Red Bay Hospital
Red Bay Hospital in Red Bay, AL publishes cash prices for 340 common procedures listed here, from its own machine-readable price file updated Mar 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Alabama median for 232 of 340 procedures and below it for 86. By typical cash price it ranks #37 of 53 Alabama hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
211 HOSPITAL ROAD, RED BAY, AL 35582 Collected Sep 27, 2026 Source price file Check a bill from this hospital (256) 356-9532
Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 011302 · CMS hospital register NPI 1073601043
The price file shows no self-pay discount
For 1746 of the 1746 prices listed here, the cash price in Red Bay 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. Other US hospitals whose cash price is their full list price.
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Red Bay Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT-3 PHASE LIVER W/WO CONTRAST | $2,434.50 | $2,434.50 | $608.63–$1,898.91 | 77% above | — |
| Abdominal CT scan without and with contrast CPT 74170 CT-ABDOMEN W & WO CONTRAST | $3,681.00 | $3,681.00 | $913.88–$2,871.18 | 168% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT-3 PHASE LIVER W/WO CONTRAST | $2,434.50 | $2,434.50 | $608.63–$1,898.91 | — | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT-ABDOMEN W & WO CONTRAST | $3,681.00 | $3,681.00 | $913.88–$2,871.18 | — | — |
| Abdominal X-ray, 2 views CPT 74019 XR-ABDOMEN AP/LATERAL | $434.00 | $434.00 | $108.50–$338.52 | 116% above | — |
| Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS | $459.00 | $459.00 | $10.06–$358.02 | 129% above | — |
| Abdominal X-ray, 2 views CPT 74019 XR-ABD, AP & OBLIQUE | $487.00 | $487.00 | $121.75–$379.86 | 143% above | — |
| Abdominal X-ray, 2 views CPT 74019 OR-BURR HOLE COVER NEURO 17MM | $943.50 | $943.50 | $135.43–$735.93 | 370% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR-ABDOMEN AP/LATERAL | $434.00 | $434.00 | $108.50–$338.52 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 RADEX ABDOMEN 2 VIEWS | $459.00 | $459.00 | $10.06–$358.02 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR-ABD, AP & OBLIQUE | $487.00 | $487.00 | $121.75–$379.86 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 OR-BURR HOLE COVER NEURO 17MM | $943.50 | $943.50 | $135.43–$735.93 | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 POST CHMBR INTRAOCULAR LENS | $900.00 | $900.00 | $112.14–$702.00 | 329% above | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 PLTE LEIB ORB FL 1.2X.3 SM | $1,307.00 | $1,307.00 | $112.14–$1,019.46 | 523% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR-ANKLE,LEFT* | $572.00 | $572.00 | $112.14–$446.16 | 172% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR-ANKLE,RT | $572.00 | $572.00 | $13.39–$446.16 | 172% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 POST CHMBR INTRAOCULAR LENS | $900.00 | $900.00 | $112.14–$702.00 | 329% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 POST CHMBR INTRAOCULAR LENS | $900.00 | $900.00 | $112.14–$702.00 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 PLTE LEIB ORB FL 1.2X.3 SM | $1,307.00 | $1,307.00 | $112.14–$1,019.46 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR-ANKLE,LEFT* | $572.00 | $572.00 | $112.14–$446.16 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR-ANKLE,RT | $572.00 | $572.00 | $13.39–$446.16 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 POST CHMBR INTRAOCULAR LENS | $900.00 | $900.00 | $112.14–$702.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 PVL-SEGMENTAL DOP ART BILAT/LI | $458.00 | $458.00 | $114.50–$458.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LAB-PORPLM PORPHYRINS,TOT PLAS | $145.00 | $145.00 | $28.28–$319.89 | 37% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-ABI ONLY | $538.00 | $538.00 | $134.50–$434.70 | 135% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $538.00 | $538.00 | $134.50–$538.00 | 135% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 PVL-SEGMENTAL DOP ART BILAT/LI | $458.00 | $458.00 | $114.50–$458.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 LAB-PORPLM PORPHYRINS,TOT PLAS | $145.00 | $145.00 | $28.28–$319.89 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $538.00 | $538.00 | $134.50–$538.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-ABI ONLY | $538.00 | $538.00 | $134.50–$434.70 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 SCREW LEIB 1.7X3 CPIN SLFDRL | $440.00 | $440.00 | $110.00–$506.02 | 54% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER EXTREMITY LEFT W/O CO | $3,123.00 | $3,123.00 | $157.00–$2,435.94 | 228% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER EXTREMITY RIGHT W/O C | $3,123.00 | $3,123.00 | $337.35–$2,435.94 | 228% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 SCREW LEIB 1.7X3 CPIN SLFDRL | $440.00 | $440.00 | $110.00–$506.02 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT-UPPER EXTREMITY RIGHT W/O C | $3,123.00 | $3,123.00 | $337.35–$2,435.94 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT-UPPER EXTREMITY LEFT W/O CO | $3,123.00 | $3,123.00 | $157.00–$2,435.94 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 D-INSERT RETRIEVAL DEVICE R11 | $525.01 | $525.01 | $131.25–$409.51 | 90% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR-ESOPHAGRAM W/H2O SOL CONTR | $834.00 | $834.00 | $165.56–$650.52 | 202% above | — |
| Barium swallow (esophagus X-ray with contrast) one side CPT 74220 OR-PLATE 2.0MM THICKNESS RT ME | $7,130.00 | $7,130.00 | $165.56–$5,561.40 | 2479% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 D-INSERT RETRIEVAL DEVICE R11 | $525.01 | $525.01 | $131.25–$409.51 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR-ESOPHAGRAM W/H2O SOL CONTR | $834.00 | $834.00 | $165.56–$650.52 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient one side CPT 74220 OR-PLATE 2.0MM THICKNESS RT ME | $7,130.00 | $7,130.00 | $165.56–$5,561.40 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM-WHOLE BODY BONE SCAN LTD | $2,039.00 | $2,039.00 | $509.75–$1,590.42 | 94% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-WHOLE BODY BONE SCAN LTD | $2,039.00 | $2,039.00 | $509.75–$1,590.42 | — | — |
| Breast ultrasound, complete, one breast CPT 76641 US-BREAST(S) | $367.00 | $367.00 | $91.75–$319.89 | 42% above | — |
| Breast ultrasound, complete, one breast CPT 76641 LAB-FCBDSM-CANNABIDIOL, SERUM | $2,020.02 | $2,020.02 | $135.43–$1,575.62 | 683% above | — |
| Breast ultrasound, complete, one breast CPT 76641 ANCHOR/SCREW BN/BN,TIS/BN | $2,143.50 | $2,143.50 | $135.43–$1,671.93 | 731% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 BC-US-BREAST,COMPLETE,UNI,LT | $367.00 | $367.00 | $91.75–$319.89 | 42% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 ANCHOR/SCREW BN/BN,TIS/BN | $2,143.50 | $2,143.50 | $135.43–$1,671.93 | 731% above | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US-BREAST(S) | $367.00 | $367.00 | $91.75–$319.89 | — | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 LAB-FCBDSM-CANNABIDIOL, SERUM | $2,020.02 | $2,020.02 | $135.43–$1,575.62 | — | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 ANCHOR/SCREW BN/BN,TIS/BN | $2,143.50 | $2,143.50 | $135.43–$1,671.93 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 BC-US-BREAST,COMPLETE,UNI,LT | $367.00 | $367.00 | $91.75–$319.89 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ANCHOR/SCREW BN/BN,TIS/BN | $2,143.50 | $2,143.50 | $135.43–$1,671.93 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ANCHOR/SCREW BN/BN,TIS/BN | $163.00 | $163.00 | $40.75–$479.84 | 32% below | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST,LIMITED | $242.70 | $242.70 | $60.68–$319.89 | 1% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ANCHOR/SCREW BN/BN,TIS/BN | $163.00 | $163.00 | $40.75–$479.84 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-BREAST,LIMITED | $242.70 | $242.70 | $60.68–$319.89 | — | — |
| CT angiography (CTA) of the head CPT 70496 CT-ANGIO HEAD W/WO CONTRAST | $1,314.00 | $1,314.00 | $157.00–$985.50 | 15% below | — |
| CT angiography (CTA) of the head CPT 70496 ANCHOR/SCREW BN/BN,TIS/BN | $2,926.00 | $2,926.00 | $731.50–$2,282.28 | 89% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT-ANGIO HEAD W/WO CONTRAST | $1,314.00 | $1,314.00 | $157.00–$985.50 | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 ANCHOR/SCREW BN/BN,TIS/BN | $2,926.00 | $2,926.00 | $731.50–$2,282.28 | — | — |
| 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 | $157.00–$985.50 | 3% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CLAMP ADJUSTABLE 4.0MM 395.597 | $2,912.50 | $2,912.50 | $728.13–$2,271.75 | 115% above | — |
| 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 | $157.00–$985.50 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CLAMP ADJUSTABLE 4.0MM 395.597 | $2,912.50 | $2,912.50 | $728.13–$2,271.75 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 THC-CT-ANGIO HEART W/3D IMAGE | $1,938.50 | $1,938.50 | $396.90–$1,512.03 | 31% above | — |
| 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 THC-CT-ANGIO HEART W/3D IMAGE | $1,938.50 | $1,938.50 | $396.90–$1,512.03 | — | — |
| 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 CT HRT W/O DYE W/CA TEST | $235.00 | $235.00 | $58.75–$337.35 | 25% above | — |
| 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 | $58.75–$337.35 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD & PELVIS; WO CONTRAST | $3,123.00 | $3,123.00 | $157.00–$2,435.94 | 55% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD & PELVIS; WO CONTRAST | $3,123.00 | $3,123.00 | $157.00–$2,435.94 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD & PELVIS; W CONTRAST | $3,123.00 | $3,123.00 | $157.00–$2,342.25 | 39% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS; W CONTRAST | $4,855.00 | $4,855.00 | $16.25–$3,641.25 | 117% 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–$2,342.25 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS; W CONTRAST | $4,855.00 | $4,855.00 | $16.25–$3,641.25 | — | — |
| 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–$2,342.25 | 23% 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–$2,342.25 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT-URINARY TRACT STONE, ABD | $1,287.50 | $1,287.50 | $157.00–$1,004.25 | 16% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT-URINARY TRACT STONE, ABD | $1,287.50 | $1,287.50 | $157.00–$1,004.25 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $2,317.50 | $2,317.50 | $337.35–$1,807.65 | 99% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL W/O CONTRAST | $2,974.00 | $2,974.00 | $337.35–$2,319.72 | 156% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 KIT, VENT. BOLT PRES. MONITOR. | $4,696.50 | $4,696.50 | $337.35–$3,663.27 | 304% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O DYE | $2,317.50 | $2,317.50 | $337.35–$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 | $337.35–$2,319.72 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 KIT, VENT. BOLT PRES. MONITOR. | $4,696.50 | $4,696.50 | $337.35–$3,663.27 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD W/O CONTRAST | $653.82 | $653.82 | $163.46–$913.88 | 40% below | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD W/O CONTRAST | $653.82 | $653.82 | $163.46–$913.88 | — | — |
| CT scan of the head with contrast CPT 70460 CT-HEAD W/CONTRAST | $3,937.00 | $3,937.00 | $157.00–$3,070.86 | 255% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W/CONTRAST | $3,937.00 | $3,937.00 | $157.00–$3,070.86 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT-HEAD W & WO CONTRAST (XENON | $2,723.00 | $2,723.00 | $157.00–$2,123.94 | 63% above | — |
| CT scan of the head without and with contrast CPT 70470 CT-HEAD W/WO CONTRAST | $4,284.00 | $4,284.00 | $157.00–$3,341.52 | 156% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD W & WO CONTRAST (XENON | $2,723.00 | $2,723.00 | $157.00–$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 | $157.00–$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 | $157.00–$2,878.20 | 196% 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 | $157.00–$2,878.20 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERVICAL SPINE W/O CONTRAST | $1,113.00 | $1,113.00 | $157.00–$834.75 | 15% below | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERVICAL SPINE W/O CONTRAST | $1,113.00 | $1,113.00 | $157.00–$834.75 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W/CONTRAST | $3,559.00 | $3,559.00 | $157.00–$2,776.02 | 172% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W/CONTRAST | $3,559.00 | $3,559.00 | $157.00–$2,776.02 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $1,440.00 | $1,440.00 | $360.00–$1,123.20 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 LAB-CELL COUNT & DIFF LAVAGE | $259.50 | $259.50 | $50.60–$485.63 | 40% below | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $1,440.00 | $1,440.00 | $360.00–$1,123.20 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 LAB-CELL COUNT & DIFF LAVAGE | $259.50 | $259.50 | $50.60–$485.63 | — | — |
| Chest X-ray, 2 views CPT 71046 BMT-2VIEW CHEST | $325.50 | $325.50 | $81.38–$253.89 | 70% above | — |
| Chest X-ray, 2 views CPT 71046 GRAFT JACKET ULTRA THICK MED | $11,400.00 | $11,400.00 | $112.14–$8,892.00 | 5869% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 BMT-2VIEW CHEST | $325.50 | $325.50 | $81.38–$253.89 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 GRAFT JACKET ULTRA THICK MED | $11,400.00 | $11,400.00 | $112.14–$8,892.00 | — | — |
| Chest X-ray, single view CPT 71045 INJ, PANTOPRAZOLE SODIUM, 40MG | $76.00 | $76.00 | $19.00–$165.56 | 47% below | — |
| Chest X-ray, single view CPT 71045 XR-DECUBITUS CHEST | $189.00 | $189.00 | $47.25–$147.42 | 32% above | — |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $318.50 | $318.50 | $79.63–$875.86 | 123% above | — |
| Chest X-ray, single view CPT 71045 XR-PORTABLE CHEST | $361.00 | $361.00 | $90.25–$281.58 | 153% above | — |
| Chest X-ray, single view CPT 71045 OR-PLT X.6MM SM/LG TMPR | $367.00 | $367.00 | $91.75–$286.26 | 157% above | — |
| Chest X-ray, single view CPT 71045 XR-CHEST EXPIRATION | $384.50 | $384.50 | $96.13–$299.91 | 169% above | — |
| Chest X-ray, single view CPT 71045 XR-CHEST AP/UPRIGHT VIEW | $434.00 | $434.00 | $108.50–$338.52 | 204% above | — |
| Chest X-ray, single view CPT 71045 OR-TORIC LENS, ADD'L PT COST | $485.00 | $485.00 | $112.14–$378.30 | 239% above | — |
| Chest X-ray, single view CPT 71045 OR-SUREFORM DAVINCI XI 45 STPL | $2,300.00 | $2,300.00 | $112.14–$1,794.00 | 1509% above | — |
| Chest X-ray, single view one side CPT 71045 X-RAY EXAM CHEST 1 VIEW | $367.00 | $367.00 | $11.90–$286.26 | 157% above | — |
| Chest X-ray, single view one side CPT 71045 X-RAY EXAM CHEST 1 VIEW | $367.00 | $367.00 | $91.75–$286.26 | 157% above | — |
| Chest X-ray, single view one side CPT 71045 OR-SUREFORM DAVINCI XI 45 STPL | $2,300.00 | $2,300.00 | $112.14–$1,794.00 | 1509% above | — |
| Chest X-ray, single view inpatient CPT 71045 INJ, PANTOPRAZOLE SODIUM, 40MG | $76.00 | $76.00 | $19.00–$165.56 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR-DECUBITUS CHEST | $189.00 | $189.00 | $47.25–$147.42 | — | — |
| Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW | $318.50 | $318.50 | $79.63–$875.86 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR-PORTABLE CHEST | $361.00 | $361.00 | $90.25–$281.58 | — | — |
| Chest X-ray, single view inpatient CPT 71045 OR-PLT X.6MM SM/LG TMPR | $367.00 | $367.00 | $91.75–$286.26 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR-CHEST EXPIRATION | $384.50 | $384.50 | $96.13–$299.91 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR-CHEST AP/UPRIGHT VIEW | $434.00 | $434.00 | $108.50–$338.52 | — | — |
| Chest X-ray, single view inpatient CPT 71045 OR-TORIC LENS, ADD'L PT COST | $485.00 | $485.00 | $112.14–$378.30 | — | — |
| Chest X-ray, single view inpatient CPT 71045 OR-SUREFORM DAVINCI XI 45 STPL | $2,300.00 | $2,300.00 | $112.14–$1,794.00 | — | — |
| Chest X-ray, single view inpatient one side CPT 71045 X-RAY EXAM CHEST 1 VIEW | $367.00 | $367.00 | $11.90–$286.26 | — | — |
| Chest X-ray, single view inpatient one side CPT 71045 X-RAY EXAM CHEST 1 VIEW | $367.00 | $367.00 | $91.75–$286.26 | — | — |
| Chest X-ray, single view inpatient one side CPT 71045 OR-SUREFORM DAVINCI XI 45 STPL | $2,300.00 | $2,300.00 | $112.14–$1,794.00 | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 OR-DEVICE CLOSURE MANTA VASC | $3,580.00 | $3,580.00 | $112.14–$2,792.40 | 2180% above | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 OR-PROGRAMMER INTERSTIM SMART | $7,568.00 | $7,568.00 | $112.14–$5,903.04 | 4720% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 OR-XR-CLAVICLE,LT | $306.00 | $306.00 | $76.50–$238.68 | 95% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 OR-XR-CLAVICLE,RT | $306.00 | $306.00 | $76.50–$238.68 | 95% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR-CLAVICLE,RT* | $480.00 | $480.00 | $13.39–$374.40 | 206% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR-CLAVICLE,LT* | $480.00 | $480.00 | $112.14–$374.40 | 206% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 OR-DEVICE CLOSURE MANTA VASC | $3,580.00 | $3,580.00 | $112.14–$2,792.40 | 2180% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 OR-PROGRAMMER INTERSTIM SMART | $7,568.00 | $7,568.00 | $112.14–$5,903.04 | 4720% above | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 OR-DEVICE CLOSURE MANTA VASC | $3,580.00 | $3,580.00 | $112.14–$2,792.40 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 OR-PROGRAMMER INTERSTIM SMART | $7,568.00 | $7,568.00 | $112.14–$5,903.04 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 OR-XR-CLAVICLE,RT | $306.00 | $306.00 | $76.50–$238.68 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 OR-XR-CLAVICLE,LT | $306.00 | $306.00 | $76.50–$238.68 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR-CLAVICLE,RT* | $480.00 | $480.00 | $13.39–$374.40 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR-CLAVICLE,LT* | $480.00 | $480.00 | $112.14–$374.40 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 OR-DEVICE CLOSURE MANTA VASC | $3,580.00 | $3,580.00 | $112.14–$2,792.40 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 OR-PROGRAMMER INTERSTIM SMART | $7,568.00 | $7,568.00 | $112.14–$5,903.04 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 LAB-HBSAB | $249.00 | $249.00 | $48.56–$229.51 | 11% below | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 LAB-HBSAB | $249.00 | $249.00 | $48.56–$229.51 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BC-PEDS BONE DENSITY (WHOLE) | $304.50 | $304.50 | $76.13–$237.51 | 216% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BC-PEDS BONE DENSITY (WHOLE) | $304.50 | $304.50 | $76.13–$237.51 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 MFM-US DETAILED SNGL FETUS | $346.00 | $346.00 | $86.50–$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 | $86.50–$346.00 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $2,185.50 | $2,185.50 | $157.00–$1,639.13 | 97% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST W/O CONTRAST | $3,047.00 | $3,047.00 | $434.70–$2,376.66 | 175% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DX C- | $2,185.50 | $2,185.50 | $157.00–$1,639.13 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST W/O CONTRAST | $3,047.00 | $3,047.00 | $434.70–$2,376.66 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST W/CONTRAST | $3,399.00 | $3,399.00 | $157.00–$2,651.22 | 150% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST W/CONTRAST | $3,399.00 | $3,399.00 | $157.00–$2,651.22 | — | — |
| Diagnostic mammogram, both breasts CPT 77066 BC-DIG MAMMOGRAM, BIL, DIAG | $337.00 | $337.00 | $84.25–$262.86 | 44% above | — |
| Diagnostic mammogram, both breasts inpatient CPT 77066 BC-DIG MAMMOGRAM, BIL, DIAG | $337.00 | $337.00 | $84.25–$262.86 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 BC-DIG MAMMOGRAM, UNILAT, DIAG | $253.00 | $253.00 | $63.25–$197.34 | 21% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 BC-DIG MAMMOGRAM, UNILAT, DIAG | $253.00 | $253.00 | $63.25–$197.34 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 PLATE, TITANIUM 1/3 TUBULAR 12 | $719.50 | $719.50 | $179.88–$561.21 | 147% above | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 PLATE, TITANIUM 1/3 TUBULAR 12 | $719.50 | $719.50 | $179.88–$561.21 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 LAB-DSDNAA,DS-DNA BY CRITHIDIA | $231.00 | $231.00 | $45.05–$485.63 | 61% below | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DRILL BIT 2.0 X 100 DENTAL SHA | $962.28 | $962.28 | $240.57–$750.58 | 61% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DRILL BIT 1.9 X 108 STRYKER | $969.41 | $969.41 | $242.35–$756.14 | 62% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $1,782.00 | $1,782.00 | $463.32–$31,724.93 | 198% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 PVL-IMAGE PERIPH VEIN ARM&LEGS | $2,720.00 | $2,720.00 | $707.20–$31,724.93 | 354% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 LAB-DSDNAA,DS-DNA BY CRITHIDIA | $231.00 | $231.00 | $45.05–$485.63 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DRILL BIT 2.0 X 100 DENTAL SHA | $962.28 | $962.28 | $240.57–$750.58 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DRILL BIT 1.9 X 108 STRYKER | $969.41 | $969.41 | $242.35–$756.14 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY | $1,782.00 | $1,782.00 | $463.32–$31,724.93 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 PVL-IMAGE PERIPH VEIN ARM&LEGS | $2,720.00 | $2,720.00 | $707.20–$31,724.93 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 OR-SET SIZING TENDON SPACER | $1,230.00 | $1,230.00 | $307.50–$1,341.96 | 17% above | — |
| 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 | 43% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO-ECHO COMP W/CONTR OR BUBL | $1,631.00 | $1,631.00 | $407.75–$1,272.18 | 55% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO-CARD U/S COMP W/CONTRAST | $1,685.00 | $1,685.00 | $421.25–$1,341.96 | 60% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO-COMPLETE STUDY W/3D RENDE | $1,895.00 | $1,895.00 | $473.75–$1,478.10 | 80% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 XR-VASCULAR STENT VEN, EA ADD' | $17,976.50 | $17,976.50 | $1,000.00–$14,021.67 | 1603% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 OR-SET SIZING TENDON SPACER | $1,230.00 | $1,230.00 | $307.50–$1,341.96 | — | — |
| 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 | $407.75–$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 | $421.25–$1,341.96 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO-COMPLETE STUDY W/3D RENDE | $1,895.00 | $1,895.00 | $473.75–$1,478.10 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 XR-VASCULAR STENT VEN, EA ADD' | $17,976.50 | $17,976.50 | $1,000.00–$14,021.67 | — | — |
| Elbow X-ray, 2 views CPT 73070 PLTE LEIB RECON 6X13X6 | $6,159.50 | $6,159.50 | $112.14–$4,804.41 | 4101% above | — |
| Elbow X-ray, 2 views one side CPT 73070 OR-XR-ELBOW, AP & LAT,LT | $338.40 | $338.40 | $84.60–$263.95 | 131% above | — |
| Elbow X-ray, 2 views one side CPT 73070 OR-XR-ELBOW, AP & LAT,RT | $338.40 | $338.40 | $84.60–$263.95 | 131% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR-ELBOW, AP/LATERAL, LEFT | $513.00 | $513.00 | $112.14–$400.14 | 250% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR-ELBOW, AP & LATERAL, RT | $513.00 | $513.00 | $112.14–$400.14 | 250% above | — |
| Elbow X-ray, 2 views inpatient CPT 73070 PLTE LEIB RECON 6X13X6 | $6,159.50 | $6,159.50 | $112.14–$4,804.41 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 OR-XR-ELBOW, AP & LAT,LT | $338.40 | $338.40 | $84.60–$263.95 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 OR-XR-ELBOW, AP & LAT,RT | $338.40 | $338.40 | $84.60–$263.95 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR-ELBOW, AP/LATERAL, LEFT | $513.00 | $513.00 | $112.14–$400.14 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR-ELBOW, AP & LATERAL, RT | $513.00 | $513.00 | $112.14–$400.14 | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 PLTE LEIB ORB FL 1.2X.4 MD | $3,171.00 | $3,171.00 | $112.14–$2,473.38 | 1860% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR-ELBOW, RT | $572.00 | $572.00 | $112.14–$446.16 | 254% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR-ELBOW, LEFT* | $572.00 | $572.00 | $143.00–$446.16 | 254% above | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 PLTE LEIB ORB FL 1.2X.4 MD | $3,171.00 | $3,171.00 | $112.14–$2,473.38 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR-ELBOW, LEFT* | $572.00 | $572.00 | $143.00–$446.16 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR-ELBOW, RT | $572.00 | $572.00 | $112.14–$446.16 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT/SELLA/ETC W/O CONTRAS | $3,475.00 | $3,475.00 | $157.00–$2,606.25 | 244% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT/SELLA/ETC W/O CONTRAS | $3,475.00 | $3,475.00 | $157.00–$2,606.25 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 KIMYRSA 10 MG INJ | $305.81 | $305.81 | $76.45–$238.53 | 29% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR-FACIAL BONES, COMPLETE | $645.00 | $645.00 | $11.96–$503.10 | 172% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 KIMYRSA 10 MG INJ | $305.81 | $305.81 | $76.45–$238.53 | — | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR-FACIAL BONES, COMPLETE | $645.00 | $645.00 | $11.96–$503.10 | — | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 OR-XR-FOREARM,RT | $318.60 | $318.60 | $79.65–$248.51 | 99% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 OR-XR-FOREARM,RT | $318.60 | $318.60 | $79.65–$248.51 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 PC-CATH, INTRADISCAL SPINE | $3,541.50 | $3,541.50 | $885.38–$2,762.37 | 264% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 PC-CATH, INTRADISCAL SPINE | $3,541.50 | $3,541.50 | $885.38–$2,762.37 | — | — |
