The Medical Center at Russellville
Listed in its price file as “610920842 - The Medical Center at Russellville”.
The Medical Center at Russellville in Russellville, KY publishes cash prices for 350 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Kentucky median for 193 of 347 procedures and below it for 141. By typical cash price it ranks #52 of 80 Kentucky hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1625 Nashville St. Russellville, KY 42276 Collected Sep 28, 2026 Source price file (270) 726-4011
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 180066 · CMS hospital register NPI 1124868963
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W W/O CONTRAST | $3,548.94 | $5,914.90 | $305.20–$4,731.92 | 112% above | 40% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W W/O CONTRAST | $3,548.94 | $5,914.90 | $2,022.10–$4,731.92 | — | 40% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2V | $657.98 | $1,096.64 | $131.60–$877.31 | 132% above | 40% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2V | $657.98 | $1,096.64 | $250.02–$877.31 | — | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE AP & LAT W/ADL RIGHT | $502.99 | $838.32 | $100.60–$670.66 | 58% above | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE AP & LAT W/ADL LEFT | $502.99 | $838.32 | $100.60–$670.66 | 58% above | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE AP & LAT W/ADL LEFT | $502.99 | $838.32 | $191.13–$670.66 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE AP & LAT W/ADL RIGHT | $502.99 | $838.32 | $191.13–$670.66 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NIPS UP/LOW EXT ART BIL-SNGL | $412.99 | $688.32 | $82.60–$550.66 | 4% above | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NIPS UP/LOW EXT ART REPEAT | $552.00 | $920.00 | $110.40–$736.00 | 40% above | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 TRANSCUTANEOUS MONITORING | $634.80 | $1,058.00 | $126.96–$846.40 | 61% above | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NIPS UP/LOW EXT ART BIL-SNGL | $412.99 | $688.32 | $235.31–$550.66 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NIPS UP/LOW EXT ART REPEAT | $552.00 | $920.00 | $314.52–$736.00 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 TRANSCUTANEOUS MONITORING | $634.80 | $1,058.00 | $361.69–$846.40 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CON RIGHT | $1,569.98 | $2,616.64 | $305.20–$2,093.31 | 50% above | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CON LEFT | $1,569.98 | $2,616.64 | $305.20–$2,093.31 | 50% above | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O CON RIGHT | $1,569.98 | $2,616.64 | $894.54–$2,093.31 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O CON LEFT | $1,569.98 | $2,616.64 | $894.54–$2,093.31 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 FL X-RAY XM ESOPH 1CNTRST | $820.00 | $1,366.66 | $164.00–$1,093.33 | 104% above | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FL X-RAY XM ESOPH 1CNTRST | $820.00 | $1,366.66 | $311.58–$1,093.33 | — | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $2,922.95 | $4,871.58 | $584.59–$3,897.26 | 119% above | 40% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING WHOLE BODY | $2,922.95 | $4,871.58 | $1,665.42–$3,897.26 | — | 40% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST COMPLETE BILATERAL | $809.98 | $1,349.97 | $162.00–$1,079.98 | — | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST COMPLETE RIGHT | $495.01 | $825.01 | $99.00–$660.01 | 19% above | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST COMPLETE LEFT | $495.01 | $825.01 | $99.00–$660.01 | 19% above | 40% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST COMPLETE BILATERAL | $809.98 | $1,349.97 | $461.51–$1,079.98 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 BREAST COMPLETE RIGHT | $495.01 | $825.01 | $282.04–$660.01 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 BREAST COMPLETE LEFT | $495.01 | $825.01 | $282.04–$660.01 | — | 40% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST LIMITED BILATERAL | $620.99 | $1,034.99 | $124.20–$827.99 | — | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST LIMITED LEFT | $337.00 | $561.66 | $67.40–$449.33 | 14% above | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST LIMITED RIGHT | $337.00 | $561.66 | $67.40–$449.33 | 14% above | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST LIMITED BILATERAL | $620.99 | $1,034.99 | $353.83–$827.99 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST LIMITED LEFT | $337.00 | $561.66 | $192.01–$449.33 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST LIMITED RIGHT | $337.00 | $561.66 | $192.01–$449.33 | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD PELVIS W W/O CONT | $2,234.97 | $3,724.95 | $305.20–$2,979.96 | 4% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD PELVIS W W/O CONT | $2,234.97 | $3,724.95 | $1,273.43–$2,979.96 | — | 40% |
| CT angiography (CTA) of the head CPT 70496 C/T-HEAD VENOUS W/O/W CONTRAST | $2,175.97 | $3,626.61 | $305.20–$2,901.29 | 53% above | 40% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD W/O W | $2,175.97 | $3,626.61 | $305.20–$2,901.29 | 53% above | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/O W | $2,175.97 | $3,626.61 | $1,239.81–$2,901.29 | — | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 C/T-HEAD VENOUS W/O/W CONTRAST | $2,175.97 | $3,626.61 | $1,239.81–$2,901.29 | — | 40% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK W/O/W | $2,086.97 | $3,478.28 | $305.20–$2,782.62 | 57% above | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/O/W | $2,086.97 | $3,478.28 | $1,189.10–$2,782.62 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/O/W | $2,090.97 | $3,484.95 | $305.20–$2,787.96 | 48% above | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/O/W | $2,090.97 | $3,484.95 | $1,191.38–$2,787.96 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CARDIAC CT ANGIOGRAPHY | $1,879.80 | $3,133.00 | $305.20–$2,506.40 | 38% above | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CARDIAC CT ANGIOGRAPHY | $1,879.80 | $3,133.00 | $1,071.06–$2,506.40 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CORONARY CALCIFICATION SCORING | $54.00 | $90.00 | $10.80–$90.00 | 57% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CORONARY CALCIFICATION SCORING | $54.00 | $90.00 | $30.77–$72.00 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL W/O CONTRAST | $4,427.93 | $7,379.88 | $305.20–$5,903.90 | 111% above | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PEL W/O CONTRAST | $4,427.93 | $7,379.88 | $2,522.92–$5,903.90 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY | $3,682.20 | $6,137.00 | $305.20–$4,909.60 | 40% above | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W CONTRAST | $5,964.91 | $9,941.51 | $305.20–$7,953.21 | 126% above | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ENTEROGRAPHY | $3,682.20 | $6,137.00 | $2,098.02–$4,909.60 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W CONTRAST | $5,964.91 | $9,941.51 | $3,398.65–$7,953.21 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL W W/O CONTRAST | $7,289.87 | $12,149.79 | $305.20–$9,719.83 | 142% above | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAPHY | $7,289.87 | $12,149.79 | $305.20–$9,719.83 | 142% above | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PEL W W/O CONTRAST | $7,289.87 | $12,149.79 | $4,153.59–$9,719.83 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT UROGRAPHY | $7,289.87 | $12,149.79 | $4,153.59–$9,719.83 | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST | $3,070.95 | $5,118.25 | $305.20–$4,094.60 | 95% above | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH CONTRAST | $3,070.95 | $5,118.25 | $1,749.75–$4,094.60 | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $2,437.96 | $4,063.27 | $305.20–$3,250.62 | 103% above | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST | $2,437.96 | $4,063.27 | $1,389.09–$3,250.62 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIL/FACIAL W/O CONTRAST | $2,058.98 | $3,431.63 | $305.20–$2,745.30 | 83% above | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXIL/FACIAL W/O CONTRAST | $2,058.98 | $3,431.63 | $1,173.15–$2,745.30 | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 C/T-HEAD W/O CONT | $2,381.95 | $3,969.92 | $305.20–$3,175.94 | 111% above | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 C/T-HEAD W/O CONT | $2,381.95 | $3,969.92 | $1,357.18–$3,175.94 | — | 40% |
| CT scan of the head with contrast CPT 70460 C/T-HEAD WITH CONTRAST | $2,381.95 | $3,969.92 | $305.20–$3,175.94 | 65% above | 40% |
| CT scan of the head with contrast inpatient CPT 70460 C/T-HEAD WITH CONTRAST | $2,381.95 | $3,969.92 | $1,357.18–$3,175.94 | — | 40% |
| CT scan of the head without and with contrast CPT 70470 C/T-HEAD WITH & W/O CONTRAST | $3,166.96 | $5,278.26 | $305.20–$4,222.61 | 98% above | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 C/T-HEAD WITH & W/O CONTRAST | $3,166.96 | $5,278.26 | $1,804.45–$4,222.61 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE W/O CONTRAST | $2,966.95 | $4,944.92 | $305.20–$3,955.94 | 126% above | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE W/O CONTRAST | $2,966.95 | $4,944.92 | $1,690.49–$3,955.94 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C SPINE W/O CONTRAST | $2,768.96 | $4,614.94 | $305.20–$3,691.95 | 103% above | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C SPINE W/O CONTRAST | $2,768.96 | $4,614.94 | $1,577.69–$3,691.95 | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $2,892.96 | $4,821.60 | $305.20–$3,857.28 | 106% above | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $2,892.96 | $4,821.60 | $1,648.34–$3,857.28 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 TEMPORAL DUPLEX BILAT | $1,973.96 | $3,289.93 | $394.79–$2,631.94 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX CAROTID BILATERAL | $1,973.96 | $3,289.93 | $394.79–$2,631.94 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 TEMPORAL DUPLEX BILAT | $1,973.96 | $3,289.93 | $1,124.71–$2,631.94 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLEX CAROTID BILATERAL | $1,973.96 | $3,289.93 | $1,124.71–$2,631.94 | — | 40% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W W/O CONTRAST | $3,867.94 | $6,446.57 | $305.20–$5,157.26 | 136% above | 40% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W W/O CONTRAST | $3,867.94 | $6,446.57 | $2,203.86–$5,157.26 | — | 40% |
| Chest X-ray, 2 views CPT 71046 X-RAY CHEST 2 VIEWS | $481.01 | $801.68 | $96.20–$641.34 | 91% above | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 X-RAY CHEST 2 VIEWS | $481.01 | $801.68 | $182.78–$641.34 | — | 40% |
| Chest X-ray, single view CPT 71045 XR PED CHEST 1V | $191.40 | $319.00 | $38.28–$255.20 | 3% above | 40% |
| Chest X-ray, single view CPT 71045 X-RAY CHEST SINGLE VIEW | $371.99 | $619.98 | $74.40–$495.98 | 100% above | 40% |
| Chest X-ray, single view inpatient CPT 71045 XR PED CHEST 1V | $191.40 | $319.00 | $72.73–$255.20 | — | 40% |
| Chest X-ray, single view inpatient CPT 71045 X-RAY CHEST SINGLE VIEW | $371.99 | $619.98 | $141.35–$495.98 | — | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY EXAM OF COLLAR BONE RT | $454.99 | $758.32 | $91.00–$606.66 | 78% above | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY EXAM OF COLLAR BONE LT | $454.99 | $758.32 | $91.00–$606.66 | 78% above | 40% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 X-RAY EXAM OF COLLAR BONE LT | $454.99 | $758.32 | $172.89–$606.66 | — | 40% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 X-RAY EXAM OF COLLAR BONE RT | $454.99 | $758.32 | $172.89–$606.66 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US ABD RENAL AORTA NODES | $1,468.98 | $2,448.30 | $293.80–$1,958.64 | 153% above | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US ABD RENAL AORTA NODES | $1,468.98 | $2,448.30 | $836.99–$1,958.64 | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY W/SCREEN MAMMO | $247.80 | $413.00 | $49.56–$330.40 | 17% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY PER SITE AXIAL | $767.99 | $1,279.99 | $153.60–$1,023.99 | 158% above | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY W/SCREEN MAMMO | $247.80 | $413.00 | $94.16–$330.40 | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY PER SITE AXIAL | $767.99 | $1,279.99 | $291.82–$1,023.99 | — | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG COMP DETAIL FIRST | $1,015.80 | $1,693.00 | $203.16–$1,354.40 | 92% above | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG COMP DETAIL FIRST | $1,015.80 | $1,693.00 | $578.78–$1,354.40 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $2,371.96 | $3,953.27 | $305.20–$3,162.62 | 122% above | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT LUNG LOW DOSE FOLLOW-UP | $2,371.96 | $3,953.27 | $305.20–$3,162.62 | 122% above | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAST | $2,371.96 | $3,953.27 | $1,351.48–$3,162.62 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT LUNG LOW DOSE FOLLOW-UP | $2,371.96 | $3,953.27 | $1,351.48–$3,162.62 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH CONTRAST | $2,953.94 | $4,923.24 | $305.20–$3,938.59 | 122% above | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH CONTRAST | $2,953.94 | $4,923.24 | $1,683.08–$3,938.59 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $292.00 | $486.66 | $58.40–$389.33 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAG ADDL VIEW MAMMO BI | $330.60 | $551.00 | $66.12–$440.80 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO BILAT ADDL | $330.60 | $551.00 | $66.12–$440.80 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC MAMMO BILATERAL BI | $541.34 | $902.24 | $108.27–$721.79 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI | $292.00 | $486.66 | $110.95–$389.33 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO BILAT ADDL | $330.60 | $551.00 | $125.62–$440.80 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAG ADDL VIEW MAMMO BI | $330.60 | $551.00 | $125.62–$440.80 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC MAMMO BILATERAL BI | $541.34 | $902.24 | $205.70–$721.79 | — | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO UNI ADDL LT | $162.00 | $270.00 | $32.40–$216.00 | 27% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO UNI ADDL RT | $162.00 | $270.00 | $32.40–$216.00 | 27% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI RT | $222.01 | $370.01 | $44.40–$296.01 | at median | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMO UNI RT | $222.01 | $370.01 | $44.40–$296.01 | at median | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMO UNI LT | $222.01 | $370.01 | $44.40–$296.01 | at median | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO POST PROC LT | $222.01 | $370.01 | $44.40–$296.01 | at median | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO POST PROC RT | $222.01 | $370.01 | $44.40–$296.01 | at median | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI LT | $222.01 | $370.01 | $44.40–$296.01 | at median | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAG MAMMO ADDL VIEWS LT | $257.40 | $429.00 | $51.48–$343.20 | 16% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAG MAMMO ADDL VIEWS RT | $257.40 | $429.00 | $51.48–$343.20 | 16% above | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO UNI ADDL RT | $162.00 | $270.00 | $61.56–$216.00 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO UNI ADDL LT | $162.00 | $270.00 | $61.56–$216.00 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO POST PROC RT | $222.01 | $370.01 | $84.36–$296.01 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNI RT | $222.01 | $370.01 | $84.36–$296.01 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOSTIC MAMMO UNI LT | $222.01 | $370.01 | $84.36–$296.01 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOSTIC MAMMO UNI RT | $222.01 | $370.01 | $84.36–$296.01 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO POST PROC LT | $222.01 | $370.01 | $84.36–$296.01 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNI LT | $222.01 | $370.01 | $84.36–$296.01 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAG MAMMO ADDL VIEWS LT | $257.40 | $429.00 | $97.81–$343.20 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAG MAMMO ADDL VIEWS RT | $257.40 | $429.00 | $97.81–$343.20 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX LOW EXT ARTERIES BIL | $1,260.98 | $2,101.63 | $252.20–$1,681.30 | 48% above | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX LOW EXT ARTERIES BIL | $1,260.98 | $2,101.63 | $718.47–$1,681.30 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 EXT VEIN DUPL COMP LOWER BILAT | $1,712.98 | $2,854.96 | $342.60–$2,283.97 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 EXT VEIN DUPL COMP UPPER BILAT | $1,712.98 | $2,854.96 | $342.60–$2,283.97 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 EXT VEIN DUPL COMP UPPER BILAT | $1,712.98 | $2,854.96 | $976.01–$2,283.97 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 EXT VEIN DUPL COMP LOWER BILAT | $1,712.98 | $2,854.96 | $976.01–$2,283.97 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 COMPLETE ECHO M MODE 2D IMAGIN | $1,661.97 | $2,769.95 | $332.39–$2,215.96 | 7% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 COMPLETE ECHO M MODE 2D IMAGIN | $1,661.97 | $2,769.95 | $946.95–$2,215.96 | — | 40% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW AP LAT RIGHT | $513.01 | $855.02 | $102.60–$684.02 | 114% above | 40% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW AP LAT LEFT | $513.01 | $855.02 | $102.60–$684.02 | 114% above | 40% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW AP LAT LEFT | $513.01 | $855.02 | $194.94–$684.02 | — | 40% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW AP LAT RIGHT | $513.01 | $855.02 | $194.94–$684.02 | — | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW AP & LAT W/ADL LEFT | $535.99 | $893.32 | $107.20–$714.66 | 64% above | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW AP & LAT W/ADL RIGHT | $535.99 | $893.32 | $107.20–$714.66 | 64% above | 40% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW AP & LAT W/ADL LEFT | $535.99 | $893.32 | $203.67–$714.66 | — | 40% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW AP & LAT W/ADL RIGHT | $535.99 | $893.32 | $203.67–$714.66 | — | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/PF/SELLA W/O CONTR | $1,998.97 | $3,331.62 | $305.20–$2,665.30 | 88% above | 40% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/PF/SELLA W/O CONTR | $1,998.97 | $3,331.62 | $1,138.96–$2,665.30 | — | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XRAY FACIAL BONES MIN 3 VIEWS | $769.00 | $1,281.67 | $153.80–$1,025.34 | 113% above | 40% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XRAY FACIAL BONES MIN 3 VIEWS | $769.00 | $1,281.67 | $292.21–$1,025.34 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM AP & LAT RIGHT | $483.99 | $806.65 | $96.80–$645.32 | 69% above | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM AP & LAT LEFT | $483.99 | $806.65 | $96.80–$645.32 | 69% above | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM AP & LAT RIGHT | $483.99 | $806.65 | $183.91–$645.32 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM AP & LAT LEFT | $483.99 | $806.65 | $183.91–$645.32 | — | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $2,324.98 | $3,874.97 | $465.00–$3,099.98 | 122% above | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $2,324.98 | $3,874.97 | $1,324.72–$3,099.98 | — | 40% |
| Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEW RIGHT | $431.00 | $718.33 | $86.20–$574.66 | 93% above | 40% |
| Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEW LEFT | $431.00 | $718.33 | $86.20–$574.66 | 93% above | 40% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEW LEFT | $431.00 | $718.33 | $163.77–$574.66 | — | 40% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEW RIGHT | $431.00 | $718.33 | $163.77–$574.66 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL LAT AXIAL RIGHT | $432.00 | $720.00 | $86.40–$576.00 | 71% above | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL LAT AXIAL LEFT | $432.00 | $720.00 | $86.40–$576.00 | 71% above | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL LAT AXIAL LEFT | $432.00 | $720.00 | $164.15–$576.00 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL LAT AXIAL RIGHT | $432.00 | $720.00 | $164.15–$576.00 | — | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM-W/STAGING,W/TECH,W/PAP | $4,954.92 | $8,258.20 | $990.98–$6,606.56 | 79% above | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOM-W/STAGING,W/TECH,W/PAP | $4,954.92 | $8,258.20 | $1,882.79–$6,606.56 | — | 40% |
| Knee X-ray, 3 views one side CPT 73562 KNEE AP & LAT W/ADL RIGHT | $515.99 | $859.98 | $103.20–$687.98 | 62% above | 40% |
| Knee X-ray, 3 views one side CPT 73562 KNEE AP & LAT W/ADL LEFT | $515.99 | $859.98 | $103.20–$687.98 | 62% above | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE AP & LAT W/ADL RIGHT | $515.99 | $859.98 | $196.07–$687.98 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE AP & LAT W/ADL LEFT | $515.99 | $859.98 | $196.07–$687.98 | — | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 3 VIEW W/PATELLA RIGHT | $447.98 | $746.64 | $89.60–$597.31 | 23% above | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 3 VIEW W/PATELLA LEFT | $447.98 | $746.64 | $89.60–$597.31 | 23% above | 40% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 3 VIEW W/PATELLA LEFT | $447.98 | $746.64 | $170.23–$597.31 | — | 40% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 3 VIEW W/PATELLA RIGHT | $447.98 | $746.64 | $170.23–$597.31 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CON LEFT | $2,437.96 | $4,063.27 | $305.20–$3,250.62 | 147% above | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CON RIGHT | $2,437.96 | $4,063.27 | $305.20–$3,250.62 | 147% above | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O CON LEFT | $2,437.96 | $4,063.27 | $1,389.09–$3,250.62 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O CON RIGHT | $2,437.96 | $4,063.27 | $1,389.09–$3,250.62 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 CCU LIMITED ABDOMINAL US | $257.40 | $429.00 | $51.48–$343.20 | 53% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ICU LIMITED ABDOMINAL US | $296.40 | $494.00 | $59.28–$395.20 | 46% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL SINGLE ORGAN | $1,067.98 | $1,779.96 | $213.60–$1,423.97 | 95% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE BACK LOWER | $1,067.98 | $1,779.96 | $213.60–$1,423.97 | 95% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 CCU LIMITED ABDOMINAL US | $257.40 | $429.00 | $146.66–$343.20 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ICU LIMITED ABDOMINAL US | $296.40 | $494.00 | $168.88–$395.20 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE BACK LOWER | $1,067.98 | $1,779.96 | $608.51–$1,423.97 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL SINGLE ORGAN | $1,067.98 | $1,779.96 | $608.51–$1,423.97 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 EXTREMITY US RIGHT | $813.00 | $1,355.00 | $162.60–$1,084.00 | 214% above | 40% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 EXTREMITY US LEFT | $813.00 | $1,355.00 | $162.60–$1,084.00 | 214% above | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 EXTREMITY US LEFT | $813.00 | $1,355.00 | $463.23–$1,084.00 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 EXTREMITY US RIGHT | $813.00 | $1,355.00 | $463.23–$1,084.00 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING (LOW DOSE) | $1,014.27 | $1,690.45 | $202.85–$1,352.36 | 127% above | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREENING (LOW DOSE) | $1,014.27 | $1,690.45 | $577.91–$1,352.36 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA FIBULA AP & LAT LEFT | $632.00 | $1,053.33 | $126.40–$842.66 | 110% above | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA FIBULA AP & LAT RIGHT | $632.00 | $1,053.33 | $126.40–$842.66 | 110% above | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA FIBULA AP & LAT LEFT | $632.00 | $1,053.33 | $240.15–$842.66 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA FIBULA AP & LAT RIGHT | $632.00 | $1,053.33 | $240.15–$842.66 | — | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRV BRAIN WO CONTRAST | $1,127.40 | $1,879.00 | $225.48–$1,503.20 | 26% below | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA-BRAIN WITHOUT CONTRAST | $1,369.00 | $2,281.66 | $273.80–$1,825.33 | 10% below | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV BRAIN WO CONTRAST | $1,127.40 | $1,879.00 | $428.39–$1,503.20 | — | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-BRAIN WITHOUT CONTRAST | $1,369.00 | $2,281.66 | $520.20–$1,825.33 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LOW EXT ANY JT WO CON LEFT | $3,916.94 | $6,528.24 | $494.20–$5,222.59 | 157% above | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LOW EXT ANY JT WO CON RIGHT | $3,916.94 | $6,528.24 | $494.20–$5,222.59 | 157% above | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LOW EXT ANY JT WO CON RIGHT | $3,916.94 | $6,528.24 | $1,488.37–$5,222.59 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LOW EXT ANY JT WO CON LEFT | $3,916.94 | $6,528.24 | $1,488.37–$5,222.59 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LOW EXT ANY JT W&WO C RIGHT | $5,353.91 | $8,923.18 | $494.20–$7,138.54 | 152% above | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LOW EXT ANY JT W&WO C LEFT | $5,353.91 | $8,923.18 | $494.20–$7,138.54 | 152% above | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LOW EXT ANY JT W&WO C RIGHT | $5,353.91 | $8,923.18 | $2,034.40–$7,138.54 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LOW EXT ANY JT W&WO C LEFT | $5,353.91 | $8,923.18 | $2,034.40–$7,138.54 | — | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI-ABDOMEN WITHOUT CONTRAST | $3,803.93 | $6,339.89 | $494.20–$5,071.91 | 130% above | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI-ABDOMEN WITHOUT CONTRAST | $3,803.93 | $6,339.89 | $1,445.43–$5,071.91 | — | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI-ABDOMEN WITH & W/O CONTRAS | $3,955.93 | $6,593.21 | $494.20–$5,274.57 | 81% above | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI-ABDOMEN WITH & W/O CONTRAS | $3,955.93 | $6,593.21 | $1,503.19–$5,274.57 | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN WITHOUT CONTRAST | $3,583.95 | $5,973.25 | $494.20–$4,778.60 | 107% above | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI-BRAIN WITHOUT CONTRAST | $3,583.95 | $5,973.25 | $1,361.84–$4,778.60 | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI-BRAIN WO/C,FU W/C & SEQ | $4,719.92 | $7,866.54 | $494.20–$6,293.23 | 102% above | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-BRAIN WO/C,FU W/C & SEQ | $4,719.92 | $7,866.54 | $1,793.49–$6,293.23 | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI-L SPINE W/O CONTRAST | $4,090.94 | $6,818.23 | $494.20–$5,454.58 | 141% above | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-L SPINE W/O CONTRAST | $4,090.94 | $6,818.23 | $1,554.49–$5,454.58 | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI-LSPINE WO/C,FU W/C & SEQ | $5,359.91 | $8,933.18 | $494.20–$7,146.54 | 136% above | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI-LSPINE WO/C,FU W/C & SEQ | $5,359.91 | $8,933.18 | $2,036.68–$7,146.54 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI-T SPINE W/O CONTRAST | $4,025.93 | $6,709.88 | $494.20–$5,367.90 | 133% above | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI-T SPINE W/O CONTRAST | $4,025.93 | $6,709.88 | $1,529.79–$5,367.90 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI-CSPINE WO/C,FU W/C & SEQ | $5,192.92 | $8,654.87 | $494.20–$6,923.90 | 128% above | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI-CSPINE WO/C,FU W/C & SEQ | $5,192.92 | $8,654.87 | $1,973.22–$6,923.90 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI-C SPINE W/O CONTRAST | $4,081.93 | $6,803.22 | $494.20–$5,442.58 | 162% above | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI-C SPINE W/O CONTRAST | $4,081.93 | $6,803.22 | $1,551.07–$5,442.58 | — | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MRI-PELVIS W/O & WITH CONTRAST | $3,949.93 | $6,583.21 | $494.20–$5,266.57 | 78% above | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI-PELVIS W/O & WITH CONTRAST | $3,949.93 | $6,583.21 | $1,500.91–$5,266.57 | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI-PELVIS W/O CONTRAST | $3,708.94 | $6,181.57 | $494.20–$4,945.26 | 129% above | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI-PELVIS W/O CONTRAST | $3,708.94 | $6,181.57 | $1,409.34–$4,945.26 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MR UP EXT ANY JT WO CON BILAT | $1,846.80 | $3,078.00 | $369.36–$2,462.40 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR UP EXT ANY JT WO CON LEFT | $3,888.94 | $6,481.57 | $494.20–$5,185.26 | 127% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR UP EXT ANY JT WO CON RIGHT | $3,888.94 | $6,481.57 | $494.20–$5,185.26 | 127% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MR UP EXT ANY JT WO CON BILAT | $1,846.80 | $3,078.00 | $701.75–$2,462.40 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR UP EXT ANY JT WO CON RIGHT | $3,888.94 | $6,481.57 | $1,477.73–$5,185.26 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR UP EXT ANY JT WO CON LEFT | $3,888.94 | $6,481.57 | $1,477.73–$5,185.26 | — | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XRAY C-SPINE MIN 4 VIEWS | $918.00 | $1,530.00 | $183.60–$1,224.00 | 108% above | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XRAY C-SPINE MIN 4 VIEWS | $918.00 | $1,530.00 | $348.82–$1,224.00 | — | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISS W/CONTR | $2,998.95 | $4,998.25 | $305.20–$3,998.60 | 130% above | 40% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK SOFT TISS W/CONTR | $2,998.95 | $4,998.25 | $1,708.73–$3,998.60 | — | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISS W/O CONTR | $2,493.95 | $4,156.59 | $305.20–$3,325.27 | 114% above | 40% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK SOFT TISS W/O CONTR | $2,493.95 | $4,156.59 | $1,420.99–$3,325.27 | — | 40% |
