Hospital Utica-Rome, NY

Rome Memorial Hospital

Rome Memorial Hospital in Rome, NY publishes cash prices for 389 common procedures listed here, from its own machine-readable price file updated Aug 11, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 264 of 374 procedures and below it for 103. By typical cash price it ranks #63 of 93 New York hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1500 North James Street, , Rome, NY 13440 Collected Sep 27, 2026 Source price file (315) 338-7000

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 330215 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Rome Memorial Hospital in Rome, NY:

Jun 26, 2026 Warning notice

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray exam of ankle	$180.45	$447.00	$36.00–$107.19	9% below	60%
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray exam of ankle	$180.45	$447.00	$36.00–$107.19	9% below	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle-left	$180.45	$447.00	$36.00–$107.19	9% below	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle-left	$180.45	$447.00	$36.00–$107.19	9% below	60%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray exam of ankle	$180.45	$447.00	$36.00–$107.19	—	60%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray exam of ankle	$180.45	$447.00	$36.00–$107.19	—	60%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle-left	$180.45	$447.00	$36.00–$107.19	—	60%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle-left	$180.45	$447.00	$36.00–$107.19	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us abi ankle brachial idx	$463.45	$1,148.00	$61.00–$163.88	72% above	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upr/l xtremity art 2 levels	$463.45	$1,148.00	$61.00–$163.88	72% above	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upr/l xtremity art 2 levels	$463.45	$1,148.00	$61.00–$163.88	72% above	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us abi ankle brachial idx	$463.45	$1,148.00	$61.00–$163.88	72% above	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Us abi ankle brachial idx	$463.45	$1,148.00	$61.00–$163.88	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Us abi ankle brachial idx	$463.45	$1,148.00	$61.00–$163.88	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Upr/l xtremity art 2 levels	$463.45	$1,148.00	$61.00–$163.88	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Upr/l xtremity art 2 levels	$463.45	$1,148.00	$61.00–$163.88	—	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophogram	$334.26	$828.00	$85.00–$216.05	1% below	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray xm esophagus 1cntrst	$334.26	$828.00	$85.00–$216.05	1% below	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray xm esophagus 1cntrst	$334.26	$828.00	$85.00–$216.05	1% below	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophogram	$334.26	$828.00	$85.00–$216.05	1% below	60%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophogram	$334.26	$828.00	$85.00–$216.05	—	60%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophogram	$334.26	$828.00	$85.00–$216.05	—	60%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-ray xm esophagus 1cntrst	$334.26	$828.00	$85.00–$216.05	—	60%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-ray xm esophagus 1cntrst	$334.26	$828.00	$85.00–$216.05	—	60%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone imaging whole body	$932.95	$2,311.00	$252.00–$492.41	9% above	60%
Bone scan, whole body (nuclear medicine) CPT 78306 Nm bone whole body	$932.95	$2,311.00	$252.00–$492.41	9% above	60%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone imaging whole body	$932.95	$2,311.00	$252.00–$492.41	9% above	60%
Bone scan, whole body (nuclear medicine) CPT 78306 Nm bone whole body	$932.95	$2,311.00	$252.00–$492.41	9% above	60%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone imaging whole body	$932.95	$2,311.00	$252.00–$492.41	—	60%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nm bone whole body	$932.95	$2,311.00	$252.00–$492.41	—	60%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nm bone whole body	$932.95	$2,311.00	$252.00–$492.41	—	60%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone imaging whole body	$932.95	$2,311.00	$252.00–$492.41	—	60%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound breast complete	$432.77	$1,072.00	$122.64–$1,072.00	37% above	60%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound breast complete	$432.77	$1,072.00	$122.64–$1,072.00	37% above	60%
Breast ultrasound, complete, one breast one side CPT 76641 Us breast left	$432.77	$1,072.00	$122.64–$1,072.00	37% above	60%
Breast ultrasound, complete, one breast one side CPT 76641 Us breast left	$432.77	$1,072.00	$122.64–$1,072.00	37% above	60%
Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound breast complete	$432.77	$1,072.00	$122.64–$1,072.00	—	60%
Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound breast complete	$432.77	$1,072.00	$122.64–$1,072.00	—	60%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Us breast left	$432.77	$1,072.00	$122.64–$1,072.00	—	60%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Us breast left	$432.77	$1,072.00	$122.64–$1,072.00	—	60%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Us diagnostic limited breast-bilateral	$218.00	$540.00	$102.09–$540.00	—	60%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Us diagnostic limited breast-bilateral	$218.00	$540.00	$102.09–$540.00	—	60%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound breast limited	$218.00	$540.00	$102.09–$540.00	2% below	60%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound breast limited	$218.00	$540.00	$102.09–$540.00	2% below	60%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 Us diagnostic limited breast-bilateral	$218.00	$540.00	$102.09–$540.00	—	60%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 Us diagnostic limited breast-bilateral	$218.00	$540.00	$102.09–$540.00	—	60%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound breast limited	$218.00	$540.00	$102.09–$540.00	—	60%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound breast limited	$218.00	$540.00	$102.09–$540.00	—	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angio chest w&w/o cont	$1,136.01	$2,814.00	$488.00–$529.15	at median	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angiography chest	$1,136.01	$2,814.00	$488.00–$529.15	at median	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angio chest w&w/o cont	$1,136.01	$2,814.00	$488.00–$529.15	at median	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angiography chest	$1,136.01	$2,814.00	$488.00–$529.15	at median	60%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct angiography chest	$1,136.01	$2,814.00	$488.00–$529.15	—	60%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct angiography chest	$1,136.01	$2,814.00	$488.00–$529.15	—	60%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct angio chest w&w/o cont	$1,136.01	$2,814.00	$488.00–$529.15	—	60%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct angio chest w&w/o cont	$1,136.01	$2,814.00	$488.00–$529.15	—	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct coronary angio ccta	$1,420.62	$3,519.00	$409.26–$675.08	38% above	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct angio hrt w/3d image	$1,420.62	$3,519.00	$409.26–$675.08	38% above	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct coronary angio ccta	$1,420.62	$3,519.00	$409.26–$675.08	38% above	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct angio hrt w/3d image	$1,420.62	$3,519.00	$409.26–$675.08	38% above	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct angio hrt w/3d image	$1,420.62	$3,519.00	$409.26–$675.08	—	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct angio hrt w/3d image	$1,420.62	$3,519.00	$409.26–$675.08	—	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct coronary angio ccta	$1,420.62	$3,519.00	$409.26–$675.08	—	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct coronary angio ccta	$1,420.62	$3,519.00	$409.26–$675.08	—	60%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct hrt w/o dye w/ca test	$188.93	$468.00	$102.09–$107.19	18% above	60%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct cardiac scoring	$188.93	$468.00	$102.09–$107.19	18% above	60%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct hrt w/o dye w/ca test	$188.93	$468.00	$102.09–$107.19	18% above	60%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct cardiac scoring	$188.93	$468.00	$102.09–$107.19	18% above	60%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct hrt w/o dye w/ca test	$188.93	$468.00	$102.09–$107.19	—	60%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct cardiac scoring	$188.93	$468.00	$102.09–$107.19	—	60%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct hrt w/o dye w/ca test	$188.93	$468.00	$102.09–$107.19	—	60%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct cardiac scoring	$188.93	$468.00	$102.09–$107.19	—	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct abd & pelvis w/o contrast	$2,273.23	$5,631.00	$250.80–$272.55	121% above	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct abd & pelvis w/o contrast	$2,273.23	$5,631.00	$250.80–$272.55	121% above	60%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct abd & pelvis w/o contrast	$2,273.23	$5,631.00	$250.80–$272.55	—	60%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct abd & pelvis w/o contrast	$2,273.23	$5,631.00	$250.80–$272.55	—	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abd & pelvis w/ contrast	$2,596.19	$6,431.00	$393.99–$529.15	67% above	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abd & pelvis w/ contrast	$2,596.19	$6,431.00	$393.99–$529.15	67% above	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abd & pelv w/contrast	$2,596.19	$6,431.00	$393.99–$529.15	67% above	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abd & pelv w/contrast	$2,596.19	$6,431.00	$393.99–$529.15	67% above	60%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct abd & pelv w/contrast	$2,596.19	$6,431.00	$393.99–$529.15	—	60%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct abd & pelvis w/ contrast	$2,596.19	$6,431.00	$393.99–$529.15	—	60%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct abd & pelv w/contrast	$2,596.19	$6,431.00	$393.99–$529.15	—	60%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct abd & pelvis w/ contrast	$2,596.19	$6,431.00	$393.99–$529.15	—	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abd & pelvis w/ & w/o contrast	$2,915.12	$7,221.00	$498.43–$529.15	79% above	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abd & pelv 1/> regns	$2,915.12	$7,221.00	$498.43–$529.15	79% above	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abd & pelvis w/ & w/o contrast	$2,915.12	$7,221.00	$498.43–$529.15	79% above	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abd & pelv 1/> regns	$2,915.12	$7,221.00	$498.43–$529.15	79% above	60%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct abd & pelv 1/> regns	$2,915.12	$7,221.00	$498.43–$529.15	—	60%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct abd & pelv 1/> regns	$2,915.12	$7,221.00	$498.43–$529.15	—	60%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct abd & pelvis w/ & w/o contrast	$2,915.12	$7,221.00	$498.43–$529.15	—	60%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct abd & pelvis w/ & w/o contrast	$2,915.12	$7,221.00	$498.43–$529.15	—	60%
CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/ contrast	$1,336.65	$3,311.00	$395.00–$529.15	31% above	60%
CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/ contrast	$1,336.65	$3,311.00	$395.00–$529.15	31% above	60%
CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/dye	$1,336.65	$3,311.00	$395.00–$529.15	31% above	60%
CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/dye	$1,336.65	$3,311.00	$395.00–$529.15	31% above	60%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/dye	$1,336.65	$3,311.00	$395.00–$529.15	—	60%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/ contrast	$1,336.65	$3,311.00	$395.00–$529.15	—	60%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/dye	$1,336.65	$3,311.00	$395.00–$529.15	—	60%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/ contrast	$1,336.65	$3,311.00	$395.00–$529.15	—	60%
CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o dye	$1,136.01	$2,814.00	$259.58–$336.00	43% above	60%
CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o dye	$1,136.01	$2,814.00	$259.58–$336.00	43% above	60%
CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o contrast	$1,136.01	$2,814.00	$259.58–$336.00	43% above	60%
CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o contrast	$1,136.01	$2,814.00	$259.58–$336.00	43% above	60%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen w/o dye	$1,136.01	$2,814.00	$259.58–$336.00	—	60%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen w/o contrast	$1,136.01	$2,814.00	$259.58–$336.00	—	60%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen w/o contrast	$1,136.01	$2,814.00	$259.58–$336.00	—	60%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen w/o dye	$1,136.01	$2,814.00	$259.58–$336.00	—	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct facial bones w/o contr	$1,260.35	$3,122.00	$259.58–$290.00	81% above	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct maxillofacial w/o dye	$1,260.35	$3,122.00	$259.58–$290.00	81% above	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct maxillofacial w/o dye	$1,260.35	$3,122.00	$259.58–$290.00	81% above	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct facial bones w/o contr	$1,260.35	$3,122.00	$259.58–$290.00	81% above	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct facial bones w/o contr	$1,260.35	$3,122.00	$259.58–$290.00	—	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct maxillofacial w/o dye	$1,260.35	$3,122.00	$259.58–$290.00	—	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct maxillofacial w/o dye	$1,260.35	$3,122.00	$259.58–$290.00	—	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct facial bones w/o contr	$1,260.35	$3,122.00	$259.58–$290.00	—	60%
CT scan of the head or brain, no contrast dye CPT 70450 Ct head/brain w/o dye	$1,136.01	$2,814.00	$259.58–$272.55	65% above	60%
CT scan of the head or brain, no contrast dye CPT 70450 Ct head/brain w/o dye	$1,136.01	$2,814.00	$259.58–$272.55	65% above	60%
CT scan of the head or brain, no contrast dye CPT 70450 Ct head without contrast	$1,136.01	$2,814.00	$259.58–$272.55	65% above	60%
CT scan of the head or brain, no contrast dye CPT 70450 Ct head without contrast	$1,136.01	$2,814.00	$259.58–$272.55	65% above	60%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct head without contrast	$1,136.01	$2,814.00	$259.58–$272.55	—	60%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct head without contrast	$1,136.01	$2,814.00	$259.58–$272.55	—	60%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct head/brain w/o dye	$1,136.01	$2,814.00	$259.58–$272.55	—	60%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct head/brain w/o dye	$1,136.01	$2,814.00	$259.58–$272.55	—	60%
CT scan of the head with contrast CPT 70460 Ct head with contrast	$1,257.93	$3,116.00	$332.00–$529.15	43% above	60%
CT scan of the head with contrast CPT 70460 Ct head/brain w/dye	$1,257.93	$3,116.00	$332.00–$529.15	43% above	60%
CT scan of the head with contrast CPT 70460 Ct head with contrast	$1,257.93	$3,116.00	$332.00–$529.15	43% above	60%
CT scan of the head with contrast CPT 70460 Ct head/brain w/dye	$1,257.93	$3,116.00	$332.00–$529.15	43% above	60%
CT scan of the head with contrast inpatient CPT 70460 Ct head/brain w/dye	$1,257.93	$3,116.00	$332.00–$529.15	—	60%
CT scan of the head with contrast inpatient CPT 70460 Ct head with contrast	$1,257.93	$3,116.00	$332.00–$529.15	—	60%
CT scan of the head with contrast inpatient CPT 70460 Ct head with contrast	$1,257.93	$3,116.00	$332.00–$529.15	—	60%
CT scan of the head with contrast inpatient CPT 70460 Ct head/brain w/dye	$1,257.93	$3,116.00	$332.00–$529.15	—	60%
CT scan of the head without and with contrast CPT 70470 Ct head with & w/o contr	$1,419.41	$3,516.00	$406.00–$529.15	37% above	60%
CT scan of the head without and with contrast CPT 70470 Ct head/brain w/o & w/dye	$1,419.41	$3,516.00	$406.00–$529.15	37% above	60%
CT scan of the head without and with contrast CPT 70470 Ct head with & w/o contr	$1,419.41	$3,516.00	$406.00–$529.15	37% above	60%
CT scan of the head without and with contrast CPT 70470 Ct head/brain w/o & w/dye	$1,419.41	$3,516.00	$406.00–$529.15	37% above	60%
CT scan of the head without and with contrast inpatient CPT 70470 Ct head with & w/o contr	$1,419.41	$3,516.00	$406.00–$529.15	—	60%
CT scan of the head without and with contrast inpatient CPT 70470 Ct head/brain w/o & w/dye	$1,419.41	$3,516.00	$406.00–$529.15	—	60%
CT scan of the head without and with contrast inpatient CPT 70470 Ct head with & w/o contr	$1,419.41	$3,516.00	$406.00–$529.15	—	60%
CT scan of the head without and with contrast inpatient CPT 70470 Ct head/brain w/o & w/dye	$1,419.41	$3,516.00	$406.00–$529.15	—	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct l spine w/o contrast	$1,573.22	$3,897.00	$259.58–$345.00	89% above	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct lumbar spine w/o dye	$1,573.22	$3,897.00	$259.58–$345.00	89% above	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct l spine w/o contrast	$1,573.22	$3,897.00	$259.58–$345.00	89% above	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct lumbar spine w/o dye	$1,573.22	$3,897.00	$259.58–$345.00	89% above	60%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct lumbar spine w/o dye	$1,573.22	$3,897.00	$259.58–$345.00	—	60%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct l spine w/o contrast	$1,573.22	$3,897.00	$259.58–$345.00	—	60%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct lumbar spine w/o dye	$1,573.22	$3,897.00	$259.58–$345.00	—	60%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct l spine w/o contrast	$1,573.22	$3,897.00	$259.58–$345.00	—	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct neck spine w/o dye	$1,136.01	$2,814.00	$259.58–$345.00	33% above	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct neck spine w/o dye	$1,136.01	$2,814.00	$259.58–$345.00	33% above	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct c spine w/o contrast	$1,136.01	$2,814.00	$259.58–$345.00	33% above	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct c spine w/o contrast	$1,136.01	$2,814.00	$259.58–$345.00	33% above	60%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct c spine w/o contrast	$1,136.01	$2,814.00	$259.58–$345.00	—	60%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct c spine w/o contrast	$1,136.01	$2,814.00	$259.58–$345.00	—	60%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct neck spine w/o dye	$1,136.01	$2,814.00	$259.58–$345.00	—	60%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct neck spine w/o dye	$1,136.01	$2,814.00	$259.58–$345.00	—	60%
CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/dye	$1,257.93	$3,116.00	$388.00–$529.15	40% above	60%
CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis with contrast	$1,257.93	$3,116.00	$388.00–$529.15	40% above	60%
CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/dye	$1,257.93	$3,116.00	$388.00–$529.15	40% above	60%
CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis with contrast	$1,257.93	$3,116.00	$388.00–$529.15	40% above	60%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis with contrast	$1,257.93	$3,116.00	$388.00–$529.15	—	60%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis with contrast	$1,257.93	$3,116.00	$388.00–$529.15	—	60%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis w/dye	$1,257.93	$3,116.00	$388.00–$529.15	—	60%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis w/dye	$1,257.93	$3,116.00	$388.00–$529.15	—	60%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial bilat study	$722.22	$1,789.00	$166.00–$293.89	—	60%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Us doppler carotid bilat	$722.22	$1,789.00	$166.00–$293.89	—	60%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial bilat study	$722.22	$1,789.00	$166.00–$293.89	—	60%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Us doppler carotid bilat	$722.22	$1,789.00	$166.00–$293.89	—	60%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Extracranial bilat study	$722.22	$1,789.00	$166.00–$293.89	—	60%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Us doppler carotid bilat	$722.22	$1,789.00	$166.00–$293.89	—	60%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Us doppler carotid bilat	$722.22	$1,789.00	$166.00–$293.89	—	60%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Extracranial bilat study	$722.22	$1,789.00	$166.00–$293.89	—	60%
Chest X-ray, 2 views CPT 71046 Ccr-chest 2 view	$159.06	$394.00	$394.00–$1,017.45	21% below	60%
Chest X-ray, 2 views CPT 71046 X-ray exam chest 2 views	$159.06	$394.00	$394.00–$1,017.45	21% below	60%
Chest X-ray, 2 views CPT 71046 X-ray exam chest 2 views	$159.06	$394.00	$394.00–$1,017.45	21% below	60%
Chest X-ray, 2 views CPT 71046 Ccr-chest 2 view	$159.06	$394.00	$394.00–$1,017.45	21% below	60%
Chest X-ray, 2 views inpatient CPT 71046 X-ray exam chest 2 views	$159.06	$394.00	$394.00–$1,017.45	—	60%
Chest X-ray, 2 views inpatient CPT 71046 Ccr-chest 2 view	$159.06	$394.00	$394.00–$1,017.45	—	60%
Chest X-ray, 2 views inpatient CPT 71046 X-ray exam chest 2 views	$159.06	$394.00	$394.00–$1,017.45	—	60%
Chest X-ray, 2 views inpatient CPT 71046 Ccr-chest 2 view	$159.06	$394.00	$394.00–$1,017.45	—	60%
Chest X-ray, single view CPT 71045 Ccr-chest 1 view	$125.15	$310.00	$310.00–$1,017.45	33% below	60%
Chest X-ray, single view CPT 71045 X-ray exam chest 1 view	$125.15	$310.00	$310.00–$1,017.45	33% below	60%
Chest X-ray, single view CPT 71045 Ccr-chest 1 view	$125.15	$310.00	$310.00–$1,017.45	33% below	60%
Chest X-ray, single view CPT 71045 X-ray exam chest 1 view	$125.15	$310.00	$310.00–$1,017.45	33% below	60%
Chest X-ray, single view inpatient CPT 71045 X-ray exam chest 1 view	$125.15	$310.00	$310.00–$1,017.45	—	60%
Chest X-ray, single view inpatient CPT 71045 Ccr-chest 1 view	$125.15	$310.00	$310.00–$1,017.45	—	60%
Chest X-ray, single view inpatient CPT 71045 X-ray exam chest 1 view	$125.15	$310.00	$310.00–$1,017.45	—	60%
Chest X-ray, single view inpatient CPT 71045 Ccr-chest 1 view	$125.15	$310.00	$310.00–$1,017.45	—	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us exam abdo back wall comp	$463.45	$1,148.00	$139.00–$362.37	29% above	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us exam abdo back wall comp	$463.45	$1,148.00	$139.00–$362.37	29% above	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us abd retroperiton compl	$463.45	$1,148.00	$139.00–$362.37	29% above	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us abd retroperiton compl	$463.45	$1,148.00	$139.00–$362.37	29% above	60%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us abd retroperiton compl	$463.45	$1,148.00	$139.00–$362.37	—	60%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us exam abdo back wall comp	$463.45	$1,148.00	$139.00–$362.37	—	60%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us exam abdo back wall comp	$463.45	$1,148.00	$139.00–$362.37	—	60%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us abd retroperiton compl	$463.45	$1,148.00	$139.00–$362.37	—	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa bone density axial	$284.61	$705.00	$122.64–$134.00	19% above	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa bone density	$284.61	$705.00	$122.64–$134.00	19% above	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa bone density	$284.61	$705.00	$122.64–$134.00	19% above	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa bone density axial	$284.61	$705.00	$122.64–$134.00	19% above	60%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa bone density axial	$284.61	$705.00	$122.64–$134.00	—	60%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa bone density axial	$284.61	$705.00	$122.64–$134.00	—	60%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa bone density	$284.61	$705.00	$122.64–$134.00	—	60%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa bone density	$284.61	$705.00	$122.64–$134.00	—	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa peripheral study	$179.24	$444.00	$49.00–$107.19	24% above	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxa bone density/peripheral	$179.24	$444.00	$49.00–$107.19	24% above	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa peripheral study	$179.24	$444.00	$49.00–$107.19	24% above	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxa bone density/peripheral	$179.24	$444.00	$49.00–$107.19	24% above	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dxa bone density/peripheral	$179.24	$444.00	$49.00–$107.19	—	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexa peripheral study	$179.24	$444.00	$49.00–$107.19	—	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dxa bone density/peripheral	$179.24	$444.00	$49.00–$107.19	—	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexa peripheral study	$179.24	$444.00	$49.00–$107.19	—	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct thorax w/o dye	$1,336.65	$3,311.00	$259.58–$345.00	64% above	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct chest high res w/o iv contrast	$1,336.65	$3,311.00	$259.58–$345.00	64% above	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct thorax w/o dye	$1,336.65	$3,311.00	$259.58–$345.00	64% above	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct chest high res w/o iv contrast	$1,336.65	$3,311.00	$259.58–$345.00	64% above	60%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct thorax w/o dye	$1,336.65	$3,311.00	$259.58–$345.00	—	60%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct chest high res w/o iv contrast	$1,336.65	$3,311.00	$259.58–$345.00	—	60%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct thorax w/o dye	$1,336.65	$3,311.00	$259.58–$345.00	—	60%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct chest high res w/o iv contrast	$1,336.65	$3,311.00	$259.58–$345.00	—	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct thorax w/dye	$1,336.65	$3,311.00	$404.00–$529.15	29% above	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct thorax w/dye	$1,336.65	$3,311.00	$404.00–$529.15	29% above	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct chest with contrast	$1,336.65	$3,311.00	$404.00–$529.15	29% above	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct chest with contrast	$1,336.65	$3,311.00	$404.00–$529.15	29% above	60%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct thorax w/dye	$1,336.65	$3,311.00	$404.00–$529.15	—	60%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct chest with contrast	$1,336.65	$3,311.00	$404.00–$529.15	—	60%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct thorax w/dye	$1,336.65	$3,311.00	$404.00–$529.15	—	60%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct chest with contrast	$1,336.65	$3,311.00	$404.00–$529.15	—	60%
Diagnostic mammogram, both breasts both sides CPT 77066 Mammo diagnostic bilateral	$432.36	$1,071.00	$150.11–$1,071.00	—	60%
Diagnostic mammogram, both breasts both sides CPT 77066 Dx mammo incl cad bi	$432.36	$1,071.00	$150.11–$1,071.00	—	60%
Diagnostic mammogram, both breasts both sides CPT 77066 Dx mammo incl cad bi	$432.36	$1,071.00	$150.11–$1,071.00	—	60%
Diagnostic mammogram, both breasts both sides CPT 77066 Mammo diagnostic bilateral	$432.36	$1,071.00	$150.11–$1,071.00	—	60%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx mammo incl cad bi	$432.36	$1,071.00	$150.11–$1,071.00	—	60%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mammo diagnostic bilateral	$432.36	$1,071.00	$150.11–$1,071.00	—	60%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx mammo incl cad bi	$432.36	$1,071.00	$150.11–$1,071.00	—	60%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mammo diagnostic bilateral	$432.36	$1,071.00	$150.11–$1,071.00	—	60%
Diagnostic mammogram, one breast CPT 77065 Dx mammo incl cad uni	$347.18	$860.00	$118.55–$860.00	30% above	60%
Diagnostic mammogram, one breast CPT 77065 Dx mammo incl cad uni	$347.18	$860.00	$118.55–$860.00	30% above	60%
Diagnostic mammogram, one breast one side CPT 77065 Mammo diagnostic unilateral left	$347.18	$860.00	$118.55–$860.00	30% above	60%
Diagnostic mammogram, one breast one side CPT 77065 Mammo diagnostic unilateral left	$347.18	$860.00	$118.55–$860.00	30% above	60%
Diagnostic mammogram, one breast inpatient CPT 77065 Dx mammo incl cad uni	$347.18	$860.00	$118.55–$860.00	—	60%
Diagnostic mammogram, one breast inpatient CPT 77065 Dx mammo incl cad uni	$347.18	$860.00	$118.55–$860.00	—	60%
Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammo diagnostic unilateral left	$347.18	$860.00	$118.55–$860.00	—	60%
Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammo diagnostic unilateral left	$347.18	$860.00	$118.55–$860.00	—	60%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us arterial bilat low ext	$722.22	$1,789.00	$166.00–$293.89	—	60%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us arterial bilat low ext	$722.22	$1,789.00	$166.00–$293.89	—	60%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Lower extremity study	$722.22	$1,789.00	$166.00–$293.89	46% above	60%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Lower extremity study	$722.22	$1,789.00	$166.00–$293.89	46% above	60%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Us arterial bilat low ext	$722.22	$1,789.00	$166.00–$293.89	—	60%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Us arterial bilat low ext	$722.22	$1,789.00	$166.00–$293.89	—	60%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Lower extremity study	$722.22	$1,789.00	$166.00–$293.89	—	60%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Lower extremity study	$722.22	$1,789.00	$166.00–$293.89	—	60%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us ven doppler bi low ext	$722.22	$1,789.00	$184.00–$293.89	—	60%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us ven doppler bi low ext	$722.22	$1,789.00	$184.00–$293.89	—	60%
Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study	$722.22	$1,789.00	$184.00–$293.89	46% above	60%
Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study	$722.22	$1,789.00	$184.00–$293.89	46% above	60%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Us ven doppler bi low ext	$722.22	$1,789.00	$184.00–$293.89	—	60%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Us ven doppler bi low ext	$722.22	$1,789.00	$184.00–$293.89	—	60%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity study	$722.22	$1,789.00	$184.00–$293.89	—	60%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity study	$722.22	$1,789.00	$184.00–$293.89	—	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte w/doppler complete	$3,735.53	$9,253.23	$365.00–$673.04	243% above	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte w/doppler complete	$3,735.53	$9,253.23	$365.00–$673.04	243% above	60%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte w/doppler complete	$3,735.53	$9,253.23	$365.00–$673.04	—	60%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte w/doppler complete	$3,735.53	$9,253.23	$365.00–$673.04	—	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm hepatobiliary	$1,046.39	$2,592.00	$309.06–$492.41	10% above	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging	$1,046.39	$2,592.00	$309.06–$492.41	10% above	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm hepatobiliary	$1,046.39	$2,592.00	$309.06–$492.41	10% above	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging	$1,046.39	$2,592.00	$309.06–$492.41	10% above	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nm hepatobiliary	$1,046.39	$2,592.00	$309.06–$492.41	—	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary system imaging	$1,046.39	$2,592.00	$309.06–$492.41	—	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nm hepatobiliary	$1,046.39	$2,592.00	$309.06–$492.41	—	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary system imaging	$1,046.39	$2,592.00	$309.06–$492.41	—	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>yrs cpap 4/> parm	$2,853.76	$7,069.00	$711.00–$1,057.74	30% above	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>yrs cpap 4/> parm	$2,853.76	$7,069.00	$711.00–$1,057.74	30% above	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography w cpap	$2,853.76	$7,069.00	$711.00–$1,057.74	30% above	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography w cpap	$2,853.76	$7,069.00	$711.00–$1,057.74	30% above	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6/>yrs cpap 4/> parm	$2,853.76	$7,069.00	$711.00–$1,057.74	—	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysomnography w cpap	$2,853.76	$7,069.00	$711.00–$1,057.74	—	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6/>yrs cpap 4/> parm	$2,853.76	$7,069.00	$711.00–$1,057.74	—	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysomnography w cpap	$2,853.76	$7,069.00	$711.00–$1,057.74	—	60%
Knee X-ray, 3 views both sides CPT 73562 Ccr knee bilat 3 vws each	$489.69	$1,213.00	$38.00–$107.19	—	60%
Knee X-ray, 3 views both sides CPT 73562 Ccr knee bilat 3 vws each	$489.69	$1,213.00	$38.00–$107.19	—	60%
Knee X-ray, 3 views CPT 73562 X-ray exam of knee 3	$489.69	$1,213.00	$38.00–$107.19	191% above	60%
Knee X-ray, 3 views CPT 73562 X-ray exam of knee 3	$489.69	$1,213.00	$38.00–$107.19	191% above	60%
Knee X-ray, 3 views inpatient both sides CPT 73562 Ccr knee bilat 3 vws each	$489.69	$1,213.00	$38.00–$107.19	—	60%
Knee X-ray, 3 views inpatient both sides CPT 73562 Ccr knee bilat 3 vws each	$489.69	$1,213.00	$38.00–$107.19	—	60%
Knee X-ray, 3 views inpatient CPT 73562 X-ray exam of knee 3	$489.69	$1,213.00	$38.00–$107.19	—	60%
Knee X-ray, 3 views inpatient CPT 73562 X-ray exam of knee 3	$489.69	$1,213.00	$38.00–$107.19	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo exam of abdomen	$463.45	$1,148.00	$104.00–$362.37	51% above	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us abd survey limited	$463.45	$1,148.00	$104.00–$362.37	51% above	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo exam of abdomen	$463.45	$1,148.00	$104.00–$362.37	51% above	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us abd survey limited	$463.45	$1,148.00	$104.00–$362.37	51% above	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us abd survey limited	$463.45	$1,148.00	$104.00–$362.37	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo exam of abdomen	$463.45	$1,148.00	$104.00–$362.37	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us abd survey limited	$463.45	$1,148.00	$104.00–$362.37	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo exam of abdomen	$463.45	$1,148.00	$104.00–$362.37	—	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct lung screening program	$194.58	$482.00	$122.64–$482.00	54% below	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct thorax lung cancer scr c-	$194.58	$482.00	$122.64–$482.00	54% below	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct thorax lung cancer scr c-	$194.58	$482.00	$122.64–$482.00	54% below	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct lung screening program	$194.58	$482.00	$122.64–$482.00	54% below	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct thorax lung cancer scr c-	$194.58	$482.00	$122.64–$482.00	—	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct lung screening program	$194.58	$482.00	$122.64–$482.00	—	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct thorax lung cancer scr c-	$194.58	$482.00	$122.64–$482.00	—	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct lung screening program	$194.58	$482.00	$122.64–$482.00	—	60%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri jnt of lwr extre w/o dye	$2,091.57	$5,181.00	$596.00–$648.44	108% above	60%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri jnt of lwr extre w/o dye	$2,091.57	$5,181.00	$596.00–$648.44	108% above	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri ankle lt w/o contrast	$2,091.57	$5,181.00	$596.00–$648.44	108% above	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri ankle lt w/o contrast	$2,091.57	$5,181.00	$596.00–$648.44	108% above	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri jnt of lwr extre w/o dye	$2,091.57	$5,181.00	$596.00–$648.44	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri jnt of lwr extre w/o dye	$2,091.57	$5,181.00	$596.00–$648.44	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri ankle lt w/o contrast	$2,091.57	$5,181.00	$596.00–$648.44	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri ankle lt w/o contrast	$2,091.57	$5,181.00	$596.00–$648.44	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri joint lwr extr w/o&w/dye	$2,583.68	$6,400.00	$995.59–$1,243.00	41% above	60%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri joint lwr extr w/o&w/dye	$2,583.68	$6,400.00	$995.59–$1,243.00	41% above	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri ankle lt w & w/o cont	$2,583.68	$6,400.00	$995.59–$1,243.00	41% above	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri ankle lt w & w/o cont	$2,583.68	$6,400.00	$995.59–$1,243.00	41% above	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri joint lwr extr w/o&w/dye	$2,583.68	$6,400.00	$995.59–$1,243.00	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri joint lwr extr w/o&w/dye	$2,583.68	$6,400.00	$995.59–$1,243.00	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri ankle lt w & w/o cont	$2,583.68	$6,400.00	$995.59–$1,243.00	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri ankle lt w & w/o cont	$2,583.68	$6,400.00	$995.59–$1,243.00	—	60%
MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o dye	$2,091.57	$5,181.00	$616.00–$648.44	105% above	60%
MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o contrast	$2,091.57	$5,181.00	$616.00–$648.44	105% above	60%
MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o contrast	$2,091.57	$5,181.00	$616.00–$648.44	105% above	60%
MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o dye	$2,091.57	$5,181.00	$616.00–$648.44	105% above	60%
MRI of the abdomen without contrast inpatient CPT 74181 Mri abdomen w/o dye	$2,091.57	$5,181.00	$616.00–$648.44	—	60%
MRI of the abdomen without contrast inpatient CPT 74181 Mri abdomen w/o contrast	$2,091.57	$5,181.00	$616.00–$648.44	—	60%
MRI of the abdomen without contrast inpatient CPT 74181 Mri abdomen w/o contrast	$2,091.57	$5,181.00	$616.00–$648.44	—	60%
MRI of the abdomen without contrast inpatient CPT 74181 Mri abdomen w/o dye	$2,091.57	$5,181.00	$616.00–$648.44	—	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abdomen w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,254.00	57% above	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abdomen w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,254.00	57% above	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abdomen w/ & w/o cont	$2,583.68	$6,400.00	$995.59–$1,254.00	57% above	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abdomen w/ & w/o cont	$2,583.68	$6,400.00	$995.59–$1,254.00	57% above	60%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri abdomen w/ & w/o cont	$2,583.68	$6,400.00	$995.59–$1,254.00	—	60%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri abdomen w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,254.00	—	60%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri abdomen w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,254.00	—	60%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri abdomen w/ & w/o cont	$2,583.68	$6,400.00	$995.59–$1,254.00	—	60%
MRI of the brain, no contrast dye CPT 70551 Mri brain stem w/o dye	$2,091.57	$5,181.00	$608.00–$648.44	111% above	60%
MRI of the brain, no contrast dye CPT 70551 Mri brain stem w/o dye	$2,091.57	$5,181.00	$608.00–$648.44	111% above	60%
MRI of the brain, no contrast dye CPT 70551 Mri brain w/o contrast	$2,091.57	$5,181.00	$608.00–$648.44	111% above	60%
MRI of the brain, no contrast dye CPT 70551 Mri brain w/o contrast	$2,091.57	$5,181.00	$608.00–$648.44	111% above	60%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri brain w/o contrast	$2,091.57	$5,181.00	$608.00–$648.44	—	60%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri brain stem w/o dye	$2,091.57	$5,181.00	$608.00–$648.44	—	60%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri brain w/o contrast	$2,091.57	$5,181.00	$608.00–$648.44	—	60%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri brain stem w/o dye	$2,091.57	$5,181.00	$608.00–$648.44	—	60%
MRI of the brain, with and without contrast dye CPT 70553 Mri brain w/ & w/o contrast	$2,583.68	$6,400.00	$995.59–$1,289.00	61% above	60%
MRI of the brain, with and without contrast dye CPT 70553 Mri brain stem w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,289.00	61% above	60%
MRI of the brain, with and without contrast dye CPT 70553 Mri brain w/ & w/o contrast	$2,583.68	$6,400.00	$995.59–$1,289.00	61% above	60%
MRI of the brain, with and without contrast dye CPT 70553 Mri brain stem w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,289.00	61% above	60%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri brain stem w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,289.00	—	60%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri brain w/ & w/o contrast	$2,583.68	$6,400.00	$995.59–$1,289.00	—	60%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri brain stem w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,289.00	—	60%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri brain w/ & w/o contrast	$2,583.68	$6,400.00	$995.59–$1,289.00	—	60%
MRI of the lower back, no contrast dye CPT 72148 Mri lumbar spine w/o dye	$2,091.57	$5,181.00	$617.56–$664.00	96% above	60%
MRI of the lower back, no contrast dye CPT 72148 Mri coccyx w/o contrast	$2,091.57	$5,181.00	$617.56–$664.00	96% above	60%
MRI of the lower back, no contrast dye CPT 72148 Mri lumbar spine w/o dye	$2,091.57	$5,181.00	$617.56–$664.00	96% above	60%
MRI of the lower back, no contrast dye CPT 72148 Mri coccyx w/o contrast	$2,091.57	$5,181.00	$617.56–$664.00	96% above	60%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri coccyx w/o contrast	$2,091.57	$5,181.00	$617.56–$664.00	—	60%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri lumbar spine w/o dye	$2,091.57	$5,181.00	$617.56–$664.00	—	60%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri coccyx w/o contrast	$2,091.57	$5,181.00	$617.56–$664.00	—	60%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri lumbar spine w/o dye	$2,091.57	$5,181.00	$617.56–$664.00	—	60%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri coccyx w & w/o contrast	$2,583.68	$6,400.00	$995.59–$1,289.00	57% above	60%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri lumbar spine w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,289.00	57% above	60%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri lumbar spine w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,289.00	57% above	60%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri coccyx w & w/o contrast	$2,583.68	$6,400.00	$995.59–$1,289.00	57% above	60%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri lumbar spine w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,289.00	—	60%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri coccyx w & w/o contrast	$2,583.68	$6,400.00	$995.59–$1,289.00	—	60%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri coccyx w & w/o contrast	$2,583.68	$6,400.00	$995.59–$1,289.00	—	60%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri lumbar spine w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,289.00	—	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri chest spine w/o dye	$2,091.57	$5,181.00	$617.56–$672.00	108% above	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri chest spine w/o dye	$2,091.57	$5,181.00	$617.56–$672.00	108% above	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri thoracic spine w/o co	$2,091.57	$5,181.00	$617.56–$672.00	108% above	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri thoracic spine w/o co	$2,091.57	$5,181.00	$617.56–$672.00	108% above	60%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri chest spine w/o dye	$2,091.57	$5,181.00	$617.56–$672.00	—	60%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri chest spine w/o dye	$2,091.57	$5,181.00	$617.56–$672.00	—	60%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri thoracic spine w/o co	$2,091.57	$5,181.00	$617.56–$672.00	—	60%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri thoracic spine w/o co	$2,091.57	$5,181.00	$617.56–$672.00	—	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri neck spine w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,302.00	60% above	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri cervical spine w/ & w/o cont	$2,583.68	$6,400.00	$995.59–$1,302.00	60% above	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri neck spine w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,302.00	60% above	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri cervical spine w/ & w/o cont	$2,583.68	$6,400.00	$995.59–$1,302.00	60% above	60%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri cervical spine w/ & w/o cont	$2,583.68	$6,400.00	$995.59–$1,302.00	—	60%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri cervical spine w/ & w/o cont	$2,583.68	$6,400.00	$995.59–$1,302.00	—	60%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri neck spine w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,302.00	—	60%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri neck spine w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,302.00	—	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri neck spine w/o dye	$2,091.57	$5,181.00	$616.00–$648.44	109% above	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri cervical spine w/o co	$2,091.57	$5,181.00	$616.00–$648.44	109% above	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri cervical spine w/o co	$2,091.57	$5,181.00	$616.00–$648.44	109% above	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri neck spine w/o dye	$2,091.57	$5,181.00	$616.00–$648.44	109% above	60%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri cervical spine w/o co	$2,091.57	$5,181.00	$616.00–$648.44	—	60%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri cervical spine w/o co	$2,091.57	$5,181.00	$616.00–$648.44	—	60%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri neck spine w/o dye	$2,091.57	$5,181.00	$616.00–$648.44	—	60%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri neck spine w/o dye	$2,091.57	$5,181.00	$616.00–$648.44	—	60%
MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,254.00	68% above	60%
MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/ & w/o contr	$2,583.68	$6,400.00	$995.59–$1,254.00	68% above	60%
MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/ & w/o contr	$2,583.68	$6,400.00	$995.59–$1,254.00	68% above	60%
MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,254.00	68% above	60%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri pelvis w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,254.00	—	60%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri pelvis w/ & w/o contr	$2,583.68	$6,400.00	$995.59–$1,254.00	—	60%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri pelvis w/ & w/o contr	$2,583.68	$6,400.00	$995.59–$1,254.00	—	60%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri pelvis w/o & w/dye	$2,583.68	$6,400.00	$995.59–$1,254.00	—	60%
MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o contrast	$2,091.57	$5,181.00	$587.00–$648.44	111% above	60%
MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o dye	$2,091.57	$5,181.00	$587.00–$648.44	111% above	60%
MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o contrast	$2,091.57	$5,181.00	$587.00–$648.44	111% above	60%
MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o dye	$2,091.57	$5,181.00	$587.00–$648.44	111% above	60%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri pelvis w/o contrast	$2,091.57	$5,181.00	$587.00–$648.44	—	60%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri pelvis w/o dye	$2,091.57	$5,181.00	$587.00–$648.44	—	60%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri pelvis w/o contrast	$2,091.57	$5,181.00	$587.00–$648.44	—	60%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri pelvis w/o dye	$2,091.57	$5,181.00	$587.00–$648.44	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri joint upr extrem w/o dye	$2,091.57	$5,181.00	$596.00–$648.44	74% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri joint upr extrem w/o dye	$2,091.57	$5,181.00	$596.00–$648.44	74% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri digit lt w/o contrast	$2,091.57	$5,181.00	$596.00–$648.44	74% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri digit lt w/o contrast	$2,091.57	$5,181.00	$596.00–$648.44	74% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri joint upr extrem w/o dye	$2,091.57	$5,181.00	$596.00–$648.44	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri joint upr extrem w/o dye	$2,091.57	$5,181.00	$596.00–$648.44	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri digit lt w/o contrast	$2,091.57	$5,181.00	$596.00–$648.44	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri digit lt w/o contrast	$2,091.57	$5,181.00	$596.00–$648.44	—	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm gated spect scan mult rs/st	$3,430.24	$8,497.00	$353.14–$1,594.66	56% above	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm gated spect scan mult rs/st	$3,430.24	$8,497.00	$353.14–$1,594.66	56% above	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht muscle image spect mult	$3,430.24	$8,497.00	$353.14–$1,594.66	56% above	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht muscle image spect mult	$3,430.24	$8,497.00	$353.14–$1,594.66	56% above	60%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht muscle image spect mult	$3,430.24	$8,497.00	$353.14–$1,594.66	—	60%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht muscle image spect mult	$3,430.24	$8,497.00	$353.14–$1,594.66	—	60%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nm gated spect scan mult rs/st	$3,430.24	$8,497.00	$353.14–$1,594.66	—	60%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nm gated spect scan mult rs/st	$3,430.24	$8,497.00	$353.14–$1,594.66	—	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us male pelvis	$341.13	$845.00	$73.00–$362.37	34% above	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us exam pelvic limited	$341.13	$845.00	$73.00–$362.37	34% above	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us male pelvis	$341.13	$845.00	$73.00–$362.37	34% above	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us exam pelvic limited	$341.13	$845.00	$73.00–$362.37	34% above	60%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us exam pelvic limited	$341.13	$845.00	$73.00–$362.37	—	60%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us male pelvis	$341.13	$845.00	$73.00–$362.37	—	60%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us exam pelvic limited	$341.13	$845.00	$73.00–$362.37	—	60%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us male pelvis	$341.13	$845.00	$73.00–$362.37	—	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us pelvic nonob complete	$379.48	$940.00	$116.00–$362.37	5% above	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us pelvic nonob complete	$379.48	$940.00	$116.00–$362.37	5% above	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us exam pelvic complete	$379.48	$940.00	$116.00–$362.37	5% above	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us exam pelvic complete	$379.48	$940.00	$116.00–$362.37	5% above	60%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us pelvic nonob complete	$379.48	$940.00	$116.00–$362.37	—	60%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us exam pelvic complete	$379.48	$940.00	$116.00–$362.37	—	60%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us exam pelvic complete	$379.48	$940.00	$116.00–$362.37	—	60%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us pelvic nonob complete	$379.48	$940.00	$116.00–$362.37	—	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob us >= 14 wks sngl fetus	$496.15	$1,229.00	$122.64–$162.00	53% above	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us ob >= 14 wks sgl fetus	$496.15	$1,229.00	$122.64–$162.00	53% above	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us ob >= 14 wks sgl fetus	$496.15	$1,229.00	$122.64–$162.00	53% above	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob us >= 14 wks sngl fetus	$496.15	$1,229.00	$122.64–$162.00	53% above	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us ob >= 14 wks sgl fetus	$496.15	$1,229.00	$122.64–$162.00	—	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us ob >= 14 wks sgl fetus	$496.15	$1,229.00	$122.64–$162.00	—	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob us >= 14 wks sngl fetus	$496.15	$1,229.00	$122.64–$162.00	—	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob us >= 14 wks sngl fetus	$496.15	$1,229.00	$122.64–$162.00	—	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us ob < 14 wks sgl fetus	$496.15	$1,229.00	$115.00–$128.77	61% above	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob us < 14 wks single fetus	$496.15	$1,229.00	$115.00–$128.77	61% above	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us ob < 14 wks sgl fetus	$496.15	$1,229.00	$115.00–$128.77	61% above	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob us < 14 wks single fetus	$496.15	$1,229.00	$115.00–$128.77	61% above	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob us < 14 wks single fetus	$496.15	$1,229.00	$115.00–$128.77	—	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Us ob < 14 wks sgl fetus	$496.15	$1,229.00	$115.00–$128.77	—	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob us < 14 wks single fetus	$496.15	$1,229.00	$115.00–$128.77	—	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Us ob < 14 wks sgl fetus	$496.15	$1,229.00	$115.00–$128.77	—	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob us limited fetus(s)	$341.53	$846.00	$108.00–$128.77	11% above	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob us limited fetus(s)	$341.53	$846.00	$108.00–$128.77	11% above	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us pelvic ob limited	$341.53	$846.00	$108.00–$128.77	11% above	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us pelvic ob limited	$341.53	$846.00	$108.00–$128.77	11% above	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob us limited fetus(s)	$341.53	$846.00	$108.00–$128.77	—	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us pelvic ob limited	$341.53	$846.00	$108.00–$128.77	—	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob us limited fetus(s)	$341.53	$846.00	$108.00–$128.77	—	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us pelvic ob limited	$341.53	$846.00	$108.00–$128.77	—	60%
Screening mammogram, both breasts both sides CPT 77067 Scr mammo bi incl cad	$325.38	$806.00	$120.77–$806.00	—	60%
Screening mammogram, both breasts both sides CPT 77067 Scr mammo bi incl cad	$325.38	$806.00	$120.77–$806.00	—	60%
Screening mammogram, both breasts both sides CPT 77067 Mammo screening bilateral	$325.38	$806.00	$120.77–$806.00	—	60%
Screening mammogram, both breasts both sides CPT 77067 Mammo screening bilateral	$325.38	$806.00	$120.77–$806.00	—	60%
Screening mammogram, both breasts inpatient both sides CPT 77067 Scr mammo bi incl cad	$325.38	$806.00	$120.77–$806.00	—	60%
Screening mammogram, both breasts inpatient both sides CPT 77067 Mammo screening bilateral	$325.38	$806.00	$120.77–$806.00	—	60%
Screening mammogram, both breasts inpatient both sides CPT 77067 Scr mammo bi incl cad	$325.38	$806.00	$120.77–$806.00	—	60%
Screening mammogram, both breasts inpatient both sides CPT 77067 Mammo screening bilateral	$325.38	$806.00	$120.77–$806.00	—	60%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray exam of shoulder	$212.35	$526.00	$38.00–$107.19	5% above	60%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray exam of shoulder	$212.35	$526.00	$38.00–$107.19	5% above	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Ccr-shoulder-left	$212.35	$526.00	$38.00–$107.19	5% above	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Ccr-shoulder-left	$212.35	$526.00	$38.00–$107.19	5% above	60%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray exam of shoulder	$212.35	$526.00	$38.00–$107.19	—	60%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray exam of shoulder	$212.35	$526.00	$38.00–$107.19	—	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Ccr-shoulder-left	$212.35	$526.00	$38.00–$107.19	—	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Ccr-shoulder-left	$212.35	$526.00	$38.00–$107.19	—	60%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/> yrs 4/> param	$2,691.06	$6,666.00	$651.00–$1,057.74	28% above	60%
Sleep study in a lab (polysomnography) CPT 95810 Polysomnogram	$2,691.06	$6,666.00	$651.00–$1,057.74	28% above	60%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/> yrs 4/> param	$2,691.06	$6,666.00	$651.00–$1,057.74	28% above	60%
Sleep study in a lab (polysomnography) CPT 95810 Polysomnogram	$2,691.06	$6,666.00	$651.00–$1,057.74	28% above	60%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/> yrs 4/> param	$2,691.06	$6,666.00	$651.00–$1,057.74	—	60%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnogram	$2,691.06	$6,666.00	$651.00–$1,057.74	—	60%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnogram	$2,691.06	$6,666.00	$651.00–$1,057.74	—	60%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/> yrs 4/> param	$2,691.06	$6,666.00	$651.00–$1,057.74	—	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-ray xm swlng funcj c+	$300.76	$745.00	$95.00–$216.05	11% below	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-ray xm swlng funcj c+	$300.76	$745.00	$95.00–$216.05	11% below	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Fluoroscopy video rad ord	$300.76	$745.00	$95.00–$216.05	11% below	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Fluoroscopy video rad ord	$300.76	$745.00	$95.00–$216.05	11% below	60%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Fluoroscopy video rad ord	$300.76	$745.00	$95.00–$216.05	—	60%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-ray xm swlng funcj c+	$300.76	$745.00	$95.00–$216.05	—	60%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Fluoroscopy video rad ord	$300.76	$745.00	$95.00–$216.05	—	60%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-ray xm swlng funcj c+	$300.76	$745.00	$95.00–$216.05	—	60%
Transvaginal pelvic ultrasound CPT 76830 Us pelvic transvaginal	$496.15	$1,229.00	$116.00–$128.77	43% above	60%
Transvaginal pelvic ultrasound CPT 76830 Transvaginal us non-ob	$496.15	$1,229.00	$116.00–$128.77	43% above	60%
Transvaginal pelvic ultrasound CPT 76830 Us pelvic transvaginal	$496.15	$1,229.00	$116.00–$128.77	43% above	60%
Transvaginal pelvic ultrasound CPT 76830 Transvaginal us non-ob	$496.15	$1,229.00	$116.00–$128.77	43% above	60%
Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal us non-ob	$496.15	$1,229.00	$116.00–$128.77	—	60%
Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal us non-ob	$496.15	$1,229.00	$116.00–$128.77	—	60%
Transvaginal pelvic ultrasound inpatient CPT 76830 Us pelvic transvaginal	$496.15	$1,229.00	$116.00–$128.77	—	60%
Transvaginal pelvic ultrasound inpatient CPT 76830 Us pelvic transvaginal	$496.15	$1,229.00	$116.00–$128.77	—	60%
Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal us obstetric	$496.15	$1,229.00	$119.00–$128.77	78% above	60%
Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal us obstetric	$496.15	$1,229.00	$119.00–$128.77	78% above	60%
Transvaginal ultrasound during pregnancy CPT 76817 Us ob transvaginal	$496.15	$1,229.00	$119.00–$128.77	78% above	60%
Transvaginal ultrasound during pregnancy CPT 76817 Us ob transvaginal	$496.15	$1,229.00	$119.00–$128.77	78% above	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Us ob transvaginal	$496.15	$1,229.00	$119.00–$128.77	—	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Transvaginal us obstetric	$496.15	$1,229.00	$119.00–$128.77	—	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Us ob transvaginal	$496.15	$1,229.00	$119.00–$128.77	—	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Transvaginal us obstetric	$496.15	$1,229.00	$119.00–$128.77	—	60%
Ultrasound of the abdomen, complete CPT 76700 Us exam abdom complete	$463.45	$1,148.00	$144.00–$362.37	9% above	60%
Ultrasound of the abdomen, complete CPT 76700 Us abd survey complete	$463.45	$1,148.00	$144.00–$362.37	9% above	60%
Ultrasound of the abdomen, complete CPT 76700 Us exam abdom complete	$463.45	$1,148.00	$144.00–$362.37	9% above	60%
Ultrasound of the abdomen, complete CPT 76700 Us abd survey complete	$463.45	$1,148.00	$144.00–$362.37	9% above	60%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us exam abdom complete	$463.45	$1,148.00	$144.00–$362.37	—	60%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us abd survey complete	$463.45	$1,148.00	$144.00–$362.37	—	60%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us exam abdom complete	$463.45	$1,148.00	$144.00–$362.37	—	60%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us abd survey complete	$463.45	$1,148.00	$144.00–$362.37	—	60%
Ultrasound of the scrotum and testicles CPT 76870 Us exam scrotum	$389.17	$964.00	$112.00–$128.77	10% above	60%
Ultrasound of the scrotum and testicles CPT 76870 Us testicular imaging	$389.17	$964.00	$112.00–$128.77	10% above	60%
Ultrasound of the scrotum and testicles CPT 76870 Us exam scrotum	$389.17	$964.00	$112.00–$128.77	10% above	60%
Ultrasound of the scrotum and testicles CPT 76870 Us testicular imaging	$389.17	$964.00	$112.00–$128.77	10% above	60%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us testicular imaging	$389.17	$964.00	$112.00–$128.77	—	60%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us exam scrotum	$389.17	$964.00	$112.00–$128.77	—	60%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us testicular imaging	$389.17	$964.00	$112.00–$128.77	—	60%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us exam scrotum	$389.17	$964.00	$112.00–$128.77	—	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us soft tissues head/neck	$463.45	$1,148.00	$102.00–$128.77	48% above	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us exam of head and neck	$463.45	$1,148.00	$102.00–$128.77	48% above	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us soft tissues head/neck	$463.45	$1,148.00	$102.00–$128.77	48% above	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us exam of head and neck	$463.45	$1,148.00	$102.00–$128.77	48% above	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us soft tissues head/neck	$463.45	$1,148.00	$102.00–$128.77	—	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us exam of head and neck	$463.45	$1,148.00	$102.00–$128.77	—	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us exam of head and neck	$463.45	$1,148.00	$102.00–$128.77	—	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us soft tissues head/neck	$463.45	$1,148.00	$102.00–$128.77	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugi series single contras	$481.61	$1,193.00	$113.00–$216.05	15% above	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugi series single contras	$481.61	$1,193.00	$113.00–$216.05	15% above	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray xm upr gi trc 1cntrst	$481.61	$1,193.00	$113.00–$216.05	15% above	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray xm upr gi trc 1cntrst	$481.61	$1,193.00	$113.00–$216.05	15% above	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Ugi series single contras	$481.61	$1,193.00	$113.00–$216.05	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray xm upr gi trc 1cntrst	$481.61	$1,193.00	$113.00–$216.05	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Ugi series single contras	$481.61	$1,193.00	$113.00–$216.05	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray xm upr gi trc 1cntrst	$481.61	$1,193.00	$113.00–$216.05	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Extremity study	$570.83	$1,414.00	$122.64–$128.77	64% above	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Extremity study	$570.83	$1,414.00	$122.64–$128.77	64% above	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Us doppler ext venous lmt	$570.83	$1,414.00	$122.64–$128.77	64% above	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Us doppler ext venous lmt	$570.83	$1,414.00	$122.64–$128.77	64% above	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Extremity study	$570.83	$1,414.00	$122.64–$128.77	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Us doppler ext venous lmt	$570.83	$1,414.00	$122.64–$128.77	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Extremity study	$570.83	$1,414.00	$122.64–$128.77	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Us doppler ext venous lmt	$570.83	$1,414.00	$122.64–$128.77	—	60%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray exam of wrist	$191.35	$474.00	$36.00–$107.19	at median	60%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray exam of wrist	$191.35	$474.00	$36.00–$107.19	at median	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Ccr-wrist-left	$191.35	$474.00	$36.00–$107.19	at median	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Ccr-wrist-left	$191.35	$474.00	$36.00–$107.19	at median	60%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray exam of wrist	$191.35	$474.00	$36.00–$107.19	—	60%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray exam of wrist	$191.35	$474.00	$36.00–$107.19	—	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Ccr-wrist-left	$191.35	$474.00	$36.00–$107.19	—	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Ccr-wrist-left	$191.35	$474.00	$36.00–$107.19	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray exam hip uni 2-3 views	$228.90	$567.00	$102.09–$567.00	25% above	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray exam hip uni 2-3 views	$228.90	$567.00	$102.09–$567.00	25% above	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Ccr-hip mult.views-l	$228.90	$567.00	$102.09–$567.00	25% above	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Ccr-hip mult.views-l	$228.90	$567.00	$102.09–$567.00	25% above	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray exam hip uni 2-3 views	$228.90	$567.00	$102.09–$567.00	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Ccr-hip mult.views-l	$228.90	$567.00	$102.09–$567.00	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Ccr-hip mult.views-l	$228.90	$567.00	$102.09–$567.00	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray exam hip uni 2-3 views	$228.90	$567.00	$102.09–$567.00	—	60%
X-ray of the abdomen, 1 view CPT 74018 X-ray exam abdomen 1 view	$147.35	$365.00	$102.09–$365.00	27% below	60%
X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 view	$147.35	$365.00	$102.09–$365.00	27% below	60%
X-ray of the abdomen, 1 view CPT 74018 X-ray exam abdomen 1 view	$147.35	$365.00	$102.09–$365.00	27% below	60%
X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 view	$147.35	$365.00	$102.09–$365.00	27% below	60%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray exam abdomen 1 view	$147.35	$365.00	$102.09–$365.00	—	60%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray exam abdomen 1 view	$147.35	$365.00	$102.09–$365.00	—	60%
X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen 1 view	$147.35	$365.00	$102.09–$365.00	—	60%
X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen 1 view	$147.35	$365.00	$102.09–$365.00	—	60%
X-ray of the ankle, 2 views CPT 73600 X-ray exam of ankle	$159.06	$394.00	$33.00–$107.19	at median	60%
X-ray of the ankle, 2 views CPT 73600 X-ray exam of ankle	$159.06	$394.00	$33.00–$107.19	at median	60%
X-ray of the ankle, 2 views one side CPT 73600 Ankle lt ap & lat	$159.06	$394.00	$33.00–$107.19	at median	60%
X-ray of the ankle, 2 views one side CPT 73600 Ankle lt ap & lat	$159.06	$394.00	$33.00–$107.19	at median	60%
X-ray of the ankle, 2 views inpatient CPT 73600 X-ray exam of ankle	$159.06	$394.00	$33.00–$107.19	—	60%
X-ray of the ankle, 2 views inpatient CPT 73600 X-ray exam of ankle	$159.06	$394.00	$33.00–$107.19	—	60%
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle lt ap & lat	$159.06	$394.00	$33.00–$107.19	—	60%
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle lt ap & lat	$159.06	$394.00	$33.00–$107.19	—	60%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray exam of finger(s)	$119.09	$295.00	$28.00–$107.19	25% below	60%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray exam of finger(s)	$119.09	$295.00	$28.00–$107.19	25% below	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 Ccr-finger left 1st	$119.09	$295.00	$28.00–$107.19	25% below	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 Ccr-finger left 1st	$119.09	$295.00	$28.00–$107.19	25% below	60%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray exam of finger(s)	$119.09	$295.00	$28.00–$107.19	—	60%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray exam of finger(s)	$119.09	$295.00	$28.00–$107.19	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Ccr-finger left 1st	$119.09	$295.00	$28.00–$107.19	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Ccr-finger left 1st	$119.09	$295.00	$28.00–$107.19	—	60%
X-ray of the foot, 2 views CPT 73620 X-ray exam of foot	$159.06	$394.00	$33.00–$107.19	5% below	60%
X-ray of the foot, 2 views CPT 73620 X-ray exam of foot	$159.06	$394.00	$33.00–$107.19	5% below	60%
X-ray of the foot, 2 views one side CPT 73620 Ccr-foot lt ap/lat	$159.06	$394.00	$33.00–$107.19	5% below	60%
X-ray of the foot, 2 views one side CPT 73620 Ccr-foot lt ap/lat	$159.06	$394.00	$33.00–$107.19	5% below	60%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray exam of foot	$159.06	$394.00	$33.00–$107.19	—	60%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray exam of foot	$159.06	$394.00	$33.00–$107.19	—	60%
X-ray of the foot, 2 views inpatient one side CPT 73620 Ccr-foot lt ap/lat	$159.06	$394.00	$33.00–$107.19	—	60%
X-ray of the foot, 2 views inpatient one side CPT 73620 Ccr-foot lt ap/lat	$159.06	$394.00	$33.00–$107.19	—	60%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray exam of foot	$180.45	$447.00	$36.00–$107.19	1% above	60%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray exam of foot	$180.45	$447.00	$36.00–$107.19	1% above	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Ccr-foot-left	$180.45	$447.00	$36.00–$107.19	1% above	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Ccr-foot-left	$180.45	$447.00	$36.00–$107.19	1% above	60%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray exam of foot	$180.45	$447.00	$36.00–$107.19	—	60%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray exam of foot	$180.45	$447.00	$36.00–$107.19	—	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Ccr-foot-left	$180.45	$447.00	$36.00–$107.19	—	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Ccr-foot-left	$180.45	$447.00	$36.00–$107.19	—	60%
X-ray of the hand, 3 or more views CPT 73130 X-ray exam of hand	$180.45	$447.00	$36.00–$107.19	11% below	60%
X-ray of the hand, 3 or more views CPT 73130 X-ray exam of hand	$180.45	$447.00	$36.00–$107.19	11% below	60%
X-ray of the hand, 3 or more views one side CPT 73130 Ccr-hand-left	$180.45	$447.00	$36.00–$107.19	11% below	60%
X-ray of the hand, 3 or more views one side CPT 73130 Ccr-hand-left	$180.45	$447.00	$36.00–$107.19	11% below	60%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray exam of hand	$180.45	$447.00	$36.00–$107.19	—	60%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray exam of hand	$180.45	$447.00	$36.00–$107.19	—	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Ccr-hand-left	$180.45	$447.00	$36.00–$107.19	—	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Ccr-hand-left	$180.45	$447.00	$36.00–$107.19	—	60%
X-ray of the knee, 1 or 2 views both sides CPT 73560 Ccr knee bilat 1 or 2 vws	$433.17	$1,073.00	$35.00–$107.19	—	60%