| Hand X-ray, 2 views CPT 73120 XR-HANDS BIL PA 1 VIEW | $185.00 | $185.00 | $46.25–$165.56 | 26% above | — |
| Hand X-ray, 2 views CPT 73120 PLTE LEIB FX 6H | $2,408.50 | $2,408.50 | $135.43–$1,878.63 | 1541% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR-HAND,SINGLE VIEW,RIGHT | $185.00 | $185.00 | $46.25–$165.56 | 26% above | — |
| Hand X-ray, 2 views one side CPT 73120 PLTE LEIB FX 6H | $2,408.50 | $2,408.50 | $135.43–$1,878.63 | 1541% above | — |
| Hand X-ray, 2 views inpatient CPT 73120 XR-HANDS BIL PA 1 VIEW | $185.00 | $185.00 | $46.25–$165.56 | — | — |
| Hand X-ray, 2 views inpatient CPT 73120 PLTE LEIB FX 6H | $2,408.50 | $2,408.50 | $135.43–$1,878.63 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR-HAND,SINGLE VIEW,RIGHT | $185.00 | $185.00 | $46.25–$165.56 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 PLTE LEIB FX 6H | $2,408.50 | $2,408.50 | $135.43–$1,878.63 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OR-XR-HEEL,LT | $389.40 | $389.40 | $101.24–$3,252.34 | 166% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR-HEEL, LEFT* | $543.00 | $543.00 | $112.14–$423.54 | 270% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR-HEEL, RT* | $543.00 | $543.00 | $135.75–$423.54 | 270% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OR-XR-HEEL,LT | $389.40 | $389.40 | $101.24–$3,252.34 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR-HEEL, RT* | $543.00 | $543.00 | $135.75–$423.54 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR-HEEL, LEFT* | $543.00 | $543.00 | $112.14–$423.54 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SYMBICORT INHALER 160-4.5MCG 6 | $322.02 | $322.02 | $80.51–$408.72 | 2% below | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 OR-ROD STRY XIA CP | $1,999.80 | $1,999.80 | $203.27–$1,559.84 | 508% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SYMBICORT INHALER 160-4.5MCG 6 | $322.02 | $322.02 | $80.51–$408.72 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 OR-ROD STRY XIA CP | $1,999.80 | $1,999.80 | $203.27–$1,559.84 | — | — |
| 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 | 43% 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 | — | — |
| Knee X-ray, 3 views one side CPT 73562 XR-KNEE RIGHT(3 VIEWS OR LESS) | $572.00 | $572.00 | $112.14–$446.16 | 230% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR-KNEE LEFT(3 VIEWS OR LESS) | $572.00 | $572.00 | $112.14–$446.16 | 230% above | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR-KNEE RIGHT(3 VIEWS OR LESS) | $572.00 | $572.00 | $112.14–$446.16 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR-KNEE LEFT(3 VIEWS OR LESS) | $572.00 | $572.00 | $112.14–$446.16 | — | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR-KNEE,RT* | $425.00 | $425.00 | $106.25–$331.50 | 89% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR-KNEE,ROUTINE W/SUNRISE,RT* | $543.00 | $543.00 | $135.75–$423.54 | 142% above | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR-KNEE,RT* | $425.00 | $425.00 | $106.25–$331.50 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR-KNEE,ROUTINE W/SUNRISE,RT* | $543.00 | $543.00 | $135.75–$423.54 | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 LAB-FROZEN SECTION,SINGLE | $152.00 | $152.00 | $25.79–$337.35 | 83% below | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 ANCHOR/SCREW BN/BN,TIS/BN | $207.50 | $207.50 | $51.88–$337.35 | 77% below | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-PEDS SCANOGRAM | $756.00 | $756.00 | $157.00–$567.00 | 15% below | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE | $2,257.50 | $2,257.50 | $157.00–$1,693.13 | 154% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 LAB-FROZEN SECTION,SINGLE | $152.00 | $152.00 | $25.79–$337.35 | 83% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT-LOWER EXTREMITY W/O CONT LT | $1,095.00 | $1,095.00 | $157.00–$923.73 | 23% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 LAB-FROZEN SECTION,SINGLE | $152.00 | $152.00 | $25.79–$337.35 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 ANCHOR/SCREW BN/BN,TIS/BN | $207.50 | $207.50 | $51.88–$337.35 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-PEDS SCANOGRAM | $756.00 | $756.00 | $157.00–$567.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O DYE | $2,257.50 | $2,257.50 | $157.00–$1,693.13 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 LAB-FROZEN SECTION,SINGLE | $152.00 | $152.00 | $25.79–$337.35 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT-LOWER EXTREMITY W/O CONT LT | $1,095.00 | $1,095.00 | $157.00–$923.73 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LAB-ALLERGEN SPEC IGE PANEL EA | $544.00 | $544.00 | $106.08–$424.32 | 50% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $822.00 | $822.00 | $205.50–$641.16 | 126% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 CLS-TERUMO NAVICROSS 0.035 | $1,753.00 | $1,753.00 | $135.43–$1,367.34 | 383% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 LAB-ALLERGEN SPEC IGE PANEL EA | $544.00 | $544.00 | $106.08–$424.32 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN | $822.00 | $822.00 | $205.50–$641.16 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 CLS-TERUMO NAVICROSS 0.035 | $1,753.00 | $1,753.00 | $135.43–$1,367.34 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 CLS-SYSTEM WORLEY CONTRAST SYS | $194.50 | $194.50 | $48.63–$319.89 | 3% below | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ED-POCUS-MUSCUSKEL/SOFT TISSUE | $200.00 | $200.00 | $50.00–$327.32 | at median | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 LAB-HSVP, HSV 1 BY PCR TO DIAX | $235.80 | $235.80 | $45.98–$319.89 | 18% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 SINCALIDE 5MCG VIAL | $558.50 | $558.50 | $135.43–$435.63 | 179% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-EXTREMITY W/IMAGE; LIMITED | $876.00 | $876.00 | $219.00–$683.28 | 338% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR | $1,217.00 | $1,217.00 | $304.25–$949.26 | 508% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 CLS-SYSTEM WORLEY CONTRAST SYS | $194.50 | $194.50 | $48.63–$319.89 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 ED-POCUS-MUSCUSKEL/SOFT TISSUE | $200.00 | $200.00 | $50.00–$327.32 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 LAB-HSVP, HSV 1 BY PCR TO DIAX | $235.80 | $235.80 | $45.98–$319.89 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 SINCALIDE 5MCG VIAL | $558.50 | $558.50 | $135.43–$435.63 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US-EXTREMITY W/IMAGE; LIMITED | $876.00 | $876.00 | $219.00–$683.28 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LMTD JT/FCL EVL NVASC XTR | $1,217.00 | $1,217.00 | $304.25–$949.26 | — | — |
| 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 | $157.00–$1,661.25 | 923% above | — |
| 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 | $157.00–$1,661.25 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 PLTE LEIB FX 6H ANG 115DG | $2,570.00 | $2,570.00 | $112.14–$2,004.60 | 1210% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 OR-XR-TIBIA/FIBULA,LT | $566.40 | $566.40 | $141.60–$441.79 | 189% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 OR-XR-TIBIA/FIBULA,RT | $566.40 | $566.40 | $141.60–$441.79 | 189% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR-TIBIA/FIBULA,RT | $572.00 | $572.00 | $112.14–$446.16 | 192% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR-TIBIA/FIBULA,LT* | $572.00 | $572.00 | $143.00–$446.16 | 192% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 PLTE LEIB FX 6H ANG 115DG | $2,570.00 | $2,570.00 | $112.14–$2,004.60 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 OR-XR-TIBIA/FIBULA,RT | $566.40 | $566.40 | $141.60–$441.79 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 OR-XR-TIBIA/FIBULA,LT | $566.40 | $566.40 | $141.60–$441.79 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR-TIBIA/FIBULA,RT | $572.00 | $572.00 | $112.14–$446.16 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR-TIBIA/FIBULA,LT* | $572.00 | $572.00 | $143.00–$446.16 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MR-ANGIO HEAD W/O CONTR | $1,989.00 | $1,989.00 | $497.25–$1,551.42 | 26% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MR-VENOUS BRAIN W/O CONTR | $3,684.50 | $3,684.50 | $921.13–$2,873.91 | 133% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR-ANGIO HEAD W/O CONTR | $1,989.00 | $1,989.00 | $497.25–$1,551.42 | — | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR-VENOUS BRAIN W/O CONTR | $3,684.50 | $3,684.50 | $921.13–$2,873.91 | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI-BREAST W/WO CONT BIL W/CAD | $619.14 | $619.14 | $154.79–$482.93 | 73% below | — |
| 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 MRI-BREAST W/WO CONT BIL W/CAD | $619.14 | $619.14 | $154.79–$482.93 | — | — |
| 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 knee or other lower-limb joint, no contrast dye one side CPT 73721 D-INSERT RETRIEVAL DEVICE R15 | $1,875.01 | $1,875.01 | $345.00–$1,462.51 | 15% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $4,191.50 | $4,191.50 | $345.00–$3,269.37 | 156% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $4,191.50 | $4,191.50 | $345.00–$3,269.37 | 156% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 D-INSERT RETRIEVAL DEVICE R15 | $1,875.01 | $1,875.01 | $345.00–$1,462.51 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $4,191.50 | $4,191.50 | $345.00–$3,269.37 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $4,191.50 | $4,191.50 | $345.00–$3,269.37 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $4,747.00 | $4,747.00 | $345.00–$3,702.66 | 144% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $4,747.00 | $4,747.00 | $345.00–$3,702.66 | 144% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $4,747.00 | $4,747.00 | $345.00–$3,702.66 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $4,747.00 | $4,747.00 | $345.00–$3,702.66 | — | — |
| MRI of the abdomen without contrast CPT 74181 MR-PERSPECTUM LIVER MULTISCAN | $600.00 | $600.00 | $150.00–$736.39 | 57% below | — |
| MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN W/O CONTR | $3,937.00 | $3,937.00 | $345.00–$3,070.86 | 183% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MR-PERSPECTUM LIVER MULTISCAN | $600.00 | $600.00 | $150.00–$736.39 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN W/O CONTR | $3,937.00 | $3,937.00 | $345.00–$3,070.86 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN W/WO CONTRAST | $4,311.00 | $4,311.00 | $345.00–$3,362.58 | 123% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN W/WO CONTR | $4,747.00 | $4,747.00 | $345.00–$3,702.66 | 146% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN W/WO CONTRAST | $4,311.00 | $4,311.00 | $345.00–$3,362.58 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN W/WO CONTR | $4,747.00 | $4,747.00 | $345.00–$3,702.66 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MR-BRAIN W/O CONTR | $3,937.00 | $3,937.00 | $345.00–$3,070.86 | 130% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN W/O CONTR | $3,937.00 | $3,937.00 | $345.00–$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 | $345.00–$3,205.02 | 77% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 XR-CATH PROBE VOLCANO REPROCES | $4,126.50 | $4,126.50 | $1,031.63–$3,218.67 | 78% 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 | $345.00–$3,758.82 | 108% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN W/WO CONTR | $4,109.00 | $4,109.00 | $345.00–$3,205.02 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 XR-CATH PROBE VOLCANO REPROCES | $4,126.50 | $4,126.50 | $1,031.63–$3,218.67 | — | — |
| 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 | $345.00–$3,758.82 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MR-LUMBAR SPINE W/O CONTR | $3,937.00 | $3,937.00 | $736.39–$3,070.86 | 153% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR-LUMBAR SPINE W/O CONTR | $3,937.00 | $3,937.00 | $736.39–$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 | $345.00–$3,205.02 | 73% 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 | $345.00–$3,205.02 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 PATELLA TENDON HEMI TS | $7,412.00 | $7,412.00 | $736.39–$5,781.36 | 389% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 PATELLA TENDON HEMI TS | $7,412.00 | $7,412.00 | $736.39–$5,781.36 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-C/SPINE W/WO CONTR | $4,152.00 | $4,152.00 | $1,038.00–$3,238.56 | 87% 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 | $1,038.00–$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 | $345.00–$3,070.86 | 159% 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 | $345.00–$3,070.86 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS W/WO CONTR | $4,311.00 | $4,311.00 | $345.00–$3,362.58 | 106% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS W/WO CONTR | $4,311.00 | $4,311.00 | $345.00–$3,362.58 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS W/O CONTR | $3,749.00 | $3,749.00 | $345.00–$2,924.22 | 152% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS W/O CONTR | $3,749.00 | $3,749.00 | $345.00–$2,924.22 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 PLTE 3.5 LP RECON 12H | $2,129.50 | $2,129.50 | $345.00–$1,661.01 | 45% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 PLTE 3.5 LP RECON 10H | $2,427.50 | $2,427.50 | $345.00–$1,893.45 | 65% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 D-INSERT RETRIEVAL DEVICE R16 | $2,625.01 | $2,625.01 | $345.00–$2,047.51 | 78% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR-EXTREMITY-SHOULDER, LT W/O | $4,211.50 | $4,211.50 | $345.00–$3,284.97 | 186% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $4,211.50 | $4,211.50 | $345.00–$3,284.97 | 186% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR-UPPER EXT ANY JT W/O CONTR | $4,230.00 | $4,230.00 | $345.00–$3,299.40 | 187% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 PLTE 3.5 LP RECON 12H | $2,129.50 | $2,129.50 | $345.00–$1,661.01 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 PLTE 3.5 LP RECON 10H | $2,427.50 | $2,427.50 | $345.00–$1,893.45 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 D-INSERT RETRIEVAL DEVICE R16 | $2,625.01 | $2,625.01 | $345.00–$2,047.51 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR-EXTREMITY-SHOULDER, LT W/O | $4,211.50 | $4,211.50 | $345.00–$3,284.97 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $4,211.50 | $4,211.50 | $345.00–$3,284.97 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR-UPPER EXT ANY JT W/O CONTR | $4,230.00 | $4,230.00 | $345.00–$3,299.40 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR-C-SPINE WITH OBLIQUES | $857.00 | $857.00 | $165.56–$668.46 | 219% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 PLTE 3.5 LP RECON 9H | $2,419.00 | $2,419.00 | $135.43–$1,886.82 | 800% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR-C-SPINE WITH OBLIQUES | $857.00 | $857.00 | $165.56–$668.46 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 PLTE 3.5 LP RECON 9H | $2,419.00 | $2,419.00 | $135.43–$1,886.82 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT-NECK W/O CONTRAST | $3,782.00 | $3,782.00 | $12.44–$2,836.50 | 289% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK W/O CONTRAST | $3,782.00 | $3,782.00 | $12.44–$2,836.50 | — | — |
| Neck soft tissue X-ray CPT 70360 XR-NECK FOR SOFT TISSUE LAT | $354.00 | $354.00 | $88.50–$276.12 | 117% above | — |
| Neck soft tissue X-ray CPT 70360 XR-NECK FOR SOFT TISSUE AP/L | $434.00 | $434.00 | $14.90–$338.52 | 166% above | — |
| Neck soft tissue X-ray CPT 70360 PLTE 3.5 WD ANG LP RECON 5H | $2,833.50 | $2,833.50 | $112.14–$2,210.13 | 1638% above | — |
| Neck soft tissue X-ray CPT 70360 ALLOGRAFT PRMGN ADV 10CC | $12,000.00 | $12,000.00 | $112.14–$9,360.00 | 7262% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 XR-NECK FOR SOFT TISSUE LAT | $354.00 | $354.00 | $88.50–$276.12 | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 XR-NECK FOR SOFT TISSUE AP/L | $434.00 | $434.00 | $14.90–$338.52 | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 PLTE 3.5 WD ANG LP RECON 5H | $2,833.50 | $2,833.50 | $112.14–$2,210.13 | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 ALLOGRAFT PRMGN ADV 10CC | $12,000.00 | $12,000.00 | $112.14–$9,360.00 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $2,652.50 | $2,652.50 | $610.00–$2,068.95 | 27% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 PLT TIT LOPRO MESH 3 | $3,264.50 | $3,264.50 | $816.13–$2,788.66 | 56% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT | $2,652.50 | $2,652.50 | $610.00–$2,068.95 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 PLT TIT LOPRO MESH 3 | $3,264.50 | $3,264.50 | $816.13–$2,788.66 | — | — |
| 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 | $1,229.25–$3,835.26 | 59% above | — |
| 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 | $1,229.25–$3,835.26 | — | — |
| Pelvic CT scan without contrast CPT 72192 CT-PELVIS W/O CONTRAST | $3,123.00 | $3,123.00 | $157.00–$2,435.94 | 189% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS W/O CONTRAST | $3,123.00 | $3,123.00 | $157.00–$2,435.94 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $200.00 | $200.00 | $13.03–$156.00 | 3% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED | $200.00 | $200.00 | $13.03–$156.00 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-GYN-PELVIC;COMPLETE | $591.50 | $591.50 | $147.88–$485.63 | 35% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIC SONOGRAM (NONOB) | $1,360.00 | $1,360.00 | $340.00–$1,060.80 | 210% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-GYN-PELVIC;COMPLETE | $591.50 | $591.50 | $147.88–$485.63 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIC SONOGRAM (NONOB) | $1,360.00 | $1,360.00 | $340.00–$1,060.80 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 MFM-US FETUS 14 WKS OR GREATER | $696.00 | $696.00 | $135.43–$542.88 | 82% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-OB SONOGRAM COMP 14WKS OR > | $1,360.00 | $1,360.00 | $135.43–$1,060.80 | 256% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 MFM-US FETUS 14 WKS OR GREATER | $696.00 | $696.00 | $135.43–$542.88 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-OB SONOGRAM COMP 14WKS OR > | $1,360.00 | $1,360.00 | $135.43–$1,060.80 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 SO 8 ABD RESTRAINT PRE OTS | $105.00 | $105.00 | $26.25–$293.97 | 65% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 MFM-US FETUS LESS THAN 14 WEEK | $649.00 | $649.00 | $135.43–$506.22 | 117% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 SO 8 ABD RESTRAINT PRE OTS | $105.00 | $105.00 | $26.25–$293.97 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 MFM-US FETUS LESS THAN 14 WEEK | $649.00 | $649.00 | $135.43–$506.22 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ED-POCUS-PREGNANT TRANSABD LTD | $200.00 | $200.00 | $50.00–$293.97 | 18% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-O.B. SONOGRAM LTD | $640.00 | $640.00 | $135.43–$499.20 | 161% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PLATE, RECON LP LK 3.5X3HX39 | $2,311.50 | $2,311.50 | $135.43–$1,802.97 | 844% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ED-POCUS-PREGNANT TRANSABD LTD | $200.00 | $200.00 | $50.00–$293.97 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-O.B. SONOGRAM LTD | $640.00 | $640.00 | $135.43–$499.20 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PLATE, RECON LP LK 3.5X3HX39 | $2,311.50 | $2,311.50 | $135.43–$1,802.97 | — | — |
| Rib X-ray, one side, 2 views CPT 71100 AUGMENTIN ES 600MG/5ML SUSPENS | $369.83 | $369.83 | $92.46–$373.53 | 78% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 AUGMENTIN ES 600MG/5ML SUSPENS | $369.83 | $369.83 | $92.46–$373.53 | 78% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR-RIBS, RIGHT (2 VIEWS) | $572.00 | $572.00 | $112.14–$446.16 | 176% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR-RIBS, LEFT (2 VIEWS) | $572.00 | $572.00 | $143.00–$446.16 | 176% above | — |
| Rib X-ray, one side, 2 views inpatient CPT 71100 AUGMENTIN ES 600MG/5ML SUSPENS | $369.83 | $369.83 | $92.46–$373.53 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 AUGMENTIN ES 600MG/5ML SUSPENS | $369.83 | $369.83 | $92.46–$373.53 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR-RIBS, RIGHT (2 VIEWS) | $572.00 | $572.00 | $112.14–$446.16 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR-RIBS, LEFT (2 VIEWS) | $572.00 | $572.00 | $143.00–$446.16 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR-RIBS, RIGHT W/PA CHEST | $784.50 | $784.50 | $203.97–$875.86 | 247% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR-RIBS, LEFT W/PA CHEST | $784.50 | $784.50 | $135.43–$611.91 | 247% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR-RIBS, LEFT W/PA CHEST | $784.50 | $784.50 | $135.43–$611.91 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR-RIBS, RIGHT W/PA CHEST | $784.50 | $784.50 | $203.97–$875.86 | — | — |
| Screening mammogram, both breasts CPT 77067 BC-DIG MAMMOGRAM, BIL, SCREEN | $292.00 | $292.00 | $73.00–$227.76 | 39% above | — |
| Screening mammogram, both breasts inpatient CPT 77067 BC-DIG MAMMOGRAM, BIL, SCREEN | $292.00 | $292.00 | $73.00–$227.76 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 ANCHOR/SCREW BN/BN,TIS/BN | $439.00 | $439.00 | $109.75–$342.42 | 120% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 OR-XR-SHOULDER,RT | $486.00 | $486.00 | $121.50–$2,788.66 | 144% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 OR-XR-SHOULDER,LT | $486.00 | $486.00 | $121.50–$379.08 | 144% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR-SHOULDER,LT* | $572.00 | $572.00 | $143.00–$446.16 | 187% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR-SHOULDER,RT* | $572.00 | $572.00 | $112.14–$446.16 | 187% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 ANCHOR/SCREW BN/BN,TIS/BN | $439.00 | $439.00 | $109.75–$342.42 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 OR-XR-SHOULDER,RT | $486.00 | $486.00 | $121.50–$2,788.66 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 OR-XR-SHOULDER,LT | $486.00 | $486.00 | $121.50–$379.08 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR-SHOULDER,RT* | $572.00 | $572.00 | $112.14–$446.16 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR-SHOULDER,LT* | $572.00 | $572.00 | $143.00–$446.16 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 LAB-CRMP1M-HS CRP | $91.65 | $91.65 | $17.87–$165.56 | 57% below | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 LAB-CRMP1M-HS CRP | $91.65 | $91.65 | $17.87–$165.56 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 DRL PARAGON SLD | $1,218.00 | $1,218.00 | $304.50–$2,203.65 | 53% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 SL-NOCTURNAL POLYSOMNOGRAM | $3,630.00 | $3,630.00 | $434.70–$24,870.99 | 39% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 DRL PARAGON SLD | $1,218.00 | $1,218.00 | $304.50–$2,203.65 | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SL-NOCTURNAL POLYSOMNOGRAM | $3,630.00 | $3,630.00 | $434.70–$24,870.99 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 CATH, INF, PER/CENT/MIDLINE | $842.50 | $842.50 | $210.63–$1,341.96 | 3% below | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO-STRESS TTE COMPLETE | $872.50 | $872.50 | $218.13–$816.90 | at median | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 CATH, INF, PER/CENT/MIDLINE | $842.50 | $842.50 | $210.63–$1,341.96 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO-STRESS TTE COMPLETE | $872.50 | $872.50 | $218.13–$816.90 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR-BAR SWALLOW FUNC VIDEO TAPE | $416.00 | $416.00 | $104.00–$11,906.05 | 18% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR-BAR SWALLOW FUNC VIDEO TAPE | $416.00 | $416.00 | $104.00–$11,906.05 | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 CLAMP ROD MD MONO | $2,000.00 | $2,000.00 | $112.14–$1,560.00 | 969% above | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 CLAMP TRIAX 20 BL | $2,060.00 | $2,060.00 | $112.14–$1,606.80 | 1001% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR-LOWER EXTREMITY CHILD LT | $424.00 | $424.00 | $106.00–$330.72 | 127% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR-FEMUR,RIGHT,2 VIEWS | $572.00 | $572.00 | $143.00–$446.16 | 206% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR-FEMUR,LEFT,2 VIEW | $572.00 | $572.00 | $112.14–$446.16 | 206% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CLAMP ROD MD MONO | $2,000.00 | $2,000.00 | $112.14–$1,560.00 | 969% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CLAMP TRIAX 20 BL | $2,060.00 | $2,060.00 | $112.14–$1,606.80 | 1001% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 CLAMP ROD MD MONO | $2,000.00 | $2,000.00 | $112.14–$1,560.00 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 CLAMP TRIAX 20 BL | $2,060.00 | $2,060.00 | $112.14–$1,606.80 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR-LOWER EXTREMITY CHILD LT | $424.00 | $424.00 | $106.00–$330.72 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR-FEMUR,RIGHT,2 VIEWS | $572.00 | $572.00 | $143.00–$446.16 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR-FEMUR,LEFT,2 VIEW | $572.00 | $572.00 | $112.14–$446.16 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CLAMP ROD MD MONO | $2,000.00 | $2,000.00 | $112.14–$1,560.00 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CLAMP TRIAX 20 BL | $2,060.00 | $2,060.00 | $112.14–$1,606.80 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THORACIC SPINE W/O CONTRAST | $1,113.00 | $1,113.00 | $157.00–$868.14 | 6% below | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THORACIC SPINE W/O CONTRAST | $1,113.00 | $1,113.00 | $157.00–$868.14 | — | — |
