Hospital Fresno, CA

Saint Agnes Medical Center

Saint Agnes Medical Center in Fresno, CA publishes cash prices for 340 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 191 of 335 procedures and above it for 143. By typical cash price it ranks #76 of 168 California hospitals and #1 of 5 hospitals in the Fresno, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1303 E HERNDON, Fresno, CA 93720 Collected Sep 27, 2026 Source price file (559) 450-3000

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 050093 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Saint Agnes Medical Center in Fresno, CA:

May 31, 2023 Met requirements
Apr 3, 2025 Warning notice
Jul 7, 2025 Case closed

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken. Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 HC Xr Ankle > 3 Views Bl	$384.15	$591.00	$9.44–$713.00	8% below	35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Xr Ankle > 3 Views Lt	$256.10	$394.00	$9.44–$713.00	39% below	35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Xr Ankle > 3 Views Rt	$256.10	$394.00	$9.44–$713.00	39% below	35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Xr Ankle > 3 Views Rt	$361.40	—	$9.44–$713.00	14% below	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Xr Ankle > 3 Views Bl	$384.15	$591.00	$9.44–$713.00	—	35%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC Xr Ankle > 3 Views Lt	$256.10	$394.00	$9.44–$713.00	—	35%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC Xr Ankle > 3 Views Rt	$256.10	$394.00	$9.44–$713.00	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC Doppler Upper/Lower Extremity Arteries Limited Bilateral	$417.30	$642.00	$91.14–$665.00	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC Doppler Upper/Lower Extremity Arteries Limited Bilateral	$417.30	$642.00	$91.14–$665.00	—	35%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Xr Esophogram Chest Radiograph(S) & Delayed Images Single Contrast Study	$399.75	$615.00	$14.30–$713.00	25% below	35%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Xr Esophogram Chest Radiograph(S) & Delayed Images Single Contrast Study	$399.75	$615.00	$14.30–$713.00	—	35%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM Imaging Bone/Joint Whole Body	$929.50	$1,430.00	$52.96–$1,287.00	56% below	35%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM Imaging Bone/Joint Whole Body	$929.50	$1,430.00	$52.96–$1,287.00	—	35%
Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilateral Complete Rt	$324.35	$499.00	$25.19–$570.00	42% below	35%
Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilateral Complete Lt	$324.35	$499.00	$25.19–$570.00	42% below	35%
Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilateral Complete Bl	$486.85	$749.00	$25.19–$674.10	12% below	35%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Unilateral Complete Rt	$324.35	$499.00	$25.19–$570.00	—	35%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Unilateral Complete Lt	$324.35	$499.00	$25.19–$570.00	—	35%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Unilateral Complete Bl	$486.85	$749.00	$25.19–$674.10	—	35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilateral Limited Rt	$265.20	$408.00	$20.54–$570.00	35% below	35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilateral Limited Lt	$265.20	$408.00	$20.54–$570.00	35% below	35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilateral Limited Bl	$397.80	$612.00	$20.54–$570.00	2% below	35%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilateral Limited Lt	$265.20	$408.00	$20.54–$570.00	—	35%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilateral Limited Rt	$265.20	$408.00	$20.54–$570.00	—	35%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilateral Limited Bl	$397.80	$612.00	$20.54–$570.00	—	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest W/O & W/Contrast	$2,165.80	$3,332.00	$70.92–$2,998.80	31% below	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest W/O & W/Contrast	$2,402.40	—	$70.92–$2,655.96	23% below	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Cta Chest W/O & W/Contrast	$2,165.80	$3,332.00	$70.92–$2,998.80	—	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Cta Heart W/3d Image W/Contrast	$2,193.10	$3,374.00	$439.74–$527.68	12% below	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC Cta Heart W/3d Image W/Contrast	$2,193.10	$3,374.00	$439.74–$527.68	—	35%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart W/Evaluation of Calcium W/O Contrast	$419.25	$645.00	$21.29–$738.00	34% above	35%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart W/Evaluation of Calcium W/O Contrast	$419.25	$645.00	$21.29–$738.00	—	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abdomen & Pelvis W/O Contrast	$2,863.25	—	$28.64–$911.48	2% above	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abdomen & Pelvis W/O Contrast	$2,863.25	$4,405.00	$26.47–$3,964.50	2% above	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abdomen & Pelvis W/O Contrast	$2,863.25	$4,405.00	$26.47–$3,964.50	—	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast	$3,393.00	$5,220.00	$281.80–$4,698.00	15% below	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abdomen & Pelvis W/Contrast	$3,393.00	$5,220.00	$281.80–$4,698.00	—	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abdomen & Pelvis W/O & W/Contrast	$4,089.80	$6,292.00	$83.57–$5,662.80	8% below	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abdomen & Pelvis W/O & W/Contrast	$4,089.80	$6,292.00	$83.57–$5,662.80	—	35%
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Contrast	$1,363.05	$2,097.00	$78.39–$1,887.30	39% below	35%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W/Contrast	$1,363.05	$2,097.00	$78.39–$1,887.30	—	35%
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Contrast	$1,235.65	$1,901.00	$49.26–$1,710.90	34% below	35%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Contrast	$1,235.65	$1,901.00	$49.26–$1,710.90	—	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxillofacial W/O Contrast	$1,175.85	$1,809.00	$46.32–$1,628.10	46% below	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Maxillofacial W/O Contrast	$1,175.85	$1,809.00	$46.32–$1,628.10	—	35%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast	$1,101.75	$1,695.00	$66.48–$1,525.50	52% below	35%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast	$1,101.75	—	$71.93–$1,028.77	52% below	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head/Brain W/O Contrast	$1,101.75	$1,695.00	$66.48–$1,525.50	—	35%
CT scan of the head with contrast CPT 70460 HC CT Head/Brain W/Contrast	$1,367.60	$2,104.00	$53.63–$1,893.60	49% below	35%
CT scan of the head with contrast inpatient CPT 70460 HC CT Head/Brain W/Contrast	$1,367.60	$2,104.00	$53.63–$1,893.60	—	35%
CT scan of the head without and with contrast CPT 70470 HC CT Head/Brain W/O & W/Contrast	$1,790.10	$2,754.00	$63.10–$2,478.60	36% below	35%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT Head/Brain W/O & W/Contrast	$1,790.10	$2,754.00	$63.10–$2,478.60	—	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine W/O Contrast	$1,429.35	$2,199.00	$124.34–$1,979.10	49% below	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Lumbar Spine W/O Contrast	$1,429.35	$2,199.00	$124.34–$1,979.10	—	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine W/O Contrast	$1,665.30	$2,562.00	$89.99–$2,305.80	43% below	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Cervical Spine W/O Contrast	$1,665.30	$2,562.00	$89.99–$2,305.80	—	35%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/Contrast	$1,581.45	$2,433.00	$76.77–$2,189.70	38% below	35%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/Contrast	$3,326.05	—	$76.77–$1,846.28	31% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/Contrast	$1,581.45	$2,433.00	$76.77–$2,189.70	—	35%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Scan Duplex Extracranial Arteries Complete Bilateral	$1,074.45	$1,653.00	$274.00–$1,487.70	—	35%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Scan Duplex Extracranial Arteries Complete Bilateral	$1,074.45	$1,653.00	$274.00–$1,487.70	—	35%
Chest X-ray, 2 views CPT 71046 HC Xr Chest 2 Views	$460.20	—	$19.62–$713.00	20% above	—
Chest X-ray, 2 views CPT 71046 HC Xr Chest 2 Views	$460.20	$708.00	$27.48–$713.00	20% above	35%
Chest X-ray, 2 views inpatient CPT 71046 HC Xr Chest 2 Views	$460.20	$708.00	$27.48–$713.00	—	35%
Chest X-ray, single view CPT 71045 PR Xr Chest Single View	$62.49	—	$5.33–$62.49	81% below	—
Chest X-ray, single view CPT 71045 HC Xr Chest Single View	$160.55	$247.00	$9.72–$713.00	52% below	35%
Chest X-ray, single view CPT 71045 HC Xr Chest Single View	$19,564.63	—	$17.67–$18,821.85	5703% above	—
Chest X-ray, single view inpatient CPT 71045 PR Xr Chest Single View	$56.00	$56.00	$5.33–$56.00	—	—
Chest X-ray, single view inpatient CPT 71045 HC Xr Chest Single View	$160.55	$247.00	$9.72–$713.00	—	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitioneal Complete	$592.15	$911.00	$30.31–$819.90	30% below	35%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperitioneal Complete	$592.15	$911.00	$30.31–$819.90	—	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Dexa Bone Density Study >=1 Sites Axial Skeleton	$460.20	$708.00	$8.97–$713.00	3% below	35%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Dexa Bone Density Study >=1 Sites Axial Skeleton	$460.20	$708.00	$8.97–$713.00	—	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Dexa Bone Density Study >=1 Sites Appendicular Skeleton (Peripheral)	$180.05	$277.00	$6.57–$713.00	32% below	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Dexa Bone Density Study >=1 Sites Appendicular Skeleton (Peripheral)	$180.05	$277.00	$6.57–$713.00	—	35%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US Pregnant Uterus Detailed Fetal Exam Single/1st Gestation	$681.20	$1,048.00	$41.54–$943.20	17% below	35%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US Pregnant Uterus Detailed Fetal Exam Single/1st Gestation	$681.20	$1,048.00	$41.54–$943.20	—	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax Diagnostic W/O Contrast	$1,142.70	$1,758.00	$47.81–$1,582.20	37% below	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Thorax Diagnostic W/O Contrast	$1,142.70	$1,758.00	$47.81–$1,582.20	—	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax Diagnostic W/Contrast	$1,496.95	$2,303.00	$160.94–$2,072.70	36% below	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax Diagnostic W/Contrast	$1,775.80	—	$160.94–$1,540.31	24% below	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Thorax Diagnostic W/Contrast	$1,496.95	$2,303.00	$160.94–$2,072.70	—	35%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammography Diagnostic Bilateral	$508.30	$782.00	$38.75–$703.80	—	35%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammography Diagnostic Bilateral	$508.30	$782.00	$38.75–$703.80	—	35%
Diagnostic mammogram, one breast one side CPT 77065 HC Mammography Diagnostic Unilateral Rt	$338.65	$521.00	$30.65–$468.90	4% below	35%
Diagnostic mammogram, one breast one side CPT 77065 HC Mammography Diagnostic Unilateral Lt	$338.65	$521.00	$30.65–$468.90	4% below	35%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammography Diagnostic Unilateral Rt	$338.65	$521.00	$30.65–$468.90	—	35%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammography Diagnostic Unilateral Lt	$338.65	$521.00	$30.65–$468.90	—	35%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Scan Duplex Lower Extremity Arteries Complete Bilateral	$1,060.80	$1,632.00	$169.45–$1,468.80	—	35%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Scan Duplex Lower Extremity Arteries Complete Bilateral	$1,060.80	$1,632.00	$169.45–$1,468.80	—	35%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Scan Duplex Extremity Veins Complete Bilateral	$1,193.40	$1,836.00	$294.30–$1,652.40	—	35%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Scan Duplex Extremity Veins Complete Bilateral	$1,193.40	$1,836.00	$294.30–$1,652.40	—	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echocardiography Transthoracic 2d Complete W/M-Mode & Doppler	$1,253.20	$1,928.00	$688.73–$826.47	48% below	35%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echocardiography Transthoracic 2d Complete W/M-Mode & Doppler	$1,253.20	$1,928.00	$688.73–$826.47	—	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM Imaging Hepatobiliary System	$1,483.30	$2,282.00	$76.18–$2,053.80	3% below	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM Imaging Hepatobiliary System	$1,483.30	$2,282.00	$76.18–$2,053.80	—	35%
Knee X-ray, 3 views CPT 73562 PR Rad Exam Knee 3 Views	$94.85	—	$5.85–$94.85	77% below	—
Knee X-ray, 3 views CPT 73562 HC Xr Knee 3 Views Bl	$406.90	$626.00	$8.78–$713.00	at median	35%
Knee X-ray, 3 views one side CPT 73562 HC Xr Knee 3 Views Lt	$271.05	$417.00	$8.78–$713.00	33% below	35%
Knee X-ray, 3 views one side CPT 73562 HC Xr Knee 3 Views Rt	$271.05	$417.00	$8.78–$713.00	33% below	35%
Knee X-ray, 3 views inpatient CPT 73562 PR Rad Exam Knee 3 Views	$89.00	$89.00	$5.85–$89.00	—	—
Knee X-ray, 3 views inpatient CPT 73562 HC Xr Knee 3 Views Bl	$406.90	$626.00	$8.78–$713.00	—	35%
Knee X-ray, 3 views inpatient one side CPT 73562 HC Xr Knee 3 Views Rt	$271.05	$417.00	$8.78–$713.00	—	35%
Knee X-ray, 3 views inpatient one side CPT 73562 HC Xr Knee 3 Views Lt	$271.05	$417.00	$8.78–$713.00	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Limited	$562.90	$866.00	$60.74–$779.40	32% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Limited	$691.60	—	$45.35–$570.00	17% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdomen Limited	$562.90	$866.00	$60.74–$779.40	—	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thorax Low Dose for Lung Screening Without Contrast	$454.35	$699.00	$34.50–$738.00	14% above	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Thorax Low Dose for Lung Screening Without Contrast	$454.35	$699.00	$34.50–$738.00	—	35%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Bl	$3,459.30	$5,322.00	$73.94–$4,789.80	38% above	35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Rt	$2,306.20	$3,548.00	$73.94–$3,463.23	8% below	35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Lt	$2,306.20	$3,548.00	$73.94–$3,463.23	8% below	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Bl	$3,459.30	$5,322.00	$73.94–$4,789.80	—	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Rt	$2,306.20	$3,548.00	$73.94–$3,463.23	—	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Lt	$2,306.20	$3,548.00	$73.94–$3,463.23	—	35%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Bl	$6,395.35	$9,839.00	$100.75–$8,855.10	77% above	35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Rt	$4,263.35	$6,559.00	$100.75–$5,903.10	18% above	35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Lt	$4,263.35	$6,559.00	$100.75–$5,903.10	18% above	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Bl	$6,395.35	$9,839.00	$100.75–$8,855.10	—	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Rt	$4,263.35	$6,559.00	$100.75–$5,903.10	—	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Lt	$4,263.35	$6,559.00	$100.75–$5,903.10	—	35%
MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Contrast	$1,966.90	$3,026.00	$56.65–$2,723.40	26% below	35%
MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Contrast	$2,538.90	—	$61.29–$2,418.15	4% below	—
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen W/O Contrast	$1,966.90	$3,026.00	$56.65–$2,723.40	—	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W/O & W/Contrast	$4,508.40	$6,936.00	$68.97–$6,242.40	3% above	35%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen W/O & W/Contrast	$4,508.40	$6,936.00	$68.97–$6,242.40	—	35%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast	$2,802.15	$4,311.00	$49.27–$3,879.90	8% above	35%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain W/O Contrast	$2,802.15	$4,311.00	$49.27–$3,879.90	—	35%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/O & W/Contrast	$4,957.55	$7,627.00	$82.93–$6,864.30	32% above	35%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/O & W/Contrast	$4,957.55	$7,627.00	$82.93–$6,864.30	—	35%
MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O Contrast	$2,403.05	$3,697.00	$126.48–$3,327.30	5% below	35%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar Spine W/O Contrast	$2,403.05	$3,697.00	$126.48–$3,327.30	—	35%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Lumbar Spine W/O & W/Contrast	$4,327.70	$6,658.00	$83.26–$5,992.20	10% above	35%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI Lumbar Spine W/O & W/Contrast	$4,327.70	$6,658.00	$83.26–$5,992.20	—	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Thoracic Spine W/O Contrast	$2,372.50	$3,650.00	$69.60–$3,285.00	1% below	35%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI Thoracic Spine W/O Contrast	$2,372.50	$3,650.00	$69.60–$3,285.00	—	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Cervival Spine W/O & W/Contrast	$4,327.70	$6,658.00	$117.62–$5,992.20	7% above	35%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI Cervival Spine W/O & W/Contrast	$4,327.70	$6,658.00	$117.62–$5,992.20	—	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Cervical Spine W/O Contrast	$2,523.95	$3,883.00	$47.40–$3,494.70	at median	35%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI Cervical Spine W/O Contrast	$2,523.95	$3,883.00	$47.40–$3,494.70	—	35%
MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W/O & W/Contrast	$4,271.15	$6,571.00	$68.85–$5,913.90	26% above	35%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Pelvis W/O & W/Contrast	$4,271.15	$6,571.00	$68.85–$5,913.90	—	35%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast	$2,059.20	$3,168.00	$59.25–$2,851.20	3% below	35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Pelvis W/O Contrast	$2,059.20	$3,168.00	$59.25–$2,851.20	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Bl	$3,459.30	$5,322.00	$54.07–$4,789.80	42% above	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Rt	$2,306.20	$3,548.00	$54.07–$3,463.23	6% below	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Rt	$2,306.20	—	$58.51–$2,409.17	6% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Lt	$2,306.20	$3,548.00	$54.07–$3,463.23	6% below	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Bl	$3,459.30	$5,322.00	$54.07–$4,789.80	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Lt	$2,306.20	$3,548.00	$54.07–$3,463.23	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Rt	$2,306.20	$3,548.00	$54.07–$3,463.23	—	35%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Imaging Myocardial Perfusion Tomographic (Spect) Multiple Studies at Rest or Stress	$2,752.10	$4,234.00	$91.13–$3,810.60	25% below	35%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM Imaging Myocardial Perfusion Tomographic (Spect) Multiple Studies at Rest or Stress	$2,752.10	$4,234.00	$91.13–$3,810.60	—	35%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet CT Skull-Mid Thgh Subsequent	$6,232.85	$9,589.00	$556.81–$10,906.59	5% above	35%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet CT Skull-Mid Thgh Initial	$6,232.85	$9,589.00	$556.81–$10,906.59	5% above	35%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet CT Skull-Mid Thgh Subsequent	$6,232.85	$9,589.00	$556.81–$10,906.59	—	35%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet CT Skull-Mid Thgh Initial	$6,232.85	$9,589.00	$556.81–$10,906.59	—	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvis Non-Obstetric Limited/Follow Up	$296.40	$456.00	$15.84–$570.00	43% below	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US Pelvis Non-Obstetric Limited/Follow Up	$296.40	$456.00	$15.84–$570.00	—	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis Non Obstetric Complete	$586.95	$903.00	$25.40–$812.70	38% below	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis Non Obstetric Complete	$1,147.90	—	$22.05–$570.00	22% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvis Non Obstetric Complete	$586.95	$903.00	$25.40–$812.70	—	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation	$651.30	$1,002.00	$35.42–$901.80	11% below	35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation	$651.30	$1,002.00	$35.42–$901.80	—	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US Pregnant Uterus < 14 Weeks Single/1st Gestation	$500.50	$770.00	$20.53–$693.00	28% below	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US Pregnant Uterus < 14 Weeks Single/1st Gestation	$500.50	$770.00	$20.53–$693.00	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Pregnant Uterus Limited >= 1 Fetuses	$442.00	$680.00	$23.64–$612.00	12% below	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US Pregnant Uterus Limited >= 1 Fetuses	$442.00	$680.00	$23.64–$612.00	—	35%
Screening mammogram, both breasts both sides CPT 77067 HC Mammography Screen Bilateral	$503.10	$774.00	$31.27–$696.60	—	35%
Screening mammogram, both breasts one side CPT 77067 HC Mammography Screen Bl Reduced Service Unilateral Only Completed	$335.40	$516.00	$31.27–$640.19	29% above	35%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC Mammography Screen Bilateral	$503.10	$774.00	$31.27–$696.60	—	35%
Screening mammogram, both breasts inpatient one side CPT 77067 HC Mammography Screen Bl Reduced Service Unilateral Only Completed	$335.40	$516.00	$31.27–$640.19	—	35%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Xr Shoulder > 2 Views Bl	$307.45	$473.00	$9.71–$713.00	40% below	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Xr Shoulder > 2 Views Lt	$204.75	$315.00	$9.71–$713.00	60% below	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Xr Shoulder > 2 Views Rt	$204.75	$315.00	$9.71–$713.00	60% below	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Xr Shoulder > 2 Views Rt	$401.05	—	$7.25–$713.00	21% below	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Xr Shoulder > 2 Views Bl	$307.45	$473.00	$9.71–$713.00	—	35%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC Xr Shoulder > 2 Views Rt	$204.75	$315.00	$9.71–$713.00	—	35%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC Xr Shoulder > 2 Views Lt	$204.75	$315.00	$9.71–$713.00	—	35%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echocardiography Transthoracic 2d Rest & Stress W/M-Mode	$941.20	$1,448.00	$301.57–$1,647.00	47% below	35%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Echocardiography Transthoracic 2d Rest & Stress W/M-Mode	$941.20	$1,448.00	$301.57–$1,647.00	—	35%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Xr Swallowing Function W/Ciner/Videoradiography Neck Radiographs(S)&Delayed Images Contrast Study	$423.80	$652.00	$19.49–$713.00	27% below	35%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Xr Swallowing Function W/Ciner/Videoradiography Neck Radiographs(S)&Delayed Images Contrast Study	$423.80	$652.00	$19.49–$713.00	—	35%
Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal Non Obstetric	$560.95	$863.00	$25.40–$776.70	at median	35%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal Non Obstetric	$560.95	$863.00	$25.40–$776.70	—	35%
Transvaginal ultrasound during pregnancy CPT 76817 HC US Pregnant Uterus Transvaginal	$564.85	$869.00	$21.51–$782.10	2% below	35%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US Pregnant Uterus Transvaginal	$564.85	$869.00	$21.51–$782.10	—	35%
Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete	$807.30	—	$23.32–$570.00	19% below	—
Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete	$807.30	$1,242.00	$31.24–$1,117.80	19% below	35%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete	$807.30	$1,242.00	$31.24–$1,117.80	—	35%
Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotum and Contents	$378.95	$583.00	$12.35–$570.00	57% below	35%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US Scrotum and Contents	$378.95	$583.00	$12.35–$570.00	—	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Head/Neck Soft Tissue	$481.65	$741.00	$22.43–$666.90	42% below	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Head/Neck Soft Tissue	$481.65	$741.00	$22.43–$666.90	—	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Upper Gastrointestinal Tract Scout Abdominal Radiographs Delayed Images Single Contrast Study	$414.05	$637.00	$38.31–$713.00	31% below	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Xr Upper Gastrointestinal Tract Scout Abdominal Radiographs Delayed Images Single Contrast Study	$414.05	$637.00	$38.31–$713.00	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study	$795.60	$1,224.00	$131.77–$1,101.60	6% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study Lt	$795.60	$1,224.00	$131.77–$1,101.60	6% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study Rt	$795.60	$1,224.00	$131.77–$1,101.60	6% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study	$795.60	$1,224.00	$131.77–$1,101.60	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study Rt	$795.60	$1,224.00	$131.77–$1,101.60	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study Lt	$795.60	$1,224.00	$131.77–$1,101.60	—	35%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Xr Wrist >= 3 Views Bl	$367.90	$566.00	$25.14–$713.00	15% below	35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist >= 3 Views Rt	$245.05	$377.00	$25.14–$713.00	43% below	35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist >= 3 Views Lt	$245.05	$377.00	$25.14–$713.00	43% below	35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist >= 3 Views Rt	$405.60	—	$25.14–$713.00	6% below	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Xr Wrist >= 3 Views Bl	$367.90	$566.00	$25.14–$713.00	—	35%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Xr Wrist >= 3 Views Lt	$245.05	$377.00	$25.14–$713.00	—	35%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Xr Wrist >= 3 Views Rt	$245.05	$377.00	$25.14–$713.00	—	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Xr Hip With Pelvis When Performed Unilateral 2-3 Views Rt	$202.80	$312.00	$9.76–$713.00	47% below	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Xr Hip With Pelvis When Performed Unilateral 2-3 Views Lt	$202.80	$312.00	$9.76–$713.00	47% below	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Xr Hip With Pelvis When Performed Unilateral 2-3 Views Rt	$381.55	—	$7.81–$713.00	at median	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Xr Hip With Pelvis When Performed Unilateral 2-3 Views Lt	$202.80	$312.00	$9.76–$713.00	—	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Xr Hip With Pelvis When Performed Unilateral 2-3 Views Rt	$202.80	$312.00	$9.76–$713.00	—	35%
X-ray of the abdomen, 1 view CPT 74018 HC Xr Abdomen 1 View	$180.05	$277.00	$6.44–$713.00	40% below	35%
X-ray of the abdomen, 1 view CPT 74018 HC Xr Abdomen 1 View	$12,410.83	—	$6.44–$15,674.00	4015% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 HC Xr Abdomen 1 View	$180.05	$277.00	$6.44–$713.00	—	35%
X-ray of the ankle, 2 views CPT 73600 HC Xr Ankle 2 Views Bl	$294.45	$453.00	$5.21–$713.00	2% below	35%
X-ray of the ankle, 2 views one side CPT 73600 HC Xr Ankle 2 Views Lt	$196.30	$302.00	$5.21–$713.00	35% below	35%
X-ray of the ankle, 2 views one side CPT 73600 HC Xr Ankle 2 Views Rt	$196.30	—	$5.64–$713.00	35% below	—
X-ray of the ankle, 2 views one side CPT 73600 HC Xr Ankle 2 Views Rt	$196.30	$302.00	$5.21–$713.00	35% below	35%
X-ray of the ankle, 2 views inpatient CPT 73600 HC Xr Ankle 2 Views Bl	$294.45	$453.00	$5.21–$713.00	—	35%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HC Xr Ankle 2 Views Lt	$196.30	$302.00	$5.21–$713.00	—	35%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HC Xr Ankle 2 Views Rt	$196.30	$302.00	$5.21–$713.00	—	35%
X-ray of the finger(s), 2 or more views CPT 73140 HC Xr Finger(S) >= 2 Views Bl	$267.15	$411.00	$5.85–$713.00	1% above	35%
X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) >= 2 Views Rt	$178.10	$274.00	$5.85–$713.00	33% below	35%
X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) >= 2 Views Lt	$178.10	$274.00	$5.85–$713.00	33% below	35%
X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) >= 2 Views Lt	$178.10	—	$5.00–$713.00	33% below	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Xr Finger(S) >= 2 Views Bl	$267.15	$411.00	$5.85–$713.00	—	35%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC Xr Finger(S) >= 2 Views Rt	$178.10	$274.00	$5.85–$713.00	—	35%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC Xr Finger(S) >= 2 Views Lt	$178.10	$274.00	$5.85–$713.00	—	35%
X-ray of the foot, 2 views CPT 73620 HC Xr Foot 2 Views Bl	$294.45	$453.00	$6.50–$713.00	2% below	35%
X-ray of the foot, 2 views one side CPT 73620 HC Xr Foot 2 Views Rt	$196.30	$302.00	$6.50–$713.00	35% below	35%
X-ray of the foot, 2 views one side CPT 73620 HC Xr Foot 2 Views Lt	$196.30	$302.00	$6.50–$713.00	35% below	35%
X-ray of the foot, 2 views one side CPT 73620 HC Xr Foot 2 Views Rt	$1,073.80	—	$4.57–$713.00	256% above	—
X-ray of the foot, 2 views inpatient CPT 73620 HC Xr Foot 2 Views Bl	$294.45	$453.00	$6.50–$713.00	—	35%
X-ray of the foot, 2 views inpatient one side CPT 73620 HC Xr Foot 2 Views Rt	$196.30	$302.00	$6.50–$713.00	—	35%
X-ray of the foot, 2 views inpatient one side CPT 73620 HC Xr Foot 2 Views Lt	$196.30	$302.00	$6.50–$713.00	—	35%
X-ray of the foot, complete, 3 or more views CPT 73630 HC Xr Foot > 3 Views Bl	$321.10	$494.00	$9.09–$713.00	19% below	35%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Xr Foot > 3 Views Rt	$213.85	—	$8.12–$713.00	46% below	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Xr Foot > 3 Views Rt	$213.85	$329.00	$9.09–$713.00	46% below	35%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Xr Foot > 3 Views Lt	$213.85	$329.00	$9.09–$713.00	46% below	35%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Xr Foot > 3 Views Bl	$321.10	$494.00	$9.09–$713.00	—	35%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC Xr Foot > 3 Views Rt	$213.85	$329.00	$9.09–$713.00	—	35%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC Xr Foot > 3 Views Lt	$213.85	$329.00	$9.09–$713.00	—	35%
X-ray of the hand, 3 or more views CPT 73130 HC Xr Hand >= 3 Views Bl	$403.65	$621.00	$6.89–$713.00	4% below	35%
X-ray of the hand, 3 or more views one side CPT 73130 HC Xr Hand >= 3 Views Rt	$269.10	$414.00	$6.89–$713.00	36% below	35%
X-ray of the hand, 3 or more views one side CPT 73130 HC Xr Hand >= 3 Views Lt	$269.10	$414.00	$6.89–$713.00	36% below	35%
X-ray of the hand, 3 or more views one side CPT 73130 HC Xr Hand >= 3 Views Rt	$514.15	—	$9.44–$713.00	22% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 HC Xr Hand >= 3 Views Bl	$403.65	$621.00	$6.89–$713.00	—	35%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC Xr Hand >= 3 Views Rt	$269.10	$414.00	$6.89–$713.00	—	35%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC Xr Hand >= 3 Views Lt	$269.10	$414.00	$6.89–$713.00	—	35%
X-ray of the knee, 1 or 2 views CPT 73560 HC Xr Knee 1-2 Views Bl	$294.45	$453.00	$7.14–$713.00	13% below	35%
X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee 1-2 Views Lt	$196.30	$302.00	$7.14–$713.00	42% below	35%
X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee 1-2 Views Rt	$196.30	$302.00	$7.14–$713.00	42% below	35%
X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee 1-2 Views Rt	$52,208.78	—	$7.14–$34,240.04	15346% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Xr Knee 1-2 Views Bl	$294.45	$453.00	$7.14–$713.00	—	35%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC Xr Knee 1-2 Views Rt	$196.30	$302.00	$7.14–$713.00	—	35%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC Xr Knee 1-2 Views Lt	$196.30	$302.00	$7.14–$713.00	—	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Xr Lumbosacral Spine 2-3 Views	$276.90	$426.00	$11.37–$713.00	39% below	35%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Xr Lumbosacral Spine 2-3 Views	$276.90	$426.00	$11.37–$713.00	—	35%
