Hospital

Margaretville Memorial Hospital

Margaretville Memorial Hospital in Margaretville, NY publishes cash prices for 286 common procedures listed here, from its own machine-readable price file updated Jun 24, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 265 of 281 procedures and below it for 16. By typical cash price it ranks #102 of 114 New York hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

42084 State Highway 28, Margaretville, NY 12455 Collected Sep 27, 2026 Source price file (845) 586-2631

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 331304 · CMS hospital register NPI 1164473039

The price file shows no self-pay discount

For 852 of the 852 prices listed here, the cash price in Margaretville Memorial Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE 3+ VIEWS BILAT	$554.00	$554.00	$86.39–$554.00	—	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3+ VIEWS LT	$369.00	$369.00	$86.39–$369.00	96% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3+ VIEWS RT	$369.00	$369.00	$86.39–$369.00	96% above	—
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR ANKLE 3+ VIEWS BILAT	$554.00	$554.00	$387.80–$498.60	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3+ VIEWS RT	$369.00	$369.00	$258.30–$332.10	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3+ VIEWS LT	$369.00	$369.00	$258.30–$332.10	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$749.00	$749.00	$329.56–$929.00	152% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$749.00	$749.00	$524.30–$674.10	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$916.00	$916.00	$208.59–$916.00	171% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS	$916.00	$916.00	$641.20–$824.40	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY	$2,051.00	$2,051.00	$589.01–$2,051.00	115% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY	$2,051.00	$2,051.00	$1,435.70–$1,845.90	—	—
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST COMPLETE BILATERAL	$1,009.00	$1,009.00	$74.78–$1,009.00	—	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LT	$673.00	$673.00	$74.78–$673.00	129% above	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RT	$673.00	$673.00	$74.78–$673.00	129% above	—
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST COMPLETE BILATERAL	$1,009.00	$1,009.00	$706.30–$908.10	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE RT	$673.00	$673.00	$471.10–$605.70	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE LT	$673.00	$673.00	$471.10–$605.70	—	—
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST LIMITED BILATERAL	$661.00	$661.00	$57.01–$661.00	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LT	$440.00	$440.00	$57.01–$440.00	84% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RT	$440.00	$440.00	$57.01–$440.00	84% above	—
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST LIMITED BILATERAL	$661.00	$661.00	$462.70–$594.90	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED LT	$440.00	$440.00	$308.00–$396.00	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED RT	$440.00	$440.00	$308.00–$396.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CONTRAST	$3,346.00	$3,346.00	$291.55–$3,346.00	164% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W CONTRAST	$3,346.00	$3,346.00	$2,342.20–$3,011.40	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W 3D IMAGE	$2,840.00	$2,840.00	$291.55–$2,840.00	176% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W 3D IMAGE	$2,840.00	$2,840.00	$1,988.00–$2,556.00	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING	$645.00	$645.00	$127.70–$645.00	291% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIUM SCORING	$645.00	$645.00	$451.50–$580.50	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CONTRAST	$2,263.00	$2,263.00	$322.70–$2,263.00	110% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CONTRAST	$2,263.00	$2,263.00	$1,584.10–$2,036.70	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CONTRAST	$2,713.00	$2,713.00	$610.96–$2,713.00	74% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CONTRAST	$2,713.00	$2,713.00	$1,899.10–$2,441.70	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS W AND WO CONTRAST	$3,346.00	$3,346.00	$610.96–$3,346.00	89% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS W AND WO CONTRAST	$3,346.00	$3,346.00	$2,342.20–$3,011.40	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$2,713.00	$2,713.00	$291.55–$2,713.00	147% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST	$2,713.00	$2,713.00	$1,899.10–$2,441.70	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST	$2,263.00	$2,263.00	$179.33–$2,263.00	165% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST	$2,263.00	$2,263.00	$1,584.10–$2,036.70	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CONTRAST	$2,263.00	$2,263.00	$179.33–$2,263.00	192% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CONTRAST	$2,263.00	$2,263.00	$1,584.10–$2,036.70	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD BRAIN WO CONTRAST	$2,263.00	$2,263.00	$179.33–$2,263.00	185% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD BRAIN WO CONTRAST	$2,263.00	$2,263.00	$1,584.10–$2,036.70	—	—
CT scan of the head with contrast CPT 70460 CT HEAD BRAIN W CONTRAST	$2,713.00	$2,713.00	$291.55–$2,713.00	193% above	—
CT scan of the head with contrast inpatient CPT 70460 CT HEAD BRAIN W CONTRAST	$2,713.00	$2,713.00	$1,899.10–$2,441.70	—	—
CT scan of the head without and with contrast CPT 70470 CT HEAD BRAIN W AND WO CONTRAST	$3,346.00	$3,346.00	$291.55–$3,346.00	222% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD BRAIN W AND WO CONTRAST	$3,346.00	$3,346.00	$2,342.20–$3,011.40	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE WO CONTRAST	$2,263.00	$2,263.00	$179.33–$2,263.00	171% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE WO CONTRAST	$2,263.00	$2,263.00	$1,584.10–$2,036.70	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV SPINE WO CONTRAST	$2,263.00	$2,263.00	$179.33–$2,263.00	156% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERV SPINE WO CONTRAST	$2,263.00	$2,263.00	$1,584.10–$2,036.70	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$2,713.00	$2,713.00	$291.55–$2,713.00	186% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$2,713.00	$2,713.00	$1,899.10–$2,441.70	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLX EXTRACRANIAL BILAT	$2,123.00	$2,123.00	$428.66–$1,910.70	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLX EXTRACRANIAL BILAT	$2,123.00	$2,123.00	$1,486.10–$1,910.70	—	—
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$392.00	$392.00	$18.62–$392.00	94% above	—
Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$392.00	$392.00	$274.40–$352.80	—	—
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$329.00	$329.00	$10.16–$329.00	77% above	—
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW	$329.00	$329.00	$230.30–$296.10	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPL	$1,102.00	$1,102.00	$179.33–$1,102.00	175% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPL	$1,102.00	$1,102.00	$771.40–$991.80	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY STUDY DEXA	$724.00	$724.00	$92.56–$724.00	171% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY STUDY DEXA	$724.00	$724.00	$506.80–$651.60	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY PERIPHERAL	$1,104.00	$1,104.00	$69.97–$1,104.00	667% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE DENSITY PERIPHERAL	$1,104.00	$1,104.00	$772.80–$993.60	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US DETAILED SNGL FETUS	$757.00	$757.00	$333.08–$769.65	34% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US DETAILED SNGL FETUS	$757.00	$757.00	$529.90–$681.30	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST	$2,263.00	$2,263.00	$179.33–$2,263.00	172% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST	$2,263.00	$2,263.00	$1,584.10–$2,036.70	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$2,263.00	$2,263.00	$291.55–$2,263.00	99% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST	$2,263.00	$2,263.00	$1,584.10–$2,036.70	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$1,135.00	$1,135.00	$92.79–$1,135.00	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO AFTER SCREENING INCL CAD BI	$1,135.00	$1,135.00	$92.79–$1,135.00	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI	$1,135.00	$1,135.00	$794.50–$1,021.50	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO AFTER SCREENING INCL CAD BI	$1,135.00	$1,135.00	$794.50–$1,021.50	—	—
Diagnostic mammogram, one breast CPT 77065 DX MAMMO AFTER SCREENING INCL CAD UNI	$887.00	$887.00	$72.65–$887.00	227% above	—
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI RT	$887.00	$887.00	$72.65–$887.00	227% above	—
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI LT	$887.00	$887.00	$72.65–$887.00	227% above	—
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO AFTER SCREENING INCL CAD UNI	$887.00	$887.00	$620.90–$798.30	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNI LT	$887.00	$887.00	$620.90–$798.30	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNI RT	$887.00	$887.00	$620.90–$798.30	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LE ART/BPG; BILAT	$2,133.00	$2,133.00	$569.64–$1,919.70	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX LE ART/BPG; BILAT	$2,133.00	$2,133.00	$1,493.10–$1,919.70	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLX VENOUS BILAT	$2,159.00	$2,159.00	$435.31–$1,943.10	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLX VENOUS BILAT	$2,159.00	$2,159.00	$1,511.30–$1,943.10	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$2,312.00	$2,312.00	$634.68–$2,080.80	115% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE	$2,312.00	$2,312.00	$1,618.40–$2,080.80	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$2,882.00	$2,882.00	$282.47–$2,882.00	186% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$2,882.00	$2,882.00	$2,017.40–$2,593.80	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT(HOME)	$1,417.00	$1,417.00	$623.48–$4,034.00	254% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATT&RESP EFFT(HOME)	$1,417.00	$1,417.00	$991.90–$1,275.30	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY WITH CPAP	$4,624.00	$4,624.00	$2,034.56–$4,746.58	136% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY WITH CPAP	$4,624.00	$4,624.00	$3,236.80–$4,161.60	—	—
Knee X-ray, 3 views both sides CPT 73562 XR KNEE 3 VIEWS BILAT	$709.00	$709.00	$97.69–$709.00	—	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LT	$472.00	$472.00	$97.69–$472.00	167% above	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RT	$472.00	$472.00	$97.69–$472.00	167% above	—