| Neck soft tissue X-ray CPT 70360 XRAY NECK SOFT TISSUE AP&LAT | $477.01 | $795.02 | $95.40–$636.02 | 90% above | 40% |
| Neck soft tissue X-ray inpatient CPT 70360 XRAY NECK SOFT TISSUE AP&LAT | $477.01 | $795.02 | $181.26–$636.02 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MPI SPECT DUAL STUDY | $2,849.96 | $4,749.93 | $569.99–$3,799.94 | 5% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MPI SPECT DUAL STUDY | $2,849.96 | $4,749.93 | $1,623.83–$3,799.94 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RING RESTAG LUNG CA | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RING IN STG LUNG CA | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IN STG PROSTATE | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RESTAG PROSTATE | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET NEU INSTAGE | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RING IN STG OTHER | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RING EVAL TX BREAST | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RING IN STG BREAST | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RING RESTAGE ESOPHOGEAL | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RING IN STAGE ESOPHOGEAL | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RING RESTAG HD OR NCK | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RING IN HD OR NCK | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RING RESTAG LYMPHOMA | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RING IN STG LYMPHOMA | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RING RESTAG COLON CA | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET NEU RESTAGE | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RING IN STG COLON CA | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RING RESTAG OTHER | $6,196.80 | $10,328.00 | $1,239.36–$8,262.40 | 65% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RING IN STG COLON CA | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RING RESTAG COLON CA | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RING IN STG LYMPHOMA | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RING RESTAG LYMPHOMA | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RING EVAL TX BREAST | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RING IN HD OR NCK | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RING RESTAG HD OR NCK | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RING IN STAGE ESOPHOGEAL | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RING RESTAGE ESOPHOGEAL | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RING IN STG BREAST | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RESTAG PROSTATE | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RING RESTAG OTHER | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RING IN STG OTHER | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RING IN STG LUNG CA | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET IN STG PROSTATE | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET NEU RESTAGE | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET NEU INSTAGE | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET RING RESTAG LUNG CA | $6,196.80 | $10,328.00 | $3,530.78–$8,262.40 | — | 40% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $1,989.96 | $3,316.60 | $305.20–$2,653.28 | 87% above | 40% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST | $1,989.96 | $3,316.60 | $1,133.83–$2,653.28 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ULTRASOUND PELVIC LIMITED | $918.00 | $1,530.00 | $183.60–$1,224.00 | 137% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ULTRASOUND PELVIC LIMITED | $918.00 | $1,530.00 | $523.05–$1,224.00 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC TRANSABDOMINAL | $1,137.99 | $1,896.65 | $227.60–$1,517.32 | 59% above | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC TRANSABDOMINAL | $1,137.99 | $1,896.65 | $648.40–$1,517.32 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG COMP - >14 WKS | $652.73 | $1,087.88 | $130.55–$870.30 | 43% above | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG COMP - >14 WKS | $652.73 | $1,087.88 | $371.91–$870.30 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG COMP - <14 WKS | $717.02 | $1,195.03 | $143.40–$956.02 | 21% above | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG COMP - <14 WKS | $717.02 | $1,195.03 | $408.54–$956.02 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG LIMITED | $632.11 | $1,053.51 | $126.42–$842.81 | 25% above | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG LIMITED | $632.11 | $1,053.51 | $360.16–$842.81 | — | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL RIGHT | $413.00 | $688.34 | $82.60–$550.67 | 43% above | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL LEFT | $413.00 | $688.34 | $82.60–$550.67 | 43% above | 40% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL LEFT | $413.00 | $688.34 | $156.93–$550.67 | — | 40% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL RIGHT | $413.00 | $688.34 | $156.93–$550.67 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 XRAY RIBS UNI W/ PA CXR | $348.00 | $580.00 | $69.60–$464.00 | at median | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS INI W/PA CHEST RIGHT | $784.99 | $1,308.32 | $157.00–$1,046.66 | 126% above | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS INI W/PA CHEST LEFT | $784.99 | $1,308.32 | $157.00–$1,046.66 | 126% above | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 XRAY RIBS UNI W/ PA CXR | $348.00 | $580.00 | $132.23–$464.00 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS INI W/PA CHEST LEFT | $784.99 | $1,308.32 | $298.28–$1,046.66 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS INI W/PA CHEST RIGHT | $784.99 | $1,308.32 | $298.28–$1,046.66 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMO BILATERAL | $262.99 | $438.32 | $52.60–$350.66 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $322.00 | $536.66 | $64.40–$429.33 | — | 40% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO UNI LT | $131.50 | $219.16 | $26.30–$175.33 | 15% below | 40% |
| Screening mammogram, both breasts one side CPT 77067 SCREEN MAMMO UNI RT | $131.50 | $219.16 | $26.30–$175.33 | 15% below | 40% |
| Screening mammogram, both breasts one side CPT 77067 SCR MAMMO UNI INCL CAD RT | $471.39 | $785.65 | $94.28–$628.52 | 206% above | 40% |
| Screening mammogram, both breasts one side CPT 77067 SCR MAMMO UNI INCL CAD LT | $471.39 | $785.65 | $94.28–$628.52 | 206% above | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING MAMMO BILATERAL | $262.99 | $438.32 | $99.93–$350.66 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD | $322.00 | $536.66 | $122.35–$429.33 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMO UNI LT | $131.50 | $219.16 | $49.97–$175.33 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCREEN MAMMO UNI RT | $131.50 | $219.16 | $49.97–$175.33 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCR MAMMO UNI INCL CAD RT | $471.39 | $785.65 | $179.12–$628.52 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCR MAMMO UNI INCL CAD LT | $471.39 | $785.65 | $179.12–$628.52 | — | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2 VWS RIGHT | $530.00 | $883.33 | $106.00–$706.66 | 77% above | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2 VWS LEFT | $530.00 | $883.33 | $106.00–$706.66 | 77% above | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN 2 VWS LEFT | $530.00 | $883.33 | $201.39–$706.66 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN 2 VWS RIGHT | $530.00 | $883.33 | $201.39–$706.66 | — | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XRAY PARANASAL SINUS MIN 3V | $755.00 | $1,258.34 | $151.00–$1,006.67 | 101% above | 40% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XRAY PARANASAL SINUS MIN 3V | $755.00 | $1,258.34 | $286.89–$1,006.67 | — | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 XRAY ZYGOMATIC ARCH | $358.20 | $597.00 | $71.64–$477.60 | 34% above | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 XRAY SKULL <4 VWS | $829.99 | $1,383.31 | $166.00–$1,106.65 | 212% above | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XRAY ZYGOMATIC ARCH | $358.20 | $597.00 | $136.11–$477.60 | — | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XRAY SKULL <4 VWS | $829.99 | $1,383.31 | $315.38–$1,106.65 | — | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM W/STAGING, W/TECH | $4,354.93 | $7,258.22 | $870.99–$5,806.58 | 69% above | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM W/STAGING, W/TECH | $4,354.93 | $7,258.22 | $1,654.80–$5,806.58 | — | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO | $1,356.60 | $2,261.00 | $271.32–$1,808.80 | 29% above | 40% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS ECHO | $1,356.60 | $2,261.00 | $772.96–$1,808.80 | — | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XRAY MOD SWALLOW W/SUBST | $706.99 | $1,178.32 | $141.40–$942.66 | 63% above | 40% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XRAY MOD SWALLOW W/SUBST | $706.99 | $1,178.32 | $268.65–$942.66 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2/V>LEFT | $508.99 | $848.32 | $101.80–$678.66 | 73% above | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2/V>RIGHT | $508.99 | $848.32 | $101.80–$678.66 | 73% above | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2/V>LEFT | $508.99 | $848.32 | $193.41–$678.66 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2/V>RIGHT | $508.99 | $848.32 | $193.41–$678.66 | — | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T SPINE W/O CONTRAST | $1,281.98 | $2,136.63 | $256.40–$1,709.30 | 5% above | 40% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T SPINE W/O CONTRAST | $1,281.98 | $2,136.63 | $730.44–$1,709.30 | — | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE(S) RIGHT | $322.00 | $536.66 | $64.40–$429.33 | 70% above | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE(S) LEFT | $322.00 | $536.66 | $64.40–$429.33 | 70% above | 40% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) RIGHT | $322.00 | $536.66 | $122.35–$429.33 | — | 40% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) LEFT | $322.00 | $536.66 | $122.35–$429.33 | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US PELVIC TRANSVAGINAL | $1,067.98 | $1,779.96 | $213.60–$1,423.97 | 78% above | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIC TRANSVAGINAL | $1,067.98 | $1,779.96 | $608.51–$1,423.97 | — | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL | $596.57 | $994.29 | $119.31–$795.43 | 20% above | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL | $596.57 | $994.29 | $339.91–$795.43 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE | $1,429.98 | $2,383.30 | $286.00–$1,906.64 | 69% above | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE | $1,429.98 | $2,383.30 | $814.77–$1,906.64 | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND TESTICULAR | $1,106.00 | $1,843.33 | $221.20–$1,474.66 | 92% above | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 ULTRASOUND TESTICULAR | $1,106.00 | $1,843.33 | $630.17–$1,474.66 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-SOFT TISSUE OF HEAD & NECK | $991.99 | $1,653.32 | $198.40–$1,322.66 | 75% above | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-SOFT TISSUE OF HEAD & NECK | $991.99 | $1,653.32 | $565.21–$1,322.66 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL UPPER GI WO AIR | $1,347.98 | $2,246.63 | $269.60–$1,797.30 | 177% above | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL UPPER GI WO AIR | $1,347.98 | $2,246.63 | $512.21–$1,797.30 | — | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS AP & LATERAL RIGHT | $477.99 | $796.65 | $95.60–$637.32 | 77% above | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS AP & LATERAL LEFT | $477.99 | $796.65 | $95.60–$637.32 | 77% above | 40% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS AP & LATERAL LEFT | $477.99 | $796.65 | $181.63–$637.32 | — | 40% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS AP & LATERAL RIGHT | $477.99 | $796.65 | $181.63–$637.32 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 CCU LIMITED DVT US | $588.60 | $981.00 | $117.72–$784.80 | at median | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ICU LIMITED DVT US | $677.40 | $1,129.00 | $135.48–$903.20 | 15% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXT VEIN DUPL FUP/LIM LOWER RT | $1,267.98 | $2,113.30 | $253.60–$1,690.64 | 115% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXT VEIN DUPL FUP/LIM LOWER LT | $1,267.98 | $2,113.30 | $253.60–$1,690.64 | 115% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXT VEIN DUPL FUP/LIM UPPER RT | $1,267.98 | $2,113.30 | $253.60–$1,690.64 | 115% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXT VEIN DUPL FUP/LIM UPPER LT | $1,267.98 | $2,113.30 | $253.60–$1,690.64 | 115% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 CCU LIMITED DVT US | $588.60 | $981.00 | $335.37–$784.80 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 ICU LIMITED DVT US | $677.40 | $1,129.00 | $385.97–$903.20 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXT VEIN DUPL FUP/LIM UPPER RT | $1,267.98 | $2,113.30 | $722.46–$1,690.64 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXT VEIN DUPL FUP/LIM LOWER LT | $1,267.98 | $2,113.30 | $722.46–$1,690.64 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXT VEIN DUPL FUP/LIM LOWER RT | $1,267.98 | $2,113.30 | $722.46–$1,690.64 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXT VEIN DUPL FUP/LIM UPPER LT | $1,267.98 | $2,113.30 | $722.46–$1,690.64 | — | 40% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST AP LAT LEFT | $497.75 | $829.58 | $99.55–$663.66 | 143% above | 40% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST AP LAT RIGHT | $497.75 | $829.58 | $99.55–$663.66 | 143% above | 40% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST AP LAT RIGHT | $497.75 | $829.58 | $189.14–$663.66 | — | 40% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST AP LAT LEFT | $497.75 | $829.58 | $189.14–$663.66 | — | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST AP & LAT W/ADL LEFT | $481.01 | $801.68 | $96.20–$641.34 | 57% above | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST AP & LAT W/ADL RIGHT | $481.01 | $801.68 | $96.20–$641.34 | 57% above | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST AP & LAT W/ADL LEFT | $481.01 | $801.68 | $182.78–$641.34 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST AP & LAT W/ADL RIGHT | $481.01 | $801.68 | $182.78–$641.34 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2-3V LEFT W OR W/O PELVIS | $493.99 | $823.31 | $98.80–$658.65 | 109% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2-3V RIGHT W OR W/O PELVIS | $493.99 | $823.31 | $98.80–$658.65 | 109% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2-3V RIGHT W OR W/O PELVIS | $493.99 | $823.31 | $187.71–$658.65 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2-3V LEFT W OR W/O PELVIS | $493.99 | $823.31 | $187.71–$658.65 | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1V | $428.00 | $713.34 | $85.60–$570.67 | 75% above | 40% |
| X-ray of the abdomen, 1 view CPT 74018 XR PED ABD 1V | $428.00 | $713.34 | $85.60–$570.67 | 75% above | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1V | $428.00 | $713.34 | $162.63–$570.67 | — | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR PED ABD 1V | $428.00 | $713.34 | $162.63–$570.67 | — | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE AP AND LAT LEFT | $401.99 | $669.99 | $80.40–$535.99 | 72% above | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE AP AND LAT RIGHT | $401.99 | $669.99 | $80.40–$535.99 | 72% above | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE AP AND LAT LEFT | $401.99 | $669.99 | $152.75–$535.99 | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE AP AND LAT RIGHT | $401.99 | $669.99 | $152.75–$535.99 | — | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) RIGHT | $322.00 | $536.66 | $64.40–$429.33 | 42% above | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) LEFT | $322.00 | $536.66 | $64.40–$429.33 | 42% above | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) RIGHT | $322.00 | $536.66 | $122.35–$429.33 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) LEFT | $322.00 | $536.66 | $122.35–$429.33 | — | 40% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT AP LAT RIGHT | $542.00 | $903.33 | $108.40–$722.66 | 145% above | 40% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT AP LAT LEFT | $542.00 | $903.33 | $108.40–$722.66 | 145% above | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT AP LAT RIGHT | $542.00 | $903.33 | $205.95–$722.66 | — | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT AP LAT LEFT | $542.00 | $903.33 | $205.95–$722.66 | — | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT AP & OBL W/ADL RIGHT | $493.99 | $823.31 | $98.80–$658.65 | 62% above | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT AP & OBL W/ADL LEFT | $493.99 | $823.31 | $98.80–$658.65 | 62% above | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT AP & OBL W/ADL LEFT | $493.99 | $823.31 | $187.71–$658.65 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT AP & OBL W/ADL RIGHT | $493.99 | $823.31 | $187.71–$658.65 | — | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND AP & OBL W/ADL LEFT | $487.00 | $811.66 | $97.40–$649.33 | 62% above | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND AP & OBL W/ADL RIGHT | $487.00 | $811.66 | $97.40–$649.33 | 62% above | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND AP & OBL W/ADL LEFT | $487.00 | $811.66 | $185.05–$649.33 | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND AP & OBL W/ADL RIGHT | $487.00 | $811.66 | $185.05–$649.33 | — | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE AP LAT RIGHT | $445.00 | $741.67 | $89.00–$593.34 | 87% above | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE AP LAT LEFT | $445.00 | $741.67 | $89.00–$593.34 | 87% above | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE AP LAT LEFT | $445.00 | $741.67 | $169.09–$593.34 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE AP LAT RIGHT | $445.00 | $741.67 | $169.09–$593.34 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY L SPINE 3 VIEWS | $689.00 | $1,148.34 | $137.80–$918.67 | 108% above | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY L SPINE 2 OR 3 VIEWS | $689.00 | $1,148.34 | $137.80–$918.67 | 108% above | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XRAY L SPINE 2 OR 3 VIEWS | $689.00 | $1,148.34 | $261.81–$918.67 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XRAY L SPINE 3 VIEWS | $689.00 | $1,148.34 | $261.81–$918.67 | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XRAY L-SPINE MIN 4 VIEWS | $990.98 | $1,651.64 | $198.20–$1,321.31 | 108% above | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XRAY L-SPINE MIN 4 VIEWS | $990.98 | $1,651.64 | $376.56–$1,321.31 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY T-SPINE 2 VIEWS | $770.99 | $1,284.98 | $154.20–$1,027.98 | 157% above | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XRAY T-SPINE 2 VIEWS | $770.99 | $1,284.98 | $292.96–$1,027.98 | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XRAY NASAL BONES MIN 3 VIEWS | $601.99 | $1,003.32 | $120.40–$802.66 | 105% above | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XRAY NASAL BONES MIN 3 VIEWS | $601.99 | $1,003.32 | $228.75–$802.66 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY C-SPINE 2 OR 3 VIEWS | $757.00 | $1,261.66 | $151.40–$1,009.33 | 139% above | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY CX SPINE 3 VIEW | $757.00 | $1,261.66 | $151.40–$1,009.33 | 139% above | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XRAY C-SPINE 2 OR 3 VIEWS | $757.00 | $1,261.66 | $287.65–$1,009.33 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY CX SPINE 3 VIEW | $757.00 | $1,261.66 | $287.65–$1,009.33 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY PELVIS AP | $569.00 | $948.33 | $113.80–$758.66 | 118% above | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY PELVIS AP | $569.00 | $948.33 | $216.21–$758.66 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY SACRUM & COCCYX | $558.99 | $931.65 | $111.80–$745.32 | 93% above | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-RAY SACRUM & COCCYX | $558.99 | $931.65 | $212.41–$745.32 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORM. | $409.00 | $681.66 | $81.80–$545.33 | 120% above | 40% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORM. | $409.00 | $681.66 | $155.41–$545.33 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT | $121.00 | $201.67 | $24.20–$161.34 | 107% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $121.00 | $201.67 | $24.20–$161.34 | 107% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 CHEM-SGPT TRANSAMINASE | $121.00 | $201.67 | $24.20–$161.34 | 107% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT | $121.00 | $201.67 | $45.98–$161.34 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 CHEM-SGPT TRANSAMINASE | $121.00 | $201.67 | $45.98–$161.34 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT | $121.00 | $201.67 | $45.98–$161.34 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT | $132.00 | $220.00 | $26.40–$176.00 | 112% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 CHEM-SGOT TRANSAMINASE | $132.00 | $220.00 | $26.40–$176.00 | 112% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $132.00 | $220.00 | $26.40–$176.00 | 112% above | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT | $132.00 | $220.00 | $50.16–$176.00 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT | $132.00 | $220.00 | $50.16–$176.00 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 CHEM-SGOT TRANSAMINASE | $132.00 | $220.00 | $50.16–$176.00 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL, ACUTE | $118.20 | $197.00 | $23.64–$157.60 | 49% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL | $867.99 | $1,446.65 | $173.60–$1,157.32 | 278% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PNL, ACUTE, IN-HOUSE | $867.99 | $1,446.65 | $173.60–$1,157.32 | 278% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL, ACUTE | $118.20 | $197.00 | $44.91–$157.60 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PNL, ACUTE, IN-HOUSE | $867.99 | $1,446.65 | $329.82–$1,157.32 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL | $867.99 | $1,446.65 | $329.82–$1,157.32 | — | 40% |
| Albumin blood test CPT 82040 ALBUMIN, SERUM | $11.40 | $19.00 | $2.28–$15.20 | 81% below | 40% |
| Albumin blood test CPT 82040 CHEM-ALBUMIN | $110.00 | $183.33 | $22.00–$146.66 | 88% above | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM | $11.40 | $19.00 | $4.33–$15.20 | — | 40% |
| Albumin blood test inpatient CPT 82040 CHEM-ALBUMIN | $110.00 | $183.33 | $41.80–$146.66 | — | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE, URINE | $383.99 | $639.99 | $76.80–$511.99 | 207% above | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $383.99 | $639.99 | $76.80–$511.99 | 207% above | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, URINE | $383.99 | $639.99 | $145.91–$511.99 | — | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $383.99 | $639.99 | $145.91–$511.99 | — | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE | $187.00 | $311.66 | $37.40–$249.33 | 225% above | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 CHEM-ALKALINE PHOSPHATASE | $187.00 | $311.66 | $37.40–$249.33 | 225% above | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOSPHATASE | $187.00 | $311.66 | $71.06–$249.33 | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 CHEM-ALKALINE PHOSPHATASE | $187.00 | $311.66 | $71.06–$249.33 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW MILK IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RICE IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HORSE HAIR DANDER IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MITES D.PTERONYSSINUS IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MITES D.FARINAE IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BAKER/BREWERS YEAST IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST GREER IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST STIER IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD, ORANGE IGE | $6.29 | $10.49 | $1.26–$8.39 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER IGE | $6.30 | $10.50 | $1.26–$8.40 | 48% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ADDL ALLERGEN, IGE | $7.20 | $12.00 | $1.44–$9.60 | 40% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE | $7.20 | $12.00 | $1.44–$9.60 | 40% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE | $9.00 | $15.00 | $1.80–$12.00 | 25% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGR | $9.00 | $15.00 | $1.80–$12.00 | 25% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, EGG IGE | $9.60 | $16.00 | $1.92–$12.80 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, SESAME SEED | $9.60 | $16.00 | $1.92–$12.80 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LIME | $9.60 | $16.00 | $1.92–$12.80 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LEMON | $9.60 | $16.00 | $1.92–$12.80 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GRAPEFRUIT | $9.60 | $16.00 | $1.92–$12.80 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MANDARIN | $9.60 | $16.00 | $1.92–$12.80 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HONEY BEE ALLERGEN | $9.60 | $16.00 | $1.92–$12.80 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GELATIN BOVINE ALLERGEN | $9.60 | $16.00 | $1.92–$12.80 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PINE NUT | $9.60 | $16.00 | $1.92–$12.80 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY ALLERGEN | $9.60 | $16.00 | $1.92–$12.80 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE FACE HORNET ALLERGEN | $9.60 | $16.00 | $1.92–$12.80 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RESP ALLERGENS, 1 TARGET | $9.60 | $16.00 | $1.92–$12.80 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RESP ALLERGIES, 23 TARGETS | $9.60 | $16.00 | $1.92–$12.80 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, PEPPER C. | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL WEED IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M. RACEMOSUS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE EPITHELIUM IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PECAN TREE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CYSTIC FIBROSIS MUTATION DETEC | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE W/M | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, ASCARIS | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, DRUG | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE WEED IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. ALTERNATA IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ELDER/MAPLE TREE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR TREE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK (COW) IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HORMODENDRUM IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ELM TREE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK TREE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH TREE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. FUMIGATUS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D PTERONYSSINUS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. FARINAE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 P. NOTATUM IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COMMON/SHORT RAGWEED IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GERMAN COCKRAOCH, IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, EGG WHITE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, CRAB IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, CHICKEN IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, CARROT IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO FOOD ALLERGEN | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LIDOCAINE IGE, IMMUNOCAP | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT FOOD ALLERGEN | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT FOOD ALLERGEN IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN FOOD ALLERGEN | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP FOOD ALLERGEN | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEE FOOD ALLERGEN | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP FOOD ALLERGEN | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT FOOD ALLERGEN | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW'S MILK FOOD ALLERGEN | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT FOOD ALLERGEN | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN FOOD ALLERGEN | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE FOOD ALLERGEN | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH FOOD ALLERGEN IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. TERREUS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. NIDULANS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. FLAVUS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. AMSTELODAMI/GLAUCUS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. VERSICOLOR IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. NIGER IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SE FOOD ALLERGEN PROFILE W/M | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SE FOOD ALLERGEN PROFILE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TROUT IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALMON IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HALIBUT IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MACKEREL IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TUNA IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTAMIC ACID IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, YELLOWFACED HORNET | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, PAPER WASP | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, WHITE-FACE HORNET | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, YELLOW JACKET VEN | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, HONEY BEE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MESQUITE TREE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHORT RAGWEED IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HORSE DANDER IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JOHSON GRASS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW DANDER IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PERENNIAL RYE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 KENTUCKY BLUE GRASS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTERS WEED IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE TREE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. PTERONYSSINUS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IMMUNOCAP SCORE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C. ALBICANS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMORE TREE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GERMAN COCKROACH IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COMMON RAGWEED IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 P NOTATUM IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE ASH TREE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D FARINAE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A FUMIGATUS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD TREE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR TREE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BOX ELDER/MAPLE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A ALTERNATA IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE MULBERRY TREE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MARSH ELDER IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M RACEMOSUS IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER FOOD ALLERGEN IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP FOOD ALLERGEN IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLAM FOOD ALLERGEN IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER FOOD ALLERGEN IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLUE MUSSEL ALLERGEN IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP FOOD ALLERGEN IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAB FOOD ALLERGEN IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, PORK IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, BEEF IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, CABBAGE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, CORN IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, TUNA IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, BARLEY IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, RICE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, POTATO IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, OAT IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, CODFISH IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, WHEAT IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, TOMATO IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, SOYBEAN IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN SHRIMP IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN RYE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, PEANUT IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, ORANGE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, NAVY BEAN IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN COW MILK IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN LETTUCE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN, GRAPE IGE | $12.00 | $20.00 | $2.40–$16.00 | at median | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE QUANT | $33.00 | $55.00 | $6.60–$44.00 | 174% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE | $34.80 | $58.00 | $6.96–$46.40 | 189% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $51.00 | $85.00 | $10.20–$68.00 | 323% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FLAVUS ALLERGEN | $61.80 | $103.00 | $12.36–$82.40 | 413% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGEN (VIRACOR) | $62.40 | $104.00 | $12.48–$83.20 | 418% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, DOG DANDER | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN W/M | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, SINGLE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT IGE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT IGE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT IGE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PECAN IGE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW IGE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT IGE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND IGE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, A. ALTERNATA | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CAT DANDER | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, EGG WHITE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, COW MILK | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, PEANUT | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, SOYBEAN | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, WHEAT | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CODFISH | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, D. PTERONYSSINUS | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, D. FARINAE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, GERMAN COCKROACH | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEEF IGE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PORK IGE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMB IGE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, PEANUT IGE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, MILK IGE | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, MILK COMPONENTS | $107.00 | $178.34 | $21.40–$142.67 | 788% above | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST STIER IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAKER/BREWERS YEAST IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MITES D.FARINAE IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MITES D.PTERONYSSINUS IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE HAIR DANDER IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RICE IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD, ORANGE IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW MILK IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST GREER IGE | $6.29 | $10.49 | $2.39–$8.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER IGE | $6.30 | $10.50 | $2.39–$8.40 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ADDL ALLERGEN, IGE | $7.20 | $12.00 | $2.74–$9.60 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE | $7.20 | $12.00 | $2.74–$9.60 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE | $9.00 | $15.00 | $3.42–$12.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGR | $9.00 | $15.00 | $3.42–$12.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE FACE HORNET ALLERGEN | $9.60 | $16.00 | $3.65–$12.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PINE NUT | $9.60 | $16.00 | $3.65–$12.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY ALLERGEN | $9.60 | $16.00 | $3.65–$12.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GRAPEFRUIT | $9.60 | $16.00 | $3.65–$12.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LEMON | $9.60 | $16.00 | $3.65–$12.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LIME | $9.60 | $16.00 | $3.65–$12.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, SESAME SEED | $9.60 | $16.00 | $3.65–$12.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, EGG IGE | $9.60 | $16.00 | $3.65–$12.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RESP ALLERGIES, 23 TARGETS | $9.60 | $16.00 | $3.65–$12.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RESP ALLERGENS, 1 TARGET | $9.60 | $16.00 | $3.65–$12.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MANDARIN | $9.60 | $16.00 | $3.65–$12.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEY BEE ALLERGEN | $9.60 | $16.00 | $3.65–$12.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GELATIN BOVINE ALLERGEN | $9.60 | $16.00 | $3.65–$12.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN TREE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GERMAN COCKRAOCH, IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, HONEY BEE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MESQUITE TREE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHORT RAGWEED IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE DANDER IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENGLISH PLANTAIN IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHSON GRASS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW DANDER IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PERENNIAL RYE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUGWORT IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KENTUCKY BLUE GRASS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMBS QUARTERS WEED IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OLIVE TREE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. PTERONYSSINUS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IMMUNOCAP SCORE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C. ALBICANS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT TREE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SYCAMORE TREE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GERMAN COCKROACH IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON RAGWEED IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P NOTATUM IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE ASH TREE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D FARINAE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A FUMIGATUS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RUSSIAN THISTLE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTONWOOD TREE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR TREE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BOX ELDER/MAPLE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A ALTERNATA IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE MULBERRY TREE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MARSH ELDER IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M RACEMOSUS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OYSTER FOOD ALLERGEN IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP FOOD ALLERGEN IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM FOOD ALLERGEN IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER FOOD ALLERGEN IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUE MUSSEL ALLERGEN IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP FOOD ALLERGEN IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB FOOD ALLERGEN IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, PORK IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, BEEF IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, CABBAGE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, CORN IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, TUNA IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, BARLEY IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, RICE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON/SHORT RAGWEED IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P. NOTATUM IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. FARINAE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, POTATO IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, OAT IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, CODFISH IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, WHEAT IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, TOMATO IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D PTERONYSSINUS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. FUMIGATUS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH TREE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, SOYBEAN IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN SHRIMP IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK TREE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM TREE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORMODENDRUM IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NETTLE WEED IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. ALTERNATA IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN RYE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, PEANUT IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, ORANGE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, NAVY BEAN IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN COW MILK IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN LETTUCE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELDER/MAPLE TREE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR TREE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIGWEED IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK (COW) IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CYSTIC FIBROSIS MUTATION DETEC | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE W/M | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, ASCARIS | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, DRUG | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, GRAPE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, EGG WHITE IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, CRAB IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, CHICKEN IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, CARROT IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN, PEPPER C. | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO FOOD ALLERGEN | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP SORREL WEED IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M. RACEMOSUS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIDOCAINE IGE, IMMUNOCAP | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT FOOD ALLERGEN IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN FOOD ALLERGEN | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP FOOD ALLERGEN | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEE FOOD ALLERGEN | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP FOOD ALLERGEN | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT FOOD ALLERGEN | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW'S MILK FOOD ALLERGEN | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT FOOD ALLERGEN | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN FOOD ALLERGEN | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE FOOD ALLERGEN | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH FOOD ALLERGEN IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. TERREUS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. NIDULANS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. FLAVUS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. AMSTELODAMI/GLAUCUS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. VERSICOLOR IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. NIGER IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SE FOOD ALLERGEN PROFILE W/M | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SE FOOD ALLERGEN PROFILE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TROUT IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HALIBUT IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACKEREL IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTAMIC ACID IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, YELLOWFACED HORNET | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, PAPER WASP | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, WHITE-FACE HORNET | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, YELLOW JACKET VEN | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE EPITHELIUM IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAHIA GRASS IGE | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT FOOD ALLERGEN | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE QUANT | $33.00 | $55.00 | $12.54–$44.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE | $34.80 | $58.00 | $13.22–$46.40 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE | $51.00 | $85.00 | $19.38–$68.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FLAVUS ALLERGEN | $61.80 | $103.00 | $23.48–$82.40 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGEN (VIRACOR) | $62.40 | $104.00 | $23.71–$83.20 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, A. ALTERNATA | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, MILK COMPONENTS | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, MILK IGE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, PEANUT IGE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB IGE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK IGE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF IGE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, DOG DANDER | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, GERMAN COCKROACH | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, D. FARINAE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, D. PTERONYSSINUS | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, CODFISH | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, WHEAT | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, SOYBEAN | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, PEANUT | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, COW MILK | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, EGG WHITE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, CAT DANDER | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND IGE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT IGE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW IGE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN IGE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT IGE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHESTNUT IGE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT IGE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, SINGLE | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN W/M | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN | $107.00 | $178.34 | $40.66–$142.67 | — | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP MATERNAL | $37.80 | $63.00 | $7.56–$50.40 | 58% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, SERUM, TUMOR MARKER | $268.00 | $446.66 | $53.60–$357.33 | 197% above | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP MATERNAL | $37.80 | $63.00 | $14.36–$50.40 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, SERUM, TUMOR MARKER | $268.00 | $446.66 | $101.83–$357.33 | — | 40% |
| Ammonia blood test CPT 82140 CHEM-AMMONIA | $198.01 | $330.02 | $39.60–$264.02 | 101% above | 40% |
| Ammonia blood test inpatient CPT 82140 CHEM-AMMONIA | $198.01 | $330.02 | $75.24–$264.02 | — | 40% |
| Amylase blood test CPT 82150 CHEM-AMYLASE,URINE,OTHER FLUID | $14.40 | $24.00 | $2.88–$19.20 | 80% below | 40% |
| Amylase blood test CPT 82150 AMYLASE, TOTAL | $14.40 | $24.00 | $2.88–$19.20 | 80% below | 40% |
| Amylase blood test CPT 82150 AMYLASE,PANCREATIC | $14.40 | $24.00 | $2.88–$19.20 | 80% below | 40% |
| Amylase blood test CPT 82150 AMYLASE BODY FLUID | $151.80 | $253.00 | $30.36–$202.40 | 115% above | 40% |
| Amylase blood test CPT 82150 CHEM-AMYLASE | $186.01 | $310.01 | $37.20–$248.01 | 163% above | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE,PANCREATIC | $14.40 | $24.00 | $5.47–$19.20 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE, TOTAL | $14.40 | $24.00 | $5.47–$19.20 | — | 40% |
| Amylase blood test inpatient CPT 82150 CHEM-AMYLASE,URINE,OTHER FLUID | $14.40 | $24.00 | $5.47–$19.20 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID | $151.80 | $253.00 | $57.68–$202.40 | — | 40% |
| Amylase blood test inpatient CPT 82150 CHEM-AMYLASE | $186.01 | $310.01 | $70.68–$248.01 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ILD - ANTI-CCP | $26.40 | $44.00 | $5.28–$35.20 | 65% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCL CIRTUL PEPTIDE AB IGG | $28.80 | $48.00 | $5.76–$38.40 | 61% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $28.80 | $48.00 | $5.76–$38.40 | 61% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IGG | $33.00 | $55.00 | $6.60–$44.00 | 56% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY IGG IGA | $137.99 | $229.98 | $27.60–$183.98 | 85% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP AB | $137.99 | $229.98 | $27.60–$183.98 | 85% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ILD - ANTI-CCP | $26.40 | $44.00 | $10.03–$35.20 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY | $28.80 | $48.00 | $10.94–$38.40 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCL CIRTUL PEPTIDE AB IGG | $28.80 | $48.00 | $10.94–$38.40 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IGG | $33.00 | $55.00 | $12.54–$44.00 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP AB | $137.99 | $229.98 | $52.43–$183.98 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY IGG IGA | $137.99 | $229.98 | $52.43–$183.98 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IGG W/ REFLEX TO HEP-2 | $22.20 | $37.00 | $4.44–$29.60 | 68% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY IFA, CSF | $126.00 | $210.00 | $25.20–$168.00 | 82% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab | $291.01 | $485.01 | $58.20–$388.01 | 321% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA, IGG ELISA W/ RFLX TO IFA | $291.01 | $485.01 | $58.20–$388.01 | 321% above | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA IGG W/ REFLEX TO HEP-2 | $22.20 | $37.00 | $8.44–$29.60 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY IFA, CSF | $126.00 | $210.00 | $47.88–$168.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab | $291.01 | $485.01 | $110.58–$388.01 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA, IGG ELISA W/ RFLX TO IFA | $291.01 | $485.01 | $110.58–$388.01 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-NATRIURETIC PEPTIDE | $345.00 | $575.00 | $69.00–$460.00 | 97% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-NATRIURETIC PEPTIDE | $345.00 | $575.00 | $131.09–$460.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC | $15.60 | $26.00 | $3.12–$20.80 | 85% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIAL-OTHER SOURCE | $19.20 | $32.00 | $3.84–$25.60 | 81% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACT CULTURE SPINAL FLUID | $19.20 | $32.00 | $3.84–$25.60 | 81% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE-VAG-URETH-GENIT | $19.20 | $32.00 | $3.84–$25.60 | 81% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SYNOVASURE AERO CULT | $30.60 | $51.00 | $6.12–$40.80 | 70% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SOURCE | $50.40 | $84.00 | $10.08–$67.20 | 51% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NOCARDIA CULTURE | $63.60 | $106.00 | $12.72–$84.80 | 38% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CYSTIC RESPIRATORY CULTURE | $74.40 | $124.00 | $14.88–$99.20 | 28% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE-AEROBIC | $106.00 | $176.67 | $21.20–$141.34 | 3% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE SPUTUM | $106.00 | $176.67 | $21.20–$141.34 | 3% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NOSE/THROAT CULTURE | $106.00 | $176.67 | $21.20–$141.34 | 3% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC CULTURE ONLY | $140.00 | $233.34 | $28.00–$186.67 | 36% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC | $15.60 | $26.00 | $8.89–$20.80 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIAL-OTHER SOURCE | $19.20 | $32.00 | $7.30–$25.60 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BACT CULTURE SPINAL FLUID | $19.20 | $32.00 | $7.30–$25.60 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE-VAG-URETH-GENIT | $19.20 | $32.00 | $7.30–$25.60 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SYNOVASURE AERO CULT | $30.60 | $51.00 | $11.63–$40.80 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SOURCE | $50.40 | $84.00 | $19.15–$67.20 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NOCARDIA CULTURE | $63.60 | $106.00 | $24.17–$84.80 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CYSTIC RESPIRATORY CULTURE | $74.40 | $124.00 | $28.27–$99.20 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NOSE/THROAT CULTURE | $106.00 | $176.67 | $40.28–$141.34 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BACTERIAL CULTURE SPUTUM | $106.00 | $176.67 | $40.28–$141.34 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BACTERIAL CULTURE-AEROBIC | $106.00 | $176.67 | $40.28–$141.34 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 AEROBIC CULTURE ONLY | $140.00 | $233.34 | $53.20–$186.67 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $121.99 | $203.32 | $24.40–$162.66 | 41% above | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $121.99 | $203.32 | $46.35–$162.66 | — | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL, BODY FLUID | $11.40 | $19.00 | $2.28–$15.20 | 78% below | 40% |
| Bilirubin blood test, total CPT 82247 OCCULT BLOOD | $11.40 | $19.00 | $2.28–$15.20 | 78% below | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $126.01 | $210.01 | $25.20–$168.01 | 147% above | 40% |
| Bilirubin blood test, total CPT 82247 CHEM-BILIRUBIN, TOTAL | $126.01 | $210.01 | $25.20–$168.01 | 147% above | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL, BODY FLUID | $11.40 | $19.00 | $4.33–$15.20 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 OCCULT BLOOD | $11.40 | $19.00 | $4.33–$15.20 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $126.01 | $210.01 | $47.88–$168.01 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 CHEM-BILIRUBIN, TOTAL | $126.01 | $210.01 | $47.88–$168.01 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH EXAM IV | $83.40 | $139.00 | $16.68–$111.20 | 30% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 G/M EXAM MULT/POC | $84.60 | $141.00 | $16.92–$112.80 | 29% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH/GROSS VLV IV TC | $180.00 | $300.00 | $36.00–$240.00 | 51% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS GLOBAL | $180.00 | $300.00 | $36.00–$240.00 | 51% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LVL IV | $244.20 | $407.00 | $48.84–$325.60 | 104% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 MICROSCOPE EXAM | $279.60 | $466.00 | $55.92–$372.80 | 134% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS EXAM | $280.20 | $467.00 | $56.04–$373.60 | 134% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE-MULT/COMPL REF | $355.99 | $593.32 | $71.20–$474.66 | 198% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 G&M EXAM MUL/COMP SURG PTH IV | $355.99 | $593.32 | $71.20–$474.66 | 198% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH EXAM IV | $83.40 | $139.00 | $31.69–$111.20 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 G/M EXAM MULT/POC | $84.60 | $141.00 | $48.20–$112.80 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH/GROSS VLV IV TC | $180.00 | $300.00 | $68.40–$240.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS GLOBAL | $180.00 | $300.00 | $68.40–$240.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH LVL IV | $244.20 | $407.00 | $92.79–$325.60 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 MICROSCOPE EXAM | $279.60 | $466.00 | $106.24–$372.80 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS EXAM | $280.20 | $467.00 | $106.47–$373.60 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE-MULT/COMPL REF | $355.99 | $593.32 | $202.84–$474.66 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 G&M EXAM MUL/COMP SURG PTH IV | $355.99 | $593.32 | $202.84–$474.66 | — | 40% |
| Blood culture for bacteria CPT 87040 BACT-BLOOD CULTURE | $272.00 | $453.33 | $54.40–$362.66 | 139% above | 40% |
| Blood culture for bacteria inpatient CPT 87040 BACT-BLOOD CULTURE | $272.00 | $453.33 | $103.35–$362.66 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $5.40 | $9.00 | $1.08–$7.20 | 66% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE CHARGE | $32.00 | $53.34 | $6.40–$42.67 | 102% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $5.40 | $9.00 | $3.08–$7.20 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE CHARGE | $32.00 | $53.34 | $12.16–$42.67 | — | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANTITATIVE | $9.00 | $15.00 | $1.80–$12.00 | 73% below | 40% |