| Toe X-ray, 2 or more views CPT 73660 ASSAY IGA/IGD/IGG/IGM EACH | $97.00 | $97.00 | $18.92–$165.56 | 30% below | — |
| Toe X-ray, 2 or more views CPT 73660 LAB-IMMUNOFIXATION,OTHER FLUID | $722.00 | $722.00 | $112.14–$563.16 | 423% above | — |
| Toe X-ray, 2 or more views CPT 73660 CLAMP,ADJUSTABLE SYNTHES LG FI | $3,507.00 | $3,507.00 | $112.14–$2,735.46 | 2440% above | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 ASSAY IGA/IGD/IGG/IGM EACH | $97.00 | $97.00 | $18.92–$165.56 | — | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 LAB-IMMUNOFIXATION,OTHER FLUID | $722.00 | $722.00 | $112.14–$563.16 | — | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 CLAMP,ADJUSTABLE SYNTHES LG FI | $3,507.00 | $3,507.00 | $112.14–$2,735.46 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 OR-NAIL FEMORAL GT | $6,844.00 | $6,844.00 | $135.43–$5,338.32 | 1928% above | — |
| Transvaginal pelvic ultrasound CPT 76830 OR-AUGMENT 1.5CC BONE GRAFT | $7,200.00 | $7,200.00 | $135.43–$5,616.00 | 2034% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 OR-NAIL FEMORAL GT | $6,844.00 | $6,844.00 | $135.43–$5,338.32 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 OR-AUGMENT 1.5CC BONE GRAFT | $7,200.00 | $7,200.00 | $135.43–$5,616.00 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US-TRANSVAGINAL-OB | $218.00 | $218.00 | $54.50–$170.04 | 19% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $871.50 | $871.50 | $135.43–$679.77 | 224% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 OR-NUVENT BLLN SINUS FRONTAL | $7,576.20 | $7,576.20 | $135.43–$5,909.44 | 2719% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-TRANSVAGINAL-OB | $218.00 | $218.00 | $54.50–$170.04 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC | $871.50 | $871.50 | $135.43–$679.77 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 OR-NUVENT BLLN SINUS FRONTAL | $7,576.20 | $7,576.20 | $135.43–$5,909.44 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US-ABDOMINAL SONOGRAM COMPLETE | $326.91 | $326.91 | $81.73–$485.63 | 30% below | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMINAL SONOGRAM COMPLETE | $326.91 | $326.91 | $81.73–$485.63 | — | — |
| 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 | $81.73–$254.99 | at median | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 NM-RADIOACTIVE THERAPY(HYPERTH | $1,115.00 | $1,115.00 | $135.43–$869.70 | 241% above | — |
| 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 | $81.73–$254.99 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 NM-RADIOACTIVE THERAPY(HYPERTH | $1,115.00 | $1,115.00 | $135.43–$869.70 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR-GASTROINTESTINAL SERIES | $434.00 | $434.00 | $108.50–$338.52 | 29% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR-GASTROINTESTINAL SERIES | $434.00 | $434.00 | $108.50–$338.52 | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 CLAMP TUBE/TUBE MD-LG/LG BR/RR | $2,084.00 | $2,084.00 | $112.14–$1,625.52 | 1043% above | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 CLAMP TRIAX 25 RED | $2,108.00 | $2,108.00 | $112.14–$1,644.24 | 1056% above | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 JADA SYSTEM | $4,780.00 | $4,780.00 | $112.14–$3,728.40 | 2521% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 OR-XR-HUMERUS,RT | $436.80 | $436.80 | $109.20–$349.10 | 139% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY EXAM OF HUMERUS | $572.00 | $572.00 | $143.00–$446.16 | 214% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY EXAM OF HUMERUS | $572.00 | $572.00 | $143.00–$1,341.96 | 214% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 CLAMP TUBE/TUBE MD-LG/LG BR/RR | $2,084.00 | $2,084.00 | $112.14–$1,625.52 | 1043% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 CLAMP TRIAX 25 RED | $2,108.00 | $2,108.00 | $112.14–$1,644.24 | 1056% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 JADA SYSTEM | $4,780.00 | $4,780.00 | $112.14–$3,728.40 | 2521% above | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 CLAMP TUBE/TUBE MD-LG/LG BR/RR | $2,084.00 | $2,084.00 | $112.14–$1,625.52 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 CLAMP TRIAX 25 RED | $2,108.00 | $2,108.00 | $112.14–$1,644.24 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 JADA SYSTEM | $4,780.00 | $4,780.00 | $112.14–$3,728.40 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 OR-XR-HUMERUS,RT | $436.80 | $436.80 | $109.20–$349.10 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 X-RAY EXAM OF HUMERUS | $572.00 | $572.00 | $143.00–$1,341.96 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 X-RAY EXAM OF HUMERUS | $572.00 | $572.00 | $143.00–$446.16 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CLAMP TUBE/TUBE MD-LG/LG BR/RR | $2,084.00 | $2,084.00 | $112.14–$1,625.52 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CLAMP TRIAX 25 RED | $2,108.00 | $2,108.00 | $112.14–$1,644.24 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 JADA SYSTEM | $4,780.00 | $4,780.00 | $112.14–$3,728.40 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 LAB-IBD SGI, CRP | $154.06 | $154.06 | $30.05–$319.89 | 47% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $1,442.00 | $1,442.00 | $374.92–$31,724.93 | 399% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 LAB-IBD SGI, CRP | $154.06 | $154.06 | $30.05–$319.89 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY STUDY | $1,442.00 | $1,442.00 | $374.92–$31,724.93 | — | — |
| Wrist X-ray, 2 views CPT 73100 SP-ENDOTRACH ADAPTER | $52.50 | $52.50 | $13.13–$165.56 | 60% below | — |
| Wrist X-ray, 2 views CPT 73100 DISSECTOR SONI 7 - 48CM | $3,262.00 | $3,262.00 | $112.14–$2,544.36 | 2409% above | — |
| Wrist X-ray, 2 views one side CPT 73100 SP-ENDOTRACH ADAPTER | $52.50 | $52.50 | $13.13–$165.56 | 60% below | — |
| Wrist X-ray, 2 views one side CPT 73100 XR-NAVICULAR VIEW,RT | $321.50 | $321.50 | $80.38–$250.77 | 147% above | — |
| Wrist X-ray, 2 views one side CPT 73100 OR-XR-WRIST,AP AND LATERAL,LT | $385.80 | $385.80 | $96.45–$300.92 | 197% above | — |
| Wrist X-ray, 2 views one side CPT 73100 DISSECTOR SONI 7 - 48CM | $3,262.00 | $3,262.00 | $112.14–$2,544.36 | 2409% above | — |
| Wrist X-ray, 2 views inpatient CPT 73100 SP-ENDOTRACH ADAPTER | $52.50 | $52.50 | $13.13–$165.56 | — | — |
| Wrist X-ray, 2 views inpatient CPT 73100 DISSECTOR SONI 7 - 48CM | $3,262.00 | $3,262.00 | $112.14–$2,544.36 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 SP-ENDOTRACH ADAPTER | $52.50 | $52.50 | $13.13–$165.56 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR-NAVICULAR VIEW,RT | $321.50 | $321.50 | $80.38–$250.77 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 OR-XR-WRIST,AP AND LATERAL,LT | $385.80 | $385.80 | $96.45–$300.92 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 DISSECTOR SONI 7 - 48CM | $3,262.00 | $3,262.00 | $112.14–$2,544.36 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 LAB-POCVET-POC VISCOELASTIC PA | $225.90 | $225.90 | $44.05–$176.20 | 17% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 LAB-POCVET-POC VISCOELASTIC PA | $225.90 | $225.90 | $44.05–$176.20 | 17% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR-WRIST,LT* | $572.00 | $572.00 | $112.14–$446.16 | 197% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR-WRIST,RT | $572.00 | $572.00 | $143.00–$446.16 | 197% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 LAB-POCVET-POC VISCOELASTIC PA | $225.90 | $225.90 | $44.05–$176.20 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 LAB-POCVET-POC VISCOELASTIC PA | $225.90 | $225.90 | $44.05–$176.20 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR-WRIST,RT | $572.00 | $572.00 | $143.00–$446.16 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR-WRIST,LT* | $572.00 | $572.00 | $112.14–$446.16 | — | — |
| 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 | $82.80–$258.34 | 84% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR-HIP,UNILAT,RIGHT,2-3 VIEWS | $1,166.00 | $1,166.00 | $112.14–$909.48 | 548% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR-HIP,UNILATAL,LEFT, 2-3 VIEW | $1,166.00 | $1,166.00 | $112.14–$909.48 | 548% above | — |
| 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 | $82.80–$258.34 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR-HIP,UNILAT,RIGHT,2-3 VIEWS | $1,166.00 | $1,166.00 | $112.14–$909.48 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR-HIP,UNILATAL,LEFT, 2-3 VIEW | $1,166.00 | $1,166.00 | $112.14–$909.48 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 METHYLPHENIDATE 10 MG/9H PATCH | $86.72 | $86.72 | $21.68–$165.56 | 40% below | — |
| X-ray of the abdomen, 1 view CPT 74018 XR-ABD, LATERAL | $366.00 | $366.00 | $91.50–$285.48 | 152% above | — |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $406.50 | $406.50 | $101.63–$317.07 | 180% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR-ABD, AP/SUPINE (KUB) | $434.00 | $434.00 | $108.50–$338.52 | 199% above | — |
| X-ray of the abdomen, 1 view CPT 74018 OR-XR-OPERATIVE ABDOMEN | $487.80 | $487.80 | $121.95–$380.48 | 236% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ADVAIR HFA 115/21 MCG INHALER | $642.40 | $642.40 | $112.14–$648.82 | 343% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR-PEDIATRIC CHEST & ABD,1 VIE | $724.50 | $724.50 | $112.14–$565.11 | 400% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ANCHOR/SCREW BN/BN,TIS/BN | $3,008.00 | $3,008.00 | $112.14–$2,346.24 | 1974% above | — |
| X-ray of the abdomen, 1 view CPT 74018 D-VASCULAR GRAFT R24 | $37,500.01 | $37,500.01 | $112.14–$29,250.01 | 25762% above | — |
| X-ray of the abdomen, 1 view one side CPT 74018 XR-ABD, DECUB, LEFT | $406.50 | $406.50 | $101.63–$317.07 | 180% above | — |
| X-ray of the abdomen, 1 view one side CPT 74018 XR-ABD, DECUB, RIGHT | $406.50 | $406.50 | $101.63–$317.07 | 180% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 METHYLPHENIDATE 10 MG/9H PATCH | $86.72 | $86.72 | $21.68–$165.56 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR-ABD, LATERAL | $366.00 | $366.00 | $91.50–$285.48 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RADEX ABDOMEN 1 VIEW | $406.50 | $406.50 | $101.63–$317.07 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR-ABD, AP/SUPINE (KUB) | $434.00 | $434.00 | $108.50–$338.52 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 OR-XR-OPERATIVE ABDOMEN | $487.80 | $487.80 | $121.95–$380.48 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ADVAIR HFA 115/21 MCG INHALER | $642.40 | $642.40 | $112.14–$648.82 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR-PEDIATRIC CHEST & ABD,1 VIE | $724.50 | $724.50 | $112.14–$565.11 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ANCHOR/SCREW BN/BN,TIS/BN | $3,008.00 | $3,008.00 | $112.14–$2,346.24 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 D-VASCULAR GRAFT R24 | $37,500.01 | $37,500.01 | $112.14–$29,250.01 | — | — |
| X-ray of the abdomen, 1 view inpatient one side CPT 74018 XR-ABD, DECUB, LEFT | $406.50 | $406.50 | $101.63–$317.07 | — | — |
| X-ray of the abdomen, 1 view inpatient one side CPT 74018 XR-ABD, DECUB, RIGHT | $406.50 | $406.50 | $101.63–$317.07 | — | — |
| X-ray of the ankle, 2 views CPT 73600 LAB-5 HIAA | $288.00 | $288.00 | $56.16–$224.64 | 108% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 LAB-5 HIAA | $288.00 | $288.00 | $56.16–$224.64 | 108% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 OR-XR-ANKLE, AP & LAT,RIGHT | $432.60 | $432.60 | $108.15–$337.43 | 213% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR-ANKLE, AP/LAT, RIGHT | $717.00 | $717.00 | $112.14–$559.26 | 418% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 LAB-5 HIAA | $288.00 | $288.00 | $56.16–$224.64 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 LAB-5 HIAA | $288.00 | $288.00 | $56.16–$224.64 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 OR-XR-ANKLE, AP & LAT,RIGHT | $432.60 | $432.60 | $108.15–$337.43 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR-ANKLE, AP/LAT, RIGHT | $717.00 | $717.00 | $112.14–$559.26 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 DIPROSONE CREAM | $109.00 | $109.00 | $27.25–$165.56 | 25% below | — |
| X-ray of the finger(s), 2 or more views CPT 73140 CLAMP,LEROY SCALP | $115.50 | $115.50 | $28.88–$165.56 | 21% below | — |
| X-ray of the finger(s), 2 or more views CPT 73140 COLLAR,CERVICAL PHILADELPHIA | $156.50 | $156.50 | $39.13–$165.56 | 7% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY GUIDE GI DILATION | $534.00 | $534.00 | $112.14–$416.52 | 266% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 CONNECTOR,CFS 3 WAY | $1,214.00 | $1,214.00 | $112.14–$946.92 | 731% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 CLAMP,UNIVERSAL POSITION MULTI | $2,265.00 | $2,265.00 | $112.14–$1,766.70 | 1451% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 COMPRESSOR,OPEN SYNTHES LG FIX | $4,703.50 | $4,703.50 | $112.14–$3,668.73 | 3121% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 DIPROSONE CREAM | $109.00 | $109.00 | $27.25–$165.56 | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 CLAMP,LEROY SCALP | $115.50 | $115.50 | $28.88–$165.56 | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 COLLAR,CERVICAL PHILADELPHIA | $156.50 | $156.50 | $39.13–$165.56 | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-RAY GUIDE GI DILATION | $534.00 | $534.00 | $112.14–$416.52 | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 CONNECTOR,CFS 3 WAY | $1,214.00 | $1,214.00 | $112.14–$946.92 | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 CLAMP,UNIVERSAL POSITION MULTI | $2,265.00 | $2,265.00 | $112.14–$1,766.70 | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 COMPRESSOR,OPEN SYNTHES LG FIX | $4,703.50 | $4,703.50 | $112.14–$3,668.73 | — | — |
| X-ray of the foot, 2 views one side CPT 73620 XR-FOOT, 2 VIEWS, RIGHT | $717.00 | $717.00 | $165.56–$559.26 | 463% above | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR-FOOT, 2 VIEWS, RIGHT | $717.00 | $717.00 | $165.56–$559.26 | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 OR-XR-FOOT,RT | $436.80 | $436.80 | $109.20–$340.70 | 143% above | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 OR-XR-FOOT,RT | $436.80 | $436.80 | $109.20–$340.70 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 OR-MIDAS REX DRILL SYM-TRI BAL | $1,226.50 | $1,226.50 | $112.14–$956.67 | 513% above | — |
| X-ray of the hand, 3 or more views CPT 73130 PLTE LEIB RECON 6X17X6 | $6,930.50 | $6,930.50 | $112.14–$5,405.79 | 3363% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR-HAND, RT | $572.00 | $572.00 | $13.39–$446.16 | 186% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR-HAND, LEFT* | $572.00 | $572.00 | $143.00–$3,185.46 | 186% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 OR-MIDAS REX DRILL SYM-TRI BAL | $1,226.50 | $1,226.50 | $112.14–$956.67 | 513% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 OR-MIDAS REX DRILL SYM-TRI BAL | $1,226.50 | $1,226.50 | $112.14–$956.67 | — | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 PLTE LEIB RECON 6X17X6 | $6,930.50 | $6,930.50 | $112.14–$5,405.79 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR-HAND, RT | $572.00 | $572.00 | $13.39–$446.16 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR-HAND, LEFT* | $572.00 | $572.00 | $143.00–$3,185.46 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 OR-MIDAS REX DRILL SYM-TRI BAL | $1,226.50 | $1,226.50 | $112.14–$956.67 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HD-SET DRAIN STAY SAFE | $273.50 | $273.50 | $68.38–$213.33 | 88% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 PLTE LEIB FX 6H ANG | $2,621.00 | $2,621.00 | $112.14–$2,044.38 | 1698% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HD-SET DRAIN STAY SAFE | $273.50 | $273.50 | $68.38–$213.33 | 88% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $417.00 | $417.00 | $22.12–$325.26 | 186% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $417.00 | $417.00 | $10.43–$325.26 | 186% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HD-SET DRAIN STAY SAFE | $273.50 | $273.50 | $68.38–$213.33 | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 PLTE LEIB FX 6H ANG | $2,621.00 | $2,621.00 | $112.14–$2,044.38 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HD-SET DRAIN STAY SAFE | $273.50 | $273.50 | $68.38–$213.33 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $417.00 | $417.00 | $22.12–$325.26 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $417.00 | $417.00 | $10.43–$325.26 | — | — |
| 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 | $99.50–$5,281.09 | 97% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR-LUMBAR SPINE | $572.00 | $572.00 | $135.43–$446.16 | 184% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 WIRE MOUNT 4.5 | $1,272.50 | $1,272.50 | $135.43–$992.55 | 531% above | — |
| 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 | $99.50–$5,281.09 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR-LUMBAR SPINE | $572.00 | $572.00 | $135.43–$446.16 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 WIRE MOUNT 4.5 | $1,272.50 | $1,272.50 | $135.43–$992.55 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR-MESOBLAST STUDY | $100.40 | $100.40 | $25.10–$78.31 | 65% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR-LUMBAR SPINE-OBLIQUES | $857.00 | $857.00 | $135.43–$668.46 | 198% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 OR-KIT POST CERV FIXATION LVL1 | $12,413.00 | $12,413.00 | $135.43–$9,682.14 | 4218% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR-MESOBLAST STUDY | $100.40 | $100.40 | $25.10–$78.31 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR-LUMBAR SPINE-OBLIQUES | $857.00 | $857.00 | $135.43–$668.46 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 OR-KIT POST CERV FIXATION LVL1 | $12,413.00 | $12,413.00 | $135.43–$9,682.14 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $434.00 | $434.00 | $3.88–$338.52 | 122% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR-PORT SPINE,THORACIC, AP&LAT | $625.50 | $625.50 | $135.43–$487.89 | 219% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 OR-XR-OPERATIVE T/SPINE,2 VIEW | $750.60 | $750.60 | $165.56–$585.47 | 283% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $434.00 | $434.00 | $3.88–$338.52 | — | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR-PORT SPINE,THORACIC, AP&LAT | $625.50 | $625.50 | $135.43–$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 | $165.56–$585.47 | — | — |
| 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 | $91.00–$283.92 | 82% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 OR-XR-C-SPINE AP/LAT | $436.80 | $436.80 | $109.20–$340.70 | 119% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR-C-SPINE AP/LATERAL | $572.00 | $572.00 | $12.72–$446.16 | 186% 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 | $91.00–$283.92 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 OR-XR-C-SPINE AP/LAT | $436.80 | $436.80 | $109.20–$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 | $12.72–$446.16 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 ONFI 2.5MG/ML ORAL SUSPENSION | $27.96 | $27.96 | $6.99–$165.56 | 83% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 LIDOCAINE 2% TOPICAL GEL 6 ML | $39.71 | $39.71 | $9.93–$165.56 | 76% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 INJ,LINEZOLIDE, 200MG | $58.33 | $58.33 | $14.58–$165.56 | 64% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $427.50 | $427.50 | $106.88–$333.45 | 162% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 INSERT 4/5 LK | $1,101.00 | $1,101.00 | $135.43–$858.78 | 574% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 SP-ERCP SPHINCTEROTOME | $1,376.50 | $1,376.50 | $135.43–$1,073.67 | 743% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 OR-KIT FXTN POST LUMBAR LVL 4 | $34,999.00 | $34,999.00 | $135.43–$27,299.22 | 21330% above | — |
| X-ray of the pelvis, 1 or 2 views one side CPT 72170 INJ,LINEZOLIDE, 200MG | $58.33 | $58.33 | $14.58–$165.56 | 64% below | — |
| X-ray of the pelvis, 1 or 2 views one side CPT 72170 XR-PELVIS OBLIQUE, LEFT | $427.50 | $427.50 | $106.88–$333.45 | 162% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 ONFI 2.5MG/ML ORAL SUSPENSION | $27.96 | $27.96 | $6.99–$165.56 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LIDOCAINE 2% TOPICAL GEL 6 ML | $39.71 | $39.71 | $9.93–$165.56 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 INJ,LINEZOLIDE, 200MG | $58.33 | $58.33 | $14.58–$165.56 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY EXAM OF PELVIS | $427.50 | $427.50 | $106.88–$333.45 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 INSERT 4/5 LK | $1,101.00 | $1,101.00 | $135.43–$858.78 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 SP-ERCP SPHINCTEROTOME | $1,376.50 | $1,376.50 | $135.43–$1,073.67 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 OR-KIT FXTN POST LUMBAR LVL 4 | $34,999.00 | $34,999.00 | $135.43–$27,299.22 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient one side CPT 72170 INJ,LINEZOLIDE, 200MG | $58.33 | $58.33 | $14.58–$165.56 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient one side CPT 72170 XR-PELVIS OBLIQUE, LEFT | $427.50 | $427.50 | $106.88–$333.45 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR-SACRUM/COCCYX | $242.00 | $242.00 | $62.92–$875.86 | 21% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR-SACRUM | $359.00 | $359.00 | $89.75–$280.02 | 80% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR-COCCYX, 2 VIEWS | $669.00 | $669.00 | $112.14–$521.82 | 235% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 ANCHOR/SCREW BN/BN,TIS/BN | $48,000.00 | $48,000.00 | $112.14–$37,440.00 | 23905% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR-SACRUM/COCCYX | $242.00 | $242.00 | $62.92–$875.86 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR-SACRUM | $359.00 | $359.00 | $89.75–$280.02 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR-COCCYX, 2 VIEWS | $669.00 | $669.00 | $112.14–$521.82 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 ANCHOR/SCREW BN/BN,TIS/BN | $48,000.00 | $48,000.00 | $112.14–$37,440.00 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 MANIPULATOR UTR ADVINCULA 3.0 | $723.00 | $723.00 | $5.24–$563.94 | 2537% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 MANIPULATOR UTR ADVINCULA 3.0 | $723.00 | $723.00 | $5.24–$563.94 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LAB-SGOT (AST) | $174.00 | $174.00 | $16.91–$135.72 | 411% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LAB-SGOT (AST) | $174.00 | $174.00 | $16.91–$135.72 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 PATCH, 2 X 3 HEMASHIELD | $924.00 | $924.00 | $24.02–$720.72 | 317% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 PATCH, 2 X 3 HEMASHIELD | $924.00 | $924.00 | $24.02–$720.72 | — | — |
| Albumin blood test CPT 82040 LAB-ALBUMIN, SERUM, PLASMA OR | $125.00 | $125.00 | $4.03–$97.50 | 379% above | — |
| Albumin blood test CPT 82040 LAB-NSAIM-NEUROSYPHILIS IGG, A | $185.10 | $185.10 | $4.03–$144.38 | 609% above | — |
| Albumin blood test CPT 82040 ANCHOR/SCREW BN/BN,TIS/BN | $2,126.00 | $2,126.00 | $4.89–$1,658.28 | 8046% above | — |
| Albumin blood test inpatient CPT 82040 LAB-ALBUMIN, SERUM, PLASMA OR | $125.00 | $125.00 | $4.03–$97.50 | — | — |
| Albumin blood test inpatient CPT 82040 LAB-NSAIM-NEUROSYPHILIS IGG, A | $185.10 | $185.10 | $4.03–$144.38 | — | — |
| Albumin blood test inpatient CPT 82040 ANCHOR/SCREW BN/BN,TIS/BN | $2,126.00 | $2,126.00 | $4.89–$1,658.28 | — | — |
| Aldosterone blood test CPT 82088 SURGICEL 2X14 | $80.00 | $80.00 | $20.00–$93.67 | 39% below | — |
| Aldosterone blood test CPT 82088 LAB-ALDOSTERONE 24 HR | $505.00 | $505.00 | $93.67–$393.90 | 287% above | — |
| Aldosterone blood test CPT 82088 LAB-ALDOSTERONE, BLOOD | $563.00 | $563.00 | $93.67–$439.14 | 332% above | — |
| Aldosterone blood test CPT 82088 XR-COIL PUSHER | $1,153.00 | $1,153.00 | $40.26–$899.34 | 784% above | — |
| Aldosterone blood test inpatient CPT 82088 SURGICEL 2X14 | $80.00 | $80.00 | $20.00–$93.67 | — | — |
| Aldosterone blood test inpatient CPT 82088 LAB-ALDOSTERONE 24 HR | $505.00 | $505.00 | $93.67–$393.90 | — | — |
| Aldosterone blood test inpatient CPT 82088 LAB-ALDOSTERONE, BLOOD | $563.00 | $563.00 | $93.67–$439.14 | — | — |