X-ray of the knee, 1 or 2 views both sides CPT 73560 Ccr knee bilat 1 or 2 vws	$433.17	$1,073.00	$35.00–$107.19	—	60%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray exam of knee 1 or 2	$433.17	$1,073.00	$35.00–$107.19	136% above	60%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray exam of knee 1 or 2	$433.17	$1,073.00	$35.00–$107.19	136% above	60%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 Ccr knee bilat 1 or 2 vws	$433.17	$1,073.00	$35.00–$107.19	—	60%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 Ccr knee bilat 1 or 2 vws	$433.17	$1,073.00	$35.00–$107.19	—	60%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray exam of knee 1 or 2	$433.17	$1,073.00	$35.00–$107.19	—	60%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray exam of knee 1 or 2	$433.17	$1,073.00	$35.00–$107.19	—	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray exam l-s spine 2/3 vws	$255.54	$633.00	$45.00–$128.77	3% below	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Ccr-l-spine ap/lat	$255.54	$633.00	$45.00–$128.77	3% below	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Ccr-l-spine ap/lat	$255.54	$633.00	$45.00–$128.77	3% below	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray exam l-s spine 2/3 vws	$255.54	$633.00	$45.00–$128.77	3% below	60%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray exam l-s spine 2/3 vws	$255.54	$633.00	$45.00–$128.77	—	60%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Ccr-l-spine ap/lat	$255.54	$633.00	$45.00–$128.77	—	60%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray exam l-s spine 2/3 vws	$255.54	$633.00	$45.00–$128.77	—	60%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Ccr-l-spine ap/lat	$255.54	$633.00	$45.00–$128.77	—	60%
X-ray of the lower back, 4 or more views CPT 72110 X-ray exam l-2 spine 4/>vws	$444.88	$1,102.00	$62.00–$128.77	61% above	60%
X-ray of the lower back, 4 or more views CPT 72110 Ccr-l-spine complete	$444.88	$1,102.00	$62.00–$128.77	61% above	60%
X-ray of the lower back, 4 or more views CPT 72110 X-ray exam l-2 spine 4/>vws	$444.88	$1,102.00	$62.00–$128.77	61% above	60%
X-ray of the lower back, 4 or more views CPT 72110 Ccr-l-spine complete	$444.88	$1,102.00	$62.00–$128.77	61% above	60%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-ray exam l-2 spine 4/>vws	$444.88	$1,102.00	$62.00–$128.77	—	60%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-ray exam l-2 spine 4/>vws	$444.88	$1,102.00	$62.00–$128.77	—	60%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Ccr-l-spine complete	$444.88	$1,102.00	$62.00–$128.77	—	60%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Ccr-l-spine complete	$444.88	$1,102.00	$62.00–$128.77	—	60%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray exam of nasal bones	$211.14	$523.00	$35.00–$107.19	5% above	60%
X-ray of the nasal bones, 3 or more views CPT 70160 Ccr-nasal bones complete	$211.14	$523.00	$35.00–$107.19	5% above	60%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray exam of nasal bones	$211.14	$523.00	$35.00–$107.19	5% above	60%
X-ray of the nasal bones, 3 or more views CPT 70160 Ccr-nasal bones complete	$211.14	$523.00	$35.00–$107.19	5% above	60%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray exam of nasal bones	$211.14	$523.00	$35.00–$107.19	—	60%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Ccr-nasal bones complete	$211.14	$523.00	$35.00–$107.19	—	60%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Ccr-nasal bones complete	$211.14	$523.00	$35.00–$107.19	—	60%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray exam of nasal bones	$211.14	$523.00	$35.00–$107.19	—	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-spine ap & lat	$384.73	$953.00	$42.00–$107.19	91% above	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray exam neck spine 2-3 vw	$384.73	$953.00	$42.00–$107.19	91% above	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-spine ap & lat	$384.73	$953.00	$42.00–$107.19	91% above	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray exam neck spine 2-3 vw	$384.73	$953.00	$42.00–$107.19	91% above	60%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-spine ap & lat	$384.73	$953.00	$42.00–$107.19	—	60%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray exam neck spine 2-3 vw	$384.73	$953.00	$42.00–$107.19	—	60%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-spine ap & lat	$384.73	$953.00	$42.00–$107.19	—	60%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray exam neck spine 2-3 vw	$384.73	$953.00	$42.00–$107.19	—	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray exam of pelvis	$191.35	$474.00	$35.00–$128.77	14% below	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 Ccr-pelvis	$191.35	$474.00	$35.00–$128.77	14% below	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray exam of pelvis	$191.35	$474.00	$35.00–$128.77	14% below	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 Ccr-pelvis	$191.35	$474.00	$35.00–$128.77	14% below	60%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Ccr-pelvis	$191.35	$474.00	$35.00–$128.77	—	60%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Ccr-pelvis	$191.35	$474.00	$35.00–$128.77	—	60%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray exam of pelvis	$191.35	$474.00	$35.00–$128.77	—	60%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray exam of pelvis	$191.35	$474.00	$35.00–$128.77	—	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray exam sacrum tailbone	$228.90	$567.00	$37.00–$107.19	13% above	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Ccr-sacrum & coccyx	$228.90	$567.00	$37.00–$107.19	13% above	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray exam sacrum tailbone	$228.90	$567.00	$37.00–$107.19	13% above	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Ccr-sacrum & coccyx	$228.90	$567.00	$37.00–$107.19	13% above	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray exam sacrum tailbone	$228.90	$567.00	$37.00–$107.19	—	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Ccr-sacrum & coccyx	$228.90	$567.00	$37.00–$107.19	—	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray exam sacrum tailbone	$228.90	$567.00	$37.00–$107.19	—	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Ccr-sacrum & coccyx	$228.90	$567.00	$37.00–$107.19	—	60%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 *alanine amino (alt)(sgpt)	$89.22	$221.00	$3.25	282% above	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine amino (alt) (sgpt)	$89.22	$221.00	$3.25	282% above	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 *alanine amino (alt)(sgpt)	$89.22	$221.00	$3.25	282% above	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine amino (alt) (sgpt)	$89.22	$221.00	$3.25	282% above	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine amino (alt) (sgpt)	$89.22	$221.00	$3.25	—	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 *alanine amino (alt)(sgpt)	$89.22	$221.00	$3.25	—	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine amino (alt) (sgpt)	$89.22	$221.00	$3.25	—	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 *alanine amino (alt)(sgpt)	$89.22	$221.00	$3.25	—	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 Fluid sgot	$58.13	$144.00	$3.25	132% above	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (ast) (sgot)	$58.13	$144.00	$3.25	132% above	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 Fluid sgot	$58.13	$144.00	$3.25	132% above	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (ast) (sgot)	$58.13	$144.00	$3.25	132% above	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (ast) (sgot)	$58.13	$144.00	$3.25	—	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Fluid sgot	$58.13	$144.00	$3.25	—	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (ast) (sgot)	$58.13	$144.00	$3.25	—	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Fluid sgot	$58.13	$144.00	$3.25	—	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel	$170.36	$422.00	$50.00	1% below	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel	$170.36	$422.00	$50.00	1% below	60%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute hepatitis panel	$170.36	$422.00	$50.00	—	60%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute hepatitis panel	$170.36	$422.00	$50.00	—	60%
Allergy blood test, specific IgE, per allergen CPT 86003 Allg spec ige crude xtrc ea	$87.20	$216.00	$4.20	445% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 *amoxicillin ige	$87.20	$216.00	$4.20	445% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 *amoxicillin ige	$87.20	$216.00	$4.20	445% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 Allg spec ige crude xtrc ea	$87.20	$216.00	$4.20	445% above	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg spec ige crude xtrc ea	$87.20	$216.00	$4.20	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 *amoxicillin ige	$87.20	$216.00	$4.20	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 *amoxicillin ige	$87.20	$216.00	$4.20	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg spec ige crude xtrc ea	$87.20	$216.00	$4.20	—	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp antibody	$82.76	$205.00	$18.09	77% above	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp antibody	$82.76	$205.00	$18.09	77% above	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 *ccp antibody	$82.76	$205.00	$18.09	77% above	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 *ccp antibody	$82.76	$205.00	$18.09	77% above	60%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp antibody	$82.76	$205.00	$18.09	—	60%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 *ccp antibody	$82.76	$205.00	$18.09	—	60%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp antibody	$82.76	$205.00	$18.09	—	60%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 *ccp antibody	$82.76	$205.00	$18.09	—	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies	$1,100.49	$2,726.00	$7.84	2416% above	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies	$1,100.49	$2,726.00	$7.84	2416% above	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 *nfct ds 22 trgt sars-cov-2	$1,100.49	$2,726.00	$7.84	2416% above	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 *nfct ds 22 trgt sars-cov-2	$1,100.49	$2,726.00	$7.84	2416% above	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 *nfct ds 22 trgt sars-cov-2	$1,100.49	$2,726.00	$7.84	—	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 *nfct ds 22 trgt sars-cov-2	$1,100.49	$2,726.00	$7.84	—	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear antibodies	$1,100.49	$2,726.00	$7.84	—	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear antibodies	$1,100.49	$2,726.00	$7.84	—	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay of natriuretic peptide	$180.45	$447.00	$43.81	47% above	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp natriuretic peptide	$180.45	$447.00	$43.81	47% above	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp natriuretic peptide	$180.45	$447.00	$43.81	47% above	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay of natriuretic peptide	$180.45	$447.00	$43.81	47% above	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay of natriuretic peptide	$180.45	$447.00	$43.81	—	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Bnp natriuretic peptide	$180.45	$447.00	$43.81	—	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Bnp natriuretic peptide	$180.45	$447.00	$43.81	—	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay of natriuretic peptide	$180.45	$447.00	$43.81	—	60%
Basic metabolic panel (blood test) CPT 80048 Basic met panel rmg	$60.56	$150.00	$11.08	2% below	60%
Basic metabolic panel (blood test) CPT 80048 Metabolic panel total ca	$60.56	$150.00	$11.08	2% below	60%
Basic metabolic panel (blood test) CPT 80048 Basic met panel rmg	$60.56	$150.00	$11.08	2% below	60%
Basic metabolic panel (blood test) CPT 80048 Metabolic panel total ca	$60.56	$150.00	$11.08	2% below	60%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic met panel rmg	$60.56	$150.00	$11.08	—	60%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic met panel rmg	$60.56	$150.00	$11.08	—	60%
Basic metabolic panel (blood test) inpatient CPT 80048 Metabolic panel total ca	$60.56	$150.00	$11.08	—	60%
Basic metabolic panel (blood test) inpatient CPT 80048 Metabolic panel total ca	$60.56	$150.00	$11.08	—	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pa bone marrow biopsy	$609.18	$1,509.00	$61.13–$95.00	238% above	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue exam by pathologist	$609.18	$1,509.00	$61.13–$95.00	238% above	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pa bone marrow biopsy	$609.18	$1,509.00	$61.13–$95.00	238% above	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue exam by pathologist	$609.18	$1,509.00	$61.13–$95.00	238% above	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue exam by pathologist	$609.18	$1,509.00	$61.13–$95.00	—	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue exam by pathologist	$609.18	$1,509.00	$61.13–$95.00	—	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pa bone marrow biopsy	$609.18	$1,509.00	$61.13–$95.00	—	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pa bone marrow biopsy	$609.18	$1,509.00	$61.13–$95.00	—	60%
Blood culture for bacteria CPT 87040 Blood culture for bacteria	$98.91	$245.00	$10.50	42% above	60%
Blood culture for bacteria CPT 87040 Blood culture for bacteria	$98.91	$245.00	$10.50	42% above	60%
Blood culture for bacteria CPT 87040 Cult blood 2	$98.91	$245.00	$10.50	42% above	60%
Blood culture for bacteria CPT 87040 Cult blood 2	$98.91	$245.00	$10.50	42% above	60%
Blood culture for bacteria inpatient CPT 87040 Cult blood 2	$98.91	$245.00	$10.50	—	60%
Blood culture for bacteria inpatient CPT 87040 Blood culture for bacteria	$98.91	$245.00	$10.50	—	60%
Blood culture for bacteria inpatient CPT 87040 Blood culture for bacteria	$98.91	$245.00	$10.50	—	60%
Blood culture for bacteria inpatient CPT 87040 Cult blood 2	$98.91	$245.00	$10.50	—	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Veinpuncture home	$61.36	$152.00	$5.00	290% above	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine venipuncture	$61.36	$152.00	$5.00	290% above	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Veinpuncture home	$61.36	$152.00	$5.00	290% above	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine venipuncture	$61.36	$152.00	$5.00	290% above	60%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Veinpuncture home	$61.36	$152.00	$5.00	—	60%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine venipuncture	$61.36	$152.00	$5.00	—	60%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Veinpuncture home	$61.36	$152.00	$5.00	—	60%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine venipuncture	$61.36	$152.00	$5.00	—	60%
Blood glucose (sugar) test CPT 82947 Assay glucose blood quant	$46.83	$116.00	$3.25–$4.13	160% above	60%
Blood glucose (sugar) test CPT 82947 *glucose	$46.83	$116.00	$3.25–$4.13	160% above	60%
Blood glucose (sugar) test CPT 82947 *glucose	$46.83	$116.00	$3.25–$4.13	160% above	60%
Blood glucose (sugar) test CPT 82947 Assay glucose blood quant	$46.83	$116.00	$3.25–$4.13	160% above	60%
Blood glucose (sugar) test inpatient CPT 82947 Assay glucose blood quant	$46.83	$116.00	$3.25–$4.13	—	60%
Blood glucose (sugar) test inpatient CPT 82947 Assay glucose blood quant	$46.83	$116.00	$3.25–$4.13	—	60%
Blood glucose (sugar) test inpatient CPT 82947 *glucose	$46.83	$116.00	$3.25–$4.13	—	60%
Blood glucose (sugar) test inpatient CPT 82947 *glucose	$46.83	$116.00	$3.25–$4.13	—	60%
Blood lead test CPT 83655 Assay of lead	$182.88	$453.00	$7.35	325% above	60%
Blood lead test CPT 83655 Assay of lead	$182.88	$453.00	$7.35	325% above	60%
Blood lead test CPT 83655 *assay of lead	$182.88	$453.00	$7.35	325% above	60%
Blood lead test CPT 83655 *assay of lead	$182.88	$453.00	$7.35	325% above	60%
Blood lead test inpatient CPT 83655 *assay of lead	$182.88	$453.00	$7.35	—	60%
Blood lead test inpatient CPT 83655 Assay of lead	$182.88	$453.00	$7.35	—	60%
Blood lead test inpatient CPT 83655 Assay of lead	$182.88	$453.00	$7.35	—	60%
Blood lead test inpatient CPT 83655 *assay of lead	$182.88	$453.00	$7.35	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy-serum	$68.23	$169.00	$7.13	92% above	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy-serum	$68.23	$169.00	$7.13	92% above	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic gonadotropin assay	$68.23	$169.00	$7.13	92% above	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic gonadotropin assay	$68.23	$169.00	$7.13	92% above	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic gonadotropin assay	$68.23	$169.00	$7.13	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy-serum	$68.23	$169.00	$7.13	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic gonadotropin assay	$68.23	$169.00	$7.13	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy-serum	$68.23	$169.00	$7.13	—	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing serologic abo	$67.82	$168.00	$3.20–$163.88	56% below	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing abo	$67.82	$168.00	$3.20–$163.88	56% below	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing abo	$67.82	$168.00	$3.20–$163.88	56% below	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing serologic abo	$67.82	$168.00	$3.20–$163.88	56% below	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood typing serologic abo	$67.82	$168.00	$3.20–$163.88	—	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood typing abo	$67.82	$168.00	$3.20–$163.88	—	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood typing abo	$67.82	$168.00	$3.20–$163.88	—	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood typing serologic abo	$67.82	$168.00	$3.20–$163.88	—	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein	$104.96	$260.00	$4.95	255% above	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Ibd sgi diagnostic	$104.96	$260.00	$4.95	255% above	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein	$104.96	$260.00	$4.95	255% above	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Ibd sgi diagnostic	$104.96	$260.00	$4.95	255% above	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Ibd sgi diagnostic	$104.96	$260.00	$4.95	—	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-reactive protein	$104.96	$260.00	$4.95	—	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Ibd sgi diagnostic	$104.96	$260.00	$4.95	—	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-reactive protein	$104.96	$260.00	$4.95	—	60%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff amplified probe	$152.19	$377.00	$30.16	21% above	60%
C. difficile toxin gene test (stool PCR) CPT 87493 *c.difficile toxin gene naa	$152.19	$377.00	$30.16	21% above	60%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff amplified probe	$152.19	$377.00	$30.16	21% above	60%
C. difficile toxin gene test (stool PCR) CPT 87493 *c.difficile toxin gene naa	$152.19	$377.00	$30.16	21% above	60%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 *c.difficile toxin gene naa	$152.19	$377.00	$30.16	—	60%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff amplified probe	$152.19	$377.00	$30.16	—	60%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 *c.difficile toxin gene naa	$152.19	$377.00	$30.16	—	60%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff amplified probe	$152.19	$377.00	$30.16	—	60%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 serum	$124.74	$309.00	$19.77	66% above	60%
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay tumor ca 19-9	$124.74	$309.00	$19.77	66% above	60%
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay tumor ca 19-9	$124.74	$309.00	$19.77	66% above	60%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 serum	$124.74	$309.00	$19.77	66% above	60%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9 serum	$124.74	$309.00	$19.77	—	60%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunoassay tumor ca 19-9	$124.74	$309.00	$19.77	—	60%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunoassay tumor ca 19-9	$124.74	$309.00	$19.77	—	60%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9 serum	$124.74	$309.00	$19.77	—	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay tumor ca 125	$70.24	$174.00	$19.77	15% below	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125	$70.24	$174.00	$19.77	15% below	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125	$70.24	$174.00	$19.77	15% below	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay tumor ca 125	$70.24	$174.00	$19.77	15% below	60%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunoassay tumor ca 125	$70.24	$174.00	$19.77	—	60%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunoassay tumor ca 125	$70.24	$174.00	$19.77	—	60%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca-125	$70.24	$174.00	$19.77	—	60%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca-125	$70.24	$174.00	$19.77	—	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 *coronavirus sars-cov-2 naa	$146.14	$362.00	$51.31–$362.00	27% above	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 *coronavirus sars-cov-2 naa	$146.14	$362.00	$51.31–$362.00	27% above	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 covid-19 amp prb	$146.14	$362.00	$51.31–$362.00	27% above	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 covid-19 amp prb	$146.14	$362.00	$51.31–$362.00	27% above	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-cov-2 covid-19 amp prb	$146.14	$362.00	$51.31–$362.00	—	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 *coronavirus sars-cov-2 naa	$146.14	$362.00	$51.31–$362.00	—	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 *coronavirus sars-cov-2 naa	$146.14	$362.00	$51.31–$362.00	—	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-cov-2 covid-19 amp prb	$146.14	$362.00	$51.31–$362.00	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 *chlmyd trach dna amp probe	$151.39	$375.00	$49.00	75% above	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 *chlmyd trach dna amp probe	$151.39	$375.00	$49.00	75% above	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd trach dna amp probe	$151.39	$375.00	$49.00	75% above	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd trach dna amp probe	$151.39	$375.00	$49.00	75% above	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 *chlmyd trach dna amp probe	$151.39	$375.00	$49.00	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd trach dna amp probe	$151.39	$375.00	$49.00	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd trach dna amp probe	$151.39	$375.00	$49.00	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 *chlmyd trach dna amp probe	$151.39	$375.00	$49.00	—	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 *lipid panel	$159.06	$394.00	$11.75–$14.06	118% above	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel	$159.06	$394.00	$11.75–$14.06	118% above	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 *lipid panel	$159.06	$394.00	$11.75–$14.06	118% above	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel	$159.06	$394.00	$11.75–$14.06	118% above	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid panel	$159.06	$394.00	$11.75–$14.06	—	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid panel	$159.06	$394.00	$11.75–$14.06	—	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 *lipid panel	$159.06	$394.00	$11.75–$14.06	—	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 *lipid panel	$159.06	$394.00	$11.75–$14.06	—	60%
Complete blood count (CBC) with differential CPT 85025 Complete cbc w/auto diff wbc	$63.38	$157.00	$5.50	53% above	60%
Complete blood count (CBC) with differential CPT 85025 *cbc w diff	$63.38	$157.00	$5.50	53% above	60%
Complete blood count (CBC) with differential CPT 85025 Complete cbc w/auto diff wbc	$63.38	$157.00	$5.50	53% above	60%
Complete blood count (CBC) with differential CPT 85025 *cbc w diff	$63.38	$157.00	$5.50	53% above	60%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete cbc w/auto diff wbc	$63.38	$157.00	$5.50	—	60%
Complete blood count (CBC) with differential inpatient CPT 85025 *cbc w diff	$63.38	$157.00	$5.50	—	60%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete cbc w/auto diff wbc	$63.38	$157.00	$5.50	—	60%
Complete blood count (CBC) with differential inpatient CPT 85025 *cbc w diff	$63.38	$157.00	$5.50	—	60%
Complete blood count (CBC), no differential CPT 85027 *complete cbc automated	$85.99	$213.00	$3.09	177% above	60%
Complete blood count (CBC), no differential CPT 85027 *complete cbc automated	$85.99	$213.00	$3.09	177% above	60%
Complete blood count (CBC), no differential CPT 85027 Complete cbc automated	$85.99	$213.00	$3.09	177% above	60%
Complete blood count (CBC), no differential CPT 85027 Complete cbc automated	$85.99	$213.00	$3.09	177% above	60%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete cbc automated	$85.99	$213.00	$3.09	—	60%
Complete blood count (CBC), no differential inpatient CPT 85027 *complete cbc automated	$85.99	$213.00	$3.09	—	60%
Complete blood count (CBC), no differential inpatient CPT 85027 *complete cbc automated	$85.99	$213.00	$3.09	—	60%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete cbc automated	$85.99	$213.00	$3.09	—	60%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehen metabolic panel	$77.91	$193.00	$9.55	17% below	60%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive panel	$77.91	$193.00	$9.55	17% below	60%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive panel	$77.91	$193.00	$9.55	17% below	60%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehen metabolic panel	$77.91	$193.00	$9.55	17% below	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive panel	$77.91	$193.00	$9.55	—	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen metabolic panel	$77.91	$193.00	$9.55	—	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive panel	$77.91	$193.00	$9.55	—	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen metabolic panel	$77.91	$193.00	$9.55	—	60%
D-dimer blood test (blood clot marker) CPT 85379 D-dimer	$58.13	$144.00	$9.59	57% above	60%
D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation quant	$58.13	$144.00	$9.59	57% above	60%
D-dimer blood test (blood clot marker) CPT 85379 D-dimer	$58.13	$144.00	$9.59	57% above	60%
D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation quant	$58.13	$144.00	$9.59	57% above	60%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin degradation quant	$58.13	$144.00	$9.59	—	60%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-dimer	$58.13	$144.00	$9.59	—	60%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-dimer	$58.13	$144.00	$9.59	—	60%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin degradation quant	$58.13	$144.00	$9.59	—	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone	$146.95	$364.00	$34.75	52% above	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone	$146.95	$364.00	$34.75	52% above	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 *dehydroepiandrosterone	$146.95	$364.00	$34.75	52% above	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 *dehydroepiandrosterone	$146.95	$364.00	$34.75	52% above	60%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone	$146.95	$364.00	$34.75	—	60%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone	$146.95	$364.00	$34.75	—	60%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 *dehydroepiandrosterone	$146.95	$364.00	$34.75	—	60%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 *dehydroepiandrosterone	$146.95	$364.00	$34.75	—	60%
Estradiol blood test CPT 82670 *estrogens fractionated s	$185.70	$460.00	$25.20	84% above	60%
Estradiol blood test CPT 82670 Assay of estradiol	$185.70	$460.00	$25.20	84% above	60%
Estradiol blood test CPT 82670 *estrogens fractionated s	$185.70	$460.00	$25.20	84% above	60%
Estradiol blood test CPT 82670 Assay of estradiol	$185.70	$460.00	$25.20	84% above	60%
Estradiol blood test inpatient CPT 82670 Assay of estradiol	$185.70	$460.00	$25.20	—	60%
Estradiol blood test inpatient CPT 82670 Assay of estradiol	$185.70	$460.00	$25.20	—	60%
Estradiol blood test inpatient CPT 82670 *estrogens fractionated s	$185.70	$460.00	$25.20	—	60%
Estradiol blood test inpatient CPT 82670 *estrogens fractionated s	$185.70	$460.00	$25.20	—	60%
FSH (follicle-stimulating hormone) test CPT 83001 Assay of gonadotropin (fsh)	$145.33	$360.00	$11.19	91% above	60%
FSH (follicle-stimulating hormone) test CPT 83001 * assay of gonadotropin (fsh)	$145.33	$360.00	$11.19	91% above	60%
FSH (follicle-stimulating hormone) test CPT 83001 Assay of gonadotropin (fsh)	$145.33	$360.00	$11.19	91% above	60%
FSH (follicle-stimulating hormone) test CPT 83001 * assay of gonadotropin (fsh)	$145.33	$360.00	$11.19	91% above	60%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Assay of gonadotropin (fsh)	$145.33	$360.00	$11.19	—	60%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 * assay of gonadotropin (fsh)	$145.33	$360.00	$11.19	—	60%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 * assay of gonadotropin (fsh)	$145.33	$360.00	$11.19	—	60%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Assay of gonadotropin (fsh)	$145.33	$360.00	$11.19	—	60%
Fecal calprotectin (stool inflammation test) CPT 83993 Assay for calprotectin fecal	$45.21	$112.00	$26.91	58% below	60%
Fecal calprotectin (stool inflammation test) CPT 83993 *calprotectin fecal	$45.21	$112.00	$26.91	58% below	60%
Fecal calprotectin (stool inflammation test) CPT 83993 *calprotectin fecal	$45.21	$112.00	$26.91	58% below	60%
Fecal calprotectin (stool inflammation test) CPT 83993 Assay for calprotectin fecal	$45.21	$112.00	$26.91	58% below	60%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 *calprotectin fecal	$45.21	$112.00	$26.91	—	60%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Assay for calprotectin fecal	$45.21	$112.00	$26.91	—	60%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 *calprotectin fecal	$45.21	$112.00	$26.91	—	60%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Assay for calprotectin fecal	$45.21	$112.00	$26.91	—	60%
Ferritin blood test (iron stores) CPT 82728 Assay of ferritin	$95.68	$237.00	$9.47	42% above	60%
Ferritin blood test (iron stores) CPT 82728 Assay of ferritin	$95.68	$237.00	$9.47	42% above	60%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$95.68	$237.00	$9.47	42% above	60%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$95.68	$237.00	$9.47	42% above	60%
Ferritin blood test (iron stores) inpatient CPT 82728 Assay of ferritin	$95.68	$237.00	$9.47	—	60%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$95.68	$237.00	$9.47	—	60%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$95.68	$237.00	$9.47	—	60%
Ferritin blood test (iron stores) inpatient CPT 82728 Assay of ferritin	$95.68	$237.00	$9.47	—	60%
Folate (folic acid) blood test CPT 82746 Folate	$121.51	$301.00	$7.84	98% above	60%
Folate (folic acid) blood test CPT 82746 Assay of folic acid serum	$121.51	$301.00	$7.84	98% above	60%
Folate (folic acid) blood test CPT 82746 Folate	$121.51	$301.00	$7.84	98% above	60%
Folate (folic acid) blood test CPT 82746 Assay of folic acid serum	$121.51	$301.00	$7.84	98% above	60%
Folate (folic acid) blood test inpatient CPT 82746 Folate	$121.51	$301.00	$7.84	—	60%
Folate (folic acid) blood test inpatient CPT 82746 Assay of folic acid serum	$121.51	$301.00	$7.84	—	60%
Folate (folic acid) blood test inpatient CPT 82746 Assay of folic acid serum	$121.51	$301.00	$7.84	—	60%
Folate (folic acid) blood test inpatient CPT 82746 Folate	$121.51	$301.00	$7.84	—	60%
Free T3 thyroid hormone test CPT 84481 *free t3 by ria	$105.37	$261.00	$17.42	18% above	60%
Free T3 thyroid hormone test CPT 84481 Free assay (ft-3)	$105.37	$261.00	$17.42	18% above	60%
Free T3 thyroid hormone test CPT 84481 *free t3 by ria	$105.37	$261.00	$17.42	18% above	60%
Free T3 thyroid hormone test CPT 84481 Free assay (ft-3)	$105.37	$261.00	$17.42	18% above	60%
Free T3 thyroid hormone test inpatient CPT 84481 *free t3 by ria	$105.37	$261.00	$17.42	—	60%
Free T3 thyroid hormone test inpatient CPT 84481 Free assay (ft-3)	$105.37	$261.00	$17.42	—	60%
Free T3 thyroid hormone test inpatient CPT 84481 Free assay (ft-3)	$105.37	$261.00	$17.42	—	60%
Free T3 thyroid hormone test inpatient CPT 84481 *free t3 by ria	$105.37	$261.00	$17.42	—	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay of free thyroxine	$90.43	$224.00	$7.67	43% above	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay of free thyroxine	$90.43	$224.00	$7.67	43% above	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 *free t4 equilib dial	$90.43	$224.00	$7.67	43% above	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 *free t4 equilib dial	$90.43	$224.00	$7.67	43% above	60%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay of free thyroxine	$90.43	$224.00	$7.67	—	60%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 *free t4 equilib dial	$90.43	$224.00	$7.67	—	60%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay of free thyroxine	$90.43	$224.00	$7.67	—	60%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 *free t4 equilib dial	$90.43	$224.00	$7.67	—	60%
Free testosterone test CPT 84402 *testost free & weak	$329.02	$815.00	$29.97	257% above	60%
Free testosterone test CPT 84402 Assay of free testosterone	$329.02	$815.00	$29.97	257% above	60%
Free testosterone test CPT 84402 Assay of free testosterone	$329.02	$815.00	$29.97	257% above	60%
Free testosterone test CPT 84402 *testost free & weak	$329.02	$815.00	$29.97	257% above	60%
Free testosterone test inpatient CPT 84402 Assay of free testosterone	$329.02	$815.00	$29.97	—	60%
Free testosterone test inpatient CPT 84402 *testost free & weak	$329.02	$815.00	$29.97	—	60%
Free testosterone test inpatient CPT 84402 Assay of free testosterone	$329.02	$815.00	$29.97	—	60%
Free testosterone test inpatient CPT 84402 *testost free & weak	$329.02	$815.00	$29.97	—	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose test	$77.91	$193.00	$2.10–$4.99	266% above	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose ppbs	$77.91	$193.00	$2.10–$4.99	266% above	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose test	$77.91	$193.00	$2.10–$4.99	266% above	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose ppbs	$77.91	$193.00	$2.10–$4.99	266% above	60%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose test	$77.91	$193.00	$2.10–$4.99	—	60%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose ppbs	$77.91	$193.00	$2.10–$4.99	—	60%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose test	$77.91	$193.00	$2.10–$4.99	—	60%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose ppbs	$77.91	$193.00	$2.10–$4.99	—	60%
Glucose tolerance test, 3 samples CPT 82951 Glucose tol test (gtt)	$95.27	$236.00	$6.19–$13.51	59% above	60%
Glucose tolerance test, 3 samples CPT 82951 Glucose tol test (gtt)	$95.27	$236.00	$6.19–$13.51	59% above	60%
Glucose tolerance test, 3 samples CPT 82951 Glucose tolerance test (gtt)	$95.27	$236.00	$6.19–$13.51	59% above	60%
Glucose tolerance test, 3 samples CPT 82951 Glucose tolerance test (gtt)	$95.27	$236.00	$6.19–$13.51	59% above	60%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose tol test (gtt)	$95.27	$236.00	$6.19–$13.51	—	60%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose tolerance test (gtt)	$95.27	$236.00	$6.19–$13.51	—	60%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose tol test (gtt)	$95.27	$236.00	$6.19–$13.51	—	60%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose tolerance test (gtt)	$95.27	$236.00	$6.19–$13.51	—	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae dna amp prob	$310.04	$768.00	$49.00	207% above	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 *vagini plus	$310.04	$768.00	$49.00	207% above	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae dna amp prob	$310.04	$768.00	$49.00	207% above	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 *vagini plus	$310.04	$768.00	$49.00	207% above	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 *vagini plus	$310.04	$768.00	$49.00	—	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.gonorrhoeae dna amp prob	$310.04	$768.00	$49.00	—	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.gonorrhoeae dna amp prob	$310.04	$768.00	$49.00	—	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 *vagini plus	$310.04	$768.00	$49.00	—	60%
H. pylori antibody blood test CPT 86677 Helicobacter pylori antibody	$203.06	$503.00	$15.99	287% above	60%
