Helen Keller Hospital
Helen Keller Hospital in Sheffield, AL publishes cash prices for 269 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Alabama median for 158 of 269 procedures and below it for 80. By typical cash price it ranks #29 of 39 Alabama hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1300 SOUTH MONTGOMERY AVE., SHEFFIELD, AL 35660 Collected Sep 27, 2026 Source price file (256) 386-4556
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 010019 · CMS hospital register
The price file shows no self-pay discount
For 1240 of the 1240 prices listed here, the cash price in Helen Keller Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 GIGLI SAW | $54.00 | $54.00 | $24.30–$224.41 | 75% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LEVALBUTEROL 45MCG INHALER | $294.80 | $294.80 | $132.66–$294.80 | 37% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 OR-IMPL IPS PEEK CRANI OL 37 | $29,148.00 | $29,148.00 | $164.17–$22,735.44 | 13489% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 GIGLI SAW | $54.00 | $54.00 | $24.30–$224.41 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 LEVALBUTEROL 45MCG INHALER | $294.80 | $294.80 | $132.66–$294.80 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 OR-IMPL IPS PEEK CRANI OL 37 | $29,148.00 | $29,148.00 | $164.17–$22,735.44 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR-BARIUM SWALLOW /ESOPHAGUS | $543.00 | $543.00 | $135.75–$941.40 | 54% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR-ESOPHAGRAM W/H2O SOL CONTR | $834.00 | $834.00 | $74.00–$834.00 | 136% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR-BARIUM SWALLOW /ESOPHAGUS | $543.00 | $543.00 | $135.75–$941.40 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR-ESOPHAGRAM W/H2O SOL CONTR | $834.00 | $834.00 | $74.00–$834.00 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM-WHOLE BODY BONE SCAN LTD | $2,039.00 | $2,039.00 | $344.54–$1,590.42 | 54% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-WHOLE BODY BONE SCAN LTD | $2,039.00 | $2,039.00 | $344.54–$1,590.42 | — | — |
| Breast ultrasound, complete, one breast CPT 76641 US-BREAST(S) | $367.00 | $367.00 | $90.10–$286.26 | 40% above | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US-BREAST(S) | $367.00 | $367.00 | $90.10–$286.26 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US-INTRACRANIAL SONO-INF | $326.91 | $326.91 | $90.10–$254.99 | 25% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-INTRACRANIAL SONO-INF | $326.91 | $326.91 | $90.10–$254.99 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT-ANGIO CHEST W/WO CONTRAST | $1,314.00 | $1,314.00 | $151.17–$1,024.92 | 15% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT-ANGIO CHEST W/WO CONTRAST | $1,314.00 | $1,314.00 | $151.17–$1,024.92 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT-ANGIO HEART W/3D IMAGE | $3,431.00 | $3,431.00 | $157.00–$2,676.18 | 132% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT-ANGIO HEART W/3D IMAGE | $3,431.00 | $3,431.00 | $157.00–$2,676.18 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 THC-CT HEART W/O CONTRAST | $235.00 | $235.00 | $58.75–$235.00 | at median | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $235.00 | $235.00 | $75.00–$183.30 | at median | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 THC-CT HEART W/O CONTRAST | $235.00 | $235.00 | $58.75–$235.00 | — | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST | $235.00 | $235.00 | $75.00–$183.30 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD & PELVIS; W CONTRAST | $3,123.00 | $3,123.00 | $157.00–$2,435.94 | 19% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS; W CONTRAST | $4,855.00 | $4,855.00 | $157.00–$3,786.90 | 86% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD & PELVIS; W CONTRAST | $3,123.00 | $3,123.00 | $157.00–$2,435.94 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS; W CONTRAST | $4,855.00 | $4,855.00 | $157.00–$3,786.90 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD & PELVIS; WO IN REGION | $3,123.00 | $3,123.00 | $157.00–$2,435.94 | 1% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD & PELVIS; WO IN REGION | $3,123.00 | $3,123.00 | $157.00–$2,435.94 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT-ABDOMINAL W/CONTRAST | $3,475.00 | $3,475.00 | $151.17–$2,710.50 | 92% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMINAL W/CONTRAST | $3,475.00 | $3,475.00 | $151.17–$2,710.50 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT-ABDOMINAL W/O CONTRAST | $3,123.00 | $3,123.00 | $90.10–$2,435.94 | 114% above | — |
| CT scan of the abdomen without contrast CPT 74150 D-MESH R18 | $5,250.01 | $5,250.01 | $236.65–$4,095.01 | 260% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMINAL W/O CONTRAST | $3,123.00 | $3,123.00 | $90.10–$2,435.94 | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 D-MESH R18 | $5,250.01 | $5,250.01 | $236.65–$4,095.01 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 ANCHOR/SCREW BN/BN,TIS/BN | $348.50 | $348.50 | $87.13–$271.83 | 79% below | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 D-MESH R15 | $1,875.01 | $1,875.01 | $236.65–$1,462.51 | 14% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $2,317.50 | $2,317.50 | $90.10–$1,807.65 | 41% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL W/O CONTRAST | $2,974.00 | $2,974.00 | $90.10–$2,319.72 | 81% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 ANCHOR/SCREW BN/BN,TIS/BN | $348.50 | $348.50 | $87.13–$271.83 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 D-MESH R15 | $1,875.01 | $1,875.01 | $236.65–$1,462.51 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O DYE | $2,317.50 | $2,317.50 | $90.10–$1,807.65 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL W/O CONTRAST | $2,974.00 | $2,974.00 | $90.10–$2,319.72 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD W/O CONTRAST | $653.82 | $653.82 | $90.10–$509.98 | 51% below | — |
| CT scan of the head or brain, no contrast dye CPT 70450 D-ANCHOR/SCREW R25 | $52,500.01 | $52,500.01 | $641.10–$40,950.01 | 3849% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD W/O CONTRAST | $653.82 | $653.82 | $90.10–$509.98 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 D-ANCHOR/SCREW R25 | $52,500.01 | $52,500.01 | $641.10–$40,950.01 | — | — |
| CT scan of the head without and with contrast CPT 70470 LAB-HEPATITIS PROFILE | $1,104.00 | $1,104.00 | $35.72–$861.12 | 45% below | — |
| CT scan of the head without and with contrast CPT 70470 CT-HEAD W & WO CONTRAST (XENON | $2,723.00 | $2,723.00 | $24.61–$2,123.94 | 35% above | — |
| CT scan of the head without and with contrast CPT 70470 CT-HEAD W/WO CONTRAST | $4,284.00 | $4,284.00 | $151.17–$3,341.52 | 112% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 LAB-HEPATITIS PROFILE | $1,104.00 | $1,104.00 | $35.72–$861.12 | — | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD W & WO CONTRAST (XENON | $2,723.00 | $2,723.00 | $24.61–$2,123.94 | — | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD W/WO CONTRAST | $4,284.00 | $4,284.00 | $151.17–$3,341.52 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMBAR SPINE W/O CONTRAST | $3,690.00 | $3,690.00 | $90.10–$3,690.00 | 135% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMBAR SPINE W/O CONTRAST | $3,690.00 | $3,690.00 | $90.10–$3,690.00 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 D-MESH R26 | $60,000.00 | $60,000.00 | $236.65–$46,800.00 | 3309% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 D-MESH R26 | $60,000.00 | $60,000.00 | $236.65–$46,800.00 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W/CONTRAST | $3,559.00 | $3,559.00 | $151.17–$3,559.00 | 109% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W/CONTRAST | $3,559.00 | $3,559.00 | $151.17–$3,559.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $1,440.00 | $1,440.00 | $205.64–$1,123.20 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ESTRACE 0.1MG VAGINAL CREAM | $366.95 | $366.95 | $165.13–$340.67 | 15% below | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 LEAD, PMKR, OTHER THAN TRANS | $5,109.00 | $5,109.00 | $307.85–$3,985.02 | 1089% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $1,440.00 | $1,440.00 | $205.64–$1,123.20 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 ESTRACE 0.1MG VAGINAL CREAM | $366.95 | $366.95 | $165.13–$340.67 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 LEAD, PMKR, OTHER THAN TRANS | $5,109.00 | $5,109.00 | $307.85–$3,985.02 | — | — |
| Chest X-ray, 2 views CPT 71046 BMT-2VIEW CHEST | $325.50 | $325.50 | $75.00–$325.50 | 43% above | — |
| Chest X-ray, 2 views CPT 71046 XR-CHEST/PA/LATERAL/ROUTINE | $669.00 | $669.00 | $75.00–$521.82 | 193% above | — |
| Chest X-ray, 2 views CPT 71046 CATH ITRACK 45MM 250MM | $3,596.00 | $3,596.00 | $112.14–$2,804.88 | 1477% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 BMT-2VIEW CHEST | $325.50 | $325.50 | $75.00–$325.50 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 XR-CHEST/PA/LATERAL/ROUTINE | $669.00 | $669.00 | $75.00–$521.82 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CATH ITRACK 45MM 250MM | $3,596.00 | $3,596.00 | $112.14–$2,804.88 | — | — |
| Chest X-ray, single view CPT 71045 CAUTERY, OPTHALMIC WECK | $57.50 | $57.50 | $25.88–$116.14 | 66% below | — |
| Chest X-ray, single view CPT 71045 XR-DECUBITUS CHEST | $189.00 | $189.00 | $75.00–$159.62 | 12% above | — |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $318.50 | $318.50 | $75.00–$318.50 | 89% above | — |
| Chest X-ray, single view CPT 71045 XR-PORTABLE CHEST | $361.00 | $361.00 | $75.00–$614.42 | 115% above | — |
| Chest X-ray, single view CPT 71045 XR-CHEST, LAT VIEW ONLY | $366.00 | $366.00 | $75.00–$285.48 | 118% above | — |
| Chest X-ray, single view CPT 71045 OR-XR-OPERATIVE CHEST SUP/AP | $382.20 | $382.20 | $75.00–$298.12 | 127% above | — |
| Chest X-ray, single view CPT 71045 XR-CHEST AP/UPRIGHT VIEW | $434.00 | $434.00 | $75.00–$338.52 | 158% above | — |
| Chest X-ray, single view CPT 71045 GRAFT PERONEUS CTS | $9,767.52 | $9,767.52 | $112.14–$7,618.67 | 5710% above | — |
| Chest X-ray, single view inpatient CPT 71045 CAUTERY, OPTHALMIC WECK | $57.50 | $57.50 | $25.88–$116.14 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR-DECUBITUS CHEST | $189.00 | $189.00 | $75.00–$159.62 | — | — |
| Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW | $318.50 | $318.50 | $75.00–$318.50 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR-PORTABLE CHEST | $361.00 | $361.00 | $75.00–$614.42 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR-CHEST, LAT VIEW ONLY | $366.00 | $366.00 | $75.00–$285.48 | — | — |
| Chest X-ray, single view inpatient CPT 71045 OR-XR-OPERATIVE CHEST SUP/AP | $382.20 | $382.20 | $75.00–$298.12 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR-CHEST AP/UPRIGHT VIEW | $434.00 | $434.00 | $75.00–$338.52 | — | — |
| Chest X-ray, single view inpatient CPT 71045 GRAFT PERONEUS CTS | $9,767.52 | $9,767.52 | $112.14–$7,618.67 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-RETROPERITONEAL SONO. | $249.00 | $249.00 | $90.10–$340.67 | 36% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-RETROPERITONEAL SONO. | $249.00 | $249.00 | $90.10–$340.67 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BC-PEDS DEXA SCAN (AXIAL) | $539.00 | $539.00 | $90.10–$420.42 | 57% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BC-PEDS DEXA SCAN (AXIAL) | $539.00 | $539.00 | $90.10–$420.42 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BC-BONE DENSITY(PIXIAL)APPENDI | $95.00 | $95.00 | $42.75–$999.23 | 1% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BC-PEDS BONE DENSITY (WHOLE) | $304.50 | $304.50 | $75.00–$304.50 | 216% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BC-BONE DENSITY(PIXIAL)APPENDI | $95.00 | $95.00 | $42.75–$999.23 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BC-PEDS BONE DENSITY (WHOLE) | $304.50 | $304.50 | $75.00–$304.50 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 MFM-US DETAILED SNGL FETUS | $346.00 | $346.00 | $8.54–$346.00 | at median | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 MFM-US DETAILED SNGL FETUS | $346.00 | $346.00 | $8.54–$346.00 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST ZEPHYR WO | $245.50 | $245.50 | $90.10–$191.49 | 80% below | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 STPL ENDO GIA UNIVERSAL XLONG | $857.00 | $857.00 | $214.25–$668.46 | 29% below | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $2,185.50 | $2,185.50 | $90.10–$1,704.69 | 81% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST W/O CONTRAST | $3,047.00 | $3,047.00 | $90.10–$2,376.66 | 152% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST ZEPHYR WO | $245.50 | $245.50 | $90.10–$191.49 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 STPL ENDO GIA UNIVERSAL XLONG | $857.00 | $857.00 | $214.25–$668.46 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DX C- | $2,185.50 | $2,185.50 | $90.10–$1,704.69 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST W/O CONTRAST | $3,047.00 | $3,047.00 | $90.10–$2,376.66 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST W/CONTRAST | $3,399.00 | $3,399.00 | $151.17–$2,651.22 | 99% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST W/CONTRAST | $3,399.00 | $3,399.00 | $151.17–$2,651.22 | — | — |
| Diagnostic mammogram, both breasts CPT 77066 BC-DIG MAMMOGRAM, BIL, DIAG | $337.00 | $337.00 | $84.25–$337.00 | 44% above | — |
| Diagnostic mammogram, both breasts inpatient CPT 77066 BC-DIG MAMMOGRAM, BIL, DIAG | $337.00 | $337.00 | $84.25–$337.00 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 BC-DIG MAMMOGRAM, UNILAT, DIAG | $253.00 | $253.00 | $75.30–$197.34 | 8% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 BC-DIG MAMMOGRAM, UNILAT, DIAG | $253.00 | $253.00 | $75.30–$197.34 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $949.00 | $949.00 | $205.64–$816.90 | 196% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 BLADE 90DEG 3.5MM SINUS | $2,308.00 | $2,308.00 | $307.85–$1,800.24 | 620% above | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 LOWER EXTREMITY STUDY | $949.00 | $949.00 | $205.64–$816.90 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 BLADE 90DEG 3.5MM SINUS | $2,308.00 | $2,308.00 | $307.85–$1,800.24 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $891.00 | $891.00 | $205.64–$816.90 | 29% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 XR-BARIUM ENEMA ROUT | $1,041.00 | $1,041.00 | $151.17–$811.98 | 51% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 PRALATREXATE (FOLOTYN) 1MG INJ | $1,285.13 | $1,285.13 | $307.85–$1,002.40 | 86% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 PVL-IMAGE VEIN BIL ARM OR LEGS | $1,360.00 | $1,360.00 | $205.64–$1,060.80 | 97% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 PVL-IMAGE PERIPH VEIN ARM&LEGS | $2,720.00 | $2,720.00 | $5.58–$2,121.60 | 294% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 CVOR-VALVE MEMO 3D RECHORD | $9,000.00 | $9,000.00 | $307.85–$7,020.00 | 1202% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 STM FEM 102MM 132D 3 35MM STD | $13,186.00 | $13,186.00 | $307.85–$10,285.08 | 1808% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY | $891.00 | $891.00 | $205.64–$816.90 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 XR-BARIUM ENEMA ROUT | $1,041.00 | $1,041.00 | $151.17–$811.98 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 PRALATREXATE (FOLOTYN) 1MG INJ | $1,285.13 | $1,285.13 | $307.85–$1,002.40 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 PVL-IMAGE VEIN BIL ARM OR LEGS | $1,360.00 | $1,360.00 | $205.64–$1,060.80 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 PVL-IMAGE PERIPH VEIN ARM&LEGS | $2,720.00 | $2,720.00 | $5.58–$2,121.60 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 CVOR-VALVE MEMO 3D RECHORD | $9,000.00 | $9,000.00 | $307.85–$7,020.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 STM FEM 102MM 132D 3 35MM STD | $13,186.00 | $13,186.00 | $307.85–$10,285.08 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO-CARD U/S /W CF & DOPPLER | $1,511.00 | $1,511.00 | $377.75–$1,178.58 | 29% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO-ECHO COMP W/CONTR OR BUBL | $1,631.00 | $1,631.00 | $470.93–$1,272.18 | 39% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO-CARD U/S COMP W/CONTRAST | $1,685.00 | $1,685.00 | $470.93–$1,314.30 | 43% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO-COMPLETE STUDY W/3D RENDE | $1,895.00 | $1,895.00 | $470.93–$1,478.10 | 61% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 EPS-LEAD TENDRIL MRI | $3,537.00 | $3,537.00 | $884.25–$2,758.86 | 201% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO-CARD U/S /W CF & DOPPLER | $1,511.00 | $1,511.00 | $377.75–$1,178.58 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO-ECHO COMP W/CONTR OR BUBL | $1,631.00 | $1,631.00 | $470.93–$1,272.18 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO-CARD U/S COMP W/CONTRAST | $1,685.00 | $1,685.00 | $470.93–$1,314.30 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO-COMPLETE STUDY W/3D RENDE | $1,895.00 | $1,895.00 | $470.93–$1,478.10 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 EPS-LEAD TENDRIL MRI | $3,537.00 | $3,537.00 | $884.25–$2,758.86 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-BILIARY PATENCY HIDA | $1,702.00 | $1,702.00 | $344.54–$1,327.56 | 51% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-BILIARY PATENCY HIDA | $1,702.00 | $1,702.00 | $344.54–$1,327.56 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 DENOSUMAB 1MG INJECTION | $130.36 | $130.36 | $29.46–$286.72 | 60% below | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SL-UNATTENDED SLEEP STUDY(HOME | $219.00 | $219.00 | $54.75–$17,447.19 | 33% below | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 DENOSUMAB 1MG INJECTION | $130.36 | $130.36 | $29.46–$286.72 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SL-UNATTENDED SLEEP STUDY(HOME | $219.00 | $219.00 | $54.75–$17,447.19 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SL-NOCT POLYSOMNOGRAM CPAP/BIP | $4,014.00 | $4,014.00 | $434.70–$3,130.92 | 42% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SL-NOCT POLYSOMNOGRAM CPAP/BIP | $4,014.00 | $4,014.00 | $434.70–$3,130.92 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 THER/PROPH/DIAG INJ SC/IM | $147.50 | $147.50 | $62.05–$224.41 | 59% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 CLS-ARROW SUPER FLEX SHEATH 7F | $173.50 | $173.50 | $78.08–$224.41 | 52% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMINAL SONOGRAM LIMITED | $326.91 | $326.91 | $81.73–$254.99 | 10% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LAB-LAMBA,ISH,MORPHOMETRIC ANA | $2,100.74 | $2,100.74 | $86.58–$1,638.58 | 479% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 GUIDING SHEATH BALLAST 6F 90CM | $2,300.00 | $2,300.00 | $135.43–$1,794.00 | 533% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 THER/PROPH/DIAG INJ SC/IM | $147.50 | $147.50 | $62.05–$224.41 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 CLS-ARROW SUPER FLEX SHEATH 7F | $173.50 | $173.50 | $78.08–$224.41 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMINAL SONOGRAM LIMITED | $326.91 | $326.91 | $81.73–$254.99 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 LAB-LAMBA,ISH,MORPHOMETRIC ANA | $2,100.74 | $2,100.74 | $86.58–$1,638.58 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 GUIDING SHEATH BALLAST 6F 90CM | $2,300.00 | $2,300.00 | $135.43–$1,794.00 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 ANCHOR SWIFT LOCK 1192/ST JUDE | $817.00 | $817.00 | $204.25–$637.26 | 281% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-SCREENING CT LUNG CANCER | $2,215.00 | $2,215.00 | $90.10–$1,727.70 | 933% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 ANCHOR SWIFT LOCK 1192/ST JUDE | $817.00 | $817.00 | $204.25–$637.26 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-SCREENING CT LUNG CANCER | $2,215.00 | $2,215.00 | $90.10–$1,727.70 | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 M-MRI-BREAST W/WO CONTR BILATE | $4,982.00 | $4,982.00 | $345.00–$3,885.96 | 114% above | — |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 M-MRI-BREAST W/WO CONTR BILATE | $4,982.00 | $4,982.00 | $345.00–$3,885.96 | — | — |