| Aldosterone blood test inpatient CPT 82088 XR-COIL PUSHER | $1,153.00 | $1,153.00 | $40.26–$899.34 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $39.30 | $39.30 | $4.24–$30.65 | 159% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-RPINEM-PINE NUT, IGE | $39.30 | $39.30 | $4.24–$30.65 | 159% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-ALLERGEN SPEC IGE QUANT,EA | $55.00 | $55.00 | $10.73–$1,341.96 | 262% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-FSTABI-STACHYBOTRYS CHAR/A | $56.06 | $56.06 | $10.94–$43.73 | 269% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-RAST-SINGLE | $67.50 | $67.50 | $4.24–$52.65 | 344% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-ALPHA GAL ALLERGEN SPECIFI | $187.00 | $187.00 | $4.24–$145.86 | 1130% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-GRAY DRILL 3.2X200 | $396.00 | $396.00 | $5.15–$308.88 | 2505% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-ALGAL-GALACTOSE-ALPHA-1,3. | $432.30 | $432.30 | $4.24–$337.19 | 2744% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-TILAPIA, IGE | $440.00 | $440.00 | $4.24–$343.20 | 2795% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB-CLOBZ-CLOBAZAM AND METABOL | $694.17 | $694.17 | $4.24–$541.45 | 4467% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BARD DOUBLE J URETERAL STENT | $722.50 | $722.50 | $5.15–$563.55 | 4653% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-PLT 1.5MM ST MNDB 20H LK | $1,227.00 | $1,227.00 | $5.15–$957.06 | 7972% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BARD MESH 3D MAX MEDIUM | $1,493.50 | $1,493.50 | $5.15–$1,164.93 | 9726% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-SCREW S78/S80 SCENDIA | $1,550.00 | $1,550.00 | $5.15–$1,209.00 | 10097% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ROD CARBON BRAID 8X200-300 | $1,867.00 | $1,867.00 | $5.15–$1,456.26 | 12183% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ROD CARBON BRAID 8X300-400 | $2,006.50 | $2,006.50 | $5.15–$1,565.07 | 13101% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CVOR-SET INTR PERC TRACH 8 | $2,135.00 | $2,135.00 | $5.15–$1,665.30 | 13946% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-PLT 2MM ANG PREBNT MNDB | $2,391.00 | $2,391.00 | $5.15–$1,864.98 | 15630% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ANCHOR/SCREW BN/BN,TIS/BN | $2,613.00 | $2,613.00 | $5.15–$2,038.14 | 17091% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-PLT 2MM ANG MNDB 32H LK PRM | $2,754.50 | $2,754.50 | $5.15–$2,148.51 | 18022% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-PLT 2MM MNDB 32H LK PRM | $2,858.50 | $2,858.50 | $5.15–$2,229.63 | 18706% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OR-PLT 2.5MM ANG MNDB 32H LK | $2,964.00 | $2,964.00 | $5.15–$2,311.92 | 19400% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PROBE-AUTOLITH EHL TOUCH | $3,372.00 | $3,372.00 | $5.15–$2,630.16 | 22084% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SEPARATOR 3/5 | $5,620.00 | $5,620.00 | $5.15–$4,383.60 | 36874% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $39.30 | $39.30 | $4.24–$30.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-RPINEM-PINE NUT, IGE | $39.30 | $39.30 | $4.24–$30.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-ALLERGEN SPEC IGE QUANT,EA | $55.00 | $55.00 | $10.73–$1,341.96 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-FSTABI-STACHYBOTRYS CHAR/A | $56.06 | $56.06 | $10.94–$43.73 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-RAST-SINGLE | $67.50 | $67.50 | $4.24–$52.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-ALPHA GAL ALLERGEN SPECIFI | $187.00 | $187.00 | $4.24–$145.86 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-GRAY DRILL 3.2X200 | $396.00 | $396.00 | $5.15–$308.88 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-ALGAL-GALACTOSE-ALPHA-1,3. | $432.30 | $432.30 | $4.24–$337.19 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-TILAPIA, IGE | $440.00 | $440.00 | $4.24–$343.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB-CLOBZ-CLOBAZAM AND METABOL | $694.17 | $694.17 | $4.24–$541.45 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARD DOUBLE J URETERAL STENT | $722.50 | $722.50 | $5.15–$563.55 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-PLT 1.5MM ST MNDB 20H LK | $1,227.00 | $1,227.00 | $5.15–$957.06 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARD MESH 3D MAX MEDIUM | $1,493.50 | $1,493.50 | $5.15–$1,164.93 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-SCREW S78/S80 SCENDIA | $1,550.00 | $1,550.00 | $5.15–$1,209.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROD CARBON BRAID 8X200-300 | $1,867.00 | $1,867.00 | $5.15–$1,456.26 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROD CARBON BRAID 8X300-400 | $2,006.50 | $2,006.50 | $5.15–$1,565.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CVOR-SET INTR PERC TRACH 8 | $2,135.00 | $2,135.00 | $5.15–$1,665.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-PLT 2MM ANG PREBNT MNDB | $2,391.00 | $2,391.00 | $5.15–$1,864.98 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ANCHOR/SCREW BN/BN,TIS/BN | $2,613.00 | $2,613.00 | $5.15–$2,038.14 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-PLT 2MM ANG MNDB 32H LK PRM | $2,754.50 | $2,754.50 | $5.15–$2,148.51 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-PLT 2MM MNDB 32H LK PRM | $2,858.50 | $2,858.50 | $5.15–$2,229.63 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OR-PLT 2.5MM ANG MNDB 32H LK | $2,964.00 | $2,964.00 | $5.15–$2,311.92 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PROBE-AUTOLITH EHL TOUCH | $3,372.00 | $3,372.00 | $5.15–$2,630.16 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEPARATOR 3/5 | $5,620.00 | $5,620.00 | $5.15–$4,383.60 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 LAB-AFP, MATERNAL | $98.00 | $98.00 | $19.11–$127.72 | 34% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 LAB-AFP, TUMOR MARKER | $130.00 | $130.00 | $25.35–$2,436.44 | 78% above | — |
| Alpha-fetoprotein (AFP) blood test one side CPT 82105 LAB-AFP, TUMOR MARKER | $130.00 | $130.00 | $25.35–$2,436.44 | 78% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 LAB-AFP, MATERNAL | $98.00 | $98.00 | $19.11–$127.72 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 LAB-AFP, TUMOR MARKER | $130.00 | $130.00 | $25.35–$2,436.44 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient one side CPT 82105 LAB-AFP, TUMOR MARKER | $130.00 | $130.00 | $25.35–$2,436.44 | — | — |
| Ammonia blood test CPT 82140 LAB-AMMONIA | $403.00 | $403.00 | $11.84–$314.34 | 435% above | — |
| Ammonia blood test inpatient CPT 82140 LAB-AMMONIA | $403.00 | $403.00 | $11.84–$314.34 | — | — |
| Amylase blood test CPT 82150 LAB-AMYLASE, URINE TIMED | $130.50 | $130.50 | $5.26–$101.79 | 197% above | — |
| Amylase blood test CPT 82150 LAB-AMYLASE, FLUID | $156.50 | $156.50 | $5.26–$122.07 | 256% above | — |
| Amylase blood test CPT 82150 LAB-HK-AMYLASE, BF | $163.00 | $163.00 | $5.26–$127.14 | 270% above | — |
| Amylase blood test CPT 82150 ANCHOR/SCREW BN/BN,TIS/BN | $307.00 | $307.00 | $6.40–$239.46 | 598% above | — |
| Amylase blood test one side CPT 82150 MRC DRN/INJ SML JT W/US LT | $813.00 | $813.00 | $14.17–$634.14 | 1748% above | — |
| Amylase blood test inpatient CPT 82150 LAB-AMYLASE, URINE TIMED | $130.50 | $130.50 | $5.26–$101.79 | — | — |
| Amylase blood test inpatient CPT 82150 LAB-AMYLASE, FLUID | $156.50 | $156.50 | $5.26–$122.07 | — | — |
| Amylase blood test inpatient CPT 82150 LAB-HK-AMYLASE, BF | $163.00 | $163.00 | $5.26–$127.14 | — | — |
| Amylase blood test inpatient CPT 82150 ANCHOR/SCREW BN/BN,TIS/BN | $307.00 | $307.00 | $6.40–$239.46 | — | — |
| Amylase blood test inpatient one side CPT 82150 MRC DRN/INJ SML JT W/US LT | $813.00 | $813.00 | $14.17–$634.14 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LAB-CYCLIC CITRULLINA PEPTD,AB | $163.00 | $163.00 | $31.79–$127.14 | 185% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 TRLUML BALO ANGIOP 1ST ART | $16,267.00 | $16,267.00 | $30.24–$12,688.26 | 28319% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LAB-CYCLIC CITRULLINA PEPTD,AB | $163.00 | $163.00 | $31.79–$127.14 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 TRLUML BALO ANGIOP 1ST ART | $16,267.00 | $16,267.00 | $30.24–$12,688.26 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 MESALAMINE 1000MG RECTAL SUP | $16.65 | $16.65 | $4.16–$30.24 | 61% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 LAB-CONNECT TISSUE DZ, ANA | $125.00 | $125.00 | $24.38–$2,137.29 | 192% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 MESALAMINE 1000MG RECTAL SUP | $16.65 | $16.65 | $4.16–$30.24 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LAB-CONNECT TISSUE DZ, ANA | $125.00 | $125.00 | $24.38–$2,137.29 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TUBE, FEEDING ROSS-FLEXIFLO | $109.00 | $109.00 | $8.51–$85.02 | 125% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB-TCAP, CULTURE THROAT ALL | $112.50 | $112.50 | $7.00–$87.75 | 132% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB-LEGIONELLA CULTURE, ISO & | $175.00 | $175.00 | $20.91–$136.50 | 261% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC | $348.00 | $348.00 | $7.00–$271.44 | 618% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 COIL EMBL 3CM 2MM 10IN CMPLX | $8,883.00 | $8,883.00 | $8.51–$6,928.74 | 18227% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TUBE, FEEDING ROSS-FLEXIFLO | $109.00 | $109.00 | $8.51–$85.02 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB-TCAP, CULTURE THROAT ALL | $112.50 | $112.50 | $7.00–$87.75 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB-LEGIONELLA CULTURE, ISO & | $175.00 | $175.00 | $20.91–$136.50 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC | $348.00 | $348.00 | $7.00–$271.44 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 COIL EMBL 3CM 2MM 10IN CMPLX | $8,883.00 | $8,883.00 | $8.51–$6,928.74 | — | — |
| Bilirubin blood test, total CPT 82247 CLS-VISIPAQUE 320 50CC | $169.00 | $169.00 | $4.96–$131.82 | 594% above | — |
| Bilirubin blood test, total CPT 82247 LAB-BILIRUBIN, FLUID | $390.00 | $390.00 | $4.08–$304.20 | 1502% above | — |
| Bilirubin blood test, total inpatient CPT 82247 CLS-VISIPAQUE 320 50CC | $169.00 | $169.00 | $4.96–$131.82 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 LAB-BILIRUBIN, FLUID | $390.00 | $390.00 | $4.08–$304.20 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 BLADE,LARYGOSCOPE BRITEPRO | $89.50 | $89.50 | $22.38–$69.81 | 47% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB-CELL BLOCK | $214.50 | $214.50 | $22.94–$167.31 | 28% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB-SURG HISTOLOGY-LEVEL IV | $300.00 | $300.00 | $22.94–$234.00 | 79% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB-MUSM,MUSCLE BX SURG LVL 4 | $1,147.00 | $1,147.00 | $28.13–$894.66 | 583% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BLADE,LARYGOSCOPE BRITEPRO | $89.50 | $89.50 | $22.38–$69.81 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB-CELL BLOCK | $214.50 | $214.50 | $22.94–$167.31 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB-SURG HISTOLOGY-LEVEL IV | $300.00 | $300.00 | $22.94–$234.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB-MUSM,MUSCLE BX SURG LVL 4 | $1,147.00 | $1,147.00 | $28.13–$894.66 | — | — |
| Blood culture for bacteria CPT 87040 OR-SCRW FEM NCK 105MM ANTI-ROT | $1,399.50 | $1,399.50 | $10.20–$1,091.61 | 1607% above | — |
| Blood culture for bacteria inpatient CPT 87040 OR-SCRW FEM NCK 105MM ANTI-ROT | $1,399.50 | $1,399.50 | $10.20–$1,091.61 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 LAB-ROUTINE VENIPUNCTURE~ | $8.83 | $8.83 | $1.73–$6.74 | 23% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $18.00 | $18.00 | $3.51–$14.04 | 150% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 RO-ROUTINE VENIPUNCTURE | $18.00 | $18.00 | $4.68–$18.00 | 150% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ED-ROUTINE VENIPUNCTURE | $20.00 | $20.00 | $3.00–$15.00 | 178% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PROGESTERONE IN OIL 10 ML | $149.50 | $149.50 | $6.74–$116.61 | 1976% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 MMC-SYS COR STNT 26MM 3.5MM | $235.80 | $235.80 | $6.74–$183.92 | 3175% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 XR-BARIUM SWALLOW /ESOPHAGUS | $543.00 | $543.00 | $6.74–$423.54 | 7442% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 METRAGEL VAG GEL 70GM TUBE | $666.30 | $666.30 | $6.74–$672.96 | 9154% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 DEVICE CLSR ARTERILA CELT 5-7F | $1,768.50 | $1,768.50 | $6.74–$1,379.43 | 24462% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 STENT, COATED/COV W/DEL SYS | $6,248.70 | $6,248.70 | $6.74–$4,873.99 | 86688% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 XR-CATH VELOCITY MICRO | $7,565.00 | $7,565.00 | $6.74–$5,900.70 | 104969% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 GLEOLAN 1500MG ORAL SOLUTION | $20,294.00 | $20,294.00 | $6.74–$15,829.32 | 281761% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LAB-ROUTINE VENIPUNCTURE~ | $8.83 | $8.83 | $1.73–$6.74 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 RO-ROUTINE VENIPUNCTURE | $18.00 | $18.00 | $4.68–$18.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $18.00 | $18.00 | $3.51–$14.04 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ED-ROUTINE VENIPUNCTURE | $20.00 | $20.00 | $3.00–$15.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PROGESTERONE IN OIL 10 ML | $149.50 | $149.50 | $6.74–$116.61 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 MMC-SYS COR STNT 26MM 3.5MM | $235.80 | $235.80 | $6.74–$183.92 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 XR-BARIUM SWALLOW /ESOPHAGUS | $543.00 | $543.00 | $6.74–$423.54 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 METRAGEL VAG GEL 70GM TUBE | $666.30 | $666.30 | $6.74–$672.96 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DEVICE CLSR ARTERILA CELT 5-7F | $1,768.50 | $1,768.50 | $6.74–$1,379.43 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 STENT, COATED/COV W/DEL SYS | $6,248.70 | $6,248.70 | $6.74–$4,873.99 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 XR-CATH VELOCITY MICRO | $7,565.00 | $7,565.00 | $6.74–$5,900.70 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 GLEOLAN 1500MG ORAL SOLUTION | $20,294.00 | $20,294.00 | $6.74–$15,829.32 | — | — |
| Blood glucose (sugar) test CPT 82947 LAB-HK-GLOCOSE, BF | $116.00 | $116.00 | $3.19–$90.48 | 344% above | — |
| Blood glucose (sugar) test CPT 82947 LAB-GLUCOSE, FASTING | $145.00 | $145.00 | $28.28–$337.35 | 456% above | — |
| Blood glucose (sugar) test CPT 82947 CATH, EMBOLECTOMY 32080810F | $599.50 | $599.50 | $3.88–$467.61 | 2197% above | — |
| Blood glucose (sugar) test one side CPT 82947 LAB-GLUCOSE, FASTING | $145.00 | $145.00 | $28.28–$337.35 | 456% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 LAB-HK-GLOCOSE, BF | $116.00 | $116.00 | $3.19–$90.48 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 LAB-GLUCOSE, FASTING | $145.00 | $145.00 | $28.28–$337.35 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 CATH, EMBOLECTOMY 32080810F | $599.50 | $599.50 | $3.88–$467.61 | — | — |
| Blood glucose (sugar) test inpatient one side CPT 82947 LAB-GLUCOSE, FASTING | $145.00 | $145.00 | $28.28–$337.35 | — | — |
| Blood lead test CPT 83655 LAB-HMU24M-HEAVY METALS SCREEN | $63.27 | $63.27 | $9.84–$49.35 | 53% above | — |
| Blood lead test CPT 83655 LAB-LEAD LEVEL, BLOOD | $247.00 | $247.00 | $9.84–$192.66 | 499% above | — |
| Blood lead test CPT 83655 LAB-LEAD LEVEL, URINE | $286.00 | $286.00 | $55.77–$223.08 | 594% above | — |
| Blood lead test CPT 83655 MIDAS DISSECTING TOOL/M32 | $678.00 | $678.00 | $11.96–$528.84 | 1544% above | — |
| Blood lead test CPT 83655 INSTANT WAVE FREE RATIONIFR | $1,128.00 | $1,128.00 | $31.80–$1,128.00 | 2636% above | — |
| Blood lead test CPT 83655 CATH ADHERENT CLOT 4/6-6/10CM | $1,277.50 | $1,277.50 | $11.96–$996.45 | 2998% above | — |
| Blood lead test inpatient CPT 83655 LAB-HMU24M-HEAVY METALS SCREEN | $63.27 | $63.27 | $9.84–$49.35 | — | — |
| Blood lead test inpatient CPT 83655 LAB-LEAD LEVEL, BLOOD | $247.00 | $247.00 | $9.84–$192.66 | — | — |
| Blood lead test inpatient CPT 83655 LAB-LEAD LEVEL, URINE | $286.00 | $286.00 | $55.77–$223.08 | — | — |
| Blood lead test inpatient CPT 83655 MIDAS DISSECTING TOOL/M32 | $678.00 | $678.00 | $11.96–$528.84 | — | — |
| Blood lead test inpatient CPT 83655 INSTANT WAVE FREE RATIONIFR | $1,128.00 | $1,128.00 | $31.80–$1,128.00 | — | — |
| Blood lead test inpatient CPT 83655 CATH ADHERENT CLOT 4/6-6/10CM | $1,277.50 | $1,277.50 | $11.96–$996.45 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 LAB-HCG, QUALITATIVE, SERUM | $253.00 | $253.00 | $6.11–$197.34 | 460% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 LAB-HCG, QUALITATIVE, SERUM | $253.00 | $253.00 | $6.11–$197.34 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB-ABO RECHECK | $167.00 | $167.00 | $2.43–$130.26 | 156% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB-ABO | $251.00 | $251.00 | $2.43–$195.78 | 284% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 D-NEUROSTIM LEAD TEST KIT R08 | $281.26 | $281.26 | $2.95–$219.38 | 330% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CT-NECK W/CONTRAST | $770.00 | $770.00 | $12.44–$577.50 | 1078% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 SP-ENDOBRONCH ULTRASND (EBUS) | $3,059.50 | $3,059.50 | $12.44–$2,386.41 | 4581% 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–$130.26 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB-ABO | $251.00 | $251.00 | $2.43–$195.78 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 D-NEUROSTIM LEAD TEST KIT R08 | $281.26 | $281.26 | $2.95–$219.38 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CT-NECK W/CONTRAST | $770.00 | $770.00 | $12.44–$577.50 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 SP-ENDOBRONCH ULTRASND (EBUS) | $3,059.50 | $3,059.50 | $12.44–$2,386.41 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 POC-BUN | $64.00 | $64.00 | $3.21–$49.92 | 128% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 LAB-BUN | $125.00 | $125.00 | $14.17–$97.50 | 345% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 CENTURION FMS W/TIP AND SLEEVE | $820.00 | $820.00 | $3.91–$639.60 | 2820% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 POC-BUN | $64.00 | $64.00 | $3.21–$49.92 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 LAB-BUN | $125.00 | $125.00 | $14.17–$97.50 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 CENTURION FMS W/TIP AND SLEEVE | $820.00 | $820.00 | $3.91–$639.60 | — | — |
| C-peptide blood test CPT 84681 LAB-CPEPSR-C-PEPTIDE,LVL,TIMED | $118.50 | $118.50 | $23.11–$92.43 | 66% above | — |
| C-peptide blood test CPT 84681 LAB-C PEPTIDE | $277.00 | $277.00 | $16.91–$216.06 | 288% above | — |
| C-peptide blood test inpatient CPT 84681 LAB-CPEPSR-C-PEPTIDE,LVL,TIMED | $118.50 | $118.50 | $23.11–$92.43 | — | — |
| C-peptide blood test inpatient CPT 84681 LAB-C PEPTIDE | $277.00 | $277.00 | $16.91–$216.06 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 LAB-CRPR-C-REACTIVE PROTEIN | $104.50 | $104.50 | $4.21–$81.51 | 137% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 LAB-C REACTIVE PROTEIN | $125.00 | $125.00 | $4.21–$97.50 | 184% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 LAB-CRPR-C-REACTIVE PROTEIN | $104.50 | $104.50 | $4.21–$81.51 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 LAB-C REACTIVE PROTEIN | $125.00 | $125.00 | $4.21–$97.50 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 LAB-C.DIFFICILE,TOXIN GENE,AMP | $568.00 | $568.00 | $79.50–$443.04 | 480% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 LAB-C.DIFFICILE,TOXIN GENE,AMP | $568.00 | $568.00 | $79.50–$443.04 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 LAB-CA 19-9 | $668.00 | $668.00 | $130.26–$521.04 | 551% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 LAB-CA 19-9 | $668.00 | $668.00 | $130.26–$521.04 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 OR-PLT SHRT CF 2H ULT LP | $92.00 | $92.00 | $20.57–$71.76 | 7% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 OR-PLT SHRT CF 2H ULT LP | $92.00 | $92.00 | $20.57–$71.76 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB-KACOV2-KAILOS ASSURE SENTI | $55.00 | $55.00 | $10.73–$42.90 | 6% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 OR-DRIL S4-6-12M STOP STRY | $735.50 | $735.50 | $50.69–$573.69 | 1153% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB-COVD19-SAR-COV-2, DIATHERI | $786.00 | $786.00 | $153.27–$613.08 | 1239% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB-COVIDM-SARS-COV-2-RNA DETE | $943.20 | $943.20 | $79.50–$735.70 | 1507% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 OR-PLT .6MM FRNTL MESH HBRD | $4,295.00 | $4,295.00 | $50.69–$3,350.10 | 7217% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 OR-IMPL IPS PEEK CRANI OL 34 | $44,438.50 | $44,438.50 | $50.69–$34,662.03 | 75604% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 LAB-COVID-SARS-COV-2 BY RT-PCR | $75.00 | $75.00 | $14.63–$79.50 | 28% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB-KACOV2-KAILOS ASSURE SENTI | $55.00 | $55.00 | $10.73–$42.90 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 OR-DRIL S4-6-12M STOP STRY | $735.50 | $735.50 | $50.69–$573.69 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB-COVD19-SAR-COV-2, DIATHERI | $786.00 | $786.00 | $153.27–$613.08 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB-COVIDM-SARS-COV-2-RNA DETE | $943.20 | $943.20 | $79.50–$735.70 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 OR-PLT .6MM FRNTL MESH HBRD | $4,295.00 | $4,295.00 | $50.69–$3,350.10 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 OR-IMPL IPS PEEK CRANI OL 34 | $44,438.50 | $44,438.50 | $50.69–$34,662.03 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 LAB-COVID-SARS-COV-2 BY RT-PCR | $75.00 | $75.00 | $14.63–$79.50 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 LAB-CEA | $49.00 | $49.00 | $9.56–$38.22 | 38% below | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LAB-CEA | $49.00 | $49.00 | $9.56–$38.22 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 FETROJA 10 MG INJECTION | $138.41 | $138.41 | $30.24–$107.96 | 132% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 LAB-VARICELLA ZOSTER SCREEN | $178.00 | $178.00 | $10.46–$138.84 | 199% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 NOXAFIL 100 MG TAB | $462.16 | $462.16 | $12.72–$466.78 | 675% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 FETROJA 10 MG INJECTION | $138.41 | $138.41 | $30.24–$107.96 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB-VARICELLA ZOSTER SCREEN | $178.00 | $178.00 | $10.46–$138.84 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 NOXAFIL 100 MG TAB | $462.16 | $462.16 | $12.72–$466.78 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ACLOVATE 0.05% OINTMENT 15MG T | $124.33 | $124.33 | $31.08–$125.57 | 78% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB-CHLAMYDIA TRACHOMATIS,AMPL | $170.00 | $170.00 | $33.15–$132.60 | 143% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB-CTNGVT,CHLAMYDIA TRACH DIA | $196.50 | $196.50 | $38.32–$153.27 | 181% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 ACLOVATE 0.05% OINTMENT 15MG T | $124.33 | $124.33 | $31.08–$125.57 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB-CHLAMYDIA TRACHOMATIS,AMPL | $170.00 | $170.00 | $33.15–$132.60 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB-CTNGVT,CHLAMYDIA TRACH DIA | $196.50 | $196.50 | $38.32–$153.27 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB-LIPID PROFILE | $585.00 | $585.00 | $24.02–$456.30 | 1020% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB-LIPID PROFILE | $585.00 | $585.00 | $24.02–$456.30 | — | — |
| Complete blood count (CBC) with differential CPT 85025 LAB-CBC & DIFF, AUTOMATED | $61.00 | $61.00 | $6.31–$47.58 | 71% above | — |
| Complete blood count (CBC) with differential CPT 85025 D-NEUROSTIM LEAD TEST KIT R03 | $93.76 | $93.76 | $7.68–$73.13 | 163% above | — |
| Complete blood count (CBC) with differential CPT 85025 LAB-PNP CBC WITH DIFF | $341.00 | $341.00 | $66.50–$265.98 | 855% above | — |
| Complete blood count (CBC) with differential CPT 85025 CL-S-BLLN ADM XTRM PTA X/300/X | $2,044.00 | $2,044.00 | $7.68–$1,594.32 | 5625% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 LAB-CBC & DIFF, AUTOMATED | $61.00 | $61.00 | $6.31–$47.58 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 D-NEUROSTIM LEAD TEST KIT R03 | $93.76 | $93.76 | $7.68–$73.13 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 LAB-PNP CBC WITH DIFF | $341.00 | $341.00 | $66.50–$265.98 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CL-S-BLLN ADM XTRM PTA X/300/X | $2,044.00 | $2,044.00 | $7.68–$1,594.32 | — | — |
| Complete blood count (CBC), no differential CPT 85027 LAB-BLOOD COUNT, CBC AUTOMATED | $61.00 | $61.00 | $11.90–$461.87 | 80% above | — |
| Complete blood count (CBC), no differential CPT 85027 CATH, BAL DIL, NON-VASCULAR | $1,026.00 | $1,026.00 | $6.40–$800.28 | 2936% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 LAB-BLOOD COUNT, CBC AUTOMATED | $61.00 | $61.00 | $11.90–$461.87 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CATH, BAL DIL, NON-VASCULAR | $1,026.00 | $1,026.00 | $6.40–$800.28 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 LAB-COMP METABOLIC PANEL | $390.00 | $390.00 | $76.05–$304.20 | 380% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 LAB-COMP METABOLIC PANEL | $390.00 | $390.00 | $76.05–$304.20 | — | — |
| Cortisol blood test, total CPT 82533 LAB-SALCTM-CORTISOL, SALIVIA | $210.00 | $210.00 | $13.25–$163.80 | 218% above | — |
| Cortisol blood test, total CPT 82533 LAB-CORTISOL, TOTAL | $334.00 | $334.00 | $36.47–$260.52 | 406% above | — |
| Cortisol blood test, total CPT 82533 LAB-H2DI-COMPUTER ASSISTANT | $1,076.79 | $1,076.79 | $13.25–$839.90 | 1532% above | — |
| Cortisol blood test, total CPT 82533 HK-SPHR GLENOID 39MM AQLS | $31,736.50 | $31,736.50 | $16.11–$24,754.47 | 47986% above | — |
