outpatient	$189.02	$402.17	$122.16–$135.73	2% below	53%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy	$189.02	$402.17	$122.16–$135.73	2% below	53%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy outpatient	$189.02	$402.17	$122.16–$135.73	—	53%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy outpatient	$189.02	$402.17	$122.16–$135.73	—	53%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy	$189.02	$402.17	$122.16–$135.73	—	53%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy	$189.02	$402.17	$122.16–$135.73	—	53%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Cardiovascular stress test	$582.26	$1,238.86	—	—	53%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Cardiovascular stress test	$582.26	$1,238.86	—	—	53%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Stress test (combined)	$582.26	$1,238.86	—	—	53%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Stress test (combined)	$582.26	$1,238.86	—	—	53%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Stress test (combined)	$582.26	$1,238.86	—	—	53%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Cardiovascular stress test	$582.26	$1,238.86	—	—	53%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Stress test (combined)	$582.26	$1,238.86	—	—	53%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Cardiovascular stress test	$582.26	$1,238.86	—	—	53%
Visual field test, extended CPT 92083 Visual field examination(s)	$83.38	$177.41	$122.16–$135.73	—	53%
Visual field test, extended CPT 92083 Visual field examination(s)	$83.38	$177.41	$122.16–$135.73	—	53%
Visual field test, extended CPT 92083 Visual field examination	$83.38	$177.41	$122.16–$135.73	—	53%
Visual field test, extended CPT 92083 Visual field examination	$83.38	$177.41	$122.16–$135.73	—	53%
Visual field test, extended inpatient CPT 92083 Visual field examination(s)	$83.38	$177.41	$122.16–$135.73	—	53%
Visual field test, extended inpatient CPT 92083 Visual field examination	$83.38	$177.41	$122.16–$135.73	—	53%
Visual field test, extended inpatient CPT 92083 Visual field examination(s)	$83.38	$177.41	$122.16–$135.73	—	53%
Visual field test, extended inpatient CPT 92083 Visual field examination	$83.38	$177.41	$122.16–$135.73	—	53%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Vermont	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Npc varicella vaccine	$136.83	$291.12	—	36% below	53%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var vaccine live subq	$136.83	$291.12	—	36% below	53%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Npc varicella vaccine	$136.83	$291.12	—	36% below	53%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var vaccine live subq	$136.83	$291.12	—	36% below	53%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Var vaccine live subq	$136.83	$291.12	—	—	53%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Npc varicella vaccine	$136.83	$291.12	—	—	53%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Npc varicella vaccine	$136.83	$291.12	—	—	53%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Var vaccine live subq	$136.83	$291.12	—	—	53%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 vacc no prsv 0.5 ml im	$25.35	$53.94	—	30% below	53%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza vaccine 0.5ml im	$25.35	$53.94	—	30% below	53%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 vacc no prsv 0.5 ml im	$25.35	$53.94	—	30% below	53%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza vaccine 0.5ml im	$25.35	$53.94	—	30% below	53%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Iiv3 vacc no prsv 0.5 ml im	$25.35	$53.94	—	—	53%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza vaccine 0.5ml im	$25.35	$53.94	—	—	53%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Iiv3 vacc no prsv 0.5 ml im	$25.35	$53.94	—	—	53%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza vaccine 0.5ml im	$25.35	$53.94	—	—	53%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hep a/hep b vacc adult im	$148.43	$315.81	—	18% below	53%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hep a/hep b vacc adult im	$148.43	$315.81	—	18% below	53%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hep a & hep b vaccine adult	$148.43	$315.81	—	18% below	53%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hep a & hep b vaccine adult	$148.43	$315.81	—	18% below	53%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hep a & hep b vaccine adult	$148.43	$315.81	—	—	53%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hep a/hep b vacc adult im	$148.43	$315.81	—	—	53%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hep a & hep b vaccine adult	$148.43	$315.81	—	—	53%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hep a/hep b vacc adult im	$148.43	$315.81	—	—	53%
Hepatitis A vaccine, adult dose CPT 90632 Hepa vaccine adult im	$102.72	$218.56	—	21% below	53%