H. pylori antibody blood test CPT 86677 Helicobacter pylori antibody	$203.06	$503.00	$15.99	287% above	60%
H. pylori antibody blood test CPT 86677 *h pylori iga quant	$203.06	$503.00	$15.99	287% above	60%
H. pylori antibody blood test CPT 86677 *h pylori iga quant	$203.06	$503.00	$15.99	287% above	60%
H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori antibody	$203.06	$503.00	$15.99	—	60%
H. pylori antibody blood test inpatient CPT 86677 *h pylori iga quant	$203.06	$503.00	$15.99	—	60%
H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori antibody	$203.06	$503.00	$15.99	—	60%
H. pylori antibody blood test inpatient CPT 86677 *h pylori iga quant	$203.06	$503.00	$15.99	—	60%
H. pylori stool antigen test CPT 87338 *h pylori ag stool	$44.00	$109.00	$50.00	30% below	60%
H. pylori stool antigen test CPT 87338 *h pylori ag stool	$44.00	$109.00	$50.00	30% below	60%
H. pylori stool antigen test CPT 87338 Hpylori stool ia	$44.00	$109.00	$50.00	30% below	60%
H. pylori stool antigen test CPT 87338 Hpylori stool ia	$44.00	$109.00	$50.00	30% below	60%
H. pylori stool antigen test inpatient CPT 87338 *h pylori ag stool	$44.00	$109.00	$50.00	—	60%
H. pylori stool antigen test inpatient CPT 87338 Hpylori stool ia	$44.00	$109.00	$50.00	—	60%
H. pylori stool antigen test inpatient CPT 87338 *h pylori ag stool	$44.00	$109.00	$50.00	—	60%
H. pylori stool antigen test inpatient CPT 87338 Hpylori stool ia	$44.00	$109.00	$50.00	—	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 quant&revrse trnscrpj	$657.22	$1,628.00	$78.40	181% above	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 quant&revrse trnscrpj	$657.22	$1,628.00	$78.40	181% above	60%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 quant&revrse trnscrpj	$657.22	$1,628.00	$78.40	—	60%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 quant&revrse trnscrpj	$657.22	$1,628.00	$78.40	—	60%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/hiv-2 1 result antbdy	$57.73	$143.00	$15.99	1% above	60%
HIV-1 and HIV-2 antibody test CPT 86703 *virology	$57.73	$143.00	$15.99	1% above	60%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/hiv-2 1 result antbdy	$57.73	$143.00	$15.99	1% above	60%
HIV-1 and HIV-2 antibody test CPT 86703 *virology	$57.73	$143.00	$15.99	1% above	60%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 *virology	$57.73	$143.00	$15.99	—	60%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/hiv-2 1 result antbdy	$57.73	$143.00	$15.99	—	60%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/hiv-2 1 result antbdy	$57.73	$143.00	$15.99	—	60%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 *virology	$57.73	$143.00	$15.99	—	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 *antiviral abth gen wrfx	$203.06	$503.00	$18.04	149% above	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 ag w/hiv-1 & hiv-2 ab	$203.06	$503.00	$18.04	149% above	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 ag w/hiv-1 & hiv-2 ab	$203.06	$503.00	$18.04	149% above	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 *antiviral abth gen wrfx	$203.06	$503.00	$18.04	149% above	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 ag w/hiv-1 & hiv-2 ab	$203.06	$503.00	$18.04	—	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 *antiviral abth gen wrfx	$203.06	$503.00	$18.04	—	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 *antiviral abth gen wrfx	$203.06	$503.00	$18.04	—	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 ag w/hiv-1 & hiv-2 ab	$203.06	$503.00	$18.04	—	60%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv high-risk types	$508.66	$1,260.00	$1,260.00	472% above	60%
HPV test for high-risk types, one combined (pooled) result CPT 87624 *kit (d816v) digital pcr	$508.66	$1,260.00	$1,260.00	472% above	60%
HPV test for high-risk types, one combined (pooled) result CPT 87624 *kit (d816v) digital pcr	$508.66	$1,260.00	$1,260.00	472% above	60%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv high-risk types	$508.66	$1,260.00	$1,260.00	472% above	60%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 *kit (d816v) digital pcr	$508.66	$1,260.00	$1,260.00	—	60%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 *kit (d816v) digital pcr	$508.66	$1,260.00	$1,260.00	—	60%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv high-risk types	$508.66	$1,260.00	$1,260.00	—	60%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv high-risk types	$508.66	$1,260.00	$1,260.00	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated hemoglobin test	$60.96	$151.00	$7.75	48% above	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 *hemoglob a1c	$60.96	$151.00	$7.75	48% above	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated hemoglobin test	$60.96	$151.00	$7.75	48% above	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 *hemoglob a1c	$60.96	$151.00	$7.75	48% above	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated hemoglobin test	$60.96	$151.00	$7.75	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 *hemoglob a1c	$60.96	$151.00	$7.75	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 *hemoglob a1c	$60.96	$151.00	$7.75	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated hemoglobin test	$60.96	$151.00	$7.75	—	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis b/sur anti	$77.51	$192.00	$8.64	80% above	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep b surface antibody	$77.51	$192.00	$8.64	80% above	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis b/sur anti	$77.51	$192.00	$8.64	80% above	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep b surface antibody	$77.51	$192.00	$8.64	80% above	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep b surface antibody	$77.51	$192.00	$8.64	—	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis b/sur anti	$77.51	$192.00	$8.64	—	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis b/sur anti	$77.51	$192.00	$8.64	—	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep b surface antibody	$77.51	$192.00	$8.64	—	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 *hepatitis b surface ag	$87.60	$217.00	$8.71	134% above	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis b surface ag ia	$87.60	$217.00	$8.71	134% above	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis b surface ag ia	$87.60	$217.00	$8.71	134% above	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 *hepatitis b surface ag	$87.60	$217.00	$8.71	134% above	60%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 *hepatitis b surface ag	$87.60	$217.00	$8.71	—	60%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis b surface ag ia	$87.60	$217.00	$8.71	—	60%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis b surface ag ia	$87.60	$217.00	$8.71	—	60%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 *hepatitis b surface ag	$87.60	$217.00	$8.71	—	60%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis c ab test	$46.43	$115.00	$19.89	22% below	60%
Hepatitis C antibody blood test (screening) CPT 86803 Hep c antibody	$46.43	$115.00	$19.89	22% below	60%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis c ab test	$46.43	$115.00	$19.89	22% below	60%
Hepatitis C antibody blood test (screening) CPT 86803 Hep c antibody	$46.43	$115.00	$19.89	22% below	60%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hep c antibody	$46.43	$115.00	$19.89	—	60%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis c ab test	$46.43	$115.00	$19.89	—	60%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis c ab test	$46.43	$115.00	$19.89	—	60%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hep c antibody	$46.43	$115.00	$19.89	—	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv rna pcr qn (graph)	$817.09	$2,024.00	$78.40	517% above	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis c revrs trnscrpj	$817.09	$2,024.00	$78.40	517% above	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv rna pcr qn (graph)	$817.09	$2,024.00	$78.40	517% above	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis c revrs trnscrpj	$817.09	$2,024.00	$78.40	517% above	60%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis c revrs trnscrpj	$817.09	$2,024.00	$78.40	—	60%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv rna pcr qn (graph)	$817.09	$2,024.00	$78.40	—	60%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv rna pcr qn (graph)	$817.09	$2,024.00	$78.40	—	60%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis c revrs trnscrpj	$817.09	$2,024.00	$78.40	—	60%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex type 1 test	$128.78	$319.00	$21.71	225% above	60%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex type 1 test	$128.78	$319.00	$21.71	225% above	60%
Herpes blood test, HSV-1 antibody CPT 86695 *herpes simplex type 1	$128.78	$319.00	$21.71	225% above	60%
Herpes blood test, HSV-1 antibody CPT 86695 *herpes simplex type 1	$128.78	$319.00	$21.71	225% above	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 *herpes simplex type 1	$128.78	$319.00	$21.71	—	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes simplex type 1 test	$128.78	$319.00	$21.71	—	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 *herpes simplex type 1	$128.78	$319.00	$21.71	—	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes simplex type 1 test	$128.78	$319.00	$21.71	—	60%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes simplex type 2 test	$152.60	$378.00	$27.75	157% above	60%
Herpes blood test, HSV-2 antibody CPT 86696 *herpes simplex ii ab igg	$152.60	$378.00	$27.75	157% above	60%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes simplex type 2 test	$152.60	$378.00	$27.75	157% above	60%
Herpes blood test, HSV-2 antibody CPT 86696 *herpes simplex ii ab igg	$152.60	$378.00	$27.75	157% above	60%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 *herpes simplex ii ab igg	$152.60	$378.00	$27.75	—	60%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes simplex type 2 test	$152.60	$378.00	$27.75	—	60%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 *herpes simplex ii ab igg	$152.60	$378.00	$27.75	—	60%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes simplex type 2 test	$152.60	$378.00	$27.75	—	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein hs	$90.83	$225.00	$17.89	92% above	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein hs	$90.83	$225.00	$17.89	92% above	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 Crp ultra-sensitive	$90.83	$225.00	$17.89	92% above	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 Crp ultra-sensitive	$90.83	$225.00	$17.89	92% above	60%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-reactive protein hs	$90.83	$225.00	$17.89	—	60%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-reactive protein hs	$90.83	$225.00	$17.89	—	60%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Crp ultra-sensitive	$90.83	$225.00	$17.89	—	60%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Crp ultra-sensitive	$90.83	$225.00	$17.89	—	60%
Homocysteine blood test CPT 83090 *assay of homocystine	$156.64	$388.00	$55.00	104% above	60%
Homocysteine blood test CPT 83090 Assay of homocystine	$156.64	$388.00	$55.00	104% above	60%
Homocysteine blood test CPT 83090 Assay of homocystine	$156.64	$388.00	$55.00	104% above	60%
Homocysteine blood test CPT 83090 *assay of homocystine	$156.64	$388.00	$55.00	104% above	60%
Homocysteine blood test inpatient CPT 83090 *assay of homocystine	$156.64	$388.00	$55.00	—	60%
Homocysteine blood test inpatient CPT 83090 *assay of homocystine	$156.64	$388.00	$55.00	—	60%
Homocysteine blood test inpatient CPT 83090 Assay of homocystine	$156.64	$388.00	$55.00	—	60%
Homocysteine blood test inpatient CPT 83090 Assay of homocystine	$156.64	$388.00	$55.00	—	60%
Insulin blood test CPT 83525 *insulin total	$40.37	$100.00	$11.55	14% below	60%
Insulin blood test CPT 83525 *insulin total	$40.37	$100.00	$11.55	14% below	60%
Insulin blood test CPT 83525 Assay of insulin	$40.37	$100.00	$11.55	14% below	60%
Insulin blood test CPT 83525 Assay of insulin	$40.37	$100.00	$11.55	14% below	60%
Insulin blood test inpatient CPT 83525 Assay of insulin	$40.37	$100.00	$11.55	—	60%
Insulin blood test inpatient CPT 83525 *insulin total	$40.37	$100.00	$11.55	—	60%
Insulin blood test inpatient CPT 83525 *insulin total	$40.37	$100.00	$11.55	—	60%
Insulin blood test inpatient CPT 83525 Assay of insulin	$40.37	$100.00	$11.55	—	60%
Iron blood test (serum iron) CPT 83540 Assay of iron	$90.83	$225.00	$4.38	197% above	60%
Iron blood test (serum iron) CPT 83540 Iron	$90.83	$225.00	$4.38	197% above	60%
Iron blood test (serum iron) CPT 83540 Assay of iron	$90.83	$225.00	$4.38	197% above	60%
Iron blood test (serum iron) CPT 83540 Iron	$90.83	$225.00	$4.38	197% above	60%
Iron blood test (serum iron) inpatient CPT 83540 Iron	$90.83	$225.00	$4.38	—	60%
Iron blood test (serum iron) inpatient CPT 83540 Assay of iron	$90.83	$225.00	$4.38	—	60%
Iron blood test (serum iron) inpatient CPT 83540 Assay of iron	$90.83	$225.00	$4.38	—	60%
Iron blood test (serum iron) inpatient CPT 83540 Iron	$90.83	$225.00	$4.38	—	60%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding test	$41.18	$102.00	$4.63	1% below	60%
Iron-binding capacity (TIBC) test CPT 83550 Tibc	$41.18	$102.00	$4.63	1% below	60%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding test	$41.18	$102.00	$4.63	1% below	60%
Iron-binding capacity (TIBC) test CPT 83550 Tibc	$41.18	$102.00	$4.63	1% below	60%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Tibc	$41.18	$102.00	$4.63	—	60%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding test	$41.18	$102.00	$4.63	—	60%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding test	$41.18	$102.00	$4.63	—	60%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Tibc	$41.18	$102.00	$4.63	—	60%
Kidney function blood test panel CPT 80069 Renal panel	$60.56	$150.00	$9.10	8% below	60%
Kidney function blood test panel CPT 80069 Renal function panel	$60.56	$150.00	$9.10	8% below	60%
Kidney function blood test panel CPT 80069 Renal panel	$60.56	$150.00	$9.10	8% below	60%
Kidney function blood test panel CPT 80069 Renal function panel	$60.56	$150.00	$9.10	8% below	60%
Kidney function blood test panel inpatient CPT 80069 Renal panel	$60.56	$150.00	$9.10	—	60%
Kidney function blood test panel inpatient CPT 80069 Renal panel	$60.56	$150.00	$9.10	—	60%
Kidney function blood test panel inpatient CPT 80069 Renal function panel	$60.56	$150.00	$9.10	—	60%
Kidney function blood test panel inpatient CPT 80069 Renal function panel	$60.56	$150.00	$9.10	—	60%
LH (luteinizing hormone) test CPT 83002 *assay of gonadotropin (lh)	$143.31	$355.00	$11.19	86% above	60%
LH (luteinizing hormone) test CPT 83002 *assay of gonadotropin (lh)	$143.31	$355.00	$11.19	86% above	60%
LH (luteinizing hormone) test CPT 83002 Assay of gonadotropin (lh)	$143.31	$355.00	$11.19	86% above	60%
LH (luteinizing hormone) test CPT 83002 Assay of gonadotropin (lh)	$143.31	$355.00	$11.19	86% above	60%
LH (luteinizing hormone) test inpatient CPT 83002 *assay of gonadotropin (lh)	$143.31	$355.00	$11.19	—	60%
LH (luteinizing hormone) test inpatient CPT 83002 Assay of gonadotropin (lh)	$143.31	$355.00	$11.19	—	60%
LH (luteinizing hormone) test inpatient CPT 83002 *assay of gonadotropin (lh)	$143.31	$355.00	$11.19	—	60%
LH (luteinizing hormone) test inpatient CPT 83002 Assay of gonadotropin (lh)	$143.31	$355.00	$11.19	—	60%
Lipase blood test (pancreas enzyme) CPT 83690 Assay of lipase	$37.14	$92.00	$4.20	9% above	60%
Lipase blood test (pancreas enzyme) CPT 83690 Assay of lipase	$37.14	$92.00	$4.20	9% above	60%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$37.14	$92.00	$4.20	9% above	60%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$37.14	$92.00	$4.20	9% above	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay of lipase	$37.14	$92.00	$4.20	—	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase	$37.14	$92.00	$4.20	—	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay of lipase	$37.14	$92.00	$4.20	—	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase	$37.14	$92.00	$4.20	—	60%
Liver function blood test panel CPT 80076 Liver panel	$60.56	$150.00	$11.08	18% below	60%
Liver function blood test panel CPT 80076 Hepatic function panel	$60.56	$150.00	$11.08	18% below	60%
Liver function blood test panel CPT 80076 Liver panel	$60.56	$150.00	$11.08	18% below	60%
Liver function blood test panel CPT 80076 Hepatic function panel	$60.56	$150.00	$11.08	18% below	60%
Liver function blood test panel inpatient CPT 80076 Liver panel	$60.56	$150.00	$11.08	—	60%
Liver function blood test panel inpatient CPT 80076 Hepatic function panel	$60.56	$150.00	$11.08	—	60%
Liver function blood test panel inpatient CPT 80076 Hepatic function panel	$60.56	$150.00	$11.08	—	60%
Liver function blood test panel inpatient CPT 80076 Liver panel	$60.56	$150.00	$11.08	—	60%
Lyme disease antibody test CPT 86618 *lyme disease antibody	$166.73	$413.00	$15.99	263% above	60%
Lyme disease antibody test CPT 86618 *lyme disease antibody	$166.73	$413.00	$15.99	263% above	60%
Lyme disease antibody test CPT 86618 Lyme disease antibody	$166.73	$413.00	$15.99	263% above	60%
Lyme disease antibody test CPT 86618 Lyme disease antibody	$166.73	$413.00	$15.99	263% above	60%
Lyme disease antibody test inpatient CPT 86618 Lyme disease antibody	$166.73	$413.00	$15.99	—	60%
Lyme disease antibody test inpatient CPT 86618 *lyme disease antibody	$166.73	$413.00	$15.99	—	60%
Lyme disease antibody test inpatient CPT 86618 Lyme disease antibody	$166.73	$413.00	$15.99	—	60%
Lyme disease antibody test inpatient CPT 86618 *lyme disease antibody	$166.73	$413.00	$15.99	—	60%
Magnesium blood test CPT 83735 Assay of magnesium	$133.62	$331.00	$6.30	358% above	60%
Magnesium blood test CPT 83735 *rbc magnesium	$133.62	$331.00	$6.30	358% above	60%
Magnesium blood test CPT 83735 Assay of magnesium	$133.62	$331.00	$6.30	358% above	60%
Magnesium blood test CPT 83735 *rbc magnesium	$133.62	$331.00	$6.30	358% above	60%
Magnesium blood test inpatient CPT 83735 *rbc magnesium	$133.62	$331.00	$6.30	—	60%
Magnesium blood test inpatient CPT 83735 Assay of magnesium	$133.62	$331.00	$6.30	—	60%
Magnesium blood test inpatient CPT 83735 *rbc magnesium	$133.62	$331.00	$6.30	—	60%
Magnesium blood test inpatient CPT 83735 Assay of magnesium	$133.62	$331.00	$6.30	—	60%
Measles (rubeola) antibody test CPT 86765 Rubeola antibody	$180.45	$447.00	$15.99	298% above	60%
Measles (rubeola) antibody test CPT 86765 *rubeola igm	$180.45	$447.00	$15.99	298% above	60%
Measles (rubeola) antibody test CPT 86765 *rubeola igm	$180.45	$447.00	$15.99	298% above	60%
Measles (rubeola) antibody test CPT 86765 Rubeola antibody	$180.45	$447.00	$15.99	298% above	60%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola antibody	$180.45	$447.00	$15.99	—	60%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola antibody	$180.45	$447.00	$15.99	—	60%
Measles (rubeola) antibody test inpatient CPT 86765 *rubeola igm	$180.45	$447.00	$15.99	—	60%
Measles (rubeola) antibody test inpatient CPT 86765 *rubeola igm	$180.45	$447.00	$15.99	—	60%
Mono test (heterophile antibody, Monospot) CPT 86308 Bfc mono spot	$37.54	$93.00	$3.13	at median	60%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibody screen	$37.54	$93.00	$3.13	at median	60%
Mono test (heterophile antibody, Monospot) CPT 86308 Bfc mono spot	$37.54	$93.00	$3.13	at median	60%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibody screen	$37.54	$93.00	$3.13	at median	60%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Bfc mono spot	$37.54	$93.00	$3.13	—	60%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile antibody screen	$37.54	$93.00	$3.13	—	60%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Bfc mono spot	$37.54	$93.00	$3.13	—	60%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile antibody screen	$37.54	$93.00	$3.13	—	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of psa free	$115.86	$287.00	$18.35	96% above	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 *psa free	$115.86	$287.00	$18.35	96% above	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of psa free	$115.86	$287.00	$18.35	96% above	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 *psa free	$115.86	$287.00	$18.35	96% above	60%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 *psa free	$115.86	$287.00	$18.35	—	60%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of psa free	$115.86	$287.00	$18.35	—	60%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of psa free	$115.86	$287.00	$18.35	—	60%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 *psa free	$115.86	$287.00	$18.35	—	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific ag	$133.62	$331.00	$27.18	104% above	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of psa total	$133.62	$331.00	$27.18	104% above	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific ag	$133.62	$331.00	$27.18	104% above	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of psa total	$133.62	$331.00	$27.18	104% above	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate specific ag	$133.62	$331.00	$27.18	—	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of psa total	$133.62	$331.00	$27.18	—	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of psa total	$133.62	$331.00	$27.18	—	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate specific ag	$133.62	$331.00	$27.18	—	60%
Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath c/v auto fluid redo	$167.13	$414.00	$30.72	160% above	60%
Pap test (liquid-based, automated screening with review) CPT 88175 *cytopath c/v auto fluid redo	$167.13	$414.00	$30.72	160% above	60%
Pap test (liquid-based, automated screening with review) CPT 88175 *cytopath c/v auto fluid redo	$167.13	$414.00	$30.72	160% above	60%
Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath c/v auto fluid redo	$167.13	$414.00	$30.72	160% above	60%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 *cytopath c/v auto fluid redo	$167.13	$414.00	$30.72	—	60%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 *cytopath c/v auto fluid redo	$167.13	$414.00	$30.72	—	60%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopath c/v auto fluid redo	$167.13	$414.00	$30.72	—	60%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopath c/v auto fluid redo	$167.13	$414.00	$30.72	—	60%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin prep pap smear	$47.23	$117.00	$25.00	36% below	60%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin prep pap smear	$47.23	$117.00	$25.00	36% below	60%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath c/v thin layer	$47.23	$117.00	$25.00	36% below	60%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath c/v thin layer	$47.23	$117.00	$25.00	36% below	60%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath c/v thin layer	$47.23	$117.00	$25.00	—	60%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thin prep pap smear	$47.23	$117.00	$25.00	—	60%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thin prep pap smear	$47.23	$117.00	$25.00	—	60%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath c/v thin layer	$47.23	$117.00	$25.00	—	60%
Parathyroid hormone (PTH) blood test CPT 83970 Pth intact	$146.14	$362.00	$27.98	8% above	60%
Parathyroid hormone (PTH) blood test CPT 83970 Assay of parathormone	$146.14	$362.00	$27.98	8% above	60%
Parathyroid hormone (PTH) blood test CPT 83970 Assay of parathormone	$146.14	$362.00	$27.98	8% above	60%
Parathyroid hormone (PTH) blood test CPT 83970 Pth intact	$146.14	$362.00	$27.98	8% above	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay of parathormone	$146.14	$362.00	$27.98	—	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth intact	$146.14	$362.00	$27.98	—	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth intact	$146.14	$362.00	$27.98	—	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay of parathormone	$146.14	$362.00	$27.98	—	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time partial	$211.54	$524.00	$7.64	610% above	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time partial	$211.54	$524.00	$7.64	610% above	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin time partial	$211.54	$524.00	$7.64	—	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin time partial	$211.54	$524.00	$7.64	—	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 *maternity21 plus core sca	$1,412.55	$3,499.00	$759.05–$3,499.00	47% above	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal chrmoml aneuploidy	$1,412.55	$3,499.00	$759.05–$3,499.00	47% above	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal chrmoml aneuploidy	$1,412.55	$3,499.00	$759.05–$3,499.00	47% above	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 *maternity21 plus core sca	$1,412.55	$3,499.00	$759.05–$3,499.00	47% above	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Fetal chrmoml aneuploidy	$1,412.55	$3,499.00	$759.05–$3,499.00	—	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 *maternity21 plus core sca	$1,412.55	$3,499.00	$759.05–$3,499.00	—	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 *maternity21 plus core sca	$1,412.55	$3,499.00	$759.05–$3,499.00	—	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Fetal chrmoml aneuploidy	$1,412.55	$3,499.00	$759.05–$3,499.00	—	60%
Progesterone blood test CPT 84144 *assay of progesterone	$145.33	$360.00	$13.70	65% above	60%
Progesterone blood test CPT 84144 Assay of progesterone	$145.33	$360.00	$13.70	65% above	60%
Progesterone blood test CPT 84144 *assay of progesterone	$145.33	$360.00	$13.70	65% above	60%
Progesterone blood test CPT 84144 Assay of progesterone	$145.33	$360.00	$13.70	65% above	60%
Progesterone blood test inpatient CPT 84144 Assay of progesterone	$145.33	$360.00	$13.70	—	60%
Progesterone blood test inpatient CPT 84144 *assay of progesterone	$145.33	$360.00	$13.70	—	60%
Progesterone blood test inpatient CPT 84144 *assay of progesterone	$145.33	$360.00	$13.70	—	60%
Progesterone blood test inpatient CPT 84144 Assay of progesterone	$145.33	$360.00	$13.70	—	60%
Prolactin blood test CPT 84146 Macroprolactin icma	$67.82	$168.00	$13.11	5% below	60%
Prolactin blood test CPT 84146 Assay of prolactin	$67.82	$168.00	$13.11	5% below	60%
Prolactin blood test CPT 84146 Assay of prolactin	$67.82	$168.00	$13.11	5% below	60%
Prolactin blood test CPT 84146 Macroprolactin icma	$67.82	$168.00	$13.11	5% below	60%
Prolactin blood test inpatient CPT 84146 Macroprolactin icma	$67.82	$168.00	$13.11	—	60%
Prolactin blood test inpatient CPT 84146 Macroprolactin icma	$67.82	$168.00	$13.11	—	60%
Prolactin blood test inpatient CPT 84146 Assay of prolactin	$67.82	$168.00	$13.11	—	60%
Prolactin blood test inpatient CPT 84146 Assay of prolactin	$67.82	$168.00	$13.11	—	60%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time	$88.41	$219.00	$2.44	366% above	60%
Prothrombin time (PT/INR) clotting test CPT 85610 *prothrombin time	$88.41	$219.00	$2.44	366% above	60%
Prothrombin time (PT/INR) clotting test CPT 85610 *prothrombin time	$88.41	$219.00	$2.44	366% above	60%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time	$88.41	$219.00	$2.44	366% above	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin time	$88.41	$219.00	$2.44	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 *prothrombin time	$88.41	$219.00	$2.44	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin time	$88.41	$219.00	$2.44	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 *prothrombin time	$88.41	$219.00	$2.44	—	60%
Rapid flu test (influenza antigen) CPT 87804 Influenza assay w/optic	$20.19	$50.00	$15.84	50% below	60%
Rapid flu test (influenza antigen) CPT 87804 Infectious agent antigen	$20.19	$50.00	$15.84	50% below	60%
Rapid flu test (influenza antigen) CPT 87804 Influenza assay w/optic	$20.19	$50.00	$15.84	50% below	60%
Rapid flu test (influenza antigen) CPT 87804 Infectious agent antigen	$20.19	$50.00	$15.84	50% below	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza assay w/optic	$20.19	$50.00	$15.84	—	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 Infectious agent antigen	$20.19	$50.00	$15.84	—	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 Infectious agent antigen	$20.19	$50.00	$15.84	—	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza assay w/optic	$20.19	$50.00	$15.84	—	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a assay w/optic	$37.95	$94.00	$16.80	4% below	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid strep a thr (prof)	$37.95	$94.00	$16.80	4% below	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid strep a thr (prof)	$37.95	$94.00	$16.80	4% below	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a assay w/optic	$37.95	$94.00	$16.80	4% below	60%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid strep a thr (prof)	$37.95	$94.00	$16.80	—	60%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid strep a thr (prof)	$37.95	$94.00	$16.80	—	60%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a assay w/optic	$37.95	$94.00	$16.80	—	60%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a assay w/optic	$37.95	$94.00	$16.80	—	60%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor quant	$153.81	$381.00	$9.17	459% above	60%
Rheumatoid factor (RF) test CPT 86431 *rheumatoid factor qu	$153.81	$381.00	$9.17	459% above	60%
Rheumatoid factor (RF) test CPT 86431 *rheumatoid factor qu	$153.81	$381.00	$9.17	459% above	60%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor quant	$153.81	$381.00	$9.17	459% above	60%
Rheumatoid factor (RF) test inpatient CPT 86431 *rheumatoid factor qu	$153.81	$381.00	$9.17	—	60%
Rheumatoid factor (RF) test inpatient CPT 86431 *rheumatoid factor qu	$153.81	$381.00	$9.17	—	60%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor quant	$153.81	$381.00	$9.17	—	60%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor quant	$153.81	$381.00	$9.17	—	60%
Rubella antibody test (immunity check) CPT 86762 Rubella antibody	$66.21	$164.00	$7.20	56% above	60%
Rubella antibody test (immunity check) CPT 86762 Rubella antibody	$66.21	$164.00	$7.20	56% above	60%
Rubella antibody test (immunity check) CPT 86762 *rubella titer igm	$66.21	$164.00	$7.20	56% above	60%
Rubella antibody test (immunity check) CPT 86762 *rubella titer igm	$66.21	$164.00	$7.20	56% above	60%
Rubella antibody test (immunity check) inpatient CPT 86762 *rubella titer igm	$66.21	$164.00	$7.20	—	60%
Rubella antibody test (immunity check) inpatient CPT 86762 *rubella titer igm	$66.21	$164.00	$7.20	—	60%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella antibody	$66.21	$164.00	$7.20	—	60%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella antibody	$66.21	$164.00	$7.20	—	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 *sed rate	$89.22	$221.00	$2.10	260% above	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Rbc sed rate automated	$89.22	$221.00	$2.10	260% above	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Rbc sed rate automated	$89.22	$221.00	$2.10	260% above	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 *sed rate	$89.22	$221.00	$2.10	260% above	60%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 *sed rate	$89.22	$221.00	$2.10	—	60%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 *sed rate	$89.22	$221.00	$2.10	—	60%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Rbc sed rate automated	$89.22	$221.00	$2.10	—	60%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Rbc sed rate automated	$89.22	$221.00	$2.10	—	60%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semem analysis fertility	$139.28	$345.00	$12.02	278% above	60%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen anal vol/count/mot	$139.28	$345.00	$12.02	278% above	60%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semem analysis fertility	$139.28	$345.00	$12.02	278% above	60%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen anal vol/count/mot	$139.28	$345.00	$12.02	278% above	60%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semem analysis fertility	$139.28	$345.00	$12.02	—	60%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semem analysis fertility	$139.28	$345.00	$12.02	—	60%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen anal vol/count/mot	$139.28	$345.00	$12.02	—	60%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen anal vol/count/mot	$139.28	$345.00	$12.02	—	60%
Stool ova and parasites exam CPT 87177 Ova and parasites smears	$183.28	$454.00	$8.40	373% above	60%
Stool ova and parasites exam CPT 87177 Ova & parasites ii	$183.28	$454.00	$8.40	373% above	60%
Stool ova and parasites exam CPT 87177 Ova and parasites smears	$183.28	$454.00	$8.40	373% above	60%
Stool ova and parasites exam CPT 87177 Ova & parasites ii	$183.28	$454.00	$8.40	373% above	60%
Stool ova and parasites exam inpatient CPT 87177 Ova and parasites smears	$183.28	$454.00	$8.40	—	60%
Stool ova and parasites exam inpatient CPT 87177 Ova and parasites smears	$183.28	$454.00	$8.40	—	60%
Stool ova and parasites exam inpatient CPT 87177 Ova & parasites ii	$183.28	$454.00	$8.40	—	60%
Stool ova and parasites exam inpatient CPT 87177 Ova & parasites ii	$183.28	$454.00	$8.40	—	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult blood feces	$37.14	$92.00	$3.15–$4.60	145% above	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Bfc hemocult screening	$37.14	$92.00	$3.15–$4.60	145% above	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Bfc hemocult screening	$37.14	$92.00	$3.15–$4.60	145% above	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult blood feces	$37.14	$92.00	$3.15–$4.60	145% above	60%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Bfc hemocult screening	$37.14	$92.00	$3.15–$4.60	—	60%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult blood feces	$37.14	$92.00	$3.15–$4.60	—	60%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Bfc hemocult screening	$37.14	$92.00	$3.15–$4.60	—	60%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult blood feces	$37.14	$92.00	$3.15–$4.60	—	60%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay test for blood fecal	$143.31	$355.00	$18.09	218% above	60%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay test for blood fecal	$143.31	$355.00	$18.09	218% above	60%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult blood fecal ia	$143.31	$355.00	$18.09	218% above	60%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult blood fecal ia	$143.31	$355.00	$18.09	218% above	60%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult blood fecal ia	$143.31	$355.00	$18.09	—	60%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Assay test for blood fecal	$143.31	$355.00	$18.09	—	60%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult blood fecal ia	$143.31	$355.00	$18.09	—	60%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Assay test for blood fecal	$143.31	$355.00	$18.09	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis test non-trep qual	$36.33	$90.00	$3.30–$4.48	97% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 *rpr	$36.33	$90.00	$3.30–$4.48	97% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis test non-trep qual	$36.33	$90.00	$3.30–$4.48	97% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 *rpr	$36.33	$90.00	$3.30–$4.48	97% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis test non-trep qual	$36.33	$90.00	$3.30–$4.48	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis test non-trep qual	$36.33	$90.00	$3.30–$4.48	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 *rpr	$36.33	$90.00	$3.30–$4.48	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 *rpr	$36.33	$90.00	$3.30–$4.48	—	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 *quantiferon tb gold	$172.78	$428.00	$85.29	15% above	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb test cell immun measure	$172.78	$428.00	$85.29	15% above	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb test cell immun measure	$172.78	$428.00	$85.29	15% above	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 *quantiferon tb gold	$172.78	$428.00	$85.29	15% above	60%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tb test cell immun measure	$172.78	$428.00	$85.29	—	60%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 *quantiferon tb gold	$172.78	$428.00	$85.29	—	60%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tb test cell immun measure	$172.78	$428.00	$85.29	—	60%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 *quantiferon tb gold	$172.78	$428.00	$85.29	—	60%