| Blood glucose (sugar) test CPT 82947 RP - GLUCOSE | $9.00 | $15.00 | $1.80–$12.00 | 73% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $97.00 | $161.66 | $3.93–$129.33 | 190% above | 40% |
| Blood glucose (sugar) test CPT 82947 RP GLUCOSE | $97.00 | $161.66 | $3.93–$129.33 | 190% above | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, BLOOD, QUANT | $97.00 | $161.66 | $3.93–$129.33 | 190% above | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUANTITATIVE | $9.00 | $15.00 | $3.42–$12.00 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 RP - GLUCOSE | $9.00 | $15.00 | $3.42–$12.00 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $97.00 | $161.66 | $36.86–$129.33 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 RP GLUCOSE | $97.00 | $161.66 | $36.86–$129.33 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, BLOOD, QUANT | $97.00 | $161.66 | $36.86–$129.33 | — | 40% |
| Blood lead test CPT 83655 LEAD | $159.01 | $265.01 | $31.80–$212.01 | 166% above | 40% |
| Blood lead test inpatient CPT 83655 LEAD | $159.01 | $265.01 | $60.42–$212.01 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE/ABO | $58.20 | $97.00 | $2.99–$77.60 | 7% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING-ABO | $137.99 | $229.98 | $2.99–$183.98 | 153% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE/ABO | $58.20 | $97.00 | $22.12–$77.60 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING-ABO | $137.99 | $229.98 | $52.43–$183.98 | — | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN,QUANT | $115.99 | $193.32 | $23.20–$154.66 | 154% above | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $115.99 | $193.32 | $23.20–$154.66 | 154% above | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BLOOD UREA NITROGEN,QUANT | $115.99 | $193.32 | $44.08–$154.66 | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $115.99 | $193.32 | $44.08–$154.66 | — | 40% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $174.00 | $290.00 | $34.80–$232.00 | 25% above | 40% |
| C-peptide blood test CPT 84681 C-PEPTIDE, SERUM | $245.01 | $408.35 | $49.00–$326.68 | 76% above | 40% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $174.00 | $290.00 | $66.12–$232.00 | — | 40% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE, SERUM | $245.01 | $408.35 | $93.10–$326.68 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 PJI CRP | $16.80 | $28.00 | $3.36–$22.40 | 65% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 SYNOVASURE BF CRP | $34.20 | $57.00 | $6.84–$45.60 | 28% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $40.20 | $67.00 | $8.04–$53.60 | 16% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 SERO-CRP, QUANTITATIVE | $172.00 | $286.66 | $34.40–$229.33 | 260% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 PJI CRP | $16.80 | $28.00 | $6.38–$22.40 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 SYNOVASURE BF CRP | $34.20 | $57.00 | $13.00–$45.60 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP | $40.20 | $67.00 | $15.28–$53.60 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 SERO-CRP, QUANTITATIVE | $172.00 | $286.66 | $65.36–$229.33 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF B PCR | $189.00 | $315.00 | $37.80–$252.00 | 89% above | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF TOXIN B GENE (tcdB) BY P | $368.00 | $613.33 | $73.60–$490.66 | 269% above | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF B PCR | $189.00 | $315.00 | $71.82–$252.00 | — | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDIFF TOXIN B GENE (tcdB) BY P | $368.00 | $613.33 | $139.83–$490.66 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN, GI (CA 19-9) | $315.01 | $525.01 | $63.00–$420.01 | 159% above | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN, GI (CA 19-9) | $315.01 | $525.01 | $119.70–$420.01 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 | $259.00 | $431.67 | $51.80–$345.34 | 101% above | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 | $259.00 | $431.67 | $98.42–$345.34 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RPSOL, NP, SARS-COV-2 | $54.00 | $90.00 | $10.80–$72.00 | 29% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NAA (IN-HOUSE) | $80.81 | $134.69 | $16.16–$107.75 | 7% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 GENOTYPING PCR | $90.00 | $150.00 | $18.00–$120.00 | 19% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RPSOL, NP, SARS-COV-2 | $54.00 | $90.00 | $20.52–$72.00 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 NAA (IN-HOUSE) | $80.81 | $134.69 | $30.71–$107.75 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 GENOTYPING PCR | $90.00 | $150.00 | $34.20–$120.00 | — | 40% |
| Calcium blood test, total CPT 82310 PARATHYROID HORMONE INTACT | $103.02 | $171.70 | $20.60–$137.36 | 126% above | 40% |
| Calcium blood test, total CPT 82310 CALCIUM, TOTAL | $103.02 | $171.70 | $20.60–$137.36 | 126% above | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM, TOTAL | $103.02 | $171.70 | $39.15–$137.36 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 PARATHYROID HORMONE INTACT | $103.02 | $171.70 | $39.15–$137.36 | — | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA, FLUID | $42.60 | $71.00 | $8.52–$56.80 | 66% below | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $257.00 | $428.34 | $51.40–$342.67 | 105% above | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA, FLUID | $42.60 | $71.00 | $16.19–$56.80 | — | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $257.00 | $428.34 | $97.66–$342.67 | — | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB, IGM, CSF | $28.80 | $48.00 | $5.76–$38.40 | 70% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG, CSF | $28.80 | $48.00 | $5.76–$38.40 | 70% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER VIRUS AB | $175.99 | $293.32 | $35.20–$234.66 | 80% above | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG, CSF | $28.80 | $48.00 | $10.94–$38.40 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB, IGM, CSF | $28.80 | $48.00 | $10.94–$38.40 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER VIRUS AB | $175.99 | $293.32 | $66.87–$234.66 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $63.60 | $106.00 | $12.72–$84.80 | 36% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH DNA | $63.60 | $106.00 | $12.72–$84.80 | 36% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAM TRACHOMATIS TMA | $63.60 | $106.00 | $12.72–$84.80 | 36% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS NAA | $78.00 | $130.00 | $15.60–$104.00 | 22% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS | $115.20 | $192.00 | $23.04–$153.60 | 15% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS PCR | $235.99 | $393.31 | $47.20–$314.65 | 137% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT | $235.99 | $393.31 | $47.20–$314.65 | 137% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.TRACHOMATIS BY TMA | $235.99 | $393.31 | $47.20–$314.65 | 137% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.TRACHOMATIS | $235.99 | $393.31 | $47.20–$314.65 | 137% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CTNG | $256.80 | $428.00 | $51.36–$342.40 | 157% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE | $63.60 | $106.00 | $36.24–$84.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH DNA | $63.60 | $106.00 | $24.17–$84.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAM TRACHOMATIS TMA | $63.60 | $106.00 | $24.17–$84.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS NAA | $78.00 | $130.00 | $29.64–$104.00 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS | $115.20 | $192.00 | $43.77–$153.60 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C.TRACHOMATIS | $235.99 | $393.31 | $89.67–$314.65 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C.TRACHOMATIS BY TMA | $235.99 | $393.31 | $89.67–$314.65 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS PCR | $235.99 | $393.31 | $89.67–$314.65 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CT | $235.99 | $393.31 | $89.67–$314.65 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CTNG | $256.80 | $428.00 | $97.58–$342.40 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $58.80 | $98.00 | $11.76–$78.40 | 49% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PNL | $67.20 | $112.00 | $13.39–$89.60 | 42% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $169.00 | $281.66 | $13.39–$225.33 | 46% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $58.80 | $98.00 | $22.34–$78.40 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PNL | $67.20 | $112.00 | $25.53–$89.60 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $169.00 | $281.66 | $64.22–$225.33 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTOMATED DIFF ONLY | $17.40 | $29.00 | $3.48–$23.20 | 68% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ AUTOMATED DIFF ONLY | $105.01 | $175.01 | $21.00–$140.01 | 91% above | 40% |
| Complete blood count (CBC) with differential CPT 85025 HEMAT-CBC-INCLUDES DIFF | $105.01 | $175.01 | $21.00–$140.01 | 91% above | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTOMATED DIFF ONLY | $17.40 | $29.00 | $9.91–$23.20 | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HEMAT-CBC-INCLUDES DIFF | $105.01 | $175.01 | $39.90–$140.01 | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ AUTOMATED DIFF ONLY | $105.01 | $175.01 | $39.90–$140.01 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 HEMAT-BLOOD COUNT W/O DIFF | $14.40 | $24.00 | $2.88–$19.20 | 75% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 HEMAT-BLOOD COUNT W/O DIFF | $115.99 | $193.32 | $23.20–$154.66 | 105% above | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMAT-BLOOD COUNT W/O DIFF | $14.40 | $24.00 | $8.20–$19.20 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMAT-BLOOD COUNT W/O DIFF | $115.99 | $193.32 | $44.08–$154.66 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP. METABOLIC PANEL | $136.00 | $226.66 | $27.20–$181.33 | 11% above | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP. METABOLIC PANEL | $136.00 | $226.66 | $51.68–$181.33 | — | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL, SALIVA | $36.60 | $61.00 | $7.32–$48.80 | 54% below | 40% |
| Cortisol blood test, total CPT 82533 CHEM-CORTISOL | $311.99 | $519.99 | $62.40–$415.99 | 289% above | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL, SALIVA | $36.60 | $61.00 | $13.91–$48.80 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CHEM-CORTISOL | $311.99 | $519.99 | $118.55–$415.99 | — | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE ISOENZYMES | $9.00 | $15.00 | $1.80–$12.00 | 87% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL | $149.99 | $249.99 | $30.00–$199.99 | 119% above | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CHEM-CREATINE PHOSPHOKINASE | $149.99 | $249.99 | $30.00–$199.99 | 119% above | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CHEM-CREATINE KINASE TOTAL | $149.99 | $249.99 | $30.00–$199.99 | 119% above | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE ISOENZYMES | $9.00 | $15.00 | $3.42–$12.00 | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CHEM-CREATINE PHOSPHOKINASE | $149.99 | $249.99 | $57.00–$199.99 | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL | $149.99 | $249.99 | $57.00–$199.99 | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CHEM-CREATINE KINASE TOTAL | $149.99 | $249.99 | $57.00–$199.99 | — | 40% |
| Creatinine blood test CPT 82565 CHEM-CREATININE | $105.01 | $175.01 | $21.00–$140.01 | 157% above | 40% |
| Creatinine blood test inpatient CPT 82565 CHEM-CREATININE | $105.01 | $175.01 | $39.90–$140.01 | — | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS (CMV) | $26.40 | $44.00 | $5.28–$35.20 | 68% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS | $32.40 | $54.00 | $6.48–$43.20 | 61% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG | $332.00 | $553.33 | $66.40–$442.66 | 304% above | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS (CMV) | $26.40 | $44.00 | $10.03–$35.20 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS | $32.40 | $54.00 | $12.31–$43.20 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG | $332.00 | $553.33 | $126.15–$442.66 | — | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER SPLIT PRODUCT-QUAN | $184.99 | $308.32 | $37.00–$246.66 | 112% above | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER SPLIT PRODUCT-QUAN | $184.99 | $308.32 | $70.29–$246.66 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE, SERUM | $289.00 | $481.66 | $57.80–$385.33 | 127% above | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE, SERUM | $289.00 | $481.66 | $109.81–$385.33 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 IMMUNOASSAY | $26.40 | $44.00 | $5.28–$35.20 | 43% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 9 PANEL SERUM | $44.40 | $74.00 | $8.88–$59.20 | 5% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAMADOL, URINE SCREEN W/ REFL | $48.00 | $80.00 | $9.60–$64.00 | 3% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CHEMISTRY IMMUNOASSAY | $84.00 | $140.00 | $16.80–$112.00 | 80% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRE SCREEN & CONFIRM | $109.00 | $181.67 | $21.80–$145.34 | 133% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 9 DRUG PANEL URINE | $112.20 | $187.00 | $22.44–$149.60 | 140% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL, URINE | $112.20 | $187.00 | $22.44–$149.60 | 140% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 THC SCREEN AND CONFIRM | $124.20 | $207.00 | $24.84–$165.60 | 166% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE SCRN AND CONF | $124.20 | $207.00 | $24.84–$165.60 | 166% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HEROIN SCREEN AND CONFIRM | $124.20 | $207.00 | $24.84–$165.60 | 166% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ECSTASY SCRN AND CONFIRM | $124.20 | $207.00 | $24.84–$165.60 | 166% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES SCREEN AND CONFIRM | $124.20 | $207.00 | $24.84–$165.60 | 166% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE SCRN AND CONF | $124.20 | $207.00 | $24.84–$165.60 | 166% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATES SCRN & CONF | $124.20 | $207.00 | $24.84–$165.60 | 166% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZOS SCREEN AND CONFIRM | $124.20 | $207.00 | $24.84–$165.60 | 166% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE SCREEN & CONFIRMATION | $124.20 | $207.00 | $24.84–$165.60 | 166% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPH SCREEN & CONFIRM | $124.20 | $207.00 | $24.84–$165.60 | 166% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE SCREEN | $129.60 | $216.00 | $25.92–$172.80 | 177% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE/OXYMORPHONE SCRN | $129.60 | $216.00 | $25.92–$172.80 | 177% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE, URINE SCREEN W/ RFL | $129.60 | $216.00 | $25.92–$172.80 | 177% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LSD, URINE | $129.60 | $216.00 | $25.92–$172.80 | 177% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HAIRSTAT 5 REFLEXIVE PANEL | $129.60 | $216.00 | $25.92–$172.80 | 177% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA HYDROXYBUTYRIC ACID | $129.60 | $216.00 | $25.92–$172.80 | 177% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM & METABOLITES | $129.60 | $216.00 | $25.92–$172.80 | 177% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FENANTYL SCREEN, URINE, W REFL | $129.60 | $216.00 | $25.92–$172.80 | 177% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL, URINE, QUAL | $129.60 | $216.00 | $25.92–$172.80 | 177% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE MECONIUM | $129.60 | $216.00 | $25.92–$172.80 | 177% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE, FLUID | $129.60 | $216.00 | $25.92–$172.80 | 177% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PANEL, UMBILICAL CORD | $153.00 | $255.00 | $30.60–$204.00 | 227% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT DRUG SCREEN, U | $153.60 | $256.00 | $30.72–$204.80 | 229% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 KRATOM (MITRAGYNINE) SCREEN UR | $180.60 | $301.00 | $36.12–$240.80 | 287% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HEROIN SCREEN - URINE | $189.00 | $315.00 | $37.80–$252.00 | 305% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SYNTHETIC OPIODS | $192.60 | $321.00 | $38.52–$256.80 | 312% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MDMA METABOLITE, URINE | $199.80 | $333.00 | $39.96–$266.40 | 328% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UNKNOWN SUBSTANCE | $241.80 | $403.00 | $48.36–$322.40 | 418% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA-HYDROXYBUTYRIC ACID | $297.00 | $495.00 | $59.40–$396.00 | 536% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA HYDROXY ACID | $297.60 | $496.00 | $59.52–$396.80 | 537% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 10 | $379.80 | $633.00 | $75.96–$506.40 | 713% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN | $399.01 | $665.01 | $79.80–$532.01 | 754% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COTININE SCREEN, URINE | $423.99 | $706.65 | $84.80–$565.32 | 808% above | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 IMMUNOASSAY | $26.40 | $44.00 | $10.03–$35.20 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 9 PANEL SERUM | $44.40 | $74.00 | $16.87–$59.20 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRAMADOL, URINE SCREEN W/ REFL | $48.00 | $80.00 | $18.24–$64.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHEMISTRY IMMUNOASSAY | $84.00 | $140.00 | $31.92–$112.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRE SCREEN & CONFIRM | $109.00 | $181.67 | $41.42–$145.34 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 9 DRUG PANEL URINE | $112.20 | $187.00 | $42.63–$149.60 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL, URINE | $112.20 | $187.00 | $42.63–$149.60 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BENZOS SCREEN AND CONFIRM | $124.20 | $207.00 | $47.19–$165.60 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 THC SCREEN AND CONFIRM | $124.20 | $207.00 | $47.19–$165.60 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADONE SCRN AND CONF | $124.20 | $207.00 | $47.19–$165.60 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ECSTASY SCRN AND CONFIRM | $124.20 | $207.00 | $47.19–$165.60 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HEROIN SCREEN AND CONFIRM | $124.20 | $207.00 | $47.19–$165.60 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BARBITURATES SCRN & CONF | $124.20 | $207.00 | $47.19–$165.60 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE SCRN AND CONF | $124.20 | $207.00 | $47.19–$165.60 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATES SCREEN AND CONFIRM | $124.20 | $207.00 | $47.19–$165.60 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPH SCREEN & CONFIRM | $124.20 | $207.00 | $47.19–$165.60 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE SCREEN & CONFIRMATION | $124.20 | $207.00 | $47.19–$165.60 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE, FLUID | $129.60 | $216.00 | $49.25–$172.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE MECONIUM | $129.60 | $216.00 | $49.25–$172.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE/OXYMORPHONE SCRN | $129.60 | $216.00 | $49.25–$172.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHANOL, URINE, QUAL | $129.60 | $216.00 | $49.25–$172.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONIDE SCREEN | $129.60 | $216.00 | $49.25–$172.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENANTYL SCREEN, URINE, W REFL | $129.60 | $216.00 | $49.25–$172.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FLUNITRAZEPAM & METABOLITES | $129.60 | $216.00 | $49.25–$172.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA HYDROXYBUTYRIC ACID | $129.60 | $216.00 | $49.25–$172.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HAIRSTAT 5 REFLEXIVE PANEL | $129.60 | $216.00 | $49.25–$172.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LSD, URINE | $129.60 | $216.00 | $49.25–$172.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADONE, URINE SCREEN W/ RFL | $129.60 | $216.00 | $49.25–$172.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG PANEL, UMBILICAL CORD | $153.00 | $255.00 | $58.14–$204.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MANAGEMENT DRUG SCREEN, U | $153.60 | $256.00 | $58.37–$204.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 KRATOM (MITRAGYNINE) SCREEN UR | $180.60 | $301.00 | $68.63–$240.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HEROIN SCREEN - URINE | $189.00 | $315.00 | $71.82–$252.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYNTHETIC OPIODS | $192.60 | $321.00 | $73.18–$256.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MDMA METABOLITE, URINE | $199.80 | $333.00 | $75.92–$266.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UNKNOWN SUBSTANCE | $241.80 | $403.00 | $91.88–$322.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA-HYDROXYBUTYRIC ACID | $297.00 | $495.00 | $112.86–$396.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA HYDROXY ACID | $297.60 | $496.00 | $113.08–$396.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 10 | $379.80 | $633.00 | $144.32–$506.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN | $399.01 | $665.01 | $151.62–$532.01 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COTININE SCREEN, URINE | $423.99 | $706.65 | $161.11–$565.32 | — | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES, SERUM | $136.00 | $226.66 | $27.20–$181.33 | 95% above | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES, SERUM | $136.00 | $226.66 | $51.68–$181.33 | — | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VCA, IGM | $161.99 | $269.99 | $32.40–$215.99 | 175% above | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VCA, IGG | $161.99 | $269.99 | $32.40–$215.99 | 175% above | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV ANTI-VCA, IGG | $161.99 | $269.99 | $32.40–$215.99 | 175% above | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VCA, IGM | $161.99 | $269.99 | $61.56–$215.99 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV ANTI-VCA, IGG | $161.99 | $269.99 | $61.56–$215.99 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VCA, IGG | $161.99 | $269.99 | $61.56–$215.99 | — | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL, ADULT PREMENOP FEM | $498.99 | $831.65 | $99.80–$665.32 | 270% above | 40% |
| Estradiol blood test CPT 82670 FREE ESTRADIOL BY ED/LC-MS/MS | $498.99 | $831.65 | $99.80–$665.32 | 270% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL M/C/PMF | $498.99 | $831.65 | $99.80–$665.32 | 270% above | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL, ADULT PREMENOP FEM | $498.99 | $831.65 | $189.61–$665.32 | — | 40% |
| Estradiol blood test inpatient CPT 82670 FREE ESTRADIOL BY ED/LC-MS/MS | $498.99 | $831.65 | $189.61–$665.32 | — | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL M/C/PMF | $498.99 | $831.65 | $189.61–$665.32 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE | $343.01 | $571.68 | $68.60–$457.34 | 120% above | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $343.01 | $571.68 | $68.60–$457.34 | 120% above | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE | $343.01 | $571.68 | $130.34–$457.34 | — | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $343.01 | $571.68 | $130.34–$457.34 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL | $453.98 | $756.63 | $90.80–$605.30 | 120% above | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL | $453.98 | $756.63 | $172.50–$605.30 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $286.00 | $476.66 | $57.20–$381.33 | 170% above | 40% |
| Ferritin blood test (iron stores) CPT 82728 CHEM-FERRITIN | $286.00 | $476.66 | $57.20–$381.33 | 170% above | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 CHEM-FERRITIN | $286.00 | $476.66 | $108.67–$381.33 | — | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $286.00 | $476.66 | $108.67–$381.33 | — | 40% |
| Fibrinogen blood test CPT 85384 HEMAT-FIBRINOGEN QUANT | $278.00 | $463.33 | $55.60–$370.66 | 222% above | 40% |
| Fibrinogen blood test inpatient CPT 85384 HEMAT-FIBRINOGEN QUANT | $278.00 | $463.33 | $105.63–$370.66 | — | 40% |
| Folate (folic acid) blood test CPT 82746 CHEM-FOLIC ACID | $173.99 | $289.99 | $34.80–$231.99 | 65% above | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 CHEM-FOLIC ACID | $173.99 | $289.99 | $66.11–$231.99 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $228.00 | $380.00 | $45.60–$304.00 | 66% above | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $228.00 | $380.00 | $86.64–$304.00 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FT4 BY EQUILIBRIUM DIALYSIS | $48.60 | $81.00 | $9.72–$64.80 | 33% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 CHEM-FREE T4 | $149.99 | $249.99 | $30.00–$199.99 | 108% above | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FT4 BY EQUILIBRIUM DIALYSIS | $48.60 | $81.00 | $18.47–$64.80 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CHEM-FREE T4 | $149.99 | $249.99 | $57.00–$199.99 | — | 40% |
| Free testosterone test CPT 84402 FREE TESTOSTERONE | $116.65 | $194.42 | $23.33–$155.54 | 53% above | 40% |
| Free testosterone test CPT 84402 Testosterone, Free, Adult Male | $116.65 | $194.42 | $23.33–$155.54 | 53% above | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $116.65 | $194.42 | $23.33–$155.54 | 53% above | 40% |
| Free testosterone test inpatient CPT 84402 Testosterone, Free, Adult Male | $116.65 | $194.42 | $44.33–$155.54 | — | 40% |
| Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE | $116.65 | $194.42 | $44.33–$155.54 | — | 40% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE | $116.65 | $194.42 | $44.33–$155.54 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $16.20 | $27.00 | $3.24–$21.60 | 70% below | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 CHEM-GGTP | $141.01 | $235.02 | $28.20–$188.02 | 161% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP | $141.01 | $235.02 | $28.20–$188.02 | 161% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $16.20 | $27.00 | $6.16–$21.60 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP | $141.01 | $235.02 | $53.58–$188.02 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 CHEM-GGTP | $141.01 | $235.02 | $53.58–$188.02 | — | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $79.20 | $132.00 | $15.84–$105.60 | 71% below | 40% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $79.20 | $132.00 | $30.09–$105.60 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE, ONE HOUR | $331.00 | $551.67 | $4.75–$441.34 | 550% above | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TOLERANCE, ONE HOUR | $331.00 | $551.67 | $125.78–$441.34 | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST | $25.80 | $43.00 | $5.16–$34.40 | 82% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, 5 HOUR | $28.80 | $48.00 | $5.76–$38.40 | 80% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, TWO HOUR | $637.99 | $1,063.32 | $12.87–$850.66 | 352% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, THREE HOUR | $637.99 | $1,063.32 | $12.87–$850.66 | 352% above | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST | $25.80 | $43.00 | $9.80–$34.40 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE, 5 HOUR | $28.80 | $48.00 | $10.94–$38.40 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE, TWO HOUR | $637.99 | $1,063.32 | $242.43–$850.66 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE, THREE HOUR | $637.99 | $1,063.32 | $242.43–$850.66 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $63.60 | $106.00 | $12.72–$84.80 | 38% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE DNA | $63.60 | $106.00 | $12.72–$84.80 | 38% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE NAA | $78.00 | $130.00 | $15.60–$104.00 | 24% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE | $90.00 | $150.00 | $18.00–$120.00 | 13% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NG | $235.99 | $393.31 | $47.20–$314.65 | 129% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE | $235.99 | $393.31 | $47.20–$314.65 | 129% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE PCR | $235.99 | $393.31 | $47.20–$314.65 | 129% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE DNA | $63.60 | $106.00 | $24.17–$84.80 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB | $63.60 | $106.00 | $36.24–$84.80 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE NAA | $78.00 | $130.00 | $29.64–$104.00 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE | $90.00 | $150.00 | $34.20–$120.00 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE PCR | $235.99 | $393.31 | $89.67–$314.65 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE | $235.99 | $393.31 | $89.67–$314.65 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NG | $235.99 | $393.31 | $89.67–$314.65 | — | 40% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $32.40 | $54.00 | $6.48–$43.20 | 58% below | 40% |