X-ray of the lower back, 4 or more views CPT 72110 HC Xr Lumbosacral Spine >= 4 Views	$463.45	$713.00	$16.47–$713.00	21% below	35%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Xr Lumbosacral Spine >= 4 Views	$463.45	$713.00	$16.47–$713.00	—	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Xr Thoracic Spine 2 Views	$252.85	$389.00	$10.53–$713.00	29% below	35%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Xr Thoracic Spine 2 Views	$252.85	$389.00	$10.53–$713.00	—	35%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Xr Nasal Bones Complete > 3 Views	$241.80	$372.00	$9.31–$713.00	36% below	35%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Xr Nasal Bones Complete > 3 Views	$241.80	$372.00	$9.31–$713.00	—	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr Cervical Spine 2-3 Views	$259.35	$399.00	$9.75–$713.00	40% below	35%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Xr Cervical Spine 2-3 Views	$259.35	$399.00	$9.75–$713.00	—	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Xr Pelvis 1-2 Views	$220.35	$339.00	$8.12–$713.00	39% below	35%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Xr Pelvis 1-2 Views	$220.35	$339.00	$8.12–$713.00	—	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Xr Sacrum/Coccyx >= 2 Views	$262.60	$404.00	$9.40–$713.00	38% below	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Xr Sacrum/Coccyx >= 2 Views	$262.60	$404.00	$9.40–$713.00	—	35%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alt/Sgpt	$49.40	$76.00	$5.19–$68.40	15% above	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alt/Sgpt	$380.90	—	$5.19–$49.58	783% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Alt/Sgpt	$49.40	$76.00	$5.19–$68.40	—	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Ast/Sgot	$48.75	$75.00	$5.08–$67.50	11% above	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Ast/Sgot	$48.75	$75.00	$5.08–$67.50	—	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC External Acute Hepatitis Panel	$44.18	$67.97	$44.18–$445.82	82% below	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel	$341.25	$525.00	$46.68–$472.50	40% above	35%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC External Acute Hepatitis Panel	$44.18	$67.97	$44.18–$445.82	—	35%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Acute Hepatitis Panel	$341.25	$525.00	$46.68–$472.50	—	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Soybean Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Wheat Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Soybean Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Wheat Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Cows Milk Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Codfish Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Cashew Nut Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Hazelnut Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Tuna Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Walnut Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Salmon Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Peanut Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Almonds Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Egg Yolk Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Aspergillus Niger Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Shrimp Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Almond Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Brazil Nut Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Egg White Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Shrimp Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Peanut Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Scallop Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Strawberry Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Sesame Seed Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Macadamia Nut Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Pistachio Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Egg White Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Beef Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Cows Milk Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Pecan Nut Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Aspergillus Fumigatus Ige	$3.34	$5.14	$3.34–$48.91	60% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Dermatophagoides Farinae (House Dust Mite) Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Ragweed Short/Common Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Alder Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen White Mulberry Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Penicillium Notatum Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Olive Tree Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Elm Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Mugwort Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Oak Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Russian Thistle Saltwort Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Dog Dander Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Mouse Urine Proteins Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Pigweed Rough/Common Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Timothy Grass Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Cladosporium Herbarum Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Aspergillus Fumigatus Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Dermatophagoides Pteronyssinus (House Dust Mite) Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Mountain Cedar Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Sycamore Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Alternaria Alternata Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen German Cockroach (Blatella Germanica) Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Cat Dander Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Bermuda Grass Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10668 Allergen Birch Ige	$3.39	$5.22	$3.39–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Shrimp Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Peanut Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Cashew Nut Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Alternaria Alternata Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Brazil Nut Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Dog Dander Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Egg White Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Almond Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Dermatophagoides Farinae Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Mouse Urine Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Soybean Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Cows Milk Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Wheat Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Dermatophagoides Pteronyssinus Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Hazelnut Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Codfish Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Cladosporium Herbarum Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Cat Dander Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Walnut Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Macadamia Nut Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36765 Allergen Cockroach Ige	$3.40	$5.23	$3.40–$48.91	59% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Walnut Ige	$3.99	$6.14	$3.99–$48.91	52% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Sesame Seed Ige	$3.99	$6.14	$3.99–$48.91	52% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Almond Ige	$321.44	—	$122.77–$1,173.84	3763% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Sesame Seed Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Beef Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Wheat Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Aspergillus Niger Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Almond Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Brazil Nut Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Egg White Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Shrimp Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Peanut Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Scallop Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Macadamia Nut Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Pistachio Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Egg White Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Cows Milk Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Pecan Nut Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Aspergillus Fumigatus Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Soybean Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Wheat Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Soybean Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Strawberry Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Shrimp Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Egg Yolk Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Almonds Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Peanut Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Salmon Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Walnut Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Tuna Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Hazelnut Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Cashew Nut Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Codfish Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Cows Milk Ige	$3.34	$5.14	$3.34–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Dog Dander Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Bermuda Grass Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen White Mulberry Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Penicillium Notatum Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Dermatophagoides Farinae (House Dust Mite) Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Oak Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Alder Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Russian Thistle Saltwort Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Olive Tree Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Mouse Urine Proteins Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Birch Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Aspergillus Fumigatus Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Cat Dander Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Dermatophagoides Pteronyssinus (House Dust Mite) Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen German Cockroach (Blatella Germanica) Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Pigweed Rough/Common Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Alternaria Alternata Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Sycamore Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Timothy Grass Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Ragweed Short/Common Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Cladosporium Herbarum Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Mountain Cedar Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Mugwort Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10668 Allergen Elm Ige	$3.39	$5.22	$3.39–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Wheat Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Cat Dander Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Almond Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Macadamia Nut Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Mouse Urine Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Shrimp Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Dermatophagoides Pteronyssinus Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Alternaria Alternata Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Cladosporium Herbarum Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Walnut Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Hazelnut Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Egg White Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Dog Dander Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Soybean Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Cockroach Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Dermatophagoides Farinae Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Codfish Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Peanut Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Cows Milk Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Brazil Nut Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36765 Allergen Cashew Nut Ige	$3.40	$5.23	$3.40–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Sesame Seed Ige	$3.99	$6.14	$3.99–$48.91	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Walnut Ige	$3.99	$6.14	$3.99–$48.91	—	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Quest Cyclic Citrullinated Peptide Antibody	$6.50	$10.00	$6.50–$121.20	68% below	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Quest 36378 Cyclic Citrullinated Peptide Antibody	$10.18	$15.66	$7.10–$121.20	50% below	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Quest 94954 Cyclic Citrullinated Peptide Antibody	$17.87	$27.50	$7.10–$121.20	12% below	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Quest Cyclic Citrullinated Peptide Antibody	$6.50	$10.00	$6.50–$121.20	—	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Quest 36378 Cyclic Citrullinated Peptide Antibody	$10.18	$15.66	$7.10–$121.20	—	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Quest 94954 Cyclic Citrullinated Peptide Antibody	$17.87	$27.50	$7.10–$121.20	—	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Quest 37521 Antinuclear Antibodies	$9.10	$14.00	$9.10–$113.16	74% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Quest 36378 Antinuclear Antibodies	$10.24	$15.76	$10.24–$113.16	71% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Quest 94954 Antinuclear Antibodies	$17.87	$27.50	$11.85–$113.16	49% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Quest 29839 Antinuclear Antibodies	$28.60	$44.00	$11.85–$113.16	18% below	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Quest 37521 Antinuclear Antibodies	$9.10	$14.00	$9.10–$113.16	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Quest 36378 Antinuclear Antibodies	$10.24	$15.76	$10.24–$113.16	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Quest 94954 Antinuclear Antibodies	$17.87	$27.50	$11.85–$113.16	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Quest 29839 Antinuclear Antibodies	$28.60	$44.00	$11.85–$113.16	—	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Quest Natriuretic Peptide	$55.25	$85.00	$30.15–$317.78	69% below	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide	$268.45	$413.00	$30.15–$371.70	52% above	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide	$650.00	—	$30.15–$317.78	268% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Quest Natriuretic Peptide	$55.25	$85.00	$30.15–$317.78	—	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide	$268.45	$413.00	$30.15–$371.70	—	35%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel (Calcium Total)	$75.40	$116.00	$8.29–$104.40	61% below	35%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel (Calcium Total)	$8,512.04	—	$10.43–$10,457.00	4306% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel (Calcium Total)	$75.40	$116.00	$8.29–$104.40	—	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surgical Pathology Level 4 Gross & Microscopic Examination	$233.35	$359.00	$11.76–$323.10	53% above	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surgical Pathology Level 4 Gross & Microscopic Examination	$233.35	$359.00	$11.76–$323.10	—	35%
Blood culture for bacteria CPT 87040 HC Culture Blood	$122.85	$189.00	$10.11–$170.10	49% below	35%
Blood culture for bacteria CPT 87040 HC Culture Blood	$276.90	—	$20.23–$193.22	15% above	—
Blood culture for bacteria inpatient CPT 87040 HC Culture Blood	$122.85	$189.00	$10.11–$170.10	—	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection of Venous Blood by Venipuncture	$31.20	$48.00	$3.60–$43.20	28% above	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PR Collection of Venous Blood by Venipuncture	$55.00	$55.00	$1.20–$55.00	126% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection of Venous Blood by Venipuncture	$549.90	—	$3.60–$10,457.00	2163% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Collection of Venous Blood by Venipuncture	$31.20	$48.00	$3.60–$43.20	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PR Collection of Venous Blood by Venipuncture	$55.00	$55.00	$1.20–$55.00	—	—
Blood glucose (sugar) test CPT 82947 HC Glucose Blood Quantitative Fasting	$37.05	$57.00	$3.85–$51.30	1% below	35%
Blood glucose (sugar) test CPT 82947 HC Glucose Blood Quantitative	$37.05	$57.00	$3.85–$51.30	1% below	35%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Blood Quantitative Fasting	$37.05	$57.00	$3.85–$51.30	—	35%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Blood Quantitative	$37.05	$57.00	$3.85–$51.30	—	35%
Blood lead test CPT 83655 HC Quest 35386 Lead 24 Hour Urine	$5.85	$9.00	$5.85–$113.30	59% below	35%
Blood lead test CPT 83655 HC Quest 7507 Lead Urine	$5.85	$9.00	$5.85–$113.30	59% below	35%
Blood lead test CPT 83655 HC Quest 36438 Lead 24 Hour Urine	$6.42	$9.87	$6.42–$113.30	55% below	35%
Blood lead test CPT 83655 HC Quest Lead	$7.15	$11.00	$7.15–$113.30	50% below	35%
Blood lead test CPT 83655 HC Quest 7655 Lead	$7.34	$11.30	$7.35–$113.30	48% below	35%
Blood lead test inpatient CPT 83655 HC Quest 7507 Lead Urine	$5.85	$9.00	$5.85–$113.30	—	35%
Blood lead test inpatient CPT 83655 HC Quest 35386 Lead 24 Hour Urine	$5.85	$9.00	$5.85–$113.30	—	35%
Blood lead test inpatient CPT 83655 HC Quest 36438 Lead 24 Hour Urine	$6.42	$9.87	$6.42–$113.30	—	35%
Blood lead test inpatient CPT 83655 HC Quest Lead	$7.15	$11.00	$7.15–$113.30	—	35%