Hepatitis A vaccine, adult dose CPT 90632 Hep a vaccine adult	$102.72	$218.56	—	21% below	53%
Hepatitis A vaccine, adult dose CPT 90632 Hepa vaccine adult im	$102.72	$218.56	—	21% below	53%
Hepatitis A vaccine, adult dose CPT 90632 Hep a vaccine adult	$102.72	$218.56	—	21% below	53%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepa vaccine adult im	$102.72	$218.56	—	—	53%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepa vaccine adult im	$102.72	$218.56	—	—	53%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hep a vaccine adult	$102.72	$218.56	—	—	53%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hep a vaccine adult	$102.72	$218.56	—	—	53%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb vaccine 3 dose adult im	$126.11	$268.32	—	21% above	53%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb vaccine 3 dose adult im	$126.11	$268.32	—	21% above	53%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep b 3 dose sched im use	$126.11	$268.32	—	21% above	53%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep b 3 dose sched im use	$126.11	$268.32	—	21% above	53%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hep b 3 dose sched im use	$126.11	$268.32	—	—	53%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepb vaccine 3 dose adult im	$126.11	$268.32	—	—	53%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepb vaccine 3 dose adult im	$126.11	$268.32	—	—	53%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hep b 3 dose sched im use	$126.11	$268.32	—	—	53%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza vacc enhanced im	$56.47	$120.14	—	38% below	53%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv no prsv increased ag im	$56.47	$120.14	—	38% below	53%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza vacc enhanced im	$56.47	$120.14	—	38% below	53%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv no prsv increased ag im	$56.47	$120.14	—	38% below	53%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza vacc enhanced im	$56.47	$120.14	—	—	53%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Iiv no prsv increased ag im	$56.47	$120.14	—	—	53%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza vacc enhanced im	$56.47	$120.14	—	—	53%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Iiv no prsv increased ag im	$56.47	$120.14	—	—	53%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr vaccine live subc use	$79.38	$168.89	—	59% below	53%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr vaccine live subc use	$79.38	$168.89	—	59% below	53%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr vaccine sc	$79.38	$168.89	—	59% below	53%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr vaccine sc	$79.38	$168.89	—	59% below	53%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr vaccine live subc use	$79.38	$168.89	—	—	53%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr vaccine sc	$79.38	$168.89	—	—	53%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr vaccine sc	$79.38	$168.89	—	—	53%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr vaccine live subc use	$79.38	$168.89	—	—	53%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Npc	$212.95	$453.08	—	6% above	53%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Npc	$212.95	$453.08	—	6% above	53%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menacwyd/menacwycrm vacc im	$212.95	$453.08	—	6% above	53%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menacwyd/menacwycrm vacc im	$212.95	$453.08	—	6% above	53%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menacwyd/menacwycrm vacc im	$212.95	$453.08	—	—	53%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Npc	$212.95	$453.08	—	—	53%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menacwyd/menacwycrm vacc im	$212.95	$453.08	—	—	53%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Npc	$212.95	$453.08	—	—	53%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 vacc 2 yrs+ subq/im	$118.87	$252.92	—	23% below	53%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneum vacc 23-valent >2yrs	$118.87	$252.92	—	23% below	53%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneum vacc 23-valent >2yrs	$118.87	$252.92	—	23% below	53%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 vacc 2 yrs+ subq/im	$118.87	$252.92	—	23% below	53%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneum vacc 23-valent >2yrs	$118.87	$252.92	—	—	53%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Ppsv23 vacc 2 yrs+ subq/im	$118.87	$252.92	—	—	53%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Ppsv23 vacc 2 yrs+ subq/im	$118.87	$252.92	—	—	53%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneum vacc 23-valent >2yrs	$118.87	$252.92	—	—	53%
Rabies vaccine, one dose CPT 90675 Rabies vaccine im use	$561.25	$1,194.14	$285.90–$317.67	12% below	53%
Rabies vaccine, one dose CPT 90675 Rabies vaccine im use	$561.25	$1,194.14	$285.90–$317.67	12% below	53%