| MRI of the abdomen without contrast CPT 74181 MR-PERSPECTUM LIVER MULTISCAN | $600.00 | $600.00 | $205.64–$468.00 | 60% below | — |
| MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN W/O CONTR | $3,937.00 | $3,937.00 | $205.64–$3,070.86 | 161% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MR-PERSPECTUM LIVER MULTISCAN | $600.00 | $600.00 | $205.64–$468.00 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN W/O CONTR | $3,937.00 | $3,937.00 | $205.64–$3,070.86 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 GATED HEART PLANAR SINGLE | $1,572.00 | $1,572.00 | $344.54–$1,226.16 | 27% below | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 GFT GORE STRETCH BIF 14-07X40 | $3,868.00 | $3,868.00 | $345.00–$3,017.04 | 80% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN W/WO CONTR | $4,747.00 | $4,747.00 | $300.68–$3,702.66 | 121% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 GATED HEART PLANAR SINGLE | $1,572.00 | $1,572.00 | $344.54–$1,226.16 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 GFT GORE STRETCH BIF 14-07X40 | $3,868.00 | $3,868.00 | $345.00–$3,017.04 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN W/WO CONTR | $4,747.00 | $4,747.00 | $300.68–$3,702.66 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MR-BRAIN W/O CONTR | $3,937.00 | $3,937.00 | $9.94–$3,070.86 | 113% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN W/O CONTR | $3,937.00 | $3,937.00 | $9.94–$3,070.86 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN W/WO CONTR | $4,109.00 | $4,109.00 | $300.68–$3,205.02 | 67% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $4,819.00 | $4,819.00 | $300.68–$4,819.00 | 96% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN W/WO CONTR | $4,109.00 | $4,109.00 | $300.68–$3,205.02 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM W/O & W/DYE | $4,819.00 | $4,819.00 | $300.68–$4,819.00 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MR-LUMBAR SPINE W/O CONTR | $3,937.00 | $3,937.00 | $205.64–$3,070.86 | 116% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR-LUMBAR SPINE W/O CONTR | $3,937.00 | $3,937.00 | $205.64–$3,070.86 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMBAR SPINE W/WO CONTR | $4,109.00 | $4,109.00 | $300.68–$3,205.02 | 61% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-LUMBAR SPINE W/WO CONTR | $4,109.00 | $4,109.00 | $300.68–$3,205.02 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-T/SPINE W/O CONTR | $3,937.00 | $3,937.00 | $205.64–$3,070.86 | 155% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR-T/SPINE W/O CONTR | $3,937.00 | $3,937.00 | $205.64–$3,070.86 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-C/SPINE W/WO CONTR | $4,152.00 | $4,152.00 | $25.58–$3,238.56 | 63% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-C/SPINE W/WO CONTR | $4,152.00 | $4,152.00 | $25.58–$3,238.56 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-C/SPINE W/O CONTR | $3,937.00 | $3,937.00 | $205.64–$3,070.86 | 111% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR-C/SPINE W/O CONTR | $3,937.00 | $3,937.00 | $205.64–$3,070.86 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 LAB-STREPM, ANTI-DNASE B | $292.00 | $292.00 | $131.40–$905.27 | 87% below | — |
| MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS W/WO CONTR | $4,311.00 | $4,311.00 | $300.68–$3,362.58 | 98% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 LAB-STREPM, ANTI-DNASE B | $292.00 | $292.00 | $131.40–$905.27 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS W/WO CONTR | $4,311.00 | $4,311.00 | $300.68–$3,362.58 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS W/O CONTR | $3,749.00 | $3,749.00 | $205.64–$2,924.22 | 124% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS W/O CONTR | $3,749.00 | $3,749.00 | $205.64–$2,924.22 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 CULTURE OTHR SPECIMN AEROBIC | $348.00 | $348.00 | $6.47–$516.59 | 84% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 CULTURE OTHR SPECIMN AEROBIC | $348.00 | $348.00 | $6.47–$516.59 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 PLTE LCP 1/3 TUB W COLR 5X57 | $396.00 | $396.00 | $99.00–$1,956.26 | 82% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CAP END SUPRACNDYLR FLTHRD | $846.00 | $846.00 | $211.50–$1,956.26 | 62% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 ANCHOR/SCREW BN/BN,TIS/BN | $862.00 | $862.00 | $215.50–$1,956.26 | 61% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CLAMP ROD HOFF 8/X | $1,645.00 | $1,645.00 | $411.25–$1,956.26 | 26% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 PLTE LCP 1/3 TUB W COLR 5X57 | $396.00 | $396.00 | $99.00–$1,956.26 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CAP END SUPRACNDYLR FLTHRD | $846.00 | $846.00 | $211.50–$1,956.26 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 ANCHOR/SCREW BN/BN,TIS/BN | $862.00 | $862.00 | $215.50–$1,956.26 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CLAMP ROD HOFF 8/X | $1,645.00 | $1,645.00 | $411.25–$1,956.26 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 OR-PUMP PAIN STJD 1788 | $4,324.50 | $4,324.50 | $1,081.13–$3,373.11 | 1% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM-PT-CT-ROUTINE | $4,512.06 | $4,512.06 | $1,232.40–$3,519.41 | 5% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH | $4,917.00 | $4,917.00 | $1,232.40–$3,835.26 | 14% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM-PT-CT SKULL TO THIGH | $4,917.00 | $4,917.00 | $297.27–$3,835.26 | 14% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 OR-PUMP PAIN STJD 1788 | $4,324.50 | $4,324.50 | $1,081.13–$3,373.11 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM-PT-CT-ROUTINE | $4,512.06 | $4,512.06 | $1,232.40–$3,519.41 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM-PT-CT SKULL TO THIGH | $4,917.00 | $4,917.00 | $297.27–$3,835.26 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET IMAGE W/CT SKULL-THIGH | $4,917.00 | $4,917.00 | $1,232.40–$3,835.26 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $200.00 | $200.00 | $90.00–$224.41 | at median | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-GYN-PELVIC;LIMITED | $457.50 | $457.50 | $90.10–$457.50 | 129% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED | $200.00 | $200.00 | $90.00–$224.41 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-GYN-PELVIC;LIMITED | $457.50 | $457.50 | $90.10–$457.50 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 GWRE, 2.8/300 SYNTHES | $339.00 | $339.00 | $135.43–$340.67 | 33% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-GYN-PELVIC;COMPLETE | $591.50 | $591.50 | $90.10–$591.50 | 16% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIC SONOGRAM (NONOB) | $1,360.00 | $1,360.00 | $90.10–$1,060.80 | 167% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 GWRE, 2.8/300 SYNTHES | $339.00 | $339.00 | $135.43–$340.67 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-GYN-PELVIC;COMPLETE | $591.50 | $591.50 | $90.10–$591.50 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIC SONOGRAM (NONOB) | $1,360.00 | $1,360.00 | $90.10–$1,060.80 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-OB SONOGRAM COMP 14WKS OR > | $1,360.00 | $1,360.00 | $90.10–$1,060.80 | 209% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-OB SONOGRAM COMP 14WKS OR > | $1,360.00 | $1,360.00 | $90.10–$1,060.80 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 MFM-US FETUS LESS THAN 14 WEEK | $649.00 | $649.00 | $90.10–$506.22 | 96% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 MFM-US FETUS LESS THAN 14 WEEK | $649.00 | $649.00 | $90.10–$506.22 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ED-POCUS-PREGNANT TRANSABD LTD | $200.00 | $200.00 | $50.00–$180.21 | 21% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $386.50 | $386.50 | $90.10–$301.47 | 52% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LAB-BETA HYDROXYBUTYRATE | $420.00 | $420.00 | $6.13–$327.60 | 65% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-O.B. SONOGRAM LTD | $640.00 | $640.00 | $90.10–$640.00 | 152% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 EP-P-INSERT/REPLAC PPM+A&V(KX) | $3,386.00 | $3,386.00 | $206.22–$2,641.08 | 1233% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ED-POCUS-PREGNANT TRANSABD LTD | $200.00 | $200.00 | $50.00–$180.21 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS(S) | $386.50 | $386.50 | $90.10–$301.47 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 LAB-BETA HYDROXYBUTYRATE | $420.00 | $420.00 | $6.13–$327.60 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-O.B. SONOGRAM LTD | $640.00 | $640.00 | $90.10–$640.00 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 EP-P-INSERT/REPLAC PPM+A&V(KX) | $3,386.00 | $3,386.00 | $206.22–$2,641.08 | — | — |
| Screening mammogram, both breasts CPT 77067 BC-DIG MAMMOGRAM, BIL, SCREEN | $292.00 | $292.00 | $79.68–$227.76 | 27% above | — |
| Screening mammogram, both breasts inpatient CPT 77067 BC-DIG MAMMOGRAM, BIL, SCREEN | $292.00 | $292.00 | $79.68–$227.76 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 SL-NOCTURNAL POLYSOMNOGRAM | $3,630.00 | $3,630.00 | $740.11–$3,630.00 | 24% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SL-NOCTURNAL POLYSOMNOGRAM | $3,630.00 | $3,630.00 | $740.11–$3,630.00 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO-STRESS TTE COMPLETE | $872.50 | $872.50 | $392.63–$941.40 | at median | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO-TTE W OR W/O CONTRAST CON | $1,292.00 | $1,292.00 | $470.93–$1,007.76 | 48% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO-STRESS TTE COMPLETE | $872.50 | $872.50 | $392.63–$941.40 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO-TTE W OR W/O CONTRAST CON | $1,292.00 | $1,292.00 | $470.93–$1,007.76 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR-BAR SWALLOW FUNC VIDEO TAPE | $416.00 | $416.00 | $104.00–$324.48 | 8% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR-BAR SWALLOW FUNC VIDEO TAPE | $416.00 | $416.00 | $104.00–$324.48 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US-GYN-TRANSVAGINAL(GYN) | $759.00 | $759.00 | $90.10–$592.02 | 83% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL SONO | $953.00 | $953.00 | $90.10–$743.34 | 130% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US-GYN-TRANSVAGINAL(GYN) | $759.00 | $759.00 | $90.10–$592.02 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL SONO | $953.00 | $953.00 | $90.10–$743.34 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US-TRANSVAGINAL-OB | $218.00 | $218.00 | $54.50–$218.00 | 40% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 OR-LENS,TECHIS POST ZCB00,ALL | $791.50 | $791.50 | $135.43–$617.37 | 116% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $871.50 | $871.50 | $90.10–$679.77 | 138% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-TRANSVAGINAL-OB | $218.00 | $218.00 | $54.50–$218.00 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 OR-LENS,TECHIS POST ZCB00,ALL | $791.50 | $791.50 | $135.43–$617.37 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC | $871.50 | $871.50 | $90.10–$679.77 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 US-SCROTAL SONO | $876.00 | $876.00 | $90.10–$683.28 | 106% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTAL SONO | $876.00 | $876.00 | $90.10–$683.28 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $326.91 | $326.91 | $90.10–$254.99 | 14% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK | $326.91 | $326.91 | $90.10–$254.99 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR-GASTROINTESTINAL SERIES | $434.00 | $434.00 | $151.17–$364.44 | 14% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR-GASTROINTESTINAL SERIES | $434.00 | $434.00 | $151.17–$364.44 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 LAB-CREATININE, SERUM | $79.00 | $79.00 | $3.84–$224.41 | 75% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $721.00 | $721.00 | $90.10–$721.00 | 124% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 PEGINTERFERON ALFA-2B 10MCG | $867.26 | $867.26 | $135.43–$676.46 | 169% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 XR-STENT,NEPHROURE >/= 8FR/28 | $925.50 | $925.50 | $135.43–$721.89 | 188% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 INTRO/SHEATH, NON-LASER | $2,350.00 | $2,350.00 | $135.43–$1,833.00 | 630% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 CATH ATHRCM AURYON 1.7MM HDRPH | $20,091.00 | $20,091.00 | $135.43–$15,670.98 | 6141% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 LAB-CREATININE, SERUM | $79.00 | $79.00 | $3.84–$224.41 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY STUDY | $721.00 | $721.00 | $90.10–$721.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 PEGINTERFERON ALFA-2B 10MCG | $867.26 | $867.26 | $135.43–$676.46 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 XR-STENT,NEPHROURE >/= 8FR/28 | $925.50 | $925.50 | $135.43–$721.89 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 INTRO/SHEATH, NON-LASER | $2,350.00 | $2,350.00 | $135.43–$1,833.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 CATH ATHRCM AURYON 1.7MM HDRPH | $20,091.00 | $20,091.00 | $135.43–$15,670.98 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 RT-COUGH ASSIST INIT EVAL/DEMO | $31.00 | $31.00 | $13.95–$192.50 | 87% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 OR-XR-PELVIS,MIN 2V,CHILD | $331.20 | $331.20 | $75.00–$331.20 | 42% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 RT-COUGH ASSIST INIT EVAL/DEMO | $31.00 | $31.00 | $13.95–$192.50 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 OR-XR-PELVIS,MIN 2V,CHILD | $331.20 | $331.20 | $75.00–$331.20 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 DOPAMINE 400MG/250ML INF(CHF) | $30.89 | $30.89 | $13.90–$116.14 | 82% below | — |
| X-ray of the abdomen, 1 view CPT 74018 XR-ABD, LATERAL | $366.00 | $366.00 | $4.30–$285.48 | 113% above | — |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $406.50 | $406.50 | $75.00–$614.42 | 136% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR-ABD, AP/SUPINE (KUB) | $434.00 | $434.00 | $75.00–$340.67 | 152% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR-PEDIATRIC CHEST & ABD,1 VIE | $724.50 | $724.50 | $75.00–$565.11 | 321% above | — |
| X-ray of the abdomen, 1 view CPT 74018 HK LAB-PROSTATE BIOPSY, ANY ME | $1,500.00 | $1,500.00 | $112.14–$1,500.00 | 772% above | — |
| X-ray of the abdomen, 1 view CPT 74018 PLTE 3.5 PELVIC RECON LP LK 12 | $3,273.00 | $3,273.00 | $112.14–$2,552.94 | 1802% above | — |
| X-ray of the abdomen, 1 view CPT 74018 PLTE LCP RECON CRVD 3.5 12H | $6,688.50 | $6,688.50 | $112.14–$5,217.03 | 3787% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 DOPAMINE 400MG/250ML INF(CHF) | $30.89 | $30.89 | $13.90–$116.14 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR-ABD, LATERAL | $366.00 | $366.00 | $4.30–$285.48 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RADEX ABDOMEN 1 VIEW | $406.50 | $406.50 | $75.00–$614.42 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR-ABD, AP/SUPINE (KUB) | $434.00 | $434.00 | $75.00–$340.67 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR-PEDIATRIC CHEST & ABD,1 VIE | $724.50 | $724.50 | $75.00–$565.11 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HK LAB-PROSTATE BIOPSY, ANY ME | $1,500.00 | $1,500.00 | $112.14–$1,500.00 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 PLTE 3.5 PELVIC RECON LP LK 12 | $3,273.00 | $3,273.00 | $112.14–$2,552.94 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 PLTE LCP RECON CRVD 3.5 12H | $6,688.50 | $6,688.50 | $112.14–$5,217.03 | — | — |
| X-ray of the ankle, 2 views CPT 73600 LAB-HCG, QUALITATIVE, URINE | $209.00 | $209.00 | $6.46–$163.02 | 9% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 LAB-HCG, QUALITATIVE, URINE | $209.00 | $209.00 | $6.46–$163.02 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 LAB-A1AT ALPHA-1-ANTITTRYPSIN | $245.00 | $245.00 | $10.08–$191.10 | 19% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 XR-ANGIO-INTERCOST NRVE DESTR | $2,790.00 | $2,790.00 | $116.14–$2,176.20 | 1260% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 LAB-A1AT ALPHA-1-ANTITTRYPSIN | $245.00 | $245.00 | $10.08–$191.10 | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR-ANGIO-INTERCOST NRVE DESTR | $2,790.00 | $2,790.00 | $116.14–$2,176.20 | — | — |
| X-ray of the foot, 2 views CPT 73620 XR-FEET BIL AP 1 VIEW | $115.50 | $115.50 | $13.03–$115.50 | 26% below | — |