| H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODY SERUM | $235.00 | $391.66 | $47.00–$313.33 | 206% above | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI ANTIBODY | $32.40 | $54.00 | $12.31–$43.20 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODY SERUM | $235.00 | $391.66 | $89.29–$313.33 | — | 40% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGENS | $343.99 | $573.31 | $68.80–$458.65 | 131% above | 40% |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI ANTIGENS | $343.99 | $573.31 | $130.71–$458.65 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 BY NAAT | $153.60 | $256.00 | $30.72–$204.80 | 35% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT (REFLEX 2) | $189.60 | $316.00 | $37.92–$252.80 | 20% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 BY QUANT PCR W/ RFLX | $272.00 | $453.33 | $54.40–$362.66 | 15% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA PCR | $441.00 | $735.00 | $88.20–$588.00 | 86% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 BY NAAT | $153.60 | $256.00 | $58.37–$204.80 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT (REFLEX 2) | $189.60 | $316.00 | $72.04–$252.80 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 BY QUANT PCR W/ RFLX | $272.00 | $453.33 | $103.35–$362.66 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA PCR | $441.00 | $735.00 | $167.57–$588.00 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1,2 COMBO W/ RFLX | $43.80 | $73.00 | $8.76–$58.40 | 38% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1,2 COMBO ANTIGEN/ANTIBODY | $154.58 | $257.64 | $30.92–$206.11 | 117% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1,2 COMBO W/ RFLX | $43.80 | $73.00 | $16.64–$58.40 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV1,2 COMBO ANTIGEN/ANTIBODY | $154.58 | $257.64 | $58.74–$206.11 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES | $63.60 | $106.00 | $12.72–$84.80 | 18% below | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES | $63.60 | $106.00 | $36.24–$84.80 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CHEM-GLYCOSYLATED HEMOGLOBIN | $112.01 | $186.68 | $22.40–$149.34 | 58% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CHEM-GLYCOSYLATED HEMOGLOBIN | $112.01 | $186.68 | $42.56–$149.34 | — | 40% |
| Hemoglobin blood test CPT 85018 RP - HEMOGLOBIN | $5.40 | $9.00 | $1.08–$7.20 | 80% below | 40% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $65.00 | $9.00 | $1.08–$7.20 | 142% above | -622% |
| Hemoglobin blood test CPT 85018 HEMAT - HEMOGLOBIN | $65.00 | $108.33 | $13.00–$86.66 | 142% above | 40% |
| Hemoglobin blood test CPT 85018 HEMAT-HEMOGLOBIN | $65.00 | $108.33 | $13.00–$86.66 | 142% above | 40% |
| Hemoglobin blood test inpatient CPT 85018 RP - HEMOGLOBIN | $5.40 | $9.00 | $2.05–$7.20 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HEMAT - HEMOGLOBIN | $65.00 | $108.33 | $24.70–$86.66 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $65.00 | $108.33 | $24.70–$86.66 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HEMAT-HEMOGLOBIN | $65.00 | $108.33 | $24.70–$86.66 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $33.60 | $56.00 | $6.72–$44.80 | 63% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $33.60 | $56.00 | $12.77–$44.80 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B REFLEX HDV | $18.60 | $31.00 | $3.72–$24.80 | 73% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $23.40 | $39.00 | $4.68–$31.20 | 66% below | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B REFLEX HDV | $18.60 | $31.00 | $7.07–$24.80 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $23.40 | $39.00 | $8.89–$31.20 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS AB BY CIA | $31.80 | $53.00 | $6.36–$42.40 | 63% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C VIRUS AB, TOTAL IN-HOUSE | $371.99 | $619.98 | $74.40–$495.98 | 333% above | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS AB BY CIA | $31.80 | $53.00 | $12.08–$42.40 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C VIRUS AB, TOTAL IN-HOUSE | $371.99 | $619.98 | $141.35–$495.98 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REFLEX HEP C NAAT | $122.40 | $204.00 | $24.48–$163.20 | 51% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUANT PCR | $805.80 | $1,343.00 | $161.16–$1,074.40 | 222% above | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA Q W/ REFLEX TO GEN | $927.86 | $1,546.44 | $185.57–$1,237.15 | 271% above | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUANT PCR (REFLEX) | $1,432.99 | $2,388.31 | $286.60–$1,910.65 | 473% above | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REFLEX HEP C NAAT | $122.40 | $204.00 | $46.51–$163.20 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QUANT PCR | $805.80 | $1,343.00 | $306.19–$1,074.40 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA Q W/ REFLEX TO GEN | $927.86 | $1,546.44 | $352.57–$1,237.15 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QUANT PCR (REFLEX) | $1,432.99 | $2,388.31 | $544.51–$1,910.65 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 | $29.40 | $49.00 | $5.88–$39.20 | 51% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 IGG ELISA | $45.60 | $76.00 | $9.12–$60.80 | 24% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 | $68.40 | $114.00 | $13.68–$91.20 | 13% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 RFLX HSV 1 GLYCOPROT G SPEC AB | $481.01 | $801.68 | $96.20–$641.34 | 698% above | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 | $29.40 | $49.00 | $11.17–$39.20 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 IGG ELISA | $45.60 | $76.00 | $17.33–$60.80 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 | $68.40 | $114.00 | $25.99–$91.20 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 RFLX HSV 1 GLYCOPROT G SPEC AB | $481.01 | $801.68 | $182.78–$641.34 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 | $43.20 | $72.00 | $8.64–$57.60 | 29% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 IGG ELISA | $45.60 | $76.00 | $9.12–$60.80 | 25% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 | $100.20 | $167.00 | $20.04–$133.60 | 65% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 RFLX HSV 2 GLYCOPROT G SPEC AB | $481.01 | $801.68 | $96.20–$641.34 | 691% above | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 | $43.20 | $72.00 | $16.42–$57.60 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 IGG ELISA | $45.60 | $76.00 | $17.33–$60.80 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 | $100.20 | $167.00 | $38.07–$133.60 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 RFLX HSV 2 GLYCOPROT G SPEC AB | $481.01 | $801.68 | $182.78–$641.34 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRPQ, HIGH-SENSITIVE | $28.80 | $48.00 | $5.76–$38.40 | 58% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HSCRP | $84.00 | $140.00 | $16.80–$112.00 | 21% above | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP, HIGHLY SENSITIVE, CARD | $172.00 | $286.66 | $34.40–$229.33 | 148% above | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRPQ, HIGH-SENSITIVE | $28.80 | $48.00 | $10.94–$38.40 | — | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HSCRP | $84.00 | $140.00 | $31.92–$112.00 | — | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP, HIGHLY SENSITIVE, CARD | $172.00 | $286.66 | $65.36–$229.33 | — | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE, TOTAL | $578.00 | $963.33 | $115.60–$770.66 | 358% above | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE, TOTAL | $578.00 | $963.33 | $219.63–$770.66 | — | 40% |
| Insulin blood test CPT 83525 INSULIN - RANDOM | $184.00 | $306.66 | $36.80–$245.33 | 120% above | 40% |
| Insulin blood test CPT 83525 INSULIN, FASTING | $184.00 | $306.66 | $36.80–$245.33 | 120% above | 40% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $184.00 | $306.66 | $36.80–$245.33 | 120% above | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL | $184.00 | $306.66 | $69.92–$245.33 | — | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN - RANDOM | $184.00 | $306.66 | $69.92–$245.33 | — | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN, FASTING | $184.00 | $306.66 | $69.92–$245.33 | — | 40% |
| Iron blood test (serum iron) CPT 83540 CHEM-IRON | $89.01 | $148.35 | $17.80–$118.68 | 23% above | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 CHEM-IRON | $89.01 | $148.35 | $33.82–$118.68 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 CHEM-IRON BINDING CAPACITY | $115.99 | $193.32 | $23.20–$154.66 | 45% above | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 CHEM-IRON BINDING CAPACITY | $115.99 | $193.32 | $44.08–$154.66 | — | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $263.99 | $439.99 | $52.80–$351.99 | 197% above | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $263.99 | $439.99 | $100.31–$351.99 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE, PEDS | $66.00 | $110.00 | $13.20–$88.00 | 52% below | 40% |
| LH (luteinizing hormone) test CPT 83002 LH | $232.99 | $388.32 | $46.60–$310.66 | 68% above | 40% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $232.99 | $388.32 | $46.60–$310.66 | 68% above | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE, PEDS | $66.00 | $110.00 | $25.08–$88.00 | — | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $232.99 | $388.32 | $88.53–$310.66 | — | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $232.99 | $388.32 | $88.53–$310.66 | — | 40% |
| Lactate (lactic acid) blood test CPT 83605 CSF LACTIC ACID | $21.00 | $35.00 | $4.20–$28.00 | 69% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE | $24.00 | $40.00 | $4.80–$32.00 | 65% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID, BODY FLUID | $24.00 | $40.00 | $4.80–$32.00 | 65% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 RP - LACTATE MEASUREMENT | $24.00 | $40.00 | $4.80–$32.00 | 65% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $33.00 | $55.00 | $6.60–$44.00 | 52% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 SYNOVASURE BF LACTATE | $34.20 | $57.00 | $6.84–$45.60 | 50% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 CHEM-LACTIC ACID | $115.99 | $193.32 | $23.20–$154.66 | 70% above | 40% |
| Lactate (lactic acid) blood test CPT 83605 RP LACTATE | $115.99 | $193.32 | $23.20–$154.66 | 70% above | 40% |
| Lactate (lactic acid) blood test CPT 83605 D-LACTATE, PLASMA | $541.80 | $903.00 | $108.36–$722.40 | 692% above | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 CSF LACTIC ACID | $21.00 | $35.00 | $7.98–$28.00 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID, BODY FLUID | $24.00 | $40.00 | $9.12–$32.00 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 RP - LACTATE MEASUREMENT | $24.00 | $40.00 | $9.12–$32.00 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE | $24.00 | $40.00 | $9.12–$32.00 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $33.00 | $55.00 | $12.54–$44.00 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 SYNOVASURE BF LACTATE | $34.20 | $57.00 | $13.00–$45.60 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 CHEM-LACTIC ACID | $115.99 | $193.32 | $44.08–$154.66 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 RP LACTATE | $115.99 | $193.32 | $44.08–$154.66 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 D-LACTATE, PLASMA | $541.80 | $903.00 | $205.88–$722.40 | — | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH TOTAL | $121.99 | $203.32 | $24.40–$162.66 | 163% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 CHEM-LACTIC DEHYDROGENASE LDH | $121.99 | $203.32 | $24.40–$162.66 | 163% above | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CHEM-LACTIC DEHYDROGENASE LDH | $121.99 | $203.32 | $46.35–$162.66 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH TOTAL | $121.99 | $203.32 | $46.35–$162.66 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, FLUID | $15.60 | $26.00 | $3.12–$20.80 | 76% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 CHEM-LIPASE | $121.99 | $203.32 | $24.40–$162.66 | 84% above | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE, FLUID | $15.60 | $26.00 | $5.93–$20.80 | — | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 CHEM-LIPASE | $121.99 | $203.32 | $46.35–$162.66 | — | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL A | $186.01 | $310.01 | $37.20–$248.01 | 98% above | 40% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL A | $186.01 | $310.01 | $70.68–$248.01 | — | 40% |
| Lyme disease antibody test CPT 86618 LYME ACUTE REFLEX PANEL | $31.20 | $52.00 | $6.24–$41.60 | 39% below | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB | $38.40 | $64.00 | $7.68–$51.20 | 24% below | 40% |
| Lyme disease antibody test CPT 86618 ANTIBODY B. BURGDORFERI | $45.00 | $75.00 | $9.00–$60.00 | 11% below | 40% |
| Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI | $69.00 | $115.00 | $13.80–$92.00 | 36% above | 40% |
| Lyme disease antibody test CPT 86618 B. BURGDORFERI ABS | $99.60 | $166.00 | $19.92–$132.80 | 96% above | 40% |
| Lyme disease antibody test CPT 86618 B. BURGFORFERI ABS | $99.60 | $166.00 | $19.92–$132.80 | 96% above | 40% |
| Lyme disease antibody test CPT 86618 B. BURGDORFERI C6 PEPTIDE | $99.60 | $166.00 | $19.92–$132.80 | 96% above | 40% |
| Lyme disease antibody test CPT 86618 LYME V1SE1/PEPC10 | $99.60 | $166.00 | $19.92–$132.80 | 96% above | 40% |
| Lyme disease antibody test CPT 86618 BORRELIA BIRGDORFERI | $99.60 | $166.00 | $19.92–$132.80 | 96% above | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE CSF | $99.60 | $166.00 | $19.92–$132.80 | 96% above | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME ACUTE REFLEX PANEL | $31.20 | $52.00 | $11.86–$41.60 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB | $38.40 | $64.00 | $14.59–$51.20 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 ANTIBODY B. BURGDORFERI | $45.00 | $75.00 | $17.10–$60.00 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI | $69.00 | $115.00 | $26.22–$92.00 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 B. BURGDORFERI C6 PEPTIDE | $99.60 | $166.00 | $37.85–$132.80 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 BORRELIA BIRGDORFERI | $99.60 | $166.00 | $37.85–$132.80 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME V1SE1/PEPC10 | $99.60 | $166.00 | $37.85–$132.80 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 B. BURGFORFERI ABS | $99.60 | $166.00 | $37.85–$132.80 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE CSF | $99.60 | $166.00 | $37.85–$132.80 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 B. BURGDORFERI ABS | $99.60 | $166.00 | $37.85–$132.80 | — | 40% |
| Magnesium blood test CPT 83735 CHEM MAGNESIUM | $15.00 | $25.00 | $3.00–$20.00 | 70% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM, RBC | $58.80 | $98.00 | $11.76–$78.40 | 19% above | 40% |
| Magnesium blood test CPT 83735 CHEM-MAGNESIUM | $145.00 | $241.67 | $29.00–$193.34 | 193% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM, URINE | $145.00 | $241.67 | $29.00–$193.34 | 193% above | 40% |
| Magnesium blood test inpatient CPT 83735 CHEM MAGNESIUM | $15.00 | $25.00 | $5.70–$20.00 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC | $58.80 | $98.00 | $22.34–$78.40 | — | 40% |
| Magnesium blood test inpatient CPT 83735 CHEM-MAGNESIUM | $145.00 | $241.67 | $55.10–$193.34 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE | $145.00 | $241.67 | $55.10–$193.34 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY, IGM | $163.01 | $271.68 | $32.60–$217.34 | 200% above | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY, IGM | $163.01 | $271.68 | $61.94–$217.34 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 SERO-MONO TEST SCREEN | $143.99 | $239.99 | $28.80–$191.99 | 187% above | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 SERO-MONO TEST SCREEN | $143.99 | $239.99 | $54.72–$191.99 | — | 40% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS AB | $184.99 | $308.32 | $37.00–$246.66 | 162% above | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS AB | $184.99 | $308.32 | $70.29–$246.66 | — | 40% |
| Obstetric blood test panel CPT 80055 PRENATAL GROUP | $106.80 | $178.00 | $21.36–$142.40 | 55% below | 40% |
| Obstetric blood test panel inpatient CPT 80055 PRENATAL GROUP | $106.80 | $178.00 | $40.58–$142.40 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA,FREE | $204.01 | $340.02 | $40.80–$272.02 | 153% above | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA,FREE | $204.01 | $340.02 | $77.52–$272.02 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA SENSITIVE | $41.40 | $69.00 | $8.28–$55.20 | 65% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA,TOTAL | $145.00 | $241.67 | $29.00–$193.34 | 21% above | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRA SENSITIVE | $41.40 | $69.00 | $15.73–$55.20 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA,TOTAL | $145.00 | $241.67 | $55.10–$193.34 | — | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $48.00 | $80.00 | $9.60–$64.00 | at median | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $48.00 | $80.00 | $27.35–$64.00 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGY, PAP/HPV | $60.60 | $101.00 | $12.12–$80.80 | at median | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTO,CERVICAL OR VAGINAL | $60.60 | $101.00 | $12.12–$80.80 | at median | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 GR AUTO ALPHA | $64.20 | $107.00 | $12.84–$85.60 | 6% above | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOLOGY, PAP/HPV | $60.60 | $101.00 | $23.03–$80.80 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTO,CERVICAL OR VAGINAL | $60.60 | $101.00 | $34.53–$80.80 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 GR AUTO ALPHA | $64.20 | $107.00 | $24.39–$85.60 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT CA | $422.99 | $704.99 | $84.60–$563.99 | 122% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 CHEM-PTH (PARATHYROID HORM) | $422.99 | $704.99 | $84.60–$563.99 | 122% above | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 CHEM-PTH (PARATHYROID HORM) | $422.99 | $704.99 | $160.73–$563.99 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT CA | $422.99 | $704.99 | $160.73–$563.99 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, INH SCREEN INCUB | $13.80 | $23.00 | $2.76–$18.40 | 83% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT | $13.80 | $23.00 | $2.76–$18.40 | 83% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME | $16.20 | $27.00 | $3.24–$21.60 | 80% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, INHIBITOR SCREEN | $22.80 | $38.00 | $4.56–$30.40 | 72% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT RATIO TREATED | $149.99 | $249.99 | $30.00–$199.99 | 84% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HEMAT-PART THROMBOPLASTIN TIME | $149.99 | $249.99 | $30.00–$199.99 | 84% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $149.99 | $249.99 | $30.00–$199.99 | 84% above | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT | $13.80 | $23.00 | $5.24–$18.40 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, INH SCREEN INCUB | $13.80 | $23.00 | $5.24–$18.40 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME | $16.20 | $27.00 | $6.16–$21.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, INHIBITOR SCREEN | $22.80 | $38.00 | $8.66–$30.40 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT RATIO TREATED | $149.99 | $249.99 | $57.00–$199.99 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HEMAT-PART THROMBOPLASTIN TIME | $149.99 | $249.99 | $57.00–$199.99 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $149.99 | $249.99 | $57.00–$199.99 | — | 40% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS INORGANIC | $13.80 | $23.00 | $2.76–$18.40 | 74% below | 40% |
| Phosphorus (phosphate) blood test CPT 84100 CHEM - PHOSPHORUS | $98.00 | $163.33 | $19.60–$130.66 | 88% above | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS INORGANIC | $13.80 | $23.00 | $5.24–$18.40 | — | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 CHEM - PHOSPHORUS | $98.00 | $163.33 | $37.24–$130.66 | — | 40% |
| Potassium blood test CPT 84132 PULM-EG7 + ISTAT (K) | $10.80 | $18.00 | $2.16–$14.40 | 77% below | 40% |
| Potassium blood test CPT 84132 POTASSIUM | $10.80 | $18.00 | $2.16–$14.40 | 77% below | 40% |
| Potassium blood test CPT 84132 RP POTASSIUM | $10.80 | $18.00 | $2.16–$14.40 | 77% below | 40% |
| Potassium blood test CPT 84132 RP - K+ | $10.80 | $18.00 | $2.16–$14.40 | 77% below | 40% |
| Potassium blood test CPT 84132 CHEM-POTASSIUM | $85.01 | $141.69 | $17.00–$113.35 | 83% above | 40% |
| Potassium blood test inpatient CPT 84132 RP - K+ | $10.80 | $18.00 | $4.10–$14.40 | — | 40% |
| Potassium blood test inpatient CPT 84132 RP POTASSIUM | $10.80 | $18.00 | $4.10–$14.40 | — | 40% |
| Potassium blood test inpatient CPT 84132 PULM-EG7 + ISTAT (K) | $10.80 | $18.00 | $4.10–$14.40 | — | 40% |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $10.80 | $18.00 | $4.10–$14.40 | — | 40% |
| Potassium blood test inpatient CPT 84132 CHEM-POTASSIUM | $85.01 | $141.69 | $32.30–$113.35 | — | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 PRENATAL ANEUPLOIDY | $787.50 | $1,312.50 | $157.50–$1,050.00 | 39% below | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 PRENATAL ANEUPLOIDY | $787.50 | $1,312.50 | $299.24–$1,050.00 | — | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $302.99 | $504.99 | $60.60–$403.99 | 145% above | 40% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $302.99 | $504.99 | $115.13–$403.99 | — | 40% |
| Prolactin blood test CPT 84146 MONOMERIC PROLACTIN | $66.60 | $111.00 | $13.32–$88.80 | 49% below | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $242.00 | $403.33 | $48.40–$322.66 | 85% above | 40% |
| Prolactin blood test inpatient CPT 84146 MONOMERIC PROLACTIN | $66.60 | $111.00 | $25.31–$88.80 | — | 40% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $242.00 | $403.33 | $91.96–$322.66 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC INR | $9.00 | $15.00 | $1.80–$12.00 | 78% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PTINR POC WKHL | $9.00 | $15.00 | $1.80–$12.00 | 78% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR POC | $9.00 | $15.00 | $1.80–$12.00 | 78% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR | $9.00 | $15.00 | $1.80–$12.00 | 78% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $12.00 | $20.00 | $2.40–$16.00 | 71% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT, INHIBITOR SCREEN | $24.60 | $41.00 | $4.92–$32.80 | 40% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PTINR PLUS POC | $54.00 | $90.00 | $10.80–$72.00 | 31% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $121.99 | $203.32 | $24.40–$162.66 | 196% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HEMAT-PROTHROMBIN TIME | $121.99 | $203.32 | $24.40–$162.66 | 196% above | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC INR | $9.00 | $15.00 | $5.13–$12.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PTINR POC WKHL | $9.00 | $15.00 | $3.42–$12.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR POC | $9.00 | $15.00 | $3.42–$12.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR | $9.00 | $15.00 | $5.13–$12.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $12.00 | $20.00 | $4.56–$16.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT, INHIBITOR SCREEN | $24.60 | $41.00 | $9.35–$32.80 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PTINR PLUS POC | $54.00 | $90.00 | $20.52–$72.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HEMAT-PROTHROMBIN TIME | $121.99 | $203.32 | $46.35–$162.66 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT | $121.99 | $203.32 | $46.35–$162.66 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 WL HART CO SALIVA DRUG SCREEN | $25.20 | $42.00 | $5.04–$33.60 | 29% below | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 WL 12 PANEL UDS | $32.40 | $54.00 | $6.48–$43.20 | 9% below | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 WL HART CO SALIVA DRUG SCREEN | $25.20 | $42.00 | $9.58–$33.60 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 WL 12 PANEL UDS | $32.40 | $54.00 | $12.31–$43.20 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP A ANTIGEN | $114.00 | $190.00 | $22.80–$152.00 | 130% above | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP A ANTIGEN | $114.00 | $190.00 | $43.32–$152.00 | — | 40% |
| Renin blood test CPT 84244 RENIN, DIRECT | $138.00 | $230.00 | $27.60–$184.00 | 3% below | 40% |
| Renin blood test CPT 84244 RENIN | $255.01 | $425.02 | $51.00–$340.02 | 80% above | 40% |
| Renin blood test CPT 84244 RENIN ACTIVITY | $255.01 | $425.02 | $51.00–$340.02 | 80% above | 40% |
| Renin blood test inpatient CPT 84244 RENIN, DIRECT | $138.00 | $230.00 | $52.44–$184.00 | — | 40% |
| Renin blood test inpatient CPT 84244 RENIN | $255.01 | $425.02 | $96.90–$340.02 | — | 40% |
| Renin blood test inpatient CPT 84244 RENIN ACTIVITY | $255.01 | $425.02 | $96.90–$340.02 | — | 40% |
| Rh blood typing CPT 86901 BLD BK-RH TYPE ONLY | $7.20 | $12.00 | $1.44–$9.60 | 83% below | 40% |
| Rh blood typing CPT 86901 BLOOD TYPE/RH | $54.00 | $90.00 | $2.99–$72.00 | 25% above | 40% |
| Rh blood typing CPT 86901 BLOOD TYPING-RH (D) | $61.00 | $12.00 | $1.44–$9.60 | 41% above | -408% |
| Rh blood typing inpatient CPT 86901 BLD BK-RH TYPE ONLY | $7.20 | $12.00 | $2.74–$9.60 | — | 40% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPE/RH | $54.00 | $90.00 | $20.52–$72.00 | — | 40% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING-RH (D) | $61.00 | $101.67 | $23.18–$81.34 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 SERO-RA TITER | $12.60 | $21.00 | $2.52–$16.80 | 72% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 ILD - RA, QUANT | $13.20 | $22.00 | $2.64–$17.60 | 71% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 RF | $15.00 | $25.00 | $3.00–$20.00 | 67% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 QUANT | $16.20 | $27.00 | $3.24–$21.60 | 64% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR,BODY FLUID | $19.20 | $32.00 | $3.84–$25.60 | 58% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 Rheum Fac, quant | $50.72 | $84.53 | $10.14–$67.62 | 12% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR | $85.01 | $141.69 | $17.00–$113.35 | 88% above | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 SERO-RA TITER | $12.60 | $21.00 | $4.79–$16.80 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 ILD - RA, QUANT | $13.20 | $22.00 | $5.02–$17.60 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RF | $15.00 | $25.00 | $5.70–$20.00 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 QUANT | $16.20 | $27.00 | $6.16–$21.60 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR,BODY FLUID | $19.20 | $32.00 | $7.30–$25.60 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheum Fac, quant | $50.72 | $84.53 | $19.27–$67.62 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR | $85.01 | $141.69 | $32.30–$113.35 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $32.40 | $54.00 | $6.48–$43.20 | 65% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA.IgM | $32.40 | $54.00 | $6.48–$43.20 | 65% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY, IGG | $158.00 | $263.34 | $31.60–$210.67 | 73% above | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA | $32.40 | $54.00 | $12.31–$43.20 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA.IgM | $32.40 | $54.00 | $12.31–$43.20 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY, IGG | $158.00 | $263.34 | $60.04–$210.67 | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HEMAT-SEDIMENTATION RATE | $110.99 | $184.99 | $22.20–$147.99 | 196% above | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HEMAT-SEDIMENTATION RATE | $110.99 | $184.99 | $42.18–$147.99 | — | 40% |
| Sodium blood test CPT 84295 RP - NA | $10.80 | $18.00 | $2.16–$14.40 | 79% below | 40% |
| Sodium blood test CPT 84295 SODIUM | $10.80 | $18.00 | $2.16–$14.40 | 79% below | 40% |
| Sodium blood test CPT 84295 PULM-EG7 + ISTAT (NA) | $10.80 | $18.00 | $2.16–$14.40 | 79% below | 40% |
| Sodium blood test CPT 84295 RP SODIUM | $10.80 | $18.00 | $2.16–$14.40 | 79% below | 40% |
| Sodium blood test CPT 84295 SODIUM-SERUM | $31.00 | $51.66 | $6.20–$41.33 | 40% below | 40% |
| Sodium blood test inpatient CPT 84295 RP SODIUM | $10.80 | $18.00 | $4.10–$14.40 | — | 40% |
| Sodium blood test inpatient CPT 84295 SODIUM | $10.80 | $18.00 | $4.10–$14.40 | — | 40% |
| Sodium blood test inpatient CPT 84295 RP - NA | $10.80 | $18.00 | $4.10–$14.40 | — | 40% |
| Sodium blood test inpatient CPT 84295 PULM-EG7 + ISTAT (NA) | $10.80 | $18.00 | $4.10–$14.40 | — | 40% |
| Sodium blood test inpatient CPT 84295 SODIUM-SERUM | $31.00 | $51.66 | $11.78–$41.33 | — | 40% |
| Stool ova and parasites exam CPT 87177 O&P SMEAR, CONC., ID | $19.80 | $33.00 | $3.96–$26.40 | 70% below | 40% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE SMEAR | $25.80 | $43.00 | $5.16–$34.40 | 61% below | 40% |
| Stool ova and parasites exam CPT 87177 O&P SMEAR | $117.01 | $195.02 | $23.40–$156.02 | 77% above | 40% |
| Stool ova and parasites exam CPT 87177 O&P DIRECT SMEAR | $260.01 | $433.35 | $52.00–$346.68 | 294% above | 40% |
| Stool ova and parasites exam inpatient CPT 87177 O&P SMEAR, CONC., ID | $19.80 | $33.00 | $7.52–$26.40 | — | 40% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE SMEAR | $25.80 | $43.00 | $9.80–$34.40 | — | 40% |
| Stool ova and parasites exam inpatient CPT 87177 O&P SMEAR | $117.01 | $195.02 | $44.46–$156.02 | — | 40% |