Blood lead test inpatient CPT 83655 HC Quest 7655 Lead	$7.34	$11.30	$7.35–$113.30	—	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Hcg Qualitative Urine	$61.75	$95.00	$7.37–$85.50	60% below	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Hcg Qualitative	$61.75	$95.00	$7.37–$85.50	60% below	35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Hcg Qualitative	$61.75	$95.00	$7.37–$85.50	—	35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Hcg Qualitative Urine	$61.75	$95.00	$7.37–$85.50	—	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo Intrauterine	$31.85	$49.00	$3.41–$354.84	59% below	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo	$44.20	$68.00	$3.41–$354.84	42% below	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Abo Intrauterine	$31.85	$49.00	$3.41–$354.84	—	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Abo	$44.20	$68.00	$3.41–$354.84	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein	$48.75	$75.00	$5.08–$67.50	4% above	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein	$48.75	$75.00	$5.08–$67.50	—	35%
C. difficile toxin gene test (stool PCR) CPT 87493 HC Infectious Agent Nucleic Acid Amplified Probe Clostridium Difficile Toxin Gene(S)	$257.40	$396.00	$28.64–$356.40	68% above	35%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Infectious Agent Nucleic Acid Amplified Probe Clostridium Difficile Toxin Gene(S)	$257.40	$396.00	$28.64–$356.40	—	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Infectious Agent Nucleic Acid Amplified Probe Sars-Cov-2/Covid-19	$159.25	$245.00	$50.28–$220.50	128% above	35%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Infectious Agent Nucleic Acid Amplified Probe Sars-Cov-2/Covid-19	$159.25	$245.00	$50.28–$220.50	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Quest 16492 Inf Agt Nucleic Acid Amplified Probe Chlamydia Trachomatis	$24.57	$37.80	$24.57–$328.57	55% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Quest 16492 Inf Agt Nucleic Acid Amplified Probe Chlamydia Trachomatis	$24.57	$37.80	$24.57–$328.57	—	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Quest 92145 Lipid Panel	$9.08	$13.97	$9.08–$125.42	91% below	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel	$122.85	$189.00	$13.12–$170.10	21% above	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel	$562.25	—	$13.12–$125.42	454% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Quest 92145 Lipid Panel	$9.08	$13.97	$9.08–$125.42	—	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel	$122.85	$189.00	$13.12–$170.10	—	35%
Complete blood count (CBC) with differential CPT 85025 HC Cbc Automated/Differential Wbc Automated	$72.15	$111.00	$7.61–$99.90	35% below	35%
Complete blood count (CBC) with differential CPT 85025 HC Cbc Automated/Differential Wbc Automated	$694.20	—	$7.61–$72.76	527% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc Automated/Differential Wbc Automated	$72.15	$111.00	$7.61–$99.90	—	35%
Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated Intrauterine	$54.60	$84.00	$6.34–$75.60	28% below	35%
Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated	$60.45	$93.00	$6.34–$83.70	20% below	35%
Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated	$722.80	—	$6.34–$34,240.04	852% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc Automated Intrauterine	$54.60	$84.00	$6.34–$75.60	—	35%
Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc Automated	$60.45	$93.00	$6.34–$83.70	—	35%
Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel	$109.85	$169.00	$10.35–$152.10	57% below	35%
Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel	$562.25	—	$10.35–$98.96	120% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel	$109.85	$169.00	$10.35–$152.10	—	35%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradation D Dimer Quantitative	$92.30	$142.00	$9.98–$127.80	23% below	35%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Fibrin Degradation D Dimer Quantitative	$92.30	$142.00	$9.98–$127.80	—	35%
FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin Follicle Stimulating Hormone (Fsh)	$135.20	$208.00	$18.21–$187.20	53% above	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Gonadotropin Follicle Stimulating Hormone (Fsh)	$135.20	$208.00	$18.21–$187.20	—	35%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Quest Calprotectin Fecal	$35.61	$54.78	$17.45–$183.71	51% below	35%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Quest Calprotectin Fecal	$35.61	$54.78	$17.45–$183.71	—	35%
Ferritin blood test (iron stores) CPT 82728 HC Ferritin	$120.25	$185.00	$13.36–$166.50	44% above	35%
Ferritin blood test (iron stores) CPT 82728 HC Ferritin	$698.10	—	$13.36–$127.50	735% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 HC Ferritin	$120.25	$185.00	$13.36–$166.50	—	35%
Folate (folic acid) blood test CPT 82746 HC Folic Acid	$118.30	$182.00	$14.41–$163.80	38% above	35%
Folate (folic acid) blood test CPT 82746 HC Folic Acid	$1,022.45	—	$14.41–$137.62	1090% above	—
Folate (folic acid) blood test inpatient CPT 82746 HC Folic Acid	$118.30	$182.00	$14.41–$163.80	—	35%
Free T3 thyroid hormone test CPT 84481 HC T3 (Triiodothyronine) Free	$132.60	$204.00	$16.60–$183.60	109% above	35%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3 (Triiodothyronine) Free	$132.60	$204.00	$16.60–$183.60	—	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Quest T4 (Thyroxine) Direct Dialysis	$7.51	$11.55	$7.51–$84.42	89% below	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Quest T4 (Thyroxine) Free	$10.40	$16.00	$8.84–$84.42	85% below	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 (Thyroxine) Free	$76.05	$117.00	$8.84–$105.30	12% above	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 (Thyroxine) Free	$770.90	—	$8.84–$84.42	1032% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Quest T4 (Thyroxine) Direct Dialysis	$7.51	$11.55	$7.51–$84.42	—	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Quest T4 (Thyroxine) Free	$10.40	$16.00	$8.84–$84.42	—	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 (Thyroxine) Free	$76.05	$117.00	$8.84–$105.30	—	35%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel	$186.55	$287.00	$48.52–$258.30	33% below	35%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel	$186.55	$287.00	$48.52–$258.30	—	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose 2 Hr Post Dose	$39.65	$61.00	$4.66–$54.90	11% below	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose 1 Hr Post Dose	$39.65	$61.00	$4.66–$54.90	11% below	35%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose 1 Hr Post Dose	$39.65	$61.00	$4.66–$54.90	—	35%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose 2 Hr Post Dose	$39.65	$61.00	$4.66–$54.90	—	35%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) 3 Specimens	$107.25	$165.00	$12.61–$148.50	8% below	35%
Glucose tolerance test, 3 samples CPT 82951 HC Bundled Glucose Tolerance Test (Gtt) 3 Specimens	$109.85	$169.00	$12.61–$152.10	6% below	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test (Gtt) 3 Specimens	$107.25	$165.00	$12.61–$148.50	—	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Bundled Glucose Tolerance Test (Gtt) 3 Specimens	$109.85	$169.00	$12.61–$152.10	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Quest 16492 Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae	$24.57	$37.80	$24.57–$328.57	54% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Quest 16492 Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae	$24.57	$37.80	$24.57–$328.57	—	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Quest Infectious Agent Nucleic Acid Quantification Hiv-1	$42.25	$65.00	$42.25–$796.56	50% below	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Quest Infectious Agent Nucleic Acid Quantification Hiv-1	$42.25	$65.00	$42.25–$796.56	—	35%
HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv-1/Hiv-2 Antibody Single Result	$100.10	$154.00	$13.44–$138.60	140% above	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Hiv-1/Hiv-2 Antibody Single Result	$100.10	$154.00	$13.44–$138.60	—	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies	$182.65	$281.00	$20.26–$252.90	202% above	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies	$182.65	$281.00	$20.26–$252.90	—	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Quest Infectious Agent Nucleic Acid Human Papillomavirus E6 E7 High-Risk Types Pooled Result	$12.28	$18.90	$12.29–$319.99	91% below	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Quest Infectious Agent Nucleic Acid Human Papillomavirus E6 E7 High-Risk Types Pooled Result	$12.28	$18.90	$12.29–$319.99	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated (A1c)	$84.50	$130.00	$9.52–$117.00	31% above	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated (A1c)	$751.40	—	$9.52–$278.82	1065% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin Glycosylated (A1c)	$84.50	$130.00	$9.52–$117.00	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC External Hepatitis B Surface Antibody	$32.95	$50.70	$10.53–$100.57	14% below	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Antibody	$85.80	$132.00	$10.53–$118.80	123% above	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Antibody	$778.10	—	$10.53–$100.57	1922% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC External Hepatitis B Surface Antibody	$32.95	$50.70	$10.53–$100.57	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Antibody	$85.80	$132.00	$10.53–$118.80	—	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC External Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hepatitis B Surface Agn	$31.70	$48.77	$10.12–$96.68	49% below	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hepatitis B Surface Agn	$94.90	$146.00	$10.12–$131.40	53% above	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hepatitis B Surface Agn	$900.42	—	$13.08–$401.29	1350% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC External Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hepatitis B Surface Agn	$31.70	$48.77	$10.12–$96.68	—	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hepatitis B Surface Agn	$94.90	$146.00	$10.12–$131.40	—	35%
Hepatitis C antibody blood test (screening) CPT 86803 HC External Hepatitis C Antibody	$43.81	$67.40	$13.98–$133.60	16% below	35%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody	$112.45	$173.00	$13.98–$155.70	116% above	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC External Hepatitis C Antibody	$43.81	$67.40	$13.98–$133.60	—	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Antibody	$112.45	$173.00	$13.98–$155.70	—	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Quest Infectious Agent Nucleic Acid Quantification Hepatitis C	$41.56	$63.94	$41.56–$400.99	47% below	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Quest Infectious Agent Nucleic Acid Quantification Hepatitis C	$41.56	$63.94	$41.56–$400.99	—	35%
Herpes blood test, HSV-1 antibody CPT 86695 HC Quest 6447 Herpes Simplex Type 1 Antibody Igg	$11.99	$18.44	$11.99–$123.48	36% below	35%
Herpes blood test, HSV-1 antibody CPT 86695 HC Quest 12598 Herpes Simplex Type 1 Antibody Igg CSF	$13.60	$20.92	$12.93–$123.48	28% below	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Quest 6447 Herpes Simplex Type 1 Antibody Igg	$11.99	$18.44	$11.99–$123.48	—	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Quest 12598 Herpes Simplex Type 1 Antibody Igg CSF	$13.60	$20.92	$12.93–$123.48	—	35%
Herpes blood test, HSV-2 antibody CPT 86696 HC Quest 6447 Herpes Simplex Type 2 Antibody Igg	$11.99	$18.44	$11.99–$181.23	55% below	35%
Herpes blood test, HSV-2 antibody CPT 86696 HC Quest 12598 Herpes Simplex Type 2 Antibody Igg CSF	$13.60	$20.92	$13.60–$181.23	49% below	35%
Herpes blood test, HSV-2 antibody CPT 86696 HC Quest Herpes Simplex Type 2 Antibody Inhibition Igg	$91.00	$140.00	$17.20–$181.23	241% above	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Quest 6447 Herpes Simplex Type 2 Antibody Igg	$11.99	$18.44	$11.99–$181.23	—	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Quest 12598 Herpes Simplex Type 2 Antibody Igg CSF	$13.60	$20.92	$13.60–$181.23	—	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Quest Herpes Simplex Type 2 Antibody Inhibition Igg	$91.00	$140.00	$17.20–$181.23	—	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein High Sensitivity	$104.65	$161.00	$11.06–$144.90	124% above	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein High Sensitivity	$104.65	$161.00	$11.06–$144.90	—	35%
Homocysteine blood test CPT 83090 HC Homocysteine	$120.90	$186.00	$14.99–$167.40	193% above	35%
Homocysteine blood test inpatient CPT 83090 HC Homocysteine	$120.90	$186.00	$14.99–$167.40	—	35%
Iron blood test (serum iron) CPT 83540 HC Iron	$54.60	$84.00	$6.34–$75.60	24% above	35%
Iron blood test (serum iron) CPT 83540 HC Iron	$742.95	—	$6.34–$60.64	1581% above	—
Iron blood test (serum iron) inpatient CPT 83540 HC Iron	$54.60	$84.00	$6.34–$75.60	—	35%
Kidney function blood test panel CPT 80069 HC Renal Function Panel	$80.60	$124.00	$8.51–$111.60	43% below	35%
Kidney function blood test panel CPT 80069 HC Renal Function Panel	$378.95	—	$8.51–$81.27	169% above	—
Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel	$80.60	$124.00	$8.51–$111.60	—	35%
LH (luteinizing hormone) test CPT 83002 HC Gonadotropin Luteinizing Hormone (Lh)	$135.20	$208.00	$18.15–$187.20	70% above	35%
LH (luteinizing hormone) test inpatient CPT 83002 HC Gonadotropin Luteinizing Hormone (Lh)	$135.20	$208.00	$18.15–$187.20	—	35%
Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase	$57.20	$88.00	$6.75–$79.20	24% below	35%
Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase Body Fluid	$63.05	$97.00	$6.75–$87.30	16% below	35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lipase	$57.20	$88.00	$6.75–$79.20	—	35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lipase Body Fluid	$63.05	$97.00	$6.75–$87.30	—	35%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel	$74.10	$114.00	$8.01–$102.60	45% below	35%
Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel	$74.10	$114.00	$8.01–$102.60	—	35%
Magnesium blood test CPT 83735 HC Quest 15565 Magnesium 24 Hour Urine	$4.90	$7.54	$4.90–$62.71	92% below	35%
Magnesium blood test CPT 83735 HC Quest Magnesium RBC	$5.85	$9.00	$5.85–$62.71	90% below	35%
Magnesium blood test CPT 83735 HC Magnesium	$76.05	$117.00	$6.57–$105.30	31% above	35%
Magnesium blood test CPT 83735 HC Magnesium	$421.20	—	$6.57–$62.71	628% above	—
Magnesium blood test inpatient CPT 83735 HC Quest 15565 Magnesium 24 Hour Urine	$4.90	$7.54	$4.90–$62.71	—	35%
Magnesium blood test inpatient CPT 83735 HC Quest Magnesium RBC	$5.85	$9.00	$5.85–$62.71	—	35%
Magnesium blood test inpatient CPT 83735 HC Magnesium	$76.05	$117.00	$6.57–$105.30	—	35%
Measles (rubeola) antibody test CPT 86765 HC Quest Rubeola Antibody Igm	$12.68	$19.51	$12.62–$120.60	39% below	35%
Measles (rubeola) antibody test CPT 86765 HC Quest 12598 Rubeola Antibody Igm CSF	$13.60	$20.92	$12.62–$120.60	35% below	35%
Measles (rubeola) antibody test CPT 86765 HC Quest 12598 Rubeola Antibody Igg CSF	$13.60	$20.92	$12.62–$120.60	35% below	35%
Measles (rubeola) antibody test inpatient CPT 86765 HC Quest Rubeola Antibody Igm	$12.68	$19.51	$12.62–$120.60	—	35%
Measles (rubeola) antibody test inpatient CPT 86765 HC Quest 12598 Rubeola Antibody Igm CSF	$13.60	$20.92	$12.62–$120.60	—	35%
Measles (rubeola) antibody test inpatient CPT 86765 HC Quest 12598 Rubeola Antibody Igg CSF	$13.60	$20.92	$12.62–$120.60	—	35%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies Screening	$48.75	$75.00	$5.08–$67.50	48% below	35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Heterophile Antibodies Screening	$48.75	$75.00	$5.08–$67.50	—	35%
Obstetric blood test panel CPT 80055 HC Obstetric Panel	$262.60	$404.00	$46.85–$363.60	6% above	35%
Obstetric blood test panel inpatient CPT 80055 HC Obstetric Panel	$262.60	$404.00	$46.85–$363.60	—	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen Total	$152.10	$234.00	$18.02–$210.60	225% above	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen Total	$152.10	$234.00	$18.02–$210.60	—	35%
Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormone (Pth) Intact Intraoperative	$296.40	$456.00	$40.45–$410.40	186% above	35%
Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormone (Pth) Intact	$296.40	$456.00	$40.45–$410.40	186% above	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Parathormone (Pth) Intact	$296.40	$456.00	$40.45–$410.40	—	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Parathormone (Pth) Intact Intraoperative	$296.40	$456.00	$40.45–$410.40	—	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Quest 91242 Thromboplastin Time Partial (Ptt)	$7.80	$12.00	$5.89–$56.15	79% below	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC External Hppn Thromboplastin Time Partial (Ptt)	$16.83	$25.90	$5.89–$56.15	55% below	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial (Ptt)	$70.20	$108.00	$5.89–$97.20	86% above	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial (Ptt)	$750.75	—	$7.66–$232.09	1889% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Quest 91242 Thromboplastin Time Partial (Ptt)	$7.80	$12.00	$5.89–$56.15	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC External Hppn Thromboplastin Time Partial (Ptt)	$16.83	$25.90	$5.89–$56.15	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplastin Time Partial (Ptt)	$70.20	$108.00	$5.89–$97.20	—	35%
Progesterone blood test CPT 84144 HC Progesterone	$151.45	$233.00	$20.44–$209.70	176% above	35%
Progesterone blood test inpatient CPT 84144 HC Progesterone	$151.45	$233.00	$20.44–$209.70	—	35%
Prolactin blood test CPT 84146 HC Prolactin	$139.10	$214.00	$18.99–$192.60	55% above	35%
Prolactin blood test inpatient CPT 84146 HC Prolactin	$139.10	$214.00	$18.99–$192.60	—	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT Prothrombin Time	$32.50	$50.00	$4.20–$45.00	32% below	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time	$37.05	$57.00	$4.20–$51.30	22% below	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time	$7,825.59	—	$5.01–$4,822.00	16306% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT Prothrombin Time	$32.50	$50.00	$4.20–$45.00	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time	$37.05	$57.00	$4.20–$51.30	—	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Infectious Agent Antigen Immunoassay Direct Optical Observation Streptococcus A	$68.25	$105.00	$10.03–$94.50	35% below	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Infectious Agent Antigen Immunoassay Direct Optical Observation Streptococcus A	$68.25	$105.00	$10.03–$94.50	—	35%
Rheumatoid factor (RF) test CPT 86431 HC Quest 10716 Rheumatoid Factor Quantitative	$5.31	$8.17	$5.31–$53.13	59% below	35%
Rheumatoid factor (RF) test CPT 86431 HC Quest 94954 Rheumatoid Factor Quantitative	$17.87	$27.50	$5.56–$53.13	37% above	35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Quest 10716 Rheumatoid Factor Quantitative	$5.31	$8.17	$5.31–$53.13	—	35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Quest 94954 Rheumatoid Factor Quantitative	$17.87	$27.50	$5.56–$53.13	—	35%
Rubella antibody test (immunity check) CPT 86762 HC Quest 37673 Rubella Antibody Igm	$6.23	$9.59	$6.23–$134.74	84% below	35%
Rubella antibody test (immunity check) CPT 86762 HC Quest 37673 Rubella Antibody Igg	$6.23	$9.59	$6.23–$134.74	84% below	35%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Antibody	$104.00	$160.00	$14.10–$144.00	161% above	35%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Antibody Igg	$104.00	$160.00	$14.10–$144.00	161% above	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Quest 37673 Rubella Antibody Igg	$6.23	$9.59	$6.23–$134.74	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Quest 37673 Rubella Antibody Igm	$6.23	$9.59	$6.23–$134.74	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Antibody Igg	$104.00	$160.00	$14.10–$144.00	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Antibody	$104.00	$160.00	$14.10–$144.00	—	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sedimentation Rate Erythrocyte Automated	$27.30	$42.00	$2.65–$37.80	39% below	35%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Sedimentation Rate Erythrocyte Automated	$27.30	$42.00	$2.65–$37.80	—	35%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis Volume/Count/Motility/Differential	$105.95	$163.00	$12.06–$146.70	24% below	35%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC Semen Analysis Volume/Count/Motility/Differential	$105.95	$163.00	$12.06–$146.70	—	35%
Stool ova and parasites exam CPT 87177 HC Ova & Parasites Direct Smear Concentration and ID	$14.30	$22.00	$8.72–$83.28	20% below	35%
Stool ova and parasites exam inpatient CPT 87177 HC Ova & Parasites Direct Smear Concentration and ID	$14.30	$22.00	$8.72–$83.28	—	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult Feces Colorectal Neoplasm Screening Qualitative	$29.90	$46.00	$4.19–$41.40	23% below	35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Blood Occult Feces Colorectal Neoplasm Screening Qualitative	$29.90	$46.00	$4.19–$41.40	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF	$5.84	$8.98	$4.18–$39.93	61% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF	$9.75	$15.00	$4.18–$39.93	35% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qualitative Rpr	$9.75	$15.00	$4.18–$39.93	35% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC External Syphilis Test Non-Treponemal Antibody Qualitative	$33.80	$52.00	$4.18–$46.80	127% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF	$5.84	$8.98	$4.18–$39.93	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF	$9.75	$15.00	$4.18–$39.93	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qualitative Rpr	$9.75	$15.00	$4.18–$39.93	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC External Syphilis Test Non-Treponemal Antibody Qualitative	$33.80	$52.00	$4.18–$46.80	—	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Quest TB Test Cell Mediated Immunity Antigen Response Gamma Interferon 1t	$21.66	$33.32	$21.66–$580.15	69% below	35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC Quest TB Test Cell Mediated Immunity Antigen Response Gamma Interferon 1t	$21.66	$33.32	$21.66–$580.15	—	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone Total	$186.55	$287.00	$25.29–$258.30	366% above	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testosterone Total	$186.55	$287.00	$25.29–$258.30	—	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Quest 36378 Microsomal Antibodies Each	$10.18	$15.66	$10.18–$136.21	56% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Quest Microsomal Antibody Liver-Kidney	$18.08	$27.82	$14.26–$136.21	21% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Quest 7260 Microsomal Antibody Thyroid Peroxidase (Tpo)	$18.20	$28.00	$14.26–$136.21	20% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody Thyroid	$51.35	$79.00	$14.26–$136.21	124% above	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Quest Microsomal Antibod Liver Cytosol	$74.98	$115.35	$14.26–$136.21	228% above	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Quest 36378 Microsomal Antibodies Each	$10.18	$15.66	$10.18–$136.21	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Quest Microsomal Antibody Liver-Kidney	$18.08	$27.82	$14.26–$136.21	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Quest 7260 Microsomal Antibody Thyroid Peroxidase (Tpo)	$18.20	$28.00	$14.26–$136.21	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibody Thyroid	$51.35	$79.00	$14.26–$136.21	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Quest Microsomal Antibod Liver Cytosol	$74.98	$115.35	$14.26–$136.21	—	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC External Thyroid Stimulating Hormone	$11.05	$17.00	$11.05–$157.25	87% below	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone	$141.70	$218.00	$16.46–$196.20	69% above	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone	$724.10	—	$16.46–$157.25	766% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC External Thyroid Stimulating Hormone	$11.05	$17.00	$11.05–$157.25	—	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone	$141.70	$218.00	$16.46–$196.20	—	35%
Trichomonas test (NAAT) CPT 87661 HC Quest 16492 Inf Agt Nucleic Acid Amplified Probe Trichomonas Vaginalis	$36.85	$56.70	$30.54–$320.73	58% below	35%
Trichomonas test (NAAT) CPT 87661 HC Quest 10119 Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis	$49.72	$76.50	$30.54–$320.73	44% below	35%
Trichomonas test (NAAT) CPT 87661 HC Quest 10120 Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis	$50.70	$78.00	$30.54–$320.73	43% below	35%
Trichomonas test (NAAT) CPT 87661 HC Quest Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis	$55.25	$85.00	$30.54–$320.73	38% below	35%
Trichomonas test (NAAT) CPT 87661 HC Quest Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis Male	$55.25	$85.00	$30.54–$320.73	38% below	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC Quest 16492 Inf Agt Nucleic Acid Amplified Probe Trichomonas Vaginalis	$36.85	$56.70	$30.54–$320.73	—	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC Quest 10119 Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis	$49.72	$76.50	$30.54–$320.73	—	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC Quest 10120 Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis	$50.70	$78.00	$30.54–$320.73	—	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC Quest Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis	$55.25	$85.00	$30.54–$320.73	—	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC Quest Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis Male	$55.25	$85.00	$30.54–$320.73	—	35%
Uric acid blood test CPT 84550 HC Uric Acid Blood	$41.60	$64.00	$4.43–$57.60	32% below	35%
Uric acid blood test inpatient CPT 84550 HC Uric Acid Blood	$41.60	$64.00	$4.43–$57.60	—	35%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis With Microscopy Automated	$35.10	$54.00	$3.11–$48.60	58% below	35%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis With Microscopy Automated	$494.65	—	$3.97–$157.33	497% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis With Microscopy Automated	$35.10	$54.00	$3.11–$48.60	—	35%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Without Microscopy Automated	$18.20	$28.00	$2.21–$25.20	68% below	35%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Without Microscopy Automated	$891.80	—	$2.21–$21.04	1492% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Without Microscopy Automated	$18.20	$28.00	$2.21–$25.20	—	35%
Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Without Microscopy Nonautomated	$28.60	$44.00	$3.08–$39.60	4% above	35%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urinalysis Without Microscopy Nonautomated	$28.60	$44.00	$3.08–$39.60	—	35%
Urine culture for bacteria, with colony count CPT 87086 HC Culture Colony Count Urine	$85.80	$132.00	$7.91–$118.80	38% below	35%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC Culture Colony Count Urine	$85.80	$132.00	$7.91–$118.80	—	35%
Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test	$55.25	$85.00	$4.02–$76.50	36% below	35%
Urine pregnancy test, read by color change inpatient CPT 81025 HC Urine Pregnancy Test	$55.25	$85.00	$4.02–$76.50	—	35%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12	$120.90	$186.00	$14.78–$167.40	96% above	35%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12	$746.52	—	$14.78–$141.10	1110% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Vitamin B-12	$120.90	$186.00	$14.78–$167.40	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D 25-Hydroxy	$213.85	$329.00	$29.01–$296.10	234% above	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D 25-Hydroxy	$911.95	—	$29.01–$277.11	1326% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Vitamin D 25-Hydroxy	$213.85	$329.00	$29.01–$296.10	—	35%
Zinc blood test CPT 84630 HC Quest Zinc	$5.85	$9.00	$5.85–$106.60	58% below	35%
Zinc blood test inpatient CPT 84630 HC Quest Zinc	$5.85	$9.00	$5.85–$106.60	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg Quantitative	$133.25	$205.00	$14.75–$184.50	4% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Hcg Quantitative	$133.25	$205.00	$14.75–$184.50	—	35%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 PR Arthrds Ant I-B Discectomy Decmpr Spinal Cord/Nerve Roots Cerv Below C2	$76,506.55	—	$7.64–$34,240.04	669% above	—
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 PR Arthroscopically Aided Acl Repair/Augmentation/Reconstruction	$57,369.44	—	$5.19–$19,351.91	518% above	—
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 HC Arthroscopy Shoulder With Rotator Cuff Repair Lt (Restricted Method II CAH)	$33,516.05	—	$13.27–$19,351.91	432% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Bl	$3,073.20	$4,728.00	$16.98–$5,034.60	28% below	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Rt	$2,026.05	$3,117.00	$16.98–$5,034.60	52% below	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Lt	$2,026.05	$3,117.00	$16.98–$5,034.60	52% below	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Bl	$3,073.20	$4,728.00	$16.98–$5,034.60	—	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Rt	$2,026.05	$3,117.00	$16.98–$5,034.60	—	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Lt	$2,026.05	$3,117.00	$16.98–$5,034.60	—	35%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 PR Correction Hallux Valgus With Distal Metatarsal Osteotomy Any Method	$19,214.17	—	$3.08–$10,457.00	359% above	—
Bunion correction with removal of part of the big toe joint CPT 28292 PR Correction Hallux Valgus W/Resection Proximal Phalanx Base Any Method	$46,517.96	—	$2.28–$34,240.04	1011% above	—
Cardiac catheterization with coronary angiogram one side CPT 93458 HC Coronary Angio/Lv Gram/Lt Heart	$10,121.80	$15,572.00	$1,158.55–$14,014.80	22% below	35%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC Coronary Angio/Lv Gram/Lt Heart	$16,187.57	—	$11.50–$30,787.68	25% above	—
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC Coronary Angio/Lv Gram/Lt Heart	$10,121.80	$15,572.00	$1,158.55–$14,014.80	—	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 PR Cardioversion Elective Electrical Conversion Arrhythmia External	$417.00	—	$60.49–$375.30	77% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Elective Electrical Conversion Arrhythmia External	$1,873.95	$2,883.00	$175.66–$3,413.00	5% above	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Elective Electrical Conversion Arrhythmia External	$3,881.18	—	$175.66–$69,708.17	117% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PR Cardioversion Elective Electrical Conversion Arrhythmia External	$417.00	$417.00	$60.49–$375.30	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Elective Electrical Conversion Arrhythmia External	$1,873.95	$2,883.00	$175.66–$3,413.00	—	35%
Carpal tunnel release, open surgery one side CPT 64721 HC Neuroplasty Median Nerve Carpal Rt	$10,434.81	—	$2.44–$7,029.00	189% above	—
Cataract surgery with lens implant CPT 66984 PR Rem Cataract Extracapsular Insert Intraocular Lens Prosth Man/Mech Tech	$7,817.91	—	$7.75–$10,943.33	41% above	—
Catheter ablation for atrial fibrillation CPT 93656 HC Evaluation Electrophysiologic Comprehensive Transeptal Atrial Fibrillation	$19,693.70	$30,298.00	$1,073.74–$69,708.17	36% below	35%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Evaluation Electrophysiologic Comprehensive Transeptal Atrial Fibrillation	$19,693.70	$30,298.00	$1,073.74–$69,708.17	—	35%
Cervical biopsy CPT 57500 HC Biopsy Cervix	$16,045.18	—	$1.15–$13,341.25	723% above	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PR Circumcision Surg Exc Other Clamp Device/Doral Slit Older Than 28 Days	$13,246.97	—	$4.88–$10,451.00	260% above	—
Colonoscopy with polyp removal CPT 45385 PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech	$551.00	$551.00	$71.25–$495.90	76% below	—
Colonoscopy with polyp removal CPT 45385 HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH)	$7,359.82	—	$15.42–$5,034.60	222% above	—
Colonoscopy with polyp removal inpatient CPT 45385 PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech	$812.00	$812.00	$71.25–$730.80	—	—
Colonoscopy with tissue sample CPT 45380 PR Colonoscopy Flexible With Biopsy Single/Multiple	$685.00	—	$56.66–$616.50	67% below	—
Colonoscopy with tissue sample CPT 45380 HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH)	$7,551.02	—	$12.72–$5,117.61	263% above	—
Colonoscopy with tissue sample inpatient CPT 45380 PR Colonoscopy Flexible With Biopsy Single/Multiple	$685.00	$685.00	$56.66–$616.50	—	—
Colonoscopy, diagnostic CPT 45378 PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing	$1,122.00	—	$52.51–$1,009.80	46% below	—
Colonoscopy, diagnostic CPT 45378 HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH)	$4,684.42	—	$11.37–$5,034.60	125% above	—
Colonoscopy, diagnostic inpatient CPT 45378 PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing	$1,122.00	$1,122.00	$52.51–$1,009.80	—	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC Colposcopy Loop Biopsy Cervix	$10,773.94	—	$5.29–$8,633.23	131% above	—
Complex cataract surgery with lens implant CPT 66982 PR Ecce W Ins Iol Cmplx Req Dev/Tech Not Gen Cat Sur WO Endo Cyclophotocoag	$9,126.62	—	$5.40–$10,943.33	90% above	—