| Cortisol blood test, total inpatient CPT 82533 LAB-SALCTM-CORTISOL, SALIVIA | $210.00 | $210.00 | $13.25–$163.80 | — | — |
| Cortisol blood test, total inpatient CPT 82533 LAB-CORTISOL, TOTAL | $334.00 | $334.00 | $36.47–$260.52 | — | — |
| Cortisol blood test, total inpatient CPT 82533 LAB-H2DI-COMPUTER ASSISTANT | $1,076.79 | $1,076.79 | $13.25–$839.90 | — | — |
| Cortisol blood test, total inpatient CPT 82533 HK-SPHR GLENOID 39MM AQLS | $31,736.50 | $31,736.50 | $16.11–$24,754.47 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 LAB-CPK | $143.00 | $143.00 | $21.19–$111.54 | 340% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 KIT INST 2.4MM STP DRL GD DISP | $1,235.43 | $1,235.43 | $6.43–$963.64 | 3701% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 LAB-CPK | $143.00 | $143.00 | $21.19–$111.54 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 KIT INST 2.4MM STP DRL GD DISP | $1,235.43 | $1,235.43 | $6.43–$963.64 | — | — |
| Creatinine blood test CPT 82565 POC-CREATININE | $48.00 | $48.00 | $4.16–$37.44 | 66% above | — |
| Creatinine blood test CPT 82565 LAB-CREATININE, SERUM | $79.00 | $79.00 | $14.17–$61.62 | 172% above | — |
| Creatinine blood test inpatient CPT 82565 POC-CREATININE | $48.00 | $48.00 | $4.16–$37.44 | — | — |
| Creatinine blood test inpatient CPT 82565 LAB-CREATININE, SERUM | $79.00 | $79.00 | $14.17–$61.62 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 LAB-TORCH, CMV AB, IGG | $14.39 | $14.39 | $2.81–$30.24 | 78% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 LAB-CMV, IGG | $213.00 | $213.00 | $11.69–$166.14 | 227% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 LAB-TORCH, CMV AB, IGG | $14.39 | $14.39 | $2.81–$30.24 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 LAB-CMV, IGG | $213.00 | $213.00 | $11.69–$166.14 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 LAB-AATHRM-D-DIMER, B | $10.18 | $10.18 | $1.99–$7.94 | 83% below | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 LAB-AATHRM-D-DIMER, B | $10.18 | $10.18 | $1.99–$7.94 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-DRUGS OF ABUSE 5 SCRN, MEC | $307.00 | $307.00 | $50.49–$239.46 | 282% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-DRUGS OF ABUSE 4 SCRN, MEC | $393.00 | $393.00 | $50.49–$306.54 | 389% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-ETHYLENE GLYCOL | $424.00 | $424.00 | $50.49–$330.72 | 428% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-DRUG,TEST,PRESUM,SVT,GC/MS | $530.00 | $530.00 | $50.49–$413.40 | 560% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB-DRUG OF ABUSE SCREEN,URINE | $550.00 | $550.00 | $107.25–$429.00 | 585% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-DRUGS OF ABUSE 5 SCRN, MEC | $307.00 | $307.00 | $50.49–$239.46 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-DRUGS OF ABUSE 4 SCRN, MEC | $393.00 | $393.00 | $50.49–$306.54 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-ETHYLENE GLYCOL | $424.00 | $424.00 | $50.49–$330.72 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-DRUG,TEST,PRESUM,SVT,GC/MS | $530.00 | $530.00 | $50.49–$413.40 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB-DRUG OF ABUSE SCREEN,URINE | $550.00 | $550.00 | $107.25–$429.00 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LAB-ELECTROLYTE PANEL | $209.00 | $209.00 | $23.99–$163.02 | 325% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 BRC ORTH VST 464 TLSO LF | $1,519.00 | $1,519.00 | $6.93–$1,184.82 | 2987% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LAB-ELECTROLYTE PANEL | $209.00 | $209.00 | $23.99–$163.02 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 BRC ORTH VST 464 TLSO LF | $1,519.00 | $1,519.00 | $6.93–$1,184.82 | — | — |
| Estradiol blood test CPT 82670 CVOR-SURGERY OFF PUMP, 6 PER | $118.96 | $118.96 | $30.93–$118.96 | 19% above | — |
| Estradiol blood test CPT 82670 LAB-ESTRADIOL,SERUM TO MAYO | $157.20 | $157.20 | $30.65–$122.62 | 57% above | — |
| Estradiol blood test CPT 82670 LAB-FFES-FREE ESTRADIOL W SHBG | $536.76 | $536.76 | $22.70–$418.67 | 436% above | — |
| Estradiol blood test inpatient CPT 82670 CVOR-SURGERY OFF PUMP, 6 PER | $118.96 | $118.96 | $30.93–$118.96 | — | — |
| Estradiol blood test inpatient CPT 82670 LAB-ESTRADIOL,SERUM TO MAYO | $157.20 | $157.20 | $30.65–$122.62 | — | — |
| Estradiol blood test inpatient CPT 82670 LAB-FFES-FREE ESTRADIOL W SHBG | $536.76 | $536.76 | $22.70–$418.67 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 OR-PLT .6MM MICRO CNTR RNDB | $959.00 | $959.00 | $18.36–$748.02 | 1007% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 LAB-FSHM, FSH TO MAYO, SERUM | $1,499.22 | $1,499.22 | $15.10–$1,169.39 | 1631% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 OR-PLT .6MM MICRO CNTR RNDB | $959.00 | $959.00 | $18.36–$748.02 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 LAB-FSHM, FSH TO MAYO, SERUM | $1,499.22 | $1,499.22 | $15.10–$1,169.39 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 OMNIPAQUE, 180MG/20ML | $16.00 | $16.00 | $4.00–$35.08 | 92% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 LAB-CALPROTECTIN, FECES | $570.00 | $570.00 | $111.15–$444.60 | 193% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 LAB-CALPRO-CALPROTECTIN, FECAL | $903.90 | $903.90 | $176.26–$705.04 | 364% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 OMNIPAQUE, 180MG/20ML | $16.00 | $16.00 | $4.00–$35.08 | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 LAB-CALPROTECTIN, FECES | $570.00 | $570.00 | $111.15–$444.60 | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 LAB-CALPRO-CALPROTECTIN, FECAL | $903.90 | $903.90 | $176.26–$705.04 | — | — |
| Ferritin blood test (iron stores) CPT 82728 LAB-FERRITIN | $42.00 | $42.00 | $8.19–$35.08 | 25% below | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 LAB-FERRITIN | $42.00 | $42.00 | $8.19–$35.08 | — | — |
| Fibrinogen blood test CPT 85384 LAB-AATHRM-FIBRINOGEN | $9.72 | $9.72 | $1.90–$10.72 | 79% below | — |
| Fibrinogen blood test CPT 85384 VEKLURY 1 MG INJ | $28.57 | $28.57 | $6.57–$22.28 | 38% below | — |
| Fibrinogen blood test CPT 85384 LAB-TEG,FIBRINOGEN,K ANGLE | $90.00 | $90.00 | $7.90–$70.20 | 95% above | — |
| Fibrinogen blood test inpatient CPT 85384 LAB-AATHRM-FIBRINOGEN | $9.72 | $9.72 | $1.90–$10.72 | — | — |
| Fibrinogen blood test inpatient CPT 85384 VEKLURY 1 MG INJ | $28.57 | $28.57 | $6.57–$22.28 | — | — |
| Fibrinogen blood test inpatient CPT 85384 LAB-TEG,FIBRINOGEN,K ANGLE | $90.00 | $90.00 | $7.90–$70.20 | — | — |
| Folate (folic acid) blood test CPT 82746 LAB-FOLATE | $87.00 | $87.00 | $11.95–$67.86 | 41% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 LAB-FOLATE | $87.00 | $87.00 | $11.95–$67.86 | — | — |
| Free T3 thyroid hormone test CPT 84481 K-WIRE .035 9" | $98.50 | $98.50 | $16.74–$76.83 | 43% above | — |
| Free T3 thyroid hormone test CPT 84481 LAB-T-3 FREE | $704.00 | $704.00 | $36.47–$549.12 | 923% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 K-WIRE .035 9" | $98.50 | $98.50 | $16.74–$76.83 | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 LAB-T-3 FREE | $704.00 | $704.00 | $36.47–$549.12 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 LAB-F4 FREE, BY DIALYSIS | $204.36 | $204.36 | $39.85–$159.40 | 235% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 LAB-THYROXIN (T-4) FREE | $351.00 | $351.00 | $68.45–$273.78 | 476% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LAB-F4 FREE, BY DIALYSIS | $204.36 | $204.36 | $39.85–$159.40 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LAB-THYROXIN (T-4) FREE | $351.00 | $351.00 | $68.45–$273.78 | — | — |
| Free testosterone test CPT 84402 LAB-TTFBM-TESTOSTERONE,T,B,FR | $25.47 | $25.47 | $4.97–$36.47 | 66% below | — |
| Free testosterone test CPT 84402 LAB-TESTOSTERONE, FREE | $544.00 | $544.00 | $20.70–$424.32 | 633% above | — |
| Free testosterone test inpatient CPT 84402 LAB-TTFBM-TESTOSTERONE,T,B,FR | $25.47 | $25.47 | $4.97–$36.47 | — | — |
| Free testosterone test inpatient CPT 84402 LAB-TESTOSTERONE, FREE | $544.00 | $544.00 | $20.70–$424.32 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 LAB-GGT | $163.00 | $163.00 | $5.85–$127.14 | 395% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LAB-GGT | $163.00 | $163.00 | $5.85–$127.14 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 LAB-GEN HEALTH PANEL | $232.00 | $232.00 | $24.02–$180.96 | 112% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 VISIPORT | $524.40 | $524.40 | $24.02–$409.03 | 379% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 LAB-GEN HEALTH PANEL | $232.00 | $232.00 | $24.02–$180.96 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 VISIPORT | $524.40 | $524.40 | $24.02–$409.03 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LAB-GLUCOSE CHALLENGE | $125.00 | $125.00 | $14.17–$97.50 | 210% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 LAB-GLUCOSE CHALLENGE | $125.00 | $125.00 | $14.17–$97.50 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 LAB-GLUCOSE TOLERANCE TEST,3 | $209.00 | $209.00 | $40.76–$163.02 | 243% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 LAB-GLUCOSE TOLERANCE TEST,3 | $209.00 | $209.00 | $40.76–$163.02 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB-CTNGVT, NEISS GONOR TO DIA | $35.09 | $35.09 | $6.84–$27.37 | 50% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB-STD,N.GONORR BY PCR DIAT | $170.00 | $170.00 | $33.15–$319.89 | 143% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB-NEISSERIA GONORRHOEAE,AMPL | $192.00 | $192.00 | $13.31–$149.76 | 174% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB-CTNGVT, NEISS GONOR TO DIA | $35.09 | $35.09 | $6.84–$27.37 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB-STD,N.GONORR BY PCR DIAT | $170.00 | $170.00 | $33.15–$319.89 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB-NEISSERIA GONORRHOEAE,AMPL | $192.00 | $192.00 | $13.31–$149.76 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 ZICONOTIDE 1 MCG INJ | $47.81 | $47.81 | $11.00–$79.50 | 79% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LAB-HIV RNA BY PCR, QUANTITATI | $2,772.00 | $2,772.00 | $540.54–$6,807.98 | 1100% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 ZICONOTIDE 1 MCG INJ | $47.81 | $47.81 | $11.00–$79.50 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LAB-HIV RNA BY PCR, QUANTITATI | $2,772.00 | $2,772.00 | $540.54–$6,807.98 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 OR-MESH DYNMC .6MM 10-11 STD | $12,564.50 | $12,564.50 | $20.91–$9,800.31 | 20647% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 OR-MESH DYNMC .6MM 10-11 STD | $12,564.50 | $12,564.50 | $20.91–$9,800.31 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LAB-HEMOGLOBIN A-1-C (MAYO) | $70.74 | $70.74 | $13.79–$55.18 | 136% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $115.00 | $115.00 | $7.89–$89.70 | 283% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LAB-HEMOGLOBIN A-1-C (MAYO) | $70.74 | $70.74 | $13.79–$55.18 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $115.00 | $115.00 | $7.89–$89.70 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 LAB-CORABM-HBC TOTAL AB W REF | $117.90 | $117.90 | $9.79–$91.96 | 97% above | — |
| Hepatitis B core antibody test (total) CPT 86704 LAB-HBC TOTAL AB TO MAYO | $251.00 | $251.00 | $48.95–$195.78 | 320% above | — |
| Hepatitis B core antibody test (total) CPT 86704 GRAFT SURGISIS-BIODESIGN 7X20 | $4,892.00 | $4,892.00 | $11.90–$3,815.76 | 8094% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 LAB-CORABM-HBC TOTAL AB W REF | $117.90 | $117.90 | $9.79–$91.96 | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 LAB-HBC TOTAL AB TO MAYO | $251.00 | $251.00 | $48.95–$195.78 | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 GRAFT SURGISIS-BIODESIGN 7X20 | $4,892.00 | $4,892.00 | $11.90–$3,815.76 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 PROS, FINGER JOINT GROMMET SZ | $3,505.50 | $3,505.50 | $10.61–$2,734.29 | 6641% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 PROS, FINGER JOINT GROMMET SZ | $3,505.50 | $3,505.50 | $10.61–$2,734.29 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB-PNP HBSAG | $10.33 | $10.33 | $2.02–$8.06 | 71% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB-CHSBPM-CHRONIC HEP B MONTO | $121.44 | $121.44 | $20.91–$94.72 | 238% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB-HBSAG | $140.00 | $140.00 | $27.30–$109.20 | 289% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB-PNP HBSAG | $10.33 | $10.33 | $2.02–$8.06 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB-CHSBPM-CHRONIC HEP B MONTO | $121.44 | $121.44 | $20.91–$94.72 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB-HBSAG | $140.00 | $140.00 | $27.30–$109.20 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 LAB-HEPATITIS C, QUANTIFICATIO | $540.00 | $540.00 | $105.30–$421.20 | 178% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LAB-HEPATITIS C, QUANTIFICATIO | $540.00 | $540.00 | $105.30–$421.20 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 LAB-TORCH, HSVAB, II, IGG | $19.35 | $19.35 | $3.77–$30.24 | 69% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 LAB-HSVG-HERPES SIMPLEX, TYPE | $125.00 | $125.00 | $15.73–$97.50 | 98% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB-TORCH, HSVAB, II, IGG | $19.35 | $19.35 | $3.77–$30.24 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB-HSVG-HERPES SIMPLEX, TYPE | $125.00 | $125.00 | $15.73–$97.50 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 LAB-CRPHS-CRP, HIGH SENSITIVIT | $134.00 | $134.00 | $10.53–$104.52 | 151% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 LAB-C-REACTIVE PROTEIN,ULTRASE | $236.00 | $236.00 | $10.53–$184.08 | 342% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 LAB-BASIC METABOLIC PANEL | $280.00 | $280.00 | $10.53–$218.40 | 424% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 LAB-CRPHS-CRP, HIGH SENSITIVIT | $134.00 | $134.00 | $10.53–$104.52 | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 LAB-C-REACTIVE PROTEIN,ULTRASE | $236.00 | $236.00 | $10.53–$184.08 | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 LAB-BASIC METABOLIC PANEL | $280.00 | $280.00 | $10.53–$218.40 | — | — |
| Homocysteine blood test CPT 83090 LAB-HOMOCYSTEINE | $759.00 | $759.00 | $14.56–$592.02 | 517% above | — |
| Homocysteine blood test inpatient CPT 83090 LAB-HOMOCYSTEINE | $759.00 | $759.00 | $14.56–$592.02 | — | — |
| Insulin blood test CPT 83525 LAB-INSULS, INSULIN LEVEL, TIM | $109.50 | $109.50 | $9.29–$85.41 | 58% above | — |
| Insulin blood test CPT 83525 LAB-INSFTM-INSULIN, FREE, SERU | $121.59 | $121.59 | $23.71–$94.84 | 75% above | — |
| Insulin blood test CPT 83525 LAB-INSULIN LEVEL | $340.00 | $340.00 | $36.47–$265.20 | 390% above | — |
| Insulin blood test inpatient CPT 83525 LAB-INSULS, INSULIN LEVEL, TIM | $109.50 | $109.50 | $9.29–$85.41 | — | — |
| Insulin blood test inpatient CPT 83525 LAB-INSFTM-INSULIN, FREE, SERU | $121.59 | $121.59 | $23.71–$94.84 | — | — |
| Insulin blood test inpatient CPT 83525 LAB-INSULIN LEVEL | $340.00 | $340.00 | $36.47–$265.20 | — | — |
| Iron blood test (serum iron) CPT 83540 LAB-IRON SERUM | $21.00 | $21.00 | $4.10–$16.38 | 26% below | — |
| Iron blood test (serum iron) CPT 83540 LAB-LIVER BIOPSY/TOTAL IRON | $330.12 | $330.12 | $5.26–$257.49 | 1060% above | — |
| Iron blood test (serum iron) CPT 83540 XR-PELVIS-AP | $449.00 | $449.00 | $6.40–$350.22 | 1478% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 LAB-IRON SERUM | $21.00 | $21.00 | $4.10–$16.38 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 LAB-LIVER BIOPSY/TOTAL IRON | $330.12 | $330.12 | $5.26–$257.49 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 XR-PELVIS-AP | $449.00 | $449.00 | $6.40–$350.22 | — | — |
| Kidney function blood test panel CPT 80069 LAB-RENAL FUNCTION PANEL | $417.00 | $417.00 | $7.05–$325.26 | 396% above | — |
| Kidney function blood test panel inpatient CPT 80069 LAB-RENAL FUNCTION PANEL | $417.00 | $417.00 | $7.05–$325.26 | — | — |
| LH (luteinizing hormone) test CPT 83002 LAB-LH, BLOOD | $348.00 | $348.00 | $22.71–$271.44 | 271% above | — |
| LH (luteinizing hormone) test CPT 83002 LAB-LHPEDM, LH*PEDIATRIC, S | $1,524.37 | $1,524.37 | $15.05–$1,189.01 | 1525% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LAB-LH, BLOOD | $348.00 | $348.00 | $22.71–$271.44 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LAB-LHPEDM, LH*PEDIATRIC, S | $1,524.37 | $1,524.37 | $15.05–$1,189.01 | — | — |
| Lactate (lactic acid) blood test CPT 83605 POC-LACTATE (LACTIC ACID) | $143.50 | $143.50 | $9.40–$111.93 | 145% above | — |
| Lactate (lactic acid) blood test CPT 83605 LAB-LACTIC ACID | $213.00 | $213.00 | $9.40–$166.14 | 264% above | — |
| Lactate (lactic acid) blood test CPT 83605 NDL RETINAL ANG 36G GRIESHABER | $721.00 | $721.00 | $11.43–$562.38 | 1132% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 POC-LACTATE (LACTIC ACID) | $143.50 | $143.50 | $9.40–$111.93 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LAB-LACTIC ACID | $213.00 | $213.00 | $9.40–$166.14 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 NDL RETINAL ANG 36G GRIESHABER | $721.00 | $721.00 | $11.43–$562.38 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-LDH, SERUM | $17.00 | $17.00 | $3.32–$14.17 | 32% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-LDH, BODY FLUID | $78.60 | $78.60 | $14.17–$61.31 | 213% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-LDH, FLUIDS | $110.00 | $110.00 | $13.31–$85.80 | 339% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-HK-LDH, BF | $141.00 | $141.00 | $4.91–$109.98 | 462% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB-HK-LDH, CSF | $145.00 | $145.00 | $4.91–$113.10 | 478% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 MIDAS DISSECTING TOOL/AM32 | $721.50 | $721.50 | $5.97–$562.77 | 2777% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-LDH, SERUM | $17.00 | $17.00 | $3.32–$14.17 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-LDH, BODY FLUID | $78.60 | $78.60 | $14.17–$61.31 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-LDH, FLUIDS | $110.00 | $110.00 | $13.31–$85.80 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-HK-LDH, BF | $141.00 | $141.00 | $4.91–$109.98 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB-HK-LDH, CSF | $145.00 | $145.00 | $4.91–$113.10 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 MIDAS DISSECTING TOOL/AM32 | $721.50 | $721.50 | $5.97–$562.77 | — | — |
| Liver function blood test panel CPT 80076 LAB-HEPATIC FUNCTION PANEL | $482.00 | $482.00 | $6.64–$375.96 | 506% above | — |
| Liver function blood test panel inpatient CPT 80076 LAB-HEPATIC FUNCTION PANEL | $482.00 | $482.00 | $6.64–$375.96 | — | — |
| Lyme disease antibody test CPT 86618 LAB-LYME DISEASE SEROLOGY | $174.00 | $174.00 | $13.84–$135.72 | 137% above | — |
| Lyme disease antibody test inpatient CPT 86618 LAB-LYME DISEASE SEROLOGY | $174.00 | $174.00 | $13.84–$135.72 | — | — |
| Magnesium blood test CPT 83735 LAB-MAGNESIUM | $50.00 | $50.00 | $5.45–$39.00 | 122% above | — |
| Magnesium blood test CPT 83735 LAB-MAGNESIUM, FECES | $106.11 | $106.11 | $5.45–$82.77 | 372% above | — |
| Magnesium blood test CPT 83735 TVGO-COLPOSCOPY OF THE VULVA | $483.00 | $483.00 | $14.17–$483.00 | 2047% above | — |
| Magnesium blood test CPT 83735 XR-SINUSES PARANASAL | $787.00 | $787.00 | $6.63–$613.86 | 3398% above | — |
| Magnesium blood test CPT 83735 ANCHOR/SCREW BN/BN,TIS/BN | $3,332.50 | $3,332.50 | $6.63–$2,599.35 | 14711% above | — |
| Magnesium blood test inpatient CPT 83735 LAB-MAGNESIUM | $50.00 | $50.00 | $5.45–$39.00 | — | — |
| Magnesium blood test inpatient CPT 83735 LAB-MAGNESIUM, FECES | $106.11 | $106.11 | $5.45–$82.77 | — | — |
| Magnesium blood test inpatient CPT 83735 TVGO-COLPOSCOPY OF THE VULVA | $483.00 | $483.00 | $14.17–$483.00 | — | — |
| Magnesium blood test inpatient CPT 83735 XR-SINUSES PARANASAL | $787.00 | $787.00 | $6.63–$613.86 | — | — |
| Magnesium blood test inpatient CPT 83735 ANCHOR/SCREW BN/BN,TIS/BN | $3,332.50 | $3,332.50 | $6.63–$2,599.35 | — | — |
| Measles (rubeola) antibody test CPT 86765 LAB-RUBEOLA IGG SCREEN | $99.00 | $99.00 | $10.46–$77.22 | 125% above | — |
| Measles (rubeola) antibody test CPT 86765 LAB-RUBEOLA AB,IGG | $209.00 | $209.00 | $40.76–$5,281.09 | 375% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 LAB-RUBEOLA IGG SCREEN | $99.00 | $99.00 | $10.46–$77.22 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 LAB-RUBEOLA AB,IGG | $209.00 | $209.00 | $40.76–$5,281.09 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 LAB-MONO SLIDE TEST | $163.00 | $163.00 | $4.21–$127.14 | 260% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 LAB-MONO SLIDE TEST | $163.00 | $163.00 | $4.21–$127.14 | — | — |
| Mumps immunity blood test CPT 86735 LAB-MUMPS IGG | $81.00 | $81.00 | $10.60–$63.18 | 84% above | — |
| Mumps immunity blood test CPT 86735 LAB-MUMPS VIRUS AB,IGM | $186.00 | $186.00 | $36.27–$5,281.09 | 323% above | — |
| Mumps immunity blood test inpatient CPT 86735 LAB-MUMPS IGG | $81.00 | $81.00 | $10.60–$63.18 | — | — |
| Mumps immunity blood test inpatient CPT 86735 LAB-MUMPS VIRUS AB,IGM | $186.00 | $186.00 | $36.27–$5,281.09 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 LAB-FREE PSA | $141.00 | $141.00 | $14.94–$109.98 | 116% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 LAB-FREE PSA | $141.00 | $141.00 | $14.94–$109.98 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $20.26 | $20.26 | $3.95–$15.80 | 51% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LAB-DIAGNOSTIC THIN PREP | $128.00 | $128.00 | $24.96–$99.84 | 210% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER | $20.26 | $20.26 | $3.95–$15.80 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 LAB-DIAGNOSTIC THIN PREP | $128.00 | $128.00 | $24.96–$99.84 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 LAB-INTEROPERATIVE PTH | $987.00 | $987.00 | $33.54–$769.86 | 628% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB-INTEROPERATIVE PTH | $987.00 | $987.00 | $33.54–$769.86 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB-ACTIVATED PTT | $17.00 | $17.00 | $3.32–$13.26 | 60% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB-ALUPPM-THROPLASTIN TIME, P | $66.34 | $66.34 | $4.89–$51.75 | 57% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB-ACTIVATED PTT | $17.00 | $17.00 | $3.32–$13.26 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB-ALUPPM-THROPLASTIN TIME, P | $66.34 | $66.34 | $4.89–$51.75 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 LAB-PHOSPHORUS, FECES | $106.11 | $106.11 | $20.69–$82.77 | 336% above | — |
| Phosphorus (phosphate) blood test CPT 84100 LAB-PHOSPHORUS INORGANIC | $174.00 | $174.00 | $14.17–$135.72 | 615% above | — |
| Phosphorus (phosphate) blood test CPT 84100 MRC O/P ESTABLISHED LEVEL 3 | $180.00 | $180.00 | $46.80–$172.00 | 639% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 LAB-PHOSPHORUS, FECES | $106.11 | $106.11 | $20.69–$82.77 | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 LAB-PHOSPHORUS INORGANIC | $174.00 | $174.00 | $14.17–$135.72 | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 MRC O/P ESTABLISHED LEVEL 3 | $180.00 | $180.00 | $46.80–$172.00 | — | — |
| Potassium blood test CPT 84132 POC-POTASSIUM | $44.50 | $44.50 | $3.86–$34.71 | 62% above | — |
| Potassium blood test inpatient CPT 84132 POC-POTASSIUM | $44.50 | $44.50 | $3.86–$34.71 | — | — |
| Progesterone blood test CPT 84144 LAB-PROGSR-PROGESTERONE LVL, T | $111.50 | $111.50 | $16.95–$86.97 | 13% above | — |
| Progesterone blood test CPT 84144 LAB-PROGESTERONE LEVEL | $348.00 | $348.00 | $67.86–$1,443.93 | 253% above | — |
| Progesterone blood test CPT 84144 ANCHOR/SCREW BN/BN,TIS/BN | $8,928.50 | $8,928.50 | $20.61–$6,964.23 | 8962% above | — |
| Progesterone blood test one side CPT 84144 LAB-PROGESTERONE LEVEL | $348.00 | $348.00 | $67.86–$1,443.93 | 253% above | — |
| Progesterone blood test inpatient CPT 84144 LAB-PROGSR-PROGESTERONE LVL, T | $111.50 | $111.50 | $16.95–$86.97 | — | — |
| Progesterone blood test inpatient CPT 84144 LAB-PROGESTERONE LEVEL | $348.00 | $348.00 | $67.86–$1,443.93 | — | — |
| Progesterone blood test inpatient CPT 84144 ANCHOR/SCREW BN/BN,TIS/BN | $8,928.50 | $8,928.50 | $20.61–$6,964.23 | — | — |
| Progesterone blood test inpatient one side CPT 84144 LAB-PROGESTERONE LEVEL | $348.00 | $348.00 | $67.86–$1,443.93 | — | — |
| Prolactin blood test CPT 84146 LAB-PROLACTIN LEVEL | $464.00 | $464.00 | $90.48–$361.92 | 348% above | — |
| Prolactin blood test one side CPT 84146 PLATE 1.7MM L SHAPE LEFT 54-05 | $692.50 | $692.50 | $19.15–$540.15 | 569% above | — |
| Prolactin blood test inpatient CPT 84146 LAB-PROLACTIN LEVEL | $464.00 | $464.00 | $90.48–$361.92 | — | — |
| Prolactin blood test inpatient one side CPT 84146 PLATE 1.7MM L SHAPE LEFT 54-05 | $692.50 | $692.50 | $19.15–$540.15 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB-PROTHROMBIN TIME W/INR | $17.00 | $17.00 | $3.32–$13.26 | 26% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB-ALUPPM-PROTHROMBIN TIME | $47.40 | $47.40 | $3.49–$36.97 | 106% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 TOOL MR8 14CM BALL | $743.50 | $743.50 | $4.24–$579.93 | 3131% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HYDRATOME SPINCTEROTOME | $3,167.00 | $3,167.00 | $4.24–$2,470.26 | 13664% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB-PROTHROMBIN TIME W/INR | $17.00 | $17.00 | $3.32–$13.26 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB-ALUPPM-PROTHROMBIN TIME | $47.40 | $47.40 | $3.49–$36.97 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 TOOL MR8 14CM BALL | $743.50 | $743.50 | $4.24–$579.93 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HYDRATOME SPINCTEROTOME | $3,167.00 | $3,167.00 | $4.24–$2,470.26 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 POC-INFLUENZA, A OR B, EACH | $172.00 | $172.00 | $13.45–$134.16 | 498% above | — |