Rabies vaccine, one dose CPT 90675 Rabies vaccine im	$561.25	$1,194.14	$285.90–$317.67	12% below	53%
Rabies vaccine, one dose CPT 90675 Rabies vaccine im	$561.25	$1,194.14	$285.90–$317.67	12% below	53%
Rabies vaccine, one dose inpatient CPT 90675 Rabies vaccine im use	$561.25	$1,194.14	$285.90–$317.67	—	53%
Rabies vaccine, one dose inpatient CPT 90675 Rabies vaccine im use	$561.25	$1,194.14	$285.90–$317.67	—	53%
Rabies vaccine, one dose inpatient CPT 90675 Rabies vaccine im	$561.25	$1,194.14	$285.90–$317.67	—	53%
Rabies vaccine, one dose inpatient CPT 90675 Rabies vaccine im	$561.25	$1,194.14	$285.90–$317.67	—	53%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster(shingles)adjuv im use	$93.60	$199.15	—	73% below	53%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv vacc recombinant im	$93.60	$199.15	—	73% below	53%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster(shingles)adjuv im use	$93.60	$199.15	—	73% below	53%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv vacc recombinant im	$93.60	$199.15	—	73% below	53%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Zoster(shingles)adjuv im use	$93.60	$199.15	—	—	53%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hzv vacc recombinant im	$93.60	$199.15	—	—	53%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hzv vacc recombinant im	$93.60	$199.15	—	—	53%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Zoster(shingles)adjuv im use	$93.60	$199.15	—	—	53%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Npc td im 7 yrs or older	$46.45	$98.82	—	1% below	53%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td vacc no presv 7 yrs+ im	$46.45	$98.82	—	1% below	53%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td vacc no presv 7 yrs+ im	$46.45	$98.82	—	1% below	53%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Npc td im 7 yrs or older	$46.45	$98.82	—	1% below	53%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Npc td im 7 yrs or older	$46.45	$98.82	—	—	53%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Npc td im 7 yrs or older	$46.45	$98.82	—	—	53%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td vacc no presv 7 yrs+ im	$46.45	$98.82	—	—	53%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td vacc no presv 7 yrs+ im	$46.45	$98.82	—	—	53%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap vaccine 7 yrs/> im	$68.79	$146.37	—	8% below	53%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap >7yrs im use	$68.79	$146.37	—	8% below	53%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap >7yrs im use	$68.79	$146.37	—	8% below	53%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap vaccine 7 yrs/> im	$68.79	$146.37	—	8% below	53%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap >7yrs im use	$68.79	$146.37	—	—	53%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap >7yrs im use	$68.79	$146.37	—	—	53%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap vaccine 7 yrs/> im	$68.79	$146.37	—	—	53%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap vaccine 7 yrs/> im	$68.79	$146.37	—	—	53%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Injection vaccine/toxoid	$49.89	$106.15	$67.45–$74.94	at median	53%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization admin	$49.89	$106.15	$67.45–$74.94	at median	53%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Injection vaccine/toxoid	$49.89	$106.15	$67.45–$74.94	at median	53%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization admin	$49.89	$106.15	$67.45–$74.94	at median	53%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization admin	$49.89	$106.15	$67.45–$74.94	—	53%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization admin	$49.89	$106.15	$67.45–$74.94	—	53%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Injection vaccine/toxoid	$49.89	$106.15	$67.45–$74.94	—	53%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Injection vaccine/toxoid	$49.89	$106.15	$67.45–$74.94	—	53%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immun admin each additional	$49.89	$106.15	—	136% above	53%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immun admin each additional	$49.89	$106.15	—	136% above	53%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization admin each add	$49.89	$106.15	—	136% above	53%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization admin each add	$49.89	$106.15	—	136% above	53%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization admin each add	$49.89	$106.15	—	—	53%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization admin each add	$49.89	$106.15	—	—	53%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immun admin each additional	$49.89	$106.15	—	—	53%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immun admin each additional	$49.89	$106.15	—	—	53%

Source file: https://cdn.accureg.net/trans/northwesternmedical/03-0278425_Northwestern-Medical-Center_standardcharges.json