Testosterone blood test, total (not free testosterone) CPT 84403 *testosterone total	$200.24	$496.00	$23.36	131% above	60%
Testosterone blood test, total (not free testosterone) CPT 84403 Assay of total testosterone	$200.24	$496.00	$23.36	131% above	60%
Testosterone blood test, total (not free testosterone) CPT 84403 *testosterone total	$200.24	$496.00	$23.36	131% above	60%
Testosterone blood test, total (not free testosterone) CPT 84403 Assay of total testosterone	$200.24	$496.00	$23.36	131% above	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 *testosterone total	$200.24	$496.00	$23.36	—	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay of total testosterone	$200.24	$496.00	$23.36	—	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay of total testosterone	$200.24	$496.00	$23.36	—	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 *testosterone total	$200.24	$496.00	$23.36	—	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 *microsomal antibody	$127.97	$317.00	$22.22	154% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibody each	$127.97	$317.00	$22.22	154% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibody each	$127.97	$317.00	$22.22	154% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 *microsomal antibody	$127.97	$317.00	$22.22	154% above	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibody each	$127.97	$317.00	$22.22	—	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 *microsomal antibody	$127.97	$317.00	$22.22	—	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 *microsomal antibody	$127.97	$317.00	$22.22	—	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibody each	$127.97	$317.00	$22.22	—	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay thyroid stim hormone	$130.80	$324.00	$12.00	66% above	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 *thyroglobulin	$130.80	$324.00	$12.00	66% above	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay thyroid stim hormone	$130.80	$324.00	$12.00	66% above	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 *thyroglobulin	$130.80	$324.00	$12.00	66% above	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay thyroid stim hormone	$130.80	$324.00	$12.00	—	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 *thyroglobulin	$130.80	$324.00	$12.00	—	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay thyroid stim hormone	$130.80	$324.00	$12.00	—	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 *thyroglobulin	$130.80	$324.00	$12.00	—	60%
Trichomonas test (NAAT) CPT 87661 *trichomonas vaginalis amplif	$171.98	$426.00	$28.72	134% above	60%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis amplif	$171.98	$426.00	$28.72	134% above	60%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis amplif	$171.98	$426.00	$28.72	134% above	60%
Trichomonas test (NAAT) CPT 87661 *trichomonas vaginalis amplif	$171.98	$426.00	$28.72	134% above	60%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis amplif	$171.98	$426.00	$28.72	—	60%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis amplif	$171.98	$426.00	$28.72	—	60%
Trichomonas test (NAAT) inpatient CPT 87661 *trichomonas vaginalis amplif	$171.98	$426.00	$28.72	—	60%
Trichomonas test (NAAT) inpatient CPT 87661 *trichomonas vaginalis amplif	$171.98	$426.00	$28.72	—	60%
Uric acid blood test CPT 84550 Uric acid	$36.33	$90.00	$3.25	54% above	60%
Uric acid blood test CPT 84550 Assay of blood/uric acid	$36.33	$90.00	$3.25	54% above	60%
Uric acid blood test CPT 84550 Assay of blood/uric acid	$36.33	$90.00	$3.25	54% above	60%
Uric acid blood test CPT 84550 Uric acid	$36.33	$90.00	$3.25	54% above	60%
Uric acid blood test inpatient CPT 84550 Assay of blood/uric acid	$36.33	$90.00	$3.25	—	60%
Uric acid blood test inpatient CPT 84550 Assay of blood/uric acid	$36.33	$90.00	$3.25	—	60%
Uric acid blood test inpatient CPT 84550 Uric acid	$36.33	$90.00	$3.25	—	60%
Uric acid blood test inpatient CPT 84550 Uric acid	$36.33	$90.00	$3.25	—	60%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis auto w/scope	$43.60	$108.00	$3.15	48% above	60%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis	$43.60	$108.00	$3.15	48% above	60%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis auto w/scope	$43.60	$108.00	$3.15	48% above	60%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis	$43.60	$108.00	$3.15	48% above	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis auto w/scope	$43.60	$108.00	$3.15	—	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis	$43.60	$108.00	$3.15	—	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis	$43.60	$108.00	$3.15	—	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis auto w/scope	$43.60	$108.00	$3.15	—	60%
Urinalysis without microscope exam, automated CPT 81003 Specific gravity urine	$37.14	$92.00	$1.88	118% above	60%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis auto w/o scope	$37.14	$92.00	$1.88	118% above	60%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis auto w/o scope	$37.14	$92.00	$1.88	118% above	60%
Urinalysis without microscope exam, automated CPT 81003 Specific gravity urine	$37.14	$92.00	$1.88	118% above	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 Specific gravity urine	$37.14	$92.00	$1.88	—	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis auto w/o scope	$37.14	$92.00	$1.88	—	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis auto w/o scope	$37.14	$92.00	$1.88	—	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 Specific gravity urine	$37.14	$92.00	$1.88	—	60%
Urinalysis without microscope exam, manual CPT 81002 Acetone (ketone) urine	$37.14	$92.00	$2.10	215% above	60%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis nonauto w/o scope	$37.14	$92.00	$2.10	215% above	60%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis nonauto w/o scope	$37.14	$92.00	$2.10	215% above	60%
Urinalysis without microscope exam, manual CPT 81002 Acetone (ketone) urine	$37.14	$92.00	$2.10	215% above	60%
Urinalysis without microscope exam, manual inpatient CPT 81002 Acetone (ketone) urine	$37.14	$92.00	$2.10	—	60%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis nonauto w/o scope	$37.14	$92.00	$2.10	—	60%
Urinalysis without microscope exam, manual inpatient CPT 81002 Acetone (ketone) urine	$37.14	$92.00	$2.10	—	60%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis nonauto w/o scope	$37.14	$92.00	$2.10	—	60%
Urine culture for bacteria, with colony count CPT 87086 Urine culture/colony count	$127.17	$315.00	$6.30	200% above	60%
Urine culture for bacteria, with colony count CPT 87086 *bc3 anaerobic id sensi	$127.17	$315.00	$6.30	200% above	60%
Urine culture for bacteria, with colony count CPT 87086 *bc3 anaerobic id sensi	$127.17	$315.00	$6.30	200% above	60%
Urine culture for bacteria, with colony count CPT 87086 Urine culture/colony count	$127.17	$315.00	$6.30	200% above	60%
Urine culture for bacteria, with colony count inpatient CPT 87086 *bc3 anaerobic id sensi	$127.17	$315.00	$6.30	—	60%
Urine culture for bacteria, with colony count inpatient CPT 87086 *bc3 anaerobic id sensi	$127.17	$315.00	$6.30	—	60%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine culture/colony count	$127.17	$315.00	$6.30	—	60%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine culture/colony count	$127.17	$315.00	$6.30	—	60%
Urine pregnancy test, read by color change CPT 81025 Pregnancy-urine qual	$68.23	$169.00	$9.75	120% above	60%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test	$68.23	$169.00	$9.75	120% above	60%
Urine pregnancy test, read by color change CPT 81025 Pregnancy-urine qual	$68.23	$169.00	$9.75	120% above	60%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test	$68.23	$169.00	$9.75	120% above	60%
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy-urine qual	$68.23	$169.00	$9.75	—	60%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test	$68.23	$169.00	$9.75	—	60%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test	$68.23	$169.00	$9.75	—	60%
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy-urine qual	$68.23	$169.00	$9.75	—	60%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b-12	$109.81	$272.00	$7.51	71% above	60%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b-12	$109.81	$272.00	$7.51	71% above	60%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b12	$109.81	$272.00	$7.51	71% above	60%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b12	$109.81	$272.00	$7.51	71% above	60%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b12	$109.81	$272.00	$7.51	—	60%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b-12	$109.81	$272.00	$7.51	—	60%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b-12	$109.81	$272.00	$7.51	—	60%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b12	$109.81	$272.00	$7.51	—	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin d 25 hydroxy	$268.46	$665.00	$30.45	202% above	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 *vit d 25 hdroxy w/ reflex	$268.46	$665.00	$30.45	202% above	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 *vit d 25 hdroxy w/ reflex	$268.46	$665.00	$30.45	202% above	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin d 25 hydroxy	$268.46	$665.00	$30.45	202% above	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin d 25 hydroxy	$268.46	$665.00	$30.45	—	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 *vit d 25 hdroxy w/ reflex	$268.46	$665.00	$30.45	—	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin d 25 hydroxy	$268.46	$665.00	$30.45	—	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 *vit d 25 hdroxy w/ reflex	$268.46	$665.00	$30.45	—	60%
Zinc blood test CPT 84630 *rbc zinc	$30.28	$75.00	$12.60	12% below	60%
Zinc blood test CPT 84630 Assay of zinc	$30.28	$75.00	$12.60	12% below	60%
Zinc blood test CPT 84630 *rbc zinc	$30.28	$75.00	$12.60	12% below	60%
Zinc blood test CPT 84630 Assay of zinc	$30.28	$75.00	$12.60	12% below	60%
Zinc blood test inpatient CPT 84630 Assay of zinc	$30.28	$75.00	$12.60	—	60%
Zinc blood test inpatient CPT 84630 *rbc zinc	$30.28	$75.00	$12.60	—	60%
Zinc blood test inpatient CPT 84630 *rbc zinc	$30.28	$75.00	$12.60	—	60%
Zinc blood test inpatient CPT 84630 Assay of zinc	$30.28	$75.00	$12.60	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 *hcg diagnostic	$174.40	$432.00	$16.31	185% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 *hcg diagnostic	$174.40	$432.00	$16.31	185% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic gonadotropin test	$174.40	$432.00	$16.31	185% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic gonadotropin test	$174.40	$432.00	$16.31	185% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 *hcg diagnostic	$174.40	$432.00	$16.31	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 *hcg diagnostic	$174.40	$432.00	$16.31	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic gonadotropin test	$174.40	$432.00	$16.31	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic gonadotropin test	$174.40	$432.00	$16.31	—	60%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Removal of adenoids	$6,380.92	$15,806.09	$246.00–$4,083.76	66% above	60%
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Removal of adenoids	$6,380.92	$15,806.09	$246.00–$4,083.76	66% above	60%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 Removal of adenoids	$6,380.92	$15,806.09	$246.00–$4,083.76	—	60%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 Removal of adenoids	$6,380.92	$15,806.09	$246.00–$4,083.76	—	60%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Neck spine fuse&remov bel c2	$11,248.01	$27,862.30	$2,059.44–$15,813.81	9% below	60%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Neck spine fuse&remov bel c2	$11,248.01	$27,862.30	$2,059.44–$15,813.81	9% below	60%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 Neck spine fuse&remov bel c2	$18,560.51	$45,976.00	$2,059.44–$15,813.81	—	60%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 Neck spine fuse&remov bel c2	$18,560.51	$45,976.00	$2,059.44–$15,813.81	—	60%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 Appendectomy	$23,489.53	$58,185.61	$896.00	—	60%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 Appendectomy	$23,489.53	$58,185.61	$896.00	—	60%
Appendectomy, open surgery inpatient CPT 44950 Appendectomy	$23,489.53	$58,185.61	$750.00–$7,974.01	—	60%
Appendectomy, open surgery inpatient CPT 44950 Appendectomy	$23,489.53	$58,185.61	$750.00–$7,974.01	—	60%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery	$23,214.16	$57,503.50	$1,780.00–$8,937.71	356% above	60%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery	$23,214.16	$57,503.50	$1,780.00–$8,937.71	356% above	60%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Knee arthroscopy/surgery	$23,214.16	$57,503.50	$1,780.00–$8,937.71	—	60%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Knee arthroscopy/surgery	$23,214.16	$57,503.50	$1,780.00–$8,937.71	—	60%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscop rotator cuff repr	$10,270.77	$25,441.60	$1,526.00–$8,937.71	117% above	60%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscop rotator cuff repr	$10,270.77	$25,441.60	$1,526.00–$8,937.71	117% above	60%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Arthroscop rotator cuff repr	$10,270.77	$25,441.60	$1,526.00–$8,937.71	—	60%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Arthroscop rotator cuff repr	$10,270.77	$25,441.60	$1,526.00–$8,937.71	—	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx breast 1st lesion strtctc	$2,198.75	$5,446.50	$175.97–$2,034.33	24% below	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx breast 1st lesion strtctc	$2,198.75	$5,446.50	$175.97–$2,034.33	24% below	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx breast 1st lesion strtctc	$2,198.75	$5,446.50	$175.97–$2,034.33	—	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx breast 1st lesion strtctc	$2,198.75	$5,446.50	$175.97–$2,034.33	—	60%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction hallux valgus	$7,737.31	$19,166.00	$986.00–$4,030.23	102% above	60%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction hallux valgus	$7,737.31	$19,166.00	$986.00–$4,030.23	102% above	60%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Correction hallux valgus	$20,020.77	$49,593.20	$986.00–$4,030.23	—	60%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Correction hallux valgus	$20,020.77	$49,593.20	$986.00–$4,030.23	—	60%
Bunion correction with removal of part of the big toe joint CPT 28292 Correction hallux valgus	$7,986.40	$19,783.00	$750.00–$4,030.23	108% above	60%
Bunion correction with removal of part of the big toe joint CPT 28292 Correction hallux valgus	$7,986.40	$19,783.00	$750.00–$4,030.23	108% above	60%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 Correction hallux valgus	$17,870.03	$44,265.61	$750.00–$4,030.23	—	60%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 Correction hallux valgus	$17,870.03	$44,265.61	$750.00–$4,030.23	—	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion electric ext	$1,796.42	$4,449.90	$142.00–$814.11	81% above	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion electric ext	$1,796.42	$4,449.90	$142.00–$814.11	81% above	60%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion electric ext	$1,796.42	$4,449.90	$142.00–$814.11	—	60%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion electric ext	$1,796.42	$4,449.90	$142.00–$814.11	—	60%
Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery	$5,786.59	$14,333.88	$518.00–$2,405.23	150% above	60%
Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery	$5,786.59	$14,333.88	$518.00–$2,405.23	150% above	60%
Carpal tunnel release, open surgery inpatient CPT 64721 Carpal tunnel surgery	$5,786.59	$14,333.88	$518.00–$2,405.23	—	60%
Carpal tunnel release, open surgery inpatient CPT 64721 Carpal tunnel surgery	$5,786.59	$14,333.88	$518.00–$2,405.23	—	60%
Cervical biopsy CPT 57500 Biopsy of cervix	$5,529.28	$13,696.50	$88.00–$1,134.49	373% above	60%
Cervical biopsy CPT 57500 Biopsy of cervix	$5,529.28	$13,696.50	$88.00–$1,134.49	373% above	60%
Cervical biopsy inpatient CPT 57500 Biopsy of cervix	$5,529.28	$13,696.50	$88.00–$1,134.49	—	60%
Cervical biopsy inpatient CPT 57500 Biopsy of cervix	$5,529.28	$13,696.50	$88.00–$1,134.49	—	60%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Cesarean delivery	$9,287.63	$23,006.26	$2,249.00	—	60%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Cesarean delivery	$9,287.63	$23,006.26	$2,249.00	—	60%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circum 28 days or older	$1,240.50	$3,072.83	$299.00–$2,574.79	—	60%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circum 28 days or older	$1,240.50	$3,072.83	$299.00–$2,574.79	—	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block	$5,278.98	$13,076.50	$126.00–$2,574.79	493% above	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block	$5,278.98	$13,076.50	$126.00–$2,574.79	493% above	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision w/regionl block	$1,240.50	$3,072.83	$126.00–$2,574.79	—	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision w/regionl block	$1,240.50	$3,072.83	$126.00–$2,574.79	—	60%
Circumcision, surgical, older than a newborn CPT 54160 Circumcision neonate	$170.36	$422.00	$229.00–$858.88	82% below	60%
Circumcision, surgical, older than a newborn CPT 54160 Circumcision neonate	$170.36	$422.00	$229.00–$858.88	82% below	60%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision neonate	$1,240.50	$3,072.83	$229.00–$858.88	—	60%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision neonate	$1,240.50	$3,072.83	$229.00–$858.88	—	60%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treat fracture radius/ulna	$24,816.25	$61,472.00	$289.36–$306.00	—	60%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treat fracture radius/ulna	$24,816.25	$61,472.00	$289.36–$306.00	—	60%
Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy w/endoscope us	$1,419.41	$3,516.00	$314.00–$1,473.94	2% above	60%
Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy w/endoscope us	$1,419.41	$3,516.00	$314.00–$1,473.94	2% above	60%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colonoscopy w/endoscope us	$18,078.33	$44,781.60	$314.00–$1,473.94	—	60%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colonoscopy w/endoscope us	$18,078.33	$44,781.60	$314.00–$1,473.94	—	60%
Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal	$2,884.32	$7,144.70	$555.00–$1,473.94	133% above	60%
Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal	$2,884.32	$7,144.70	$555.00–$1,473.94	133% above	60%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy w/lesion removal	$2,884.32	$7,144.70	$555.00–$1,473.94	—	60%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy w/lesion removal	$2,884.32	$7,144.70	$555.00–$1,473.94	—	60%
Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy	$2,666.43	$6,604.99	$407.00–$1,473.94	146% above	60%
Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy	$2,666.43	$6,604.99	$407.00–$1,473.94	146% above	60%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy and biopsy	$18,215.36	$45,121.04	$407.00–$1,473.94	—	60%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy and biopsy	$18,215.36	$45,121.04	$407.00–$1,473.94	—	60%
Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy	$1,950.52	$4,831.60	$363.00–$1,145.46	77% above	60%
Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy	$1,950.52	$4,831.60	$363.00–$1,145.46	77% above	60%
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic colonoscopy	$18,078.33	$44,781.60	$363.00–$1,145.46	—	60%
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic colonoscopy	$18,078.33	$44,781.60	$363.00–$1,145.46	—	60%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx of cervix w/scope leep	$4,962.08	$12,291.50	$281.00–$3,987.27	32% above	60%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx of cervix w/scope leep	$4,962.08	$12,291.50	$281.00–$3,987.27	32% above	60%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Bx of cervix w/scope leep	$4,962.08	$12,291.50	$281.00–$3,987.27	—	60%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Bx of cervix w/scope leep	$4,962.08	$12,291.50	$281.00–$3,987.27	—	60%
Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment	$7,801.22	$19,324.31	$340.00–$4,341.83	91% above	60%
Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment	$7,801.22	$19,324.31	$340.00–$4,341.83	91% above	60%
Cystoscopy with ureteral stent placement inpatient CPT 52332 Cystoscopy and treatment	$14,310.23	$35,447.69	$340.00–$4,341.83	—	60%
Cystoscopy with ureteral stent placement inpatient CPT 52332 Cystoscopy and treatment	$14,310.23	$35,447.69	$340.00–$4,341.83	—	60%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$4,348.45	$10,771.48	$185.00–$858.88	218% above	60%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$4,348.45	$10,771.48	$185.00–$858.88	218% above	60%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy	$4,348.45	$10,771.48	$185.00–$858.88	—	60%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy	$4,348.45	$10,771.48	$185.00–$858.88	—	60%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and curettage	$5,877.06	$14,558.00	$328.00–$3,987.27	67% above	60%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and curettage	$5,877.06	$14,558.00	$328.00–$3,987.27	67% above	60%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation and curettage	$5,877.06	$14,558.00	$328.00–$3,987.27	—	60%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation and curettage	$5,877.06	$14,558.00	$328.00–$3,987.27	—	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct premalg lesion	$96.89	$240.00	$54.00–$247.13	59% below	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction premalignant lesion	$96.89	$240.00	$54.00–$247.13	59% below	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct premalg lesion	$96.89	$240.00	$54.00–$247.13	59% below	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction premalignant lesion	$96.89	$240.00	$54.00–$247.13	59% below	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction premalignant lesion	$96.89	$240.00	$54.00–$247.13	—	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct premalg lesion	$96.89	$240.00	$54.00–$247.13	—	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction premalignant lesion	$96.89	$240.00	$54.00–$247.13	—	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct premalg lesion	$96.89	$240.00	$54.00–$247.13	—	60%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening	$6,785.29	$16,807.75	$228.00–$1,911.13	287% above	60%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening	$6,785.29	$16,807.75	$228.00–$1,911.13	287% above	60%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Create eardrum opening	$6,785.29	$16,807.75	$228.00–$1,911.13	—	60%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Create eardrum opening	$6,785.29	$16,807.75	$228.00–$1,911.13	—	60%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create eardrum opening	$3,768.41	$9,334.67	$157.00–$664.31	338% above	60%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create eardrum opening	$3,768.41	$9,334.67	$157.00–$664.31	338% above	60%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Create eardrum opening	$3,768.41	$9,334.67	$157.00–$664.31	—	60%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Create eardrum opening	$3,768.41	$9,334.67	$157.00–$664.31	—	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax uni	$102.54	$254.00	$69.20–$254.00	2% above	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove inpact cerumen irrigation	$102.54	$254.00	$69.20–$254.00	2% above	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax uni	$102.54	$254.00	$69.20–$254.00	2% above	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove inpact cerumen irrigation	$102.54	$254.00	$69.20–$254.00	2% above	60%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove impacted ear wax uni	$102.54	$254.00	$69.20–$254.00	—	60%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove inpact cerumen irrigation	$102.54	$254.00	$69.20–$254.00	—	60%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove impacted ear wax uni	$102.54	$254.00	$69.20–$254.00	—	60%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove inpact cerumen irrigation	$102.54	$254.00	$69.20–$254.00	—	60%
Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni	$4,910.40	$12,163.50	$38.00–$72.66	3838% above	60%
Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni	$4,910.40	$12,163.50	$38.00–$72.66	3838% above	60%
Earwax removal with instruments, one ear inpatient CPT 69210 Remove impacted ear wax uni	$4,910.40	$12,163.50	$38.00–$72.66	—	60%
Earwax removal with instruments, one ear inpatient CPT 69210 Remove impacted ear wax uni	$4,910.40	$12,163.50	$38.00–$72.66	—	60%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of uterus lining	$93.25	$231.00	$80.00–$249.02	79% below	60%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of uterus lining	$93.25	$231.00	$80.00–$249.02	79% below	60%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of uterus lining	$93.25	$231.00	$80.00–$249.02	—	60%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of uterus lining	$93.25	$231.00	$80.00–$249.02	—	60%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nsl/sins ndsc frnt tiss rmvl	$8,816.81	$21,840.00	$869.00–$8,692.90	14% above	60%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nsl/sins ndsc frnt tiss rmvl	$8,816.81	$21,840.00	$869.00–$8,692.90	14% above	60%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 Nsl/sins ndsc frnt tiss rmvl	$8,816.81	$21,840.00	$869.00–$8,692.90	—	60%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 Nsl/sins ndsc frnt tiss rmvl	$8,816.81	$21,840.00	$869.00–$8,692.90	—	60%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy maxillary sinus	$9,920.12	$24,573.00	$612.00–$8,692.90	28% above	60%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy maxillary sinus	$9,920.12	$24,573.00	$612.00–$8,692.90	28% above	60%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Endoscopy maxillary sinus	$9,920.12	$24,573.00	$612.00–$8,692.90	—	60%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Endoscopy maxillary sinus	$9,920.12	$24,573.00	$612.00–$8,692.90	—	60%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx interlaminar crv/thrc	$813.86	$2,016.00	$828.05–$2,016.00	11% below	60%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Cervical spine pain management	$813.86	$2,016.00	$828.05–$2,016.00	11% below	60%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx interlaminar crv/thrc	$813.86	$2,016.00	$828.05–$2,016.00	11% below	60%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Cervical spine pain management	$813.86	$2,016.00	$828.05–$2,016.00	11% below	60%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Cervical spine pain management	$813.86	$2,016.00	$828.05–$2,016.00	—	60%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx interlaminar crv/thrc	$813.86	$2,016.00	$828.05–$2,016.00	—	60%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx interlaminar crv/thrc	$813.86	$2,016.00	$828.05–$2,016.00	—	60%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Cervical spine pain management	$813.86	$2,016.00	$828.05–$2,016.00	—	60%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 L-spine facet injection	$1,007.64	$2,496.00	$197.71–$1,089.43	44% below	60%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj paravert f jnt l/s 1 lev	$1,007.64	$2,496.00	$197.71–$1,089.43	44% below	60%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj paravert f jnt l/s 1 lev	$1,007.64	$2,496.00	$197.71–$1,089.43	44% below	60%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 L-spine facet injection	$1,007.64	$2,496.00	$197.71–$1,089.43	44% below	60%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 L-spine facet injection	$1,007.64	$2,496.00	$197.71–$1,089.43	—	60%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 L-spine facet injection	$1,007.64	$2,496.00	$197.71–$1,089.43	—	60%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj paravert f jnt l/s 1 lev	$3,348.49	$8,294.50	$197.71–$1,089.43	—	60%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj paravert f jnt l/s 1 lev	$3,348.49	$8,294.50	$197.71–$1,089.43	—	60%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc	$8,024.21	$19,876.67	$7,594.30–$19,876.67	9% above	60%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc	$8,024.21	$19,876.67	$7,594.30–$19,876.67	9% above	60%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Rpr aa hrn 1st 3-10 rdc	$8,024.21	$19,876.67	$7,594.30–$19,876.67	—	60%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Rpr aa hrn 1st 3-10 rdc	$8,024.21	$19,876.67	$7,594.30–$19,876.67	—	60%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st > 10 rdc	$12,000.45	$29,726.15	$7,594.30–$29,726.15	63% above	60%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st > 10 rdc	$12,000.45	$29,726.15	$7,594.30–$29,726.15	63% above	60%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 Rpr aa hrn 1st > 10 rdc	$12,000.45	$29,726.15	$7,594.30–$29,726.15	—	60%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 Rpr aa hrn 1st > 10 rdc	$12,000.45	$29,726.15	$7,594.30–$29,726.15	—	60%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc	$7,368.36	$18,252.08	$4,200.09–$18,252.08	76% above	60%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc	$7,368.36	$18,252.08	$4,200.09–$18,252.08	76% above	60%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Rpr aa hrn 1st < 3 cm rdc	$7,368.36	$18,252.08	$4,200.09–$18,252.08	—	60%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Rpr aa hrn 1st < 3 cm rdc	$7,368.36	$18,252.08	$4,200.09–$18,252.08	—	60%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy	$1,269.11	$3,143.69	$102.00–$1,145.46	18% above	60%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy	$1,269.11	$3,143.69	$102.00–$1,145.46	18% above	60%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic sigmoidoscopy	$18,078.33	$44,781.60	$102.00–$1,145.46	—	60%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic sigmoidoscopy	$18,078.33	$44,781.60	$102.00–$1,145.46	—	60%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy	$7,137.56	$17,680.35	$1,016.00–$7,446.47	249% above	60%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy	$7,137.56	$17,680.35	$1,016.00–$7,446.47	249% above	60%
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopic cholecystectomy	$23,161.73	$57,373.63	$1,016.00–$7,446.47	—	60%
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopic cholecystectomy	$23,161.73	$57,373.63	$1,016.00–$7,446.47	—	60%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy/graph	$7,550.79	$18,703.96	$1,093.00–$7,446.47	15% above	60%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy/graph	$7,550.79	$18,703.96	$1,093.00–$7,446.47	15% above	60%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Laparo cholecystectomy/graph	$24,738.84	$61,280.26	$1,093.00–$7,446.47	—	60%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Laparo cholecystectomy/graph	$24,738.84	$61,280.26	$1,093.00–$7,446.47	—	60%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Removal of gallbladder	$33,945.90	$84,086.94	$1,049.00	—	60%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Removal of gallbladder	$33,945.90	$84,086.94	$1,049.00	—	60%
Hammertoe correction surgery CPT 28285 Repair of hammertoe	$3,052.78	$7,562.00	$490.00–$4,030.23	20% below	60%
Hammertoe correction surgery CPT 28285 Repair of hammertoe	$3,052.78	$7,562.00	$490.00–$4,030.23	20% below	60%
Hammertoe correction surgery inpatient CPT 28285 Repair of hammertoe	$16,794.65	$41,601.82	$490.00–$4,030.23	—	60%
Hammertoe correction surgery inpatient CPT 28285 Repair of hammertoe	$16,794.65	$41,601.82	$490.00–$4,030.23	—	60%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s)	$4,303.85	$10,661.00	$115.00–$1,145.46	299% above	60%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s)	$4,303.85	$10,661.00	$115.00–$1,145.46	299% above	60%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of hemorrhoid(s)	$4,303.85	$10,661.00	$115.00–$1,145.46	—	60%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of hemorrhoid(s)	$4,303.85	$10,661.00	$115.00–$1,145.46	—	60%
Hemorrhoidectomy (internal and external), one area CPT 46255 Remove int/ext hem 1 group	$3,978.74	$9,855.69	$559.00–$3,418.87	23% above	60%
Hemorrhoidectomy (internal and external), one area CPT 46255 Remove int/ext hem 1 group	$3,978.74	$9,855.69	$559.00–$3,418.87	23% above	60%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Remove int/ext hem 1 group	$3,978.74	$9,855.69	$559.00–$3,418.87	—	60%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Remove int/ext hem 1 group	$3,978.74	$9,855.69	$559.00–$3,418.87	—	60%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Total hip arthroplasty	$15,292.36	$37,880.50	$2,872.00–$15,813.81	436% above	60%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Total hip arthroplasty	$15,292.36	$37,880.50	$2,872.00–$15,813.81	436% above	60%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 Total hip arthroplasty	$22,099.79	$54,743.11	$2,872.00–$15,813.81	—	60%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 Total hip arthroplasty	$22,099.79	$54,743.11	$2,872.00–$15,813.81	—	60%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Total hysterectomy	$9,540.26	$23,632.05	$1,375.00	—	60%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Total hysterectomy	$9,540.26	$23,632.05	$1,375.00	—	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter for hysterography	$118.28	$293.00	$81.00	54% below	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter for hysterography	$118.28	$293.00	$81.00	54% below	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Us intro saline/contrast	$118.28	$293.00	$81.00	54% below	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Us intro saline/contrast	$118.28	$293.00	$81.00	54% below	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheter for hysterography	$118.28	$293.00	$81.00	—	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Us intro saline/contrast	$118.28	$293.00	$81.00	—	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Us intro saline/contrast	$118.28	$293.00	$81.00	—	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheter for hysterography	$118.28	$293.00	$81.00	—	60%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy ablation	$5,993.36	$14,846.08	$465.00–$6,161.68	3% above	60%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy ablation	$5,993.36	$14,846.08	$465.00–$6,161.68	3% above	60%
Hysteroscopy with endometrial ablation inpatient CPT 58563 Hysteroscopy ablation	$5,993.36	$14,846.08	$465.00–$6,161.68	—	60%
Hysteroscopy with endometrial ablation inpatient CPT 58563 Hysteroscopy ablation	$5,993.36	$14,846.08	$465.00–$6,161.68	—	60%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy	$5,442.83	$13,482.36	$303.00–$3,987.27	10% above	60%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy	$5,442.83	$13,482.36	$303.00–$3,987.27	10% above	60%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy biopsy	$5,442.83	$13,482.36	$303.00–$3,987.27	—	60%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy biopsy	$5,442.83	$13,482.36	$303.00–$3,987.27	—	60%
IUD insertion (the device itself billed separately) CPT 58300 Insert intrauterine device	$5,417.40	$13,419.38	$84.00	2116% above	60%