| Rapid flu test (influenza antigen) CPT 87804 CL-S-BLLN ADM XTRM PTA X/250/X | $1,886.50 | $1,886.50 | $16.36–$1,471.47 | 6464% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 POC-INFLUENZA, A OR B, EACH | $172.00 | $172.00 | $13.45–$134.16 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 CL-S-BLLN ADM XTRM PTA X/250/X | $1,886.50 | $1,886.50 | $16.36–$1,471.47 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 LAB-RAPID STREP | $99.00 | $99.00 | $19.31–$77.22 | 129% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 CAST, SHORT ARM ADULT SYN | $493.80 | $493.80 | $16.32–$385.16 | 1044% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 OR-PLT 1.5MM MN ST MNDB 12H LK | $724.00 | $724.00 | $16.32–$564.72 | 1577% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 LAB-RAPID STREP | $99.00 | $99.00 | $19.31–$77.22 | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 CAST, SHORT ARM ADULT SYN | $493.80 | $493.80 | $16.32–$385.16 | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 OR-PLT 1.5MM MN ST MNDB 12H LK | $724.00 | $724.00 | $16.32–$564.72 | — | — |
| Renin blood test CPT 84244 XR-BARIUM ENEMA AIR CONTRAST | $1,425.00 | $1,425.00 | $21.72–$1,111.50 | 1511% above | — |
| Renin blood test inpatient CPT 84244 XR-BARIUM ENEMA AIR CONTRAST | $1,425.00 | $1,425.00 | $21.72–$1,111.50 | — | — |
| Rh blood typing CPT 86901 LAB-PNP RH | $18.00 | $18.00 | $3.51–$14.04 | 27% below | — |
| Rh blood typing CPT 86901 LAB-RH | $167.00 | $167.00 | $2.43–$130.26 | 573% above | — |
| Rh blood typing CPT 86901 D-NEUROSTIM LEAD TEST KIT R09 | $337.51 | $337.51 | $2.95–$263.26 | 1261% above | — |
| Rh blood typing inpatient CPT 86901 LAB-PNP RH | $18.00 | $18.00 | $3.51–$14.04 | — | — |
| Rh blood typing inpatient CPT 86901 LAB-RH | $167.00 | $167.00 | $2.43–$130.26 | — | — |
| Rh blood typing inpatient CPT 86901 D-NEUROSTIM LEAD TEST KIT R09 | $337.51 | $337.51 | $2.95–$263.26 | — | — |
| Rheumatoid factor (RF) test CPT 86431 LAB-CTBIDM-CULTURE, MYCOBATERI | $786.00 | $786.00 | $4.61–$613.08 | 1647% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 LAB-CTBIDM-CULTURE, MYCOBATERI | $786.00 | $786.00 | $4.61–$613.08 | — | — |
| Rubella antibody test (immunity check) CPT 86762 LAB-RUBELLA ANTIBODY | $140.00 | $140.00 | $27.30–$109.20 | 268% above | — |
| Rubella antibody test (immunity check) CPT 86762 PC-LUMB SYMP BLOCK-DIAGNOSTIC | $1,798.00 | $1,798.00 | $30.24–$1,402.44 | 4632% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 LAB-RUBELLA ANTIBODY | $140.00 | $140.00 | $27.30–$109.20 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 PC-LUMB SYMP BLOCK-DIAGNOSTIC | $1,798.00 | $1,798.00 | $30.24–$1,402.44 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 LAB-SED RATE,AUTOMATED | $15.00 | $15.00 | $2.20–$16.25 | 37% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 LAB-SED RATE,AUTOMATED | $15.00 | $15.00 | $2.20–$16.25 | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 LAB-SEMEN ANALYSIS | $269.00 | $269.00 | $10.00–$209.82 | 209% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 LAB-SEMEN ANALYSIS | $269.00 | $269.00 | $10.00–$209.82 | — | — |
| Sodium blood test CPT 84295 POC-NA | $44.50 | $44.50 | $8.68–$34.71 | 88% above | — |
| Sodium blood test CPT 84295 LAB-SODIUM | $125.00 | $125.00 | $3.91–$97.50 | 429% above | — |
| Sodium blood test CPT 84295 PLTE BX THOR 4 H LP RDLCNT PK | $1,989.00 | $1,989.00 | $4.76–$1,551.42 | 8310% above | — |
| Sodium blood test inpatient CPT 84295 POC-NA | $44.50 | $44.50 | $8.68–$34.71 | — | — |
| Sodium blood test inpatient CPT 84295 LAB-SODIUM | $125.00 | $125.00 | $3.91–$97.50 | — | — |
| Sodium blood test inpatient CPT 84295 PLTE BX THOR 4 H LP RDLCNT PK | $1,989.00 | $1,989.00 | $4.76–$1,551.42 | — | — |
| Stool ova and parasites exam CPT 87177 LAB-O & P DIRECT* | $150.00 | $150.00 | $7.24–$117.00 | 231% above | — |
| Stool ova and parasites exam inpatient CPT 87177 LAB-O & P DIRECT* | $150.00 | $150.00 | $7.24–$117.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 SP-HEMOCULT | $10.00 | $10.00 | $1.95–$14.17 | 31% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OR-MESH CRNL .2MM SCRN/PENT | $1,752.00 | $1,752.00 | $4.33–$1,366.56 | 12050% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 SP-HEMOCULT | $10.00 | $10.00 | $1.95–$14.17 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OR-MESH CRNL .2MM SCRN/PENT | $1,752.00 | $1,752.00 | $4.33–$1,366.56 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 LAB-OCCULT BLOOD BY IMMUNOASSA | $55.00 | $55.00 | $10.73–$42.90 | at median | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 POC-BLOOD OCCULT FECAL QUAL | $125.00 | $125.00 | $12.94–$97.50 | 127% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 LAB-FOBTM-OCCULT BLD, QL, IMM, | $417.60 | $417.60 | $81.44–$325.73 | 659% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 CLIP, ANEURYSM SUGITA #41 07-9 | $1,515.00 | $1,515.00 | $12.94–$1,181.70 | 2655% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 LAB-OCCULT BLOOD BY IMMUNOASSA | $55.00 | $55.00 | $10.73–$42.90 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 POC-BLOOD OCCULT FECAL QUAL | $125.00 | $125.00 | $12.94–$97.50 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 LAB-FOBTM-OCCULT BLD, QL, IMM, | $417.60 | $417.60 | $81.44–$325.73 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 CLIP, ANEURYSM SUGITA #41 07-9 | $1,515.00 | $1,515.00 | $12.94–$1,181.70 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 LAB-PNP SYPHILIS IGG/M | $51.00 | $51.00 | $9.95–$39.78 | 34% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 LAB-NSAIPM-NEUROSYPHILIS IGG A | $78.60 | $78.60 | $15.33–$61.31 | 107% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 LAB-SYPHILIS AB IBG&IGM W/REFL | $89.25 | $89.25 | $17.41–$69.62 | 135% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 LAB-SYPHILIS AB BY TP-PA | $249.00 | $249.00 | $10.76–$194.22 | 555% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB-PNP SYPHILIS IGG/M | $51.00 | $51.00 | $9.95–$39.78 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB-NSAIPM-NEUROSYPHILIS IGG A | $78.60 | $78.60 | $15.33–$61.31 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB-SYPHILIS AB IBG&IGM W/REFL | $89.25 | $89.25 | $17.41–$69.62 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB-SYPHILIS AB BY TP-PA | $249.00 | $249.00 | $10.76–$194.22 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB-VDRL-CSF | $113.00 | $113.00 | $22.04–$197.54 | 335% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB-VDRLM, VDRL CSF | $143.00 | $143.00 | $27.89–$159.95 | 450% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 ANCHOR/SCREW BN/BN,TIS/BN | $2,760.00 | $2,760.00 | $4.23–$2,152.80 | 10515% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB-VDRL-CSF | $113.00 | $113.00 | $22.04–$197.54 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB-VDRLM, VDRL CSF | $143.00 | $143.00 | $27.89–$159.95 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 ANCHOR/SCREW BN/BN,TIS/BN | $2,760.00 | $2,760.00 | $4.23–$2,152.80 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 LAB-TESTOSTERONE TOTAL | $111.50 | $111.50 | $21.74–$86.97 | 57% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 LAB-TTFBM-TESTOSTERONE,T,B,FR | $191.00 | $191.00 | $20.98–$148.98 | 169% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LAB-TESTOSTERONE TOTAL | $111.50 | $111.50 | $21.74–$86.97 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LAB-TTFBM-TESTOSTERONE,T,B,FR | $191.00 | $191.00 | $20.98–$148.98 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LAB-THYRO PEROXIDASE AB | $110.00 | $110.00 | $2.36–$85.80 | 150% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LAB-RESP SYNCYTIAL VIR | $167.00 | $167.00 | $11.83–$130.26 | 279% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LAB-LIVER KIDNEY AB | $517.00 | $517.00 | $30.24–$403.26 | 1075% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB-THYRO PEROXIDASE AB | $110.00 | $110.00 | $2.36–$85.80 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB-RESP SYNCYTIAL VIR | $167.00 | $167.00 | $11.83–$130.26 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB-LIVER KIDNEY AB | $517.00 | $517.00 | $30.24–$403.26 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB-TSH | $86.00 | $86.00 | $13.65–$67.08 | 53% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB-TSH | $86.00 | $86.00 | $13.65–$67.08 | — | — |
| Total IgE blood test CPT 82785 LAB-PR943M IGE, S | $16.46 | $16.46 | $3.21–$127.72 | 67% below | — |
| Total IgE blood test CPT 82785 LAB-RESP PROF REG 6, IGE | $94.50 | $94.50 | $13.38–$73.71 | 91% above | — |
| Total IgE blood test CPT 82785 LAB-IGE | $404.00 | $404.00 | $13.38–$315.12 | 717% above | — |
| Total IgE blood test inpatient CPT 82785 LAB-PR943M IGE, S | $16.46 | $16.46 | $3.21–$127.72 | — | — |
| Total IgE blood test inpatient CPT 82785 LAB-RESP PROF REG 6, IGE | $94.50 | $94.50 | $13.38–$73.71 | — | — |
| Total IgE blood test inpatient CPT 82785 LAB-IGE | $404.00 | $404.00 | $13.38–$315.12 | — | — |
| Total cholesterol blood test CPT 82465 LAB-CRMP1M-CHOLESTEROL | $30.73 | $30.73 | $3.54–$23.97 | at median | — |
| Total cholesterol blood test CPT 82465 LAB-LIPID PANEL, MML, CHOLESTE | $49.83 | $49.83 | $3.54–$38.87 | 62% above | — |
| Total cholesterol blood test inpatient CPT 82465 LAB-CRMP1M-CHOLESTEROL | $30.73 | $30.73 | $3.54–$23.97 | — | — |
| Total cholesterol blood test inpatient CPT 82465 LAB-LIPID PANEL, MML, CHOLESTE | $49.83 | $49.83 | $3.54–$38.87 | — | — |
| Total thyroxine (T4) blood test CPT 84436 LAB-THYROXIN (T-4) | $32.00 | $32.00 | $5.59–$36.47 | 34% below | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 LAB-THYROXIN (T-4) | $32.00 | $32.00 | $5.59–$36.47 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 LAB-T3 (TOTAL) | $70.00 | $70.00 | $11.53–$54.60 | 46% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 LAB-T3 (TOTAL) | $70.00 | $70.00 | $11.53–$54.60 | — | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $35.09 | $35.09 | $6.84–$27.37 | 50% below | — |
| Trichomonas test (NAAT) CPT 87661 LAB-PCRTU,TRICH VAG PCR, URINE | $192.00 | $192.00 | $28.51–$149.76 | 174% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $35.09 | $35.09 | $6.84–$27.37 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 LAB-PCRTU,TRICH VAG PCR, URINE | $192.00 | $192.00 | $28.51–$149.76 | — | — |
| Triglycerides blood test CPT 84478 LAB-CRMP1M-TRIGLYCERIDES | $40.64 | $40.64 | $4.66–$31.70 | 29% above | — |
| Triglycerides blood test CPT 84478 LAB-LIPID PANEL, MML,TRIGLYCER | $65.87 | $65.87 | $4.66–$51.38 | 109% above | — |
| Triglycerides blood test CPT 84478 LAB-TRIGLYCERIDES | $213.00 | $213.00 | $14.17–$166.14 | 577% above | — |
| Triglycerides blood test inpatient CPT 84478 LAB-CRMP1M-TRIGLYCERIDES | $40.64 | $40.64 | $4.66–$31.70 | — | — |
| Triglycerides blood test inpatient CPT 84478 LAB-LIPID PANEL, MML,TRIGLYCER | $65.87 | $65.87 | $4.66–$51.38 | — | — |
| Triglycerides blood test inpatient CPT 84478 LAB-TRIGLYCERIDES | $213.00 | $213.00 | $14.17–$166.14 | — | — |
| Troponin test, quantitative CPT 84484 LAB-TROPONIN I, HIGH SENSITIVI | $1,208.95 | $1,208.95 | $10.14–$942.98 | 1627% above | — |
| Troponin test, quantitative CPT 84484 STENT-TRACHEOBRONCHIAL AERO | $9,200.00 | $9,200.00 | $12.33–$7,176.00 | 13043% above | — |
| Troponin test, quantitative inpatient CPT 84484 LAB-TROPONIN I, HIGH SENSITIVI | $1,208.95 | $1,208.95 | $10.14–$942.98 | — | — |
| Troponin test, quantitative inpatient CPT 84484 STENT-TRACHEOBRONCHIAL AERO | $9,200.00 | $9,200.00 | $12.33–$7,176.00 | — | — |
| Uric acid blood test CPT 84550 LAB-AVWPRM-VON WILLEBRAND DIS | $517.03 | $517.03 | $3.68–$403.28 | 1638% above | — |
| Uric acid blood test inpatient CPT 84550 LAB-AVWPRM-VON WILLEBRAND DIS | $517.03 | $517.03 | $3.68–$403.28 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 LAB-URINALYSIS, ROUTINE | $32.00 | $32.00 | $2.58–$24.96 | 7% above | — |
| Urinalysis with microscope exam, automated CPT 81001 ANCHOR/SCREW BN/BN,TIS/BN | $1,201.50 | $1,201.50 | $3.13–$937.17 | 3905% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 LAB-URINALYSIS, ROUTINE | $32.00 | $32.00 | $2.58–$24.96 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 ANCHOR/SCREW BN/BN,TIS/BN | $1,201.50 | $1,201.50 | $3.13–$937.17 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 LAB-URINALYSIS | $28.00 | $28.00 | $1.83–$21.84 | 38% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $103.00 | $103.00 | $7.95–$80.34 | 406% above | — |
| Urinalysis without microscope exam, automated CPT 81003 M. GENITALIUM AMP PROBE | $239.50 | $239.50 | $1.83–$186.81 | 1077% above | — |
| Urinalysis without microscope exam, automated CPT 81003 D-VOCAL CORD MATRL SYNTH R09 | $337.51 | $337.51 | $2.22–$263.26 | 1559% above | — |
| Urinalysis without microscope exam, automated CPT 81003 ANCHOR/SCREW BN/BN,TIS/BN | $1,936.50 | $1,936.50 | $2.22–$1,510.47 | 9416% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 LAB-URINALYSIS | $28.00 | $28.00 | $1.83–$21.84 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE | $103.00 | $103.00 | $7.95–$80.34 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 M. GENITALIUM AMP PROBE | $239.50 | $239.50 | $1.83–$186.81 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 D-VOCAL CORD MATRL SYNTH R09 | $337.51 | $337.51 | $2.22–$263.26 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 ANCHOR/SCREW BN/BN,TIS/BN | $1,936.50 | $1,936.50 | $2.22–$1,510.47 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 OPSVC-URINE KETONES POC | $7.00 | $7.00 | $1.37–$7.95 | 41% below | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 OPSVC-URINE KETONES POC | $7.00 | $7.00 | $1.37–$7.95 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 CATH SYS PRIMOFIT URINE MGMT | $130.00 | $130.00 | $7.98–$101.40 | 165% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CATH SYS PRIMOFIT URINE MGMT | $130.00 | $130.00 | $7.98–$101.40 | — | — |
| Urine microalbumin (albumin) test CPT 82043 LAB-ALBRM-ALBUMIN, RANDOM, URI | $58.01 | $58.01 | $4.70–$45.25 | 42% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 LAB-ALBRM-ALBUMIN, RANDOM, URI | $58.01 | $58.01 | $4.70–$45.25 | — | — |
| Urine pregnancy test, read by color change CPT 81025 LAB-HPVP,HPV BY PCR TO DIATHER | $35.09 | $35.09 | $6.84–$27.37 | 8% below | — |
| Urine pregnancy test, read by color change CPT 81025 ESTRADIOL 0.0375 MG/DAY PATCH | $57.30 | $57.30 | $7.95–$57.87 | 50% above | — |
| Urine pregnancy test, read by color change CPT 81025 OPSVC-PRGRMG EVAL IMPLANTABLE | $68.50 | $68.50 | $7.95–$68.50 | 80% above | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $132.00 | $132.00 | $7.00–$102.96 | 246% above | — |
| Urine pregnancy test, read by color change one side CPT 81025 XR-COMMON CAROTID,UNILAT,LT | $11,788.50 | $11,788.50 | $7.95–$9,195.03 | 30808% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 LAB-HPVP,HPV BY PCR TO DIATHER | $35.09 | $35.09 | $6.84–$27.37 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 ESTRADIOL 0.0375 MG/DAY PATCH | $57.30 | $57.30 | $7.95–$57.87 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 OPSVC-PRGRMG EVAL IMPLANTABLE | $68.50 | $68.50 | $7.95–$68.50 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $132.00 | $132.00 | $7.00–$102.96 | — | — |
| Urine pregnancy test, read by color change inpatient one side CPT 81025 XR-COMMON CAROTID,UNILAT,LT | $11,788.50 | $11,788.50 | $7.95–$9,195.03 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 LAB-VITAMIN B12 | $79.00 | $79.00 | $12.25–$61.62 | 48% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 TVGO-BX VULVA/PERINEUM EA ADDL | $1,995.00 | $1,995.00 | $36.47–$1,556.10 | 3650% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LAB-VITAMIN B12 | $79.00 | $79.00 | $12.25–$61.62 | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 TVGO-BX VULVA/PERINEUM EA ADDL | $1,995.00 | $1,995.00 | $36.47–$1,556.10 | — | — |
| 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 | $78.29–$475.64 | 545% 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 | $78.29–$475.64 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 LAB-VITAMIN D; DIHYDROXY,INCLU | $873.00 | $873.00 | $92.46–$680.94 | 549% above | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 OR-SCR LVL1 MXDRV SLFDR 2X77 | $7,306.50 | $7,306.50 | $38.05–$5,699.07 | 5330% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 LAB-VITAMIN D; DIHYDROXY,INCLU | $873.00 | $873.00 | $92.46–$680.94 | — | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 OR-SCR LVL1 MXDRV SLFDR 2X77 | $7,306.50 | $7,306.50 | $38.05–$5,699.07 | — | — |
| Zinc blood test CPT 84630 LAB-ZNSM-ZINC, SERUM | $94.32 | $94.32 | $9.25–$73.57 | 104% above | — |
| Zinc blood test CPT 84630 PULMONARY STRESS TESTING | $240.50 | $240.50 | $11.25–$240.50 | 420% above | — |
| Zinc blood test CPT 84630 CATH IND 8FR L85CM ASP TBG | $22,589.50 | $22,589.50 | $11.25–$17,619.81 | 48711% above | — |
| Zinc blood test inpatient CPT 84630 LAB-ZNSM-ZINC, SERUM | $94.32 | $94.32 | $9.25–$73.57 | — | — |
| Zinc blood test inpatient CPT 84630 PULMONARY STRESS TESTING | $240.50 | $240.50 | $11.25–$240.50 | — | — |
| Zinc blood test inpatient CPT 84630 CATH IND 8FR L85CM ASP TBG | $22,589.50 | $22,589.50 | $11.25–$17,619.81 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB-HCG TITER | $550.00 | $550.00 | $107.25–$11,906.05 | 880% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CATH BROVIAC 4.2FR | $942.00 | $942.00 | $14.87–$734.76 | 1578% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB-HCG TITER | $550.00 | $550.00 | $107.25–$11,906.05 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CATH BROVIAC 4.2FR | $942.00 | $942.00 | $14.87–$734.76 | — | — |
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 LAB-FBBLEM-BASS BLACK IGE | $348.69 | $348.69 | $68.00–$4,046.28 | 80% 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–$2,014.35 | 47% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 LAB-FBBLEM-BASS BLACK IGE | $348.69 | $348.69 | $68.00–$4,046.28 | — | — |
| 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–$2,014.35 | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 CL-P-CORNS W/LV | $4,141.40 | $4,141.40 | $87.62–$4,141.40 | 33% below | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CL-P-CORNS W/LV | $4,141.40 | $4,141.40 | $87.62–$4,141.40 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EP-P-CARDIOVERSION, ELECTIVE | $669.00 | $669.00 | $167.25–$1,868.38 | 16% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,060.00 | $1,060.00 | $265.00–$826.80 | 33% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 EP-P-CARDIOVERSION, ELECTIVE | $669.00 | $669.00 | $167.25–$1,868.38 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,060.00 | $1,060.00 | $265.00–$826.80 | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 EP-P-COM EP SDY W/AF FIB ABLAT | $28,588.50 | $28,588.50 | $396.90–$47,263.53 | 14% above | — |
| 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–$47,263.53 | — | — |
| Cervical biopsy CPT 57500 TVGO-BIOPSY OF CERVIX | $2,368.00 | $2,368.00 | $14.17–$1,847.04 | at median | — |
| Cervical biopsy inpatient CPT 57500 TVGO-BIOPSY OF CERVIX | $2,368.00 | $2,368.00 | $14.17–$1,847.04 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION /W PLASTIBELL | $982.00 | $982.00 | $255.32–$982.00 | 66% 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 | $894.92–$2,684.76 | 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 | $255.32–$982.00 | — | — |
| 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 | $894.92–$2,684.76 | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION W/O PLASTIBELL | $982.00 | $982.00 | $255.32–$982.00 | 5% above | — |
| Circumcision, surgical, older than a newborn CPT 54160 NURS-CIRCUMCSN W/O PLBELL(<28 | $3,442.00 | $3,442.00 | $894.92–$2,684.76 | 266% above | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION W/O PLASTIBELL | $982.00 | $982.00 | $255.32–$982.00 | — | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 NURS-CIRCUMCSN W/O PLBELL(<28 | $3,442.00 | $3,442.00 | $894.92–$2,684.76 | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 TVGO-BX/CURETT CERVIX W/SCOPE | $837.00 | $837.00 | $217.62–$1,323.82 | at median | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 TVGO-BX/CURETT CERVIX W/SCOPE | $837.00 | $837.00 | $217.62–$1,323.82 | — | — |
| Coronary stent placement, one artery CPT 92928 CL-P-REVAS(STENT+PTCA) 1VSL,LM | $17,512.50 | $17,512.50 | $396.90–$24,870.99 | 48% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 CL-P-REVAS(STENT+PTCA) 1VSL,LM | $17,512.50 | $17,512.50 | $396.90–$24,870.99 | — | — |
| Cystoscopy with ureteral stent placement CPT 52332 XR-CYSTO W/URETERAL STENT | $4,117.50 | $4,117.50 | $1,000.00–$3,211.65 | at median | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 XR-CYSTO W/URETERAL STENT | $4,117.50 | $4,117.50 | $1,000.00–$3,211.65 | — | — |
| Earwax removal with instruments, one ear CPT 69210 HWC-REMOVAL IMP CERUMEN INSTRU | $187.00 | $187.00 | $35.08–$187.00 | 89% above | — |
| Earwax removal with instruments, one ear CPT 69210 LAB-DERMLM HSV 1 BY PCR | $227.00 | $227.00 | $44.27–$177.06 | 129% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 HWC-REMOVAL IMP CERUMEN INSTRU | $187.00 | $187.00 | $35.08–$187.00 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 LAB-DERMLM HSV 1 BY PCR | $227.00 | $227.00 | $44.27–$177.06 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 EPS-DAIG SUPREME 5FR QUAD CRD- | $1,100.50 | $1,100.50 | $275.13–$2,473.77 | 2% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,811.00 | $1,811.00 | $470.86–$2,473.77 | 69% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 EPS-DAIG SUPREME 5FR QUAD CRD- | $1,100.50 | $1,100.50 | $275.13–$2,473.77 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,811.00 | $1,811.00 | $470.86–$2,473.77 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $612.50 | $612.50 | $159.25–$875.86 | 194% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 XR-CHEST/PA/LATERAL/ROUTINE | $669.00 | $669.00 | $173.94–$875.86 | 221% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATHETER FOR HYSTEROGRAPHY | $612.50 | $612.50 | $159.25–$875.86 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 XR-CHEST/PA/LATERAL/ROUTINE | $669.00 | $669.00 | $173.94–$875.86 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HWC-I&D ABCESS SIMPLE/SINGLE | $306.70 | $306.70 | $74.00–$472.84 | 10% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $801.00 | $801.00 | $74.00–$801.00 | 186% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 PTM-WHFO DYNAMIC CUSTOM | $974.50 | $974.50 | $74.00–$974.50 | 248% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 PTM-EWHFO STATIC CUSTOM | $2,752.00 | $2,752.00 | $472.84–$2,146.56 | 883% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HWC-I&D ABCESS SIMPLE/SINGLE | $306.70 | $306.70 | $74.00–$472.84 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $801.00 | $801.00 | $74.00–$801.00 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PTM-WHFO DYNAMIC CUSTOM | $974.50 | $974.50 | $74.00–$974.50 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PTM-EWHFO STATIC CUSTOM | $2,752.00 | $2,752.00 | $472.84–$2,146.56 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT | $411.00 | $411.00 | $106.86–$695.61 | at median | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ANCHOR/SCREW BN/BN,TIS/BN | $747.00 | $747.00 | $194.22–$747.00 | 82% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT | $411.00 | $411.00 | $106.86–$695.61 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ANCHOR/SCREW BN/BN,TIS/BN | $747.00 | $747.00 | $194.22–$747.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 REAMER AR-1409 AR-1410 AR-1411 | $1,290.00 | $1,290.00 | $335.40–$1,241.10 | 235% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 MRC DRN/INJ MAJ JT W/O US LT | $813.00 | $813.00 | $14.17–$634.14 | 111% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 MRC DRN/INJ MAJ JT W/O US RT | $813.00 | $813.00 | $203.25–$813.00 | 111% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 REAMER AR-1409 AR-1410 AR-1411 | $1,290.00 | $1,290.00 | $335.40–$1,241.10 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 MRC DRN/INJ MAJ JT W/O US LT | $813.00 | $813.00 | $14.17–$634.14 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 MRC DRN/INJ MAJ JT W/O US RT | $813.00 | $813.00 | $203.25–$813.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 LAB-CHAGSM-T.CRUZI TOTAL,AB,EI | $314.40 | $314.40 | $61.31–$1,043.41 | 1% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 XR-INJ PROC WRIST, ELBOW OR AN | $411.00 | $411.00 | $106.86–$695.61 | 29% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 BC-BONE DENSITOMETRY | $787.00 | $787.00 | $196.75–$695.61 | 147% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 MRC DRN/INJ INT JT W/O US RT | $813.00 | $813.00 | $211.38–$634.14 | 155% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 MRC DRN/INJ INT JT W/O US LT | $813.00 | $813.00 | $211.38–$634.14 | 155% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 LAB-CHAGSM-T.CRUZI TOTAL,AB,EI | $314.40 | $314.40 | $61.31–$1,043.41 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 XR-INJ PROC WRIST, ELBOW OR AN | $411.00 | $411.00 | $106.86–$695.61 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 BC-BONE DENSITOMETRY | $787.00 | $787.00 | $196.75–$695.61 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 MRC DRN/INJ INT JT W/O US RT | $813.00 | $813.00 | $211.38–$634.14 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 MRC DRN/INJ INT JT W/O US LT | $813.00 | $813.00 | $211.38–$634.14 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 PLTE 3.5 WD ANG LP RECON 16H | $4,454.50 | $4,454.50 | $695.61–$3,474.51 | 1057% above | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 MRC DRN/INJ SML JT W/O US LT | $813.00 | $813.00 | $211.38–$634.14 | 111% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PLTE 3.5 WD ANG LP RECON 16H | $4,454.50 | $4,454.50 | $695.61–$3,474.51 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 MRC DRN/INJ SML JT W/O US LT | $813.00 | $813.00 | $211.38–$634.14 | — | — |