Cystoscopy with ureteral stent placement CPT 52332 PR Cystourethroscopy With Insertion Indwelling Ureteral Stent	$17,538.32	—	$21.21–$15,114.86	206% above	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy	$15,663.50	—	$3.34–$5,574.95	869% above	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC Dilation & Curettage Dx and/or Therapeutic Nonobstetric	$13,231.59	—	$6.31–$8,633.23	213% above	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 PR Tympanostomy General Anesthesia	$23,948.96	—	$4.65–$15,787.86	380% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Removal Ceremun Impacted Irrigation Bl	$218.40	$336.00	$9.99–$2,814.00	23% above	35%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Ceremun Impacted Irrigation Rt	$145.60	$224.00	$9.99–$2,814.00	18% below	35%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Ceremun Impacted Irrigation Lt	$145.60	$224.00	$9.99–$2,814.00	18% below	35%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Removal Ceremun Impacted Irrigation Bl	$218.40	$336.00	$9.99–$2,814.00	—	35%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC Removal Ceremun Impacted Irrigation Rt	$145.60	$224.00	$9.99–$2,814.00	—	35%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC Removal Ceremun Impacted Irrigation Lt	$145.60	$224.00	$9.99–$2,814.00	—	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Biopsy Endometrial Sampling	$23,378.76	—	$1.16–$16,123.08	4182% above	—
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 PR Nasal/Sinus Endo W Frontal Sinus Explore Incl Rem Tissue Frontal Sinus	$27,580.37	—	$13.01–$18,821.85	178% above	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 PR Nasal/Sinus Endoscopy Surgical With Maxillary Antrostomy	$32,142.75	—	$6.53–$18,821.85	383% above	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 PR Nasal/Sinus Endo W Maxillary Antrostomy W Rem Tissue From Max Sinus	$31,538.47	—	$10.00–$18,821.85	219% above	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Injection(S) Epidural/Subarachnoid Cervical/Thoracic Needle Placement W/Guidance	$1,573.65	$2,421.00	$6.00–$3,762.12	18% below	35%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Injection(S) Epidural/Subarachnoid Cervical/Thoracic Needle Placement W/Guidance	$1,573.65	$2,421.00	$6.00–$3,762.12	—	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level	$1,425.45	$2,193.00	$3.88–$3,762.12	31% below	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Bl	$2,137.85	$3,289.00	$3.88–$3,762.12	4% above	35%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Lt	$1,425.45	$2,193.00	$3.88–$3,762.12	31% below	35%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Rt	$1,425.45	$2,193.00	$3.88–$3,762.12	31% below	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level	$1,425.45	$2,193.00	$3.88–$3,762.12	—	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Bl	$2,137.85	$3,289.00	$3.88–$3,762.12	—	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Lt	$1,425.45	$2,193.00	$3.88–$3,762.12	—	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Rt	$1,425.45	$2,193.00	$3.88–$3,762.12	—	35%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 PR Repr Ant Abd Hernia(S) Any Appr Init Incl Impl 3-10 Cm Reducible	$41,432.85	$1,237.00	$2.49–$17,265.31	454% above	-3249%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 PR Repr Ant Abd Hernia(S) Any Appr Init Incl Impl 3-10 Cm Reducible	$1,125.00	$1,125.00	$9.18–$1,113.30	—	—
First repair of a front abdominal hernia larger than 10 cm CPT 49595 HC Repair Hernia Anterior Abdominal Initial Any Approach > 10 Cm Reducible	$54,947.68	—	$3.34–$17,265.31	634% above	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 PR Repr Ant Abd Hernia(S) Any Appr Init Incl Impl < 3 Cm Reducible	$28,085.13	$741.00	$1.49–$16,123.08	513% above	-3690%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 PR Repr Ant Abd Hernia(S) Any Appr Init Incl Impl < 3 Cm Reducible	$673.00	$673.00	$5.49–$666.90	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Sigmoidoscopy Flexible Diagnostic W/Collection of Specimen(S) by Brushing/Washing	$3,707.60	—	$2.11–$3,762.12	108% above	—
Gallbladder removal, laparoscopic CPT 47562 PR Laparoscopy Surgical Cholecystectomy	$1,451.00	$1,451.00	$13.93–$1,305.90	89% below	—
Gallbladder removal, laparoscopic CPT 47562 HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH)	$27,197.79	—	$3.59–$16,123.08	106% above	—
Gallbladder removal, laparoscopic inpatient CPT 47562 PR Laparoscopy Surgical Cholecystectomy	$1,703.00	$1,703.00	$13.90–$1,532.70	—	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 PR Laparoscopic Surgical Cholecystectomy W Cholangiography	$23,308.97	$1,577.00	$4.13–$16,123.08	179% above	-1378%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 PR Laparoscopic Surgical Cholecystectomy W Cholangiography	$1,856.00	$1,856.00	$15.14–$1,670.40	—	—
Hammertoe correction surgery CPT 28285 PR Correction Hammertoe	$32,965.55	—	$1.56–$10,451.00	687% above	—
Hemorrhoid banding (rubber band ligation) CPT 46221 HC Hemorrhoidectomy Internal by Rubber Ligation(S)	$6,609.91	—	$2.97–$5,034.60	253% above	—
Hemorrhoidectomy (internal and external), one area CPT 46255 PR Hemorrhoidectomy Internal and External Single Column/Group	$16,282.92	—	$9.92–$10,451.00	257% above	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 PR Hemorrhoidectomy Internal and External Single Column/Group	$1,418.00	$1,418.00	$111.83–$1,276.20	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Catheterization/Introduction Saline/Contrast Material Sis/Hysterosalpingogram	$331.50	$510.00	$5.25–$2,814.00	28% below	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Catheterization/Introduction Saline/Contrast Material Sis/Hysterosalpingogram	$331.50	$510.00	$5.25–$2,814.00	—	35%
Hysteroscopy with endometrial ablation CPT 58563 PR Hysteroscopy Surg W Endometrial Ablation	$24,134.03	—	$48.12–$13,341.25	277% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C	$19,607.64	—	$4.96–$10,451.00	177% above	—
IUD insertion (the device itself billed separately) CPT 58300 HC Insertion Intrauterine Device	$18,909.32	—	$4.76–$8,633.23	3118% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 PR Incision & Drainage Abscess Simple/Single	$239.00	$239.00	$16.98–$215.10	49% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 HC Incision & Drainage Abscess Simple/Single	$420.55	$647.00	$52.69–$2,814.00	10% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 HC Incision & Drainage Abscess Simple/Single	$3,224.65	—	$52.69–$535.08	589% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PR Incision & Drainage Abscess Simple/Single	$311.00	$311.00	$16.98–$279.90	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Incision & Drainage Abscess Simple/Single	$420.55	$647.00	$52.69–$2,814.00	—	35%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR Repr Init Ing Hernia 5y or Older Reducible	$1,157.00	$1,157.00	$11.11–$1,041.30	84% below	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH)	$15,040.02	—	$2.65–$10,457.00	113% above	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PR Repr Init Ing Hernia 5y or Older Reducible	$1,069.00	$1,069.00	$8.72–$1,041.30	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Bl	$863.85	$1,329.00	$1.76–$2,814.00	31% above	35%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Lt	$575.90	$886.00	$1.76–$2,814.00	13% below	35%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Rt	$575.90	$886.00	$1.76–$2,814.00	13% below	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Bl	$863.85	$1,329.00	$1.76–$2,814.00	—	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Rt	$575.90	$886.00	$1.76–$2,814.00	—	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Lt	$575.90	$886.00	$1.76–$2,814.00	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PR Arthrocentesis/Aspiration/Injection Major Joint/Bursa W/O U/S Guidance	$98.00	$98.00	$0.94–$176.40	86% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Bl	$1,071.85	$1,649.00	$1.76–$2,814.00	48% above	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt	$714.35	$1,099.00	$1.76–$2,814.00	1% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Lt	$714.35	$1,099.00	$1.76–$2,814.00	1% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt	$1,519.67	—	$1.76–$2,814.00	110% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PR Arthrocentesis/Aspiration/Injection Major Joint/Bursa W/O U/S Guidance	$98.00	$98.00	$0.94–$176.40	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Bl	$1,071.85	$1,649.00	$1.76–$2,814.00	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Lt	$714.35	$1,099.00	$1.76–$2,814.00	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt	$714.35	$1,099.00	$1.76–$2,814.00	—	35%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insertion Drug Delivery Implant	$152.75	$235.00	$1.12–$2,814.00	45% below	35%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC Insertion Drug Delivery Implant	$152.75	$235.00	$1.12–$2,814.00	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PR Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa WO U/S Guid	$79.00	$79.00	$10.23–$142.20	86% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance	$416.65	$641.00	$1.46–$2,814.00	27% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Bl	$631.80	$972.00	$1.46–$2,814.00	11% above	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Rt	$416.65	$641.00	$1.46–$2,814.00	27% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Lt	$416.65	$641.00	$1.46–$2,814.00	27% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PR Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa WO U/S Guid	$79.00	$79.00	$10.23–$142.20	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance	$416.65	$641.00	$1.46–$2,814.00	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Bl	$631.80	$972.00	$1.46–$2,814.00	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Rt	$416.65	$641.00	$1.46–$2,814.00	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Lt	$416.65	$641.00	$1.46–$2,814.00	—	35%
Knee arthroscopy with meniscus trim one side CPT 29881 HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH)	$17,405.31	—	$21.23–$10,457.00	238% above	—
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 HC Arthro Knee W/Mnsc Med and Lat Incl/Chndrplsty Same/Sep Compart Rt (Rest Method II CAH)	$19,194.60	—	$21.23–$10,457.00	358% above	—
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 PR Lap Surg Gastric Rest Proc W Gstr Bypass & Roux-en-Y Gastroenterostomy	$48,755.02	$3,769.00	$5.09–$23,925.55	874% above	-1194%
Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 PR Lap Surg Gastric Rest Proc W Gstr Bypass & Roux-en-Y Gastroenterostomy	$3,502.00	$3,502.00	$28.58–$3,151.80	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC Appendectomy Laparoscopy Surgical (Restricted Method II CAH)	$27,416.13	—	$2.11–$16,123.08	242% above	—
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 PR Laparoscopy Surgical Esophagogastric Fundoplasty	$46,702.48	—	$6.17–$28,349.17	309% above	—
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 PR Lap Surg W Total Hysterectomy for Uterus 250g or Less	$42,797.81	—	$2.69–$28,349.17	153% above	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 PR Lap Surg W Total Hysterectomy for Uterus 250g or Less W Rem Tube & Ovary	$41,655.35	—	$2.95–$28,349.17	280% above	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 PR Lap Surg Repr Initial Inguinal Hernia	$34,387.42	$961.00	$2.04–$16,123.08	116% above	-3478%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 PR Lap Surg Repr Initial Inguinal Hernia	$1,129.00	$1,129.00	$9.21–$1,016.10	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 PR Lap Surg Repr Recurrent Inguinal Hernia	$35,461.13	—	$2.48–$28,349.17	528% above	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 PR Lap Surg W Rem Adnexal Structures	$28,648.32	—	$2.77–$16,123.08	226% above	—
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 PR Lap Surgical Gastric Restrictive Procedure Longitudinal Gastrectomy	$46,039.23	$2,372.00	$5.77–$23,925.55	617% above	-1841%
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 PR Lap Surgical Gastric Restrictive Procedure Longitudinal Gastrectomy	$2,216.00	$2,216.00	$6.30–$2,134.80	—	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC Discission Cataract Secondary Membranous Laser Surgery Bl	$1,526.20	$2,348.00	$692.66–$2,113.20	8% below	35%
Laser treatment of clouding after cataract surgery (YAG) one side CPT 66821 HC Discission Cataract Secondary Membranous Laser Surgery Lt	$1,017.25	$1,565.00	$461.68–$1,466.81	39% below	35%
Laser treatment of clouding after cataract surgery (YAG) one side CPT 66821 HC Discission Cataract Secondary Membranous Laser Surgery Rt	$1,017.25	$1,565.00	$461.68–$1,466.81	39% below	35%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC Discission Cataract Secondary Membranous Laser Surgery Bl	$1,526.20	$2,348.00	$692.66–$2,113.20	—	35%
Laser treatment of clouding after cataract surgery (YAG) inpatient one side CPT 66821 HC Discission Cataract Secondary Membranous Laser Surgery Lt	$1,017.25	$1,565.00	$461.68–$1,466.81	—	35%
Laser treatment of clouding after cataract surgery (YAG) inpatient one side CPT 66821 HC Discission Cataract Secondary Membranous Laser Surgery Rt	$1,017.25	$1,565.00	$461.68–$1,466.81	—	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities <= 2.5 Cm	$9,818.18	—	$3.26–$3,762.12	1031% above	—
Left heart catheterization, diagnostic one side CPT 93452 HC Cath Lt Heart/Lv Gram	$10,121.80	$15,572.00	$930.32–$14,014.80	2% above	35%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Cath Lt Heart/Lv Gram	$10,121.80	$15,572.00	$930.32–$14,014.80	—	35%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance	$1,565.85	$2,409.00	$5.91–$3,762.12	6% below	35%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance	$1,565.85	$2,409.00	$5.91–$3,762.12	—	35%
Lower-back epidural injection, without imaging guidance CPT 62322 HC Injection(S) Epidural Lumbar Needle Placement W/O Guidance	$1,304.55	$2,007.00	$3.72–$3,762.12	21% below	35%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Injection(S) Epidural Lumbar Needle Placement W/O Guidance	$1,304.55	$2,007.00	$3.72–$3,762.12	—	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Bl	$2,376.40	$3,656.00	$5.52–$3,762.12	23% above	35%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Lt	$1,584.05	$2,437.00	$5.52–$3,762.12	18% below	35%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Rt	$1,584.05	$2,437.00	$5.52–$3,762.12	18% below	35%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Bl	$2,376.40	$3,656.00	$5.52–$3,762.12	—	35%
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Rt	$1,584.05	$2,437.00	$5.52–$3,762.12	—	35%
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Lt	$1,584.05	$2,437.00	$5.52–$3,762.12	—	35%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PR Lam W Decmpr Nvr Root Exc Hivd 1 Interspace	$40,268.94	—	$6.89–$19,351.91	334% above	—
Lumbar laminectomy (spinal decompression), one level CPT 63047 PR Lam Facetectomy & Foraminotomy Single Vertebral Segment Lumbar	$47,589.96	—	$7.03–$19,351.91	412% above	—
Lumpectomy (partial mastectomy) CPT 19301 PR Mastectomy Partial	$23,845.43	—	$1.79–$17,708.95	257% above	—
Mastectomy (total removal of the breast) CPT 19303 PR Mastectomy Simple Complete	$42,875.11	—	$4.10–$17,708.95	405% above	—
Miscarriage treatment with D&C, first trimester CPT 59820 HC Treatment Missed Abortion Completed Surgically 1st Trimester	$11,841.28	—	$6.50–$8,633.23	163% above	—
Nail removal (partial or complete), one nail CPT 11730 HC Avulsion Nail Plate Partial/Complete Simple Single Nail Plate	$274.95	$423.00	$1.23–$2,814.00	39% below	35%
Nail removal (partial or complete), one nail CPT 11730 HC Avulsion Nail Plate Partial/Complete Simple Single Nail Plate	$3,079.05	—	$1.23–$1,084.14	582% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion Nail Plate Partial/Complete Simple Single Nail Plate	$274.95	$423.00	$1.23–$2,814.00	—	35%
Occipital nerve block (injection for headaches) CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Bl	$943.15	$1,451.00	$2.42–$2,814.00	14% above	35%
Occipital nerve block (injection for headaches) one side CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Rt	$628.55	$967.00	$2.42–$2,814.00	24% below	35%
Occipital nerve block (injection for headaches) one side CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Lt	$628.55	$967.00	$2.42–$2,814.00	24% below	35%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Bl	$943.15	$1,451.00	$2.42–$2,814.00	—	35%
Occipital nerve block (injection for headaches) inpatient one side CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Rt	$628.55	$967.00	$2.42–$2,814.00	—	35%
Occipital nerve block (injection for headaches) inpatient one side CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Lt	$628.55	$967.00	$2.42–$2,814.00	—	35%