Knee X-ray, 3 views inpatient both sides CPT 73562 XR KNEE 3 VIEWS BILAT	$709.00	$709.00	$496.30–$638.10	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS RT	$472.00	$472.00	$330.40–$424.80	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LT	$472.00	$472.00	$330.40–$424.80	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$1,041.00	$1,041.00	$179.33–$1,041.00	217% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$1,041.00	$1,041.00	$728.70–$936.90	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C-	$1,409.00	$1,409.00	$96.00–$1,409.00	224% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CANCER SCR C-	$1,409.00	$1,409.00	$986.30–$1,268.10	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT L EXT WO CONTRAST RT	$3,072.00	$3,072.00	$372.86–$3,072.00	209% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT L EXT WO CONTRAST LT	$3,072.00	$3,072.00	$372.86–$3,072.00	209% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JOINT L EXT WO CONTRAST RT	$3,072.00	$3,072.00	$2,150.40–$2,764.80	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JOINT L EXT WO CONTRAST LT	$3,072.00	$3,072.00	$2,150.40–$2,764.80	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT L EXT W AND WO CONTRAST LT	$4,517.00	$4,517.00	$610.96–$4,517.00	161% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT L EXT W AND WO CONTRAST RT	$4,517.00	$4,517.00	$610.96–$4,517.00	161% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT L EXT W AND WO CONTRAST RT	$4,517.00	$4,517.00	$3,161.90–$4,065.30	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT L EXT W AND WO CONTRAST LT	$4,517.00	$4,517.00	$3,161.90–$4,065.30	—	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST	$3,072.00	$3,072.00	$372.86–$3,072.00	197% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST	$3,072.00	$3,072.00	$2,150.40–$2,764.80	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W AND WO CONTRAST	$4,517.00	$4,517.00	$610.96–$4,517.00	174% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W AND WO CONTRAST	$4,517.00	$4,517.00	$3,161.90–$4,065.30	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W O CONTRAST	$3,072.00	$3,072.00	$372.86–$3,072.00	195% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W O CONTRAST	$3,072.00	$3,072.00	$2,150.40–$2,764.80	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST W/IACS MOD	$4,517.00	$4,517.00	$610.96–$4,517.00	174% above	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST W/PITUITARY MOD	$4,517.00	$4,517.00	$610.96–$4,517.00	174% above	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W AND WO CONTRAST	$4,517.00	$4,517.00	$610.96–$4,517.00	174% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST W/PITUITARY MOD	$4,517.00	$4,517.00	$3,161.90–$4,065.30	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W AND WO CONTRAST	$4,517.00	$4,517.00	$3,161.90–$4,065.30	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST W/IACS MOD	$4,517.00	$4,517.00	$3,161.90–$4,065.30	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE WO CONTRAST	$3,072.00	$3,072.00	$372.86–$3,072.00	171% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE WO CONTRAST	$3,072.00	$3,072.00	$2,150.40–$2,764.80	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE W AND WO CONTRAST	$4,517.00	$4,517.00	$610.96–$4,517.00	172% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SPINE W AND WO CONTRAST	$4,517.00	$4,517.00	$3,161.90–$4,065.30	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE WO CONTRAST	$3,072.00	$3,072.00	$372.86–$3,072.00	203% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SPINE WO CONTRAST	$3,072.00	$3,072.00	$2,150.40–$2,764.80	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE W AND WO CONTRAST	$4,517.00	$4,517.00	$610.96–$4,517.00	179% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE W AND WO CONTRAST	$4,517.00	$4,517.00	$3,161.90–$4,065.30	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE WO CONTRAST	$3,072.00	$3,072.00	$372.86–$3,072.00	205% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SPINE WO CONTRAST	$3,072.00	$3,072.00	$2,150.40–$2,764.80	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W AND WO CONTRAST	$4,517.00	$4,517.00	$610.96–$4,517.00	192% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W AND WO CONTRAST	$4,517.00	$4,517.00	$3,161.90–$4,065.30	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST	$3,072.00	$3,072.00	$372.86–$3,072.00	199% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST	$3,072.00	$3,072.00	$2,150.40–$2,764.80	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT U EXT WO CONTRAST RT	$3,072.00	$3,072.00	$372.86–$3,072.00	156% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT U EXT WO CONTRAST LT	$3,072.00	$3,072.00	$372.86–$3,072.00	156% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI JOINT U EXT WO CONTRAST LT	$3,072.00	$3,072.00	$2,150.40–$2,764.80	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI JOINT U EXT WO CONTRAST RT	$3,072.00	$3,072.00	$2,150.40–$2,764.80	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$4,469.00	$4,469.00	$1,764.64–$4,469.00	91% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT	$4,469.00	$4,469.00	$3,128.30–$4,022.10	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LIMITED	$615.00	$615.00	$270.60–$2,267.00	126% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LIMITED	$615.00	$615.00	$430.50–$553.50	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE	$858.00	$858.00	$179.33–$858.00	115% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE	$858.00	$858.00	$600.60–$772.20	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US 2ND OR 3RD TRIMESTER	$876.00	$876.00	$179.33–$876.00	150% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US 2ND OR 3RD TRIMESTER	$876.00	$876.00	$613.20–$788.40	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US 1ST TRIMESTER	$698.00	$698.00	$179.33–$698.00	124% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US 1ST TRIMESTER	$698.00	$698.00	$488.60–$628.20	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED 1 OR > GEST	$470.00	$470.00	$206.80–$2,267.00	62% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED 1 OR > GEST	$470.00	$470.00	$329.00–$423.00	—	—
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$652.00	$652.00	$76.73–$652.00	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD	$652.00	$652.00	$456.40–$586.80	—	—
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER 2 VIEWS BILAT	$648.00	$648.00	$79.21–$648.00	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS OR MO LT	$432.00	$432.00	$79.21–$432.00	114% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS OR MO RT	$432.00	$432.00	$79.21–$432.00	114% above	—
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR SHOULDER 2 VIEWS BILAT	$648.00	$648.00	$453.60–$583.20	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 VIEWS OR MO RT	$432.00	$432.00	$302.40–$388.80	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 VIEWS OR MO LT	$432.00	$432.00	$302.40–$388.80	—	—
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4 OR MORE	$4,624.00	$4,624.00	$2,034.56–$4,368.15	148% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY 4 OR MORE	$4,624.00	$4,624.00	$3,236.80–$4,161.60	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE	$3,545.00	$3,545.00	$744.56–$3,190.50	245% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE COMPLETE	$3,545.00	$3,545.00	$2,481.50–$3,190.50	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION W/CINE -VI	$1,011.00	$1,011.00	$291.55–$1,011.00	199% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNCTION W/CINE -VI	$1,011.00	$1,011.00	$707.70–$909.90	—	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB	$1,011.00	$1,011.00	$179.33–$1,011.00	172% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON OB	$1,011.00	$1,011.00	$707.70–$909.90	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANCY TRANSVAGINAL	$626.00	$626.00	$179.33–$626.00	116% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREGNANCY TRANSVAGINAL	$626.00	$626.00	$438.20–$563.40	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$1,235.00	$1,235.00	$179.33–$1,235.00	175% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$1,235.00	$1,235.00	$864.50–$1,111.50	—	—
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR EXAM	$927.00	$927.00	$179.33–$927.00	163% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR EXAM	$927.00	$927.00	$648.90–$834.30	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$856.00	$856.00	$376.64–$2,267.00	158% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK	$856.00	$856.00	$599.20–$770.40	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI TRACT WO KUB	$970.00	$970.00	$254.80–$970.00	131% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI TRACT WO KUB	$970.00	$970.00	$679.00–$873.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXT VEINS; UNIL/LIMIT	$1,442.00	$1,442.00	$278.16–$1,297.80	298% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER UNILATERAL RT	$1,442.00	$1,442.00	$278.16–$1,297.80	298% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER UNILATERAL LT	$1,442.00	$1,442.00	$278.16–$1,297.80	298% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX EXT VEINS; UNIL/LIMIT	$1,442.00	$1,442.00	$1,009.40–$1,297.80	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DOPPLER UNILATERAL LT	$1,442.00	$1,442.00	$1,009.40–$1,297.80	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DOPPLER UNILATERAL RT	$1,442.00	$1,442.00	$1,009.40–$1,297.80	—	—
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR WRIST 3+ V BILAT	$525.00	$525.00	$101.80–$525.00	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3+ VIEWS LT	$350.00	$350.00	$101.80–$350.00	83% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3+ VIEWS RT	$350.00	$350.00	$101.80–$350.00	83% above	—
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR WRIST 3+ V BILAT	$525.00	$525.00	$367.50–$472.50	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3+ VIEWS LT	$350.00	$350.00	$245.00–$315.00	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3+ VIEWS RT	$350.00	$350.00	$245.00–$315.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included both sides CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS BILAT	$249.00	$249.00	$29.42–$249.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS RT	$285.00	$285.00	$29.42–$285.00	41% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS LT	$285.00	$285.00	$29.42–$285.00	41% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient both sides CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS BILAT	$249.00	$249.00	$174.30–$224.10	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS LT	$285.00	$285.00	$199.50–$256.50	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS RT	$285.00	$285.00	$199.50–$256.50	—	—
X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW	$464.00	$464.00	$17.12–$464.00	130% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW	$464.00	$464.00	$324.80–$417.60	—	—
X-ray of the ankle, 2 views both sides CPT 73600 XR ANKLE 2 V BILAT	$368.00	$368.00	$75.11–$368.00	—	—