| X-ray of the foot, 2 views inpatient CPT 73620 XR-FEET BIL AP 1 VIEW | $115.50 | $115.50 | $13.03–$115.50 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 ULTRAVATE CREAM 0.05% 15GM | $130.47 | $130.47 | $58.71–$130.47 | 36% below | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 ULTRAVATE CREAM 0.05% 15GM | $130.47 | $130.47 | $58.71–$130.47 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 VOLTAREN OPHTH SOL 0.1% 2ML | $52.50 | $52.50 | $23.63–$116.14 | 71% below | — |
| X-ray of the knee, 1 or 2 views CPT 73560 SJ-MED NUTRITION THERAPY INITI | $88.26 | $88.26 | $29.12–$116.14 | 52% below | — |
| X-ray of the knee, 1 or 2 views CPT 73560 LAB-LIVER BIOPSY/TOTAL IRON | $330.12 | $330.12 | $4.85–$257.49 | 81% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 LAB-IGE | $404.00 | $404.00 | $12.35–$315.12 | 122% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 VOLTAREN OPHTH SOL 0.1% 2ML | $52.50 | $52.50 | $23.63–$116.14 | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 SJ-MED NUTRITION THERAPY INITI | $88.26 | $88.26 | $29.12–$116.14 | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 LAB-LIVER BIOPSY/TOTAL IRON | $330.12 | $330.12 | $4.85–$257.49 | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 LAB-IGE | $404.00 | $404.00 | $12.35–$315.12 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 ANTIVENIN BLACK WIDOW | $208.24 | $208.24 | $93.71–$162.43 | 36% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $398.00 | $398.00 | $90.10–$310.44 | 22% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR-LUMBAR SPINE | $572.00 | $572.00 | $90.10–$572.00 | 75% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 ANTIVENIN BLACK WIDOW | $208.24 | $208.24 | $93.71–$162.43 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $398.00 | $398.00 | $90.10–$310.44 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR-LUMBAR SPINE | $572.00 | $572.00 | $90.10–$572.00 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 XARELTO 2.5 MG TABLET | $45.20 | $45.20 | $20.34–$116.14 | 86% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR-MESOBLAST STUDY | $100.40 | $100.40 | $45.18–$116.14 | 69% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR-LUMBAR SPINE-OBLIQUES | $857.00 | $857.00 | $90.10–$668.46 | 166% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XARELTO 2.5 MG TABLET | $45.20 | $45.20 | $20.34–$116.14 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR-MESOBLAST STUDY | $100.40 | $100.40 | $45.18–$116.14 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR-LUMBAR SPINE-OBLIQUES | $857.00 | $857.00 | $90.10–$668.46 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR-PORT SPINE,THORACIC, AP&LAT | $625.50 | $625.50 | $90.10–$487.89 | 189% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 OR-XR-OPERATIVE T/SPINE,2 VIEW | $750.60 | $750.60 | $90.10–$585.47 | 247% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR-PORT SPINE,THORACIC, AP&LAT | $625.50 | $625.50 | $90.10–$487.89 | — | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 OR-XR-OPERATIVE T/SPINE,2 VIEW | $750.60 | $750.60 | $90.10–$585.47 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 DRL SURG NS LF DISP | $1,061.10 | $1,061.10 | $112.14–$827.66 | 287% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 DRL SURG NS LF DISP | $1,061.10 | $1,061.10 | $112.14–$827.66 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $364.00 | $364.00 | $75.00–$364.00 | 66% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 OR-XR-C-SPINE AP/LAT | $436.80 | $436.80 | $75.00–$340.70 | 99% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR-C-SPINE AP/LATERAL | $572.00 | $572.00 | $75.00–$446.16 | 161% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HD-DIALYSIS TREATMENT ACUTE | $1,296.75 | $1,296.75 | $112.14–$1,011.47 | 491% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $364.00 | $364.00 | $75.00–$364.00 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 OR-XR-C-SPINE AP/LAT | $436.80 | $436.80 | $75.00–$340.70 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR-C-SPINE AP/LATERAL | $572.00 | $572.00 | $75.00–$446.16 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HD-DIALYSIS TREATMENT ACUTE | $1,296.75 | $1,296.75 | $112.14–$1,011.47 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR-PELVIS-AP | $449.00 | $449.00 | $90.10–$350.22 | 121% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 OR-XR-PELVIS-AP | $513.00 | $513.00 | $3.54–$400.14 | 153% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 CL-P-CORNS W/LV & RHC | $4,141.40 | $4,141.40 | $116.14–$4,141.40 | 1939% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR-PELVIS-AP | $449.00 | $449.00 | $90.10–$350.22 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 OR-XR-PELVIS-AP | $513.00 | $513.00 | $3.54–$400.14 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CL-P-CORNS W/LV & RHC | $4,141.40 | $4,141.40 | $116.14–$4,141.40 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR-SACRUM/COCCYX | $242.00 | $242.00 | $12.72–$188.76 | 4% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR-SACRUM | $359.00 | $359.00 | $75.00–$359.00 | 54% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR-COCCYX, 2 VIEWS | $669.00 | $669.00 | $75.00–$521.82 | 187% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR-SACRUM/COCCYX | $242.00 | $242.00 | $12.72–$188.76 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR-SACRUM | $359.00 | $359.00 | $75.00–$359.00 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR-COCCYX, 2 VIEWS | $669.00 | $669.00 | $75.00–$521.82 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LAB-SGPT (ALT) | $127.00 | $127.00 | $3.98–$12,572.29 | 226% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LAB-SGPT (ALT) | $127.00 | $127.00 | $3.98–$12,572.29 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LAB-SGOT (AST) | $174.00 | $174.00 | $3.89–$12,572.29 | 370% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LAB-SGOT (AST) | $174.00 | $174.00 | $3.89–$12,572.29 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 XYLOCAINE IV 100 MG 5 CC 2% | $42.51 | $42.51 | $16.85–$42.51 | 86% below | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 XYLOCAINE IV 100 MG 5 CC 2% | $42.51 | $42.51 | $16.85–$42.51 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 NDL EPD 17GA 3-1/2IN WEISS | $30.00 | $30.00 | $6.90–$23.40 | 27% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-RPINEM-PINE NUT, IGE | $39.30 | $39.30 | $3.92–$39.30 | 67% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $39.30 | $39.30 | $3.92–$30.65 | 67% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-FSTABI-STACHYBOTRYS CHAR/A | $56.06 | $56.06 | $3.92–$43.73 | 138% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-RAST-SINGLE | $67.50 | $67.50 | $3.92–$52.65 | 186% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRIVIACT 10 MG TABLET | $114.17 | $114.17 | $5.15–$114.17 | 384% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-ALPHA GAL ALLERGEN SPECIFI | $187.00 | $187.00 | $3.92–$145.86 | 693% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TRAY EPID CONT T17G3.5 C19 | $252.50 | $252.50 | $5.15–$196.95 | 970% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-SCREW 1.8/1.5X5MM | $333.50 | $333.50 | $5.15–$260.13 | 1314% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-DRILL BIT STRYKER | $576.00 | $576.00 | $5.15–$449.28 | 2342% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-WAND WEREWOLF FLOW | $1,375.00 | $1,375.00 | $5.15–$1,072.50 | 5729% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-BLD PROTOE WRIGHT | $1,915.00 | $1,915.00 | $5.15–$1,493.70 | 8018% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-S&N VAC AMBIENT 50 | $2,215.00 | $2,215.00 | $5.15–$1,727.70 | 9290% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EPS-CATH OCTOPOLAR | $3,238.50 | $3,238.50 | $5.15–$2,526.03 | 13628% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-ROTATION MEDICAL IMPLANT | $3,424.00 | $3,424.00 | $5.15–$2,670.72 | 14415% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-VP RENAL BIOPSY, ELECTRON | $3,521.28 | $3,521.28 | $4.24–$2,746.60 | 14827% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PLTE DST FEM LAT L/R | $4,840.00 | $4,840.00 | $5.15–$3,775.20 | 20417% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PLTE DST TIB ANT LAT 4-10H L/R | $8,730.50 | $8,730.50 | $5.15–$6,809.79 | 36909% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-STIMULAN BIOCOMPOSITE 20CC | $8,860.00 | $8,860.00 | $5.15–$6,910.80 | 37458% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLS-SET, BLLN TORAY INOUE | $17,350.00 | $17,350.00 | $5.15–$13,533.00 | 73448% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NDL EPD 17GA 3-1/2IN WEISS | $30.00 | $30.00 | $6.90–$23.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $39.30 | $39.30 | $3.92–$30.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-RPINEM-PINE NUT, IGE | $39.30 | $39.30 | $3.92–$39.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-FSTABI-STACHYBOTRYS CHAR/A | $56.06 | $56.06 | $3.92–$43.73 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-RAST-SINGLE | $67.50 | $67.50 | $3.92–$52.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRIVIACT 10 MG TABLET | $114.17 | $114.17 | $5.15–$114.17 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-ALPHA GAL ALLERGEN SPECIFI | $187.00 | $187.00 | $3.92–$145.86 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TRAY EPID CONT T17G3.5 C19 | $252.50 | $252.50 | $5.15–$196.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-SCREW 1.8/1.5X5MM | $333.50 | $333.50 | $5.15–$260.13 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-DRILL BIT STRYKER | $576.00 | $576.00 | $5.15–$449.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-WAND WEREWOLF FLOW | $1,375.00 | $1,375.00 | $5.15–$1,072.50 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-BLD PROTOE WRIGHT | $1,915.00 | $1,915.00 | $5.15–$1,493.70 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-S&N VAC AMBIENT 50 | $2,215.00 | $2,215.00 | $5.15–$1,727.70 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EPS-CATH OCTOPOLAR | $3,238.50 | $3,238.50 | $5.15–$2,526.03 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-ROTATION MEDICAL IMPLANT | $3,424.00 | $3,424.00 | $5.15–$2,670.72 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-VP RENAL BIOPSY, ELECTRON | $3,521.28 | $3,521.28 | $4.24–$2,746.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLTE DST FEM LAT L/R | $4,840.00 | $4,840.00 | $5.15–$3,775.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLTE DST TIB ANT LAT 4-10H L/R | $8,730.50 | $8,730.50 | $5.15–$6,809.79 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-STIMULAN BIOCOMPOSITE 20CC | $8,860.00 | $8,860.00 | $5.15–$6,910.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLS-SET, BLLN TORAY INOUE | $17,350.00 | $17,350.00 | $5.15–$13,533.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LAB-CONNECT TISS DZ, CCP | $113.81 | $113.81 | $9.71–$88.77 | 128% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LAB-CYCLIC CITRULLINA PEPTD,AB | $163.00 | $163.00 | $9.71–$127.14 | 227% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LAB-CONNECT TISS DZ, CCP | $113.81 | $113.81 | $9.71–$88.77 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LAB-CYCLIC CITRULLINA PEPTD,AB | $163.00 | $163.00 | $9.71–$127.14 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 LAB-CONNECT TISSUE DZ, ANA | $125.00 | $125.00 | $9.07–$125.00 | 201% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LAB-CONNECT TISSUE DZ, ANA | $125.00 | $125.00 | $9.07–$125.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LAB-B NATRIURETIC PEPTIDE | $550.00 | $550.00 | $29.45–$429.00 | 445% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CARDIO-GREEN 25 MG | $569.65 | $569.65 | $38.79–$444.33 | 464% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 LAB-B NATRIURETIC PEPTIDE | $550.00 | $550.00 | $29.45–$429.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 CARDIO-GREEN 25 MG | $569.65 | $569.65 | $38.79–$444.33 | — | — |
| Basic metabolic panel (blood test) CPT 80048 LAB-BASIC METABOLIC PANEL | $280.00 | $280.00 | $6.35–$280.00 | 359% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 LAB-BASIC METABOLIC PANEL | $280.00 | $280.00 | $6.35–$280.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB-VP RENAL BIOPSY, HC GROSS/ | $275.10 | $275.10 | $28.13–$214.58 | 63% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB-SURG HISTOLOGY-LEVEL IV | $300.00 | $300.00 | $33.68–$641.10 | 78% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 EXTRACTOR,FOREIGN BODY KATZ | $429.50 | $429.50 | $34.20–$335.01 | 154% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SP-TRANSBRONCH NDL ASPIR, SING | $728.00 | $728.00 | $44.86–$728.00 | 331% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CLS-KIT,MITRACLIP SYSTEM | $173,400.00 | $173,400.00 | $34.20–$135,252.00 | 102497% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB-VP RENAL BIOPSY, HC GROSS/ | $275.10 | $275.10 | $28.13–$214.58 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB-SURG HISTOLOGY-LEVEL IV | $300.00 | $300.00 | $33.68–$641.10 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 EXTRACTOR,FOREIGN BODY KATZ | $429.50 | $429.50 | $34.20–$335.01 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SP-TRANSBRONCH NDL ASPIR, SING | $728.00 | $728.00 | $44.86–$728.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CLS-KIT,MITRACLIP SYSTEM | $173,400.00 | $173,400.00 | $34.20–$135,252.00 | — | — |
| Blood culture for bacteria CPT 87040 LAB-BLOOD CULTURE, AEROBIC | $258.00 | $258.00 | $7.74–$258.00 | 149% above | — |
| Blood culture for bacteria CPT 87040 BETA-2 GLYCOPROTEIN ANTIBODY | $260.17 | $260.17 | $8.39–$202.93 | 152% above | — |
| Blood culture for bacteria inpatient CPT 87040 LAB-BLOOD CULTURE, AEROBIC | $258.00 | $258.00 | $7.74–$258.00 | — | — |
| Blood culture for bacteria inpatient CPT 87040 BETA-2 GLYCOPROTEIN ANTIBODY | $260.17 | $260.17 | $8.39–$202.93 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $18.00 | $18.00 | $4.50–$18.00 | 143% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 RO-ROUTINE VENIPUNCTURE | $18.00 | $18.00 | $4.73–$18.00 | 143% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ED-ROUTINE VENIPUNCTURE | $20.00 | $20.00 | $5.00–$20.00 | 170% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 CATH FOLEY 2WAY 30CC 24F | $58.50 | $58.50 | $4.73–$45.63 | 691% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 MESH,SYNTHES 100MM X 100MM | $2,966.50 | $2,966.50 | $4.73–$2,313.87 | 39988% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 RO-ROUTINE VENIPUNCTURE | $18.00 | $18.00 | $4.73–$18.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $18.00 | $18.00 | $4.50–$18.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ED-ROUTINE VENIPUNCTURE | $20.00 | $20.00 | $5.00–$20.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CATH FOLEY 2WAY 30CC 24F | $58.50 | $58.50 | $4.73–$45.63 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 MESH,SYNTHES 100MM X 100MM | $2,966.50 | $2,966.50 | $4.73–$2,313.87 | — | — |
| Blood glucose (sugar) test CPT 82947 LAB-HK-GLOCOSE, BF | $116.00 | $116.00 | $2.95–$116.00 | 297% above | — |
| Blood glucose (sugar) test CPT 82947 LAB-GLUCOSE 2HR PP | $127.00 | $127.00 | $2.95–$99.06 | 334% above | — |
| Blood glucose (sugar) test CPT 82947 LAB-GLUCOSE, FASTING | $145.00 | $145.00 | $2.95–$145.00 | 396% above | — |
| Blood glucose (sugar) test CPT 82947 D-INSERT RETRIEVAL DEVICE R06 | $206.26 | $206.26 | $3.88–$160.88 | 605% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 LAB-HK-GLOCOSE, BF | $116.00 | $116.00 | $2.95–$116.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 LAB-GLUCOSE 2HR PP | $127.00 | $127.00 | $2.95–$99.06 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 LAB-GLUCOSE, FASTING | $145.00 | $145.00 | $2.95–$145.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 D-INSERT RETRIEVAL DEVICE R06 | $206.26 | $206.26 | $3.88–$160.88 | — | — |
| Blood lead test CPT 83655 LAB-HMBLDM, HEAVY METAL, LEAD | $12.11 | $12.11 | $9.08–$22.31 | 68% below | — |
| Blood lead test CPT 83655 LAB-HMU24M-HEAVY METALS SCREEN | $63.27 | $63.27 | $9.08–$49.35 | 68% above | — |
| Blood lead test CPT 83655 TUBE, FEEDING ROSS-FLEXIFLO | $109.00 | $109.00 | $11.96–$85.02 | 190% above | — |
| Blood lead test CPT 83655 LAB-LEAD LEVEL, URINE | $286.00 | $286.00 | $9.08–$286.00 | 661% above | — |
| Blood lead test CPT 83655 PLATE BURR HOLE COVER 17 421.0 | $856.00 | $856.00 | $11.96–$667.68 | 2177% above | — |
| Blood lead test CPT 83655 MESH PROLENE 12X12 | $1,799.50 | $1,799.50 | $11.96–$1,403.61 | 4686% above | — |
| Blood lead test inpatient CPT 83655 LAB-HMBLDM, HEAVY METAL, LEAD | $12.11 | $12.11 | $9.08–$22.31 | — | — |
| Blood lead test inpatient CPT 83655 LAB-HMU24M-HEAVY METALS SCREEN | $63.27 | $63.27 | $9.08–$49.35 | — | — |
| Blood lead test inpatient CPT 83655 TUBE, FEEDING ROSS-FLEXIFLO | $109.00 | $109.00 | $11.96–$85.02 | — | — |
| Blood lead test inpatient CPT 83655 LAB-LEAD LEVEL, URINE | $286.00 | $286.00 | $9.08–$286.00 | — | — |
| Blood lead test inpatient CPT 83655 PLATE BURR HOLE COVER 17 421.0 | $856.00 | $856.00 | $11.96–$667.68 | — | — |