Pacemaker implant (dual chamber) CPT 33208 HC Insertion of New/Replacement Ppm W/Transvenous Electrode(S) Atrial & Ventricular	$14,123.20	$21,728.00	$28.69–$27,874.87	3% below	35%
Pacemaker implant (dual chamber) CPT 33208 HC Insertion of New/Replacement Ppm W/Transvenous Electrode(S) Atrial & Ventricular	$36,925.56	—	$11.50–$27,874.87	154% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 HC Insertion of New/Replacement Ppm W/Transvenous Electrode(S) Atrial & Ventricular	$14,123.20	$21,728.00	$28.69–$27,874.87	—	35%
Paracentesis with imaging guidance CPT 49083 PR Abdominal Paracentesis W/Image Guidance	$225.00	$225.00	$29.61–$202.50	87% below	—
Paracentesis with imaging guidance CPT 49083 HC Abdominal Paracentesis W/Image Guidance	$2,595.45	$3,993.00	$2.41–$4,822.00	46% above	35%
Paracentesis with imaging guidance CPT 49083 HC Abdominal Paracentesis W/Image Guidance	$2,673.54	—	$2.41–$4,822.00	50% above	—
Paracentesis with imaging guidance inpatient CPT 49083 PR Abdominal Paracentesis W/Image Guidance	$262.00	$262.00	$29.61–$235.80	—	—
Paracentesis with imaging guidance inpatient CPT 49083 HC Abdominal Paracentesis W/Image Guidance	$2,595.45	$3,993.00	$2.41–$4,822.00	—	35%
Partial knee replacement (one compartment) CPT 27446 PR Arthroplasty Knee Condyle and Plateau Medial or Lateral Compartment	$49,762.63	—	$21.16–$34,240.04	148% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail/Nail Matrix Partial/Complete Permanent Removal	$599.30	$922.00	$3.24–$2,814.00	51% below	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail/Nail Matrix Partial/Complete Permanent Removal	$11,320.76	—	$3.24–$5,034.60	818% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excision Nail/Nail Matrix Partial/Complete Permanent Removal	$599.30	$922.00	$3.24–$2,814.00	—	35%
Prostate biopsy CPT 55700 HC Biopsy Prostate Needle/Punch Single/Multiple Any Approach	$4,433.65	$6,821.00	$3.37–$6,138.90	70% above	35%
Prostate biopsy CPT 55700 HC Biopsy Prostate Needle/Punch Single/Multiple Any Approach	$18,143.01	—	$3.37–$10,451.00	595% above	—
Prostate biopsy inpatient CPT 55700 HC Biopsy Prostate Needle/Punch Single/Multiple Any Approach	$4,433.65	$6,821.00	$3.37–$6,138.90	—	35%
Prostate removal (prostatectomy), laparoscopic CPT 55866 PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst	$55,784.32	—	$5.12–$28,349.17	46% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Bl	$2,831.40	$4,356.00	$5.25–$7,029.00	14% below	35%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Lt	$1,887.60	$2,904.00	$5.25–$7,029.00	43% below	35%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Rt	$1,887.60	$2,904.00	$5.25–$7,029.00	43% below	35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Bl	$2,831.40	$4,356.00	$5.25–$7,029.00	—	35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Lt	$1,887.60	$2,904.00	$5.25–$7,029.00	—	35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Rt	$1,887.60	$2,904.00	$5.25–$7,029.00	—	35%
Removal of a breast lump, open surgery one side CPT 19120 HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Lt	$13,834.92	—	$25.14–$10,451.00	176% above	—
Removal of a foreign object under the skin, simple CPT 10120 PR Incision & Removal Foreign Body Subcutaneous Tissues Simple	$236.00	$236.00	$20.70–$212.40	69% below	—
Removal of a foreign object under the skin, simple CPT 10120 HC Incision & Drainage Foreign Body Subcutaneous Tissues Simple	$10,343.25	—	$1.99–$2,814.00	1272% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 PR Incision & Removal Foreign Body Subcutaneous Tissues Simple	$236.00	$236.00	$20.70–$212.40	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 PR Colonscopy Colorectal Cancer Screening Non High Risk Patient	$1,122.00	—	$43.71–$1,009.80	34% below	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC Colonoscopy Colorectal Cancer Screening Non High Risk Patient (Restricted Method II CAH)	$4,666.48	—	$3.78–$5,034.60	174% above	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 PR Colonscopy Colorectal Cancer Screening Non High Risk Patient	$1,122.00	$1,122.00	$52.61–$1,009.80	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PR Colonoscopy Colorectal Cancer Screening High Risk Patient	$1,122.00	—	$36.48–$1,009.80	37% below	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC Colonoscopy Colorectal Cancer Screening High Risk Patient (Restricted Method II CAH)	$4,664.89	—	$9.94–$5,034.60	160% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 PR Colonoscopy Colorectal Cancer Screening High Risk Patient	$1,122.00	$1,122.00	$52.51–$1,009.80	—	—
Septoplasty to straighten the nasal septum CPT 30520 PR Septoplasty/Submucous Resection W/WO Cartilage Scoring W Graft	$19,980.22	—	$2.87–$8,842.15	306% above	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HC Lithotripsy Eswl Lt	$12,353.44	—	$25.82–$15,674.00	90% above	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 HC Arthro Shoulder Surgical Distal Claviculectomy Incl/Distal Art Surf Lt (Rest Method II CAH)	$32,560.61	—	$2.78–$19,351.91	678% above	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 HC Arth Shld Srg Decompr Subacrml Sp W/Prt Acrmplsty W/Crccrml Sep Proc Lt(Rest Method II CAH)	$32,595.74	—	$16.25–$19,351.91	681% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PR Repair Sprfcl Wounds Simple Scalp/Neck/Axillae/Gent/Trunk/Ext <= 2.5 Cm	$179.00	$179.00	$14.06–$161.10	59% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Repair Superficial Wounds Simple Scalp/Neck/Axillae/Genitalia/Trunk/Extermities <= 2.5 Cm	$339.30	$522.00	$86.90–$2,814.00	23% below	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PR Repair Sprfcl Wounds Simple Scalp/Neck/Axillae/Gent/Trunk/Ext <= 2.5 Cm	$179.00	$179.00	$14.06–$161.10	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Repair Superficial Wounds Simple Scalp/Neck/Axillae/Genitalia/Trunk/Extermities <= 2.5 Cm	$339.30	$522.00	$86.90–$2,814.00	—	35%
Skin biopsy, punch, one lesion CPT 11104 HC Biopsy Skin Punch Single Lesion	$643.50	$990.00	$3.01–$2,814.00	11% below	35%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC Biopsy Skin Punch Single Lesion	$643.50	$990.00	$3.01–$2,814.00	—	35%
Skin tag removal, up to 15 tags CPT 11200 HC Removal Skin Tags Fibrocutaneous Any Area <= 15 Lesions	$10,821.00	—	$1.22–$2,814.00	2674% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Puncture Spinal Lumbar Diagnostic	$1,272.70	$1,958.00	$3.16–$3,762.12	4% above	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Puncture Spinal Lumbar Diagnostic	$1,272.70	$1,958.00	$3.16–$3,762.12	—	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Repair Superficial Wounds Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm	$10,750.90	—	$90.61–$10,451.00	1528% above	—
TURP (transurethral resection of the prostate) CPT 52601 PR Turp Electrosurgical Incl Control Postop Bleeding Cmplt	$24,777.27	—	$36.40–$14,299.59	133% above	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Biopsy Skin Tangential Single Lesion	$354.25	$545.00	$2.40–$2,814.00	36% below	35%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Biopsy Skin Tangential Single Lesion	$354.25	$545.00	$2.40–$2,814.00	—	35%
Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Bl	$3,825.90	$5,886.00	$2.48–$5,297.40	88% above	35%
Thoracentesis with imaging guidance one side CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Lt	$2,550.60	$3,924.00	$2.48–$3,762.12	25% above	35%
Thoracentesis with imaging guidance one side CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Rt	$2,550.60	$3,924.00	$2.48–$3,762.12	25% above	35%
Thoracentesis with imaging guidance one side CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Rt	$2,630.43	—	$2.48–$3,762.12	29% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Bl	$3,825.90	$5,886.00	$2.48–$5,297.40	—	35%
Thoracentesis with imaging guidance inpatient one side CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Rt	$2,550.60	$3,924.00	$2.48–$3,762.12	—	35%
Thoracentesis with imaging guidance inpatient one side CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Lt	$2,550.60	$3,924.00	$2.48–$3,762.12	—	35%
Tonsil and adenoid removal, age 12 or older CPT 42821 PR Tonsillectomy & Adenoidectomy Age 12 or Over	$15,763.77	—	$7.80–$10,451.00	272% above	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 HC Tonsillectomy Primary or Secondary =>12 Years (Restricted Method II CAH)	$19,466.56	—	$7.80–$10,451.00	294% above	—
Total hip replacement one side CPT 27130 HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH)	$50,385.72	—	$11.48–$34,240.04	450% above	—
Total knee replacement one side CPT 27447 HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH)	$51,829.70	—	$11.48–$34,240.04	101% above	—
Total shoulder replacement CPT 23472 PR Arthroplasty Glenohumeral Joint Total Shoulder	$68,682.33	—	$21.16–$46,761.70	506% above	—
Total thyroid removal (thyroidectomy) CPT 60240 PR Thyroidectomy Total/Complete	$44,708.85	—	$5.19–$16,123.08	33% above	—
Trigger finger release surgery CPT 26055 HC Incision Tendon Sheath	$9,350.44	—	$1.62–$5,034.60	204% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S)	$691.60	$1,064.00	$1.41–$2,814.00	11% above	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S)	$691.60	$1,064.00	$1.41–$2,814.00	—	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Bl	$3,780.40	$5,816.00	$16.49–$5,234.40	22% above	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Lt	$2,491.45	$3,833.00	$16.49–$5,034.60	19% below	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Rt	$2,491.45	$3,833.00	$16.49–$5,034.60	19% below	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Bl	$3,780.40	$5,816.00	$16.49–$5,234.40	—	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Rt	$2,491.45	$3,833.00	$16.49–$5,034.60	—	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Lt	$2,491.45	$3,833.00	$16.49–$5,034.60	—	35%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 PR Egd Flex Transoral W/Transendoscopic Balloon Dilation Esophagus <30 Mm	$8,187.66	—	$1.72–$5,117.61	234% above	—
Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH)	$8,642.33	—	$9.02–$5,117.61	389% above	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 PR Egd Flexible Transoral W/ Directed Submucosal Injection(S) Any Substance	$8,223.18	—	$6.53–$5,034.60	339% above	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 PR Egd Flexible Transoral W/ Removal Tumor/Polyp/Other Lesion by Snare	$10,759.51	—	$30.86–$5,753.83	228% above	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 PR Egd Flex Transoral W/Ins Guide Wire F/B Dilator Thru Esoph Over Gud Wire	$8,030.49	—	$5.69–$5,034.60	383% above	—
Upper endoscopy (EGD), diagnostic CPT 43235 PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing	$4,060.94	—	$8.64–$4,822.00	117% above	—
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 PR Cystourethroscopy W Ureteroscopy/Pyeloscopy W Lithotripsy	$14,886.50	—	$9.52–$15,114.86	111% above	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 PR Cysto W Ureteroscopy/Pyeloscopy W Lithotripsy Incl Indwelling Urtrl Stnt	$17,902.14	—	$9.51–$15,114.86	48% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement Subcutaneous Tissue <= 20 Sq Cm	$934.70	$1,438.00	$4.00–$4,338.00	37% above	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement Subcutaneous Tissue <= 20 Sq Cm	$2,804.10	—	$4.00–$4,338.00	312% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debridement Subcutaneous Tissue <= 20 Sq Cm	$934.70	$1,438.00	$4.00–$4,338.00	—	35%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 HC Treatment Fx Radial Distal Open W/Internal Fixation Lt (Restricted Method II CAH)	$28,639.77	—	$3.11–$19,351.91	479% above	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Transfusion Blood/Blood Component(S)	$1,022.45	$1,573.00	$43.71–$2,942.00	17% above	35%
Blood transfusion (giving blood or blood components) CPT 36430 HC Transfusion Blood/Blood Component(S)	$1,645.15	—	$43.71–$2,942.00	88% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transfusion Blood/Blood Component(S)	$1,022.45	$1,573.00	$43.71–$2,942.00	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Treatment Inhalation Pressurized/Nonpressurized Acute Airway Obstruction	$170.30	$262.00	$1.68–$644.00	45% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Treatment Inhalation Pressurized/Nonpressurized Acute Airway Obstruction	$170.30	$262.00	$1.68–$644.00	—	35%
Chemotherapy IV infusion, first hour CPT 96413 HC Administration Chemotherapy IV Infusion Up to 1 Hour Single/Initial Substance/Drug	$664.95	$1,023.00	$34.87–$1,320.00	24% below	35%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Administration Chemotherapy IV Infusion Up to 1 Hour Single/Initial Substance/Drug	$664.95	$1,023.00	$34.87–$1,320.00	—	35%
Critical care, first 30 to 74 minutes CPT 99291 PR Critical Care 30-74 Minutes	$450.00	$450.00	$121.60–$405.00	91% below	—
Critical care, first 30 to 74 minutes CPT 99291 HC Trauma Evaluation W/O Pre Notification Critical Care	$4,526.60	$6,964.00	$36.90–$6,392.35	9% below	35%
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care 30-74 Minutes	$4,526.60	$6,964.00	$36.90–$6,392.35	9% below	35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 PR Critical Care 30-74 Minutes	$714.00	$714.00	$121.60–$642.60	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Trauma Evaluation W/O Pre Notification Critical Care	$4,526.60	$6,964.00	$36.90–$6,392.35	—	35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care 30-74 Minutes	$4,526.60	$6,964.00	$36.90–$6,392.35	—	35%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Recording Awake and Drowsy	$520.65	$801.00	$132.21–$3,289.00	41% below	35%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg Recording Awake and Drowsy	$520.65	$801.00	$132.21–$3,289.00	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg 12 Lead Tracing Only	$280.80	$432.00	$29.84–$593.00	17% below	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg 12 Lead Tracing Only	$482.30	—	$29.84–$30,787.68	43% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Ecg 12 Lead Tracing Only	$280.80	$432.00	$29.84–$593.00	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Type a Level 1 Sane_Safe	$523.25	$805.00	$18.09–$2,547.00	36% above	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Type a Level 1	$523.25	$805.00	$18.09–$2,547.00	36% above	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Type a Level 1 OB Triage	$523.25	$805.00	$18.09–$2,547.00	36% above	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Type a Level 1 OB Triage	$523.25	$805.00	$18.09–$2,547.00	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Type a Level 1 Sane_Safe	$523.25	$805.00	$18.09–$2,547.00	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Type a Level 1	$523.25	$805.00	$18.09–$2,547.00	—	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Type a Level 2	$1,046.50	$1,610.00	$33.59–$2,547.00	40% above	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Type a Level 2 OB Triage	$1,046.50	$1,610.00	$33.59–$2,547.00	40% above	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Type a Level 2 Sane_Safe	$1,046.50	$1,610.00	$33.59–$2,547.00	40% above	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Type a Level 2	$1,046.50	—	$33.59–$2,547.00	40% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Type a Level 2 Sane_Safe	$1,046.50	$1,610.00	$33.59–$2,547.00	—	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Type a Level 2 OB Triage	$1,046.50	$1,610.00	$33.59–$2,547.00	—	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Type a Level 2	$1,046.50	$1,610.00	$33.59–$2,547.00	—	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Type a Level 3 OB Triage	$2,055.95	$3,163.00	$36.90–$3,549.00	70% above	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Type a Level 3 Sane_Safe	$2,055.95	$3,163.00	$61.44–$3,549.00	70% above	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Type a Level 3	$2,055.95	$3,163.00	$36.90–$3,549.00	70% above	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Type a Level 3	$2,363.95	—	$36.90–$3,549.00	96% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED Type a Level 3	$2,055.95	$3,163.00	$36.90–$3,549.00	—	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED Type a Level 3 OB Triage	$2,055.95	$3,163.00	$36.90–$3,549.00	—	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED Type a Level 3 Sane_Safe	$2,055.95	$3,163.00	$61.44–$3,549.00	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PR Emergency Dept Visit Moderate	$253.00	$253.00	$68.35–$227.70	87% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Type a Level 4 Sane_Safe	$2,813.85	$4,329.00	$94.17–$3,979.00	44% above	