| Left heart catheterization, diagnostic CPT 93452 CL-P-LV ONLY | $4,141.40 | $4,141.40 | $1,035.35–$6,807.98 | 11% below | — |
| Left heart catheterization, diagnostic inpatient CPT 93452 CL-P-LV ONLY | $4,141.40 | $4,141.40 | $1,035.35–$6,807.98 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 XR-INJECT CISTERNOGRAM LUMBAR | $2,995.50 | $2,995.50 | $778.83–$2,336.49 | 116% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 XR-INJECT CISTERNOGRAM LUMBAR | $2,995.50 | $2,995.50 | $778.83–$2,336.49 | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 XR-CISTERNOGRAM INJ W/O FLUORO | $1,127.00 | $1,127.00 | $293.02–$2,473.77 | at median | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 XR-CISTERNOGRAM INJ W/O FLUORO | $1,127.00 | $1,127.00 | $293.02–$2,473.77 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XR-SP-INJ LUMBAR/SACRAL-TRANSF | $1,225.50 | $1,225.50 | $30.24–$1,000.00 | at median | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 XR-SP-INJ LUMBAR/SACRAL-TRANSF | $1,225.50 | $1,225.50 | $30.24–$1,000.00 | — | — |
| 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 | $229.45–$1,288.56 | at median | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 CLS-VERRATA PLUS PRESSURE GWRE | $5,305.50 | $5,305.50 | $1,288.56–$4,138.29 | 501% 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 | $229.45–$1,288.56 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 CLS-VERRATA PLUS PRESSURE GWRE | $5,305.50 | $5,305.50 | $1,288.56–$4,138.29 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 EXPANDER SMOOTH CPX4T | $6,400.00 | $6,400.00 | $189.76–$4,992.00 | 2753% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 EXPANDER SMOOTH CPX4T | $6,400.00 | $6,400.00 | $189.76–$4,992.00 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 PLATE, SYN J LP 3.5X16HX208 | $8,042.33 | $8,042.33 | $2,010.58–$24,001.17 | 36% below | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 PLATE, SYN J LP 3.5X16HX208 | $8,042.33 | $8,042.33 | $2,010.58–$24,001.17 | — | — |
| Paracentesis with imaging guidance CPT 49083 US-ABD PARACENTESIS W/IMAG GUI | $495.00 | $495.00 | $128.70–$495.00 | 45% below | — |
| Paracentesis with imaging guidance CPT 49083 CT-ABD PARACENTESIS W/IMAG GUI | $1,654.00 | $1,654.00 | $430.04–$2,137.29 | 83% above | — |
| Paracentesis with imaging guidance CPT 49083 ANGIO-ABD PARACENTESIS W/IMAG | $1,654.00 | $1,654.00 | $430.04–$2,137.29 | 83% above | — |
| Paracentesis with imaging guidance CPT 49083 MATRL FOR VOCAL CORD | $2,720.00 | $2,720.00 | $707.20–$2,137.29 | 202% above | — |
| Paracentesis with imaging guidance CPT 49083 VNUS CLOSURE RFS 6F/12CM STYLE | $5,824.22 | $5,824.22 | $1,000.00–$4,542.89 | 546% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 US-ABD PARACENTESIS W/IMAG GUI | $495.00 | $495.00 | $128.70–$495.00 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 CT-ABD PARACENTESIS W/IMAG GUI | $1,654.00 | $1,654.00 | $430.04–$2,137.29 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ANGIO-ABD PARACENTESIS W/IMAG | $1,654.00 | $1,654.00 | $430.04–$2,137.29 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 MATRL FOR VOCAL CORD | $2,720.00 | $2,720.00 | $707.20–$2,137.29 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 VNUS CLOSURE RFS 6F/12CM STYLE | $5,824.22 | $5,824.22 | $1,000.00–$4,542.89 | — | — |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $2,765.00 | $2,765.00 | $691.25–$4,409.73 | at median | — |
| Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE | $2,765.00 | $2,765.00 | $691.25–$4,409.73 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 XR-FOREIGN BODY REM SQ TISSUE | $516.50 | $516.50 | $74.00–$516.50 | at median | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 XR-FOREIGN BODY REM SQ TISSUE | $516.50 | $516.50 | $74.00–$516.50 | — | — |
| Short arm splint (forearm and hand) CPT 29125 PPT-REEVALUATION(UTC/30) | $196.00 | $196.00 | $49.00–$152.88 | 14% above | — |
| Short arm splint (forearm and hand) CPT 29125 PPT-AP, SHT ARM SPLI | $456.50 | $456.50 | $80.85–$356.07 | 165% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 PPT-REEVALUATION(UTC/30) | $196.00 | $196.00 | $49.00–$152.88 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 PPT-AP, SHT ARM SPLI | $456.50 | $456.50 | $80.85–$356.07 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 CT-PUNCH BIOPSY OF SKIN | $315.00 | $315.00 | $74.00–$1,288.56 | 13% below | — |
| Skin biopsy, punch, one lesion CPT 11104 RO-PUNCH BX SKIN SINGLE LESION | $315.00 | $315.00 | $81.90–$245.70 | 13% below | — |
| Skin biopsy, punch, one lesion CPT 11104 HWC-PUNCH BX SINGLE | $590.76 | $590.76 | $74.00–$1,288.56 | 63% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $1,100.00 | $1,100.00 | $74.00–$1,288.56 | 204% above | — |
| Skin biopsy, punch, one lesion CPT 11104 OR-PLATE MINI 2.0 SNGL BEND | $2,192.00 | $2,192.00 | $548.00–$1,709.76 | 506% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 RO-PUNCH BX SKIN SINGLE LESION | $315.00 | $315.00 | $81.90–$245.70 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 CT-PUNCH BIOPSY OF SKIN | $315.00 | $315.00 | $74.00–$1,288.56 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HWC-PUNCH BX SINGLE | $590.76 | $590.76 | $74.00–$1,288.56 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $1,100.00 | $1,100.00 | $74.00–$1,288.56 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 OR-PLATE MINI 2.0 SNGL BEND | $2,192.00 | $2,192.00 | $548.00–$1,709.76 | — | — |
| Thoracentesis with imaging guidance CPT 32555 CCD-OTH RESP PROC, INDIV | $270.00 | $270.00 | $70.20–$4,132.43 | 73% below | — |
| Thoracentesis with imaging guidance CPT 32555 CT-UNLISTED PROC LIVER | $889.00 | $889.00 | $231.14–$2,754.96 | 12% below | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $2,345.00 | $2,345.00 | $609.70–$2,754.96 | 132% above | — |
| Thoracentesis with imaging guidance CPT 32555 XR-THORACENTESIS | $2,345.00 | $2,345.00 | $609.70–$2,754.96 | 132% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 CCD-OTH RESP PROC, INDIV | $270.00 | $270.00 | $70.20–$4,132.43 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT-UNLISTED PROC LIVER | $889.00 | $889.00 | $231.14–$2,754.96 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING | $2,345.00 | $2,345.00 | $609.70–$2,754.96 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 XR-THORACENTESIS | $2,345.00 | $2,345.00 | $609.70–$2,754.96 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ,PHENYLEPHRINE HCL,UP TO 1M | $39.26 | $39.26 | $9.03–$695.61 | 88% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 CLS-GUERBET OXILAN 300 | $161.00 | $161.00 | $40.25–$695.61 | 49% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 GUIDE WIRE | $350.00 | $350.00 | $91.00–$695.61 | 10% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2 | $411.00 | $411.00 | $106.86–$695.61 | 29% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 XR-ANGIO-TRIG PT INJECT,1-2 MU | $411.00 | $411.00 | $106.86–$695.61 | 29% above | — |
| Trigger point injections, 1 or 2 muscles one side CPT 20552 MRC INJ TRIGGER PT 1-2 MUSC RT | $813.00 | $813.00 | $203.25–$813.00 | 156% above | — |
| Trigger point injections, 1 or 2 muscles one side CPT 20552 MRC INJ TRIGGER PT 1-2 MUSC LT | $813.00 | $813.00 | $211.38–$813.00 | 156% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ,PHENYLEPHRINE HCL,UP TO 1M | $39.26 | $39.26 | $9.03–$695.61 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 CLS-GUERBET OXILAN 300 | $161.00 | $161.00 | $40.25–$695.61 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 GUIDE WIRE | $350.00 | $350.00 | $91.00–$695.61 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 XR-ANGIO-TRIG PT INJECT,1-2 MU | $411.00 | $411.00 | $106.86–$695.61 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 NJX 1/MLT TRIGGER POINT 1/2 | $411.00 | $411.00 | $106.86–$695.61 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient one side CPT 20552 MRC INJ TRIGGER PT 1-2 MUSC LT | $813.00 | $813.00 | $211.38–$813.00 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient one side CPT 20552 MRC INJ TRIGGER PT 1-2 MUSC RT | $813.00 | $813.00 | $203.25–$813.00 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 RO-BX BREAST 1ST LESION US IMA | $2,430.00 | $2,430.00 | $172.00–$1,895.40 | at median | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 LAB-FPAIGM-PLASMINOGEN ACT INH | $2,875.18 | $2,875.18 | $560.66–$4,046.28 | 18% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 RO-BX BREAST 1ST LESION US IMA | $2,430.00 | $2,430.00 | $172.00–$1,895.40 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 LAB-FPAIGM-PLASMINOGEN ACT INH | $2,875.18 | $2,875.18 | $560.66–$4,046.28 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 LAB-HSVPCM, HSV BY PCR, FLUID | $177.00 | $177.00 | $34.52–$1,087.22 | 69% below | — |
| 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 | $164.97–$494.91 | 10% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 LAB-HSVPCM, HSV BY PCR, FLUID | $177.00 | $177.00 | $34.52–$1,087.22 | — | — |
| 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 | $164.97–$494.91 | — | — |
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-STD, C.TRACHOM BY PCRDIAT | $192.00 | $192.00 | $37.44–$1,331.25 | 49% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $542.50 | $542.50 | $80.85–$668.13 | 45% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 OR-SCREW LCK S2 FLTHRD 5X XXMM | $800.00 | $800.00 | $200.00–$1,331.25 | 113% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 OR-DRILL CANNULATED 4.6 | $829.50 | $829.50 | $207.38–$1,331.25 | 121% above | — |
| Blood transfusion (giving blood or blood components) one side CPT 36430 XR-LEFT HAND AP/OBLIQUE VIEWS | $185.00 | $185.00 | $46.25–$1,331.25 | 51% below | — |
| Blood transfusion (giving blood or blood components) one side CPT 36430 XR-RIGHT HAND AP/OBLIQUE VIEWS | $185.00 | $185.00 | $46.25–$1,331.25 | 51% below | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 LAB-STD, C.TRACHOM BY PCRDIAT | $192.00 | $192.00 | $37.44–$1,331.25 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD/BLD COMPNT | $542.50 | $542.50 | $80.85–$668.13 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OR-SCREW LCK S2 FLTHRD 5X XXMM | $800.00 | $800.00 | $200.00–$1,331.25 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OR-DRILL CANNULATED 4.6 | $829.50 | $829.50 | $207.38–$1,331.25 | — | — |
| Blood transfusion (giving blood or blood components) inpatient one side CPT 36430 XR-LEFT HAND AP/OBLIQUE VIEWS | $185.00 | $185.00 | $46.25–$1,331.25 | — | — |
| Blood transfusion (giving blood or blood components) inpatient one side CPT 36430 XR-RIGHT HAND AP/OBLIQUE VIEWS | $185.00 | $185.00 | $46.25–$1,331.25 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-COUGH ASSIST INIT EVAL/DEMO | $31.00 | $31.00 | $7.75–$79.50 | 72% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT-INHALED MED-ACUTE/SPUTUM/DI | $321.00 | $321.00 | $80.25–$250.38 | 193% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $366.18 | $366.18 | $91.55–$285.62 | 234% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 LAB-FIBRIN DEGR PROD, D-DIMER | $389.00 | $389.00 | $75.86–$303.42 | 255% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BLLN-ATLAS GOLD 16-20MM | $2,633.50 | $2,633.50 | $150.53–$2,054.13 | 2304% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HK-CATH BLLN ADVANCE 5F 80CM | $3,616.00 | $3,616.00 | $150.53–$2,820.48 | 3201% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CLS-HERCULINK ELITE STENT | $8,328.00 | $8,328.00 | $150.53–$6,495.84 | 7503% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 OR-PULSE GENERATOR PRECISION I | $72,000.00 | $72,000.00 | $150.53–$56,160.00 | 65635% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-COUGH ASSIST INIT EVAL/DEMO | $31.00 | $31.00 | $7.75–$79.50 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT-INHALED MED-ACUTE/SPUTUM/DI | $321.00 | $321.00 | $80.25–$250.38 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $366.18 | $366.18 | $91.55–$285.62 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 LAB-FIBRIN DEGR PROD, D-DIMER | $389.00 | $389.00 | $75.86–$303.42 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BLLN-ATLAS GOLD 16-20MM | $2,633.50 | $2,633.50 | $150.53–$2,054.13 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HK-CATH BLLN ADVANCE 5F 80CM | $3,616.00 | $3,616.00 | $150.53–$2,820.48 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CLS-HERCULINK ELITE STENT | $8,328.00 | $8,328.00 | $150.53–$6,495.84 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 OR-PULSE GENERATOR PRECISION I | $72,000.00 | $72,000.00 | $150.53–$56,160.00 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 OPSVC-CHEMO INFUS, 1ST HR, INI | $310.00 | $310.00 | $77.50–$310.00 | 31% below | — |
| Chemotherapy IV infusion, first hour CPT 96413 NURS-CHEMO INFUS,1ST HR,INITIA | $615.00 | $615.00 | $153.75–$509.00 | 37% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 OPSVC-CHEMO INFUS, 1ST HR, INI | $310.00 | $310.00 | $77.50–$310.00 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 NURS-CHEMO INFUS,1ST HR,INITIA | $615.00 | $615.00 | $153.75–$509.00 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 M-ER-CRITICAL CARE | $1,497.50 | $1,497.50 | $34.67–$1,168.05 | 37% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 M-ER-CRITICAL CARE | $1,497.50 | $1,497.50 | $34.67–$1,168.05 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG-EEG AWAKE AND DROWSY | $648.00 | $648.00 | $24.51–$14,909.70 | 6% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG-EEG AWAKE AND DROWSY | $648.00 | $648.00 | $24.51–$14,909.70 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ANCHOR/SCREW BN/BN,TIS/BN | $116.00 | $116.00 | $29.00–$90.48 | 5% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CCD-PULM REHAB SESSION W/O CON | $135.00 | $135.00 | $33.75–$135.00 | 22% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 XR-SIMPLE REPAIR SUPERFICIAL W | $329.50 | $329.50 | $76.21–$329.50 | 198% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 TVGO-OFF/OP CNSLTJ NEW/EST LOW | $355.00 | $355.00 | $92.30–$276.90 | 221% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NIC-ELECTROCARDIOGRAM | $381.00 | $381.00 | $76.21–$297.18 | 245% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 XR-HYSTEROSALPINGOGRAM S&I | $878.00 | $878.00 | $76.21–$684.84 | 695% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 OR-CORE KIT | $2,920.00 | $2,920.00 | $76.21–$2,277.60 | 2544% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ANCHOR/SCREW BN/BN,TIS/BN | $116.00 | $116.00 | $29.00–$90.48 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CCD-PULM REHAB SESSION W/O CON | $135.00 | $135.00 | $33.75–$135.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 XR-SIMPLE REPAIR SUPERFICIAL W | $329.50 | $329.50 | $76.21–$329.50 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 TVGO-OFF/OP CNSLTJ NEW/EST LOW | $355.00 | $355.00 | $92.30–$276.90 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NIC-ELECTROCARDIOGRAM | $381.00 | $381.00 | $76.21–$297.18 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 XR-HYSTEROSALPINGOGRAM S&I | $878.00 | $878.00 | $76.21–$684.84 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 OR-CORE KIT | $2,920.00 | $2,920.00 | $76.21–$2,277.60 | — | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 OR-ECT | $977.00 | $977.00 | $244.25–$762.06 | at median | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 OR-ECT | $977.00 | $977.00 | $244.25–$762.06 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $203.00 | $203.00 | $50.75–$203.00 | 42% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 INTERDRY SKIN FOLD PER SHEET | $286.50 | $286.50 | $71.63–$352.04 | 100% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED-MINOR | $362.00 | $362.00 | $90.50–$282.36 | 153% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 XR-ANGIO-GW LOC EXTENSION | $471.50 | $471.50 | $117.88–$367.77 | 230% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PLATE, LCP NARROW 4.5 18H | $3,354.00 | $3,354.00 | $352.04–$2,616.12 | 2247% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PLATE, LCP NARROW 4.5 20H | $4,264.00 | $4,264.00 | $352.04–$3,325.92 | 2883% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $203.00 | $203.00 | $50.75–$203.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 INTERDRY SKIN FOLD PER SHEET | $286.50 | $286.50 | $71.63–$352.04 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED-MINOR | $362.00 | $362.00 | $90.50–$282.36 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 XR-ANGIO-GW LOC EXTENSION | $471.50 | $471.50 | $117.88–$367.77 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 PLATE, LCP NARROW 4.5 18H | $3,354.00 | $3,354.00 | $352.04–$2,616.12 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 PLATE, LCP NARROW 4.5 20H | $4,264.00 | $4,264.00 | $352.04–$3,325.92 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 CLS-GUIDEWIRE WHOLEY 035/260CM | $566.00 | $566.00 | $141.50–$441.48 | 147% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 XR-ANGIO-PLEURAL CATH PLCMNT | $4,364.00 | $4,364.00 | $352.04–$3,403.92 | 1806% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 CLS-GUIDEWIRE WHOLEY 035/260CM | $566.00 | $566.00 | $141.50–$441.48 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 XR-ANGIO-PLEURAL CATH PLCMNT | $4,364.00 | $4,364.00 | $352.04–$3,403.92 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $660.00 | $660.00 | $161.70–$514.80 | 88% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $660.00 | $660.00 | $161.70–$514.80 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $1,029.00 | $1,029.00 | $250.00–$1,016.00 | 84% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $1,029.00 | $1,029.00 | $250.00–$1,016.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED-COMPREHENSIVE | $814.00 | $814.00 | $161.70–$634.92 | 1% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED-COMPREHENSIVE | $814.00 | $814.00 | $161.70–$634.92 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 TRAY CATH GRN 20CM 12F MHRKR | $825.00 | $825.00 | $206.25–$643.50 | 36% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST TRACING ONLY | $986.00 | $986.00 | $246.50–$816.90 | 62% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 18CM MICRO CLAW W IRR SUC CAS | $6,886.00 | $6,886.00 | $404.58–$5,371.08 | 1032% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TRAY CATH GRN 20CM 12F MHRKR | $825.00 | $825.00 | $206.25–$643.50 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV STRESS TEST TRACING ONLY | $986.00 | $986.00 | $246.50–$816.90 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 18CM MICRO CLAW W IRR SUC CAS | $6,886.00 | $6,886.00 | $404.58–$5,371.08 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 ANCHOR/SCREW BN/BN,TIS/BN | $473.00 | $473.00 | $118.25–$436.38 | 173% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 ANCHOR/SCREW BN/BN,TIS/BN | $473.00 | $473.00 | $118.25–$436.38 | — | — |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $128.50 | $128.50 | $32.13–$619.05 | at median | — |
| Group psychotherapy session CPT 90853 PSY-SKILLS GROUP THERAPY | $128.50 | $128.50 | $32.13–$100.23 | at median | — |
| Group psychotherapy session CPT 90853 ANCHOR/SCREW BN/BN,TIS/BN | $455.00 | $455.00 | $113.75–$619.05 | 254% above | — |
| Group psychotherapy session inpatient CPT 90853 PSY-SKILLS GROUP THERAPY | $128.50 | $128.50 | $32.13–$100.23 | — | — |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $128.50 | $128.50 | $32.13–$619.05 | — | — |
| Group psychotherapy session inpatient CPT 90853 ANCHOR/SCREW BN/BN,TIS/BN | $455.00 | $455.00 | $113.75–$619.05 | — | — |
| 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–$348.00 | 50% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $375.00 | $375.00 | $93.75–$876.21 | 61% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 DRIL QC 1.1/75 SYN | $485.00 | $485.00 | $121.25–$876.21 | 109% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 GAUZE,KNITTNER ROBOTIC LAP PK | $2,280.00 | $2,280.00 | $273.74–$1,778.40 | 881% 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–$348.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT | $375.00 | $375.00 | $93.75–$876.21 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 DRIL QC 1.1/75 SYN | $485.00 | $485.00 | $121.25–$876.21 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 GAUZE,KNITTNER ROBOTIC LAP PK | $2,280.00 | $2,280.00 | $273.74–$1,778.40 | — | — |
| IV infusion of a medicine, first hour CPT 96365 LD-THERAP INFUS 1ST HR, INIT | $348.00 | $348.00 | $87.00–$876.21 | 23% above | — |
| IV infusion of a medicine, first hour CPT 96365 PED-THERAP INFUS 1ST HR, INI | $400.00 | $400.00 | $100.00–$400.00 | 42% above | — |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $400.00 | $400.00 | $100.00–$312.00 | 42% above | — |
| IV infusion of a medicine, first hour CPT 96365 NURS-THERA INFUSION, 1STHR, IN | $415.00 | $415.00 | $103.75–$876.21 | 47% above | — |
| IV infusion of a medicine, first hour CPT 96365 CATH, TRANSLUMIN NON-LASER | $2,598.50 | $2,598.50 | $273.74–$2,026.83 | 821% above | — |
| IV infusion of a medicine, first hour CPT 96365 KIT,ACCESSORY TUNNELER-VNS | $3,030.50 | $3,030.50 | $273.74–$2,363.79 | 975% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 LD-THERAP INFUS 1ST HR, INIT | $348.00 | $348.00 | $87.00–$876.21 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT | $400.00 | $400.00 | $100.00–$312.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 PED-THERAP INFUS 1ST HR, INI | $400.00 | $400.00 | $100.00–$400.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 NURS-THERA INFUSION, 1STHR, IN | $415.00 | $415.00 | $103.75–$876.21 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 CATH, TRANSLUMIN NON-LASER | $2,598.50 | $2,598.50 | $273.74–$2,026.83 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 KIT,ACCESSORY TUNNELER-VNS | $3,030.50 | $3,030.50 | $273.74–$2,363.79 | — | — |
| IV push of a medicine, first drug CPT 96374 ED-INJECTION, IV, INITIAL | $149.00 | $149.00 | $37.25–$149.00 | 3% above | — |
| IV push of a medicine, first drug CPT 96374 LD-INJECTION, IVP, INITIAL | $348.00 | $348.00 | $87.00–$271.95 | 142% above | — |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $375.00 | $375.00 | $93.75–$292.50 | 160% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 ED-INJECTION, IV, INITIAL | $149.00 | $149.00 | $37.25–$149.00 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 LD-INJECTION, IVP, INITIAL | $348.00 | $348.00 | $87.00–$271.95 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $375.00 | $375.00 | $93.75–$292.50 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ZOVIRAX 5ML ORAL SOLUTION UD | $18.80 | $18.80 | $4.70–$127.72 | 71% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PED-INJECTION, SC/IM | $147.50 | $147.50 | $36.88–$147.50 | 125% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $147.50 | $147.50 | $36.88–$127.72 | 125% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CT-INTERCOSTAL NERVE BLCK,MULT | $1,225.50 | $1,225.50 | $127.72–$1,000.00 | 1772% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PLATE,MOD FT 2.0/XH SYN | $1,829.50 | $1,829.50 | $92.46–$1,427.01 | 2695% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ZOVIRAX 5ML ORAL SOLUTION UD | $18.80 | $18.80 | $4.70–$127.72 | — | — |
| 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 | $36.88–$127.72 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PED-INJECTION, SC/IM | $147.50 | $147.50 | $36.88–$147.50 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CT-INTERCOSTAL NERVE BLCK,MULT | $1,225.50 | $1,225.50 | $127.72–$1,000.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PLATE,MOD FT 2.0/XH SYN | $1,829.50 | $1,829.50 | $92.46–$1,427.01 | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 EEG-NERVE CONDUCTION STUDY;7-8 | $1,446.00 | $1,446.00 | $271.95–$1,127.88 | 29% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 FLEX HD THK 8CMX16CM | $28,019.00 | $28,019.00 | $394.55–$21,854.82 | 2407% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 EEG-NERVE CONDUCTION STUDY;7-8 | $1,446.00 | $1,446.00 | $271.95–$1,127.88 | — | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 FLEX HD THK 8CMX16CM | $28,019.00 | $28,019.00 | $394.55–$21,854.82 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $126.00 | $126.00 | $31.50–$126.00 | 43% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PTM-NEUROMUSCULAR ED,EA 15 MIN | $151.50 | $151.50 | $37.88–$150.00 | 72% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PTM-NEUROMUSCULAR ED,EA 15MIN | $307.00 | $307.00 | $76.75–$239.46 | 249% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION | $126.00 | $126.00 | $31.50–$126.00 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTM-NEUROMUSCULAR ED,EA 15 MIN | $151.50 | $151.50 | $37.88–$150.00 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTM-NEUROMUSCULAR ED,EA 15MIN | $307.00 | $307.00 | $76.75–$239.46 | — | — |