| Blood lead test inpatient CPT 83655 MESH PROLENE 12X12 | $1,799.50 | $1,799.50 | $11.96–$1,403.61 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB-ABO RECHECK | $167.00 | $167.00 | $2.43–$167.00 | 179% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB-ABO | $251.00 | $251.00 | $62.75–$251.00 | 319% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ANCHOR/SCREW BN/BN,TIS/BN | $758.50 | $758.50 | $2.95–$591.63 | 1167% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB-ABO RECHECK | $167.00 | $167.00 | $2.43–$167.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB-ABO | $251.00 | $251.00 | $62.75–$251.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ANCHOR/SCREW BN/BN,TIS/BN | $758.50 | $758.50 | $2.95–$591.63 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 LAB-CRPR-C-REACTIVE PROTEIN | $104.50 | $104.50 | $3.89–$81.51 | 132% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 LAB-C REACTIVE PROTEIN | $125.00 | $125.00 | $3.89–$125.00 | 178% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 LAB-IBD SGI, CRP | $154.06 | $154.06 | $3.89–$154.06 | 242% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 PORT IMPL IV POWERPORT SLIM | $3,026.00 | $3,026.00 | $5.12–$2,360.28 | 6624% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 LAB-CRPR-C-REACTIVE PROTEIN | $104.50 | $104.50 | $3.89–$81.51 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 LAB-C REACTIVE PROTEIN | $125.00 | $125.00 | $3.89–$125.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 LAB-IBD SGI, CRP | $154.06 | $154.06 | $3.89–$154.06 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 PORT IMPL IV POWERPORT SLIM | $3,026.00 | $3,026.00 | $5.12–$2,360.28 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 NURS-TRANSFUSE,BLOOD/COMP/BAG | $393.00 | $393.00 | $36.83–$393.00 | 286% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 LAB-C.DIFFICILE,TOXIN GENE,AMP | $568.00 | $568.00 | $14.67–$443.04 | 458% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 NURS-TRANSFUSE,BLOOD/COMP/BAG | $393.00 | $393.00 | $36.83–$393.00 | — | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 LAB-C.DIFFICILE,TOXIN GENE,AMP | $568.00 | $568.00 | $14.67–$443.04 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 LAB-CA 19-9 | $668.00 | $668.00 | $15.61–$521.04 | 541% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 LAB-CA 19-9 | $668.00 | $668.00 | $15.61–$521.04 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 LAB-CA 125 | $42.00 | $42.00 | $10.50–$1,012.93 | 58% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 ANCHOR/SCREW BN/BN,TIS/BN | $5,988.00 | $5,988.00 | $20.57–$4,670.64 | 5835% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 LAB-CA 125 | $42.00 | $42.00 | $10.50–$1,012.93 | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 ANCHOR/SCREW BN/BN,TIS/BN | $5,988.00 | $5,988.00 | $20.57–$4,670.64 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB-ROCOV2-SARA-COV-2-RNA | $102.62 | $102.62 | $38.48–$102.62 | 87% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB-COVD19-SAR-COV-2, DIATHERI | $786.00 | $786.00 | $38.48–$786.00 | 1329% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB-COVIDM-SARS-COV-2-RNA DETE | $943.20 | $943.20 | $38.48–$943.20 | 1615% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 OR-MATRIX VIVIGEN BONE FORM SM | $2,120.00 | $2,120.00 | $14.67–$1,653.60 | 3755% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 ANCHOR/SCREW BN/BN,TIS/BN | $6,840.00 | $6,840.00 | $50.69–$5,335.20 | 12336% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB-ROCOV2-SARA-COV-2-RNA | $102.62 | $102.62 | $38.48–$102.62 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB-COVD19-SAR-COV-2, DIATHERI | $786.00 | $786.00 | $38.48–$786.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB-COVIDM-SARS-COV-2-RNA DETE | $943.20 | $943.20 | $38.48–$943.20 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 OR-MATRIX VIVIGEN BONE FORM SM | $2,120.00 | $2,120.00 | $14.67–$1,653.60 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 ANCHOR/SCREW BN/BN,TIS/BN | $6,840.00 | $6,840.00 | $50.69–$5,335.20 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB-CTNGVT,CHLAMYDIA TRACH DIA | $196.50 | $196.50 | $26.32–$153.27 | 202% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB-CTNGVT,CHLAMYDIA TRACH DIA | $196.50 | $196.50 | $26.32–$153.27 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CLS-GUIDANT DUOSTAT | $196.50 | $196.50 | $13.22–$153.27 | 275% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 D-NEUROSTIM LEAD TEST KIT R09 | $337.51 | $337.51 | $13.22–$263.26 | 543% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CLS-GUIDANT DUOSTAT | $196.50 | $196.50 | $13.22–$153.27 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 D-NEUROSTIM LEAD TEST KIT R09 | $337.51 | $337.51 | $13.22–$263.26 | — | — |
| Complete blood count (CBC) with differential CPT 85025 LAB-PNP CBC WITH DIFF | $341.00 | $341.00 | $5.83–$516.59 | 786% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 LAB-PNP CBC WITH DIFF | $341.00 | $341.00 | $5.83–$516.59 | — | — |
| Complete blood count (CBC), no differential CPT 85027 D-NEUROSTIMULATOR LEAD R02 | $56.26 | $56.26 | $6.40–$43.88 | 75% above | — |
| Complete blood count (CBC), no differential CPT 85027 LAB-BLOOD COUNT, CBC AUTOMATED | $61.00 | $61.00 | $4.85–$47.58 | 89% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 D-NEUROSTIMULATOR LEAD R02 | $56.26 | $56.26 | $6.40–$43.88 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 LAB-BLOOD COUNT, CBC AUTOMATED | $61.00 | $61.00 | $4.85–$47.58 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 LAB-COMP METABOLIC PANEL | $390.00 | $390.00 | $7.92–$919.21 | 337% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 CATH,VENTRICULAR SNAP 10CM | $1,035.50 | $1,035.50 | $10.43–$807.69 | 1060% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 LAB-COMP METABOLIC PANEL | $390.00 | $390.00 | $7.92–$919.21 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CATH,VENTRICULAR SNAP 10CM | $1,035.50 | $1,035.50 | $10.43–$807.69 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 LAB-FIBRIN DEGR PROD, D-DIMER | $389.00 | $389.00 | $7.52–$303.42 | 460% above | — |
| D-dimer blood test (blood clot marker) one side CPT 85379 OR-PLTE HEVANS MED LT 20 MM | $5,544.00 | $5,544.00 | $7.52–$4,324.32 | 7885% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 LAB-FIBRIN DEGR PROD, D-DIMER | $389.00 | $389.00 | $7.52–$303.42 | — | — |
| D-dimer blood test (blood clot marker) inpatient one side CPT 85379 OR-PLTE HEVANS MED LT 20 MM | $5,544.00 | $5,544.00 | $7.52–$4,324.32 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 LAB-DHEA-S TO MAYO | $174.65 | $174.65 | $16.67–$136.23 | 50% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 LAB-DHEA SULFATE SERUM | $269.00 | $269.00 | $16.67–$209.82 | 131% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 LAB-DHEA-S TO MAYO | $174.65 | $174.65 | $16.67–$136.23 | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 LAB-DHEA SULFATE SERUM | $269.00 | $269.00 | $16.67–$209.82 | — | — |
| Estradiol blood test CPT 82670 LAB-ESTRADIOL,SERUM TO MAYO | $157.20 | $157.20 | $20.96–$122.62 | 42% above | — |
| Estradiol blood test CPT 82670 LAB-FFES-FREE ESTRADIOL W SHBG | $536.76 | $536.76 | $20.96–$536.76 | 386% above | — |
| Estradiol blood test CPT 82670 CLS-ABBOTT XIENCE NANO DES | $11,907.00 | $11,907.00 | $25.58–$9,287.46 | 10678% above | — |
| Estradiol blood test inpatient CPT 82670 LAB-ESTRADIOL,SERUM TO MAYO | $157.20 | $157.20 | $20.96–$122.62 | — | — |
| Estradiol blood test inpatient CPT 82670 LAB-FFES-FREE ESTRADIOL W SHBG | $536.76 | $536.76 | $20.96–$536.76 | — | — |
| Estradiol blood test inpatient CPT 82670 CLS-ABBOTT XIENCE NANO DES | $11,907.00 | $11,907.00 | $25.58–$9,287.46 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 LAB-FSH LEVEL | $359.00 | $359.00 | $13.94–$280.02 | 267% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 LAB-FSHM, FSH TO MAYO, SERUM | $1,499.22 | $1,499.22 | $13.94–$1,499.22 | 1434% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 GRAFT, VASCULAR | $6,170.00 | $6,170.00 | $18.36–$4,812.60 | 6215% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 LAB-FSH LEVEL | $359.00 | $359.00 | $13.94–$280.02 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 LAB-FSHM, FSH TO MAYO, SERUM | $1,499.22 | $1,499.22 | $13.94–$1,499.22 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 GRAFT, VASCULAR | $6,170.00 | $6,170.00 | $18.36–$4,812.60 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 LAB-CALPROTECTIN, FECES | $570.00 | $570.00 | $14.72–$444.60 | 193% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 LAB-CALPROTECTIN, FECES | $570.00 | $570.00 | $14.72–$444.60 | — | — |
| Ferritin blood test (iron stores) CPT 82728 LAB-PNP ACETYLCHOL RECEPT BIND | $356.77 | $356.77 | $11.08–$278.28 | 442% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 LAB-PNP ACETYLCHOL RECEPT BIND | $356.77 | $356.77 | $11.08–$278.28 | — | — |
| Folate (folic acid) blood test CPT 82746 LAB-FOLATE | $87.00 | $87.00 | $11.03–$87.00 | 32% above | — |
| Folate (folic acid) blood test CPT 82746 LAB-PLATELETS,L/R, EACH UNIT | $3,089.50 | $3,089.50 | $14.53–$2,409.81 | 4595% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 LAB-FOLATE | $87.00 | $87.00 | $11.03–$87.00 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 LAB-PLATELETS,L/R, EACH UNIT | $3,089.50 | $3,089.50 | $14.53–$2,409.81 | — | — |
| Free T3 thyroid hormone test CPT 84481 LAB-T-3 FREE | $704.00 | $704.00 | $12.71–$549.12 | 759% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 LAB-T-3 FREE | $704.00 | $704.00 | $12.71–$549.12 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 LAB-F4 FREE, BY DIALYSIS | $204.36 | $204.36 | $6.77–$159.40 | 229% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 LAB-THYROXIN (T-4) FREE | $351.00 | $351.00 | $6.77–$273.78 | 465% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LAB-F4 FREE, BY DIALYSIS | $204.36 | $204.36 | $6.77–$159.40 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LAB-THYROXIN (T-4) FREE | $351.00 | $351.00 | $6.77–$273.78 | — | — |
| Free testosterone test CPT 84402 LAB-TTFBM-TESTOSTERONE,T,B,FR | $25.47 | $25.47 | $6.37–$25.98 | 66% below | — |
| Free testosterone test CPT 84402 LAB-TESTOSTERONE, FREE | $544.00 | $544.00 | $19.10–$544.00 | 633% above | — |
| Free testosterone test CPT 84402 INTRO/SHEATH, NON-LASER | $617.00 | $617.00 | $25.17–$481.26 | 732% above | — |
| Free testosterone test inpatient CPT 84402 LAB-TTFBM-TESTOSTERONE,T,B,FR | $25.47 | $25.47 | $6.37–$25.98 | — | — |
| Free testosterone test inpatient CPT 84402 LAB-TESTOSTERONE, FREE | $544.00 | $544.00 | $19.10–$544.00 | — | — |
| Free testosterone test inpatient CPT 84402 INTRO/SHEATH, NON-LASER | $617.00 | $617.00 | $25.17–$481.26 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 LAB-GEN HEALTH PANEL | $232.00 | $232.00 | $16.85–$180.96 | 96% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 LAB-GEN HEALTH PANEL | $232.00 | $232.00 | $16.85–$180.96 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LAB-GLUCOSE CHALLENGE | $125.00 | $125.00 | $3.56–$125.00 | 105% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 LAB-GLUCOSE CHALLENGE | $125.00 | $125.00 | $3.56–$125.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB-CTNGVT, NEISS GONOR TO DIA | $35.09 | $35.09 | $26.32–$55.77 | 46% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB-STD,N.GONORR BY PCR DIAT | $170.00 | $170.00 | $26.32–$374.62 | 162% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB-CTNGVT, NEISS GONOR TO DIA | $35.09 | $35.09 | $26.32–$55.77 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB-STD,N.GONORR BY PCR DIAT | $170.00 | $170.00 | $26.32–$374.62 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LAB-HIV RNA BY PCR, QUANTITATI | $2,772.00 | $2,772.00 | $55.77–$2,162.16 | 1100% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LAB-HIV RNA BY PCR, QUANTITATI | $2,772.00 | $2,772.00 | $55.77–$2,162.16 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $115.00 | $115.00 | $7.28–$89.70 | 283% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LAB-HEMOGLOBIN A-1-C | $280.00 | $280.00 | $7.28–$218.40 | 833% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $115.00 | $115.00 | $7.28–$89.70 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LAB-HEMOGLOBIN A-1-C | $280.00 | $280.00 | $7.28–$218.40 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 LAB-HBSAB | $249.00 | $249.00 | $8.06–$249.00 | 256% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 LAB-HBSAB | $249.00 | $249.00 | $8.06–$249.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB-PNP HBSAG | $10.33 | $10.33 | $2.58–$516.59 | 65% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 XR-LYMPHANGIO,PELVIC/ABD,BIL | $4,990.00 | $4,990.00 | $10.20–$4,990.00 | 16707% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB-PNP HBSAG | $10.33 | $10.33 | $2.58–$516.59 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 XR-LYMPHANGIO,PELVIC/ABD,BIL | $4,990.00 | $4,990.00 | $10.20–$4,990.00 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 LAB-HEPATITIS C ANTIBODY | $458.00 | $458.00 | $10.70–$357.24 | 559% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 LAB-HEPATITIS C ANTIBODY | $458.00 | $458.00 | $10.70–$357.24 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 XR-BARIATRIC GI SERIES | $1,007.00 | $1,007.00 | $42.33–$785.46 | 441% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 XR-BARIATRIC GI SERIES | $1,007.00 | $1,007.00 | $42.33–$785.46 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $13.19 | $13.19 | $9.89–$21.22 | 78% below | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $13.19 | $13.19 | $9.89–$21.22 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 LAB-TORCH, HSVAB, II, IGG | $19.35 | $19.35 | $14.51–$21.22 | 73% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 LAB-HSVG-HERPES SIMPLEX, TYPE | $125.00 | $125.00 | $14.51–$125.00 | 72% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 CATH, INF, PER/CENT/MIDLINE | $1,217.00 | $1,217.00 | $19.12–$949.26 | 1571% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB-TORCH, HSVAB, II, IGG | $19.35 | $19.35 | $14.51–$21.22 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB-HSVG-HERPES SIMPLEX, TYPE | $125.00 | $125.00 | $14.51–$125.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 CATH, INF, PER/CENT/MIDLINE | $1,217.00 | $1,217.00 | $19.12–$949.26 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 INTRODUCER SHEATH W MIN WR 11C | $63.00 | $63.00 | $12.80–$49.14 | 7% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 LAB-CRPHS-CRP, HIGH SENSITIVIT | $134.00 | $134.00 | $9.71–$104.52 | 128% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 LAB-C-REACTIVE PROTEIN,ULTRASE | $236.00 | $236.00 | $9.71–$236.00 | 301% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 INTRODUCER SHEATH W MIN WR 11C | $63.00 | $63.00 | $12.80–$49.14 | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 LAB-CRPHS-CRP, HIGH SENSITIVIT | $134.00 | $134.00 | $9.71–$104.52 | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 LAB-C-REACTIVE PROTEIN,ULTRASE | $236.00 | $236.00 | $9.71–$236.00 | — | — |
| Insulin blood test CPT 83525 LAB-INSULS, INSULIN LEVEL, TIM | $109.50 | $109.50 | $8.57–$109.50 | 58% above | — |
| Insulin blood test CPT 83525 LAB-INSULIN LEVEL | $340.00 | $340.00 | $8.57–$340.00 | 390% above | — |
| Insulin blood test inpatient CPT 83525 LAB-INSULS, INSULIN LEVEL, TIM | $109.50 | $109.50 | $8.57–$109.50 | — | — |
| Insulin blood test inpatient CPT 83525 LAB-INSULIN LEVEL | $340.00 | $340.00 | $8.57–$340.00 | — | — |
| Iron blood test (serum iron) CPT 83540 TAGAMET 300MG/5ML LIQ UD | $9.06 | $9.06 | $4.08–$9.94 | 69% below | — |
| Iron blood test (serum iron) CPT 83540 LAB-IRON SERUM | $21.00 | $21.00 | $4.85–$16.38 | 29% below | — |
| Iron blood test (serum iron) CPT 83540 ELASTIC NET BNDG 10IN PER/FT | $168.00 | $168.00 | $6.40–$131.04 | 471% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 TAGAMET 300MG/5ML LIQ UD | $9.06 | $9.06 | $4.08–$9.94 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 LAB-IRON SERUM | $21.00 | $21.00 | $4.85–$16.38 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 ELASTIC NET BNDG 10IN PER/FT | $168.00 | $168.00 | $6.40–$131.04 | — | — |
| Kidney function blood test panel CPT 80069 D5% W/0.225% NACL SOL 500ML | $47.74 | $47.74 | $10.98–$37.24 | 45% below | — |
| Kidney function blood test panel CPT 80069 LAB-RENAL FUNCTION PANEL | $417.00 | $417.00 | $6.51–$325.26 | 384% above | — |
| Kidney function blood test panel inpatient CPT 80069 D5% W/0.225% NACL SOL 500ML | $47.74 | $47.74 | $10.98–$37.24 | — | — |
| Kidney function blood test panel inpatient CPT 80069 LAB-RENAL FUNCTION PANEL | $417.00 | $417.00 | $6.51–$325.26 | — | — |
| LH (luteinizing hormone) test CPT 83002 LAB-LH, BLOOD | $348.00 | $348.00 | $13.89–$348.00 | 207% above | — |
| LH (luteinizing hormone) test CPT 83002 LAB-LHPEDM, LH*PEDIATRIC, S | $1,524.37 | $1,524.37 | $13.89–$1,524.37 | 1243% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LAB-LH, BLOOD | $348.00 | $348.00 | $13.89–$348.00 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LAB-LHPEDM, LH*PEDIATRIC, S | $1,524.37 | $1,524.37 | $13.89–$1,524.37 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LAB-LIPASE | $186.00 | $186.00 | $5.17–$12,572.29 | 227% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LAB-LIPASE | $186.00 | $186.00 | $5.17–$12,572.29 | — | — |
| Liver function blood test panel CPT 80076 CATHETER,VENTRICULAR STANDARD | $192.00 | $192.00 | $8.07–$149.76 | 142% above | — |
| Liver function blood test panel CPT 80076 LAB-HEPATIC FUNCTION PANEL | $482.00 | $482.00 | $6.13–$919.21 | 506% above | — |
| Liver function blood test panel inpatient CPT 80076 CATHETER,VENTRICULAR STANDARD | $192.00 | $192.00 | $8.07–$149.76 | — | — |
| Liver function blood test panel inpatient CPT 80076 LAB-HEPATIC FUNCTION PANEL | $482.00 | $482.00 | $6.13–$919.21 | — | — |
| Lyme disease antibody test CPT 86618 LAB-LYME DISEASE SEROLOGY | $174.00 | $174.00 | $12.77–$174.00 | 55% above | — |
| Lyme disease antibody test CPT 86618 LAB-TICKSM LYME DIS SEROLOGY,S | $296.00 | $296.00 | $12.77–$296.00 | 163% above | — |
| Lyme disease antibody test CPT 86618 MESH VENTRALITE ST ECHO 4X6 | $757.50 | $757.50 | $16.83–$590.85 | 573% above | — |
| Lyme disease antibody test inpatient CPT 86618 LAB-LYME DISEASE SEROLOGY | $174.00 | $174.00 | $12.77–$174.00 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LAB-TICKSM LYME DIS SEROLOGY,S | $296.00 | $296.00 | $12.77–$296.00 | — | — |
| Lyme disease antibody test inpatient CPT 86618 MESH VENTRALITE ST ECHO 4X6 | $757.50 | $757.50 | $16.83–$590.85 | — | — |
| Magnesium blood test CPT 83735 HYDRCD ACTMNPHN 2.5MG | $10.80 | $10.80 | $4.86–$10.80 | 67% below | — |
| Magnesium blood test CPT 83735 LAB-MAGNESIUM | $50.00 | $50.00 | $5.03–$14,183.52 | 52% above | — |
| Magnesium blood test CPT 83735 CATH, FOLEY #16 W/TEMP PROBE | $100.00 | $100.00 | $6.63–$78.00 | 204% above | — |
| Magnesium blood test CPT 83735 LAB-MAGNESIUM, FECES | $106.11 | $106.11 | $5.03–$106.11 | 222% above | — |
| Magnesium blood test inpatient CPT 83735 HYDRCD ACTMNPHN 2.5MG | $10.80 | $10.80 | $4.86–$10.80 | — | — |
| Magnesium blood test inpatient CPT 83735 LAB-MAGNESIUM | $50.00 | $50.00 | $5.03–$14,183.52 | — | — |
| Magnesium blood test inpatient CPT 83735 CATH, FOLEY #16 W/TEMP PROBE | $100.00 | $100.00 | $6.63–$78.00 | — | — |
| Magnesium blood test inpatient CPT 83735 LAB-MAGNESIUM, FECES | $106.11 | $106.11 | $5.03–$106.11 | — | — |