| Stool ova and parasites exam inpatient CPT 87177 O&P DIRECT SMEAR | $260.01 | $433.35 | $98.80–$346.68 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BACT-STOOL FOR OCCULT BLOOD | $68.01 | $113.35 | $4.38–$90.68 | 193% above | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BACT-STOOL FOR OCCULT BLOOD | $68.01 | $113.35 | $25.84–$90.68 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD, FECAL, IA | $158.00 | $263.34 | $31.60–$210.67 | 318% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLD, FECAL, IA | $158.00 | $263.34 | $60.04–$210.67 | — | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB TPPA | $24.00 | $40.00 | $4.80–$32.00 | 42% below | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T.PALLIDUM AB, IGG | $30.00 | $50.00 | $6.00–$40.00 | 28% below | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SERO-FTA-ABS | $30.00 | $50.00 | $6.00–$40.00 | 28% below | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T.PALLIDUM BY TP-PA (REFLEX) | $132.00 | $220.00 | $13.24–$176.00 | 218% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TP ANTIBODY BY ELISA | $215.00 | $358.34 | $13.24–$286.67 | 418% above | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB TPPA | $24.00 | $40.00 | $9.12–$32.00 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SERO-FTA-ABS | $30.00 | $50.00 | $11.40–$40.00 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T.PALLIDUM AB, IGG | $30.00 | $50.00 | $11.40–$40.00 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T.PALLIDUM BY TP-PA (REFLEX) | $132.00 | $220.00 | $50.16–$176.00 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TP ANTIBODY BY ELISA | $215.00 | $358.34 | $81.70–$286.67 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 TREPONEMA PALLIDUM WITH REFLEX | $13.80 | $23.00 | $2.76–$18.40 | 67% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 T. PALLIDUM VDRL | $132.00 | $220.00 | $4.27–$176.00 | 220% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN | $132.00 | $220.00 | $4.27–$176.00 | 220% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SERO-RPR SCREEN | $132.00 | $220.00 | $4.27–$176.00 | 220% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 TREPONEMA PALLIDUM WITH REFLEX | $13.80 | $23.00 | $5.24–$18.40 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 T. PALLIDUM VDRL | $132.00 | $220.00 | $50.16–$176.00 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SERO-RPR SCREEN | $132.00 | $220.00 | $50.16–$176.00 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RAPID PLASMA REAGIN | $132.00 | $220.00 | $50.16–$176.00 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD 1 | $111.60 | $186.00 | $22.32–$148.80 | 17% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON - TB | $138.00 | $230.00 | $27.60–$184.00 | 3% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $262.99 | $438.32 | $52.60–$350.66 | 96% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GOLD PLUS SOLARIS | $262.99 | $438.32 | $52.60–$350.66 | 96% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD 1 | $111.60 | $186.00 | $42.41–$148.80 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON - TB | $138.00 | $230.00 | $52.44–$184.00 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB GOLD PLUS SOLARIS | $262.99 | $438.32 | $99.93–$350.66 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD | $262.99 | $438.32 | $99.93–$350.66 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, FREE, F/C | $116.65 | $194.42 | $23.33–$155.54 | 8% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE | $229.01 | $381.68 | $45.80–$305.34 | 112% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE F//C | $229.01 | $381.68 | $45.80–$305.34 | 112% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, ADULT MALE | $229.01 | $381.68 | $45.80–$305.34 | 112% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $229.01 | $381.68 | $45.80–$305.34 | 112% above | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, FREE, F/C | $116.65 | $194.42 | $44.33–$155.54 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE | $229.01 | $381.68 | $87.02–$305.34 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL | $229.01 | $381.68 | $87.02–$305.34 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, ADULT MALE | $229.01 | $381.68 | $87.02–$305.34 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE F//C | $229.01 | $381.68 | $87.02–$305.34 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB | $25.20 | $42.00 | $5.04–$33.60 | 72% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOME | $32.40 | $54.00 | $6.48–$43.20 | 64% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB | $32.40 | $54.00 | $6.48–$43.20 | 64% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIV/KID MICROSOME 1 AB | $32.40 | $54.00 | $6.48–$43.20 | 64% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ATPO | $32.40 | $54.00 | $6.48–$43.20 | 64% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOME-1,IGG | $32.40 | $54.00 | $6.48–$43.20 | 64% below | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB | $25.20 | $42.00 | $9.58–$33.60 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIV/KID MICROSOME 1 AB | $32.40 | $54.00 | $12.31–$43.20 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ATPO | $32.40 | $54.00 | $12.31–$43.20 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO) AB | $32.40 | $54.00 | $12.31–$43.20 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOME-1,IGG | $32.40 | $54.00 | $12.31–$43.20 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOME | $32.40 | $54.00 | $12.31–$43.20 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ULTRA SENSITIVE | $30.60 | $51.00 | $6.12–$40.80 | 64% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $37.80 | $63.00 | $7.56–$50.40 | 56% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE | $119.40 | $199.00 | $23.88–$159.20 | 40% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHEM-TSH | $126.01 | $210.01 | $25.20–$168.01 | 48% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH ULTRA SENSITIVE | $30.60 | $51.00 | $11.63–$40.80 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $37.80 | $63.00 | $14.36–$50.40 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE | $119.40 | $199.00 | $45.37–$159.20 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHEM-TSH | $126.01 | $210.01 | $47.88–$168.01 | — | 40% |
| Total IgE blood test CPT 82785 IGE, TOTAL | $30.00 | $50.00 | $6.00–$40.00 | 70% below | 40% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E | $36.60 | $61.00 | $7.32–$48.80 | 63% below | 40% |
| Total IgE blood test CPT 82785 TOTAL IGE | $395.99 | $659.99 | $79.20–$527.99 | 299% above | 40% |
| Total IgE blood test CPT 82785 IGE | $395.99 | $659.99 | $79.20–$527.99 | 299% above | 40% |
| Total IgE blood test inpatient CPT 82785 IGE, TOTAL | $30.00 | $50.00 | $11.40–$40.00 | — | 40% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E | $36.60 | $61.00 | $13.91–$48.80 | — | 40% |
| Total IgE blood test inpatient CPT 82785 IGE | $395.99 | $659.99 | $150.47–$527.99 | — | 40% |
| Total IgE blood test inpatient CPT 82785 TOTAL IGE | $395.99 | $659.99 | $150.47–$527.99 | — | 40% |
| Total cholesterol blood test CPT 82465 TOTAL CHOLESTEROL | $10.20 | $17.00 | $2.04–$13.60 | 78% below | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL | $58.80 | $98.00 | $4.35–$78.40 | 26% above | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL,BLD/SERUM | $123.00 | $205.00 | $4.35–$164.00 | 163% above | 40% |
| Total cholesterol blood test inpatient CPT 82465 TOTAL CHOLESTEROL | $10.20 | $17.00 | $3.88–$13.60 | — | 40% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL | $58.80 | $98.00 | $22.34–$78.40 | — | 40% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL,BLD/SERUM | $123.00 | $205.00 | $46.74–$164.00 | — | 40% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL | $13.20 | $22.00 | $2.64–$17.60 | 82% below | 40% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE | $128.00 | $213.34 | $25.60–$170.67 | 70% above | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL | $13.20 | $22.00 | $5.02–$17.60 | — | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE | $128.00 | $213.34 | $48.64–$170.67 | — | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE, TOTAL (T3) | $86.01 | $143.35 | $17.20–$114.68 | 8% below | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE, TOTAL (T3) | $86.01 | $143.35 | $32.68–$114.68 | — | 40% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $117.01 | $195.02 | $23.40–$156.02 | 25% above | 40% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $117.01 | $195.02 | $44.46–$156.02 | — | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $63.60 | $106.00 | $12.72–$84.80 | 1% below | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS | $63.60 | $106.00 | $12.72–$84.80 | 1% below | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS | $90.00 | $150.00 | $18.00–$120.00 | 41% above | 40% |
| Trichomonas test (NAAT) CPT 87661 MOL TV | $126.99 | $211.65 | $25.40–$169.32 | 99% above | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS PCR | $126.99 | $211.65 | $25.40–$169.32 | 99% above | 40% |
| Trichomonas test (NAAT) CPT 87661 T.VAGINALIS | $126.99 | $50.00 | $6.00–$40.00 | 99% above | -154% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS BY TMA | $126.99 | $211.65 | $25.40–$169.32 | 99% above | 40% |
| Trichomonas test (NAAT) CPT 87661 TV | $126.99 | $211.65 | $25.40–$169.32 | 99% above | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS | $63.60 | $106.00 | $24.17–$84.80 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $63.60 | $106.00 | $36.24–$84.80 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS | $90.00 | $150.00 | $34.20–$120.00 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TV | $126.99 | $211.65 | $48.25–$169.32 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS PCR | $126.99 | $211.65 | $48.25–$169.32 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 T.VAGINALIS | $126.99 | $211.65 | $48.25–$169.32 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 MOL TV | $126.99 | $211.65 | $48.25–$169.32 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS BY TMA | $126.99 | $211.65 | $48.25–$169.32 | — | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES, FLUID | $16.20 | $27.00 | $3.24–$21.60 | 68% below | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $58.80 | $98.00 | $5.74–$78.40 | 18% above | 40% |
| Triglycerides blood test CPT 84478 CHEM-TRIGLYCERIDES | $169.00 | $281.66 | $5.74–$225.33 | 239% above | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES, FLUID | $16.20 | $27.00 | $6.16–$21.60 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $58.80 | $98.00 | $22.34–$78.40 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 CHEM-TRIGLYCERIDES | $169.00 | $281.66 | $64.22–$225.33 | — | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN T 5TH GEN | $62.40 | $104.00 | $12.48–$83.20 | 46% below | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN | $283.01 | $471.68 | $56.60–$377.34 | 143% above | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN I HIGH SENSITIVITY | $283.01 | $471.68 | $56.60–$377.34 | 143% above | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN T 5TH GEN | $62.40 | $104.00 | $23.71–$83.20 | — | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN | $283.01 | $471.68 | $107.54–$377.34 | — | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN I HIGH SENSITIVITY | $283.01 | $471.68 | $107.54–$377.34 | — | 40% |
| Uric acid blood test CPT 84550 CHEM-URIC ACID | $169.00 | $281.66 | $33.80–$225.33 | 202% above | 40% |
| Uric acid blood test inpatient CPT 84550 CHEM-URIC ACID | $169.00 | $281.66 | $64.22–$225.33 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 AUTOM UA W/ MICROSCOPY | $117.01 | $195.02 | $23.40–$156.02 | 136% above | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 AUTOM UA W/ MICROSCOPY | $117.01 | $195.02 | $44.46–$156.02 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 MICRO-PROTEIN, SEMI-QUANT | $5.40 | $9.00 | $1.08–$7.20 | 75% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 MICRO-GLUCOSE,URINE SCREEN | $5.40 | $9.00 | $1.08–$7.20 | 75% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 MICRO-SPECIFIC GRAVITY | $5.40 | $9.00 | $1.08–$7.20 | 75% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 MICRO-PH SCREEN, URINE | $31.01 | $51.68 | $6.20–$41.34 | 41% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 BLOOD,URINE, SCREEN | $73.99 | $123.32 | $14.80–$98.66 | 236% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 MICRO-KETONE,URINE SCREEN | $73.99 | $123.32 | $14.80–$98.66 | 236% above | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 MICRO-GLUCOSE,URINE SCREEN | $5.40 | $9.00 | $2.05–$7.20 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 MICRO-PROTEIN, SEMI-QUANT | $5.40 | $9.00 | $2.05–$7.20 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 MICRO-SPECIFIC GRAVITY | $5.40 | $9.00 | $2.05–$7.20 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 MICRO-PH SCREEN, URINE | $31.01 | $51.68 | $11.78–$41.34 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 MICRO-KETONE,URINE SCREEN | $73.99 | $123.32 | $28.12–$98.66 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 BLOOD,URINE, SCREEN | $73.99 | $123.32 | $28.12–$98.66 | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 MICRO-URINALYSIS SCREEN | $73.99 | $123.32 | $14.80–$98.66 | 317% above | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 MICRO-URINALYSIS SCREEN | $73.99 | $123.32 | $28.12–$98.66 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 BACT-URINE CULTURE | $200.00 | $333.34 | $40.00–$266.67 | 133% above | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 BACT-URINE CULTURE | $200.00 | $333.34 | $76.00–$266.67 | — | 40% |
| Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN | $194.00 | $323.33 | $38.80–$258.66 | 241% above | 40% |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN,URINE | $194.00 | $323.33 | $38.80–$258.66 | 241% above | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICROALBUMIN | $194.00 | $323.33 | $73.72–$258.66 | — | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN,URINE | $194.00 | $323.33 | $73.72–$258.66 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 SERO-PREGNANCY TEST | $204.01 | $340.02 | $40.80–$272.02 | 295% above | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 SERO-PREGNANCY TEST | $204.01 | $340.02 | $77.52–$272.02 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CHEM-B12, VITAMIN B12 | $301.00 | $501.67 | $60.20–$401.34 | 256% above | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CHEM-B12, VITAMIN B12 | $301.00 | $501.67 | $114.38–$401.34 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 HYDROXY VIT D | $66.00 | $110.00 | $13.20–$88.00 | 40% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D,25-HYDROXY | $379.99 | $633.32 | $76.00–$506.66 | 243% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 HYDROXY VIT D | $66.00 | $110.00 | $25.08–$88.00 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D,25-HYDROXY | $379.99 | $633.32 | $144.39–$506.66 | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D, 1,25-DIHYDROXY | $379.99 | $633.32 | $76.00–$506.66 | 134% above | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D, 1,25-DIHYDROXY | $379.99 | $633.32 | $144.39–$506.66 | — | 40% |
| Zinc blood test CPT 84630 ZINC, RBC | $129.60 | $216.00 | $25.92–$172.80 | 14% above | 40% |
| Zinc blood test CPT 84630 ZINC, WHOLE BLOOD | $209.02 | $348.37 | $41.80–$278.70 | 83% above | 40% |
| Zinc blood test CPT 84630 ZINC, SERUM OR PLASMA | $209.02 | $348.37 | $41.80–$278.70 | 83% above | 40% |
| Zinc blood test inpatient CPT 84630 ZINC, RBC | $129.60 | $216.00 | $49.25–$172.80 | — | 40% |
| Zinc blood test inpatient CPT 84630 ZINC, WHOLE BLOOD | $209.02 | $348.37 | $79.42–$278.70 | — | 40% |
| Zinc blood test inpatient CPT 84630 ZINC, SERUM OR PLASMA | $209.02 | $348.37 | $79.42–$278.70 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG PLEURAL FLUID | $209.40 | $349.00 | $41.88–$279.20 | 36% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHEM-HCG QUANT | $398.00 | $663.34 | $79.60–$530.67 | 158% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG PLEURAL FLUID | $209.40 | $349.00 | $79.57–$279.20 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHEM-HCG QUANT | $398.00 | $663.34 | $151.23–$530.67 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BR 1ST LESION STEREO RT | $2,052.60 | $3,421.00 | $410.52–$2,736.80 | 3% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BR 1ST LESION STEREO LT | $2,052.60 | $3,421.00 | $410.52–$2,736.80 | 3% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BR 1ST LESION STEREO RT | $2,052.60 | $3,421.00 | $779.95–$2,736.80 | — | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BR 1ST LESION STEREO LT | $2,052.60 | $3,421.00 | $779.95–$2,736.80 | — | 40% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 CORONARIES & LEFT HEART CATH | $5,074.80 | $8,458.00 | $1,014.96–$6,766.40 | 38% below | 40% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 CORONARIES & LEFT HEART CATH | $5,074.80 | $8,458.00 | $2,891.49–$6,766.40 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ER ELECTRICAL CARDIOVERSION | $509.99 | $849.98 | $102.00–$679.98 | 42% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTRICAL CARDIOVERSION | $601.20 | $1,002.00 | $120.24–$801.60 | 32% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ENDO CARDIOVERSION | $691.20 | $1,152.00 | $138.24–$921.60 | 22% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CCU ELECTRICAL CARDIOVERSION | $789.00 | $1,315.00 | $157.80–$1,052.00 | 11% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 5A/5B ELECTRICAL CARDIOVERSION | $789.00 | $1,315.00 | $157.80–$1,052.00 | 11% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 4DOHR ELECTRICAL CARDIOVERSION | $789.00 | $1,315.00 | $157.80–$1,052.00 | 11% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ICU ELECTRICAL CARDIOVERSION | $852.60 | $1,421.00 | $170.52–$1,136.80 | 3% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ISC ELECTRICAL CARDIOVERSION | $852.60 | $1,421.00 | $170.52–$1,136.80 | 3% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 PACU ELECTRICAL CARDIOVERSION | $953.40 | $1,589.00 | $190.68–$1,271.20 | 8% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ER ELECTRICAL CARDIOVERSION | $509.99 | $849.98 | $193.79–$679.98 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTRICAL CARDIOVERSION | $601.20 | $1,002.00 | $342.55–$801.60 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ENDO CARDIOVERSION | $691.20 | $1,152.00 | $393.83–$921.60 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 4DOHR ELECTRICAL CARDIOVERSION | $789.00 | $1,315.00 | $449.55–$1,052.00 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CCU ELECTRICAL CARDIOVERSION | $789.00 | $1,315.00 | $449.55–$1,052.00 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 5A/5B ELECTRICAL CARDIOVERSION | $789.00 | $1,315.00 | $449.55–$1,052.00 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ISC ELECTRICAL CARDIOVERSION | $852.60 | $1,421.00 | $485.79–$1,136.80 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ICU ELECTRICAL CARDIOVERSION | $852.60 | $1,421.00 | $485.79–$1,136.80 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PACU ELECTRICAL CARDIOVERSION | $953.40 | $1,589.00 | $362.28–$1,271.20 | — | 40% |
| Catheter ablation for atrial fibrillation CPT 93656 EPS W/INDUC/ABL AFIB/PULM VEIN | $9,637.80 | $16,063.00 | $1,927.56–$12,850.40 | 36% below | 40% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EPS W/INDUC/ABL AFIB/PULM VEIN | $9,637.80 | $16,063.00 | $5,491.38–$12,850.40 | — | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 NIC-CIRCUMCISION | $2,468.40 | $4,114.00 | $493.68–$3,291.20 | 86% above | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 NUR-CIRCUMCISION | $2,468.40 | $4,114.00 | $493.68–$3,291.20 | 86% above | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 NIC-CIRCUMCISION | $2,468.40 | $4,114.00 | $937.95–$3,291.20 | — | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 NUR-CIRCUMCISION | $2,468.40 | $4,114.00 | $937.95–$3,291.20 | — | 40% |
| Circumcision, surgical, older than a newborn CPT 54160 NURSERY - NEONATE CIRCUMCISION | $725.40 | $1,209.00 | $145.08–$967.20 | 98% above | 40% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 NURSERY - NEONATE CIRCUMCISION | $725.40 | $1,209.00 | $275.64–$967.20 | — | 40% |
| Coronary stent placement, one artery CPT 92928 STENT RCA | $2,932.20 | $4,887.00 | $586.44–$3,909.60 | 61% below | 40% |
| Coronary stent placement, one artery CPT 92928 STENT LAD | $2,932.20 | $4,887.00 | $586.44–$3,909.60 | 61% below | 40% |
| Coronary stent placement, one artery CPT 92928 STENT LCX | $2,932.20 | $4,887.00 | $586.44–$3,909.60 | 61% below | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT LAD | $2,932.20 | $4,887.00 | $1,670.69–$3,909.60 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT LCX | $2,932.20 | $4,887.00 | $1,670.69–$3,909.60 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT RCA | $2,932.20 | $4,887.00 | $1,670.69–$3,909.60 | — | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CT GDN NJXMB | $589.80 | $983.00 | $117.96–$786.40 | 28% below | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CT GDN NJXMB | $589.80 | $983.00 | $336.05–$786.40 | — | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 CT FACET JT BX LS SIG LVL | $387.60 | $646.00 | $77.52–$516.80 | 64% below | 40% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 CT FACET JT BX LS SIG LVL | $387.60 | $646.00 | $220.84–$516.80 | — | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ PROC HYSTEROSALPINGOGR | $198.00 | $330.00 | $39.60–$264.00 | 23% below | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ PROC HYSTEROSALPINGOGR | $198.00 | $330.00 | $75.24–$264.00 | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS SIMPL | $259.20 | $432.00 | $51.84–$345.60 | 6% below | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS SIMPL | $259.20 | $432.00 | $98.49–$345.60 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 US INJ TENDON SHEATH/LIGAMENT | $208.80 | $348.00 | $41.76–$278.40 | 35% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $208.80 | $348.00 | $41.76–$278.40 | 35% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 US INJ TENDON SHEATH/LIGAMENT | $208.80 | $348.00 | $118.97–$278.40 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT | $208.80 | $348.00 | $79.34–$278.40 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHOCENTESIS MJR JOINT LEFT | $237.00 | $395.00 | $47.40–$316.00 | 30% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASP MJR JOINT RIGHT | $237.00 | $395.00 | $47.40–$316.00 | 30% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHOCENTESIS MJR JOINT RIGHT | $237.00 | $395.00 | $47.40–$316.00 | 30% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASP MJR JOINT LEFT | $237.00 | $395.00 | $47.40–$316.00 | 30% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASP SHOULDER/HIP/KNEE LT | $2,205.00 | $3,675.00 | $441.00–$2,940.00 | 556% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASP SHOULDER/HIP/KNEE RT | $2,205.00 | $3,675.00 | $441.00–$2,940.00 | 556% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ARTHOCENTESIS MJR JOINT RIGHT | $237.00 | $395.00 | $90.06–$316.00 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ASP MJR JOINT LEFT | $237.00 | $395.00 | $135.04–$316.00 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ASP MJR JOINT RIGHT | $237.00 | $395.00 | $135.04–$316.00 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ARTHOCENTESIS MJR JOINT LEFT | $237.00 | $395.00 | $90.06–$316.00 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ASP SHOULDER/HIP/KNEE RT | $2,205.00 | $3,675.00 | $1,256.35–$2,940.00 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ASP SHOULDER/HIP/KNEE LT | $2,205.00 | $3,675.00 | $1,256.35–$2,940.00 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASP ANK/WRIST/ELB JOINT RIGHT | $208.80 | $348.00 | $41.76–$278.40 | at median | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASP ANK/WRIST/ELB JOINT LEFT | $208.80 | $348.00 | $41.76–$278.40 | at median | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 INJECT JT ANK/WRIST/ELB LEFT | $208.80 | $348.00 | $41.76–$278.40 | at median | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 INJECT JT ANK/WRIST/ELB RIGHT | $208.80 | $348.00 | $41.76–$278.40 | at median | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 CT ASP JT - INTERMEDIATE RT | $2,205.00 | $3,675.00 | $441.00–$2,940.00 | 956% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ASP ANK/WRIST/ELB JOINT LEFT | $208.80 | $348.00 | $118.97–$278.40 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 INJECT JT ANK/WRIST/ELB LEFT | $208.80 | $348.00 | $79.34–$278.40 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ASP ANK/WRIST/ELB JOINT RIGHT | $208.80 | $348.00 | $118.97–$278.40 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 INJECT JT ANK/WRIST/ELB RIGHT | $208.80 | $348.00 | $79.34–$278.40 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 CT ASP JT - INTERMEDIATE RT | $2,205.00 | $3,675.00 | $1,256.35–$2,940.00 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 INJECT JT FINGER/TOE RIGHT | $208.80 | $348.00 | $41.76–$278.40 | at median | 40% |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 INJECT JT FINGER/TOE LEFT | $208.80 | $348.00 | $41.76–$278.40 | at median | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 INJECT JT FINGER/TOE RIGHT | $208.80 | $348.00 | $79.34–$278.40 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 INJECT JT FINGER/TOE LEFT | $208.80 | $348.00 | $79.34–$278.40 | — | 40% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH-LV ONLY | $4,471.80 | $7,453.00 | $894.36–$5,962.40 | 33% below | 40% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATH-LV ONLY | $4,471.80 | $7,453.00 | $2,547.92–$5,962.40 | — | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $589.80 | $983.00 | $117.96–$786.40 | 28% below | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC | $589.80 | $983.00 | $224.11–$786.40 | — | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $505.20 | $842.00 | $101.04–$673.60 | 55% below | 40% |
| Paracentesis with imaging guidance CPT 49083 CCU PARACENTESIS W US GUIDANCE | $505.20 | $842.00 | $101.04–$673.60 | 55% below | 40% |
| Paracentesis with imaging guidance CPT 49083 ICU PARACENTESIS W US GUIDANCE | $581.40 | $969.00 | $116.28–$775.20 | 48% below | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACEN W/IMG WALBUMIN | $1,198.14 | $1,996.90 | $239.63–$1,597.52 | 7% above | 40% |
| Paracentesis with imaging guidance CPT 49083 3BPCU PARACENTESIS W US GUIDAN | $1,221.60 | $2,036.00 | $244.32–$1,628.80 | 9% above | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING | $505.20 | $842.00 | $287.85–$673.60 | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 CCU PARACENTESIS W US GUIDANCE | $505.20 | $842.00 | $287.85–$673.60 | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 ICU PARACENTESIS W US GUIDANCE | $581.40 | $969.00 | $331.27–$775.20 | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACEN W/IMG WALBUMIN | $1,198.14 | $1,996.90 | $682.67–$1,597.52 | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 3BPCU PARACENTESIS W US GUIDAN | $1,221.60 | $2,036.00 | $696.04–$1,628.80 | — | 40% |
| Prostate biopsy CPT 55700 PROSTATE BIOPSY | $650.99 | $1,084.99 | $130.20–$867.99 | 68% below | 40% |
| Prostate biopsy inpatient CPT 55700 PROSTATE BIOPSY | $650.99 | $1,084.99 | $370.92–$867.99 | — | 40% |
| Skin biopsy, punch, one lesion CPT 11104 IR PUNCH BIOPSY | $515.40 | $859.00 | $103.08–$687.20 | 103% above | 40% |