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Type a Level 4 OB Triage	$2,813.85	$4,329.00	$36.90–$3,979.00	44% above	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Type a Level 4	$2,813.85	$4,329.00	$36.90–$3,979.00	44% above	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Type a Level 4	$3,898.86	—	$36.90–$3,979.00	100% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 PR Emergency Dept Visit Moderate	$296.00	$296.00	$68.35–$266.40	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED Type a Level 4	$2,813.85	$4,329.00	$36.90–$3,979.00	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED Type a Level 4 Sane_Safe	$2,813.85	$4,329.00	$94.17–$3,979.00	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED Type a Level 4 OB Triage	$2,813.85	$4,329.00	$36.90–$3,979.00	—	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PR Emergency Dept Visit High	$367.00	$367.00	$108.08–$330.30	89% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Type a Level 5 OB Triage	$4,375.15	$6,731.00	$36.90–$6,057.90	33% above	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Type a Level 5	$4,375.15	$6,731.00	$36.90–$6,057.90	33% above	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Type a Level 5 Sane_Safe	$4,375.15	$6,731.00	$149.06–$6,057.90	33% above	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Trauma Evaluation W/O Pre Notification Critical Care - Downgrade	$4,526.60	$6,964.00	$149.06–$6,267.60	38% above	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Critical Care 30-74 Minutes - Downgrade	$4,526.60	$6,964.00	$149.06–$6,267.60	38% above	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Type a Level 5	$6,375.10	—	$69.11–$4,193.00	94% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PR Emergency Dept Visit High	$438.00	$438.00	$108.08–$394.20	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Type a Level 5 OB Triage	$4,375.15	$6,731.00	$36.90–$6,057.90	—	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Type a Level 5 Sane_Safe	$4,375.15	$6,731.00	$149.06–$6,057.90	—	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Type a Level 5	$4,375.15	$6,731.00	$36.90–$6,057.90	—	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Critical Care 30-74 Minutes - Downgrade	$4,526.60	$6,964.00	$149.06–$6,267.60	—	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Trauma Evaluation W/O Pre Notification Critical Care - Downgrade	$4,526.60	$6,964.00	$149.06–$6,267.60	—	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Test Stress Cardiovascular Tracing Only	$585.65	$901.00	$52.50–$922.00	52% below	35%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Test Stress Cardiovascular Tracing Only	$585.65	$901.00	$52.50–$922.00	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Hydration IV Infusion Initial 31minutes - 1 Hour	$380.25	$585.00	$55.51–$999.00	16% below	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Hydration IV Infusion Initial 31minutes - 1 Hour	$934.05	—	$55.51–$999.00	106% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC Hydration IV Infusion Initial 31minutes - 1 Hour	$380.25	$585.00	$55.51–$999.00	—	35%
IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Therapy/Prophylaxis/Diagnosis Initial Up to 1 Hour	$436.80	$672.00	$62.60–$999.00	9% below	35%
IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Therapy/Prophylaxis/Diagnosis Initial Up to 1 Hour	$2,385.37	—	$62.60–$999.00	399% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion Therapy/Prophylaxis/Diagnosis Initial Up to 1 Hour	$436.80	$672.00	$62.60–$999.00	—	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PR Injection Therapeutic/Prophylactic/Diagnostic Subcutaneous/Im	$32.00	$32.00	$9.81–$32.00	80% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Therapeutic/Prophylactic/Diagnostic Subcutaneous/Im	$195.00	$300.00	$18.75–$999.00	25% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Therapeutic/Prophylactic/Diagnostic Subcutaneous/Im	$16,354.13	—	$18.75–$999.00	10353% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PR Injection Therapeutic/Prophylactic/Diagnostic Subcutaneous/Im	$32.00	$32.00	$9.81–$32.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Therapeutic/Prophylactic/Diagnostic Subcutaneous/Im	$195.00	$300.00	$18.75–$999.00	—	35%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nerve Conduction 7-8 Studies	$503.10	$774.00	$196.28–$1,058.00	52% below	35%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Nerve Conduction 7-8 Studies	$503.10	$774.00	$196.28–$1,058.00	—	35%
Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Therapeutic Procedure Neuromuscular Reeducate Each 15 Minutes	$105.30	$162.00	$21.37–$566.00	17% below	35%
Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Therapeutic Procedure Neuromuscular Reeducate Each 15 Minutes	$105.30	$162.00	$21.37–$566.00	17% below	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Therapeutic Procedure Neuromuscular Reeducate Each 15 Minutes	$105.30	$162.00	$21.37–$566.00	—	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Therapeutic Procedure Neuromuscular Reeducate Each 15 Minutes	$105.30	$162.00	$21.37–$566.00	—	35%
New patient office visit, about 30 minutes CPT 99203 PR Visit Office Outpatient New Low Level	$175.00	$175.00	$45.76–$157.50	2% below	—
New patient office visit, about 30 minutes inpatient CPT 99203 PR Visit Office Outpatient New Low Level	$175.00	$175.00	$45.76–$157.50	—	—
New patient office visit, about 45 minutes CPT 99204 PR Visit Office Outpatient New Moderate Level	$285.00	$285.00	$55.12–$256.50	20% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 PR Visit Office Outpatient New Moderate Level	$347.00	$347.00	$55.12–$312.30	—	—
New patient office visit, about 60 minutes CPT 99205 PR Visit Office Outpatient New High Level	$388.00	$388.00	$66.16–$349.20	36% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 PR Visit Office Outpatient New High Level	$458.00	$458.00	$66.16–$412.20	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PR Visit Office Outpatient New Straightforward	$100.00	$100.00	$27.44–$100.00	25% below	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PR Visit Office Outpatient New Straightforward	$100.00	$100.00	$27.44–$100.00	—	—
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Evaluation Low Complexity Patient/Family	$253.50	$390.00	$90.05–$566.00	2% below	35%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Evaluation Low Complexity Patient/Family	$253.50	$390.00	$90.05–$566.00	—	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Evaluation High Complexity Patient/Family	$289.25	$445.00	$87.56–$566.00	35% below	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Evaluation High Complexity Patient/Family	$289.25	$445.00	$87.56–$566.00	—	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Evaluation Low Complexity Patient/Family	$253.50	$390.00	$87.56–$566.00	4% above	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Evaluation Low Complexity Patient/Family	$253.50	$390.00	$87.56–$566.00	—	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Evaluation Moderate Complexity Patient/Family	$271.70	$418.00	$87.56–$566.00	24% below	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Evaluation Moderate Complexity Patient/Family	$271.70	$418.00	$87.56–$566.00	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therpy Techniques >=1 Region Each 15 Minutes	$87.10	$134.00	$27.09–$566.00	27% below	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Therpy Techniques >=1 Region Each 15 Minutes	$87.10	$134.00	$27.09–$566.00	—	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$105.30	$162.00	$19.18–$566.00	19% below	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$105.30	$162.00	$19.18–$566.00	19% below	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$51,610.90	—	$19.18–$34,240.04	39797% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$105.30	$162.00	$19.18–$566.00	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$105.30	$162.00	$19.18–$566.00	—	35%
Preventive checkup, new patient aged 18–39 CPT 99385 PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years	$199.00	$199.00	$66.40–$180.13	20% above	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years	$199.00	$199.00	$66.40–$180.13	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 PR E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years	$241.00	$241.00	$66.40–$216.90	30% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PR E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years	$241.00	$241.00	$66.40–$216.90	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 PR E&M Preventive Medicine Periodic Comprehensive Established Pt 18-39 Yrs	$182.00	$182.00	$42.50–$163.80	17% above	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PR E&M Preventive Medicine Periodic Comprehensive Established Pt 18-39 Yrs	$182.00	$182.00	$42.50–$163.80	—	—
Preventive checkup, returning patient aged 40–64 CPT 99396 PR E&M Preventive Medicine Periodic Comprehensive Established Pt 40-64 Yrs	$198.00	$198.00	$42.50–$178.20	26% above	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PR E&M Preventive Medicine Periodic Comprehensive Established Pt 40-64 Yrs	$198.00	$198.00	$42.50–$178.20	—	—
Psychiatric evaluation with medical services CPT 90792 PR Evaluation Psychiatric Diagnostic W/Medical Services	$410.74	—	$103.25–$410.74	8% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 PR Evaluation Psychiatric Diagnostic W/Medical Services	$402.00	$402.00	$103.25–$402.00	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PR Visit Office Outpatient Established High Level	$306.00	$306.00	$45.76–$275.40	40% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PR Visit Office Outpatient Established High Level	$376.00	$376.00	$45.76–$338.40	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PR Visit Office Outpatient Established Low Level	$140.00	$140.00	$19.20–$126.00	3% below	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PR Visit Office Outpatient Established Low Level	$189.00	$189.00	$19.20–$170.10	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PR Visit Office Outpatient Established Moderate Level	$207.00	$207.00	$30.00–$186.30	18% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PR Visit Office Outpatient Established Moderate Level	$277.00	$277.00	$30.00–$249.30	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PR Visit Office Outpatient Established Straightforward	$75.00	$75.00	$1.44–$67.50	34% below	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PR Visit Office Outpatient Established Straightforward	$75.00	$75.00	$1.44–$67.50	—	—
Speech and language evaluation CPT 92523 HC St Evaluate Speech Sound Production Comprehensive/Expressive	$369.20	$568.00	$130.58–$772.03	19% below	35%
Speech and language evaluation inpatient CPT 92523 HC St Evaluate Speech Sound Production Comprehensive/Expressive	$369.20	$568.00	$130.58–$772.03	—	35%
Speech therapy session, individual CPT 92507 HC St Treatment Speech Individual	$221.65	$341.00	$51.98–$566.00	20% below	35%
Speech therapy session, individual inpatient CPT 92507 HC St Treatment Speech Individual	$221.65	$341.00	$51.98–$566.00	—	35%
Spirometry (breathing test) CPT 94010 HC Spirometry	$269.75	$415.00	$25.01–$593.00	16% below	35%
Spirometry (breathing test) inpatient CPT 94010 HC Spirometry	$269.75	$415.00	$25.01–$593.00	—	35%
Spirometry before and after a bronchodilator CPT 94060 HC Spirometry Bronchodilation Responsiveness Pre/Post Bronchodilator Administration	$525.85	$809.00	$45.03–$839.90	32% below	35%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC Spirometry Bronchodilation Responsiveness Pre/Post Bronchodilator Administration	$525.85	$809.00	$45.03–$839.90	—	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeutic Activities Direct Patient Contact Each 15 Minutes	$98.15	$151.00	$19.49–$566.00	29% below	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeutic Activities Direct Patient Contact Each 15 Minutes	$98.15	$151.00	$19.49–$566.00	29% below	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeutic Activities Direct Patient Contact Each 15 Minutes	$51,527.71	—	$24.17–$34,240.04	37435% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeutic Activities Direct Patient Contact Each 15 Minutes	$98.15	$151.00	$19.49–$566.00	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therapeutic Activities Direct Patient Contact Each 15 Minutes	$98.15	$151.00	$19.49–$566.00	—	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy Therapeutic	$363.35	$559.00	$28.69–$619.00	22% above	35%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy Therapeutic	$363.35	$559.00	$28.69–$619.00	—	35%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 PR Vaccine Varicella Live Subcutaneous	$242.00	$242.00	$74.24–$242.00	23% below	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$1,536.95	$1,536.95	$186.71–$1,383.26	391% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 PR Vaccine Varicella Live Subcutaneous	$242.00	$242.00	$74.24–$242.00	—	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$1,536.95	$1,536.95	$186.71–$1,383.26	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 PR Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im	$71.00	$71.00	$19.32–$63.90	111% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$163.95	$163.95	$22.35–$147.56	388% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 PR Vaccine Influenza Preservative Free Trivalent (Iiv3) 0.5ml Dose Im	$71.00	$71.00	$19.32–$63.90	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$163.95	$163.95	$22.35–$147.56	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML IM (WRAPPER)	$553.15	$553.15	$74.84–$497.84	554% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML IM (WRAPPER)	$553.15	$553.15	$74.84–$497.84	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 PR Vaccine Mmr Live Subcutaneous	$156.00	$156.00	$67.38–$156.00	33% above	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$745.65	$745.65	$97.41–$671.09	537% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 PR Vaccine Mmr Live Subcutaneous	$156.00	$156.00	$67.38–$156.00	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$745.65	$745.65	$97.41–$671.09	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION	$1,300.80	$1,300.80	$168.65–$1,170.72	398% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION	$1,300.80	$1,300.80	$168.65–$1,170.72	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$1,849.75	$1,849.75	$240.84–$1,664.78	546% above	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$1,849.75	$1,849.75	$240.84–$1,664.78	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$2,271.55	$2,271.55	$298.08–$2,044.40	352% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$2,271.55	$2,271.55	$298.08–$2,044.40	—	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$3,198.10	$3,198.10	$313.35–$2,878.29	353% above	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$3,198.10	$3,198.10	$313.35–$2,878.29	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM (WRAPPER)	$338.85	$338.85	$31.91–$304.97	327% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM (WRAPPER)	$338.85	$338.85	$31.91–$304.97	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PR Vaccine Tdap >=7 Years Im	$75.00	$75.00	$33.38–$75.00	11% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA-PERTUSSIS(ACEL)-TETANUS VACCINE 2.5 LF UNIT- 8 MCG-5 LF/0.5 ML IM (WRAPPER)	$370.45	$370.45	$43.53–$333.41	340% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTHERIA-PERTUSSIS (ACEL) VACCINE (PF) 2 LF-(2.5-5-3-5 MCG)-5 LF/0.5 ML IM (WRAPPER)	$377.30	$377.30	$43.53–$339.57	348% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PR Vaccine Tdap >=7 Years Im	$75.00	$75.00	$33.38–$75.00	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHERIA-PERTUSSIS(ACEL)-TETANUS VACCINE 2.5 LF UNIT- 8 MCG-5 LF/0.5 ML IM (WRAPPER)	$370.45	$370.45	$43.53–$333.41	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTHERIA-PERTUSSIS (ACEL) VACCINE (PF) 2 LF-(2.5-5-3-5 MCG)-5 LF/0.5 ML IM (WRAPPER)	$377.30	$377.30	$43.53–$339.57	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Administration Immunization 1 Vaccine	$133.90	$206.00	$4.46–$192.03	33% above	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Administration Immunization 1 Vaccine	$133.90	$206.00	$4.46–$192.03	—	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Administration Immunization Each Additional Vaccine	$64.35	$99.00	$14.44–$89.10	5% below	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Administration Immunization Each Additional Vaccine	$64.35	$99.00	$14.44–$89.10	—	35%

Source file: https://hpt.trinity-health.org/941437713_saint-agnes-medical-center_standardcharges.zip