| Measles (rubeola) antibody test CPT 86765 LAB-RUBEOLA IGG SCREEN | $99.00 | $99.00 | $9.66–$77.22 | 156% above | — |
| Measles (rubeola) antibody test CPT 86765 LAB-RUBEOLA AB,IGM | $116.00 | $116.00 | $9.66–$90.48 | 199% above | — |
| Measles (rubeola) antibody test CPT 86765 LAB-RUBEOLA AB,IGG | $209.00 | $209.00 | $9.66–$209.00 | 439% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 LAB-RUBEOLA IGG SCREEN | $99.00 | $99.00 | $9.66–$77.22 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 LAB-RUBEOLA AB,IGM | $116.00 | $116.00 | $9.66–$90.48 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 LAB-RUBEOLA AB,IGG | $209.00 | $209.00 | $9.66–$209.00 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 DEV SCR FX SM 5-14FR STRL LF | $73.50 | $73.50 | $5.12–$57.33 | 1% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 LAB-MONO SLIDE TEST | $163.00 | $163.00 | $3.89–$127.14 | 123% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 DEV SCR FX SM 5-14FR STRL LF | $73.50 | $73.50 | $5.12–$57.33 | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 LAB-MONO SLIDE TEST | $163.00 | $163.00 | $3.89–$127.14 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 LAB-FREE PSA | $141.00 | $141.00 | $13.79–$141.00 | 66% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 LAB-FREE PSA | $141.00 | $141.00 | $13.79–$141.00 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 LAB-PSA, TOTAL | $141.00 | $141.00 | $13.79–$109.98 | 54% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB-PSA, TOTAL | $141.00 | $141.00 | $13.79–$109.98 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $20.26 | $20.26 | $15.20–$35.04 | 55% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LAB-DIAGNOSTIC THIN PREP | $128.00 | $128.00 | $15.20–$99.84 | 186% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER | $20.26 | $20.26 | $15.20–$35.04 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 LAB-DIAGNOSTIC THIN PREP | $128.00 | $128.00 | $15.20–$99.84 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 LAB-INTEROPERATIVE PTH | $987.00 | $987.00 | $30.96–$769.86 | 624% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB-INTEROPERATIVE PTH | $987.00 | $987.00 | $30.96–$769.86 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB-ACTIVATED PTT | $17.00 | $17.00 | $4.51–$13.26 | 58% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB-ALUPPM-THROPLASTIN TIME, P | $66.34 | $66.34 | $4.51–$51.75 | 63% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 GWRE MEIER C TIP 10/.035/260 | $275.00 | $275.00 | $5.94–$214.50 | 577% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 GFT SFT TISS 7X4CM SURGISIS | $3,285.50 | $3,285.50 | $5.94–$2,562.69 | 7988% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB-ACTIVATED PTT | $17.00 | $17.00 | $4.51–$13.26 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB-ALUPPM-THROPLASTIN TIME, P | $66.34 | $66.34 | $4.51–$51.75 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 GWRE MEIER C TIP 10/.035/260 | $275.00 | $275.00 | $5.94–$214.50 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 GFT SFT TISS 7X4CM SURGISIS | $3,285.50 | $3,285.50 | $5.94–$2,562.69 | — | — |
| Progesterone blood test CPT 84144 LAB-PROGESTERONE LEVEL | $348.00 | $348.00 | $15.65–$348.00 | 212% above | — |
| Progesterone blood test inpatient CPT 84144 LAB-PROGESTERONE LEVEL | $348.00 | $348.00 | $15.65–$348.00 | — | — |
| Prolactin blood test CPT 84146 LAB-PROLACTIN LEVEL | $464.00 | $464.00 | $14.54–$364.68 | 339% above | — |
| Prolactin blood test inpatient CPT 84146 LAB-PROLACTIN LEVEL | $464.00 | $464.00 | $14.54–$364.68 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB-PROTHROMBIN TIME W/INR | $17.00 | $17.00 | $3.22–$246.96 | 26% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB-ALUPPM-PROTHROMBIN TIME | $47.40 | $47.40 | $3.22–$47.40 | 107% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 OPSVC-PROTHROMBIN TIME POC | $64.50 | $64.50 | $3.22–$50.31 | 182% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB-AATHRM-PROT TIME, B | $92.11 | $92.11 | $3.22–$10,459.27 | 303% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC-PROTHROMBIN TIME W/ INR | $119.00 | $119.00 | $3.22–$92.82 | 420% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 TUBE, FEEDING VIV TUNGS TIP | $598.50 | $598.50 | $4.24–$466.83 | 2516% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 MMC-CATH DRN 8-12FR | $681.00 | $681.00 | $4.24–$531.18 | 2876% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 OR-GLD SUF CR CRUCIATE DISH | $4,570.50 | $4,570.50 | $4.24–$3,564.99 | 19876% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB-PROTHROMBIN TIME W/INR | $17.00 | $17.00 | $3.22–$246.96 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB-ALUPPM-PROTHROMBIN TIME | $47.40 | $47.40 | $3.22–$47.40 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 OPSVC-PROTHROMBIN TIME POC | $64.50 | $64.50 | $3.22–$50.31 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB-AATHRM-PROT TIME, B | $92.11 | $92.11 | $3.22–$10,459.27 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC-PROTHROMBIN TIME W/ INR | $119.00 | $119.00 | $3.22–$92.82 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 TUBE, FEEDING VIV TUNGS TIP | $598.50 | $598.50 | $4.24–$466.83 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 MMC-CATH DRN 8-12FR | $681.00 | $681.00 | $4.24–$531.18 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 OR-GLD SUF CR CRUCIATE DISH | $4,570.50 | $4,570.50 | $4.24–$3,564.99 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 LAB-INFLUENZA A (CLIENT) | $14.86 | $14.86 | $11.15–$116.14 | 36% below | — |
| Rapid flu test (influenza antigen) CPT 87804 TRACHEOSTOMY PERC INTRO SET-CO | $504.00 | $504.00 | $14.67–$393.12 | 2082% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 LAB-INFLUENZA A (CLIENT) | $14.86 | $14.86 | $11.15–$116.14 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 TRACHEOSTOMY PERC INTRO SET-CO | $504.00 | $504.00 | $14.67–$393.12 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 LAB-RAPID STREP | $99.00 | $99.00 | $12.40–$784.88 | 125% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 POC-RAPID STREP | $174.00 | $174.00 | $12.40–$135.72 | 296% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 LAB-RAPID STREP | $99.00 | $99.00 | $12.40–$784.88 | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 POC-RAPID STREP | $174.00 | $174.00 | $12.40–$135.72 | — | — |
| Rheumatoid factor (RF) test CPT 86431 LAB-RHEUMATOID FACTOR, QUAN | $143.00 | $143.00 | $4.25–$111.54 | 214% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 LAB-RHEUMATOID FACTOR, QUAN | $143.00 | $143.00 | $4.25–$111.54 | — | — |
| Rubella antibody test (immunity check) CPT 86762 MONOJEL INSTANT GLUCOSE | $6.30 | $6.30 | $2.84–$21.22 | 83% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $14.39 | $14.39 | $3.60–$14.68 | 62% below | — |
| Rubella antibody test (immunity check) CPT 86762 XR-SELECTIVE ORGAN BLOOD SAMPL | $2,973.00 | $2,973.00 | $21.22–$2,318.94 | 7724% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 MONOJEL INSTANT GLUCOSE | $6.30 | $6.30 | $2.84–$21.22 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY | $14.39 | $14.39 | $3.60–$14.68 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 XR-SELECTIVE ORGAN BLOOD SAMPL | $2,973.00 | $2,973.00 | $21.22–$2,318.94 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 LAB-SED RATE,AUTOMATED | $15.00 | $15.00 | $2.03–$11.70 | 21% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 LAB-SED RATE,AUTOMATED | $15.00 | $15.00 | $2.03–$11.70 | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 LAB-SEMEN ANALYSIS | $269.00 | $269.00 | $9.23–$269.00 | 209% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 LAB-SEMEN ANALYSIS | $269.00 | $269.00 | $9.23–$269.00 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 LAB-OCCULT BLOOD BY IMMUNOASSA | $55.00 | $55.00 | $11.94–$42.90 | at median | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 POC-BLOOD OCCULT FECAL QUAL | $125.00 | $125.00 | $11.94–$97.50 | 127% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 LAB-FOBTM-OCCULT BLD, QL, IMM, | $417.60 | $417.60 | $11.94–$325.73 | 659% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 PLTE TIT LCDCP 2.0X48 8H | $2,118.00 | $2,118.00 | $12.94–$1,652.04 | 3751% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 LAB-OCCULT BLOOD BY IMMUNOASSA | $55.00 | $55.00 | $11.94–$42.90 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 POC-BLOOD OCCULT FECAL QUAL | $125.00 | $125.00 | $11.94–$97.50 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 LAB-FOBTM-OCCULT BLD, QL, IMM, | $417.60 | $417.60 | $11.94–$325.73 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 PLTE TIT LCDCP 2.0X48 8H | $2,118.00 | $2,118.00 | $12.94–$1,652.04 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB-VDRLM, VDRL CSF | $143.00 | $143.00 | $3.20–$143.00 | 419% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB-RPR TITER | $174.00 | $174.00 | $3.20–$135.72 | 532% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LEN IOL +21.5 DIOP MOD C BCNVX | $1,139.70 | $1,139.70 | $4.23–$888.97 | 4040% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB-VDRLM, VDRL CSF | $143.00 | $143.00 | $3.20–$143.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB-RPR TITER | $174.00 | $174.00 | $3.20–$135.72 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LEN IOL +21.5 DIOP MOD C BCNVX | $1,139.70 | $1,139.70 | $4.23–$888.97 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 CATH, PERIPHERAL SILVERHAWK P4 | $16,789.00 | $16,789.00 | $61.24–$13,095.42 | 15480% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 CATH, PERIPHERAL SILVERHAWK P4 | $16,789.00 | $16,789.00 | $61.24–$13,095.42 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 LAB-TESTOSTERONE TOTAL | $111.50 | $111.50 | $19.36–$111.50 | 30% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 LAB-TESTOSTERONE, TOTAL | $413.00 | $413.00 | $19.36–$322.14 | 383% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 OR-PLT 1MM 90D MN LNG T MXLFCA | $2,164.00 | $2,164.00 | $25.51–$1,687.92 | 2431% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LAB-TESTOSTERONE TOTAL | $111.50 | $111.50 | $19.36–$111.50 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LAB-TESTOSTERONE, TOTAL | $413.00 | $413.00 | $19.36–$322.14 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 OR-PLT 1MM 90D MN LNG T MXLFCA | $2,164.00 | $2,164.00 | $25.51–$1,687.92 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LAB-THYRO PEROXIDASE AB | $110.00 | $110.00 | $10.91–$110.00 | 57% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LAB-CU INDEX, MICROSOMAL AB | $202.95 | $202.95 | $10.91–$158.30 | 190% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 INTRO SHTH 6FR 21GA 40CM 23CM | $454.00 | $454.00 | $14.38–$354.12 | 549% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LAB-LIVER KIDNEY AB | $517.00 | $517.00 | $10.91–$517.00 | 639% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB-THYRO PEROXIDASE AB | $110.00 | $110.00 | $10.91–$110.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB-CU INDEX, MICROSOMAL AB | $202.95 | $202.95 | $10.91–$158.30 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 INTRO SHTH 6FR 21GA 40CM 23CM | $454.00 | $454.00 | $14.38–$354.12 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB-LIVER KIDNEY AB | $517.00 | $517.00 | $10.91–$517.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 USTEKINUMAB AUUB 26 ML | $83.10 | $83.10 | $11.64–$64.82 | 1% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB-CU INDEX, TSH | $234.46 | $234.46 | $12.60–$182.88 | 179% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 USTEKINUMAB AUUB 26 ML | $83.10 | $83.10 | $11.64–$64.82 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB-CU INDEX, TSH | $234.46 | $234.46 | $12.60–$182.88 | — | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $35.09 | $35.09 | $8.77–$35.79 | 51% below | — |
| Trichomonas test (NAAT) CPT 87661 LAB-PCRTU,TRICH VAG PCR, URINE | $192.00 | $192.00 | $26.32–$149.76 | 167% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $35.09 | $35.09 | $8.77–$35.79 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 LAB-PCRTU,TRICH VAG PCR, URINE | $192.00 | $192.00 | $26.32–$149.76 | — | — |
| Uric acid blood test CPT 84550 LAB-URIC ACID | $174.00 | $174.00 | $3.39–$12,572.29 | 383% above | — |
| Uric acid blood test inpatient CPT 84550 LAB-URIC ACID | $174.00 | $174.00 | $3.39–$12,572.29 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 LAB-URINALYSIS, ROUTINE | $32.00 | $32.00 | $2.38–$24.96 | at median | — |
| Urinalysis with microscope exam, automated CPT 81001 OR-DURAGEN PLUS 5X7 | $16,624.00 | $16,624.00 | $3.13–$12,966.72 | 51850% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 LAB-URINALYSIS, ROUTINE | $32.00 | $32.00 | $2.38–$24.96 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 OR-DURAGEN PLUS 5X7 | $16,624.00 | $16,624.00 | $3.13–$12,966.72 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 LAB-PH, URINE | $17.00 | $17.00 | $1.69–$13.26 | 29% below | — |
| Urinalysis without microscope exam, automated CPT 81003 LAB-URINALYSIS | $28.00 | $28.00 | $1.69–$364.68 | 17% above | — |
| Urinalysis without microscope exam, automated CPT 81003 LAB-KETONES, URINE | $103.00 | $103.00 | $1.69–$103.00 | 329% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 LAB-PH, URINE | $17.00 | $17.00 | $1.69–$13.26 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 LAB-URINALYSIS | $28.00 | $28.00 | $1.69–$364.68 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 LAB-KETONES, URINE | $103.00 | $103.00 | $1.69–$103.00 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 OPSVC-URINE KETONES POC | $7.00 | $7.00 | $2.61–$6.96 | 37% below | — |
| Urinalysis without microscope exam, manual CPT 81002 OR-PLT .6MM MICRO CNTR RNDA | $655.50 | $655.50 | $3.44–$511.29 | 5838% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 OPSVC-URINE KETONES POC | $7.00 | $7.00 | $2.61–$6.96 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 OR-PLT .6MM MICRO CNTR RNDA | $655.50 | $655.50 | $3.44–$511.29 | — | — |
| Urine pregnancy test, read by color change CPT 81025 USTEKINUMAB KFCE 26 ML | $23.46 | $23.46 | $5.40–$25.18 | 55% below | — |
| Urine pregnancy test, read by color change CPT 81025 LAB-ISOAGGLTN TITER,ANTI-A | $440.92 | $440.92 | $3.56–$343.92 | 737% above | — |
| Urine pregnancy test, read by color change CPT 81025 CL-P-INJECT PUL ART W/RHC | $908.00 | $908.00 | $5.58–$908.00 | 1625% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 USTEKINUMAB KFCE 26 ML | $23.46 | $23.46 | $5.40–$25.18 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 LAB-ISOAGGLTN TITER,ANTI-A | $440.92 | $440.92 | $3.56–$343.92 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 CL-P-INJECT PUL ART W/RHC | $908.00 | $908.00 | $5.58–$908.00 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 LAB-VITAMIN B12 | $79.00 | $79.00 | $11.31–$79.00 | 39% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LAB-VITAMIN B12 | $79.00 | $79.00 | $11.31–$79.00 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LAB-2425DM-25HDN:24,25 DIH, VI | $609.79 | $609.79 | $22.20–$475.64 | 525% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 LAB-2425DM-25HDN:24,25 DIH, VI | $609.79 | $609.79 | $22.20–$475.64 | — | — |
| Zinc blood test CPT 84630 LAB-ZNSM-ZINC, SERUM | $94.32 | $94.32 | $8.54–$94.32 | 27% above | — |
| Zinc blood test CPT 84630 CATH KIT 20GA X 5CM ARTERIAL | $385.00 | $385.00 | $11.25–$300.30 | 417% above | — |
| Zinc blood test CPT 84630 LAB-SARFR-SARS, FLU AND RSV | $550.20 | $550.20 | $9.25–$429.16 | 639% above | — |
| Zinc blood test inpatient CPT 84630 LAB-ZNSM-ZINC, SERUM | $94.32 | $94.32 | $8.54–$94.32 | — | — |
| Zinc blood test inpatient CPT 84630 CATH KIT 20GA X 5CM ARTERIAL | $385.00 | $385.00 | $11.25–$300.30 | — | — |
| Zinc blood test inpatient CPT 84630 LAB-SARFR-SARS, FLU AND RSV | $550.20 | $550.20 | $9.25–$429.16 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RENAGEL 800MG TABLET | $9.90 | $9.90 | $4.46–$25.58 | 83% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB-BHCGM-BETA-HUMAN CH,GON, Q | $143.92 | $143.92 | $11.29–$112.26 | 141% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB-HCG TITER | $550.00 | $550.00 | $11.29–$454.82 | 821% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 RENAGEL 800MG TABLET | $9.90 | $9.90 | $4.46–$25.58 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB-BHCGM-BETA-HUMAN CH,GON, Q | $143.92 | $143.92 | $11.29–$112.26 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB-HCG TITER | $550.00 | $550.00 | $11.29–$454.82 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 OR-WIRE STIFF 035 260 | $870.00 | $870.00 | $217.50–$2,838.50 | 69% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 RO-BX BREAST 1ST LESION STRTCT | $2,582.50 | $2,582.50 | $172.00–$2,838.50 | 8% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 OR-WIRE STIFF 035 260 | $870.00 | $870.00 | $217.50–$2,838.50 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 RO-BX BREAST 1ST LESION STRTCT | $2,582.50 | $2,582.50 | $172.00–$2,838.50 | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 CLHC-CORNS W/LV | $6,679.50 | $6,679.50 | $1,669.88–$6,679.50 | 2% above | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CLHC-CORNS W/LV | $6,679.50 | $6,679.50 | $1,669.88–$6,679.50 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EP-P-CARDIOVERSION, ELECTIVE | $669.00 | $669.00 | $167.25–$669.00 | 20% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 MESH PARIETEX PROGRIP PNP 6CM | $967.00 | $967.00 | $435.15–$1,310.68 | 16% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,060.00 | $1,060.00 | $396.90–$1,310.68 | 27% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED-CARDIOVERSION | $1,117.00 | $1,117.00 | $161.70–$1,117.00 | 34% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HEMASHIELD ST 6 & 8CM X 60 | $2,032.00 | $2,032.00 | $850.17–$1,584.96 | 144% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 EP-P-CARDIOVERSION, ELECTIVE | $669.00 | $669.00 | $167.25–$669.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 MESH PARIETEX PROGRIP PNP 6CM | $967.00 | $967.00 | $435.15–$1,310.68 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,060.00 | $1,060.00 | $396.90–$1,310.68 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED-CARDIOVERSION | $1,117.00 | $1,117.00 | $161.70–$1,117.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HEMASHIELD ST 6 & 8CM X 60 | $2,032.00 | $2,032.00 | $850.17–$1,584.96 | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 EP-P-COM EP SDY W/AF FIB ABLAT | $28,588.50 | $28,588.50 | $396.90–$28,588.50 | at median | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EP-P-COM EP SDY W/AF FIB ABLAT | $28,588.50 | $28,588.50 | $396.90–$28,588.50 | — | — |