X-ray of the ankle, 2 views CPT 73600 XR EXAM OF ANKLE 2 VIEWS	$245.00	$245.00	$75.11–$245.00	50% above	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT	$245.00	$245.00	$75.11–$245.00	50% above	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT	$245.00	$245.00	$75.11–$245.00	50% above	—
X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR ANKLE 2 V BILAT	$368.00	$368.00	$257.60–$331.20	—	—
X-ray of the ankle, 2 views inpatient CPT 73600 XR EXAM OF ANKLE 2 VIEWS	$245.00	$245.00	$171.50–$220.50	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS RT	$245.00	$245.00	$171.50–$220.50	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LT	$245.00	$245.00	$171.50–$220.50	—	—
X-ray of the finger(s), 2 or more views both sides CPT 73140 XR FINGER 2+ VIEWS BILAT	$368.00	$368.00	$97.69–$368.00	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2+ VIEWS RT	$245.00	$245.00	$97.69–$245.00	43% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2+ VIEWS LT	$245.00	$245.00	$97.69–$245.00	43% above	—
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 XR FINGER 2+ VIEWS BILAT	$368.00	$368.00	$257.60–$331.20	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER 2+ VIEWS LT	$245.00	$245.00	$171.50–$220.50	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER 2+ VIEWS RT	$245.00	$245.00	$171.50–$220.50	—	—
X-ray of the foot, 2 views both sides CPT 73620 XR FOOT 2 V BILAT	$368.00	$368.00	$64.83–$368.00	—	—
X-ray of the foot, 2 views CPT 73620 XR EXAM OF FOOT; 2 VIEWS	$245.00	$245.00	$64.83–$245.00	39% above	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT	$245.00	$245.00	$64.83–$245.00	39% above	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT	$245.00	$245.00	$64.83–$245.00	39% above	—
X-ray of the foot, 2 views inpatient both sides CPT 73620 XR FOOT 2 V BILAT	$368.00	$368.00	$257.60–$331.20	—	—
X-ray of the foot, 2 views inpatient CPT 73620 XR EXAM OF FOOT; 2 VIEWS	$245.00	$245.00	$171.50–$220.50	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT	$245.00	$245.00	$171.50–$220.50	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RT	$245.00	$245.00	$171.50–$220.50	—	—
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT 3+ VIEWS BILAT	$594.00	$594.00	$80.25–$594.00	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 XR EXAM OF FOOT; 3+ VIEWS	$396.00	$396.00	$80.25–$396.00	121% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3+ VIEWS RT	$396.00	$396.00	$80.25–$396.00	121% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3+ VIEWS LT	$396.00	$396.00	$80.25–$396.00	121% above	—
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR FOOT 3+ VIEWS BILAT	$594.00	$594.00	$415.80–$534.60	—	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR EXAM OF FOOT; 3+ VIEWS	$396.00	$396.00	$277.20–$356.40	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3+ VIEWS LT	$396.00	$396.00	$277.20–$356.40	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3+ VIEWS RT	$396.00	$396.00	$277.20–$356.40	—	—
X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND 3+ VIEWS BILAT	$560.00	$560.00	$89.49–$560.00	—	—
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+ VIEWS RT	$374.00	$374.00	$89.49–$374.00	85% above	—
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+ VIEWS LT	$374.00	$374.00	$89.49–$374.00	85% above	—
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR HAND 3+ VIEWS BILAT	$560.00	$560.00	$392.00–$504.00	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3+ VIEWS LT	$374.00	$374.00	$261.80–$336.60	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3+ VIEWS RT	$374.00	$374.00	$261.80–$336.60	—	—
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BILAT	$648.00	$648.00	$80.25–$648.00	—	—
X-ray of the knee, 1 or 2 views CPT 73560 XR EXAM OF KNEE 1 OR 2 VIEW	$432.00	$432.00	$80.25–$432.00	114% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS RT	$432.00	$432.00	$80.25–$432.00	114% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS LT	$432.00	$432.00	$80.25–$432.00	114% above	—
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BILAT	$648.00	$648.00	$453.60–$583.20	—	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR EXAM OF KNEE 1 OR 2 VIEW	$432.00	$432.00	$302.40–$388.80	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 VIEWS LT	$432.00	$432.00	$302.40–$388.80	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 VIEWS RT	$432.00	$432.00	$302.40–$388.80	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRLUMBAR SPINE 2 VIEWS	$524.00	$524.00	$89.49–$524.00	90% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XRLUMBAR SPINE 2 VIEWS	$524.00	$524.00	$366.80–$471.60	—	—
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE COMPLETE	$737.00	$737.00	$121.31–$737.00	145% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE COMPLETE	$737.00	$737.00	$515.90–$663.30	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS	$623.00	$623.00	$72.04–$623.00	177% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS	$623.00	$623.00	$436.10–$560.70	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3 VIEWS	$499.00	$499.00	$90.49–$499.00	176% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3 VIEWS	$499.00	$499.00	$349.30–$449.10	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3 VIEWS	$510.00	$510.00	$89.49–$510.00	153% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3 VIEWS	$510.00	$510.00	$357.00–$459.00	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 VIEW	$416.00	$416.00	$60.73–$416.00	85% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 VIEW	$416.00	$416.00	$291.20–$374.40	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM & COCCYX 2 VIEWS	$464.00	$464.00	$75.11–$464.00	153% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM & COCCYX 2 VIEWS	$464.00	$464.00	$324.80–$417.60	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT)	$114.00	$114.00	$7.95–$450.30	407% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO (ALT) (SGPT)	$114.00	$114.00	$79.80–$102.60	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT)	$106.00	$106.00	$7.77–$418.70	383% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST) (SGOT)	$106.00	$106.00	$74.20–$95.40	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$419.00	$419.00	$71.45–$1,655.05	143% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$419.00	$419.00	$293.30–$377.10	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$48.00	$48.00	$7.83–$189.60	232% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE	$48.00	$48.00	$33.60–$43.20	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$90.00	$90.00	$19.43–$355.50	92% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$90.00	$90.00	$63.00–$81.00	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$232.00	$232.00	$18.14–$916.40	425% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES	$232.00	$232.00	$162.40–$208.80	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$244.00	$244.00	$58.89–$963.80	99% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$244.00	$244.00	$170.80–$219.60	—	—
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$223.00	$223.00	$12.69–$880.85	268% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA	$223.00	$223.00	$156.10–$200.70	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$507.00	$507.00	$74.21–$534.86	250% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST	$507.00	$507.00	$354.90–$456.30	—	—
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$176.00	$176.00	$15.48–$695.20	189% above	—
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA	$176.00	$176.00	$123.20–$158.40	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$15.00	$15.00	$4.50–$59.25	1% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 NURSE VENIPUNCTURE	$21.00	$21.00	$4.50–$82.95	42% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$15.00	$15.00	$10.50–$13.50	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 NURSE VENIPUNCTURE	$21.00	$21.00	$14.70–$18.90	—	—
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$90.00	$90.00	$5.90–$355.50	400% above	—
Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$90.00	$90.00	$63.00–$81.00	—	—
Blood lead test CPT 83655 ASSAY OF LEAD	$170.00	$170.00	$18.17–$671.50	295% above	—
Blood lead test inpatient CPT 83655 ASSAY OF LEAD	$170.00	$170.00	$119.00–$153.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$116.00	$116.00	$11.28–$458.20	200% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$116.00	$116.00	$81.20–$104.40	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$279.00	$279.00	$4.49–$1,102.05	83% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING; ABO	$279.00	$279.00	$4.49–$1,102.05	83% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$279.00	$279.00	$195.30–$251.10	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING; ABO	$279.00	$279.00	$195.30–$251.10	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$88.00	$88.00	$7.77–$347.60	233% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$88.00	$88.00	$61.60–$79.20	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$237.00	$237.00	$55.91–$936.15	96% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE	$237.00	$237.00	$165.90–$213.30	—	—
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$184.00	$184.00	$31.22–$726.80	144% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$184.00	$184.00	$128.80–$165.60	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$276.00	$276.00	$31.22–$1,090.20	259% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMOR CA 125	$276.00	$276.00	$193.20–$248.40	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$181.00	$181.00	$67.50–$714.95	101% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$181.00	$181.00	$126.70–$162.90	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE	$276.00	$276.00	$52.64–$1,090.20	231% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PROBE	$276.00	$276.00	$193.20–$248.40	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$241.00	$241.00	$20.09–$951.95	260% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$241.00	$241.00	$168.70–$216.90	—	—
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$132.00	$132.00	$11.66–$521.40	245% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$132.00	$132.00	$92.40–$118.80	—	—
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$106.00	$106.00	$9.71–$418.70	273% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED	$106.00	$106.00	$74.20–$95.40	—	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$260.00	$260.00	$15.84–$1,027.00	219% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL	$260.00	$260.00	$182.00–$234.00	—	—
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$193.00	$193.00	$15.27–$762.35	418% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT	$193.00	$193.00	$135.10–$173.70	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$408.00	$408.00	$33.35–$1,611.60	397% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$408.00	$408.00	$285.60–$367.20	—	—