| Skin biopsy, punch, one lesion CPT 11104 6B PUNCH BIOPSY | $520.80 | $868.00 | $104.16–$694.40 | 105% above | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 IR PUNCH BIOPSY | $515.40 | $859.00 | $195.84–$687.20 | — | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 6B PUNCH BIOPSY | $520.80 | $868.00 | $296.74–$694.40 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR SPINAL PUNCTURE | $317.40 | $529.00 | $63.48–$423.20 | 53% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 5C DX LMBR SPI PNXR | $838.20 | $1,397.00 | $167.64–$1,117.60 | 25% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ICU DX LMBR SPI PNXR | $838.20 | $1,397.00 | $167.64–$1,117.60 | 25% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 NURSERY DX LMBR SPI PNXR | $838.20 | $1,397.00 | $167.64–$1,117.60 | 25% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 NICU DX LMBR SPI PNXR | $838.20 | $1,397.00 | $167.64–$1,117.60 | 25% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 3D DX LMBR SPI PNXR | $902.40 | $1,504.00 | $180.48–$1,203.20 | 34% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 CCU DX LMBR SPI PNXR | $902.40 | $1,504.00 | $180.48–$1,203.20 | 34% above | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR SPINAL PUNCTURE | $317.40 | $529.00 | $120.61–$423.20 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ICU DX LMBR SPI PNXR | $838.20 | $1,397.00 | $477.59–$1,117.60 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 NICU DX LMBR SPI PNXR | $838.20 | $1,397.00 | $477.59–$1,117.60 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 5C DX LMBR SPI PNXR | $838.20 | $1,397.00 | $477.59–$1,117.60 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 NURSERY DX LMBR SPI PNXR | $838.20 | $1,397.00 | $477.59–$1,117.60 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 3D DX LMBR SPI PNXR | $902.40 | $1,504.00 | $514.16–$1,203.20 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 CCU DX LMBR SPI PNXR | $902.40 | $1,504.00 | $514.16–$1,203.20 | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 CCU THORACENTESIS W US GUID | $566.40 | $944.00 | $113.28–$755.20 | 38% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W IMAGING | $603.94 | $1,006.57 | $120.79–$805.26 | 33% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 ICU THORACENTESIS W US GUID | $651.60 | $1,086.00 | $130.32–$868.80 | 28% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 5A/5B THORACENTESIS W US GUID | $761.40 | $1,269.00 | $152.28–$1,015.20 | 16% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 3B PCU THORACENTESIS W US GUI | $761.40 | $1,269.00 | $152.28–$1,015.20 | 16% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 4DN THORACENTESIS W US GUID | $761.40 | $1,269.00 | $152.28–$1,015.20 | 16% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 4C THORACENTESIS W US GUID | $761.40 | $1,269.00 | $152.28–$1,015.20 | 16% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 6C THORACENTESIS W US GUID | $761.40 | $1,269.00 | $152.28–$1,015.20 | 16% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 3D THORACENTESIS W US GUID | $805.80 | $1,343.00 | $161.16–$1,074.40 | 11% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 NICU THORACENTESIS W US GUID | $805.80 | $1,343.00 | $161.16–$1,074.40 | 11% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 4A THORACENTESIS W US GUID | $805.80 | $1,343.00 | $161.16–$1,074.40 | 11% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 6B THORACENTESIS W/ US GUID | $805.80 | $1,343.00 | $161.16–$1,074.40 | 11% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 4B THORACENTESIS W/ US GUID | $805.80 | $1,343.00 | $161.16–$1,074.40 | 11% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 ISC THORACENTESIS W US GUIDE | $805.80 | $1,343.00 | $161.16–$1,074.40 | 11% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 ICCU THORACENTESIS W US GUID | $805.80 | $1,343.00 | $161.16–$1,074.40 | 11% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 5C THORACENTESIS W US GUID | $805.80 | $1,343.00 | $161.16–$1,074.40 | 11% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $1,099.80 | $1,833.00 | $219.96–$1,466.40 | 21% above | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CCU THORACENTESIS W US GUID | $566.40 | $944.00 | $322.72–$755.20 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W IMAGING | $603.94 | $1,006.57 | $344.11–$805.26 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ICU THORACENTESIS W US GUID | $651.60 | $1,086.00 | $371.27–$868.80 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 5A/5B THORACENTESIS W US GUID | $761.40 | $1,269.00 | $433.83–$1,015.20 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 6C THORACENTESIS W US GUID | $761.40 | $1,269.00 | $433.83–$1,015.20 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 4C THORACENTESIS W US GUID | $761.40 | $1,269.00 | $433.83–$1,015.20 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 3B PCU THORACENTESIS W US GUI | $761.40 | $1,269.00 | $433.83–$1,015.20 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 4DN THORACENTESIS W US GUID | $761.40 | $1,269.00 | $433.83–$1,015.20 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 NICU THORACENTESIS W US GUID | $805.80 | $1,343.00 | $459.12–$1,074.40 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ICCU THORACENTESIS W US GUID | $805.80 | $1,343.00 | $459.12–$1,074.40 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 3D THORACENTESIS W US GUID | $805.80 | $1,343.00 | $459.12–$1,074.40 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ISC THORACENTESIS W US GUIDE | $805.80 | $1,343.00 | $459.12–$1,074.40 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 4B THORACENTESIS W/ US GUID | $805.80 | $1,343.00 | $459.12–$1,074.40 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 6B THORACENTESIS W/ US GUID | $805.80 | $1,343.00 | $459.12–$1,074.40 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 4A THORACENTESIS W US GUID | $805.80 | $1,343.00 | $459.12–$1,074.40 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 5C THORACENTESIS W US GUID | $805.80 | $1,343.00 | $459.12–$1,074.40 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING | $1,099.80 | $1,833.00 | $626.64–$1,466.40 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BR 1ST LESION RIGHT | $2,579.15 | $4,298.58 | $515.83–$3,438.86 | 28% above | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BR 1ST LESION LEFT | $2,579.15 | $4,298.58 | $515.83–$3,438.86 | 28% above | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BR 1ST LESION LEFT | $2,579.15 | $4,298.58 | $1,469.53–$3,438.86 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BR 1ST LESION RIGHT | $2,579.15 | $4,298.58 | $1,469.53–$3,438.86 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 4B DEBRIDEMENT SKIN/TISSUE | $520.80 | $868.00 | $104.16–$694.40 | 8% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 3D DEBRIDEMENT SKIN/TISSUE | $520.80 | $868.00 | $104.16–$694.40 | 8% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 3D DEBRIDEMENT SKIN/TISSUE | $520.80 | $868.00 | $296.74–$694.40 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 4B DEBRIDEMENT SKIN/TISSUE | $520.80 | $868.00 | $296.74–$694.40 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 FS PVT REF BLD TRANSFUS ADM | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 OR BLD TRNSFUS ADM FEE | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 6C BLD TRANSFUS ADM FEE | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 OR HYBRID BLD TRNSF ADM FEE | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 6B BLD TRANSFUS ADM FEE | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 ROBOTIC OR BLD TRNSF ADM FEE | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 AC BLOOD TRANSF ADMIN FEE | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 PVT REF BLD TRANSFUS ADM FEE | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 OB ED BLD TRANSFUS ADM FEE | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 6AB BLD TRANSF ADM FEE | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 ISC BLD TRANSFUS ADM FEE | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 3B PCU BLD TRANSFUS ADM FEE | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 PACU BLOOD TRANSFUS ADMIN FEE | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 OPD BLD TRANSFUS ADM FEE | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 5A/ 5B BLD TRANSF ADM FEE | $207.00 | $345.00 | $41.40–$276.00 | 63% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLD TRANFUS ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 4D BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 4C BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 SMC GP BLOOD TRANS ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 4B FROM 2A BLD TRANSF ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 4A BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 3D FROM 5B BLD TRANSF ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 ICCU BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 CCU BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 2BMS BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 5C BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 Dialysis Bld Transfus Adm Fee | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 4D NEURO BLD TRANSF ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 CCL BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 NICU BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 L&D BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 CSH BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 OB/GYN BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $42.60–$284.00 | 62% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 4D ISC BLD TRANSFUS ADM FEE | $420.00 | $700.00 | $84.00–$560.00 | 26% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 RMC BLOOD ADMIN FEE | $752.99 | $1,254.99 | $150.60–$1,003.99 | 33% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 ER-BLOOD TRANSFUSION | $752.99 | $1,254.99 | $150.60–$1,003.99 | 33% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 ICU BLD TRANSFUS ADM FEE | $752.99 | $1,254.99 | $150.60–$1,003.99 | 33% above | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 6C BLD TRANSFUS ADM FEE | $207.00 | $345.00 | $117.94–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OR BLD TRNSFUS ADM FEE | $207.00 | $345.00 | $78.66–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 FS PVT REF BLD TRANSFUS ADM | $207.00 | $345.00 | $78.66–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OPD BLD TRANSFUS ADM FEE | $207.00 | $345.00 | $117.94–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 PACU BLOOD TRANSFUS ADMIN FEE | $207.00 | $345.00 | $117.94–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 5A/ 5B BLD TRANSF ADM FEE | $207.00 | $345.00 | $117.94–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 3B PCU BLD TRANSFUS ADM FEE | $207.00 | $345.00 | $117.94–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 6AB BLD TRANSF ADM FEE | $207.00 | $345.00 | $117.94–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ROBOTIC OR BLD TRNSF ADM FEE | $207.00 | $345.00 | $78.66–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OR HYBRID BLD TRNSF ADM FEE | $207.00 | $345.00 | $78.66–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 PVT REF BLD TRANSFUS ADM FEE | $207.00 | $345.00 | $78.66–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OB ED BLD TRANSFUS ADM FEE | $207.00 | $345.00 | $78.66–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 AC BLOOD TRANSF ADMIN FEE | $207.00 | $345.00 | $78.66–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 6B BLD TRANSFUS ADM FEE | $207.00 | $345.00 | $117.94–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ISC BLD TRANSFUS ADM FEE | $207.00 | $345.00 | $117.94–$276.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD TRANFUS ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Dialysis Bld Transfus Adm Fee | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 5C BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 2BMS BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 4D BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 4C BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 SMC GP BLOOD TRANS ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 4B FROM 2A BLD TRANSF ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 4A BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 3D FROM 5B BLD TRANSF ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ICCU BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 CCU BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 4D NEURO BLD TRANSF ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 CCL BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 NICU BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 OB/GYN BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 CSH BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 L&D BLD TRANSFUS ADM FEE | $213.00 | $355.00 | $121.36–$284.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 4D ISC BLD TRANSFUS ADM FEE | $420.00 | $700.00 | $239.31–$560.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ICU BLD TRANSFUS ADM FEE | $752.99 | $1,254.99 | $429.04–$1,003.99 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 RMC BLOOD ADMIN FEE | $752.99 | $1,254.99 | $429.04–$1,003.99 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ER-BLOOD TRANSFUSION | $752.99 | $1,254.99 | $286.13–$1,003.99 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB-SUBSQUENT | $41.17 | $68.62 | $8.23–$54.90 | 69% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER-SUBSEQUENT | $60.46 | $100.77 | $12.09–$80.62 | 54% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI-SUBSEQUENT | $70.10 | $116.84 | $14.02–$93.47 | 47% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER-INITIAL TREATMENT | $107.78 | $179.63 | $21.56–$143.70 | 19% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI-INIT TREATMENT/INSTRUCT | $107.78 | $179.63 | $21.56–$143.70 | 19% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZ PAP - INITIAL | $107.78 | $179.63 | $21.56–$143.70 | 19% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ER AIRWAY INHALATION TREATMENT | $265.20 | $442.00 | $53.04–$353.60 | 100% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB-SUBSQUENT | $41.17 | $68.62 | $15.64–$54.90 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER-SUBSEQUENT | $60.46 | $100.77 | $22.97–$80.62 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI-SUBSEQUENT | $70.10 | $116.84 | $26.64–$93.47 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI-INIT TREATMENT/INSTRUCT | $107.78 | $179.63 | $40.95–$143.70 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER-INITIAL TREATMENT | $107.78 | $179.63 | $40.95–$143.70 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EZ PAP - INITIAL | $107.78 | $179.63 | $40.95–$143.70 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ER AIRWAY INHALATION TREATMENT | $265.20 | $442.00 | $100.77–$353.60 | — | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 4C CHEMO INFUSION - TO 1 HR | $164.40 | $274.00 | $32.88–$219.20 | 66% below | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION TO 1 HR | $164.40 | $274.00 | $32.88–$219.20 | 66% below | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION - TO 1 HR | $261.00 | $435.00 | $52.20–$348.00 | 45% below | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION TO 1 HR | $164.40 | $274.00 | $93.67–$219.20 | — | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 4C CHEMO INFUSION - TO 1 HR | $164.40 | $274.00 | $93.67–$219.20 | — | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION - TO 1 HR | $261.00 | $435.00 | $99.18–$348.00 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 ED CRITICAL CARE 1ST 30-74 MIN | $2,551.70 | $4,252.83 | $510.34–$3,402.26 | 39% above | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ED CRITICAL CARE 1ST 30-74 MIN | $2,551.70 | $4,252.83 | $969.60–$3,402.26 | — | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG 20-40 MINUTES | $518.40 | $864.00 | $103.68–$691.20 | 11% below | 40% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG 20-40 MINUTES | $518.40 | $864.00 | $196.98–$691.20 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - ER | $117.01 | $195.02 | $23.40–$156.02 | 34% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $278.00 | $463.33 | $55.60–$370.66 | 57% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RT - EKG | $278.00 | $463.33 | $55.60–$370.66 | 57% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG - ER | $117.01 | $195.02 | $44.46–$156.02 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $278.00 | $463.33 | $105.63–$370.66 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 RT - EKG | $278.00 | $463.33 | $105.63–$370.66 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB ED VISIT LEVEL 1 | $200.40 | $334.00 | $40.08–$267.20 | 13% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT LEVEL 1 | $282.81 | $471.35 | $56.56–$377.08 | 59% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OB ED VISIT LEVEL 1 | $200.40 | $334.00 | $76.15–$267.20 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPT VISIT LEVEL 1 | $282.81 | $471.35 | $107.46–$377.08 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB ED VISIT LEVEL 2 | $339.00 | $565.00 | $67.80–$452.00 | 19% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT LEVEL 2 | $498.46 | $830.77 | $99.69–$664.62 | 75% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OB ED VISIT LEVEL 2 | $339.00 | $565.00 | $128.81–$452.00 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT LEVEL 2 | $498.46 | $830.77 | $189.41–$664.62 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB ED VISIT LEVEL 3 | $539.40 | $899.00 | $107.88–$719.20 | 16% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LEVEL 3 | $685.52 | $1,142.54 | $137.10–$914.03 | 47% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 OB ED VISIT LEVEL 3 | $539.40 | $899.00 | $204.96–$719.20 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LEVEL 3 | $685.52 | $1,142.54 | $260.49–$914.03 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB ED VISIT LEVEL 4 | $861.00 | $1,435.00 | $172.20–$1,148.00 | 4% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT LEVEL 4 | $1,132.25 | $1,887.09 | $226.45–$1,509.67 | 26% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 OB ED VISIT LEVEL 4 | $861.00 | $1,435.00 | $327.17–$1,148.00 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT LEVEL 4 | $1,132.25 | $1,887.09 | $430.24–$1,509.67 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OB ED VISIT LEVEL 5 | $1,274.40 | $2,124.00 | $254.88–$1,699.20 | 9% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT LEVEL 5 | $1,923.40 | $3,205.67 | $384.68–$2,564.54 | 64% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 OB ED VISIT LEVEL 5 | $1,274.40 | $2,124.00 | $484.25–$1,699.20 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT LEVEL 5 | $1,923.40 | $3,205.67 | $730.86–$2,564.54 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 RMC STRESS TEST TRACING ONLY | $800.98 | $1,334.97 | $160.20–$1,067.98 | 5% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST-TRACING ONLY | $800.98 | $1,334.97 | $160.20–$1,067.98 | 5% above | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST-TRACING ONLY | $800.98 | $1,334.97 | $456.38–$1,067.98 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 RMC STRESS TEST TRACING ONLY | $800.98 | $1,334.97 | $304.36–$1,067.98 | — | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY- 1 HR SUB | $84.00 | $140.00 | $16.80–$112.00 | 66% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY-1/2HR INT | $85.20 | $142.00 | $17.04–$113.60 | 66% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY-1/2HR SUB | $85.20 | $142.00 | $17.04–$113.60 | 66% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY-1HR INT | $97.20 | $162.00 | $19.44–$129.60 | 61% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY WITH PATIENT | $97.20 | $162.00 | $19.44–$129.60 | 61% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/ PATIENT | $132.60 | $221.00 | $26.52–$176.80 | 47% below | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY- 1 HR SUB | $84.00 | $140.00 | $31.92–$112.00 | — | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY-1/2HR INT | $85.20 | $142.00 | $32.37–$113.60 | — | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY-1/2HR SUB | $85.20 | $142.00 | $32.37–$113.60 | — | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY-1HR INT | $97.20 | $162.00 | $36.93–$129.60 | — | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY WITH PATIENT | $97.20 | $162.00 | $36.93–$129.60 | — | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/ PATIENT | $132.60 | $221.00 | $50.39–$176.80 | — | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY WITHOUT PATIENT | $97.20 | $162.00 | $19.44–$129.60 | 56% below | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY WITHOUT PATIENT | $97.20 | $162.00 | $36.93–$129.60 | — | 40% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY INITIAL | $100.80 | $168.00 | $20.16–$134.40 | 30% below | 40% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY SUBSEQUENT | $100.80 | $168.00 | $20.16–$134.40 | 30% below | 40% |
| Group psychotherapy session CPT 90853 GROUP THERAPY (50 MIN) | $100.80 | $168.00 | $20.16–$134.40 | 30% below | 40% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY SUBSEQUENT | $100.80 | $168.00 | $38.30–$134.40 | — | 40% |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY (50 MIN) | $100.80 | $168.00 | $38.30–$134.40 | — | 40% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY INITIAL | $100.80 | $168.00 | $38.30–$134.40 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 LD INF HYDRATION INIT TO 1 HR | $204.00 | $340.00 | $40.80–$272.00 | 28% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 4C INF HYDRATION INIT TO 1 HR | $204.00 | $340.00 | $40.80–$272.00 | 28% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 5C INF HYDRATION INIT TO 1 HR | $204.00 | $340.00 | $40.80–$272.00 | 28% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 SPR INF HYDRATION INIT TO 1 HR | $234.60 | $391.00 | $46.92–$312.80 | 17% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB ED INF HYD INIT TO 1 HR | $281.40 | $469.00 | $56.28–$375.20 | at median | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 FS PR INF HYDRATION INIT TO 1 | $281.40 | $469.00 | $56.28–$375.20 | at median | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION TO 1 HR | $323.40 | $539.00 | $64.68–$431.20 | 15% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PR INF HYDRATION INIT TO 1 HR | $324.00 | $540.00 | $64.80–$432.00 | 15% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 RMC IV HYDRATION 1ST HR | $578.00 | $963.33 | $115.60–$770.66 | 105% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER INF HYDRATION INIT TO 1 HR | $578.00 | $963.33 | $115.60–$770.66 | 105% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 AC INF HYDRATION INIT TO 1 HR | $581.99 | $969.99 | $116.40–$775.99 | 106% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF HYDRATION INIT TO 1 HR | $581.99 | $969.99 | $116.40–$775.99 | 106% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 5C INF HYDRATION INIT TO 1 HR | $204.00 | $340.00 | $116.23–$272.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 4C INF HYDRATION INIT TO 1 HR | $204.00 | $340.00 | $116.23–$272.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 LD INF HYDRATION INIT TO 1 HR | $204.00 | $340.00 | $77.52–$272.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 SPR INF HYDRATION INIT TO 1 HR | $234.60 | $391.00 | $89.14–$312.80 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 FS PR INF HYDRATION INIT TO 1 | $281.40 | $469.00 | $106.93–$375.20 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB ED INF HYD INIT TO 1 HR | $281.40 | $469.00 | $106.93–$375.20 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION TO 1 HR | $323.40 | $539.00 | $122.89–$431.20 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 PR INF HYDRATION INIT TO 1 HR | $324.00 | $540.00 | $123.11–$432.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 RMC IV HYDRATION 1ST HR | $578.00 | $963.33 | $219.63–$770.66 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ER INF HYDRATION INIT TO 1 HR | $578.00 | $963.33 | $219.63–$770.66 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 AC INF HYDRATION INIT TO 1 HR | $581.99 | $969.99 | $221.15–$775.99 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF HYDRATION INIT TO 1 HR | $581.99 | $969.99 | $331.61–$775.99 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 4B FROM 2A INF TX INIT TO 1 HR | $204.00 | $340.00 | $40.80–$272.00 | 34% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 LD INF TX/PROP/DX INIT TO 1 HR | $204.00 | $340.00 | $40.80–$272.00 | 34% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 5C INF TX/PROP/DX INIT TO 1 HR | $204.00 | $340.00 | $40.80–$272.00 | 34% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 4C INF TX/PROP/DX INIT TO 1 HR | $204.00 | $340.00 | $40.80–$272.00 | 34% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 SPR INF TX/PRO/DX INIT TO 1 HR | $234.60 | $391.00 | $46.92–$312.80 | 24% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 4A INF TX/PROP/DX INIT TO 1 H | $274.80 | $458.00 | $54.96–$366.40 | 10% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 6C INF TX/PROP/DX INIT TO 1 H | $274.80 | $458.00 | $54.96–$366.40 | 10% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 OB ED INF TX/PROP/DX INIT HR | $281.40 | $469.00 | $56.28–$375.20 | 8% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 FS PR INF TX/PROP/DX INIT TO 1 | $281.40 | $469.00 | $56.28–$375.20 | 8% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 XR INF TX/PROP/DX TO 1HR | $323.40 | $539.00 | $64.68–$431.20 | 5% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 PR INF TX/PROP/DX INIT TO 1 HR | $323.40 | $539.00 | $64.68–$431.20 | 5% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 OP INF TX/PROP/DX INIT TO 1 HR | $324.00 | $540.00 | $64.80–$432.00 | 6% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 RMC INFUSION THERAP\\DIAG | $578.00 | $963.33 | $115.60–$770.66 | 88% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 ER INF TX/PROP/DX INIT TO 1 HR | $579.10 | $965.16 | $115.82–$772.13 | 89% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 AC INF TX/PROP/DX INIT TO 1 HR | $581.99 | $969.99 | $116.40–$775.99 | 90% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 INF TX/PROP/DX INIT TO 1 HR | $581.99 | $969.99 | $116.40–$775.99 | 90% above | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 4B FROM 2A INF TX INIT TO 1 HR | $204.00 | $340.00 | $116.23–$272.00 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 LD INF TX/PROP/DX INIT TO 1 HR | $204.00 | $340.00 | $77.52–$272.00 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 4C INF TX/PROP/DX INIT TO 1 HR | $204.00 | $340.00 | $116.23–$272.00 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 5C INF TX/PROP/DX INIT TO 1 HR | $204.00 | $340.00 | $116.23–$272.00 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 SPR INF TX/PRO/DX INIT TO 1 HR | $234.60 | $391.00 | $89.14–$312.80 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 4A INF TX/PROP/DX INIT TO 1 H | $274.80 | $458.00 | $156.57–$366.40 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 6C INF TX/PROP/DX INIT TO 1 H | $274.80 | $458.00 | $156.57–$366.40 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 FS PR INF TX/PROP/DX INIT TO 1 | $281.40 | $469.00 | $106.93–$375.20 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 OB ED INF TX/PROP/DX INIT HR | $281.40 | $469.00 | $106.93–$375.20 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 XR INF TX/PROP/DX TO 1HR | $323.40 | $539.00 | $122.89–$431.20 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 PR INF TX/PROP/DX INIT TO 1 HR | $323.40 | $539.00 | $122.89–$431.20 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 OP INF TX/PROP/DX INIT TO 1 HR | $324.00 | $540.00 | $184.61–$432.00 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 RMC INFUSION THERAP\\DIAG | $578.00 | $963.33 | $219.63–$770.66 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ER INF TX/PROP/DX INIT TO 1 HR | $579.10 | $965.16 | $220.05–$772.13 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INF TX/PROP/DX INIT TO 1 HR | $581.99 | $969.99 | $331.61–$775.99 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 AC INF TX/PROP/DX INIT TO 1 HR | $581.99 | $969.99 | $221.15–$775.99 | — | 40% |
| IV push of a medicine, first drug CPT 96374 5C INJECTION-INTRAV INITIAL | $105.60 | $176.00 | $21.12–$140.80 | 39% below | 40% |
| IV push of a medicine, first drug CPT 96374 INJECTION - INTRAV INITIAL | $105.60 | $176.00 | $21.12–$140.80 | 39% below | 40% |
| IV push of a medicine, first drug CPT 96374 4C INJECTION-INTRAV INITIAL | $105.60 | $176.00 | $21.12–$140.80 | 39% below | 40% |
| IV push of a medicine, first drug CPT 96374 4A INJECTION-INTRAV INITIAL | $105.60 | $176.00 | $21.12–$140.80 | 39% below | 40% |
| IV push of a medicine, first drug CPT 96374 4B INJECTION-INTRAV INITIAL | $105.60 | $176.00 | $21.12–$140.80 | 39% below | 40% |
| IV push of a medicine, first drug CPT 96374 AC INJECTION-INTRAV INITIAL | $117.99 | $196.65 | $23.60–$157.32 | 32% below | 40% |
| IV push of a medicine, first drug CPT 96374 INJECT INTRAV PUSH INITIAL | $117.99 | $196.65 | $23.60–$157.32 | 32% below | 40% |
| IV push of a medicine, first drug CPT 96374 ER-INJECTION - INTRAVENOUS | $118.22 | $197.04 | $23.64–$157.63 | 32% below | 40% |
| IV push of a medicine, first drug CPT 96374 OB/GYN INJ - INTRAV INITIAL | $121.20 | $202.00 | $24.24–$161.60 | 30% below | 40% |
| IV push of a medicine, first drug CPT 96374 SPR INJECT - INTRAV INITIAL | $121.80 | $203.00 | $24.36–$162.40 | 30% below | 40% |
| IV push of a medicine, first drug CPT 96374 RMC IV PUSH INITIAL DRUG | $137.99 | $229.98 | $27.60–$183.98 | 20% below | 40% |
| IV push of a medicine, first drug CPT 96374 OB ED INJ - INTRAV INITIAL | $145.20 | $242.00 | $29.04–$193.60 | 16% below | 40% |
| IV push of a medicine, first drug CPT 96374 FS INJECTION -INTRAVENOUS INIT | $145.80 | $243.00 | $29.16–$194.40 | 16% below | 40% |
| IV push of a medicine, first drug CPT 96374 IV INF PUSH INITIAL | $166.80 | $278.00 | $33.36–$222.40 | 4% below | 40% |
| IV push of a medicine, first drug CPT 96374 Injection -Intravenous Initial | $166.80 | $278.00 | $33.36–$222.40 | 4% below | 40% |
| IV push of a medicine, first drug CPT 96374 6B INJECTION - INTRAV INITIAL | $274.80 | $458.00 | $54.96–$366.40 | 59% above | 40% |