| Cervical biopsy CPT 57500 TVGO-BIOPSY OF CERVIX | $2,368.00 | $2,368.00 | $592.00–$2,368.00 | at median | — |
| Cervical biopsy inpatient CPT 57500 TVGO-BIOPSY OF CERVIX | $2,368.00 | $2,368.00 | $592.00–$2,368.00 | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 NURS-CIRCUMCSN W/O PLBELL(>28 | $982.00 | $982.00 | $24.61–$1,837.63 | 71% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 NURS-CIRCUMCSN W/O PLBELL(>28 | $982.00 | $982.00 | $24.61–$1,837.63 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION /W PLASTIBELL | $982.00 | $982.00 | $21.22–$1,837.63 | 66% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 INJ, SUPARTZ 25MG SYR, 2.5ML | $1,252.39 | $1,252.39 | $288.05–$3,983.21 | 56% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 NURS-CIRCUMCISION /W PLASTIBEL | $3,442.00 | $3,442.00 | $21.22–$3,442.00 | 20% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION /W PLASTIBELL | $982.00 | $982.00 | $21.22–$1,837.63 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 INJ, SUPARTZ 25MG SYR, 2.5ML | $1,252.39 | $1,252.39 | $288.05–$3,983.21 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 NURS-CIRCUMCISION /W PLASTIBEL | $3,442.00 | $3,442.00 | $21.22–$3,442.00 | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 NURS-CIRCUMCSN W/O PLBELL(<28 | $3,442.00 | $3,442.00 | $24.61–$2,684.76 | 195% above | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 NURS-CIRCUMCSN W/O PLBELL(<28 | $3,442.00 | $3,442.00 | $24.61–$2,684.76 | — | — |
| Coronary stent placement, one artery CPT 92928 CL-P-REVAS(STENT+PTCA) 1VSL,LM | $17,512.50 | $17,512.50 | $396.90–$17,512.50 | 25% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 CL-P-REVAS(STENT+PTCA) 1VSL,LM | $17,512.50 | $17,512.50 | $396.90–$17,512.50 | — | — |
| Cystoscopy with ureteral stent placement CPT 52332 XR-CYSTO W/URETERAL STENT | $4,117.50 | $4,117.50 | $1,000.00–$4,117.50 | at median | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 XR-CYSTO W/URETERAL STENT | $4,117.50 | $4,117.50 | $1,000.00–$4,117.50 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HWC-REMOVAL IMP CERUMEN IRRIG | $112.00 | $112.00 | $50.84–$112.00 | 12% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 OR-IMPL CRNL IPS 42 PEEK | $35,589.00 | $35,589.00 | $8,897.25–$27,759.42 | 35546% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HWC-REMOVAL IMP CERUMEN IRRIG | $112.00 | $112.00 | $50.84–$112.00 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 OR-IMPL CRNL IPS 42 PEEK | $35,589.00 | $35,589.00 | $8,897.25–$27,759.42 | — | — |
| Earwax removal with instruments, one ear CPT 69210 OR-PLT CRNL PEEK IPS E | $7,190.00 | $7,190.00 | $1,797.50–$5,608.20 | 7237% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 OR-PLT CRNL PEEK IPS E | $7,190.00 | $7,190.00 | $1,797.50–$5,608.20 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 TVGO-BIOPSY OF UTERUS LINING | $553.00 | $553.00 | $174.24–$10,459.27 | at median | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 TVGO-BIOPSY OF UTERUS LINING | $553.00 | $553.00 | $174.24–$10,459.27 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 NM-BILI PATENCY HIDA WITH CCK | $1,140.00 | $1,140.00 | $467.96–$1,735.37 | 2% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 NM-BILI PATENCY HIDA WITH CCK | $1,140.00 | $1,140.00 | $467.96–$1,735.37 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $612.50 | $612.50 | $153.13–$614.42 | 127% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATHETER FOR HYSTEROGRAPHY | $612.50 | $612.50 | $153.13–$614.42 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $801.00 | $801.00 | $172.92–$801.00 | 133% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $801.00 | $801.00 | $172.92–$801.00 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 XR-ANGIO-TENDON SHEATH INJ,SGL | $411.00 | $411.00 | $264.55–$411.00 | at median | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT | $411.00 | $411.00 | $264.55–$411.00 | at median | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 RETRACTOR, DASH MALLEABLE 4X7 | $1,699.50 | $1,699.50 | $424.88–$1,325.61 | 314% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 GRAFT, GORE PROPATEN TW XX50 | $7,312.00 | $7,312.00 | $487.97–$5,703.36 | 1679% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 XR-ANGIO-TENDON SHEATH INJ,SGL | $411.00 | $411.00 | $264.55–$411.00 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT | $411.00 | $411.00 | $264.55–$411.00 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 RETRACTOR, DASH MALLEABLE 4X7 | $1,699.50 | $1,699.50 | $424.88–$1,325.61 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 GRAFT, GORE PROPATEN TW XX50 | $7,312.00 | $7,312.00 | $487.97–$5,703.36 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $411.00 | $411.00 | $184.95–$487.97 | 3% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 STENT, COATED/COV W/DEL SYS | $10,073.50 | $10,073.50 | $487.97–$7,857.33 | 2431% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $411.00 | $411.00 | $184.95–$487.97 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 STENT, COATED/COV W/DEL SYS | $10,073.50 | $10,073.50 | $487.97–$7,857.33 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HEXTEND 6% 500ML BOTTLE | $127.67 | $127.67 | $31.92–$487.97 | 67% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HEXTEND 6% 500ML BOTTLE | $127.67 | $127.67 | $31.92–$487.97 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 XR-ANGIO-JT INJ/ASPIR FINGER O | $411.00 | $411.00 | $264.55–$411.00 | 6% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 XR-ANGIO-JT INJ/ASPIR FINGER O | $411.00 | $411.00 | $264.55–$411.00 | — | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 TVGO-LAPAROSCOPY REMOVE ADNEXA | $16,050.00 | $16,050.00 | $1,000.00–$12,519.00 | 55% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 TVGO-LAPAROSCOPY REMOVE ADNEXA | $16,050.00 | $16,050.00 | $1,000.00–$12,519.00 | — | — |
| Left heart catheterization, diagnostic CPT 93452 CL-P-LV ONLY | $4,141.40 | $4,141.40 | $1,000.00–$4,775.85 | 11% below | — |
| Left heart catheterization, diagnostic inpatient CPT 93452 CL-P-LV ONLY | $4,141.40 | $4,141.40 | $1,000.00–$4,775.85 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 NM-BONE SCAN THREE-PHASE LTD | $1,389.00 | $1,389.00 | $344.54–$1,735.37 | 10% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 XR-SP-INJ LUMBAR/SACRAL,NERVE | $2,995.50 | $2,995.50 | $608.36–$2,336.49 | 94% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 XR-INJECT CISTERNOGRAM LUMBAR | $2,995.50 | $2,995.50 | $608.36–$2,336.49 | 94% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NM-BONE SCAN THREE-PHASE LTD | $1,389.00 | $1,389.00 | $344.54–$1,735.37 | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 XR-SP-INJ LUMBAR/SACRAL,NERVE | $2,995.50 | $2,995.50 | $608.36–$2,336.49 | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 XR-INJECT CISTERNOGRAM LUMBAR | $2,995.50 | $2,995.50 | $608.36–$2,336.49 | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 XR-CISTERNOGRAM INJ W/O FLUORO | $1,127.00 | $1,127.00 | $762.28–$1,127.00 | at median | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HWC-HC-APP SKIN SUB FACE,OTH A | $2,930.10 | $2,930.10 | $1,000.00–$2,285.48 | 160% above | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 XR-CISTERNOGRAM INJ W/O FLUORO | $1,127.00 | $1,127.00 | $762.28–$1,127.00 | — | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HWC-HC-APP SKIN SUB FACE,OTH A | $2,930.10 | $2,930.10 | $1,000.00–$2,285.48 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LAB-ALCOHOL, ETHYL | $280.00 | $280.00 | $70.00–$1,735.37 | 79% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XR-SP-INJ LUMBAR/SACRAL-TRANSF | $1,225.50 | $1,225.50 | $762.28–$1,225.50 | 7% below | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 LAB-ALCOHOL, ETHYL | $280.00 | $280.00 | $70.00–$1,735.37 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 XR-SP-INJ LUMBAR/SACRAL-TRANSF | $1,225.50 | $1,225.50 | $762.28–$1,225.50 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 CT-EXCISED BENIGN LESION < 5CM | $882.50 | $882.50 | $397.13–$903.94 | at median | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 SP-SPYGLASS PANCREATOSCOPY | $3,135.00 | $3,135.00 | $903.94–$2,445.30 | 255% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 CT-EXCISED BENIGN LESION < 5CM | $882.50 | $882.50 | $397.13–$903.94 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 SP-SPYGLASS PANCREATOSCOPY | $3,135.00 | $3,135.00 | $903.94–$2,445.30 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HWC-AVULSION OF NAIL PLTE 1 | $306.70 | $306.70 | $172.92–$306.70 | 30% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HWC-AVULSION OF NAIL PLTE 1 | $306.70 | $306.70 | $172.92–$306.70 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $3,386.00 | $3,386.00 | $1,000.00–$16,837.01 | 75% below | — |
| Pacemaker implant (dual chamber) CPT 33208 PLATE, RECON LP LK 3.5X20HX260 | $3,918.00 | $3,918.00 | $1,000.00–$16,837.01 | 71% below | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INSRT HEART PM ATRIAL & VENT | $3,386.00 | $3,386.00 | $1,000.00–$16,837.01 | — | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 PLATE, RECON LP LK 3.5X20HX260 | $3,918.00 | $3,918.00 | $1,000.00–$16,837.01 | — | — |
| Paracentesis with imaging guidance CPT 49083 PAD,DANNIGER KNEE | $121.50 | $121.50 | $30.38–$1,499.33 | 86% below | — |
| Paracentesis with imaging guidance CPT 49083 US-ABD PARACENTESIS W/IMAG GUI | $495.00 | $495.00 | $386.10–$797.32 | 41% below | — |
| Paracentesis with imaging guidance CPT 49083 ANGIO-ABD PARACENTESIS W/IMAG | $1,654.00 | $1,654.00 | $744.30–$1,654.00 | 96% above | — |
| Paracentesis with imaging guidance CPT 49083 EPS-PACEMAKER ALTRUA 60 EL DR | $29,745.00 | $29,745.00 | $1,000.00–$23,201.10 | 3433% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 PAD,DANNIGER KNEE | $121.50 | $121.50 | $30.38–$1,499.33 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 US-ABD PARACENTESIS W/IMAG GUI | $495.00 | $495.00 | $386.10–$797.32 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ANGIO-ABD PARACENTESIS W/IMAG | $1,654.00 | $1,654.00 | $744.30–$1,654.00 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 EPS-PACEMAKER ALTRUA 60 EL DR | $29,745.00 | $29,745.00 | $1,000.00–$23,201.10 | — | — |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $2,765.00 | $2,765.00 | $1,000.00–$3,093.46 | at median | — |
| Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE | $2,765.00 | $2,765.00 | $1,000.00–$3,093.46 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 XR-FOREIGN BODY REM SQ TISSUE | $516.50 | $516.50 | $350.36–$516.50 | at median | — |
| Removal of a foreign object under the skin, simple CPT 10120 HWC-I&REMOVE FOREIGN BDY SQ SI | $590.76 | $590.76 | $147.69–$590.76 | 14% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 ANCHOR/SCREW BN/BN,TIS/BN | $2,029.50 | $2,029.50 | $331.70–$1,583.01 | 293% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 XR-FOREIGN BODY REM SQ TISSUE | $516.50 | $516.50 | $350.36–$516.50 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HWC-I&REMOVE FOREIGN BDY SQ SI | $590.76 | $590.76 | $147.69–$590.76 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 ANCHOR/SCREW BN/BN,TIS/BN | $2,029.50 | $2,029.50 | $331.70–$1,583.01 | — | — |
| Short arm splint (forearm and hand) CPT 29125 PPT-AP, SHT ARM SPLI | $456.50 | $456.50 | $80.85–$1,070.27 | 191% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 PPT-AP, SHT ARM SPLI | $456.50 | $456.50 | $80.85–$1,070.27 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 XR-SIMPLE REPAIR SUPERFICIAL W | $329.50 | $329.50 | $21.22–$329.50 | 29% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 XR-SIMPLE REPAIR SUPERFICIAL W | $329.50 | $329.50 | $21.22–$329.50 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 CT-PUNCH BIOPSY OF SKIN | $315.00 | $315.00 | $245.70–$357.36 | 13% below | — |
| Skin biopsy, punch, one lesion CPT 11104 RO-PUNCH BX SKIN SINGLE LESION | $315.00 | $315.00 | $141.75–$903.94 | 13% below | — |
| Skin biopsy, punch, one lesion CPT 11104 HWC-PUNCH BX SINGLE | $590.76 | $590.76 | $350.36–$590.76 | 63% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $1,100.00 | $1,100.00 | $74.00–$903.94 | 204% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 RO-PUNCH BX SKIN SINGLE LESION | $315.00 | $315.00 | $141.75–$903.94 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 CT-PUNCH BIOPSY OF SKIN | $315.00 | $315.00 | $245.70–$357.36 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HWC-PUNCH BX SINGLE | $590.76 | $590.76 | $350.36–$590.76 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $1,100.00 | $1,100.00 | $74.00–$903.94 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 PACK, CRANIOTOMY | $1,517.40 | $1,517.40 | $379.35–$1,735.37 | 104% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $1,721.50 | $1,721.50 | $608.36–$1,735.37 | 132% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PACK, CRANIOTOMY | $1,517.40 | $1,517.40 | $379.35–$1,735.37 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LMBR SPI PNXR | $1,721.50 | $1,721.50 | $608.36–$1,735.37 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HWC-TANGENTIAL BX SINGLE | $504.50 | $504.50 | $350.36–$504.50 | 60% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HWC-TANGENTIAL BX SINGLE | $504.50 | $504.50 | $350.36–$504.50 | — | — |
| Thoracentesis with imaging guidance CPT 32555 XR-THORACENTESIS | $2,345.00 | $2,345.00 | $540.64–$1,932.62 | 111% above | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $2,345.00 | $2,345.00 | $540.64–$1,932.62 | 111% above | — |
| Thoracentesis with imaging guidance CPT 32555 ANCHOR/SCREW BN/BN,TIS/BN | $3,379.00 | $3,379.00 | $1,000.00–$2,635.62 | 204% above | — |
| Thoracentesis with imaging guidance CPT 32555 PLATE,RADIAL EX 2.4/5H/5H R/L | $8,561.38 | $8,561.38 | $1,000.00–$6,677.88 | 669% above | — |
| Thoracentesis with imaging guidance one side CPT 32555 PLATE,RADIAL 2.4/9H/3H RT | $8,482.97 | $8,482.97 | $1,932.62–$6,616.72 | 662% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING | $2,345.00 | $2,345.00 | $540.64–$1,932.62 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 XR-THORACENTESIS | $2,345.00 | $2,345.00 | $540.64–$1,932.62 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ANCHOR/SCREW BN/BN,TIS/BN | $3,379.00 | $3,379.00 | $1,000.00–$2,635.62 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 PLATE,RADIAL EX 2.4/5H/5H R/L | $8,561.38 | $8,561.38 | $1,000.00–$6,677.88 | — | — |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 PLATE,RADIAL 2.4/9H/3H RT | $8,482.97 | $8,482.97 | $1,932.62–$6,616.72 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 STAPLE, GIA 100 RELOAD | $575.50 | $575.50 | $143.88–$487.97 | 86% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 STAPLE, GIA 100 RELOAD | $575.50 | $575.50 | $143.88–$487.97 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US-GUIDED BREAST BX | $2,430.00 | $2,430.00 | $1,000.00–$2,838.50 | at median | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US-GUIDED BREAST BX | $2,430.00 | $2,430.00 | $1,000.00–$2,838.50 | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $5,743.50 | $5,743.50 | $169.85–$5,442.56 | at median | — |
| Vein ablation, radiofrequency, first vein CPT 36475 ROBOTIC PRECISE BIPOLAR FORCEP | $11,340.00 | $11,340.00 | $2,835.00–$8,845.20 | 97% above | — |