IUD insertion (the device itself billed separately) CPT 58300 Insert intrauterine device	$5,417.40	$13,419.38	$84.00	2116% above	60%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert intrauterine device	$5,417.40	$13,419.38	$84.00	—	60%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert intrauterine device	$5,417.40	$13,419.38	$84.00	—	60%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess	$6,264.01	$15,516.50	$85.00–$247.13	1624% above	60%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess	$6,264.01	$15,516.50	$85.00–$247.13	1624% above	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of skin abscess	$12,646.18	$31,325.69	$85.00–$247.13	—	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of skin abscess	$12,646.18	$31,325.69	$85.00–$247.13	—	60%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr	$9,385.47	$23,248.63	$616.00–$4,410.09	139% above	60%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr	$9,385.47	$23,248.63	$616.00–$4,410.09	139% above	60%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Prp i/hern init reduc >5 yr	$14,888.92	$36,881.14	$616.00–$4,410.09	—	60%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Prp i/hern init reduc >5 yr	$14,888.92	$36,881.14	$616.00–$4,410.09	—	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon/ligament	$356.06	$882.00	$56.00–$378.08	13% below	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon/ligament	$356.06	$882.00	$56.00–$378.08	13% below	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament	$356.06	$882.00	$56.00–$378.08	13% below	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament	$356.06	$882.00	$56.00–$378.08	13% below	60%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj tendon/ligament	$356.06	$882.00	$56.00–$378.08	—	60%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj tendon/ligament	$356.06	$882.00	$56.00–$378.08	—	60%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj tendon sheath/ligament	$1,498.84	$3,712.75	$56.00–$378.08	—	60%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj tendon sheath/ligament	$1,498.84	$3,712.75	$56.00–$378.08	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us	$709.70	$1,758.00	$69.00–$378.08	94% above	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us	$709.70	$1,758.00	$69.00–$378.08	94% above	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/inj joint/bursa w/o us	$709.70	$1,758.00	$69.00–$378.08	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/inj joint/bursa w/o us	$709.70	$1,758.00	$69.00–$378.08	—	60%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert drug implant device	$9,431.24	$23,362.00	$134.00–$163.88	3470% above	60%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert drug implant device	$9,431.24	$23,362.00	$134.00–$163.88	3470% above	60%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert drug implant device	$9,431.24	$23,362.00	$134.00–$163.88	—	60%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert drug implant device	$9,431.24	$23,362.00	$134.00–$163.88	—	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis med joint	$363.73	$901.00	$63.00–$378.08	4% above	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis med joint	$363.73	$901.00	$63.00–$378.08	4% above	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us	$363.73	$901.00	$63.00–$378.08	4% above	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us	$363.73	$901.00	$63.00–$378.08	4% above	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis med joint	$363.73	$901.00	$63.00–$378.08	—	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis med joint	$363.73	$901.00	$63.00–$378.08	—	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/inj joint/bursa w/o us	$3,698.50	$9,161.50	$63.00–$378.08	—	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/inj joint/bursa w/o us	$3,698.50	$9,161.50	$63.00–$378.08	—	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inj joint/bursa w/o us	$367.77	$911.00	$63.00–$378.08	5% above	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Small joint injection	$367.77	$911.00	$63.00–$378.08	5% above	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inj joint/bursa w/o us	$367.77	$911.00	$63.00–$378.08	5% above	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Small joint injection	$367.77	$911.00	$63.00–$378.08	5% above	60%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Small joint injection	$367.77	$911.00	$63.00–$378.08	—	60%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/inj joint/bursa w/o us	$367.77	$911.00	$63.00–$378.08	—	60%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Small joint injection	$367.77	$911.00	$63.00–$378.08	—	60%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/inj joint/bursa w/o us	$367.77	$911.00	$63.00–$378.08	—	60%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopy/surgery	$23,214.16	$57,503.50	$1,101.00–$4,030.23	891% above	60%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopy/surgery	$23,214.16	$57,503.50	$1,101.00–$4,030.23	891% above	60%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 Knee arthroscopy/surgery	$23,214.16	$57,503.50	$1,101.00–$4,030.23	—	60%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 Knee arthroscopy/surgery	$23,214.16	$57,503.50	$1,101.00–$4,030.23	—	60%
Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery	$5,622.24	$13,926.78	$1,001.00–$4,030.23	46% above	60%
Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery	$5,622.24	$13,926.78	$1,001.00–$4,030.23	46% above	60%
Knee arthroscopy with meniscus trim inpatient CPT 29881 Knee arthroscopy/surgery	$38,167.31	$94,543.75	$1,001.00–$4,030.23	—	60%
Knee arthroscopy with meniscus trim inpatient CPT 29881 Knee arthroscopy/surgery	$38,167.31	$94,543.75	$1,001.00–$4,030.23	—	60%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery	$5,566.22	$13,788.00	$1,098.00–$4,030.23	219% above	60%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery	$5,566.22	$13,788.00	$1,098.00–$4,030.23	219% above	60%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Knee arthroscopy/surgery	$38,167.31	$94,543.75	$1,098.00–$4,030.23	—	60%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Knee arthroscopy/surgery	$38,167.31	$94,543.75	$1,098.00–$4,030.23	—	60%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery	$5,583.02	$13,829.63	$951.00–$4,030.23	243% above	60%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery	$5,583.02	$13,829.63	$951.00–$4,030.23	243% above	60%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Knee arthroscopy/surgery	$38,167.31	$94,543.75	$951.00–$4,030.23	—	60%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Knee arthroscopy/surgery	$38,167.31	$94,543.75	$951.00–$4,030.23	—	60%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Lap gastric bypass/roux-en-y	$15,767.88	$39,058.40	$1,757.00	361% above	60%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Lap gastric bypass/roux-en-y	$15,767.88	$39,058.40	$1,757.00	361% above	60%
Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 Lap gastric bypass/roux-en-y	$15,960.11	$39,534.57	$1,757.00	—	60%
Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 Lap gastric bypass/roux-en-y	$15,960.11	$39,534.57	$1,757.00	—	60%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy	$11,162.65	$27,650.85	$767.00–$7,446.47	209% above	60%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy	$11,162.65	$27,650.85	$767.00–$7,446.47	209% above	60%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopy appendectomy	$17,213.19	$42,638.56	$767.00–$7,446.47	—	60%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopy appendectomy	$17,213.19	$42,638.56	$767.00–$7,446.47	—	60%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laparoscopy fundoplasty	$12,689.70	$31,433.50	$1,595.00–$13,093.10	289% above	60%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laparoscopy fundoplasty	$12,689.70	$31,433.50	$1,595.00–$13,093.10	289% above	60%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 Laparoscopy fundoplasty	$12,689.70	$31,433.50	$1,595.00–$13,093.10	—	60%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 Laparoscopy fundoplasty	$12,689.70	$31,433.50	$1,595.00–$13,093.10	—	60%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Tlh uterus 250 g or less	$10,092.17	$24,999.18	$873.00–$13,093.10	96% above	60%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Tlh uterus 250 g or less	$10,092.17	$24,999.18	$873.00–$13,093.10	96% above	60%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 Tlh uterus 250 g or less	$15,671.48	$38,819.63	$873.00–$13,093.10	—	60%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 Tlh uterus 250 g or less	$15,671.48	$38,819.63	$873.00–$13,093.10	—	60%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh w/t/o 250 g or less	$9,458.80	$23,430.27	$973.84–$13,093.10	62% above	60%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh w/t/o 250 g or less	$9,458.80	$23,430.27	$973.84–$13,093.10	62% above	60%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Tlh w/t/o 250 g or less	$15,671.48	$38,819.63	$973.84–$13,093.10	—	60%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Tlh w/t/o 250 g or less	$15,671.48	$38,819.63	$973.84–$13,093.10	—	60%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init	$10,010.55	$24,797.01	$556.00–$7,446.47	667% above	60%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init	$10,010.55	$24,797.01	$556.00–$7,446.47	667% above	60%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Lap ing hernia repair init	$11,719.11	$29,029.25	$556.00–$7,446.47	—	60%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Lap ing hernia repair init	$11,719.11	$29,029.25	$556.00–$7,446.47	—	60%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur	$9,406.83	$23,301.54	$754.00–$7,446.47	36% above	60%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur	$9,406.83	$23,301.54	$754.00–$7,446.47	36% above	60%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Lap ing hernia repair recur	$14,180.64	$35,126.68	$754.00–$7,446.47	—	60%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Lap ing hernia repair recur	$14,180.64	$35,126.68	$754.00–$7,446.47	—	60%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa	$12,466.36	$30,880.25	$979.00–$7,446.47	332% above	60%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa	$12,466.36	$30,880.25	$979.00–$7,446.47	332% above	60%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Laparoscopy remove adnexa	$12,466.36	$30,880.25	$979.00–$7,446.47	—	60%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Laparoscopy remove adnexa	$12,466.36	$30,880.25	$979.00–$7,446.47	—	60%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Lap sleeve gastrectomy	$14,041.53	$34,782.10	$1,250.59	262% above	60%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Lap sleeve gastrectomy	$14,041.53	$34,782.10	$1,250.59	262% above	60%
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 Lap sleeve gastrectomy	$13,962.09	$34,585.30	$1,250.59	—	60%
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 Lap sleeve gastrectomy	$13,962.09	$34,585.30	$1,250.59	—	60%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 After cataract laser surgery	$838.08	$2,076.00	$339.00–$677.45	28% above	60%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 After cataract laser surgery	$838.08	$2,076.00	$339.00–$677.45	28% above	60%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Yag procedure	$838.08	$2,076.00	$339.00–$677.45	28% above	60%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Yag procedure	$838.08	$2,076.00	$339.00–$677.45	28% above	60%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 After cataract laser surgery	$838.08	$2,076.00	$339.00–$677.45	—	60%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Yag procedure	$838.08	$2,076.00	$339.00–$677.45	—	60%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 After cataract laser surgery	$838.08	$2,076.00	$339.00–$677.45	—	60%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Yag procedure	$838.08	$2,076.00	$339.00–$677.45	—	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/<	$5,528.23	$13,693.90	$153.00–$500.72	895% above	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/<	$5,528.23	$13,693.90	$153.00–$500.72	895% above	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/<	$23,263.41	$57,625.50	$153.00–$500.72	—	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/<	$23,263.41	$57,625.50	$153.00–$500.72	—	60%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac	$813.86	$2,016.00	$828.05–$2,016.00	42% below	60%
Lower-back epidural injection, with imaging guidance CPT 62323 L/s spine pain management	$813.86	$2,016.00	$828.05–$2,016.00	42% below	60%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac	$813.86	$2,016.00	$828.05–$2,016.00	42% below	60%
Lower-back epidural injection, with imaging guidance CPT 62323 L/s spine pain management	$813.86	$2,016.00	$828.05–$2,016.00	42% below	60%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx interlaminar lmbr/sac	$813.86	$2,016.00	$828.05–$2,016.00	—	60%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 L/s spine pain management	$813.86	$2,016.00	$828.05–$2,016.00	—	60%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx interlaminar lmbr/sac	$813.86	$2,016.00	$828.05–$2,016.00	—	60%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 L/s spine pain management	$813.86	$2,016.00	$828.05–$2,016.00	—	60%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj foramen epidural l/s	$4,452.21	$11,028.50	$193.00–$1,089.43	252% above	60%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj foramen epidural l/s	$4,452.21	$11,028.50	$193.00–$1,089.43	252% above	60%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj foramen epidural l/s	$10,067.28	$24,937.52	$193.00–$1,089.43	—	60%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj foramen epidural l/s	$10,067.28	$24,937.52	$193.00–$1,089.43	—	60%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Low back disk surgery	$6,414.32	$15,888.82	$1,566.00–$8,937.71	24% below	60%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Low back disk surgery	$6,414.32	$15,888.82	$1,566.00–$8,937.71	24% below	60%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 Low back disk surgery	$6,414.32	$15,888.82	$1,566.00–$8,937.71	—	60%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 Low back disk surgery	$6,414.32	$15,888.82	$1,566.00–$8,937.71	—	60%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Remove spine lamina 1 lmbr	$7,709.06	$19,096.00	$1,820.00–$8,937.71	9% below	60%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Remove spine lamina 1 lmbr	$7,709.06	$19,096.00	$1,820.00–$8,937.71	9% below	60%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 Remove spine lamina 1 lmbr	$7,709.06	$19,096.00	$1,820.00–$8,937.71	—	60%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 Remove spine lamina 1 lmbr	$7,709.06	$19,096.00	$1,820.00–$8,937.71	—	60%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 Lumbar spine fusion	$21,995.00	$54,483.52	$2,349.00–$21,596.96	—	60%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 Lumbar spine fusion	$21,995.00	$54,483.52	$2,349.00–$21,596.96	—	60%
Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy	$9,622.78	$23,836.47	$509.00–$4,822.76	537% above	60%
Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy	$9,622.78	$23,836.47	$509.00–$4,822.76	537% above	60%
Lumpectomy (partial mastectomy) inpatient CPT 19301 Partial mastectomy	$9,622.78	$23,836.47	$509.00–$4,822.76	—	60%
Lumpectomy (partial mastectomy) inpatient CPT 19301 Partial mastectomy	$9,622.78	$23,836.47	$509.00–$4,822.76	—	60%
Mastectomy (total removal of the breast) CPT 19303 Mast simple complete	$26,969.84	$66,806.64	$1,111.00–$8,178.91	1132% above	60%
Mastectomy (total removal of the breast) CPT 19303 Mast simple complete	$26,969.84	$66,806.64	$1,111.00–$8,178.91	1132% above	60%
Mastectomy (total removal of the breast) inpatient CPT 19303 Mast simple complete	$14,242.24	$35,279.26	$1,111.00–$8,178.91	—	60%
Mastectomy (total removal of the breast) inpatient CPT 19303 Mast simple complete	$14,242.24	$35,279.26	$1,111.00–$8,178.91	—	60%
Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage	$5,219.33	$12,928.74	$438.00–$3,987.27	37% above	60%
Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage	$5,219.33	$12,928.74	$438.00–$3,987.27	37% above	60%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Care of miscarriage	$10,680.49	$26,456.50	$438.00–$3,987.27	—	60%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Care of miscarriage	$10,680.49	$26,456.50	$438.00–$3,987.27	—	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc tr-ext b9+marg 0.5 cm<	$5,668.39	$14,041.10	$77.00–$872.23	548% above	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc tr-ext b9+marg 0.5 cm<	$5,668.39	$14,041.10	$77.00–$872.23	548% above	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc tr-ext b9+marg 0.5 cm<	$15,709.32	$38,913.35	$77.00–$872.23	—	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc tr-ext b9+marg 0.5 cm<	$15,709.32	$38,913.35	$77.00–$872.23	—	60%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc face-mm b9+marg 0.5 cm/<	$8,777.65	$21,743.00	$99.00–$872.23	867% above	60%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc face-mm b9+marg 0.5 cm/<	$8,777.65	$21,743.00	$99.00–$872.23	867% above	60%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc face-mm b9+marg 0.5 cm/<	$8,777.65	$21,743.00	$99.00–$872.23	—	60%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc face-mm b9+marg 0.5 cm/<	$8,777.65	$21,743.00	$99.00–$872.23	—	60%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate	$4,342.50	$10,756.75	$86.00–$247.13	1432% above	60%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate	$4,342.50	$10,756.75	$86.00–$247.13	1432% above	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate	$4,342.50	$10,756.75	$86.00–$247.13	—	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate	$4,342.50	$10,756.75	$86.00–$247.13	—	60%
Occipital nerve block (injection for headaches) CPT 64405 Njx aa&/strd gr ocpl nrv	$375.84	$931.00	$89.00–$378.08	4% below	60%
Occipital nerve block (injection for headaches) CPT 64405 Occipital nerve block	$375.84	$931.00	$89.00–$378.08	4% below	60%
Occipital nerve block (injection for headaches) CPT 64405 Njx aa&/strd gr ocpl nrv	$375.84	$931.00	$89.00–$378.08	4% below	60%
Occipital nerve block (injection for headaches) CPT 64405 Occipital nerve block	$375.84	$931.00	$89.00–$378.08	4% below	60%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Occipital nerve block	$375.84	$931.00	$89.00–$378.08	—	60%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx aa&/strd gr ocpl nrv	$375.84	$931.00	$89.00–$378.08	—	60%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Occipital nerve block	$375.84	$931.00	$89.00–$378.08	—	60%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx aa&/strd gr ocpl nrv	$375.84	$931.00	$89.00–$378.08	—	60%
Paracentesis with imaging guidance CPT 49083 Us paracentesis with guidance	$1,576.85	$3,906.00	$306.99–$1,117.16	27% above	60%
Paracentesis with imaging guidance CPT 49083 Abd paracentesis w/imaging	$1,576.85	$3,906.00	$306.99–$1,117.16	27% above	60%
Paracentesis with imaging guidance CPT 49083 Us paracentesis with guidance	$1,576.85	$3,906.00	$306.99–$1,117.16	27% above	60%
Paracentesis with imaging guidance CPT 49083 Abd paracentesis w/imaging	$1,576.85	$3,906.00	$306.99–$1,117.16	27% above	60%
Paracentesis with imaging guidance inpatient CPT 49083 Us paracentesis with guidance	$1,576.85	$3,906.00	$306.99–$1,117.16	—	60%
Paracentesis with imaging guidance inpatient CPT 49083 Abd paracentesis w/imaging	$1,576.85	$3,906.00	$306.99–$1,117.16	—	60%
Paracentesis with imaging guidance inpatient CPT 49083 Us paracentesis with guidance	$1,576.85	$3,906.00	$306.99–$1,117.16	—	60%
Paracentesis with imaging guidance inpatient CPT 49083 Abd paracentesis w/imaging	$1,576.85	$3,906.00	$306.99–$1,117.16	—	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed	$3,958.28	$9,805.00	$211.00–$500.72	582% above	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed	$3,958.28	$9,805.00	$211.00–$500.72	582% above	60%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of nail bed	$9,104.29	$22,552.11	$211.00–$500.72	—	60%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of nail bed	$9,104.29	$22,552.11	$211.00–$500.72	—	60%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laparo radical prostatectomy	$9,619.34	$23,827.94	$1,759.00–$13,093.10	22% below	60%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laparo radical prostatectomy	$9,619.34	$23,827.94	$1,759.00–$13,093.10	22% below	60%
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Laparo radical prostatectomy	$9,619.34	$23,827.94	$1,759.00–$13,093.10	—	60%
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Laparo radical prostatectomy	$9,619.34	$23,827.94	$1,759.00–$13,093.10	—	60%
Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion	$11,455.39	$28,376.00	$469.00–$4,822.76	168% above	60%
Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion	$11,455.39	$28,376.00	$469.00–$4,822.76	168% above	60%
Removal of a breast lump, open surgery inpatient CPT 19120 Removal of breast lesion	$11,455.39	$28,376.00	$469.00–$4,822.76	—	60%
Removal of a breast lump, open surgery inpatient CPT 19120 Removal of breast lesion	$11,455.39	$28,376.00	$469.00–$4,822.76	—	60%
Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body	$5,643.73	$13,980.00	$90.00–$500.72	918% above	60%
Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body	$5,643.73	$13,980.00	$90.00–$500.72	918% above	60%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body	$16,575.61	$41,059.22	$90.00–$500.72	—	60%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body	$16,575.61	$41,059.22	$90.00–$500.72	—	60%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind	$1,880.06	$4,657.06	$363.00–$1,145.46	74% above	60%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind	$1,880.06	$4,657.06	$363.00–$1,145.46	74% above	60%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon ca scrn not hi rsk ind	$1,880.06	$4,657.06	$363.00–$1,145.46	—	60%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon ca scrn not hi rsk ind	$1,880.06	$4,657.06	$363.00–$1,145.46	—	60%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind	$1,879.56	$4,655.83	$363.00–$1,145.46	74% above	60%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind	$1,879.56	$4,655.83	$363.00–$1,145.46	74% above	60%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal scrn; hi risk ind	$1,879.56	$4,655.83	$363.00–$1,145.46	—	60%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal scrn; hi risk ind	$1,879.56	$4,655.83	$363.00–$1,145.46	—	60%
Septoplasty to straighten the nasal septum CPT 30520 Repair of nasal septum	$6,074.47	$15,047.00	$726.00–$4,083.76	58% above	60%
Septoplasty to straighten the nasal septum CPT 30520 Repair of nasal septum	$6,074.47	$15,047.00	$726.00–$4,083.76	58% above	60%
Septoplasty to straighten the nasal septum inpatient CPT 30520 Repair of nasal septum	$6,074.47	$15,047.00	$726.00–$4,083.76	—	60%
Septoplasty to straighten the nasal septum inpatient CPT 30520 Repair of nasal septum	$6,074.47	$15,047.00	$726.00–$4,083.76	—	60%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting of kidney stone	$4,593.70	$11,379.00	$1,062.00–$4,341.83	11% below	60%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting of kidney stone	$4,593.70	$11,379.00	$1,062.00–$4,341.83	11% below	60%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Fragmenting of kidney stone	$4,593.70	$11,379.00	$1,062.00–$4,341.83	—	60%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Fragmenting of kidney stone	$4,593.70	$11,379.00	$1,062.00–$4,341.83	—	60%
Short arm cast (elbow to hand) CPT 29075 Application of forearm cast	$344.76	$854.00	$79.00–$344.51	10% above	60%
Short arm cast (elbow to hand) CPT 29075 Application of forearm cast	$344.76	$854.00	$79.00–$344.51	10% above	60%
Short arm cast (elbow to hand) inpatient CPT 29075 Application of forearm cast	$344.76	$854.00	$79.00–$344.51	—	60%
Short arm cast (elbow to hand) inpatient CPT 29075 Application of forearm cast	$344.76	$854.00	$79.00–$344.51	—	60%
Short arm splint (forearm and hand) CPT 29125 Apply forearm splint	$211.14	$523.00	$54.00–$163.88	14% above	60%
Short arm splint (forearm and hand) CPT 29125 Application splint short arm	$211.14	$523.00	$54.00–$163.88	14% above	60%
Short arm splint (forearm and hand) CPT 29125 Apply forearm splint	$211.14	$523.00	$54.00–$163.88	14% above	60%
Short arm splint (forearm and hand) CPT 29125 Application splint short arm	$211.14	$523.00	$54.00–$163.88	14% above	60%
Short arm splint (forearm and hand) inpatient CPT 29125 Apply forearm splint	$211.14	$523.00	$54.00–$163.88	—	60%
Short arm splint (forearm and hand) inpatient CPT 29125 Application splint short arm	$211.14	$523.00	$54.00–$163.88	—	60%
Short arm splint (forearm and hand) inpatient CPT 29125 Application splint short arm	$211.14	$523.00	$54.00–$163.88	—	60%
Short arm splint (forearm and hand) inpatient CPT 29125 Apply forearm splint	$211.14	$523.00	$54.00–$163.88	—	60%
Short leg cast (below the knee) CPT 29405 Apply short leg cast	$344.76	$854.00	$94.00–$344.51	4% above	60%
Short leg cast (below the knee) CPT 29405 Apply short leg cast	$344.76	$854.00	$94.00–$344.51	4% above	60%
Short leg cast (below the knee) inpatient CPT 29405 Apply short leg cast	$344.76	$854.00	$94.00–$344.51	—	60%
Short leg cast (below the knee) inpatient CPT 29405 Apply short leg cast	$344.76	$854.00	$94.00–$344.51	—	60%
Short leg splint (calf to foot) CPT 29515 Application lower leg splint	$194.99	$483.00	$67.00–$200.16	1% above	60%
Short leg splint (calf to foot) CPT 29515 Application lower leg splint	$194.99	$483.00	$67.00–$200.16	1% above	60%
Short leg splint (calf to foot) inpatient CPT 29515 Application lower leg splint	$194.99	$483.00	$67.00–$200.16	—	60%
Short leg splint (calf to foot) inpatient CPT 29515 Application lower leg splint	$194.99	$483.00	$67.00–$200.16	—	60%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Shoulder arthroscopy/surgery	$9,827.87	$24,344.50	$920.00–$4,030.23	480% above	60%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Shoulder arthroscopy/surgery	$9,827.87	$24,344.50	$920.00–$4,030.23	480% above	60%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Shoulder arthroscopy/surgery	$9,827.87	$24,344.50	$920.00–$4,030.23	—	60%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Shoulder arthroscopy/surgery	$9,827.87	$24,344.50	$920.00–$4,030.23	—	60%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shoulder arthroscopy/surgery	$10,135.22	$25,105.83	$1,177.00	613% above	60%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shoulder arthroscopy/surgery	$10,135.22	$25,105.83	$1,177.00	613% above	60%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Shoulder arthroscopy/surgery	$10,135.22	$25,105.83	$1,177.00	—	60%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Shoulder arthroscopy/surgery	$10,135.22	$25,105.83	$1,177.00	—	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/<	$238.59	$591.00	$100.00–$247.13	16% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/<	$238.59	$591.00	$100.00–$247.13	16% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/<	$8,591.75	$21,282.50	$100.00–$247.13	—	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/<	$8,591.75	$21,282.50	$100.00–$247.13	—	60%
Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion	$485.25	$1,202.00	$476.87–$1,202.00	14% below	60%
Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion	$485.25	$1,202.00	$476.87–$1,202.00	14% below	60%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch bx skin single lesion	$17,480.81	$43,301.48	$476.87–$43,301.48	—	60%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch bx skin single lesion	$17,480.81	$43,301.48	$476.87–$43,301.48	—	60%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc tr-ext mal+marg 0.5 cm/<	$5,588.22	$13,842.50	$138.00–$872.23	571% above	60%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc tr-ext mal+marg 0.5 cm/<	$5,588.22	$13,842.50	$138.00–$872.23	571% above	60%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc tr-ext mal+marg 0.5 cm/<	$17,699.24	$43,842.56	$138.00–$872.23	—	60%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc tr-ext mal+marg 0.5 cm/<	$17,699.24	$43,842.56	$138.00–$872.23	—	60%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tags <w/15	$160.27	$397.00	$62.00–$247.13	45% below	60%
Skin tag removal, up to 15 tags CPT 11200 Removal skin tags up to 15	$160.27	$397.00	$62.00–$247.13	45% below	60%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tags <w/15	$160.27	$397.00	$62.00–$247.13	45% below	60%
Skin tag removal, up to 15 tags CPT 11200 Removal skin tags up to 15	$160.27	$397.00	$62.00–$247.13	45% below	60%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal skin tags up to 15	$160.27	$397.00	$62.00–$247.13	—	60%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal skin tags up to 15	$160.27	$397.00	$62.00–$247.13	—	60%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tags <w/15	$15,401.53	$38,150.94	$62.00–$247.13	—	60%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tags <w/15	$15,401.53	$38,150.94	$62.00–$247.13	—	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx lmbr spi pnxr	$895.41	$2,218.00	$84.00–$869.46	5% below	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal fluid tap diagnostic	$895.41	$2,218.00	$84.00–$869.46	5% below	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx lmbr spi pnxr	$895.41	$2,218.00	$84.00–$869.46	5% below	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal fluid tap diagnostic	$895.41	$2,218.00	$84.00–$869.46	5% below	60%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal fluid tap diagnostic	$895.41	$2,218.00	$84.00–$869.46	—	60%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal fluid tap diagnostic	$895.41	$2,218.00	$84.00–$869.46	—	60%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Dx lmbr spi pnxr	$42,917.63	$106,310.70	$84.00–$869.46	—	60%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Dx lmbr spi pnxr	$42,917.63	$106,310.70	$84.00–$869.46	—	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm	$273.30	$677.00	$117.00–$247.13	21% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm	$273.30	$677.00	$117.00–$247.13	21% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm	$8,591.75	$21,282.50	$117.00–$247.13	—	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm	$8,591.75	$21,282.50	$117.00–$247.13	—	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/<	$238.59	$591.00	$110.00–$247.13	21% below	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/<	$238.59	$591.00	$110.00–$247.13	21% below	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/<	$13,963.90	$34,589.79	$110.00–$247.13	—	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/<	$13,963.90	$34,589.79	$110.00–$247.13	—	60%
TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (turp)	$6,509.44	$16,124.45	$1,056.00–$6,604.30	8% above	60%
TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (turp)	$6,509.44	$16,124.45	$1,056.00–$6,604.30	8% above	60%
TURP (transurethral resection of the prostate) inpatient CPT 52601 Prostatectomy (turp)	$6,509.44	$16,124.45	$1,056.00–$6,604.30	—	60%
TURP (transurethral resection of the prostate) inpatient CPT 52601 Prostatectomy (turp)	$6,509.44	$16,124.45	$1,056.00–$6,604.30	—	60%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single les	$241.41	$598.00	$476.87–$598.00	47% below	60%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single lesion	$241.41	$598.00	$476.87–$598.00	47% below	60%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single les	$241.41	$598.00	$476.87–$598.00	47% below	60%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single lesion	$241.41	$598.00	$476.87–$598.00	47% below	60%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl bx skin single lesion	$241.41	$598.00	$476.87–$598.00	—	60%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl bx skin single lesion	$241.41	$598.00	$476.87–$598.00	—	60%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl bx skin single les	$17,480.81	$43,301.48	$476.87–$43,301.48	—	60%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl bx skin single les	$17,480.81	$43,301.48	$476.87–$43,301.48	—	60%
Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging	$5,681.10	$14,072.58	$112.55–$772.67	363% above	60%
Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging	$5,681.10	$14,072.58	$112.55–$772.67	363% above	60%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate pleura w/ imaging	$18,919.05	$46,864.14	$112.55–$772.67	—	60%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate pleura w/ imaging	$18,919.05	$46,864.14	$112.55–$772.67	—	60%
Tonsil and adenoid removal, age 12 or older CPT 42821 Remove tonsils and adenoids	$5,529.46	$13,696.95	$453.00–$4,083.76	44% above	60%
Tonsil and adenoid removal, age 12 or older CPT 42821 Remove tonsils and adenoids	$5,529.46	$13,696.95	$453.00–$4,083.76	44% above	60%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Remove tonsils and adenoids	$5,529.46	$13,696.95	$453.00–$4,083.76	—	60%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Remove tonsils and adenoids	$5,529.46	$13,696.95	$453.00–$4,083.76	—	60%
Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids	$5,388.52	$13,347.83	$377.00–$7,291.64	23% below	60%
Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids	$5,388.52	$13,347.83	$377.00–$7,291.64	23% below	60%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Remove tonsils and adenoids	$5,388.52	$13,347.83	$377.00–$7,291.64	—	60%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Remove tonsils and adenoids	$5,388.52	$13,347.83	$377.00–$7,291.64	—	60%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils	$12,085.57	$29,937.00	$400.00–$4,083.76	215% above	60%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils	$12,085.57	$29,937.00	$400.00–$4,083.76	215% above	60%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Removal of tonsils	$12,085.57	$29,937.00	$400.00–$4,083.76	—	60%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Removal of tonsils	$12,085.57	$29,937.00	$400.00–$4,083.76	—	60%
Total hip replacement CPT 27130 Total hip arthroplasty	$15,548.00	$38,513.74	$2,509.00–$15,813.81	290% above	60%
Total hip replacement CPT 27130 Total hip arthroplasty	$15,548.00	$38,513.74	$2,509.00–$15,813.81	290% above	60%
Total hip replacement inpatient CPT 27130 Total hip arthroplasty	$22,099.79	$54,743.11	$2,509.00–$15,813.81	—	60%
Total hip replacement inpatient CPT 27130 Total hip arthroplasty	$22,099.79	$54,743.11	$2,509.00–$15,813.81	—	60%
Total knee replacement CPT 27447 Total knee arthroplasty	$15,432.93	$38,228.71	$2,651.00–$15,813.81	11% above	60%
Total knee replacement CPT 27447 Total knee arthroplasty	$15,432.93	$38,228.71	$2,651.00–$15,813.81	11% above	60%
Total knee replacement inpatient CPT 27447 Total knee arthroplasty	$16,865.86	$41,778.20	$2,651.00–$15,813.81	—	60%
Total knee replacement inpatient CPT 27447 Total knee arthroplasty	$16,865.86	$41,778.20	$2,651.00–$15,813.81	—	60%
Total shoulder replacement CPT 23472 Reconstruct shoulder joint	$24,036.73	$59,541.07	$2,206.00–$21,596.96	443% above	60%
Total shoulder replacement CPT 23472 Reconstruct shoulder joint	$24,036.73	$59,541.07	$2,206.00–$21,596.96	443% above	60%
Total shoulder replacement inpatient CPT 23472 Reconstruct shoulder joint	$47,857.48	$118,547.13	$2,206.00–$21,596.96	—	60%
Total shoulder replacement inpatient CPT 23472 Reconstruct shoulder joint	$47,857.48	$118,547.13	$2,206.00–$21,596.96	—	60%
Trigger finger release surgery CPT 26055 Incise finger tendon sheath	$10,270.73	$25,441.50	$341.00–$1,980.61	442% above	60%
Trigger finger release surgery CPT 26055 Incise finger tendon sheath	$10,270.73	$25,441.50	$341.00–$1,980.61	442% above	60%
Trigger finger release surgery inpatient CPT 26055 Incise finger tendon sheath	$10,270.73	$25,441.50	$341.00–$1,980.61	—	60%