Estradiol blood test CPT 82670 ASSAY OF ESTRADIOL	$396.00	$396.00	$41.91–$1,564.20	308% above	—
Estradiol blood test inpatient CPT 82670 ASSAY OF ESTRADIOL	$396.00	$396.00	$277.20–$356.40	—	—
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN (FSH)	$279.00	$279.00	$27.87–$1,102.05	307% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN (FSH)	$279.00	$279.00	$195.30–$251.10	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$133.00	$133.00	$29.45–$525.35	47% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$133.00	$133.00	$93.10–$119.70	—	—
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$208.00	$208.00	$20.45–$821.60	274% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN	$208.00	$208.00	$145.60–$187.20	—	—
Folate (folic acid) blood test CPT 82746 BLOOD FOLIC ACID SERUM	$209.00	$209.00	$22.05–$825.55	285% above	—
Folate (folic acid) blood test inpatient CPT 82746 BLOOD FOLIC ACID SERUM	$209.00	$209.00	$146.30–$188.10	—	—
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$564.00	$564.00	$25.41–$2,227.80	647% above	—
Free T3 thyroid hormone test inpatient CPT 84481 FREE ASSAY (FT-3)	$564.00	$564.00	$394.80–$507.60	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$250.00	$250.00	$13.53–$987.50	416% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE	$250.00	$250.00	$175.00–$225.00	—	—
Free testosterone test CPT 84402 ASSAY OF TESTOSTERONE	$557.00	$557.00	$38.21–$2,200.15	505% above	—
Free testosterone test inpatient CPT 84402 ASSAY OF TESTOSTERONE	$557.00	$557.00	$389.90–$501.30	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$274.00	$274.00	$15.79–$266.00	119% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$274.00	$274.00	$191.80–$246.60	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$100.00	$100.00	$7.13–$395.00	463% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST	$100.00	$100.00	$70.00–$90.00	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$234.00	$234.00	$19.31–$924.30	362% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$234.00	$234.00	$163.80–$210.60	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$237.00	$237.00	$52.64–$936.15	157% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB	$237.00	$237.00	$165.90–$213.30	—	—
H. pylori antibody blood test CPT 86677 HELICOBACTER PYHLORI	$446.00	$446.00	$25.28–$1,761.70	749% above	—
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYHLORI	$446.00	$446.00	$312.20–$401.40	—	—
H. pylori stool antigen test CPT 87338 HPYLORI STOOL EIA	$99.00	$99.00	$21.57–$391.05	82% above	—
H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL EIA	$99.00	$99.00	$69.30–$89.10	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-L DNA QUANT	$571.00	$571.00	$127.65–$2,255.45	151% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-L DNA QUANT	$571.00	$571.00	$399.70–$513.90	—	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 SINGLE ASSAY	$95.00	$95.00	$20.57–$375.25	91% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 SINGLE ASSAY	$95.00	$95.00	$66.50–$85.50	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB	$145.00	$145.00	$13.65–$572.75	78% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB	$145.00	$145.00	$101.50–$130.50	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES	$178.00	$178.00	$19.10–$703.10	131% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES	$178.00	$178.00	$124.60–$160.20	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$147.00	$147.00	$14.57–$580.65	307% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$147.00	$147.00	$102.90–$132.30	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$193.00	$193.00	$16.11–$762.35	392% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$193.00	$193.00	$135.10–$173.70	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG EIA	$148.00	$148.00	$15.50–$584.60	296% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG EIA	$148.00	$148.00	$103.60–$133.20	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$302.00	$302.00	$21.41–$1,192.90	464% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$302.00	$302.00	$211.40–$271.80	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$561.00	$561.00	$64.26–$2,215.95	332% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT	$561.00	$561.00	$392.70–$504.90	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TEST	$288.00	$288.00	$19.79–$1,137.60	723% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TEST	$288.00	$288.00	$201.60–$259.20	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$288.00	$288.00	$29.03–$1,137.60	419% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$288.00	$288.00	$201.60–$259.20	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$90.00	$90.00	$19.43–$355.50	92% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS	$90.00	$90.00	$63.00–$81.00	—	—
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTINE	$1,180.00	$1,180.00	$26.88–$4,661.00	1677% above	—
Homocysteine blood test inpatient CPT 83090 ASSAY OF HOMOCYSTINE	$1,180.00	$1,180.00	$826.00–$1,062.00	—	—
Insulin blood test CPT 83525 ASSAY OF INSULIN	$179.00	$179.00	$17.15–$707.05	324% above	—
Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN	$179.00	$179.00	$125.30–$161.10	—	—
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$87.00	$87.00	$9.71–$343.65	235% above	—
Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON	$87.00	$87.00	$60.90–$78.30	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST	$97.00	$97.00	$13.11–$383.15	156% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING TEST	$97.00	$97.00	$67.90–$87.30	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$96.00	$96.00	$13.02–$379.20	42% above	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$96.00	$96.00	$67.20–$86.40	—	—
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN (LH)	$288.00	$288.00	$27.78–$1,137.60	321% above	—
LH (luteinizing hormone) test inpatient CPT 83002 GONADOTROPIN (LH)	$288.00	$288.00	$201.60–$259.20	—	—
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$106.00	$106.00	$10.34–$418.70	277% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE	$106.00	$106.00	$74.20–$95.40	—	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$238.00	$238.00	$12.26–$940.10	293% above	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$238.00	$238.00	$166.60–$214.20	—	—
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$112.00	$112.00	$25.55–$442.40	144% above	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$112.00	$112.00	$78.40–$100.80	—	—
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$127.00	$127.00	$10.05–$501.65	414% above	—
Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM	$127.00	$127.00	$88.90–$114.30	—	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$140.00	$140.00	$19.32–$553.00	214% above	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY	$140.00	$140.00	$98.00–$126.00	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES	$126.00	$126.00	$7.77–$497.70	282% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES	$126.00	$126.00	$88.20–$113.40	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE	$292.00	$292.00	$27.59–$1,153.40	394% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA FREE	$292.00	$292.00	$204.40–$262.80	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$127.00	$127.00	$27.59–$501.65	94% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$127.00	$127.00	$88.90–$114.30	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$169.00	$169.00	$39.92–$667.55	163% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$169.00	$169.00	$118.30–$152.10	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER	$150.00	$150.00	$30.39–$592.50	114% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER	$150.00	$150.00	$105.00–$135.00	—	—
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$600.00	$600.00	$61.92–$2,370.00	365% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 ASSAY OF PARATHORMONE	$600.00	$600.00	$420.00–$540.00	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$165.00	$165.00	$9.02–$651.75	625% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$165.00	$165.00	$115.50–$148.50	—	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY	$2,536.00	$2,536.00	$700.00–$10,017.20	137% above	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHRMOML ANEUPLOIDY	$2,536.00	$2,536.00	$1,775.20–$2,282.40	—	—
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$282.00	$282.00	$31.29–$1,113.90	229% above	—
Progesterone blood test inpatient CPT 84144 ASSAY OF PROGESTERONE	$282.00	$282.00	$197.40–$253.80	—	—
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN	$276.00	$276.00	$29.07–$1,090.20	286% above	—
Prolactin blood test inpatient CPT 84146 ASSAY OF PROLACTIN	$276.00	$276.00	$193.20–$248.40	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$44.00	$44.00	$6.44–$173.80	175% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$44.00	$44.00	$30.80–$39.60	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$367.00	$367.00	$5.98–$1,449.65	949% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$367.00	$367.00	$256.90–$330.30	—	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$247.00	$247.00	$24.83–$975.65	507% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC	$247.00	$247.00	$172.90–$222.30	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$79.00	$79.00	$24.80–$312.05	98% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC	$79.00	$79.00	$55.30–$71.10	—	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$115.00	$115.00	$8.51–$454.25	449% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$115.00	$115.00	$80.50–$103.50	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$140.00	$140.00	$21.59–$553.00	226% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$140.00	$140.00	$98.00–$126.00	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 AUTOM ERYTHROCYTE SED RATE	$17.00	$17.00	$4.05–$67.15	29% below	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 AUTOM ERYTHROCYTE SED RATE	$17.00	$17.00	$11.90–$15.30	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS VOL/COUNT/MOT	$239.00	$239.00	$18.47–$944.05	536% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS VOL/COUNT/MOT	$239.00	$239.00	$167.30–$215.10	—	—
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$405.00	$405.00	$13.35–$1,599.75	1133% above	—