| Vein ablation, radiofrequency, first vein CPT 36475 XR-ELITE VENA CAVA FILTER | $12,145.00 | $12,145.00 | $1,000.00–$9,473.10 | 111% above | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS RF 1ST VEIN | $5,743.50 | $5,743.50 | $169.85–$5,442.56 | — | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 ROBOTIC PRECISE BIPOLAR FORCEP | $11,340.00 | $11,340.00 | $2,835.00–$8,845.20 | — | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 XR-ELITE VENA CAVA FILTER | $12,145.00 | $12,145.00 | $1,000.00–$9,473.10 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HWC-DEBRIDE,SQ 20CM OR LESS | $590.76 | $590.76 | $350.36–$762.70 | 5% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 RO-DEB SUBQ TISSUE 1ST 20 SQ C | $634.50 | $634.50 | $172.00–$762.70 | 13% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 OR-PLT CRNL IPS B | $11,659.00 | $11,659.00 | $762.70–$9,094.02 | 1979% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HWC-DEBRIDE,SQ 20CM OR LESS | $590.76 | $590.76 | $350.36–$762.70 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 RO-DEB SUBQ TISSUE 1ST 20 SQ C | $634.50 | $634.50 | $172.00–$762.70 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 OR-PLT CRNL IPS B | $11,659.00 | $11,659.00 | $762.70–$9,094.02 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 LAB-EBV,IGG EARLY AG | $277.00 | $277.00 | $9.84–$933.88 | 28% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 LAB-NTX-TELOPEPTIDE,U | $414.00 | $414.00 | $14.01–$933.88 | 8% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $678.50 | $678.50 | $169.63–$933.88 | 77% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 LAB-EBV,IGG EARLY AG | $277.00 | $277.00 | $9.84–$933.88 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 LAB-NTX-TELOPEPTIDE,U | $414.00 | $414.00 | $14.01–$933.88 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD/BLD COMPNT | $678.50 | $678.50 | $169.63–$933.88 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-MDI INITIAL EVAL/ DEMO | $50.00 | $50.00 | $22.50–$192.50 | 54% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 LAB-PROTEIN,TOTAL,OTHER SOURCE | $174.00 | $174.00 | $3.00–$174.00 | 59% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $300.50 | $300.50 | $105.60–$300.50 | 174% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-INHALED MED-ACUTE/SPUTUM/DI | $321.00 | $321.00 | $130.20–$321.00 | 193% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ST-SPEECH THERAPY (UTC 60) | $358.00 | $358.00 | $15.00–$279.24 | 227% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 STENT, NON-COA/NON-COV W/DEL | $3,500.00 | $3,500.00 | $105.60–$2,730.00 | 3095% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 OR-MODL ANTM IPS CRANI CLS NS | $22,913.50 | $22,913.50 | $105.60–$17,872.53 | 20820% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EPS-ST JUDE ACCENT MRI SR RF | $31,131.50 | $31,131.50 | $105.60–$24,282.57 | 28323% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-MDI INITIAL EVAL/ DEMO | $50.00 | $50.00 | $22.50–$192.50 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 LAB-PROTEIN,TOTAL,OTHER SOURCE | $174.00 | $174.00 | $3.00–$174.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $300.50 | $300.50 | $105.60–$300.50 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-INHALED MED-ACUTE/SPUTUM/DI | $321.00 | $321.00 | $130.20–$321.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ST-SPEECH THERAPY (UTC 60) | $358.00 | $358.00 | $15.00–$279.24 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 STENT, NON-COA/NON-COV W/DEL | $3,500.00 | $3,500.00 | $105.60–$2,730.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 OR-MODL ANTM IPS CRANI CLS NS | $22,913.50 | $22,913.50 | $105.60–$17,872.53 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EPS-ST JUDE ACCENT MRI SR RF | $31,131.50 | $31,131.50 | $105.60–$24,282.57 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 OPSVC-CHEMO INFUS, 1ST HR, INI | $310.00 | $310.00 | $139.50–$614.67 | 31% below | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 OPSVC-CHEMO INFUS, 1ST HR, INI | $310.00 | $310.00 | $139.50–$614.67 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 PPTA-COMPREHENSIVE AUDIOMETRY | $505.50 | $505.50 | $80.85–$394.29 | 230% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 ECHO EXAM OF ABDOMEN | $822.00 | $822.00 | $90.10–$641.16 | 437% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 PPTA-COMPREHENSIVE AUDIOMETRY | $505.50 | $505.50 | $80.85–$394.29 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 ECHO EXAM OF ABDOMEN | $822.00 | $822.00 | $90.10–$641.16 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 BLLN,CONQUEST PTA | $1,325.00 | $1,325.00 | $246.96–$1,033.50 | 21% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 M-ER-CRITICAL CARE | $1,497.50 | $1,497.50 | $116.14–$1,423.83 | 37% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 PATCH,EVARREST FIBRIN | $1,964.00 | $1,964.00 | $246.96–$1,531.92 | 80% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 BLLN,CONQUEST PTA | $1,325.00 | $1,325.00 | $246.96–$1,033.50 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 M-ER-CRITICAL CARE | $1,497.50 | $1,497.50 | $116.14–$1,423.83 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 PATCH,EVARREST FIBRIN | $1,964.00 | $1,964.00 | $246.96–$1,531.92 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG-EEG AWAKE AND DROWSY | $648.00 | $648.00 | $186.09–$648.01 | 2% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 GLIADEL WAFERS (8 WAFERS) | $216,597.37 | $216,597.37 | $404.58–$168,945.95 | 33828% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG-EEG AWAKE AND DROWSY | $648.00 | $648.00 | $186.09–$648.01 | — | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 GLIADEL WAFERS (8 WAFERS) | $216,597.37 | $216,597.37 | $404.58–$168,945.95 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $202.50 | $202.50 | $50.84–$202.50 | 60% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 OPSVC-ECG TRACING ONLY W/O INT | $477.00 | $477.00 | $50.84–$372.06 | 276% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING | $202.50 | $202.50 | $50.84–$202.50 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 OPSVC-ECG TRACING ONLY W/O INT | $477.00 | $477.00 | $50.84–$372.06 | — | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 OR-ECT | $977.00 | $977.00 | $244.25–$990.13 | at median | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 OR-ECT | $977.00 | $977.00 | $244.25–$990.13 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ASCLERA 0.1% INJECTION,2ML AMP | $134.23 | $134.23 | $33.56–$246.96 | at median | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED-MINOR | $362.00 | $362.00 | $11.90–$282.36 | 170% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 MMC-RTRVL BSKT SEGURA STONE 3F | $2,107.00 | $2,107.00 | $246.96–$1,643.46 | 1470% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LAB-NRAS MUTATION ANALY | $2,829.60 | $2,829.60 | $20.76–$2,207.09 | 2008% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ASCLERA 0.1% INJECTION,2ML AMP | $134.23 | $134.23 | $33.56–$246.96 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED-MINOR | $362.00 | $362.00 | $11.90–$282.36 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 MMC-RTRVL BSKT SEGURA STONE 3F | $2,107.00 | $2,107.00 | $246.96–$1,643.46 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LAB-NRAS MUTATION ANALY | $2,829.60 | $2,829.60 | $20.76–$2,207.09 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LAB-RETICULOCYTE, AUTOMATED | $118.00 | $118.00 | $2.99–$246.96 | 38% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $375.00 | $375.00 | $93.75–$292.50 | 97% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LAB-NG MPN RFLX PNL,JAK2 V617F | $1,902.12 | $1,902.12 | $40.84–$1,483.65 | 899% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LAB-RETICULOCYTE, AUTOMATED | $118.00 | $118.00 | $2.99–$246.96 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT SF MDM | $375.00 | $375.00 | $93.75–$292.50 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LAB-NG MPN RFLX PNL,JAK2 V617F | $1,902.12 | $1,902.12 | $40.84–$1,483.65 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LAB-SICKLE CELL SCREEN | $143.00 | $143.00 | $4.13–$246.96 | 53% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED-MODERATE | $616.00 | $616.00 | $154.00–$480.48 | 102% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $660.00 | $660.00 | $235.27–$660.00 | 116% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 SCREW, SCHANZ DIA PNT 4.0X100 | $738.60 | $738.60 | $184.65–$576.11 | 142% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LAB-NG MPN RFLX PNL MPL EXN 10 | $1,902.12 | $1,902.12 | $61.51–$1,483.65 | 522% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MMC-CATH CNTR VENOUS 9.5F DUAL | $2,004.00 | $2,004.00 | $246.96–$1,563.12 | 556% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LAB-SICKLE CELL SCREEN | $143.00 | $143.00 | $4.13–$246.96 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED-MODERATE | $616.00 | $616.00 | $154.00–$480.48 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $660.00 | $660.00 | $235.27–$660.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 SCREW, SCHANZ DIA PNT 4.0X100 | $738.60 | $738.60 | $184.65–$576.11 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LAB-NG MPN RFLX PNL MPL EXN 10 | $1,902.12 | $1,902.12 | $61.51–$1,483.65 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MMC-CATH CNTR VENOUS 9.5F DUAL | $2,004.00 | $2,004.00 | $246.96–$1,563.12 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ANCHOR/SCREW BN/BN,TIS/BN | $343.00 | $343.00 | $85.75–$267.54 | 32% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED-EXTENSIVE | $700.00 | $700.00 | $246.96–$700.00 | 40% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $1,029.00 | $1,029.00 | $161.70–$802.62 | 105% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ANCHOR/SCREW BN/BN,TIS/BN | $343.00 | $343.00 | $85.75–$267.54 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED-EXTENSIVE | $700.00 | $700.00 | $246.96–$700.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $1,029.00 | $1,029.00 | $161.70–$802.62 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED-COMPREHENSIVE | $814.00 | $814.00 | $161.70–$814.00 | 25% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $1,479.00 | $1,479.00 | $161.70–$1,153.62 | 128% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 MATRIX WOUND 10CMX12.5CM CLGN | $33,529.00 | $33,529.00 | $107.25–$26,152.62 | 5058% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED-COMPREHENSIVE | $814.00 | $814.00 | $161.70–$814.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT HI MDM | $1,479.00 | $1,479.00 | $161.70–$1,153.62 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 MATRIX WOUND 10CMX12.5CM CLGN | $33,529.00 | $33,529.00 | $107.25–$26,152.62 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PLTE TIMESH ST 2HX2HX5MM | $735.00 | $735.00 | $330.75–$573.30 | 20% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST TRACING ONLY | $986.00 | $986.00 | $186.09–$816.90 | 62% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NC-REGULAR STRESS TEST | $1,648.00 | $1,648.00 | $16.19–$1,285.44 | 170% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PLTE TIMESH ST 2HX2HX5MM | $735.00 | $735.00 | $330.75–$573.30 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV STRESS TEST TRACING ONLY | $986.00 | $986.00 | $186.09–$816.90 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NC-REGULAR STRESS TEST | $1,648.00 | $1,648.00 | $16.19–$1,285.44 | — | — |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $128.50 | $128.50 | $32.13–$434.27 | at median | — |
| Group psychotherapy session CPT 90853 PSY-SKILLS GROUP THERAPY | $128.50 | $128.50 | $32.13–$434.27 | at median | — |
| Group psychotherapy session CPT 90853 LAB-HBIMM-HBC IGM, AB, SERUM | $133.62 | $133.62 | $8.83–$434.27 | 4% above | — |
| Group psychotherapy session CPT 90853 CATH, EP, OTHR THAN COOL-TIP | $48,552.00 | $48,552.00 | $434.27–$37,870.56 | 37684% above | — |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $128.50 | $128.50 | $32.13–$434.27 | — | — |
| Group psychotherapy session inpatient CPT 90853 PSY-SKILLS GROUP THERAPY | $128.50 | $128.50 | $32.13–$434.27 | — | — |
| Group psychotherapy session inpatient CPT 90853 LAB-HBIMM-HBC IGM, AB, SERUM | $133.62 | $133.62 | $8.83–$434.27 | — | — |
| Group psychotherapy session inpatient CPT 90853 CATH, EP, OTHR THAN COOL-TIP | $48,552.00 | $48,552.00 | $434.27–$37,870.56 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 LD-HYDRAT INFUSION,1ST HR INIT | $348.00 | $348.00 | $87.00–$614.67 | 11% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED-HYDRAT INFUS 1ST HR, INIT | $354.00 | $354.00 | $159.30–$614.67 | 13% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $375.00 | $375.00 | $168.75–$614.67 | 20% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 EPS-CATH,FIXED C315 SLCT SCRE | $1,824.00 | $1,824.00 | $273.74–$1,422.72 | 484% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 KIT,PWRPICC SV 3FR SINGLE | $2,349.50 | $2,349.50 | $273.74–$1,832.61 | 653% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 LD-HYDRAT INFUSION,1ST HR INIT | $348.00 | $348.00 | $87.00–$614.67 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED-HYDRAT INFUS 1ST HR, INIT | $354.00 | $354.00 | $159.30–$614.67 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT | $375.00 | $375.00 | $168.75–$614.67 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 EPS-CATH,FIXED C315 SLCT SCRE | $1,824.00 | $1,824.00 | $273.74–$1,422.72 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 KIT,PWRPICC SV 3FR SINGLE | $2,349.50 | $2,349.50 | $273.74–$1,832.61 | — | — |
| IV infusion of a medicine, first hour CPT 96365 PED-THERAP INFUS 1ST HR, INI | $400.00 | $400.00 | $180.00–$614.67 | 24% above | — |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $400.00 | $400.00 | $180.00–$614.67 | 24% above | — |
| IV infusion of a medicine, first hour CPT 96365 NURS-THERA INFUSION, 1STHR, IN | $415.00 | $415.00 | $14.38–$415.00 | 29% above | — |
| IV infusion of a medicine, first hour CPT 96365 ED-THERAP INFUS,1ST HR,INIT | $415.00 | $415.00 | $103.75–$366.64 | 29% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV THER, INIT UP TO 1 HR | $580.00 | $580.00 | $183.32–$614.67 | 80% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT | $400.00 | $400.00 | $180.00–$614.67 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 PED-THERAP INFUS 1ST HR, INI | $400.00 | $400.00 | $180.00–$614.67 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 ED-THERAP INFUS,1ST HR,INIT | $415.00 | $415.00 | $103.75–$366.64 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 NURS-THERA INFUSION, 1STHR, IN | $415.00 | $415.00 | $14.38–$415.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV THER, INIT UP TO 1 HR | $580.00 | $580.00 | $183.32–$614.67 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $147.50 | $147.50 | $62.05–$147.50 | 75% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC OR DX INJ SQ OR IM | $196.00 | $196.00 | $62.05–$196.00 | 133% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 WALKER FIXED HINGE ALL SIZES | $523.00 | $523.00 | $28.10–$407.94 | 522% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CLAMP, MULTI PIN 4POS MR SAFE | $2,439.00 | $2,439.00 | $89.59–$1,902.42 | 2801% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ANCHOR/SCREW BN/BN,TIS/BN | $67,033.50 | $67,033.50 | $89.59–$52,286.13 | 79645% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM | $147.50 | $147.50 | $62.05–$147.50 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC OR DX INJ SQ OR IM | $196.00 | $196.00 | $62.05–$196.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 WALKER FIXED HINGE ALL SIZES | $523.00 | $523.00 | $28.10–$407.94 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CLAMP, MULTI PIN 4POS MR SAFE | $2,439.00 | $2,439.00 | $89.59–$1,902.42 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ANCHOR/SCREW BN/BN,TIS/BN | $67,033.50 | $67,033.50 | $89.59–$52,286.13 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $126.00 | $126.00 | $30.63–$126.00 | 30% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PTM-NEUROMUSCULAR ED,EA 15 MIN | $151.50 | $151.50 | $30.63–$150.00 | 56% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PTM-NEUROMUSCULAR ED,EA 15MIN | $307.00 | $307.00 | $30.63–$239.46 | 216% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION | $126.00 | $126.00 | $30.63–$126.00 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTM-NEUROMUSCULAR ED,EA 15 MIN | $151.50 | $151.50 | $30.63–$150.00 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTM-NEUROMUSCULAR ED,EA 15MIN | $307.00 | $307.00 | $30.63–$239.46 | — | — |
| New patient office visit, about 30 minutes CPT 99203 MRC O/P NEW LEVEL 3 | $223.00 | $223.00 | $100.35–$246.96 | at median | — |
| New patient office visit, about 30 minutes CPT 99203 HWC-CLINIC VISIT LEVEL 3, NEW | $304.23 | $304.23 | $136.90–$228.17 | 36% above | — |
| New patient office visit, about 30 minutes CPT 99203 OR-PLT 28MM MDFC PEEK IPS | $36,558.00 | $36,558.00 | $246.96–$28,515.24 | 16294% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 MRC O/P NEW LEVEL 3 | $223.00 | $223.00 | $100.35–$246.96 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HWC-CLINIC VISIT LEVEL 3, NEW | $304.23 | $304.23 | $136.90–$228.17 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OR-PLT 28MM MDFC PEEK IPS | $36,558.00 | $36,558.00 | $246.96–$28,515.24 | — | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $297.00 | $297.00 | $133.65–$222.75 | at median | — |
| New patient office visit, about 45 minutes CPT 99204 HWC-CLINIC VISIT LEVEL 4, NEW | $354.94 | $354.94 | $159.72–$266.21 | 20% above | — |
| New patient office visit, about 45 minutes CPT 99204 MRC O/P NEW LEVEL 4 | $363.00 | $363.00 | $163.35–$272.25 | 22% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45 MIN | $297.00 | $297.00 | $133.65–$222.75 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HWC-CLINIC VISIT LEVEL 4, NEW | $354.94 | $354.94 | $159.72–$266.21 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 MRC O/P NEW LEVEL 4 | $363.00 | $363.00 | $163.35–$272.25 | — | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $376.00 | $376.00 | $169.20–$282.00 | at median | — |
| New patient office visit, about 60 minutes CPT 99205 HWC-CLINIC VISIT LEVEL 5, NEW | $405.64 | $405.64 | $172.00–$304.23 | 8% above | — |
| New patient office visit, about 60 minutes CPT 99205 MRC O/P NEW LEVEL 5 | $493.00 | $493.00 | $172.00–$369.75 | 31% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60 MIN | $376.00 | $376.00 | $169.20–$282.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HWC-CLINIC VISIT LEVEL 5, NEW | $405.64 | $405.64 | $172.00–$304.23 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 MRC O/P NEW LEVEL 5 | $493.00 | $493.00 | $172.00–$369.75 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $128.00 | $128.00 | $57.60–$246.96 | 22% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HWC-CLINIC VISIT LEVEL 2, NEW | $253.53 | $253.53 | $114.09–$246.96 | 54% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PIN,SYNTHES CENTERING 4.0 | $384.00 | $384.00 | $96.00–$299.52 | 134% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OR-EXCLUDER AAA ENDOPRO C3 | $45,384.00 | $45,384.00 | $246.96–$35,399.52 | 27521% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE O/P NEW SF 15 MIN | $128.00 | $128.00 | $57.60–$246.96 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HWC-CLINIC VISIT LEVEL 2, NEW | $253.53 | $253.53 | $114.09–$246.96 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PIN,SYNTHES CENTERING 4.0 | $384.00 | $384.00 | $96.00–$299.52 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OR-EXCLUDER AAA ENDOPRO C3 | $45,384.00 | $45,384.00 | $246.96–$35,399.52 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $63.00 | $63.00 | $15.75–$63.00 | 22% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION INDIV IN | $63.00 | $63.00 | $15.75–$63.00 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $278.00 | $278.00 | $80.85–$374.62 | at median | — |