Trigger finger release surgery inpatient CPT 26055 Incise finger tendon sheath	$10,270.73	$25,441.50	$341.00–$1,980.61	—	60%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1-2 muscles	$365.75	$906.00	$59.00–$378.08	5% above	60%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1-2 muscles	$365.75	$906.00	$59.00–$378.08	5% above	60%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1/2 muscl	$365.75	$906.00	$59.00–$378.08	5% above	60%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1/2 muscl	$365.75	$906.00	$59.00–$378.08	5% above	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj trigger point 1-2 muscles	$365.75	$906.00	$59.00–$378.08	—	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj trigger point 1-2 muscles	$365.75	$906.00	$59.00–$378.08	—	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj trigger point 1/2 muscl	$1,498.84	$3,712.75	$59.00–$378.08	—	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj trigger point 1/2 muscl	$1,498.84	$3,712.75	$59.00–$378.08	—	60%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy tubal cautery	$6,298.29	$15,601.40	$492.00–$7,446.47	48% above	60%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy tubal cautery	$6,298.29	$15,601.40	$492.00–$7,446.47	48% above	60%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 Laparoscopy tubal cautery	$6,298.29	$15,601.40	$492.00–$7,446.47	—	60%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 Laparoscopy tubal cautery	$6,298.29	$15,601.40	$492.00–$7,446.47	—	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st lesion us imag	$2,582.57	$6,397.25	$165.15–$2,034.33	7% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st lesion us imag	$2,582.57	$6,397.25	$165.15–$2,034.33	7% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx breast 1st lesion us imag	$2,582.57	$6,397.25	$165.15–$2,034.33	—	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx breast 1st lesion us imag	$2,582.57	$6,397.25	$165.15–$2,034.33	—	60%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm	$2,794.56	$6,922.38	$307.00–$2,363.58	24% above	60%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm	$2,794.56	$6,922.38	$307.00–$2,363.58	24% above	60%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esoph egd dilation <30 mm	$13,882.44	$34,388.00	$307.00–$2,363.58	—	60%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esoph egd dilation <30 mm	$13,882.44	$34,388.00	$307.00–$2,363.58	—	60%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple	$2,580.07	$6,391.06	$286.00–$1,117.16	127% above	60%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple	$2,580.07	$6,391.06	$286.00–$1,117.16	127% above	60%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd biopsy single/multiple	$13,673.16	$33,869.60	$286.00–$1,117.16	—	60%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd biopsy single/multiple	$13,673.16	$33,869.60	$286.00–$1,117.16	—	60%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr gi scope w/submuc inj	$1,930.49	$4,782.00	$317.00–$1,117.16	74% above	60%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr gi scope w/submuc inj	$1,930.49	$4,782.00	$317.00–$1,117.16	74% above	60%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Uppr gi scope w/submuc inj	$13,502.99	$33,448.07	$317.00–$1,117.16	—	60%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Uppr gi scope w/submuc inj	$13,502.99	$33,448.07	$317.00–$1,117.16	—	60%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd remove lesion snare	$2,991.20	$7,409.46	$386.00–$2,363.58	33% above	60%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd remove lesion snare	$2,991.20	$7,409.46	$386.00–$2,363.58	33% above	60%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd remove lesion snare	$15,806.93	$39,155.15	$386.00–$2,363.58	—	60%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd remove lesion snare	$15,806.93	$39,155.15	$386.00–$2,363.58	—	60%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd guide wire insertion	$2,804.98	$6,948.19	$333.00–$1,117.16	153% above	60%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd guide wire insertion	$2,804.98	$6,948.19	$333.00–$1,117.16	153% above	60%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd guide wire insertion	$13,638.62	$33,784.04	$333.00–$1,117.16	—	60%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd guide wire insertion	$13,638.62	$33,784.04	$333.00–$1,117.16	—	60%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash	$2,251.24	$5,576.52	$254.00–$1,117.16	103% above	60%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash	$2,251.24	$5,576.52	$254.00–$1,117.16	103% above	60%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd diagnostic brush wash	$13,830.79	$34,260.06	$254.00–$1,117.16	—	60%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd diagnostic brush wash	$13,830.79	$34,260.06	$254.00–$1,117.16	—	60%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 Egd w/transmural drain cyst	$13,638.62	$33,784.04	$524.00–$7,477.72	—	60%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 Egd w/transmural drain cyst	$13,638.62	$33,784.04	$524.00–$7,477.72	—	60%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystouretero w/lithotripsy	$7,338.93	$18,179.17	$596.00–$6,604.30	22% above	60%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystouretero w/lithotripsy	$7,338.93	$18,179.17	$596.00–$6,604.30	22% above	60%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cystouretero w/lithotripsy	$7,338.93	$18,179.17	$596.00–$6,604.30	—	60%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cystouretero w/lithotripsy	$7,338.93	$18,179.17	$596.00–$6,604.30	—	60%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy	$7,683.14	$19,031.80	$408.38–$6,604.30	28% above	60%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy	$7,683.14	$19,031.80	$408.38–$6,604.30	28% above	60%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cysto/uretero w/lithotripsy	$14,358.62	$35,567.55	$408.38–$6,604.30	—	60%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cysto/uretero w/lithotripsy	$14,358.62	$35,567.55	$408.38–$6,604.30	—	60%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Vbac delivery	$4,747.60	$11,760.21	$2,282.00	—	60%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Vbac delivery	$4,747.60	$11,760.21	$2,282.00	—	60%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Obstetrical care	$4,749.99	$11,766.13	$2,249.00	—	60%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Obstetrical care	$4,749.99	$11,766.13	$2,249.00	—	60%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct(s)	$5,010.52	$12,411.50	$326.00–$2,574.79	128% above	60%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct(s)	$5,010.52	$12,411.50	$326.00–$2,574.79	128% above	60%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of sperm duct(s)	$5,010.52	$12,411.50	$326.00–$2,574.79	—	60%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of sperm duct(s)	$5,010.52	$12,411.50	$326.00–$2,574.79	—	60%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endovenous rf 1st vein	$8,612.13	$21,333.00	$2,248.00–$3,889.17	—	60%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endovenous rf 1st vein	$8,612.13	$21,333.00	$2,248.00–$3,889.17	—	60%
Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14	$5,225.90	$12,945.00	$52.00–$247.13	2108% above	60%
Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14	$5,225.90	$12,945.00	$52.00–$247.13	2108% above	60%
Wart removal, up to 14 warts inpatient CPT 17110 Destruct b9 lesion 1-14	$5,225.90	$12,945.00	$52.00–$247.13	—	60%
Wart removal, up to 14 warts inpatient CPT 17110 Destruct b9 lesion 1-14	$5,225.90	$12,945.00	$52.00–$247.13	—	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb subq tissue 20 sq cm/<	$5,884.13	$14,575.50	$98.00–$500.72	717% above	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb subq tissue 20 sq cm/<	$5,884.13	$14,575.50	$98.00–$500.72	717% above	60%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb subq tissue 20 sq cm/<	$15,418.24	$38,192.33	$98.00–$500.72	—	60%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb subq tissue 20 sq cm/<	$15,418.24	$38,192.33	$98.00–$500.72	—	60%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treat fx rad extra-articul	$11,088.02	$27,466.00	$787.00–$8,937.71	380% above	60%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treat fx rad extra-articul	$11,088.02	$27,466.00	$787.00–$8,937.71	380% above	60%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Treat fx rad extra-articul	$11,088.02	$27,466.00	$787.00–$8,937.71	—	60%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Treat fx rad extra-articul	$11,088.02	$27,466.00	$787.00–$8,937.71	—	60%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion service	$861.50	$2,134.00	$46.00–$543.41	18% above	60%
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion	$861.50	$2,134.00	$46.00–$543.41	18% above	60%
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion	$861.50	$2,134.00	$46.00–$543.41	18% above	60%
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion service	$861.50	$2,134.00	$46.00–$543.41	18% above	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion	$861.50	$2,134.00	$46.00–$543.41	—	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion	$861.50	$2,134.00	$46.00–$543.41	—	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion service	$17,990.37	$44,563.70	$46.00–$543.41	—	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion service	$17,990.37	$44,563.70	$46.00–$543.41	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalatin treatment	$171.98	$426.00	$14.00–$269.72	23% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment	$171.98	$426.00	$14.00–$269.72	23% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment	$171.98	$426.00	$14.00–$269.72	23% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalatin treatment	$171.98	$426.00	$14.00–$269.72	23% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalatin treatment	$171.98	$426.00	$14.00–$269.72	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment	$171.98	$426.00	$14.00–$269.72	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment	$171.98	$426.00	$14.00–$269.72	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalatin treatment	$171.98	$426.00	$14.00–$269.72	—	60%
Chemotherapy IV infusion, first hour CPT 96413 Chemo iv infusion 1 hr	$476.77	$1,181.00	$175.00–$406.85	19% below	60%
Chemotherapy IV infusion, first hour CPT 96413 Chemo/complex drug admin infus 1st hr	$476.77	$1,181.00	$175.00–$406.85	19% below	60%
Chemotherapy IV infusion, first hour CPT 96413 Chemo iv infusion 1 hr	$476.77	$1,181.00	$175.00–$406.85	19% below	60%
Chemotherapy IV infusion, first hour CPT 96413 Chemo/complex drug admin infus 1st hr	$476.77	$1,181.00	$175.00–$406.85	19% below	60%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo/complex drug admin infus 1st hr	$476.77	$1,181.00	$175.00–$406.85	—	60%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo iv infusion 1 hr	$476.77	$1,181.00	$175.00–$406.85	—	60%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo/complex drug admin infus 1st hr	$476.77	$1,181.00	$175.00–$406.85	—	60%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo iv infusion 1 hr	$476.77	$1,181.00	$175.00–$406.85	—	60%
Critical care, first 30 to 74 minutes CPT 99291 Crit care (1st hour)	$903.48	$2,238.00	$182.00–$1,017.45	41% below	60%
Critical care, first 30 to 74 minutes CPT 99291 Crit care (1st hour)	$903.48	$2,238.00	$182.00–$1,017.45	41% below	60%
Critical care, first 30 to 74 minutes CPT 99291 Critical care first hour	$903.48	$2,238.00	$182.00–$1,017.45	41% below	60%
Critical care, first 30 to 74 minutes CPT 99291 Critical care first hour	$903.48	$2,238.00	$182.00–$1,017.45	41% below	60%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care first hour	$903.48	$2,238.00	$182.00–$1,017.45	—	60%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Crit care (1st hour)	$903.48	$2,238.00	$182.00–$1,017.45	—	60%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care first hour	$903.48	$2,238.00	$182.00–$1,017.45	—	60%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Crit care (1st hour)	$903.48	$2,238.00	$182.00–$1,017.45	—	60%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg awake & drowsy	$551.05	$1,365.00	$91.00–$265.96	1% above	60%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg awake and drowsy	$551.05	$1,365.00	$91.00–$265.96	1% above	60%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg awake and drowsy	$551.05	$1,365.00	$91.00–$265.96	1% above	60%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg awake & drowsy	$551.05	$1,365.00	$91.00–$265.96	1% above	60%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg awake & drowsy	$551.05	$1,365.00	$91.00–$265.96	—	60%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg awake & drowsy	$551.05	$1,365.00	$91.00–$265.96	—	60%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg awake and drowsy	$551.05	$1,365.00	$91.00–$265.96	—	60%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg awake and drowsy	$551.05	$1,365.00	$91.00–$265.96	—	60%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ekg w/interpretation (prof-global)	$105.77	$262.00	$27.00	111% above	60%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram complete	$105.77	$262.00	$27.00	111% above	60%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram complete	$105.77	$262.00	$27.00	111% above	60%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ekg w/interpretation (prof-global)	$105.77	$262.00	$27.00	111% above	60%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ekg w/interpretation (prof-global)	$105.77	$262.00	$27.00	—	60%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram complete	$105.77	$262.00	$27.00	—	60%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ekg w/interpretation (prof-global)	$105.77	$262.00	$27.00	—	60%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram complete	$105.77	$262.00	$27.00	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram	$144.12	$357.00	$15.00–$72.66	at median	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram	$144.12	$357.00	$15.00–$72.66	at median	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram tracing	$144.12	$357.00	$15.00–$72.66	at median	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram tracing	$144.12	$357.00	$15.00–$72.66	at median	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram	$144.12	$357.00	$15.00–$72.66	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram	$144.12	$357.00	$15.00–$72.66	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram tracing	$144.12	$357.00	$15.00–$72.66	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram tracing	$144.12	$357.00	$15.00–$72.66	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Ed level i	$191.35	$474.00	$22.00–$103.86	32% above	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency dept visit	$191.35	$474.00	$22.00–$103.86	32% above	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Ed level i	$191.35	$474.00	$22.00–$103.86	32% above	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency dept visit	$191.35	$474.00	$22.00–$103.86	32% above	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Ed level i	$191.35	$474.00	$22.00–$103.86	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Ed level i	$191.35	$474.00	$22.00–$103.86	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency dept visit	$191.35	$474.00	$22.00–$103.86	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency dept visit	$191.35	$474.00	$22.00–$103.86	—	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Ed level ii	$235.36	$583.00	$34.00–$189.13	25% below	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency dept visit	$235.36	$583.00	$34.00–$189.13	25% below	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency dept visit	$235.36	$583.00	$34.00–$189.13	25% below	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Ed level ii	$235.36	$583.00	$34.00–$189.13	25% below	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency dept visit	$235.36	$583.00	$34.00–$189.13	—	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Ed level ii	$235.36	$583.00	$34.00–$189.13	—	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Ed level ii	$235.36	$583.00	$34.00–$189.13	—	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency dept visit	$235.36	$583.00	$34.00–$189.13	—	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency dept visit	$299.55	$742.00	$62.00–$336.24	34% below	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Ed level iii	$299.55	$742.00	$62.00–$336.24	34% below	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency dept visit	$299.55	$742.00	$62.00–$336.24	34% below	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Ed level iii	$299.55	$742.00	$62.00–$336.24	34% below	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency dept visit	$299.55	$742.00	$62.00–$336.24	—	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Ed level iii	$299.55	$742.00	$62.00–$336.24	—	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency dept visit	$299.55	$742.00	$62.00–$336.24	—	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Ed level iii	$299.55	$742.00	$62.00–$336.24	—	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency dept visit	$449.32	$1,113.00	$94.00–$513.96	32% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Ed level iv	$449.32	$1,113.00	$94.00–$513.96	32% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Ed level iv	$449.32	$1,113.00	$94.00–$513.96	32% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency dept visit	$449.32	$1,113.00	$94.00–$513.96	32% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Ed level iv	$449.32	$1,113.00	$94.00–$513.96	—	60%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency dept visit	$449.32	$1,113.00	$94.00–$513.96	—	60%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency dept visit	$449.32	$1,113.00	$94.00–$513.96	—	60%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Ed level iv	$449.32	$1,113.00	$94.00–$513.96	—	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Ed level v	$564.37	$1,398.00	$149.00–$733.53	34% below	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency dept visit	$564.37	$1,398.00	$149.00–$733.53	34% below	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Ed level v	$564.37	$1,398.00	$149.00–$733.53	34% below	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency dept visit	$564.37	$1,398.00	$149.00–$733.53	34% below	60%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Ed level v	$564.37	$1,398.00	$149.00–$733.53	—	60%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency dept visit	$564.37	$1,398.00	$149.00–$733.53	—	60%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Ed level v	$564.37	$1,398.00	$149.00–$733.53	—	60%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency dept visit	$564.37	$1,398.00	$149.00–$733.53	—	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac stress test	$449.32	$1,113.00	$58.00–$265.96	22% below	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac stress test	$449.32	$1,113.00	$58.00–$265.96	22% below	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test	$449.32	$1,113.00	$58.00–$265.96	22% below	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test	$449.32	$1,113.00	$58.00–$265.96	22% below	60%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular stress test	$449.32	$1,113.00	$58.00–$265.96	—	60%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac stress test	$449.32	$1,113.00	$58.00–$265.96	—	60%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular stress test	$449.32	$1,113.00	$58.00–$265.96	—	60%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac stress test	$449.32	$1,113.00	$58.00–$265.96	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv infus saline hydration 31-60	$125.15	$310.00	$72.00–$261.99	64% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv infus saline hydration 31-60	$125.15	$310.00	$72.00–$261.99	64% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration iv infusion init	$125.15	$310.00	$72.00–$261.99	64% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration iv infusion init	$125.15	$310.00	$72.00–$261.99	64% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration iv infusion init	$125.15	$310.00	$72.00–$261.99	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv infus saline hydration 31-60	$125.15	$310.00	$72.00–$261.99	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv infus saline hydration 31-60	$125.15	$310.00	$72.00–$261.99	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration iv infusion init	$125.15	$310.00	$72.00–$261.99	—	60%
IV infusion of a medicine, first hour CPT 96365 In infus init up to 1 hr	$298.33	$739.00	$85.00–$261.99	20% below	60%
IV infusion of a medicine, first hour CPT 96365 Ther/proph/diag iv inf init	$298.33	$739.00	$85.00–$261.99	20% below	60%
IV infusion of a medicine, first hour CPT 96365 In infus init up to 1 hr	$298.33	$739.00	$85.00–$261.99	20% below	60%
IV infusion of a medicine, first hour CPT 96365 Ther/proph/diag iv inf init	$298.33	$739.00	$85.00–$261.99	20% below	60%
IV infusion of a medicine, first hour inpatient CPT 96365 In infus init up to 1 hr	$298.33	$739.00	$85.00–$261.99	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 Ther/proph/diag iv inf init	$298.33	$739.00	$85.00–$261.99	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 In infus init up to 1 hr	$298.33	$739.00	$85.00–$261.99	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 Ther/proph/diag iv inf init	$298.33	$739.00	$85.00–$261.99	—	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag inj sc/im	$2,459.25	$6,091.78	$21.00–$88.69	2820% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag inj sc/im	$2,459.25	$6,091.78	$21.00–$88.69	2820% above	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/proph/diag inj sc/im	$2,459.25	$6,091.78	$21.00–$88.69	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/proph/diag inj sc/im	$2,459.25	$6,091.78	$21.00–$88.69	—	60%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv cndj test 7-8 studies	$445.28	$1,103.00	$175.45–$459.63	at median	60%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction 7-8 studies	$445.28	$1,103.00	$175.45–$459.63	at median	60%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv cndj test 7-8 studies	$445.28	$1,103.00	$175.45–$459.63	at median	60%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction 7-8 studies	$445.28	$1,103.00	$175.45–$459.63	at median	60%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nrv cndj test 7-8 studies	$445.28	$1,103.00	$175.45–$459.63	—	60%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nrv cndj test 7-8 studies	$445.28	$1,103.00	$175.45–$459.63	—	60%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve conduction 7-8 studies	$445.28	$1,103.00	$175.45–$459.63	—	60%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve conduction 7-8 studies	$445.28	$1,103.00	$175.45–$459.63	—	60%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular re-educ/bal	$58.13	$144.00	$16.00–$33.44	31% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation	$58.13	$144.00	$16.00–$33.44	31% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation	$58.13	$144.00	$16.00–$33.44	31% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular re-educ/bal	$58.13	$144.00	$16.00–$33.44	31% below	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation	$58.13	$144.00	$16.00–$33.44	—	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular re-educ/bal	$58.13	$144.00	$16.00–$33.44	—	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation	$58.13	$144.00	$16.00–$33.44	—	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular re-educ/bal	$58.13	$144.00	$16.00–$33.44	—	60%
New patient office visit, about 30 minutes CPT 99203 New patient level 3	$217.19	$538.00	$82.00	10% above	60%
New patient office visit, about 30 minutes CPT 99203 Office/outpatient visit new	$217.19	$538.00	$82.00	10% above	60%
New patient office visit, about 30 minutes CPT 99203 Office/outpatient visit new	$217.19	$538.00	$82.00	10% above	60%
New patient office visit, about 30 minutes CPT 99203 New patient level 3	$217.19	$538.00	$82.00	10% above	60%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/outpatient visit new	$217.19	$538.00	$82.00	—	60%
New patient office visit, about 30 minutes inpatient CPT 99203 New patient level 3	$217.19	$538.00	$82.00	—	60%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/outpatient visit new	$217.19	$538.00	$82.00	—	60%
New patient office visit, about 30 minutes inpatient CPT 99203 New patient level 3	$217.19	$538.00	$82.00	—	60%
New patient office visit, about 45 minutes CPT 99204 New patient level 4	$287.43	$712.00	$120.00	at median	60%
New patient office visit, about 45 minutes CPT 99204 Office/outpatient visit new	$287.43	$712.00	$120.00	at median	60%
New patient office visit, about 45 minutes CPT 99204 Office/outpatient visit new	$287.43	$712.00	$120.00	at median	60%
New patient office visit, about 45 minutes CPT 99204 New patient level 4	$287.43	$712.00	$120.00	at median	60%
New patient office visit, about 45 minutes inpatient CPT 99204 New patient level 4	$287.43	$712.00	$120.00	—	60%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/outpatient visit new	$287.43	$712.00	$120.00	—	60%
New patient office visit, about 45 minutes inpatient CPT 99204 New patient level 4	$287.43	$712.00	$120.00	—	60%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/outpatient visit new	$287.43	$712.00	$120.00	—	60%
New patient office visit, about 60 minutes CPT 99205 New patient level 5	$394.41	$977.00	$151.00	40% above	60%
New patient office visit, about 60 minutes CPT 99205 Office/outpatient visit new	$394.41	$977.00	$151.00	40% above	60%
New patient office visit, about 60 minutes CPT 99205 New patient level 5	$394.41	$977.00	$151.00	40% above	60%
New patient office visit, about 60 minutes CPT 99205 Office/outpatient visit new	$394.41	$977.00	$151.00	40% above	60%
New patient office visit, about 60 minutes inpatient CPT 99205 New patient level 5	$394.41	$977.00	$151.00	—	60%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/outpatient visit new	$394.41	$977.00	$151.00	—	60%
New patient office visit, about 60 minutes inpatient CPT 99205 New patient level 5	$394.41	$977.00	$151.00	—	60%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/outpatient visit new	$394.41	$977.00	$151.00	—	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient level 2	$165.92	$411.00	$59.00	5% above	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/outpatient visit new	$165.92	$411.00	$59.00	5% above	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/outpatient visit new	$165.92	$411.00	$59.00	5% above	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient level 2	$165.92	$411.00	$59.00	5% above	60%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New patient level 2	$165.92	$411.00	$59.00	—	60%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/outpatient visit new	$165.92	$411.00	$59.00	—	60%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/outpatient visit new	$165.92	$411.00	$59.00	—	60%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New patient level 2	$165.92	$411.00	$59.00	—	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition indiv in	$21.40	$53.00	$17.00–$27.16	63% below	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt initial ind per 15 mn	$21.40	$53.00	$17.00–$27.16	63% below	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition indiv in	$21.40	$53.00	$17.00–$27.16	63% below	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt initial ind per 15 mn	$21.40	$53.00	$17.00–$27.16	63% below	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical nutrition indiv in	$21.40	$53.00	$17.00–$27.16	—	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Mnt initial ind per 15 mn	$21.40	$53.00	$17.00–$27.16	—	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Mnt initial ind per 15 mn	$21.40	$53.00	$17.00–$27.16	—	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical nutrition indiv in	$21.40	$53.00	$17.00–$27.16	—	60%
Occupational therapy evaluation, low complexity CPT 97165 Lym ot evaluation low complexity	$106.98	$265.00	$98.00–$265.00	37% below	60%
Occupational therapy evaluation, low complexity CPT 97165 Ot eval low complex 30 min	$106.98	$265.00	$98.00–$265.00	37% below	60%
Occupational therapy evaluation, low complexity CPT 97165 Lym ot evaluation low complexity	$106.98	$265.00	$98.00–$265.00	37% below	60%
Occupational therapy evaluation, low complexity CPT 97165 Ot eval low complex 30 min	$106.98	$265.00	$98.00–$265.00	37% below	60%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot eval low complex 30 min	$106.98	$265.00	$98.00–$265.00	—	60%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Lym ot evaluation low complexity	$106.98	$265.00	$98.00–$265.00	—	60%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Lym ot evaluation low complexity	$106.98	$265.00	$98.00–$265.00	—	60%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot eval low complex 30 min	$106.98	$265.00	$98.00–$265.00	—	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt eval high complex 45 min	$132.82	$329.00	$95.46–$329.00	54% below	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt eval high complex 45 min	$132.82	$329.00	$95.46–$329.00	54% below	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Cc-pt evaluation high complexity	$132.82	$329.00	$95.46–$329.00	54% below	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Cc-pt evaluation high complexity	$132.82	$329.00	$95.46–$329.00	54% below	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt eval high complex 45 min	$132.82	$329.00	$95.46–$329.00	—	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt eval high complex 45 min	$132.82	$329.00	$95.46–$329.00	—	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Cc-pt evaluation high complexity	$132.82	$329.00	$95.46–$329.00	—	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Cc-pt evaluation high complexity	$132.82	$329.00	$95.46–$329.00	—	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Cc-pt evaluation low complexity	$106.98	$265.00	$95.46–$265.00	41% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt eval low complex 20 min	$106.98	$265.00	$95.46–$265.00	41% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt eval low complex 20 min	$106.98	$265.00	$95.46–$265.00	41% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Cc-pt evaluation low complexity	$106.98	$265.00	$95.46–$265.00	41% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Cc-pt evaluation low complexity	$106.98	$265.00	$95.46–$265.00	—	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Cc-pt evaluation low complexity	$106.98	$265.00	$95.46–$265.00	—	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt eval low complex 20 min	$106.98	$265.00	$95.46–$265.00	—	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt eval low complex 20 min	$106.98	$265.00	$95.46–$265.00	—	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Cc-pt evaluation moderate complexity	$122.32	$303.00	$95.46–$303.00	49% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt eval mod complex 30 min	$122.32	$303.00	$95.46–$303.00	49% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Cc-pt evaluation moderate complexity	$122.32	$303.00	$95.46–$303.00	49% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt eval mod complex 30 min	$122.32	$303.00	$95.46–$303.00	49% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Cc-pt evaluation moderate complexity	$122.32	$303.00	$95.46–$303.00	—	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Cc-pt evaluation moderate complexity	$122.32	$303.00	$95.46–$303.00	—	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt eval mod complex 30 min	$122.32	$303.00	$95.46–$303.00	—	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt eval mod complex 30 min	$122.32	$303.00	$95.46–$303.00	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy per 15 minutes	$56.92	$141.00	$16.00–$28.32	32% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy 1/> regions	$56.92	$141.00	$16.00–$28.32	32% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy per 15 minutes	$56.92	$141.00	$16.00–$28.32	32% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy 1/> regions	$56.92	$141.00	$16.00–$28.32	32% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy 1/> regions	$56.92	$141.00	$16.00–$28.32	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy per 15 minutes	$56.92	$141.00	$16.00–$28.32	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy 1/> regions	$56.92	$141.00	$16.00–$28.32	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy per 15 minutes	$56.92	$141.00	$16.00–$28.32	—	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercises	$58.13	$144.00	$16.00–$29.68	29% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercises	$58.13	$144.00	$16.00–$29.68	29% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot ther ex each 15 min	$58.13	$144.00	$16.00–$29.68	29% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot ther ex each 15 min	$58.13	$144.00	$16.00–$29.68	29% below	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic exercises	$58.13	$144.00	$16.00–$29.68	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic exercises	$58.13	$144.00	$16.00–$29.68	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot ther ex each 15 min	$58.13	$144.00	$16.00–$29.68	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot ther ex each 15 min	$58.13	$144.00	$16.00–$29.68	—	60%
Preventive checkup, new patient aged 18–39 CPT 99385 Preventive visit new 18-39 yrs	$198.22	$491.00	$76.00	1% below	60%
Preventive checkup, new patient aged 18–39 CPT 99385 Prev visit new age 18-39	$198.22	$491.00	$76.00	1% below	60%
Preventive checkup, new patient aged 18–39 CPT 99385 Preventive visit new 18-39 yrs	$198.22	$491.00	$76.00	1% below	60%
Preventive checkup, new patient aged 18–39 CPT 99385 Prev visit new age 18-39	$198.22	$491.00	$76.00	1% below	60%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Preventive visit new 18-39 yrs	$198.22	$491.00	$76.00	—	60%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prev visit new age 18-39	$198.22	$491.00	$76.00	—	60%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Preventive visit new 18-39 yrs	$198.22	$491.00	$76.00	—	60%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prev visit new age 18-39	$198.22	$491.00	$76.00	—	60%
Preventive checkup, new patient aged 40–64 CPT 99386 Preventive visit new 40-64 yrs	$198.22	$491.00	$102.00	4% below	60%
Preventive checkup, new patient aged 40–64 CPT 99386 Prev visit new age 40-64	$198.22	$491.00	$102.00	4% below	60%
Preventive checkup, new patient aged 40–64 CPT 99386 Preventive visit new 40-64 yrs	$198.22	$491.00	$102.00	4% below	60%
Preventive checkup, new patient aged 40–64 CPT 99386 Prev visit new age 40-64	$198.22	$491.00	$102.00	4% below	60%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Preventive visit new 40-64 yrs	$198.22	$491.00	$102.00	—	60%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Preventive visit new 40-64 yrs	$198.22	$491.00	$102.00	—	60%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Prev visit new age 40-64	$198.22	$491.00	$102.00	—	60%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Prev visit new age 40-64	$198.22	$491.00	$102.00	—	60%
Preventive checkup, new patient aged 65 or older CPT 99387 Init pm e/m new pat 65+ yrs	$176.82	$438.00	$115.00	29% below	60%
Preventive checkup, new patient aged 65 or older CPT 99387 New patient prev 65 & over (prof)	$176.82	$438.00	$115.00	29% below	60%
Preventive checkup, new patient aged 65 or older CPT 99387 New patient prev 65 & over (prof)	$176.82	$438.00	$115.00	29% below	60%
Preventive checkup, new patient aged 65 or older CPT 99387 Init pm e/m new pat 65+ yrs	$176.82	$438.00	$115.00	29% below	60%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Init pm e/m new pat 65+ yrs	$176.82	$438.00	$115.00	—	60%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Init pm e/m new pat 65+ yrs	$176.82	$438.00	$115.00	—	60%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 New patient prev 65 & over (prof)	$176.82	$438.00	$115.00	—	60%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 New patient prev 65 & over (prof)	$176.82	$438.00	$115.00	—	60%
Preventive checkup, returning patient aged 18–39 CPT 99395 Prev visit est age 18-39	$171.98	$426.00	$64.00	5% below	60%
Preventive checkup, returning patient aged 18–39 CPT 99395 Preventive visit est 18-39 yrs	$171.98	$426.00	$64.00	5% below	60%
Preventive checkup, returning patient aged 18–39 CPT 99395 Prev visit est age 18-39	$171.98	$426.00	$64.00	5% below	60%
Preventive checkup, returning patient aged 18–39 CPT 99395 Preventive visit est 18-39 yrs	$171.98	$426.00	$64.00	5% below	60%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Preventive visit est 18-39 yrs	$171.98	$426.00	$64.00	—	60%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Preventive visit est 18-39 yrs	$171.98	$426.00	$64.00	—	60%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Prev visit est age 18-39	$171.98	$426.00	$64.00	—	60%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Prev visit est age 18-39	$171.98	$426.00	$64.00	—	60%
Preventive checkup, returning patient aged 40–64 CPT 99396 Preventive visit est 40-64 yrs	$171.98	$426.00	$76.00	11% below	60%
Preventive checkup, returning patient aged 40–64 CPT 99396 Prev visit est age 40-64	$171.98	$426.00	$76.00	11% below	60%