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS	$405.00	$405.00	$283.50–$364.50	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$47.00	$47.00	$6.57–$185.65	259% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$47.00	$47.00	$32.90–$42.30	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL	$110.00	$110.00	$23.88–$434.50	144% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY TEST FOR BLOOD FECAL	$110.00	$110.00	$77.00–$99.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$73.00	$73.00	$6.41–$288.35	363% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL	$73.00	$73.00	$51.10–$65.70	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$417.00	$417.00	$92.97–$1,647.15	178% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE	$417.00	$417.00	$291.90–$375.30	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$349.00	$349.00	$38.72–$1,378.55	302% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$349.00	$349.00	$244.30–$314.10	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ATIBODY	$165.00	$165.00	$21.83–$651.75	213% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ATIBODY	$165.00	$165.00	$115.50–$148.50	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$223.00	$223.00	$25.20–$880.85	205% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE	$223.00	$223.00	$156.10–$200.70	—	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$84.00	$84.00	$19.15–$331.80	19% above	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$84.00	$84.00	$58.80–$75.60	—	—
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID	$99.00	$99.00	$6.78–$391.05	316% above	—
Uric acid blood test inpatient CPT 84550 ASSAY OF BLOOD/URIC ACID	$99.00	$99.00	$69.30–$89.10	—	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$79.00	$79.00	$4.76–$312.05	193% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE	$79.00	$79.00	$55.30–$71.10	—	—
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE	$31.00	$31.00	$6.03–$122.45	163% above	—
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NONAUTO W/SCOPE	$31.00	$31.00	$21.70–$27.90	—	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$44.00	$44.00	$3.38–$173.80	249% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE	$44.00	$44.00	$30.80–$39.60	—	—
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$38.00	$38.00	$5.22–$150.10	265% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$38.00	$38.00	$26.60–$34.20	—	—
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$136.00	$136.00	$12.11–$537.20	257% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT	$136.00	$136.00	$95.20–$122.40	—	—
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISUAL COLOR	$61.00	$61.00	$12.92–$240.95	131% above	—
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$61.00	$61.00	$12.92–$240.95	131% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$61.00	$61.00	$42.70–$54.90	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY VISUAL COLOR	$61.00	$61.00	$42.70–$54.90	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$241.00	$241.00	$22.62–$951.95	333% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$241.00	$241.00	$168.70–$216.90	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$590.00	$590.00	$44.40–$2,330.50	563% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$590.00	$590.00	$413.00–$531.00	—	—
Zinc blood test CPT 84630 ASSAY OF ZINC	$204.00	$204.00	$17.09–$805.80	500% above	—
Zinc blood test inpatient CPT 84630 ASSAY OF ZINC	$204.00	$204.00	$142.80–$183.60	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$116.00	$116.00	$22.58–$458.20	109% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN TEST	$116.00	$116.00	$81.20–$104.40	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$3,580.00	$3,580.00	$785.56–$4,929.00	23% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LESION STRTCTC RT	$3,580.00	$3,580.00	$785.56–$4,929.00	23% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LESION STRTCTC LT	$3,580.00	$3,580.00	$785.56–$4,929.00	23% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STRTCTC	$3,580.00	$3,580.00	$2,506.00–$3,222.00	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BREAST 1ST LESION STRTCTC LT	$3,580.00	$3,580.00	$2,506.00–$3,222.00	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BREAST 1ST LESION STRTCTC RT	$3,580.00	$3,580.00	$2,506.00–$3,222.00	—	—
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$14,854.00	$14,854.00	$6,535.76–$17,095.00	122% above	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$14,854.00	$14,854.00	$10,397.80–$13,368.60	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$2,180.00	$2,180.00	$521.52–$1,962.00	171% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$2,180.00	$2,180.00	$959.20–$2,267.00	171% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$2,180.00	$2,180.00	$1,526.00–$1,962.00	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$2,180.00	$2,180.00	$1,526.00–$1,962.00	—	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$4,427.00	$4,427.00	$970.88–$3,984.30	43% above	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUM 28 DAYS OR OLDER	$4,427.00	$4,427.00	$3,098.90–$3,984.30	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$4,512.00	$4,512.00	$467.40–$4,060.80	86% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$4,512.00	$4,512.00	$3,158.40–$4,060.80	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FRACTURE RADIUS ULNA W	$588.00	$588.00	$258.72–$2,267.00	7% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT FRACTURE RADIUS ULNA W	$588.00	$588.00	$411.60–$529.20	—	—
Coronary stent placement, one artery CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL	$34,385.00	$34,385.00	$2,819.16–$30,946.50	146% above	—
Coronary stent placement, one artery inpatient CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL	$34,385.00	$34,385.00	$24,069.50–$30,946.50	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION	$433.00	$433.00	$190.52–$6,978.00	66% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALG LESION	$433.00	$433.00	$303.10–$389.70	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$265.00	$265.00	$116.60–$2,267.00	119% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI	$265.00	$265.00	$185.50–$238.50	—	—
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN	$274.00	$274.00	$120.56–$2,267.00	111% above	—
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX 1-2 EARS	$274.00	$274.00	$120.56–$6,978.00	111% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN	$274.00	$274.00	$191.80–$246.60	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX 1-2 EARS	$274.00	$274.00	$191.80–$246.60	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$605.00	$605.00	$266.20–$2,267.00	31% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING	$605.00	$605.00	$423.50–$544.50	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ FACET JNT-LMBR/SACRL W/ FY MOD	$2,626.00	$2,626.00	$442.80–$4,021.00	31% above	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ FACET JNT-LMBR/SACRL	$2,626.00	$2,626.00	$442.80–$4,021.00	31% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ FACET JNT-LMBR/SACRL W/ FY MOD	$2,626.00	$2,626.00	$1,838.20–$2,363.40	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ FACET JNT-LMBR/SACRL	$2,626.00	$2,626.00	$1,838.20–$2,363.40	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSON INJECTION	$367.00	$367.00	$161.48–$3,695.00	20% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSON INJECTION W/ FY MOD	$367.00	$367.00	$161.48–$3,695.00	20% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSON INJECTION	$367.00	$367.00	$256.90–$330.30	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSON INJECTION W/ FY MOD	$367.00	$367.00	$256.90–$330.30	—	—
IUD insertion (the device itself billed separately) CPT 58300 INSERT IUD	$588.00	$588.00	$246.00–$3,781.14	113% above	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT IUD	$588.00	$588.00	$411.60–$529.20	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE OR SINGLE	$331.00	$331.00	$145.64–$3,781.14	17% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL	$623.00	$623.00	$274.12–$3,781.14	56% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGL	$623.00	$623.00	$274.12–$2,267.00	56% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE OR SINGLE	$331.00	$331.00	$231.70–$297.90	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL	$623.00	$623.00	$436.10–$560.70	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGL	$623.00	$623.00	$436.10–$560.70	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I HERN INIT REDUC > 5	$11,436.00	$11,436.00	$1,425.00–$10,292.40	174% above	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I HERN INIT REDUC > 5	$11,436.00	$11,436.00	$8,005.20–$10,292.40	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$1,007.00	$1,007.00	$443.08–$2,267.00	107% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT	$1,007.00	$1,007.00	$704.90–$906.30	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATE/INJECT MAJOR JOINT W/ FY MOD	$1,079.00	$1,079.00	$223.04–$3,781.14	126% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATE/INJECT MAJOR JOINT	$1,079.00	$1,079.00	$223.04–$3,781.14	126% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT	$1,079.00	$1,079.00	$223.04–$3,781.14	126% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATE INJ LARGE JOINT	$1,079.00	$1,079.00	$474.76–$2,267.00	126% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRATE INJ LARGE JOINT	$1,079.00	$1,079.00	$755.30–$971.10	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR JOINT	$1,079.00	$1,079.00	$755.30–$971.10	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRATE/INJECT MAJOR JOINT W/ FY MOD	$1,079.00	$1,079.00	$755.30–$971.10	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRATE/INJECT MAJOR JOINT	$1,079.00	$1,079.00	$755.30–$971.10	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT	$771.00	$771.00	$306.68–$3,781.14	182% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT	$771.00	$771.00	$539.70–$693.90	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTERM JNT/BURSA	$1,079.00	$1,079.00	$180.40–$3,781.14	176% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATE INJ MED JOINT	$1,079.00	$1,079.00	$474.76–$2,267.00	176% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTERM JNT/BURSA	$1,079.00	$1,079.00	$755.30–$971.10	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIRATE INJ MED JOINT	$1,079.00	$1,079.00	$755.30–$971.10	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT SM JNT/BURSA	$1,079.00	$1,079.00	$175.48–$3,781.14	158% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATE INJ SMALL JOINT	$1,079.00	$1,079.00	$474.76–$2,267.00	158% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASPIRATE INJ SMALL JOINT	$1,079.00	$1,079.00	$755.30–$971.10	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJECT SM JNT/BURSA	$1,079.00	$1,079.00	$755.30–$971.10	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTER SKIN 2.5 OR	$892.00	$892.00	$392.48–$2,267.00	51% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTER SKIN 2.5 OR	$892.00	$892.00	$624.40–$802.80	—	—
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$13,882.00	$13,882.00	$6,108.08–$17,095.00	106% above	—