| IV push of a medicine, first drug CPT 96374 6C INJECTION-INTRAV INITIAL | $274.80 | $458.00 | $54.96–$366.40 | 59% above | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 4C INJECTION-INTRAV INITIAL | $105.60 | $176.00 | $60.17–$140.80 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 4A INJECTION-INTRAV INITIAL | $105.60 | $176.00 | $60.17–$140.80 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 4B INJECTION-INTRAV INITIAL | $105.60 | $176.00 | $60.17–$140.80 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 5C INJECTION-INTRAV INITIAL | $105.60 | $176.00 | $60.17–$140.80 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION - INTRAV INITIAL | $105.60 | $176.00 | $40.13–$140.80 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECT INTRAV PUSH INITIAL | $117.99 | $196.65 | $67.23–$157.32 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 AC INJECTION-INTRAV INITIAL | $117.99 | $196.65 | $44.83–$157.32 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 ER-INJECTION - INTRAVENOUS | $118.22 | $197.04 | $44.92–$157.63 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 OB/GYN INJ - INTRAV INITIAL | $121.20 | $202.00 | $69.06–$161.60 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 SPR INJECT - INTRAV INITIAL | $121.80 | $203.00 | $46.28–$162.40 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 RMC IV PUSH INITIAL DRUG | $137.99 | $229.98 | $52.43–$183.98 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 OB ED INJ - INTRAV INITIAL | $145.20 | $242.00 | $55.17–$193.60 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 FS INJECTION -INTRAVENOUS INIT | $145.80 | $243.00 | $55.40–$194.40 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 IV INF PUSH INITIAL | $166.80 | $278.00 | $63.38–$222.40 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 Injection -Intravenous Initial | $166.80 | $278.00 | $63.38–$222.40 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 6C INJECTION-INTRAV INITIAL | $274.80 | $458.00 | $156.57–$366.40 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 6B INJECTION - INTRAV INITIAL | $274.80 | $458.00 | $156.57–$366.40 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 4C INJECTION-SQ/IM | $43.20 | $72.00 | $8.64–$57.60 | 51% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 RAD MED INJECTION-SQ/IM | $43.20 | $72.00 | $8.64–$57.60 | 51% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 L&D INJECTION-SQ/IM | $43.20 | $72.00 | $8.64–$57.60 | 51% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SPR INJECT - SQ/IM | $49.80 | $83.00 | $9.96–$66.40 | 44% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 FS INJECTION - SQ/IM | $59.40 | $99.00 | $11.88–$79.20 | 33% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB ED INJECTION-SQ/IM | $60.00 | $100.00 | $12.00–$80.00 | 32% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection - SQ/IM | $69.00 | $229.98 | $27.60–$183.98 | 22% below | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PAIN CLINIC INJECTION SQ/IM | $69.00 | $115.00 | $13.80–$92.00 | 22% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 DIALYSIS INJECTION - SQ/IM | $69.00 | $115.00 | $13.80–$92.00 | 22% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 6C INJECTION - SQ/IM | $93.00 | $155.00 | $18.60–$124.00 | 5% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION - ANTIBIOTIC | $105.60 | $176.00 | $21.12–$140.80 | 19% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 RMC IM/SQ INJECTION | $137.99 | $229.98 | $27.60–$183.98 | 56% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECT - ANTIBIOTIC | $137.99 | $229.98 | $27.60–$183.98 | 56% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 AC INJECTION-SQ/IM | $137.99 | $229.98 | $27.60–$183.98 | 56% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER-INJECTION - ANTIBIOTIC | $138.26 | $230.44 | $27.65–$184.35 | 56% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER-INJECTION - SQ/IM | $138.26 | $230.44 | $27.65–$184.35 | 56% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 AC INJECTION-ANTIBIOTIC | $139.80 | $233.00 | $27.96–$186.40 | 58% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB ED INJECTION - ANTIBIOTIC | $145.20 | $242.00 | $29.04–$193.60 | 64% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 FS INJECTION - ANTIBIOTIC | $145.80 | $243.00 | $29.16–$194.40 | 65% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 L&D INJECTION-SQ/IM | $43.20 | $72.00 | $16.42–$57.60 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 4C INJECTION-SQ/IM | $43.20 | $72.00 | $24.61–$57.60 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RAD MED INJECTION-SQ/IM | $43.20 | $72.00 | $24.61–$57.60 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SPR INJECT - SQ/IM | $49.80 | $83.00 | $18.92–$66.40 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 FS INJECTION - SQ/IM | $59.40 | $99.00 | $22.57–$79.20 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB ED INJECTION-SQ/IM | $60.00 | $100.00 | $22.80–$80.00 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 DIALYSIS INJECTION - SQ/IM | $69.00 | $115.00 | $39.31–$92.00 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection - SQ/IM | $69.00 | $115.00 | $26.22–$92.00 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PAIN CLINIC INJECTION SQ/IM | $69.00 | $115.00 | $39.31–$92.00 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 6C INJECTION - SQ/IM | $93.00 | $155.00 | $52.99–$124.00 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION - ANTIBIOTIC | $105.60 | $176.00 | $40.13–$140.80 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECT - ANTIBIOTIC | $137.99 | $229.98 | $78.62–$183.98 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RMC IM/SQ INJECTION | $137.99 | $229.98 | $52.43–$183.98 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 AC INJECTION-SQ/IM | $137.99 | $229.98 | $52.43–$183.98 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER-INJECTION - SQ/IM | $138.26 | $230.44 | $52.54–$184.35 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER-INJECTION - ANTIBIOTIC | $138.26 | $230.44 | $52.54–$184.35 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 AC INJECTION-ANTIBIOTIC | $139.80 | $233.00 | $53.12–$186.40 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB ED INJECTION - ANTIBIOTIC | $145.20 | $242.00 | $55.17–$193.60 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 FS INJECTION - ANTIBIOTIC | $145.80 | $243.00 | $55.40–$194.40 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 TH PSYCHIATRIC DIAG EVAL | $139.80 | $233.00 | $27.96–$186.40 | 33% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL | $139.80 | $233.00 | $27.96–$186.40 | 33% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL | $139.80 | $233.00 | $53.12–$186.40 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 TH PSYCHIATRIC DIAG EVAL | $139.80 | $233.00 | $53.12–$186.40 | — | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION 7-8 STUDIES | $1,611.60 | $2,686.00 | $322.32–$2,148.80 | 88% above | 40% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION 7-8 STUDIES | $1,611.60 | $2,686.00 | $612.38–$2,148.80 | — | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 ST-NEUROMUSCULAR RE-ED 15 MIN | $55.80 | $93.00 | $11.16–$74.40 | 26% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT-WKU NEURO RE-ED | $70.20 | $117.00 | $14.04–$103.20 | 7% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 TELEHEALTH NEURO | $98.40 | $164.00 | $19.68–$131.20 | 30% above | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 OTA NEUROMUSCULAR 15 MIN | $98.40 | $164.00 | $19.68–$131.20 | 30% above | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR 15 MIN | $98.40 | $164.00 | $19.68–$131.20 | 30% above | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 TH NEURO RE EDU | $113.40 | $189.00 | $22.68–$151.20 | 50% above | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT-NEUROMUSCULAR RE-ED 15 MIN | $125.00 | $208.33 | $25.00–$166.66 | 65% above | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $125.00 | $208.33 | $25.00–$166.66 | 65% above | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 PTA-NEUROMUSCULAR RE-ED 15MIN | $125.00 | $208.33 | $25.00–$166.66 | 65% above | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 ST-NEUROMUSCULAR RE-ED 15 MIN | $55.80 | $93.00 | $21.20–$74.40 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT-WKU NEURO RE-ED | $70.20 | $117.00 | $40.00–$93.60 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 TELEHEALTH NEURO | $98.40 | $164.00 | $37.39–$131.20 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEUROMUSCULAR 15 MIN | $98.40 | $164.00 | $37.39–$131.20 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTA NEUROMUSCULAR 15 MIN | $98.40 | $164.00 | $56.07–$131.20 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 TH NEURO RE EDU | $113.40 | $189.00 | $64.61–$151.20 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA-NEUROMUSCULAR RE-ED 15MIN | $125.00 | $208.33 | $47.50–$166.66 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION | $125.00 | $208.33 | $71.22–$166.66 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT-NEUROMUSCULAR RE-ED 15 MIN | $125.00 | $208.33 | $47.50–$166.66 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT-INIT'L ASSESSMT IND 15 MIN | $64.20 | $107.00 | $12.84–$85.60 | 115% above | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT-INIT'L ASSESSMT IND 15 MIN | $64.20 | $107.00 | $24.39–$85.60 | — | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 TH OT EVAL - LOW | $144.00 | $240.00 | $28.80–$192.00 | 17% below | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $156.63 | $261.05 | $31.33–$208.84 | 10% below | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 TH OT EVAL - LOW | $144.00 | $240.00 | $82.05–$192.00 | — | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $156.63 | $261.05 | $89.24–$208.84 | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 TELEHEALTH EVAL HIGH | $124.80 | $208.00 | $24.96–$166.40 | 36% below | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 WKU EVAL HIGH COMPLEXITY | $167.40 | $279.00 | $33.48–$223.20 | 14% below | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $504.76 | $841.27 | $94.22–$673.02 | 161% above | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 TELEHEALTH EVAL HIGH | $124.80 | $208.00 | $47.42–$166.40 | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 WKU EVAL HIGH COMPLEXITY | $167.40 | $279.00 | $95.38–$223.20 | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $504.76 | $841.27 | $191.80–$673.02 | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 TELEHEALTH EVAL LOW | $124.80 | $208.00 | $24.96–$166.40 | 25% below | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 WKU EVAL LOW COMPLEXITY | $167.40 | $279.00 | $33.48–$223.20 | 1% above | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $504.76 | $841.27 | $94.22–$673.02 | 204% above | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 TELEHEALTH EVAL LOW | $124.80 | $208.00 | $47.42–$166.40 | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 WKU EVAL LOW COMPLEXITY | $167.40 | $279.00 | $95.38–$223.20 | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $504.76 | $841.27 | $191.80–$673.02 | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 TELEHEALTH EVAL MOD | $124.80 | $208.00 | $24.96–$166.40 | 30% below | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 WKU EVAL MODERATE COMPLEXITY | $167.40 | $279.00 | $33.48–$223.20 | 7% below | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $504.76 | $841.27 | $94.22–$673.02 | 181% above | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 TELEHEALTH EVAL MOD | $124.80 | $208.00 | $47.42–$166.40 | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 WKU EVAL MODERATE COMPLEXITY | $167.40 | $279.00 | $95.38–$223.20 | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $504.76 | $841.27 | $191.80–$673.02 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 WKU MANUAL THERAPY | $56.40 | $94.00 | $11.28–$94.00 | 15% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OTA MANUAL THERAPY 15 MIN | $101.40 | $169.00 | $20.28–$135.20 | 54% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT-MANUAL THERAPY 15 MIN | $140.00 | $233.34 | $25.42–$186.67 | 112% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT-MANUAL THERAPY 15 MIN | $140.00 | $233.34 | $25.42–$186.67 | 112% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 WKU MANUAL THERAPY | $56.40 | $94.00 | $32.14–$75.20 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OTA MANUAL THERAPY 15 MIN | $101.40 | $169.00 | $57.78–$135.20 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT-MANUAL THERAPY 15 MIN | $140.00 | $233.34 | $53.20–$186.67 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT-MANUAL THERAPY 15 MIN | $140.00 | $233.34 | $79.77–$186.67 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 WKU THERAPEUTIC EXERCISES | $61.80 | $103.00 | $12.36–$103.00 | 23% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA THERAP EXCERCISES 15 MIN | $64.20 | $107.00 | $12.84–$85.60 | 20% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAP EXERCISE 15 MIN | $64.20 | $107.00 | $12.84–$103.20 | 20% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TELEHEALTH TE | $75.00 | $125.00 | $15.00–$103.20 | 6% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH OT THER EXER | $88.80 | $148.00 | $17.76–$118.40 | 11% above | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT-THERAPEUTIC EXERCISE 15 MIN | $161.00 | $268.34 | $27.54–$214.67 | 101% above | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-THERAPEUTIC EXERCISE 15 MIN | $161.00 | $268.34 | $27.54–$214.67 | 101% above | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EXERCISE 15MIN | $161.00 | $268.34 | $27.54–$214.67 | 101% above | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 WKU THERAPEUTIC EXERCISES | $61.80 | $103.00 | $35.21–$82.40 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAP EXERCISE 15 MIN | $64.20 | $107.00 | $24.39–$85.60 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAP EXCERCISES 15 MIN | $64.20 | $107.00 | $36.58–$85.60 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TELEHEALTH TE | $75.00 | $125.00 | $28.50–$100.00 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH OT THER EXER | $88.80 | $148.00 | $50.60–$118.40 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT-THERAPEUTIC EXERCISE 15 MIN | $161.00 | $268.34 | $61.18–$214.67 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EXERCISE 15MIN | $161.00 | $268.34 | $61.18–$214.67 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT-THERAPEUTIC EXERCISE 15 MIN | $161.00 | $268.34 | $91.74–$214.67 | — | 40% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MINUTES | $87.00 | $145.00 | $17.40–$116.00 | 29% below | 40% |
| Psychotherapy session, 30 minutes CPT 90832 TH PSYTX PT&/FAMILY 30 MIN | $87.00 | $145.00 | $17.40–$116.00 | 29% below | 40% |
| Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY 30 MIN | $87.00 | $145.00 | $17.40–$116.00 | 29% below | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL THERAPY 30 MIN | $87.00 | $145.00 | $33.06–$116.00 | — | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MINUTES | $87.00 | $145.00 | $33.06–$116.00 | — | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 TH PSYTX PT&/FAMILY 30 MIN | $87.00 | $145.00 | $33.06–$116.00 | — | 40% |
| Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL THERAPY 45 MIN | $100.80 | $168.00 | $20.16–$134.40 | 43% below | 40% |
| Psychotherapy session, 45 minutes CPT 90834 TH PSYTX W PT 45 MIN | $114.00 | $190.00 | $22.80–$152.00 | 35% below | 40% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAMILY 45 MINUTES | $114.00 | $190.00 | $22.80–$152.00 | 35% below | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL THERAPY 45 MIN | $100.80 | $168.00 | $38.30–$134.40 | — | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAMILY 45 MINUTES | $114.00 | $190.00 | $43.32–$152.00 | — | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 TH PSYTX W PT 45 MIN | $114.00 | $190.00 | $43.32–$152.00 | — | 40% |
| Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL THERAPY 60 MINUTES | $100.80 | $168.00 | $20.16–$134.40 | 49% below | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 INDIVIDUAL THERAPY 60 MINUTES | $100.80 | $168.00 | $38.30–$134.40 | — | 40% |
| Speech and language evaluation CPT 92523 TH SOUND LANG EVAL | $169.20 | $282.00 | $33.84–$225.60 | 39% below | 40% |
| Speech and language evaluation CPT 92523 W/EVAL LANG COMPRE & EXPRESS | $698.99 | $1,164.99 | $139.80–$931.99 | 153% above | 40% |
| Speech and language evaluation inpatient CPT 92523 TH SOUND LANG EVAL | $169.20 | $282.00 | $64.29–$225.60 | — | 40% |
| Speech and language evaluation inpatient CPT 92523 W/EVAL LANG COMPRE & EXPRESS | $698.99 | $1,164.99 | $265.61–$931.99 | — | 40% |
| Speech therapy session, individual CPT 92507 ST - INDIVIDUAL TREATMENT | $186.01 | $310.01 | $37.20–$248.01 | 16% above | 40% |
| Speech therapy session, individual CPT 92507 TH SPEECH TX | $186.01 | $310.01 | $37.20–$248.01 | 16% above | 40% |
| Speech therapy session, individual inpatient CPT 92507 ST - INDIVIDUAL TREATMENT | $186.01 | $310.01 | $70.68–$248.01 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 TH SPEECH TX | $186.01 | $310.01 | $70.68–$248.01 | — | 40% |
| Spirometry (breathing test) CPT 94010 PFT SPIROMETRY | $363.01 | $605.01 | $72.60–$484.01 | 59% above | 40% |
| Spirometry (breathing test) inpatient CPT 94010 PFT SPIROMETRY | $363.01 | $605.01 | $137.94–$484.01 | — | 40% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE/POST BD | $795.00 | $1,325.00 | $159.00–$1,060.00 | 74% above | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE/POST BD | $795.00 | $1,325.00 | $302.09–$1,060.00 | — | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 WKU THERAPEUTIC ACTVITY | $42.60 | $71.00 | $8.52–$71.00 | 42% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THERAP ACTIVITIES 15 MIN | $56.40 | $94.00 | $11.28–$94.00 | 23% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OTA THERAP ACTIVITIES 15 MIN | $56.40 | $94.00 | $11.28–$75.20 | 23% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 TELEHEALTH TA | $56.40 | $94.00 | $11.28–$94.00 | 23% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ST-THERAPEUTIC ACTIVITY 15 MIN | $65.40 | $109.00 | $13.08–$87.20 | 11% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 TH OT THER ACTIVITIES | $78.00 | $130.00 | $15.60–$104.00 | 6% above | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT-THERAPEUTIC ACTIVITY 15 MIN | $97.00 | $161.66 | $19.40–$129.33 | 32% above | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTA-THERAP ACTIVITIES 15 MIN | $97.00 | $161.66 | $19.40–$129.33 | 32% above | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT-THERAPEUTIC ACTIVITY 15 MIN | $97.00 | $161.66 | $19.40–$129.33 | 32% above | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 WKU THERAPEUTIC ACTVITY | $42.60 | $71.00 | $24.27–$56.80 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TELEHEALTH TA | $56.40 | $94.00 | $21.43–$75.20 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THERAP ACTIVITIES 15 MIN | $56.40 | $94.00 | $21.43–$75.20 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OTA THERAP ACTIVITIES 15 MIN | $56.40 | $94.00 | $32.14–$75.20 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ST-THERAPEUTIC ACTIVITY 15 MIN | $65.40 | $109.00 | $24.85–$87.20 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH OT THER ACTIVITIES | $78.00 | $130.00 | $44.44–$104.00 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT-THERAPEUTIC ACTIVITY 15 MIN | $97.00 | $161.66 | $55.27–$129.33 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT-THERAPEUTIC ACTIVITY 15 MIN | $97.00 | $161.66 | $36.86–$129.33 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA-THERAP ACTIVITIES 15 MIN | $97.00 | $161.66 | $36.86–$129.33 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 SPR PHLEBOTOMY | $84.60 | $141.00 | $16.92–$112.80 | 46% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy | $121.20 | $202.00 | $24.24–$161.60 | 22% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $766.99 | $1,278.31 | $153.40–$1,022.65 | 393% above | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 SPR PHLEBOTOMY | $84.60 | $141.00 | $32.15–$112.80 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy | $121.20 | $202.00 | $46.05–$161.60 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY | $766.99 | $1,278.31 | $291.44–$1,022.65 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID 24-25(12UP) 30 MCG/0.3ML | $170.52 | $284.20 | $34.10–$227.36 | 49% below | 40% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID 24-25(12UP) 30 MCG/0.3ML | $170.52 | $284.20 | $64.79–$227.36 | — | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE 0.5ML | $224.40 | $374.00 | $44.88–$299.20 | at median | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE 0.5ML | $224.40 | $374.00 | $85.27–$299.20 | — | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH/TETANUS/PERTUSIS 0.5ML | $63.39 | $105.65 | $12.68–$84.52 | 28% below | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH/TETANUS/PERTUSIS 0.5ML | $63.39 | $105.65 | $24.09–$84.52 | — | 40% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B/DP(A)T-POLIO 0.5 ML | $93.48 | $155.80 | $18.70–$124.64 | 66% below | 40% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B/DP(A)T-POLIO 0.5 ML | $93.48 | $155.80 | $35.52–$124.64 | — | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP B RECOMB/HEP A INACT 1ML | $164.76 | $274.60 | $32.95–$219.68 | 67% above | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP B RECOMB/HEP A INACT 1ML | $164.76 | $274.60 | $62.61–$219.68 | — | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440U/ML I | $119.85 | $199.75 | $23.97–$159.80 | at median | 40% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440U/ML I | $119.85 | $199.75 | $45.54–$159.80 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE 20MCG/1ML | $48.00 | $80.00 | $9.60–$66.21 | 70% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 FMCIH ENGERIX ADULT VIAL | $94.20 | $157.00 | $18.84–$125.60 | 41% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE 20MCG/1ML | $48.00 | $80.00 | $18.24–$64.00 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 FMCIH ENGERIX ADULT VIAL | $94.20 | $157.00 | $35.79–$125.60 | — | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX 5 MCG PEDIATRIC VAC | $37.80 | $63.00 | $7.56–$50.40 | 35% below | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACINE RECOMBIN 10 | $49.80 | $83.00 | $9.96–$66.40 | 14% below | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 RECOMBIVAX 5 MCG PEDIATRIC VAC | $37.80 | $63.00 | $14.36–$50.40 | — | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACINE RECOMBIN 10 | $49.80 | $83.00 | $18.92–$66.40 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE HIGH-DOSE | $45.00 | $75.00 | $9.00–$70.89 | 62% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC TS2024-25(65YR UP)/P | $51.61 | $86.02 | $10.32–$70.89 | 56% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FIH FLUZONE HD SYR | $332.88 | $554.80 | $66.58–$443.84 | 184% above | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACCINE HIGH-DOSE | $45.00 | $75.00 | $17.10–$60.00 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC TS2024-25(65YR UP)/P | $51.61 | $86.02 | $19.61–$68.82 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FIH FLUZONE HD SYR | $332.88 | $554.80 | $126.49–$443.84 | — | 40% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES/MUMPS/RUBEL 1A 1ML | $326.34 | $543.90 | $65.27–$435.12 | at median | 40% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES/MUMPS/RUBEL 1A 1ML | $326.34 | $543.90 | $124.00–$435.12 | — | 40% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENING ACYW135,C-TET/PF 0.5ml | $204.51 | $340.85 | $40.90–$272.68 | 65% below | 40% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENING ACYW135,C-TET/PF 0.5ml | $204.51 | $340.85 | $77.71–$272.68 | — | 40% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC | $115.20 | $192.00 | $23.04–$192.00 | 59% below | 40% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC | $115.20 | $192.00 | $43.77–$153.60 | — | 40% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PNEUMOC 15-VAL CONJP 0.5ML SYR | $268.02 | $446.70 | $53.60–$357.36 | at median | 40% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PNEUMOC 15-VAL CONJP 0.5ML SYR | $268.02 | $446.70 | $101.84–$357.36 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ 0.5ML SYR | $314.25 | $523.75 | $62.85–$419.00 | 40% below | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ 0.5ML SYR | $314.25 | $523.75 | $119.41–$419.00 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE .5 ML INJ | $96.60 | $161.00 | $19.32–$128.80 | 62% below | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE & ADMIN | $402.90 | $671.50 | $80.58–$537.20 | 59% above | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE .5 ML INJ | $96.60 | $161.00 | $36.71–$128.80 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE & ADMIN | $402.90 | $671.50 | $153.10–$537.20 | — | 40% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOMYELITIS VAC 0.5 ML | $55.71 | $92.85 | $11.14–$74.28 | 71% below | 40% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOMYELITIS VAC 0.5 ML | $55.71 | $92.85 | $21.17–$74.28 | — | 40% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100MG/ML | $584.19 | $973.65 | $116.84–$778.92 | at median | 40% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100MG/ML | $584.19 | $973.65 | $221.98–$778.92 | — | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50MG/0.5MLR | $584.19 | $973.65 | $116.84–$778.92 | 31% below | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50MG/0.5MLR | $584.19 | $973.65 | $221.98–$778.92 | — | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VAC PREF A/B 120 MCG/0.5ML | $338.25 | $563.75 | $67.65–$451.00 | 14% above | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VAC PREF A/B 120 MCG/0.5ML | $338.25 | $563.75 | $128.53–$451.00 | — | 40% |
| Rabies vaccine, one dose CPT 90675 RABIES VAC HUMAN DIPLOID 1 ML | $1,304.52 | $2,174.20 | $260.90–$1,739.36 | 58% above | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC HUMAN DIPLOID 1 ML | $1,304.52 | $2,174.20 | $495.70–$1,739.36 | — | 40% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VAC ATT 89-12 1.5ML | $156.60 | $261.00 | $31.32–$208.80 | at median | 40% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VAC ATT 89-12 1.5ML | $156.60 | $261.00 | $59.51–$208.80 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPTHER/TETNUS/PERTUSS .5ML SY | $75.81 | $126.35 | $15.16–$101.08 | at median | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPHTHERIA TOXOIDS .5 | $148.50 | $247.50 | $29.70–$198.00 | 96% above | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPTHER/TETNUS/PERTUSS .5ML SY | $75.81 | $126.35 | $28.81–$101.08 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPHTHERIA TOXOIDS .5 | $148.50 | $247.50 | $56.43–$198.00 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 0.5 ML VIAL | $81.48 | $298.90 | $35.87–$239.12 | 24% below | 73% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 0.5 ML VIAL | $179.34 | $298.90 | $68.15–$239.12 | — | 40% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID 0.5ML SYRUP | $187.44 | $312.40 | $37.49–$249.92 | at median | 40% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID 0.5ML SYRUP | $187.44 | $312.40 | $71.22–$249.92 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN - VFC HEP B | $13.80 | $23.00 | $2.76–$18.40 | 81% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN - TETANUS | $27.00 | $45.00 | $5.40–$36.00 | 62% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $36.00 | $60.00 | $7.20–$48.00 | 49% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SPR TETANUS ADMIN - INITIAL | $36.00 | $60.00 | $7.20–$48.00 | 49% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Tetanus Admin - Initial | $41.40 | $69.00 | $8.28–$55.20 | 42% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FS TETANUS ADMIN - INITIAL | $42.60 | $71.00 | $8.52–$56.80 | 40% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN - INITIAL | $56.40 | $94.00 | $11.28–$75.20 | 20% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER-VACCINE ADMIN - INIT | $120.00 | $200.00 | $24.00–$160.00 | 69% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RMC VACCINATION ADMINIST | $302.99 | $504.99 | $60.60–$403.99 | 328% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN - VFC HEP B | $13.80 | $23.00 | $7.86–$18.40 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN - TETANUS | $27.00 | $45.00 | $15.38–$36.00 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN | $36.00 | $60.00 | $13.68–$48.00 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SPR TETANUS ADMIN - INITIAL | $36.00 | $60.00 | $13.68–$48.00 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Tetanus Admin - Initial | $41.40 | $69.00 | $15.73–$55.20 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FS TETANUS ADMIN - INITIAL | $42.60 | $71.00 | $16.19–$56.80 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN - INITIAL | $56.40 | $94.00 | $32.14–$75.20 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ER-VACCINE ADMIN - INIT | $120.00 | $200.00 | $45.60–$160.00 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 RMC VACCINATION ADMINIST | $302.99 | $504.99 | $115.13–$403.99 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 FS TETANUS ADMIN - EA ADDL | $31.80 | $53.00 | $6.36–$42.40 | 16% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Tetanus Admin - Ea Addl | $36.60 | $61.00 | $7.32–$48.80 | 3% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 RMC INJ VACCINE EA ADDL | $120.00 | $200.00 | $24.00–$160.00 | 217% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 RMC VACCINE INJ. EACH AD | $120.00 | $200.00 | $24.00–$160.00 | 217% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN - EA ADDL | $137.99 | $229.98 | $27.60–$183.98 | 265% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 FS TETANUS ADMIN - EA ADDL | $31.80 | $53.00 | $12.08–$42.40 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Tetanus Admin - Ea Addl | $36.60 | $61.00 | $13.91–$48.80 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 RMC INJ VACCINE EA ADDL | $120.00 | $200.00 | $45.60–$160.00 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 RMC VACCINE INJ. EACH AD | $120.00 | $200.00 | $45.60–$160.00 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN - EA ADDL | $137.99 | $229.98 | $78.62–$183.98 | — | 40% |
Source file: https://medcenterhealth.org/download/42770/?tmstv=1790573342