Preventive checkup, returning patient aged 40–64 CPT 99396 Prev visit est age 40-64	$171.98	$426.00	$76.00	11% below	60%
Preventive checkup, returning patient aged 40–64 CPT 99396 Preventive visit est 40-64 yrs	$171.98	$426.00	$76.00	11% below	60%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Preventive visit est 40-64 yrs	$171.98	$426.00	$76.00	—	60%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Prev visit est age 40-64	$171.98	$426.00	$76.00	—	60%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Preventive visit est 40-64 yrs	$171.98	$426.00	$76.00	—	60%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Prev visit est age 40-64	$171.98	$426.00	$76.00	—	60%
Preventive checkup, returning patient aged 65 or older CPT 99397 Preventive visit est 65 yrs	$171.98	$426.00	$89.00	14% below	60%
Preventive checkup, returning patient aged 65 or older CPT 99397 Preventive visit est 65 yrs	$171.98	$426.00	$89.00	14% below	60%
Preventive checkup, returning patient aged 65 or older CPT 99397 Per pm reeval est pat 65+ yr	$171.98	$426.00	$89.00	14% below	60%
Preventive checkup, returning patient aged 65 or older CPT 99397 Per pm reeval est pat 65+ yr	$171.98	$426.00	$89.00	14% below	60%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Per pm reeval est pat 65+ yr	$171.98	$426.00	$89.00	—	60%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Preventive visit est 65 yrs	$171.98	$426.00	$89.00	—	60%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Preventive visit est 65 yrs	$171.98	$426.00	$89.00	—	60%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Per pm reeval est pat 65+ yr	$171.98	$426.00	$89.00	—	60%
Psychotherapy session, 30 minutes CPT 90832 Brief continuing care 30 min	$109.40	$271.00	$60.74–$504.49	45% below	60%
Psychotherapy session, 30 minutes CPT 90832 Psytx w pt 30 minutes	$109.40	$271.00	$60.74–$504.49	45% below	60%
Psychotherapy session, 30 minutes CPT 90832 Psytx w pt 30 minutes	$109.40	$271.00	$60.74–$504.49	45% below	60%
Psychotherapy session, 30 minutes CPT 90832 Brief continuing care 30 min	$109.40	$271.00	$60.74–$504.49	45% below	60%
Psychotherapy session, 30 minutes inpatient CPT 90832 Brief continuing care 30 min	$109.40	$271.00	$60.74–$504.49	—	60%
Psychotherapy session, 30 minutes inpatient CPT 90832 Brief continuing care 30 min	$109.40	$271.00	$60.74–$504.49	—	60%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx w pt 30 minutes	$109.40	$271.00	$60.74–$504.49	—	60%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx w pt 30 minutes	$109.40	$271.00	$60.74–$504.49	—	60%
Psychotherapy session, 45 minutes CPT 90834 Psytx w pt 45 minutes	$196.60	$487.00	$78.74–$504.49	23% below	60%
Psychotherapy session, 45 minutes CPT 90834 Normative continuing care 45 min	$196.60	$487.00	$78.74–$504.49	23% below	60%
Psychotherapy session, 45 minutes CPT 90834 Normative continuing care 45 min	$196.60	$487.00	$78.74–$504.49	23% below	60%
Psychotherapy session, 45 minutes CPT 90834 Psytx w pt 45 minutes	$196.60	$487.00	$78.74–$504.49	23% below	60%
Psychotherapy session, 45 minutes inpatient CPT 90834 Normative continuing care 45 min	$196.60	$487.00	$78.74–$504.49	—	60%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx w pt 45 minutes	$196.60	$487.00	$78.74–$504.49	—	60%
Psychotherapy session, 45 minutes inpatient CPT 90834 Normative continuing care 45 min	$196.60	$487.00	$78.74–$504.49	—	60%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx w pt 45 minutes	$196.60	$487.00	$78.74–$504.49	—	60%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav chng smoking 3-10 min	$60.56	$150.00	$12.00–$46.15	43% above	60%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking cessation 3-10 mins	$60.56	$150.00	$12.00–$46.15	43% above	60%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav chng smoking 3-10 min	$60.56	$150.00	$12.00–$46.15	43% above	60%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking cessation 3-10 mins	$60.56	$150.00	$12.00–$46.15	43% above	60%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking cessation 3-10 mins	$60.56	$150.00	$12.00–$46.15	—	60%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking cessation 3-10 mins	$60.56	$150.00	$12.00–$46.15	—	60%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behav chng smoking 3-10 min	$60.56	$150.00	$12.00–$46.15	—	60%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behav chng smoking 3-10 min	$60.56	$150.00	$12.00–$46.15	—	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/outpatient visit est	$288.65	$715.00	$106.00	23% above	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient level 5	$288.65	$715.00	$106.00	23% above	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/outpatient visit est	$288.65	$715.00	$106.00	23% above	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient level 5	$288.65	$715.00	$106.00	23% above	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/outpatient visit est	$288.65	$715.00	$106.00	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/outpatient visit est	$288.65	$715.00	$106.00	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Established patient level 5	$288.65	$715.00	$106.00	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Established patient level 5	$288.65	$715.00	$106.00	—	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/outpatient visit est	$207.91	$515.00	$45.00	22% above	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient level 3	$207.91	$515.00	$45.00	22% above	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient level 3	$207.91	$515.00	$45.00	22% above	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/outpatient visit est	$207.91	$515.00	$45.00	22% above	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/outpatient visit est	$207.91	$515.00	$45.00	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Established patient level 3	$207.91	$515.00	$45.00	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Established patient level 3	$207.91	$515.00	$45.00	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/outpatient visit est	$207.91	$515.00	$45.00	—	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/outpatient visit est	$248.28	$615.00	$69.00	29% above	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient level 4	$248.28	$615.00	$69.00	29% above	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient level 4	$248.28	$615.00	$69.00	29% above	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/outpatient visit est	$248.28	$615.00	$69.00	29% above	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Established patient level 4	$248.28	$615.00	$69.00	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/outpatient visit est	$248.28	$615.00	$69.00	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/outpatient visit est	$248.28	$615.00	$69.00	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Established patient level 4	$248.28	$615.00	$69.00	—	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/outpatient visit est	$167.54	$415.00	$33.00	30% above	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient level 2	$167.54	$415.00	$33.00	30% above	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/outpatient visit est	$167.54	$415.00	$33.00	30% above	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient level 2	$167.54	$415.00	$33.00	30% above	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Established patient level 2	$167.54	$415.00	$33.00	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/outpatient visit est	$167.54	$415.00	$33.00	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Established patient level 2	$167.54	$415.00	$33.00	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/outpatient visit est	$167.54	$415.00	$33.00	—	60%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Lev 3 outpat consult	$188.93	$468.00	$111.00	32% below	60%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office consultation	$188.93	$468.00	$111.00	32% below	60%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Lev 3 outpat consult	$188.93	$468.00	$111.00	32% below	60%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office consultation	$188.93	$468.00	$111.00	32% below	60%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Lev 3 outpat consult	$188.93	$468.00	$111.00	—	60%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office consultation	$188.93	$468.00	$111.00	—	60%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office consultation	$188.93	$468.00	$111.00	—	60%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Lev 3 outpat consult	$188.93	$468.00	$111.00	—	60%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Lev 4 outpat consult	$270.88	$671.00	$156.00	11% below	60%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office consultation	$270.88	$671.00	$156.00	11% below	60%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Lev 4 outpat consult	$270.88	$671.00	$156.00	11% below	60%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office consultation	$270.88	$671.00	$156.00	11% below	60%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office consultation	$270.88	$671.00	$156.00	—	60%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office consultation	$270.88	$671.00	$156.00	—	60%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Lev 4 outpat consult	$270.88	$671.00	$156.00	—	60%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Lev 4 outpat consult	$270.88	$671.00	$156.00	—	60%
Speech and language evaluation CPT 92523 Speech sound lang comprehen	$325.79	$807.00	$187.08–$232.54	17% below	60%
Speech and language evaluation CPT 92523 Evaluation speech sound language comp	$325.79	$807.00	$187.08–$232.54	17% below	60%
Speech and language evaluation CPT 92523 Speech sound lang comprehen	$325.79	$807.00	$187.08–$232.54	17% below	60%
Speech and language evaluation CPT 92523 Evaluation speech sound language comp	$325.79	$807.00	$187.08–$232.54	17% below	60%
Speech and language evaluation inpatient CPT 92523 Evaluation speech sound language comp	$325.79	$807.00	$187.08–$232.54	—	60%
Speech and language evaluation inpatient CPT 92523 Speech sound lang comprehen	$325.79	$807.00	$187.08–$232.54	—	60%
Speech and language evaluation inpatient CPT 92523 Evaluation speech sound language comp	$325.79	$807.00	$187.08–$232.54	—	60%
Speech and language evaluation inpatient CPT 92523 Speech sound lang comprehen	$325.79	$807.00	$187.08–$232.54	—	60%
Speech therapy session, individual CPT 92507 S-sp treatment	$228.90	$567.00	$37.00–$78.15	26% above	60%
Speech therapy session, individual CPT 92507 S-sp treatment	$228.90	$567.00	$37.00–$78.15	26% above	60%
Speech therapy session, individual CPT 92507 Speech/hearing therapy	$228.90	$567.00	$37.00–$78.15	26% above	60%
Speech therapy session, individual CPT 92507 Speech/hearing therapy	$228.90	$567.00	$37.00–$78.15	26% above	60%
Speech therapy session, individual inpatient CPT 92507 Speech/hearing therapy	$228.90	$567.00	$37.00–$78.15	—	60%
Speech therapy session, individual inpatient CPT 92507 S-sp treatment	$228.90	$567.00	$37.00–$78.15	—	60%
Speech therapy session, individual inpatient CPT 92507 Speech/hearing therapy	$228.90	$567.00	$37.00–$78.15	—	60%
Speech therapy session, individual inpatient CPT 92507 S-sp treatment	$228.90	$567.00	$37.00–$78.15	—	60%
Spirometry (breathing test) CPT 94010 Breathing capacity test	$183.28	$454.00	$30.00–$265.96	21% below	60%
Spirometry (breathing test) CPT 94010 Pulm function basic	$183.28	$454.00	$30.00–$265.96	21% below	60%
Spirometry (breathing test) CPT 94010 Breathing capacity test	$183.28	$454.00	$30.00–$265.96	21% below	60%
Spirometry (breathing test) CPT 94010 Pulm function basic	$183.28	$454.00	$30.00–$265.96	21% below	60%
Spirometry (breathing test) inpatient CPT 94010 Pulm function basic	$183.28	$454.00	$30.00–$265.96	—	60%
Spirometry (breathing test) inpatient CPT 94010 Pulm function basic	$183.28	$454.00	$30.00–$265.96	—	60%
Spirometry (breathing test) inpatient CPT 94010 Breathing capacity test	$183.28	$454.00	$30.00–$265.96	—	60%
Spirometry (breathing test) inpatient CPT 94010 Breathing capacity test	$183.28	$454.00	$30.00–$265.96	—	60%
Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing	$445.28	$1,103.00	$56.00–$459.63	19% above	60%
Spirometry before and after a bronchodilator CPT 94060 Bronchodilator	$445.28	$1,103.00	$56.00–$459.63	19% above	60%
Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing	$445.28	$1,103.00	$56.00–$459.63	19% above	60%
Spirometry before and after a bronchodilator CPT 94060 Bronchodilator	$445.28	$1,103.00	$56.00–$459.63	19% above	60%
Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchodilator	$445.28	$1,103.00	$56.00–$459.63	—	60%
Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation of wheezing	$445.28	$1,103.00	$56.00–$459.63	—	60%
Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation of wheezing	$445.28	$1,103.00	$56.00–$459.63	—	60%
Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchodilator	$445.28	$1,103.00	$56.00–$459.63	—	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities	$58.13	$144.00	$16.00–$35.67	38% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities	$58.13	$144.00	$16.00–$35.67	38% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activity	$58.13	$144.00	$16.00–$35.67	38% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activity	$58.13	$144.00	$16.00–$35.67	38% below	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activity	$58.13	$144.00	$16.00–$35.67	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities	$58.13	$144.00	$16.00–$35.67	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activity	$58.13	$144.00	$16.00–$35.67	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities	$58.13	$144.00	$16.00–$35.67	—	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic phlebotomy	$132.41	$328.00	$15.00–$163.88	38% below	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy	$132.41	$328.00	$15.00–$163.88	38% below	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic phlebotomy	$132.41	$328.00	$15.00–$163.88	38% below	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy	$132.41	$328.00	$15.00–$163.88	38% below	60%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy	$132.41	$328.00	$15.00–$163.88	—	60%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic phlebotomy	$132.41	$328.00	$15.00–$163.88	—	60%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy	$132.41	$328.00	$15.00–$163.88	—	60%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic phlebotomy	$132.41	$328.00	$15.00–$163.88	—	60%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Flu vaccine 65+ yr (fluad) 2025-2026	$87.30	$216.26	$216.26	29% below	60%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Flu vaccine 65+ yr (fluad) 2025-2026	$87.30	$216.26	$216.26	29% below	60%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Iiv adjuvant vaccine im	$87.30	$216.26	$216.26	29% below	60%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Iiv adjuvant vaccine im	$87.30	$216.26	$216.26	29% below	60%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Flu vaccine 65+ yr (fluad) 2025-2026	$87.30	$216.26	$216.26	—	60%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Iiv adjuvant vaccine im	$87.30	$216.26	$216.26	—	60%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Iiv adjuvant vaccine im	$87.30	$216.26	$216.26	—	60%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Flu vaccine 65+ yr (fluad) 2025-2026	$87.30	$216.26	$216.26	—	60%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 vac 50 mcg/0.5ml im	$171.17	$424.00	$424.00	20% below	60%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax	$171.17	$424.00	$424.00	20% below	60%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax	$171.17	$424.00	$424.00	20% below	60%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 vac 50 mcg/0.5ml im	$171.17	$424.00	$424.00	20% below	60%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Sarscov2 vac 50 mcg/0.5ml im	$171.17	$424.00	$424.00	—	60%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Spikevax	$171.17	$424.00	$424.00	—	60%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Sarscov2 vac 50 mcg/0.5ml im	$171.17	$424.00	$424.00	—	60%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Spikevax	$171.17	$424.00	$424.00	—	60%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella vaccine (prof)	$83.97	$208.00	$105.32	60% below	60%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var vaccine live subq	$83.97	$208.00	$105.32	60% below	60%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella vaccine (prof)	$83.97	$208.00	$105.32	60% below	60%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var vaccine live subq	$83.97	$208.00	$105.32	60% below	60%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vacc live(pf) solr 1350 unit/0.5 ml	$930.08	$2,303.88	$105.32	341% above	60%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vacc live(pf) solr 1350 unit/0.5 ml	$930.08	$2,303.88	$105.32	341% above	60%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Var vaccine live subq	$83.97	$208.00	$105.32	—	60%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella vaccine (prof)	$83.97	$208.00	$105.32	—	60%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella vaccine (prof)	$83.97	$208.00	$105.32	—	60%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Var vaccine live subq	$83.97	$208.00	$105.32	—	60%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella virus vacc live(pf) solr 1350 unit/0.5 ml	$930.08	$2,303.88	$105.32	—	60%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella virus vacc live(pf) solr 1350 unit/0.5 ml	$930.08	$2,303.88	$105.32	—	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 vacc no prsv 0.5 ml im	$23.41	$58.00	$13.00	25% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 vacc no prsv 0.5 ml im	$23.41	$58.00	$13.00	25% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Afluria flu vaccine	$23.41	$58.00	$13.00	25% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Afluria flu vaccine	$23.41	$58.00	$13.00	25% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Iiv3 vacc no prsv 0.5 ml im	$23.41	$58.00	$13.00	—	60%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Iiv3 vacc no prsv 0.5 ml im	$23.41	$58.00	$13.00	—	60%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Afluria flu vaccine	$23.41	$58.00	$13.00	—	60%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Afluria flu vaccine	$23.41	$58.00	$13.00	—	60%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv vaccine 2/3 dose im	$147.75	$366.00	$366.00	74% below	60%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human pap virus gardisil vaccine	$147.75	$366.00	$366.00	74% below	60%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human pap virus gardisil vaccine	$147.75	$366.00	$366.00	74% below	60%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv vaccine 2/3 dose im	$147.75	$366.00	$366.00	74% below	60%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9 (pf) syrg 0.5 ml	$1,593.64	$3,947.58	$3,947.58	180% above	60%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9 (pf) syrg 0.5 ml	$1,593.64	$3,947.58	$3,947.58	180% above	60%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9vhpv vaccine 2/3 dose im	$147.75	$366.00	$366.00	—	60%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Human pap virus gardisil vaccine	$147.75	$366.00	$366.00	—	60%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Human pap virus gardisil vaccine	$147.75	$366.00	$366.00	—	60%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9vhpv vaccine 2/3 dose im	$147.75	$366.00	$366.00	—	60%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Gardasil 9 (pf) syrg 0.5 ml	$1,593.64	$3,947.58	$3,947.58	—	60%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Gardasil 9 (pf) syrg 0.5 ml	$1,593.64	$3,947.58	$3,947.58	—	60%
Hepatitis A vaccine, adult dose CPT 90632 Hepa vaccine adult im	$98.50	$244.00	$68.60	4% below	60%
Hepatitis A vaccine, adult dose CPT 90632 Hepa vaccine adult im	$98.50	$244.00	$68.60	4% below	60%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis a vaccine adult-immun	$98.50	$244.00	$68.60	4% below	60%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis a vaccine adult-immun	$98.50	$244.00	$68.60	4% below	60%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis a virus vaccine (pf) susp 720 el unit/0.5 ml	$178.27	$441.59	$68.60	73% above	60%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis a virus vaccine (pf) susp 720 el unit/0.5 ml	$178.27	$441.59	$68.60	73% above	60%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis a virus vaccine (pf) syrg 25 unit/0.5 ml	$187.58	$464.64	$68.60	82% above	60%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis a virus vaccine (pf) syrg 25 unit/0.5 ml	$187.58	$464.64	$68.60	82% above	60%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis a virus vaccine (pf) syrg 1440 elisa unit/ml	$433.29	$1,073.30	$68.60	321% above	60%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis a virus vaccine (pf) syrg 1440 elisa unit/ml	$433.29	$1,073.30	$68.60	321% above	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepa vaccine adult im	$98.50	$244.00	$68.60	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepa vaccine adult im	$98.50	$244.00	$68.60	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis a vaccine adult-immun	$98.50	$244.00	$68.60	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis a vaccine adult-immun	$98.50	$244.00	$68.60	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis a virus vaccine (pf) susp 720 el unit/0.5 ml	$178.27	$441.59	$68.60	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis a virus vaccine (pf) susp 720 el unit/0.5 ml	$178.27	$441.59	$68.60	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis a virus vaccine (pf) syrg 25 unit/0.5 ml	$187.58	$464.64	$68.60	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis a virus vaccine (pf) syrg 25 unit/0.5 ml	$187.58	$464.64	$68.60	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis a virus vaccine (pf) syrg 1440 elisa unit/ml	$433.29	$1,073.30	$68.60	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis a virus vaccine (pf) syrg 1440 elisa unit/ml	$433.29	$1,073.30	$68.60	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb vaccine 3 dose adult im	$300.35	$744.00	$60.32	270% above	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis init/f/up	$300.35	$744.00	$60.32	270% above	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb vaccine 3 dose adult im	$300.35	$744.00	$60.32	270% above	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis init/f/up	$300.35	$744.00	$60.32	270% above	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis b virus vacc.rec(pf) syrg 20 mcg/ml	$363.21	$899.70	$60.32	348% above	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis b virus vacc.rec(pf) syrg 20 mcg/ml	$363.21	$899.70	$60.32	348% above	60%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepb vaccine 3 dose adult im	$300.35	$744.00	$60.32	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis init/f/up	$300.35	$744.00	$60.32	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepb vaccine 3 dose adult im	$300.35	$744.00	$60.32	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis init/f/up	$300.35	$744.00	$60.32	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis b virus vacc.rec(pf) syrg 20 mcg/ml	$363.21	$899.70	$60.32	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis b virus vacc.rec(pf) syrg 20 mcg/ml	$363.21	$899.70	$60.32	—	60%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr vaccine sc	$59.75	$148.00	$60.98	45% below	60%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr virus immunization	$59.75	$148.00	$60.98	45% below	60%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr vaccine sc	$59.75	$148.00	$60.98	45% below	60%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr virus immunization	$59.75	$148.00	$60.98	45% below	60%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr vaccine sc	$59.75	$148.00	$60.98	—	60%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr vaccine sc	$59.75	$148.00	$60.98	—	60%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr virus immunization	$59.75	$148.00	$60.98	—	60%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr virus immunization	$59.75	$148.00	$60.98	—	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumo vac pcv20	$341.93	$847.00	$847.00	20% below	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumo vac pcv20	$341.93	$847.00	$847.00	20% below	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 vaccine im	$341.93	$847.00	$847.00	20% below	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 vaccine im	$341.93	$847.00	$847.00	20% below	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumo vac pcv20	$341.93	$847.00	$847.00	—	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumo vac pcv20	$341.93	$847.00	$847.00	—	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pcv20 vaccine im	$341.93	$847.00	$847.00	—	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pcv20 vaccine im	$341.93	$847.00	$847.00	—	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax-23	$88.81	$220.00	$69.92	37% below	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax-23	$88.81	$220.00	$69.92	37% below	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 vacc 2 yrs+ subq/im	$88.81	$220.00	$69.92	37% below	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 vacc 2 yrs+ subq/im	$88.81	$220.00	$69.92	37% below	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Ppsv23 vacc 2 yrs+ subq/im	$88.81	$220.00	$69.92	—	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax-23	$88.81	$220.00	$69.92	—	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax-23	$88.81	$220.00	$69.92	—	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Ppsv23 vacc 2 yrs+ subq/im	$88.81	$220.00	$69.92	—	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus 50mg/0.5ml syringe	$614.43	$1,522.00	$1,522.00	40% below	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Rsv monoc antb seasn .5ml im	$614.43	$1,522.00	$1,522.00	40% below	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus 50mg/0.5ml syringe	$614.43	$1,522.00	$1,522.00	40% below	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Rsv monoc antb seasn .5ml im	$614.43	$1,522.00	$1,522.00	40% below	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Nirsevimab-alip syrg 50 mg/0.5 ml	$1,198.99	$2,970.00	$2,970.00	16% above	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Nirsevimab-alip syrg 50 mg/0.5 ml	$1,198.99	$2,970.00	$2,970.00	16% above	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Rsv monoc antb seasn .5ml im	$614.43	$1,522.00	$1,522.00	—	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Beyfortus 50mg/0.5ml syringe	$614.43	$1,522.00	$1,522.00	—	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Beyfortus 50mg/0.5ml syringe	$614.43	$1,522.00	$1,522.00	—	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Rsv monoc antb seasn .5ml im	$614.43	$1,522.00	$1,522.00	—	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Nirsevimab-alip syrg 50 mg/0.5 ml	$1,198.99	$2,970.00	$2,970.00	—	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Nirsevimab-alip syrg 50 mg/0.5 ml	$1,198.99	$2,970.00	$2,970.00	—	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv vaccine abrysvo	$388.76	$963.00	$963.00	3% below	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv vaccine abrysvo	$388.76	$963.00	$963.00	3% below	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv vacc pref bivalent im	$388.76	$963.00	$963.00	3% below	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv vacc pref bivalent im	$388.76	$963.00	$963.00	3% below	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv vac pref a and pref b(pf) solr 120 mcg/0.5 ml	$743.13	$1,840.80	$1,840.80	85% above	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv vac pref a and pref b(pf) solr 120 mcg/0.5 ml	$743.13	$1,840.80	$1,840.80	85% above	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Rsv vaccine abrysvo	$388.76	$963.00	$963.00	—	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Rsv vaccine abrysvo	$388.76	$963.00	$963.00	—	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Rsv vacc pref bivalent im	$388.76	$963.00	$963.00	—	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Rsv vacc pref bivalent im	$388.76	$963.00	$963.00	—	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Rsv vac pref a and pref b(pf) solr 120 mcg/0.5 ml	$743.13	$1,840.80	$1,840.80	—	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Rsv vac pref a and pref b(pf) solr 120 mcg/0.5 ml	$743.13	$1,840.80	$1,840.80	—	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsv vacc pref recomb adjt im	$373.02	$924.00	$924.00	9% below	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsv	$373.02	$924.00	$924.00	9% below	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsv vacc pref recomb adjt im	$373.02	$924.00	$924.00	9% below	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsv	$373.02	$924.00	$924.00	9% below	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsvpref3 antigen-as01e (pf) susr 120 mcg/0.5 ml	$1,356.43	$3,360.00	$3,360.00	233% above	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsvpref3 antigen-as01e (pf) susr 120 mcg/0.5 ml	$1,356.43	$3,360.00	$3,360.00	233% above	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 Rsv vacc pref recomb adjt im	$373.02	$924.00	$924.00	—	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 Rsv vacc pref recomb adjt im	$373.02	$924.00	$924.00	—	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 Rsv	$373.02	$924.00	$924.00	—	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 Rsv	$373.02	$924.00	$924.00	—	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 Rsvpref3 antigen-as01e (pf) susr 120 mcg/0.5 ml	$1,356.43	$3,360.00	$3,360.00	—	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 Rsvpref3 antigen-as01e (pf) susr 120 mcg/0.5 ml	$1,356.43	$3,360.00	$3,360.00	—	60%
Rabies vaccine, one dose CPT 90675 Rabies vaccine im	$294.70	$730.00	$271.31–$330.98	39% below	60%
Rabies vaccine, one dose CPT 90675 Rabies vaccine im	$294.70	$730.00	$271.31–$330.98	39% below	60%
Rabies vaccine, one dose inpatient CPT 90675 Rabies vaccine im	$294.70	$730.00	$271.31–$330.98	—	60%
Rabies vaccine, one dose inpatient CPT 90675 Rabies vaccine im	$294.70	$730.00	$271.31–$330.98	—	60%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster (shingls) vaccine hzv	$268.03	$663.94	$663.94	2% below	60%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv vacc recombinant im	$268.03	$663.94	$663.94	2% below	60%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster (shingls) vaccine hzv	$268.03	$663.94	$663.94	2% below	60%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv vacc recombinant im	$268.03	$663.94	$663.94	2% below	60%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hzv vacc recombinant im	$268.03	$663.94	$663.94	—	60%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hzv vacc recombinant im	$268.03	$663.94	$663.94	—	60%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Zoster (shingls) vaccine hzv	$268.03	$663.94	$663.94	—	60%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Zoster (shingls) vaccine hzv	$268.03	$663.94	$663.94	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tdap (tetanus) vaccine	$57.73	$143.00	$22.85	3% above	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tdap (tetanus) vaccine	$57.73	$143.00	$22.85	3% above	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td vacc no presv 7 yrs+ im	$57.73	$143.00	$22.85	3% above	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td vacc no presv 7 yrs+ im	$57.73	$143.00	$22.85	3% above	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus and diphther tox(pf) susp 5-2 lf unit/0.5 ml	$191.31	$473.88	$22.85	243% above	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus and diphther tox(pf) susp 5-2 lf unit/0.5 ml	$191.31	$473.88	$22.85	243% above	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td vacc no presv 7 yrs+ im	$57.73	$143.00	$22.85	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tdap (tetanus) vaccine	$57.73	$143.00	$22.85	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tdap (tetanus) vaccine	$57.73	$143.00	$22.85	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td vacc no presv 7 yrs+ im	$57.73	$143.00	$22.85	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus and diphther tox(pf) susp 5-2 lf unit/0.5 ml	$191.31	$473.88	$22.85	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus and diphther tox(pf) susp 5-2 lf unit/0.5 ml	$191.31	$473.88	$22.85	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap vaccine 7 yrs/> im	$59.34	$147.00	$42.18	5% above	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap vaccine 7 yrs/> im	$59.34	$147.00	$42.18	5% above	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel (tdap) vaccine	$59.34	$147.00	$42.18	5% above	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel (tdap) vaccine	$59.34	$147.00	$42.18	5% above	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix (diphthpertus(acell)tetanus) susp 2.5-8-5 lf-mcg-lf/0.5ml	$203.46	$503.99	$42.18	262% above	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix (diphthpertus(acell)tetanus) susp 2.5-8-5 lf-mcg-lf/0.5ml	$203.46	$503.99	$42.18	262% above	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel tdap (diphpertuss(acel)tet vac(pf) susp 2-5-3-5-5 lf-mcg-lf/0.5ml	$245.63	$608.44	$42.18	337% above	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel tdap (diphpertuss(acel)tet vac(pf) susp 2-5-3-5-5 lf-mcg-lf/0.5ml	$245.63	$608.44	$42.18	337% above	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap vaccine 7 yrs/> im	$59.34	$147.00	$42.18	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel (tdap) vaccine	$59.34	$147.00	$42.18	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap vaccine 7 yrs/> im	$59.34	$147.00	$42.18	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel (tdap) vaccine	$59.34	$147.00	$42.18	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix (diphthpertus(acell)tetanus) susp 2.5-8-5 lf-mcg-lf/0.5ml	$203.46	$503.99	$42.18	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix (diphthpertus(acell)tetanus) susp 2.5-8-5 lf-mcg-lf/0.5ml	$203.46	$503.99	$42.18	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel tdap (diphpertuss(acel)tet vac(pf) susp 2-5-3-5-5 lf-mcg-lf/0.5ml	$245.63	$608.44	$42.18	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel tdap (diphpertuss(acel)tet vac(pf) susp 2-5-3-5-5 lf-mcg-lf/0.5ml	$245.63	$608.44	$42.18	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization admin	$37.95	$94.00	$10.00–$88.69	49% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization administration	$37.95	$94.00	$10.00–$88.69	49% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization administration	$37.95	$94.00	$10.00–$88.69	49% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization admin	$37.95	$94.00	$10.00–$88.69	49% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization administration	$37.95	$94.00	$10.00–$88.69	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization administration	$37.95	$94.00	$10.00–$88.69	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization admin	$37.95	$94.00	$10.00–$88.69	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization admin	$37.95	$94.00	$10.00–$88.69	—	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization admin each add	$22.61	$56.00	$10.00	29% below	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization admin addl	$22.61	$56.00	$10.00	29% below	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization admin addl	$22.61	$56.00	$10.00	29% below	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization admin each add	$22.61	$56.00	$10.00	29% below	60%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization admin each add	$22.61	$56.00	$10.00	—	60%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization admin addl	$22.61	$56.00	$10.00	—	60%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization admin each add	$22.61	$56.00	$10.00	—	60%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization admin addl	$22.61	$56.00	$10.00	—	60%

Source file: https://cdn.accureg.net/trans/romememorialhospital/16-1471634_Rome-Memorial-Hospital_standardcharges.json