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$13,882.00	$13,882.00	$9,717.40–$12,493.80	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$2,734.00	$2,734.00	$387.04–$6,978.00	88% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC	$2,734.00	$2,734.00	$1,913.80–$2,460.60	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANES TRANS EPI LUM X 1	$2,626.00	$2,626.00	$544.48–$4,021.00	81% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ ANES TRANS EPI LUM X 1	$2,626.00	$2,626.00	$1,838.20–$2,363.40	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5CM/<	$1,836.00	$1,836.00	$807.84–$2,267.00	70% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TR-EXT B9+MARG 0.5CM/<	$1,836.00	$1,836.00	$1,285.20–$1,652.40	—	—
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$433.00	$433.00	$190.52–$2,267.00	34% above	—
Nail removal (partial or complete), one nail CPT 11730 SPL AVULSE NP; SGL	$433.00	$433.00	$190.52–$6,978.00	34% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE	$433.00	$433.00	$303.10–$389.70	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 SPL AVULSE NP; SGL	$433.00	$433.00	$303.10–$389.70	—	—
Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH GREATER OCCIPITAL NERVE	$1,234.00	$1,234.00	$259.12–$4,017.00	198% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH GREATER OCCIPITAL NERVE	$1,234.00	$1,234.00	$863.80–$1,110.60	—	—
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$28,331.00	$28,331.00	$3,616.00–$25,497.90	129% above	—
Pacemaker implant (dual chamber) CPT 33208 DDD PACER INSERTION	$28,331.00	$28,331.00	$3,616.00–$25,497.90	129% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 DDD PACER INSERTION	$28,331.00	$28,331.00	$19,831.70–$25,497.90	—	—
Pacemaker implant (dual chamber) inpatient CPT 33208 INSRT HEART PM ATRIAL & VENT	$28,331.00	$28,331.00	$19,831.70–$25,497.90	—	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$2,007.00	$2,007.00	$883.08–$2,267.00	42% above	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$2,007.00	$2,007.00	$1,404.90–$1,806.30	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$1,989.00	$1,989.00	$875.16–$2,267.00	175% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$1,989.00	$1,989.00	$1,392.30–$1,790.10	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$4,290.00	$4,290.00	$943.00–$5,917.00	26% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SAC FACET JNT	$4,290.00	$4,290.00	$3,003.00–$3,861.00	—	—
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FB SKIN SUBCU SIMPLE	$1,104.00	$1,104.00	$485.76–$2,267.00	71% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FB SKIN SUBCU SIMPLE	$1,104.00	$1,104.00	$772.80–$993.60	—	—
Short arm cast (elbow to hand) CPT 29075 APPLY SHORT ARM CAST	$962.00	$962.00	$423.28–$2,267.00	135% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY SHORT ARM CAST	$962.00	$962.00	$673.40–$865.80	—	—
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$597.00	$597.00	$262.68–$2,267.00	190% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT	$597.00	$597.00	$417.90–$537.30	—	—
Short leg cast (below the knee) CPT 29405 APPLY SH LEG CAST	$842.00	$842.00	$290.28–$6,978.00	95% above	—
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$842.00	$842.00	$370.48–$2,267.00	95% above	—
Short leg cast (below the knee) inpatient CPT 29405 APPLY SH LEG CAST	$842.00	$842.00	$589.40–$757.80	—	—
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST	$842.00	$842.00	$589.40–$757.80	—	—
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$453.00	$453.00	$199.32–$2,267.00	83% above	—
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT	$453.00	$453.00	$317.10–$407.70	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SKIN 2.5CM OR LESS	$540.00	$540.00	$237.60–$2,267.00	43% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SKIN 2.5CM OR LESS	$540.00	$540.00	$378.00–$486.00	—	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$892.00	$892.00	$227.96–$6,978.00	30% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$892.00	$892.00	$624.40–$802.80	—	—
Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS; <=15 LESIONS	$466.00	$466.00	$205.04–$6,978.00	35% above	—
Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS 1 TO 15	$466.00	$466.00	$205.04–$2,267.00	35% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS 1 TO 15	$466.00	$466.00	$326.20–$419.40	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS; <=15 LESIONS	$466.00	$466.00	$326.20–$419.40	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$1,568.00	$1,568.00	$689.92–$2,267.00	39% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE W/ FY MOD	$1,568.00	$1,568.00	$311.60–$4,021.00	39% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE W/ FY MOD	$1,568.00	$1,568.00	$1,097.60–$1,411.20	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$1,568.00	$1,568.00	$1,097.60–$1,411.20	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SKIN 2.6CM TO 7.5C	$540.00	$540.00	$237.60–$2,267.00	37% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SKIN 2.6CM TO 7.5C	$540.00	$540.00	$378.00–$486.00	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SKIN 2.5CM OR LESS	$636.00	$636.00	$279.84–$2,267.00	68% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR SKIN 2.5CM OR LESS	$636.00	$636.00	$445.20–$572.40	—	—
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W IMAGING	$2,246.00	$2,246.00	$988.24–$2,267.00	79% above	—
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W IMAGING W/ FY MOD	$2,246.00	$2,246.00	$524.80–$4,021.00	79% above	—
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W IMAGING LT	$2,246.00	$2,246.00	$524.80–$4,021.00	79% above	—
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W IMAGING RT	$2,246.00	$2,246.00	$524.80–$4,021.00	79% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W IMAGING	$2,246.00	$2,246.00	$1,572.20–$2,021.40	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W IMAGING W/ FY MOD	$2,246.00	$2,246.00	$1,572.20–$2,021.40	—	—
Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W IMAGING LT	$2,246.00	$2,246.00	$1,572.20–$2,021.40	—	—
Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W IMAGING RT	$2,246.00	$2,246.00	$1,572.20–$2,021.40	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$893.00	$893.00	$392.92–$2,267.00	113% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$893.00	$893.00	$625.10–$803.70	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$3,580.00	$3,580.00	$742.92–$4,929.00	23% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION US IMAG RT	$3,580.00	$3,580.00	$742.92–$4,929.00	23% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION US IMAG LT	$3,580.00	$3,580.00	$742.92–$4,929.00	23% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG	$3,580.00	$3,580.00	$2,506.00–$3,222.00	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST LESION US IMAG RT	$3,580.00	$3,580.00	$2,506.00–$3,222.00	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST LESION US IMAG LT	$3,580.00	$3,580.00	$2,506.00–$3,222.00	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UGI BALLOON DIL ESOPH - < 30 MM DIA	$4,157.00	$4,157.00	$1,829.08–$7,657.00	85% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UGI W BX SGL MULTIPLE	$4,157.00	$4,157.00	$1,829.08–$7,657.00	85% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 UGI BALLOON DIL ESOPH - < 30 MM DIA	$4,157.00	$4,157.00	$2,909.90–$3,741.30	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 UGI W BX SGL MULTIPLE	$4,157.00	$4,157.00	$2,909.90–$3,741.30	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 UGI W BX. SGL/MULTIPLE	$2,640.00	$2,640.00	$1,161.60–$7,657.00	68% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UGI W BX. SGL/MULTIPLE	$2,640.00	$2,640.00	$1,848.00–$2,376.00	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 UGI DIAGNOSTIC	$3,074.00	$3,074.00	$1,352.56–$7,657.00	176% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UGI DIAGNOSTIC	$3,074.00	$3,074.00	$2,151.80–$2,766.60	—	—
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$1,278.00	$1,278.00	$562.32–$2,267.00	295% above	—
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1-14	$1,278.00	$1,278.00	$894.60–$1,150.20	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM <	$1,104.00	$1,104.00	$485.76–$2,267.00	32% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$1,104.00	$1,104.00	$296.84–$6,978.00	32% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM <	$1,104.00	$1,104.00	$772.80–$993.60	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$1,104.00	$1,104.00	$772.80–$993.60	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$731.00	$731.00	$70.00–$657.90	3% below	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS	$731.00	$731.00	$70.00–$657.90	3% below	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMP	$731.00	$731.00	$70.00–$657.90	3% below	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$731.00	$731.00	$70.00–$657.90	3% below	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANFUSION	$731.00	$731.00	$70.00–$657.90	3% below	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD SERVICE	$1,176.00	$1,176.00	$70.00–$1,058.40	57% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS	$731.00	$731.00	$511.70–$657.90	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE	$731.00	$731.00	$511.70–$657.90	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANFUSION	$731.00	$731.00	$511.70–$657.90	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$731.00	$731.00	$511.70–$657.90	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMP	$731.00	$731.00	$511.70–$657.90	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD SERVICE	$1,176.00	$1,176.00	$823.20–$1,058.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$459.00	$459.00	$39.36–$413.10	143% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$459.00	$459.00	$321.30–$413.10	—	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$613.00	$613.00	$269.72–$1,313.37	at median	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION UP TO 1 HOUR	$613.00	$613.00	$269.72–$1,313.37	at median	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION UP TO 1 HR	$1,186.00	$1,186.00	$521.84–$1,313.37	94% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR	$613.00	$613.00	$429.10–$551.70	—	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION UP TO 1 HOUR	$613.00	$613.00	$429.10–$551.70	—	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION UP TO 1 HR	$1,186.00	$1,186.00	$830.20–$1,067.40	—	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 CAE W SR	$401.00	$401.00	$154.16–$437.00	107% above	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 CAE W SR	$401.00	$401.00	$280.70–$360.90	—	—
Critical care, first 30 to 74 minutes CPT 99291 MCMD CRITICAL CARE 1ST HOUR	$972.00	$972.00	$211.93–$1,344.00	40% below	—
Critical care, first 30 to 74 minutes CPT 99291 MCPA CRITICAL CARE 1ST HOUR	$972.00	$972.00	$211.93–$1,344.00	40% below	—