| Occupational therapy evaluation, low complexity CPT 97165 PPT-EVAL PLAN LOW COMPLEX(OT) | $347.63 | $347.63 | $80.85–$374.62 | 25% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 CL-P-REVAS BYP(DES+DCA)1VSL | $17,512.50 | $17,512.50 | $374.62–$17,512.50 | 6199% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $278.00 | $278.00 | $80.85–$374.62 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 PPT-EVAL PLAN LOW COMPLEX(OT) | $347.63 | $347.63 | $80.85–$374.62 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 CL-P-REVAS BYP(DES+DCA)1VSL | $17,512.50 | $17,512.50 | $374.62–$17,512.50 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PTMKX-EVAL PLAN,HIGH COMPLEX | $145.00 | $145.00 | $65.25–$485.55 | 45% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PPT-EVAL PLAN,HIGH COMPLEXITY | $579.38 | $579.38 | $80.85–$485.55 | 120% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PTMKX-EVAL PLAN,HIGH COMPLEX | $145.00 | $145.00 | $65.25–$485.55 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PPT-EVAL PLAN,HIGH COMPLEXITY | $579.38 | $579.38 | $80.85–$485.55 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $145.00 | $145.00 | $65.25–$1,289.34 | 24% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 LAB-STD, G.VAGINAL BY PCR DIAT | $350.00 | $350.00 | $26.32–$485.55 | 83% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $145.00 | $145.00 | $65.25–$1,289.34 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 LAB-STD, G.VAGINAL BY PCR DIAT | $350.00 | $350.00 | $26.32–$485.55 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 LAB-HPVP,HPV BY PCR TO DIATHER | $35.09 | $35.09 | $8.77–$485.55 | 84% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PPT-EVAL PLAN,MODERATE COMPLEX | $463.50 | $463.50 | $80.85–$361.53 | 105% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 LAB-HPVP,HPV BY PCR TO DIATHER | $35.09 | $35.09 | $8.77–$485.55 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PPT-EVAL PLAN,MODERATE COMPLEX | $463.50 | $463.50 | $80.85–$361.53 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 SHEATH GD SAVI SCOUT BREAST | $84.00 | $84.00 | $21.00–$78.32 | 27% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PPT-MANUAL THERAPY/MOB/MLD/TRA | $121.50 | $121.50 | $25.95–$121.50 | 6% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTM-MAN THER/MOB/MLD/TR, EA 15 | $146.00 | $146.00 | $25.95–$146.00 | 28% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 SHEATH GD SAVI SCOUT BREAST | $84.00 | $84.00 | $21.00–$78.32 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PPT-MANUAL THERAPY/MOB/MLD/TRA | $121.50 | $121.50 | $25.95–$121.50 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTM-MAN THER/MOB/MLD/TR, EA 15 | $146.00 | $146.00 | $25.95–$146.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PPT-THERA EX W/BIOFEEDBACK(15M | $114.50 | $114.50 | $27.20–$487.97 | at median | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $114.50 | $114.50 | $27.20–$487.97 | at median | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTM-THERAPEUTIC EXER,EA 15 MIN | $137.50 | $137.50 | $27.20–$905.27 | 20% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES | $114.50 | $114.50 | $27.20–$487.97 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PPT-THERA EX W/BIOFEEDBACK(15M | $114.50 | $114.50 | $27.20–$487.97 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTM-THERAPEUTIC EXER,EA 15 MIN | $137.50 | $137.50 | $27.20–$905.27 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 BRINTELLIX 5MG TAB | $49.93 | $49.93 | $12.48–$245.87 | 68% below | — |
| Psychotherapy session, 30 minutes CPT 90832 PSY-INDIVIDUAL THERAPY 30 MINS | $218.00 | $218.00 | $54.50–$245.87 | 38% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 BRINTELLIX 5MG TAB | $49.93 | $49.93 | $12.48–$245.87 | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSY-INDIVIDUAL THERAPY 30 MINS | $218.00 | $218.00 | $54.50–$245.87 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 PSY-INDIVIDUAL THERAPY 45 MINS | $327.00 | $327.00 | $81.75–$305.95 | 107% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSY-INDIVIDUAL THERAPY 45 MINS | $327.00 | $327.00 | $81.75–$305.95 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 PSY-INDIVIDUAL THERAPY 60 MINS | $436.00 | $436.00 | $109.00–$340.08 | 91% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSY-INDIVIDUAL THERAPY 60 MINS | $436.00 | $436.00 | $109.00–$340.08 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 CCD-SMOK/TOBACCO COUNSEL 3-10M | $177.00 | $177.00 | $32.29–$177.00 | 408% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 PLTE LCP RECON 3.5 4HX56 | $3,500.00 | $3,500.00 | $48.86–$2,730.00 | 9940% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 CCD-SMOK/TOBACCO COUNSEL 3-10M | $177.00 | $177.00 | $32.29–$177.00 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 PLTE LCP RECON 3.5 4HX56 | $3,500.00 | $3,500.00 | $48.86–$2,730.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 WAND,VISUALIZATION | $189.00 | $189.00 | $47.25–$246.96 | 24% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $376.00 | $376.00 | $169.20–$282.00 | 51% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 MRC O/P ESTABLISHED LEVEL 5 | $392.00 | $392.00 | $172.00–$294.00 | 58% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HWC-CLINIC VISIT LEVEL 5, EST | $405.64 | $405.64 | $172.00–$304.23 | 63% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WAND,VISUALIZATION | $189.00 | $189.00 | $47.25–$246.96 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE O/P EST HI 40 MIN | $376.00 | $376.00 | $169.20–$282.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 MRC O/P ESTABLISHED LEVEL 5 | $392.00 | $392.00 | $172.00–$294.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HWC-CLINIC VISIT LEVEL 5, EST | $405.64 | $405.64 | $172.00–$304.23 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 MRC O/P ESTABLISHED LEVEL 3 | $180.00 | $180.00 | $81.00–$246.96 | at median | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $250.00 | $250.00 | $112.50–$187.50 | 39% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ALLODERM 16X20 MEDIUM | $41,716.00 | $41,716.00 | $107.25–$32,538.48 | 23076% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OR-IMPL IPS PEEK CRANI OL 33 | $48,638.50 | $48,638.50 | $246.96–$37,938.03 | 26921% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 MRC O/P ESTABLISHED LEVEL 3 | $180.00 | $180.00 | $81.00–$246.96 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE O/P EST LOW 20 MIN | $250.00 | $250.00 | $112.50–$187.50 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ALLODERM 16X20 MEDIUM | $41,716.00 | $41,716.00 | $107.25–$32,538.48 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OR-IMPL IPS PEEK CRANI OL 33 | $48,638.50 | $48,638.50 | $246.96–$37,938.03 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MRC O/P ESTABLISHED LEVEL 4 | $265.00 | $265.00 | $119.25–$246.96 | at median | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HWC-CLINIC VISIT LEVEL 4, EST | $354.94 | $354.94 | $159.72–$266.21 | 34% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MESH PARIETEX PROGRIP RND 9CM | $1,387.00 | $1,387.00 | $246.96–$1,081.86 | 423% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PROLAYER 2X5 | $4,687.00 | $4,687.00 | $246.96–$3,655.86 | 1669% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 MRC O/P ESTABLISHED LEVEL 4 | $265.00 | $265.00 | $119.25–$246.96 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HWC-CLINIC VISIT LEVEL 4, EST | $354.94 | $354.94 | $159.72–$266.21 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 MESH PARIETEX PROGRIP RND 9CM | $1,387.00 | $1,387.00 | $246.96–$1,081.86 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PROLAYER 2X5 | $4,687.00 | $4,687.00 | $246.96–$3,655.86 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TIMOPTIC OCUMETER 0.25% 5ML | $25.85 | $25.85 | $6.46–$246.96 | 69% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 MRC O/P ESTABLISHED LEVEL 2 | $97.00 | $97.00 | $24.25–$246.96 | 17% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $192.50 | $192.50 | $86.63–$246.96 | 133% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PC-CLINIC VISIT LEVEL 2, ESTAB | $231.00 | $231.00 | $57.75–$246.96 | 180% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HWC-CLINIC VISIT LEVEL 2, EST | $253.53 | $253.53 | $114.09–$246.96 | 207% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OR-SCR LCK CORT 3.5X12-70MM HX | $729.00 | $729.00 | $182.25–$568.62 | 782% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ANCHOR/SCREW BN/BN,TIS/BN | $33,236.00 | $33,236.00 | $246.96–$25,924.08 | 40118% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TIMOPTIC OCUMETER 0.25% 5ML | $25.85 | $25.85 | $6.46–$246.96 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 MRC O/P ESTABLISHED LEVEL 2 | $97.00 | $97.00 | $24.25–$246.96 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE O/P EST SF 10 MIN | $192.50 | $192.50 | $86.63–$246.96 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PC-CLINIC VISIT LEVEL 2, ESTAB | $231.00 | $231.00 | $57.75–$246.96 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HWC-CLINIC VISIT LEVEL 2, EST | $253.53 | $253.53 | $114.09–$246.96 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OR-SCR LCK CORT 3.5X12-70MM HX | $729.00 | $729.00 | $182.25–$568.62 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ANCHOR/SCREW BN/BN,TIS/BN | $33,236.00 | $33,236.00 | $246.96–$25,924.08 | — | — |
| Speech and language evaluation CPT 92523 SCREW OLEC NAIL 2.7X 12-50 SYN | $1,021.90 | $1,021.90 | $80.85–$797.08 | 131% above | — |
| Speech and language evaluation CPT 92523 TENIPOSIDE PER 50MG | $2,706.22 | $2,706.22 | $80.85–$2,110.85 | 511% above | — |
| Speech and language evaluation inpatient CPT 92523 SCREW OLEC NAIL 2.7X 12-50 SYN | $1,021.90 | $1,021.90 | $80.85–$797.08 | — | — |
| Speech and language evaluation inpatient CPT 92523 TENIPOSIDE PER 50MG | $2,706.22 | $2,706.22 | $80.85–$2,110.85 | — | — |
| Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV | $108.50 | $108.50 | $48.83–$468.70 | at median | — |
| Speech therapy session, individual CPT 92507 ST-SPEECH THERAPY (UTC/30) | $244.50 | $244.50 | $71.96–$468.70 | 125% above | — |
| Speech therapy session, individual CPT 92507 ST-SPEECH THER (UTC30) | $263.00 | $263.00 | $71.96–$468.70 | 142% above | — |
| Speech therapy session, individual inpatient CPT 92507 TX SP LANG VOICE COMM INDIV | $108.50 | $108.50 | $48.83–$468.70 | — | — |
| Speech therapy session, individual inpatient CPT 92507 ST-SPEECH THERAPY (UTC/30) | $244.50 | $244.50 | $71.96–$468.70 | — | — |
| Speech therapy session, individual inpatient CPT 92507 ST-SPEECH THER (UTC30) | $263.00 | $263.00 | $71.96–$468.70 | — | — |
| Spirometry (breathing test) CPT 94010 DISABILITY SPIRO/BREATHING CAP | $493.50 | $493.50 | $105.60–$408.45 | 147% above | — |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $493.50 | $493.50 | $105.60–$493.50 | 147% above | — |
| Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST | $493.50 | $493.50 | $105.60–$493.50 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 DISABILITY SPIRO/BREATHING CAP | $493.50 | $493.50 | $105.60–$408.45 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 RT-BASIC SPIRO W/DILATORS | $474.00 | $474.00 | $207.56–$474.00 | 23% above | — |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $852.50 | $852.50 | $207.56–$664.95 | 122% above | — |
| Spirometry before and after a bronchodilator CPT 94060 BASIC SPIROMETRY W/DILATOR | $852.50 | $852.50 | $116.14–$664.95 | 122% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 RT-BASIC SPIRO W/DILATORS | $474.00 | $474.00 | $207.56–$474.00 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 EVALUATION OF WHEEZING | $852.50 | $852.50 | $207.56–$664.95 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BASIC SPIROMETRY W/DILATOR | $852.50 | $852.50 | $116.14–$664.95 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 VISTA CERVICAL COLLAR | $11.00 | $11.00 | $2.75–$145.63 | 86% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OPKX-THERAP ACTIVITIES, 15 MIN | $143.50 | $143.50 | $32.42–$143.50 | 76% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $143.50 | $143.50 | $32.42–$143.50 | 76% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTM-THERAP ACTIVITIES, 15 MIN | $295.00 | $295.00 | $32.42–$230.10 | 262% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ANCHOR/SCREW BN/BN,TIS/BN | $3,008.00 | $3,008.00 | $78.32–$2,346.24 | 3594% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 VISTA CERVICAL COLLAR | $11.00 | $11.00 | $2.75–$145.63 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES | $143.50 | $143.50 | $32.42–$143.50 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OPKX-THERAP ACTIVITIES, 15 MIN | $143.50 | $143.50 | $32.42–$143.50 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTM-THERAP ACTIVITIES, 15 MIN | $295.00 | $295.00 | $32.42–$230.10 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ANCHOR/SCREW BN/BN,TIS/BN | $3,008.00 | $3,008.00 | $78.32–$2,346.24 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $332.50 | $332.50 | $83.13–$271.95 | 174% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 LAB-NG BCELL IGK GNE ABN CLN | $2,125.00 | $2,125.00 | $91.73–$1,657.50 | 1654% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY | $332.50 | $332.50 | $83.13–$271.95 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 LAB-NG BCELL IGK GNE ABN CLN | $2,125.00 | $2,125.00 | $91.73–$1,657.50 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACCINE 2024-2025 | $842.70 | $842.70 | $112.14–$657.31 | at median | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACCINE 2024-2025 | $842.70 | $842.70 | $112.14–$657.31 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX VACCINE | $687.38 | $687.38 | $171.85–$687.38 | 102% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX VACCINE | $687.38 | $687.38 | $171.85–$687.38 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 VACCINE, 0.5 ML | $1,610.26 | $1,610.26 | $370.36–$1,256.00 | at median | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 VACCINE, 0.5 ML | $1,610.26 | $1,610.26 | $370.36–$1,256.00 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HAVRIX 1ML SYR | $377.12 | $377.12 | $54.92–$294.15 | 146% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITS A (VAQTA) 50U/0.5ML | $395.40 | $395.40 | $54.92–$308.41 | 158% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX 1ML SYR | $377.12 | $377.12 | $54.92–$294.15 | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITS A (VAQTA) 50U/0.5ML | $395.40 | $395.40 | $54.92–$308.41 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20MCG/1ML SYR(ADULT) | $220.37 | $220.37 | $33.06–$171.89 | 69% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 20MCG/1ML SYR(ADULT) | $220.37 | $220.37 | $33.06–$171.89 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACINE | $329.51 | $329.51 | $82.38–$257.02 | 123% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACINE | $329.51 | $329.51 | $82.38–$257.02 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA 4MCG/0.5ML VACCINE VI | $651.83 | $651.83 | $149.92–$508.43 | 93% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO 0.5ML VACCINE KIT | $701.76 | $701.76 | $192.36–$547.37 | 108% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA 4MCG/0.5ML VACCINE VI | $651.83 | $651.83 | $149.92–$508.43 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO 0.5ML VACCINE KIT | $701.76 | $701.76 | $192.36–$547.37 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO 0.5 ML SYRINGE | $1,133.73 | $1,133.73 | $260.76–$884.31 | 6% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 BEXSERO 0.5 ML SYRINGE | $1,133.73 | $1,133.73 | $260.76–$884.31 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 VACCINE | $1,305.85 | $1,305.85 | $195.88–$1,018.56 | 60% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 VACCINE | $1,305.85 | $1,305.85 | $195.88–$1,018.56 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX | $585.40 | $585.40 | $54.92–$456.61 | 265% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX | $585.40 | $585.40 | $54.92–$456.61 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 50 MCG/0.5 ML SYR | $3,619.54 | $3,619.54 | $832.49–$2,823.24 | at median | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 BEYFORTUS 50 MCG/0.5 ML SYR | $3,619.54 | $3,619.54 | $832.49–$2,823.24 | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HKWC-KERECIS MARIGEN 1.75 X 1. | $2,588.00 | $2,588.00 | $54.92–$2,018.64 | 43% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HKWC-KERECIS MARIGEN 1.75 X 1. | $2,588.00 | $2,588.00 | $54.92–$2,018.64 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACC RECOMB ADJ 0.5ML V | $962.18 | $962.18 | $221.30–$750.50 | 35% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VACC RECOMB ADJ 0.5ML V | $962.18 | $962.18 | $221.30–$750.50 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET.TOX./DIPTH 0.5ML | $17.18 | $17.18 | $7.73–$54.92 | 65% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET.TOX./DIPTH 0.5ML | $17.18 | $17.18 | $7.73–$54.92 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 MESH LEIB MICRO .1/.2 60X60 | $2,178.50 | $2,178.50 | $54.92–$1,699.23 | 1542% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 MESH LEIB MICRO .1/.2 60X60 | $2,178.50 | $2,178.50 | $54.92–$1,699.23 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 LAB-AATHRM-D-DIMER, B | $10.18 | $10.18 | $2.55–$77.95 | 84% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLUCONAZOLE 200MG INJ(400MG IV | $21.25 | $21.25 | $5.31–$77.95 | 67% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $98.00 | $98.00 | $24.50–$98.00 | 53% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 EVAL AUD FUNCJ 1ST HOUR | $505.00 | $505.00 | $77.95–$393.90 | 689% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ENDOPROS CONTRALAT AAA LEG PXC | $27,691.00 | $27,691.00 | $77.95–$21,598.98 | 43167% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 LAB-AATHRM-D-DIMER, B | $10.18 | $10.18 | $2.55–$77.95 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FLUCONAZOLE 200MG INJ(400MG IV | $21.25 | $21.25 | $5.31–$77.95 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN | $98.00 | $98.00 | $24.50–$98.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 EVAL AUD FUNCJ 1ST HOUR | $505.00 | $505.00 | $77.95–$393.90 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ENDOPROS CONTRALAT AAA LEG PXC | $27,691.00 | $27,691.00 | $77.95–$21,598.98 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJECT, VACCINE ADMIN EA ADD | $127.00 | $127.00 | $31.75–$127.00 | 137% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ER-INJECT,VACCINE ADMIN, EA AD | $252.00 | $252.00 | $52.50–$196.56 | 370% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 LAB-T3,REVERSE | $697.00 | $697.00 | $11.82–$543.66 | 1200% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 INJECT, VACCINE ADMIN EA ADD | $127.00 | $127.00 | $31.75–$127.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ER-INJECT,VACCINE ADMIN, EA AD | $252.00 | $252.00 | $52.50–$196.56 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 LAB-T3,REVERSE | $697.00 | $697.00 | $11.82–$543.66 | — | — |
Source file: https://hh.health/wp-content/uploads/472323163_hellen-keller-hospital_standardcharges.csv