| New patient office visit, about 30 minutes CPT 99203 MRC O/P NEW LEVEL 3 | $223.00 | $223.00 | $57.98–$173.94 | 16% above | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $250.00 | $250.00 | $65.00–$195.00 | 30% above | — |
| New patient office visit, about 30 minutes CPT 99203 HWC-CLINIC VISIT LEVEL 3, NEW | $304.23 | $304.23 | $79.10–$237.30 | 58% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 MRC O/P NEW LEVEL 3 | $223.00 | $223.00 | $57.98–$173.94 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30 MIN | $250.00 | $250.00 | $65.00–$195.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HWC-CLINIC VISIT LEVEL 3, NEW | $304.23 | $304.23 | $79.10–$237.30 | — | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $297.00 | $297.00 | $77.22–$231.66 | 17% above | — |
| New patient office visit, about 45 minutes CPT 99204 HWC-CLINIC VISIT LEVEL 4, NEW | $354.94 | $354.94 | $92.28–$276.85 | 39% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45 MIN | $297.00 | $297.00 | $77.22–$231.66 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HWC-CLINIC VISIT LEVEL 4, NEW | $354.94 | $354.94 | $92.28–$276.85 | — | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $376.00 | $376.00 | $97.76–$293.28 | 8% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60 MIN | $376.00 | $376.00 | $97.76–$293.28 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $128.00 | $128.00 | $33.28–$128.00 | at median | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HWC-CLINIC VISIT LEVEL 2, NEW | $253.53 | $253.53 | $65.92–$197.75 | 98% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE O/P NEW SF 15 MIN | $128.00 | $128.00 | $33.28–$128.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HWC-CLINIC VISIT LEVEL 2, NEW | $253.53 | $253.53 | $65.92–$197.75 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $278.00 | $278.00 | $69.50–$216.84 | 25% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 PPT-EVAL PLAN LOW COMPLEX(OT) | $347.63 | $347.63 | $77.17–$347.63 | 56% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $278.00 | $278.00 | $69.50–$216.84 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 PPT-EVAL PLAN LOW COMPLEX(OT) | $347.63 | $347.63 | $77.17–$347.63 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PTMKX-EVAL PLAN,HIGH COMPLEX | $145.00 | $145.00 | $36.25–$145.00 | 28% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PTM-EVAL PLAN,HIGH COMPLEXITY | $233.00 | $233.00 | $58.25–$692.15 | 16% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PPT-EVAL PLAN,HIGH COMPLEXITY | $579.38 | $579.38 | $80.85–$692.15 | 189% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 CLS-STENT, INNOVA 5X60X130 | $7,663.50 | $7,663.50 | $692.15–$5,977.53 | 3721% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PTMKX-EVAL PLAN,HIGH COMPLEX | $145.00 | $145.00 | $36.25–$145.00 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PTM-EVAL PLAN,HIGH COMPLEXITY | $233.00 | $233.00 | $58.25–$692.15 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PPT-EVAL PLAN,HIGH COMPLEXITY | $579.38 | $579.38 | $80.85–$692.15 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 CLS-STENT, INNOVA 5X60X130 | $7,663.50 | $7,663.50 | $692.15–$5,977.53 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PPT-EVAL PLAN, LOW COMPLEXITY | $347.63 | $347.63 | $80.85–$271.15 | 98% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 TRAY, FOLEY SURESTEP NO CATH | $782.00 | $782.00 | $195.50–$692.15 | 346% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PPT-EVAL PLAN, LOW COMPLEXITY | $347.63 | $347.63 | $80.85–$271.15 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 TRAY, FOLEY SURESTEP NO CATH | $782.00 | $782.00 | $195.50–$692.15 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $145.00 | $145.00 | $36.25–$145.00 | 32% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 KIT, URINARY 3.5F NEOMED UK3.5 | $228.00 | $228.00 | $57.00–$692.15 | 6% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PPT-EVAL PLAN,MODERATE COMPLEX | $463.50 | $463.50 | $80.85–$692.15 | 116% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 MESH, PHASIX 35X35CM (1193535) | $67,815.00 | $67,815.00 | $692.15–$52,895.70 | 31552% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $145.00 | $145.00 | $36.25–$145.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 KIT, URINARY 3.5F NEOMED UK3.5 | $228.00 | $228.00 | $57.00–$692.15 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PPT-EVAL PLAN,MODERATE COMPLEX | $463.50 | $463.50 | $80.85–$692.15 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 MESH, PHASIX 35X35CM (1193535) | $67,815.00 | $67,815.00 | $692.15–$52,895.70 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PPT-MANUAL THERAPY/MOB/MLD/TRA | $121.50 | $121.50 | $30.38–$121.50 | 8% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTM-MAN THER/MOB/MLD/TR, EA 15 | $146.00 | $146.00 | $36.50–$146.00 | 30% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PPT-MANUAL THERAPY/MOB/MLD/TRA | $121.50 | $121.50 | $30.38–$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 | $36.50–$146.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OPT-PHYSICAL PERF TEST, 15 MIN | $43.75 | $43.75 | $10.94–$111.64 | 30% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $137.50 | $137.50 | $34.38–$1,695.56 | 121% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTM-THERAPEUTIC EXER,EA 15 MIN | $137.50 | $137.50 | $34.38–$137.50 | 121% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTM-FUNCT. CAPACITY EVAL(1-15) | $154.00 | $154.00 | $38.50–$150.00 | 148% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OPT-PHYSICAL PERF TEST, 15 MIN | $43.75 | $43.75 | $10.94–$111.64 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTM-THERAPEUTIC EXER,EA 15 MIN | $137.50 | $137.50 | $34.38–$137.50 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES | $137.50 | $137.50 | $34.38–$1,695.56 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTM-FUNCT. CAPACITY EVAL(1-15) | $154.00 | $154.00 | $38.50–$150.00 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 MESH PARIETEX PROGRIP RND 9CM | $1,387.00 | $1,387.00 | $346.75–$1,081.86 | 619% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 MESH PARIETEX PROGRIP RND 9CM | $1,387.00 | $1,387.00 | $346.75–$1,081.86 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 CL-GDWIRE AMPLZ XSTIFF .035 18 | $135.00 | $135.00 | $33.75–$352.04 | 37% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HEMLIBRA 0.5 MG INJECTION | $345.63 | $345.63 | $86.41–$352.04 | 60% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $376.00 | $376.00 | $97.76–$293.28 | 74% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 MRC O/P ESTABLISHED LEVEL 5 | $392.00 | $392.00 | $101.92–$305.76 | 82% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HWC-CLINIC VISIT LEVEL 5, EST | $405.64 | $405.64 | $105.47–$316.40 | 88% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CL-GDWIRE AMPLZ XSTIFF .035 18 | $135.00 | $135.00 | $33.75–$352.04 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HEMLIBRA 0.5 MG INJECTION | $345.63 | $345.63 | $86.41–$352.04 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE O/P EST HI 40 MIN | $376.00 | $376.00 | $97.76–$293.28 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 MRC O/P ESTABLISHED LEVEL 5 | $392.00 | $392.00 | $101.92–$305.76 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HWC-CLINIC VISIT LEVEL 5, EST | $405.64 | $405.64 | $105.47–$316.40 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $250.00 | $250.00 | $65.00–$195.00 | 71% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE O/P EST LOW 20 MIN | $250.00 | $250.00 | $65.00–$195.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MRC O/P ESTABLISHED LEVEL 4 | $265.00 | $265.00 | $68.90–$206.70 | 38% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $297.00 | $297.00 | $77.22–$231.66 | 55% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HWC-CLINIC VISIT LEVEL 4, EST | $354.94 | $354.94 | $88.74–$276.85 | 85% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PC-CLINIC VISIT LEVEL 4, ESTAB | $356.50 | $356.50 | $92.69–$278.07 | 86% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 MRC O/P ESTABLISHED LEVEL 4 | $265.00 | $265.00 | $68.90–$206.70 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE O/P EST MOD 30 MIN | $297.00 | $297.00 | $77.22–$231.66 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HWC-CLINIC VISIT LEVEL 4, EST | $354.94 | $354.94 | $88.74–$276.85 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PC-CLINIC VISIT LEVEL 4, ESTAB | $356.50 | $356.50 | $92.69–$278.07 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $192.50 | $192.50 | $50.05–$172.00 | 98% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PC-CLINIC VISIT LEVEL 2, ESTAB | $231.00 | $231.00 | $60.06–$180.18 | 138% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HWC-CLINIC VISIT LEVEL 2, EST | $253.53 | $253.53 | $65.92–$197.75 | 161% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VALVE, BIOPSY (MD-826) | $327.25 | $327.25 | $81.81–$352.04 | 237% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE O/P EST SF 10 MIN | $192.50 | $192.50 | $50.05–$172.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PC-CLINIC VISIT LEVEL 2, ESTAB | $231.00 | $231.00 | $60.06–$180.18 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HWC-CLINIC VISIT LEVEL 2, EST | $253.53 | $253.53 | $65.92–$197.75 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VALVE, BIOPSY (MD-826) | $327.25 | $327.25 | $81.81–$352.04 | — | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 TVGO-OFF/OP CNSLTJ NEW/EST MOD | $355.00 | $355.00 | $92.30–$355.00 | 121% above | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 TVGO-OFF/OP CNSLTJ NEW/EST MOD | $355.00 | $355.00 | $92.30–$355.00 | — | — |
| Speech and language evaluation CPT 92523 PAD,DANNIGER KNEE | $121.50 | $121.50 | $30.38–$668.13 | 73% below | — |
| Speech and language evaluation CPT 92523 NURS-TRANSFUSE,BLOOD/COMP/BAG | $393.00 | $393.00 | $80.85–$668.13 | 11% below | — |
| Speech and language evaluation CPT 92523 TRANSFUSION BLD/BLD COMPNT | $1,018.00 | $1,018.00 | $80.85–$794.04 | 130% above | — |
| Speech and language evaluation CPT 92523 STENT, COATED/COV W/DEL SYS | $4,500.00 | $4,500.00 | $80.85–$3,510.00 | 916% above | — |
| Speech and language evaluation inpatient CPT 92523 PAD,DANNIGER KNEE | $121.50 | $121.50 | $30.38–$668.13 | — | — |
| Speech and language evaluation inpatient CPT 92523 NURS-TRANSFUSE,BLOOD/COMP/BAG | $393.00 | $393.00 | $80.85–$668.13 | — | — |
| Speech and language evaluation inpatient CPT 92523 TRANSFUSION BLD/BLD COMPNT | $1,018.00 | $1,018.00 | $80.85–$794.04 | — | — |
| Speech and language evaluation inpatient CPT 92523 STENT, COATED/COV W/DEL SYS | $4,500.00 | $4,500.00 | $80.85–$3,510.00 | — | — |
| Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV | $108.50 | $108.50 | $27.13–$668.13 | at median | — |
| Speech therapy session, individual CPT 92507 ST-SPEECH THER (UTC30) | $263.00 | $263.00 | $65.75–$668.13 | 142% above | — |
| Speech therapy session, individual CPT 92507 ST-SPEECH THERAPY (UTC 60) | $358.00 | $358.00 | $80.85–$668.13 | 230% above | — |
| Speech therapy session, individual CPT 92507 X-RAY EXAM OF SPINE 1 VIEW | $484.20 | $484.20 | $121.05–$668.13 | 346% above | — |
| Speech therapy session, individual inpatient CPT 92507 TX SP LANG VOICE COMM INDIV | $108.50 | $108.50 | $27.13–$668.13 | — | — |
| Speech therapy session, individual inpatient CPT 92507 ST-SPEECH THER (UTC30) | $263.00 | $263.00 | $65.75–$668.13 | — | — |
| Speech therapy session, individual inpatient CPT 92507 ST-SPEECH THERAPY (UTC 60) | $358.00 | $358.00 | $80.85–$668.13 | — | — |
| Speech therapy session, individual inpatient CPT 92507 X-RAY EXAM OF SPINE 1 VIEW | $484.20 | $484.20 | $121.05–$668.13 | — | — |
| Spirometry (breathing test) CPT 94010 HURRICANE SPRAY 2 OZ | $30.83 | $30.83 | $7.71–$150.53 | 82% below | — |
| Spirometry (breathing test) inpatient CPT 94010 HURRICANE SPRAY 2 OZ | $30.83 | $30.83 | $7.71–$150.53 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 SCREW, CORTEX TITANIUM 3.5 | $89.50 | $89.50 | $22.38–$295.87 | 72% below | — |
| Spirometry before and after a bronchodilator CPT 94060 RT-BASIC SPIRO W/DILATORS | $474.00 | $474.00 | $118.50–$408.45 | 50% above | — |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $852.50 | $852.50 | $213.13–$664.95 | 171% above | — |
| Spirometry before and after a bronchodilator CPT 94060 BASIC SPIROMETRY W/DILATOR | $852.50 | $852.50 | $213.13–$664.95 | 171% above | — |
| Spirometry before and after a bronchodilator CPT 94060 CLS-SCIMED ROTABLATOR GUIDEWIR | $1,604.50 | $1,604.50 | $295.87–$1,251.51 | 409% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SCREW, CORTEX TITANIUM 3.5 | $89.50 | $89.50 | $22.38–$295.87 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 RT-BASIC SPIRO W/DILATORS | $474.00 | $474.00 | $118.50–$408.45 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BASIC SPIROMETRY W/DILATOR | $852.50 | $852.50 | $213.13–$664.95 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 EVALUATION OF WHEEZING | $852.50 | $852.50 | $213.13–$664.95 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 CLS-SCIMED ROTABLATOR GUIDEWIR | $1,604.50 | $1,604.50 | $295.87–$1,251.51 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PPT-THERAP ACTIVITIES 15 MINS | $119.00 | $119.00 | $29.75–$119.00 | 94% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OPKX-THERAP ACTIVITIES, 15 MIN | $143.50 | $143.50 | $35.88–$143.50 | 134% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $143.50 | $143.50 | $35.88–$143.50 | 134% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTM-THERAP ACTIVITIES, 15 MIN | $295.00 | $295.00 | $73.75–$230.10 | 382% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PPT-THERAP ACTIVITIES 15 MINS | $119.00 | $119.00 | $29.75–$119.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES | $143.50 | $143.50 | $35.88–$143.50 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OPKX-THERAP ACTIVITIES, 15 MIN | $143.50 | $143.50 | $35.88–$143.50 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTM-THERAP ACTIVITIES, 15 MIN | $295.00 | $295.00 | $73.75–$230.10 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $332.50 | $332.50 | $83.13–$271.95 | 198% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY | $332.50 | $332.50 | $83.13–$271.95 | — | — |
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 | $78.29–$657.31 | at median | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COMIRNATY 2023-24 12Y+ VACCINE | $845.30 | $845.30 | $78.29–$659.33 | at median | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACCINE 2024-2025 | $842.70 | $842.70 | $78.29–$657.31 | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COMIRNATY 2023-24 12Y+ VACCINE | $845.30 | $845.30 | $78.29–$659.33 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX VACCINE | $687.38 | $687.38 | $111.64–$536.16 | 40% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX VACCINE | $687.38 | $687.38 | $111.64–$536.16 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 TRIPLE ANTIGEN INJ 0.5ML | $154.88 | $154.88 | $2.74–$120.81 | 40% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 MR-T/SPINE W/O CONTR | $3,937.00 | $3,937.00 | $78.29–$3,070.86 | 3468% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 TRIPLE ANTIGEN INJ 0.5ML | $154.88 | $154.88 | $2.74–$120.81 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 MR-T/SPINE W/O CONTR | $3,937.00 | $3,937.00 | $78.29–$3,070.86 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX VACCINE 0.5 ML 2024-25 | $114.55 | $114.55 | $23.22–$114.55 | 109% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX VACCINE 0.5 ML 2024-25 | $114.55 | $114.55 | $23.22–$114.55 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 VACCINE, 0.5 ML | $1,610.26 | $1,610.26 | $317.30–$1,256.00 | 25% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 VACCINE, 0.5 ML | $1,610.26 | $1,610.26 | $317.30–$1,256.00 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 PPTA-TYMPANOMETRY | $153.00 | $153.00 | $38.25–$119.34 | 29% below | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITS A (VAQTA) 50U/0.5ML | $395.40 | $395.40 | $73.54–$308.41 | 85% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 PPTA-TYMPANOMETRY | $153.00 | $153.00 | $38.25–$119.34 | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITS A (VAQTA) 50U/0.5ML | $395.40 | $395.40 | $73.54–$308.41 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITS A (VAQTA) 25U/0.5ML | $176.17 | $176.17 | $43.01–$137.41 | 47% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HAVRIX PED .5ML VIAL | $221.80 | $221.80 | $43.01–$173.00 | 85% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 PPTA-COMPREHENSIVE AUDIOMETRY | $505.50 | $505.50 | $78.29–$394.29 | 323% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITS A (VAQTA) 25U/0.5ML | $176.17 | $176.17 | $43.01–$137.41 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HAVRIX PED .5ML VIAL | $221.80 | $221.80 | $43.01–$173.00 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 PPTA-COMPREHENSIVE AUDIOMETRY | $505.50 | $505.50 | $78.29–$394.29 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20MCG/1ML SYR(ADULT) | $220.37 | $220.37 | $50.69–$220.37 | 46% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 OR-HERO GFT ARTERIAL | $4,440.00 | $4,440.00 | $78.29–$3,463.20 | 2850% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 20MCG/1ML SYR(ADULT) | $220.37 | $220.37 | $50.69–$220.37 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 OR-HERO GFT ARTERIAL | $4,440.00 | $4,440.00 | $78.29–$3,463.20 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX HB 5 MCG/0.5 ML SYR | $95.16 | $95.16 | $21.89–$95.16 | 26% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 OR-SCREW 3.5 SLFDRL USA | $1,320.60 | $1,320.60 | $78.29–$1,030.07 | 1654% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 RECOMBIVAX HB 5 MCG/0.5 ML SYR | $95.16 | $95.16 | $21.89–$95.16 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 OR-SCREW 3.5 SLFDRL USA | $1,320.60 | $1,320.60 | $78.29–$1,030.07 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 GLIDEWIRE, STIFF SHAFT LNG.035 | $432.00 | $432.00 | $108.00–$336.96 | 28% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA 4MCG/0.5ML VACCINE VI | $651.83 | $651.83 | $162.96–$508.43 | 93% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO 0.5ML VACCINE KIT | $701.76 | $701.76 | $161.40–$547.37 | 108% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 CLS-PPM-MICRA AV TPS | $91,035.00 | $91,035.00 | $317.30–$71,007.30 | 26837% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 GLIDEWIRE, STIFF SHAFT LNG.035 | $432.00 | $432.00 | $108.00–$336.96 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA 4MCG/0.5ML VACCINE VI | $651.83 | $651.83 | $162.96–$508.43 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO 0.5ML VACCINE KIT | $701.76 | $701.76 | $161.40–$547.37 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 CLS-PPM-MICRA AV TPS | $91,035.00 | $91,035.00 | $317.30–$71,007.30 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO 0.5 ML SYRINGE | $1,133.73 | $1,133.73 | $260.76–$884.31 | 70% 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 | — | — |
| Meningococcal B vaccine (Trumenba) CPT 90621 US-OB SONOGRAM 1ST TRIMESTER | $230.00 | $230.00 | $57.50–$317.30 | 67% below | — |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 US-OB SONOGRAM 1ST TRIMESTER | $230.00 | $230.00 | $57.50–$317.30 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 RO-MLC FOR IMRT | $562.50 | $562.50 | $140.63–$438.75 | 13% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMO CONJ VACCINE, 13 VALENT | $1,051.74 | $1,051.74 | $257.85–$1,051.74 | 111% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 RO-MLC FOR IMRT | $562.50 | $562.50 | $140.63–$438.75 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMO CONJ VACCINE, 13 VALENT | $1,051.74 | $1,051.74 | $257.85–$1,051.74 | — | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 VAXNEUVANCE VACCINE | $916.93 | $916.93 | $32.22–$22,964.41 | 35% above | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 VAXNEUVANCE VACCINE | $916.93 | $916.93 | $32.22–$22,964.41 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 VACCINE | $1,305.85 | $1,305.85 | $0.04–$1,018.56 | 60% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 VACCINE | $1,305.85 | $1,305.85 | $0.04–$1,018.56 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX | $585.40 | $585.40 | $134.64–$585.40 | 204% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX | $585.40 | $585.40 | $134.64–$585.40 | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 LAB-POTASSIUM,SERUM,PLASMA OR | $174.00 | $174.00 | $33.93–$135.72 | 29% above | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIO VACCINE INJ SYRINGE | $185.68 | $185.68 | $46.42–$1,310.34 | 37% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 LAB-POTASSIUM,SERUM,PLASMA OR | $174.00 | $174.00 | $33.93–$135.72 | — | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIO VACCINE INJ SYRINGE | $185.68 | $185.68 | $46.42–$1,310.34 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 BEYFORTUS 100 MCG/ML SYR | $3,619.54 | $3,619.54 | $686.46–$3,246.63 | at median | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 BEYFORTUS 100 MCG/ML SYR | $3,619.54 | $3,619.54 | $686.46–$3,246.63 | — | — |
| 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 | $686.46–$3,246.63 | 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 | $686.46–$3,246.63 | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 ABRYSVO 120MCG IM INJ 0.5ML | $1,811.56 | $1,811.56 | $78.29–$1,413.02 | at median | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 EPS-CROME QUAD MRI CRT-D MMSM | $145,300.00 | $145,300.00 | $78.29–$113,334.00 | 7921% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 ABRYSVO 120MCG IM INJ 0.5ML | $1,811.56 | $1,811.56 | $78.29–$1,413.02 | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 EPS-CROME QUAD MRI CRT-D MMSM | $145,300.00 | $145,300.00 | $78.29–$113,334.00 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 TRAY, LUMBAR PUNCTURE | $88.00 | $88.00 | $22.00–$317.30 | 86% below | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACC RECOMB ADJ 0.5ML V | $962.18 | $962.18 | $221.30–$750.50 | 49% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 TRAY, LUMBAR PUNCTURE | $88.00 | $88.00 | $22.00–$317.30 | — | — |
| 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 | $3.95–$13.40 | 69% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET.TOX./DIPTH 0.5ML | $17.18 | $17.18 | $3.95–$13.40 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET/DIPH/ACEL PERTUS>7 0.5ML | $219.15 | $219.15 | $50.40–$170.94 | 65% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET/DIPH/ACEL PERTUS>7 0.5ML | $219.15 | $219.15 | $50.40–$170.94 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $98.00 | $98.00 | $24.50–$76.44 | 64% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 NEUROMUSCULAR REEDUCATION | $126.00 | $126.00 | $31.50–$111.12 | 111% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 EPS-INTR,FASTCATH 10FR/23CM | $201.00 | $201.00 | $50.25–$156.78 | 237% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ANCHOR,TWINFIX 3.5 TIT | $1,394.00 | $1,394.00 | $111.12–$1,087.32 | 2237% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CLS-CATH,PRIORITY ONE AC | $2,476.00 | $2,476.00 | $111.12–$1,931.28 | 4051% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN | $98.00 | $98.00 | $24.50–$76.44 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 NEUROMUSCULAR REEDUCATION | $126.00 | $126.00 | $31.50–$111.12 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 EPS-INTR,FASTCATH 10FR/23CM | $201.00 | $201.00 | $50.25–$156.78 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ANCHOR,TWINFIX 3.5 TIT | $1,394.00 | $1,394.00 | $111.12–$1,087.32 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CLS-CATH,PRIORITY ONE AC | $2,476.00 | $2,476.00 | $111.12–$1,931.28 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 NURS-INJECT,VACCINE ADMIN,EA A | $53.00 | $53.00 | $13.25–$52.50 | 7% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $107.00 | $107.00 | $26.75–$111.12 | 116% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJECT, VACCINE ADMIN EA ADD | $127.00 | $127.00 | $31.75–$111.12 | 156% 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 | 408% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 BUCKBERG SOL'N #2 (CARDIOPLEG) | $1,252.32 | $1,252.32 | $111.12–$976.81 | 2425% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 NURS-INJECT,VACCINE ADMIN,EA A | $53.00 | $53.00 | $13.25–$52.50 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD | $107.00 | $107.00 | $26.75–$111.12 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 INJECT, VACCINE ADMIN EA ADD | $127.00 | $127.00 | $31.75–$111.12 | — | — |
| 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 BUCKBERG SOL'N #2 (CARDIOPLEG) | $1,252.32 | $1,252.32 | $111.12–$976.81 | — | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://hh.health/wp-content/uploads/472323163_red-bay-hospital_standardcharges.csv