Critical care, first 30 to 74 minutes CPT 99291 MC CRITICAL CARE 1ST HOUR	$1,459.00	$1,459.00	$641.96–$2,267.00	10% below	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$6,534.00	$6,534.00	$1,344.00–$5,880.60	302% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 MCMD CRITICAL CARE 1ST HOUR	$972.00	$972.00	$680.40–$874.80	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 MCPA CRITICAL CARE 1ST HOUR	$972.00	$972.00	$680.40–$874.80	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 MC CRITICAL CARE 1ST HOUR	$1,459.00	$1,459.00	$1,021.30–$1,313.10	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR	$6,534.00	$6,534.00	$4,573.80–$5,880.60	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$1,814.00	$1,814.00	$798.16–$1,821.18	172% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$1,814.00	$1,814.00	$1,269.80–$1,632.60	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$158.00	$158.00	$31.16–$764.00	15% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$158.00	$158.00	$31.16–$764.00	15% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING	$158.00	$158.00	$110.60–$142.20	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$158.00	$158.00	$110.60–$142.20	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 MCPA ED LEVEL 1	$129.00	$129.00	$11.61–$1,344.00	48% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 MCMD ED LEVEL 1	$140.00	$140.00	$11.61–$1,344.00	44% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 MC ED VISIT LEVEL 1	$194.00	$194.00	$85.36–$2,267.00	22% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 MMH ED VISIT LEVEL 1	$1,315.00	$1,315.00	$453.00–$2,267.00	427% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL 1 OB	$2,463.00	$2,463.00	$453.00–$2,267.00	888% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL 1	$2,463.00	$2,463.00	$453.00–$2,267.00	888% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 MCPA ED LEVEL 1	$129.00	$129.00	$90.30–$116.10	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 MCMD ED LEVEL 1	$140.00	$140.00	$98.00–$126.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 MC ED VISIT LEVEL 1	$194.00	$194.00	$135.80–$174.60	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 MMH ED VISIT LEVEL 1	$1,315.00	$1,315.00	$920.50–$1,183.50	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT LEVEL 1	$2,463.00	$2,463.00	$1,724.10–$2,216.70	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT LEVEL 1 OB	$2,463.00	$2,463.00	$1,724.10–$2,216.70	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 MCPA ED LEVEL 2	$200.00	$200.00	$42.55–$1,344.00	45% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 MCMD ED LEVEL 2	$218.00	$218.00	$42.55–$1,344.00	40% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 MC ED VISIT LEVEL 2	$299.00	$299.00	$131.56–$2,267.00	18% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 MMH ED VISIT LEVEL 2	$1,761.00	$1,761.00	$774.84–$2,267.00	381% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL 2 OB	$4,101.00	$4,101.00	$1,041.00–$3,690.90	1020% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL 2	$4,101.00	$4,101.00	$1,041.00–$3,690.90	1020% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 MCPA ED LEVEL 2	$200.00	$200.00	$140.00–$180.00	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 MCMD ED LEVEL 2	$218.00	$218.00	$152.60–$196.20	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 MC ED VISIT LEVEL 2	$299.00	$299.00	$209.30–$269.10	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 MMH ED VISIT LEVEL 2	$1,761.00	$1,761.00	$1,232.70–$1,584.90	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT LEVEL 2 OB	$4,101.00	$4,101.00	$2,870.70–$3,690.90	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT LEVEL 2	$4,101.00	$4,101.00	$2,870.70–$3,690.90	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MCPA ED LEVEL 3	$278.00	$278.00	$72.84–$1,344.00	48% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MCMD ED LEVEL 3	$303.00	$303.00	$72.84–$1,344.00	43% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MC ED VISIT LEVEL 3	$413.00	$413.00	$181.72–$2,317.00	22% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MMH ED VISIT LEVEL 3	$2,756.00	$2,756.00	$1,212.64–$2,480.40	419% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL 3	$5,412.00	$5,412.00	$1,344.00–$4,870.80	919% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL 3 OB	$5,412.00	$5,412.00	$1,344.00–$4,870.80	919% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MCPA ED LEVEL 3	$278.00	$278.00	$194.60–$250.20	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MCMD ED LEVEL 3	$303.00	$303.00	$212.10–$272.70	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MC ED VISIT LEVEL 3	$413.00	$413.00	$289.10–$371.70	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MMH ED VISIT LEVEL 3	$2,756.00	$2,756.00	$1,929.20–$2,480.40	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT LEVEL 3	$5,412.00	$5,412.00	$3,788.40–$4,870.80	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT LEVEL 3 OB	$5,412.00	$5,412.00	$3,788.40–$4,870.80	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 MCPA ED LEVEL 4	$482.00	$482.00	$123.70–$1,344.00	42% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 MCMD ED LEVEL 4	$482.00	$482.00	$123.70–$1,344.00	42% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 MC ED VISIT LEVEL 4	$665.00	$665.00	$292.60–$2,317.00	20% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 MMH ED VISIT LEVEL 4	$3,392.00	$3,392.00	$1,344.00–$3,052.80	308% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL 4	$3,596.00	$3,596.00	$1,344.00–$3,236.40	333% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL 4 OB	$7,052.00	$7,052.00	$1,344.00–$6,346.80	749% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 MCPA ED LEVEL 4	$482.00	$482.00	$337.40–$433.80	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 MCMD ED LEVEL 4	$482.00	$482.00	$337.40–$433.80	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 MC ED VISIT LEVEL 4	$665.00	$665.00	$465.50–$598.50	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 MMH ED VISIT LEVEL 4	$3,392.00	$3,392.00	$2,374.40–$3,052.80	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT LEVEL 4	$3,596.00	$3,596.00	$2,517.20–$3,236.40	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT LEVEL 4 OB	$7,052.00	$7,052.00	$4,936.40–$6,346.80	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 MCPA ED LEVEL 5	$596.00	$596.00	$179.97–$1,344.00	49% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 MCMD ED LEVEL 5	$596.00	$596.00	$179.97–$1,344.00	49% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 MC ED VISIT LEVEL 5	$819.00	$819.00	$360.36–$2,317.00	29% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 MMH ED VISIT LEVEL 5	$4,240.00	$4,240.00	$1,344.00–$3,816.00	266% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL 5	$4,495.00	$4,495.00	$1,344.00–$4,045.50	288% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL 5 OB	$8,586.00	$8,586.00	$1,344.00–$7,727.40	640% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 MCPA ED LEVEL 5	$596.00	$596.00	$417.20–$536.40	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 MCMD ED LEVEL 5	$596.00	$596.00	$417.20–$536.40	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 MC ED VISIT LEVEL 5	$819.00	$819.00	$573.30–$737.10	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 MMH ED VISIT LEVEL 5	$4,240.00	$4,240.00	$2,968.00–$3,816.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT LEVEL 5	$4,495.00	$4,495.00	$3,146.50–$4,045.50	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT LEVEL 5 OB	$8,586.00	$8,586.00	$6,010.20–$7,727.40	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACING ONLY	$1,028.00	$1,028.00	$185.32–$925.20	89% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST TRACING ONLY	$1,028.00	$1,028.00	$719.60–$925.20	—	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W PT	$494.00	$494.00	$141.00–$1,245.00	83% above	—
Family therapy with the patient, 50 minutes CPT 90847 IOP FAMILY THERAPY W PT	$494.00	$494.00	$141.00–$1,245.00	83% above	—
Family therapy with the patient, 50 minutes CPT 90847 ADOL FAMILY THERAPY W PT	$494.00	$494.00	$141.00–$1,245.00	83% above	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY W PT	$494.00	$494.00	$345.80–$444.60	—	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 IOP FAMILY THERAPY W PT	$494.00	$494.00	$345.80–$444.60	—	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 ADOL FAMILY THERAPY W PT	$494.00	$494.00	$345.80–$444.60	—	—
Family therapy without the patient, 50 minutes CPT 90846 ADOL FAMILY THERAPY WO PT	$494.00	$494.00	$141.00–$1,245.00	91% above	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY WO PT	$494.00	$494.00	$141.00–$1,245.00	91% above	—
Family therapy without the patient, 50 minutes CPT 90846 IOP FAMILY THERAPY WO PT	$494.00	$494.00	$141.00–$1,245.00	91% above	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 ADOL FAMILY THERAPY WO PT	$494.00	$494.00	$345.80–$444.60	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 IOP FAMILY THERAPY WO PT	$494.00	$494.00	$345.80–$444.60	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY WO PT	$494.00	$494.00	$345.80–$444.60	—	—
Group psychotherapy session CPT 90853 GROUP THERAPY NOT MULTI-FAMILY	$223.00	$223.00	$98.12–$1,245.00	81% above	—
Group psychotherapy session CPT 90853 ADOL GROUP THERAPY	$223.00	$223.00	$98.12–$1,245.00	81% above	—
Group psychotherapy session CPT 90853 IOP GROUP THERAPY NOT MULTI-FAMILY	$223.00	$223.00	$98.12–$1,245.00	81% above	—
Group psychotherapy session CPT 90853 ADR GROUP THERAPY NOT MF 120-240	$223.00	$223.00	$98.12–$1,245.00	81% above	—
Group psychotherapy session CPT 90853 ATP GROUP THERAPY NOT MF	$223.00	$223.00	$98.12–$1,245.00	81% above	—
Group psychotherapy session inpatient CPT 90853 ADOL GROUP THERAPY	$223.00	$223.00	$156.10–$200.70	—	—
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY NOT MULTI-FAMILY	$223.00	$223.00	$156.10–$200.70	—	—
Group psychotherapy session inpatient CPT 90853 IOP GROUP THERAPY NOT MULTI-FAMILY	$223.00	$223.00	$156.10–$200.70	—	—
Group psychotherapy session inpatient CPT 90853 ADR GROUP THERAPY NOT MF 120-240	$223.00	$223.00	$156.10–$200.70	—	—
Group psychotherapy session inpatient CPT 90853 ATP GROUP THERAPY NOT MF	$223.00	$223.00	$156.10–$200.70	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INFUSION IV INIT	$236.00	$236.00	$103.84–$1,091.00	33% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$494.00	$494.00	$217.36–$2,267.00	41% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS	$494.00	$494.00	$159.08–$1,091.00	41% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INFUSION IV INIT	$236.00	$236.00	$165.20–$212.40	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT	$494.00	$494.00	$345.80–$444.60	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS	$494.00	$494.00	$345.80–$444.60	—	—
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$383.00	$383.00	$168.52–$1,091.00	10% below	—
IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY 1 HOUR	$402.00	$402.00	$176.88–$1,091.00	6% below	—
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT	$383.00	$383.00	$268.10–$344.70	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY 1 HOUR	$402.00	$402.00	$281.40–$361.80	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$111.00	$111.00	$48.84–$1,091.00	11% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NON CHEMO IM/SC INJECTION	$488.00	$488.00	$70.52–$1,091.00	388% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$111.00	$111.00	$77.70–$99.90	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NON CHEMO IM/SC INJECTION	$488.00	$488.00	$341.60–$439.20	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$399.00	$399.00	$170.00–$726.52	66% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION - TH	$423.00	$423.00	$170.00–$726.52	76% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$399.00	$399.00	$279.30–$359.10	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION - TH	$423.00	$423.00	$296.10–$380.70	—	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CNDJ TEST 7-8 STUDIES	$670.00	$670.00	$169.50–$820.00	76% above	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CNDJ TEST 7-8 STUDIES	$670.00	$670.00	$469.00–$603.00	—	—
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT NEW LVL 3	$252.00	$252.00	$110.88–$6,978.00	23% above	—
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPAT VISIT NEW 30 MIN	$345.00	$345.00	$122.00–$400.16	68% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT NEW LVL 3	$252.00	$252.00	$176.40–$226.80	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPAT VISIT NEW 30 MIN	$345.00	$345.00	$241.50–$310.50	—	—
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPAT VISIT NEW 45 MIN	$460.00	$460.00	$122.00–$651.08	54% above	—
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT NEW LVL 4	$460.00	$460.00	$122.00–$6,978.00	54% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT VISIT NEW LVL 4	$460.00	$460.00	$322.00–$414.00	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPAT VISIT NEW 45 MIN	$460.00	$460.00	$322.00–$414.00	—	—
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT NEW LVL 5	$628.00	$628.00	$122.00–$6,978.00	93% above	—
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPAT VISIT NEW 60 MIN	$628.00	$628.00	$122.00–$885.60	93% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPAT VISIT NEW 60 MIN	$628.00	$628.00	$439.60–$565.20	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT NEW LVL 5	$628.00	$628.00	$439.60–$565.20	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPATIENT VISIT NEW LVL 2	$252.00	$252.00	$110.88–$6,978.00	57% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPAT VISIT NEW 15 MIN	$252.00	$252.00	$110.88–$384.00	57% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OUTPAT VISIT NEW 15 MIN	$252.00	$252.00	$176.40–$226.80	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OUTPATIENT VISIT NEW LVL 2	$252.00	$252.00	$176.40–$226.80	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITIONAL THERAPY INITIAL 15 MIN	$130.00	$130.00	$57.20–$164.00	140% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT NUTRITION THERAPY; EACH 15M	$150.00	$150.00	$66.00–$164.00	177% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITIONAL THERAPY INITIAL 15 MIN	$130.00	$130.00	$91.00–$117.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 INIT NUTRITION THERAPY; EACH 15M	$150.00	$150.00	$105.00–$135.00	—	—
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MD	$423.00	$423.00	$170.00–$833.12	47% above	—
Psychiatric evaluation with medical services CPT 90792 EVAL WITH MED MANAGEMENT	$423.00	$423.00	$170.00–$833.12	47% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MD	$423.00	$423.00	$296.10–$380.70	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 EVAL WITH MED MANAGEMENT	$423.00	$423.00	$296.10–$380.70	—	—
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN	$427.00	$427.00	$122.00–$1,245.00	82% above	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN	$427.00	$427.00	$298.90–$384.30	—	—
Psychotherapy session, 30 minutes CPT 90832 ATP PSYTX PT&/FAMILY 30 MIN	$349.00	$349.00	$74.00–$1,245.00	81% above	—
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MINUTES	$349.00	$349.00	$74.00–$1,245.00	81% above	—
Psychotherapy session, 30 minutes CPT 90832 ADR PSYTX PT&/FAMILY 30 MIN	$349.00	$349.00	$74.00–$1,245.00	81% above	—
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MIN	$349.00	$349.00	$74.00–$1,245.00	81% above	—
Psychotherapy session, 30 minutes CPT 90832 IOP PSYTX PT&/FAMILY 30 MIN	$349.00	$349.00	$74.00–$1,245.00	81% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 ADR PSYTX PT&/FAMILY 30 MIN	$349.00	$349.00	$244.30–$314.10	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 ATP PSYTX PT&/FAMILY 30 MIN	$349.00	$349.00	$244.30–$314.10	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MIN	$349.00	$349.00	$244.30–$314.10	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MINUTES	$349.00	$349.00	$244.30–$314.10	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 IOP PSYTX PT&/FAMILY 30 MIN	$349.00	$349.00	$244.30–$314.10	—	—
Psychotherapy session, 45 minutes CPT 90834 ATP PSYTX PT&/FAMILY 45 MIN	$423.00	$423.00	$141.00–$1,245.00	67% above	—
Psychotherapy session, 45 minutes CPT 90834 ADR PSYTX PT&/FAMILY 45 MIN	$423.00	$423.00	$141.00–$1,245.00	67% above	—
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAMILY 45 MIN	$423.00	$423.00	$141.00–$1,245.00	67% above	—
Psychotherapy session, 45 minutes CPT 90834 IOP PSYTX PT&/FAMILY 45 MIN	$423.00	$423.00	$141.00–$1,245.00	67% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 ADR PSYTX PT&/FAMILY 45 MIN	$423.00	$423.00	$296.10–$380.70	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 ATP PSYTX PT&/FAMILY 45 MIN	$423.00	$423.00	$296.10–$380.70	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 IOP PSYTX PT&/FAMILY 45 MIN	$423.00	$423.00	$296.10–$380.70	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAMILY 45 MIN	$423.00	$423.00	$296.10–$380.70	—	—
Psychotherapy session, 60 minutes CPT 90837 IOP PSYTX PT&/FAMILY 60 MIN	$423.00	$423.00	$141.00–$1,245.00	42% above	—
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&/FAMILY 60 MIN	$423.00	$423.00	$141.00–$1,245.00	42% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 IOP PSYTX PT&/FAMILY 60 MIN	$423.00	$423.00	$296.10–$380.70	—	—
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&/FAMILY 60 MIN	$423.00	$423.00	$296.10–$380.70	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$121.00	$121.00	$53.24–$164.00	175% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$121.00	$121.00	$84.70–$108.90	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPATIENT VISIT EST LVL 5	$440.00	$440.00	$122.00–$6,978.00	75% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPAT VISIT EST 40 MIN	$440.00	$440.00	$122.00–$703.56	75% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OUTPAT VISIT EST 40 MIN	$440.00	$440.00	$308.00–$396.00	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OUTPATIENT VISIT EST LVL 5	$440.00	$440.00	$308.00–$396.00	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 REMOVAL GASTROSTOMY TUBE	$259.00	$259.00	$113.96–$6,978.00	41% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPAT VISIT EST 20 MIN	$259.00	$259.00	$113.96–$384.00	41% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT VISIT EST LVL 3	$259.00	$259.00	$113.96–$6,978.00	41% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPATIENT VISIT EST LVL 3	$259.00	$259.00	$181.30–$233.10	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 REMOVAL GASTROSTOMY TUBE	$259.00	$259.00	$181.30–$233.10	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPAT VISIT EST 20 MIN	$259.00	$259.00	$181.30–$233.10	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPATIENT VISIT EST LVL 4	$340.00	$340.00	$122.00–$6,978.00	60% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPAT VISIT EST 30 MIN	$340.00	$340.00	$122.00–$473.96	60% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPATIENT VISIT EST LVL 4	$340.00	$340.00	$238.00–$306.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPAT VISIT EST 30 MIN	$340.00	$340.00	$238.00–$306.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPAT VISIT EST 10 MIN	$259.00	$259.00	$113.96–$384.00	101% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPATIENT VISIT EST LVL 2	$259.00	$259.00	$113.96–$6,978.00	101% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPATIENT VISIT EST LVL 2	$259.00	$259.00	$181.30–$233.10	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPAT VISIT EST 10 MIN	$259.00	$259.00	$181.30–$233.10	—	—
Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY INDIV	$572.00	$572.00	$189.00–$571.63	240% above	—
Speech therapy session, individual inpatient CPT 92507 SPEECH/HEARING THERAPY INDIV	$572.00	$572.00	$400.40–$514.80	—	—
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$712.00	$712.00	$95.12–$764.00	225% above	—
Spirometry (breathing test) CPT 94010 SPIROMETRY VITAL CAPACITY	$712.00	$712.00	$313.28–$2,267.00	225% above	—
Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST	$712.00	$712.00	$498.40–$640.80	—	—
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY VITAL CAPACITY	$712.00	$712.00	$498.40–$640.80	—	—
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$1,079.00	$1,079.00	$142.68–$971.10	186% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 EVALUATION OF WHEEZING	$1,079.00	$1,079.00	$755.30–$971.10	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$137.00	$137.00	$60.28–$470.68	36% below	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$137.00	$137.00	$95.90–$123.30	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE NO PRESERV TRIVALENT 3&> IM	$10.00	$10.00	$3.00–$9.00	65% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE 3 YRS & > IM	$35.00	$35.00	$10.50–$31.50	21% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE NO PRESERV TRIVALENT 3&> IM	$10.00	$10.00	$3.00–$9.00	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE 3 YRS & > IM	$35.00	$35.00	$10.50–$31.50	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC INCREASED ANTIGEN IM	$60.00	$60.00	$18.00–$54.00	46% below	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC INCREASED ANTIGEN IM	$60.00	$60.00	$18.00–$54.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE	$17.00	$17.00	$7.48–$272.00	80% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1ST	$163.00	$163.00	$71.72–$272.00	94% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION	$163.00	$163.00	$71.72–$272.00	94% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1 VACCINE	$17.00	$17.00	$11.90–$15.30	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION	$163.00	$163.00	$114.10–$146.70	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1ST	$163.00	$163.00	$114.10–$146.70	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM EA ADDL	$24.00	$24.00	$10.56–$272.00	47% below	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM EA ADDL	$24.00	$24.00	$16.80–$21.60	—	—

Source file: https://www.wmchealth.org/wp-content/uploads/2026/06/150552726_margaretville-memorial-hospital_standardcharges.csv