Hospital Buffalo-Cheektowaga, NY

Kaleida Health

Kaleida Health in Buffalo, NY publishes cash prices for 332 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 291 of 331 procedures and below it for 39. By typical cash price it ranks #50 of 93 New York hospitals and #7 of 8 hospitals in the Buffalo, NY area, cheapest first. Click a procedure to compare it with other hospitals nearby.

100 High Street, Buffalo, NY 14210 Collected Sep 27, 2026 Source price file (716) 859-8620

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 330005 · CMS hospital register

The price file shows no self-pay discount

For 1408 of the 1408 prices listed here, the cash price in Kaleida Health's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Min 3V Lt	$295.00	$295.00	—	48% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Min 3V Rt	$295.00	$295.00	—	48% above	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle Min 3V Rt	$295.00	$295.00	—	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle Min 3V Lt	$295.00	$295.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Dop Art Lowext 1-2Lvl Bil	$798.00	$798.00	—	196% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Dop Ext Art Sgl Lvl Bil	$798.00	$798.00	—	196% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Dop Art Le+Ue 1-2Lvl Bil	$798.00	$798.00	—	196% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Dop Art Upext 1-2Lvl Bil	$798.00	$798.00	—	196% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 Dop Art Upext 1-2Lvl Rt	$798.00	$798.00	—	196% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 Dop Art Upext 1-2Lvl Lt	$798.00	$798.00	—	196% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 Dop Art Lowext 1-2Lvl Lt	$798.00	$798.00	—	196% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 Dop Art Lowext 1-2Lvl Rt	$798.00	$798.00	—	196% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Dop Art Upext 1-2Lvl Bil	$798.00	$798.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Dop Art Le+Ue 1-2Lvl Bil	$798.00	$798.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Dop Ext Art Sgl Lvl Bil	$798.00	$798.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Dop Art Lowext 1-2Lvl Bil	$798.00	$798.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 Dop Art Lowext 1-2Lvl Rt	$798.00	$798.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 Dop Art Lowext 1-2Lvl Lt	$798.00	$798.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 Dop Art Upext 1-2Lvl Rt	$798.00	$798.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 Dop Art Upext 1-2Lvl Lt	$798.00	$798.00	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus	$491.00	$491.00	—	46% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophagus	$491.00	$491.00	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 Nm Bone/Jt Wb	$1,535.00	$1,535.00	—	79% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nm Bone/Jt Wb	$1,535.00	$1,535.00	—	—	—
Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Unilat Compl Lt	$401.00	$401.00	—	27% above	—
Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Unilat Compl Rt	$401.00	$401.00	—	27% above	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Us Breast Unilat Compl Rt	$401.00	$401.00	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Us Breast Unilat Compl Lt	$401.00	$401.00	—	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Uni Limited Rt	$274.00	$274.00	—	23% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Uni Limited Lt	$274.00	$274.00	—	23% above	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Us Breast Uni Limited Rt	$274.00	$274.00	—	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Us Breast Uni Limited Lt	$274.00	$274.00	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest Ww C	$1,819.00	$1,819.00	—	60% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest Ww C	$1,819.00	$1,819.00	—	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Card W/C W/Calcium	$2,044.00	$2,044.00	—	99% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Cta Card W/C W/Calcium	$2,044.00	$2,044.00	—	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Card W/Oc W/Calcium	$462.00	$462.00	—	188% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct Card W/Oc W/Calcium	$462.00	$462.00	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen/Pelivs W/O Con	$1,505.00	$1,505.00	—	46% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abdomen/Pelivs W/O Con	$1,505.00	$1,505.00	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abdomen/Pelvis W/Con	$1,834.00	$1,834.00	—	18% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Oxychem Abd/Pel W/Con	$1,834.00	$1,834.00	—	18% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abdomen/Pelvis W/Con	$1,834.00	$1,834.00	—	—	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Oxychem Abd/Pel W/Con	$1,834.00	$1,834.00	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen/Pelvis Wwocon	$1,968.00	$1,968.00	—	21% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abdomen/Pelvis Wwocon	$1,968.00	$1,968.00	—	—	—
CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/ C	$1,819.00	$1,819.00	—	79% above	—
CT scan of the abdomen with contrast CPT 74160 Ct Oxychem Abdom W/C	$1,819.00	$1,819.00	—	79% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 Ct Oxychem Abdom W/C	$1,819.00	$1,819.00	—	—	—
CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abdomen W/ C	$1,819.00	$1,819.00	—	—	—
CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/O C	$823.00	$823.00	—	3% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abdomen W/O C	$823.00	$823.00	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxi-Face Sinus W/O C	$823.00	$823.00	—	18% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Maxi-Face Sinus W/O C	$823.00	$823.00	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 Ct Brain/Head W/O C	$823.00	$823.00	—	19% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Brain/Head W/O C	$823.00	$823.00	—	—	—
CT scan of the head with contrast CPT 70460 Ct Brain/Head W/ C	$1,819.00	$1,819.00	—	107% above	—
CT scan of the head with contrast inpatient CPT 70460 Ct Brain/Head W/ C	$1,819.00	$1,819.00	—	—	—
CT scan of the head without and with contrast CPT 70470 Ct Brain/Head Ww C	$1,819.00	$1,819.00	—	75% above	—
CT scan of the head without and with contrast inpatient CPT 70470 Ct Brain/Head Ww C	$1,819.00	$1,819.00	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct L-Spine W/O C	$869.00	$869.00	—	4% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct L-Spine W/O C	$869.00	$869.00	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C-Spine W/O C	$869.00	$869.00	—	2% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct C-Spine W/O C	$869.00	$869.00	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis W/ C	$1,819.00	$1,819.00	—	102% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis W/ C	$1,819.00	$1,819.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Dupl Extrcrnial Bil	$986.00	$986.00	—	80% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Dupl Extrcrnial Bil	$986.00	$986.00	—	—	—
Chest X-ray, 2 views CPT 71046 Chest Xray 2 Views	$311.00	$311.00	—	54% above	—
Chest X-ray, 2 views inpatient CPT 71046 Chest Xray 2 Views	$311.00	$311.00	—	—	—
Chest X-ray, single view CPT 71045 Chest Xray 1 View	$311.00	$311.00	—	67% above	—
Chest X-ray, single view inpatient CPT 71045 Chest Xray 1 View	$311.00	$311.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitioneal Comp	$653.00	$653.00	—	81% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retropertnl Cmp Cntrst	$653.00	$653.00	—	81% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us Retropertnl Cmp Cntrst	$653.00	$653.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us Retroperitioneal Comp	$653.00	$653.00	—	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Bone Density Axial	$594.00	$594.00	—	148% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa Bone Density Axial	$594.00	$594.00	—	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa Bone Density Periph	$594.00	$594.00	—	312% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexa Bone Density Periph	$594.00	$594.00	—	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Us Preg W/Dtlftlexm1Stgst	$1,055.00	$1,055.00	—	103% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Us Preg W/Dtlftlexm1Stgst	$1,055.00	$1,055.00	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Oxychem Ct Chest W/O Con	$869.00	$869.00	—	7% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/O C	$869.00	$869.00	—	7% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Chest W/O C	$869.00	$869.00	—	—	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Oxychem Ct Chest W/O Con	$869.00	$869.00	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Oxychem Ct Chest W/Con	$1,819.00	$1,819.00	—	76% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/ C	$1,819.00	$1,819.00	—	76% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Chest W/ C	$1,819.00	$1,819.00	—	—	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Oxychem Ct Chest W/Con	$1,819.00	$1,819.00	—	—	—
Diagnostic mammogram, both breasts CPT 77066 Scrn To Dx Mammo Dig Bil	$383.00	$383.00	—	61% above	—
Diagnostic mammogram, both breasts CPT 77066 Dx Mammogrm Dig Bil	$383.00	$383.00	—	61% above	—
Diagnostic mammogram, both breasts inpatient CPT 77066 Scrn To Dx Mammo Dig Bil	$383.00	$383.00	—	—	—
Diagnostic mammogram, both breasts inpatient CPT 77066 Dx Mammogrm Dig Bil	$383.00	$383.00	—	—	—
Diagnostic mammogram, one breast one side CPT 77065 Dx Mammogrm Dig Uni Rt	$383.00	$383.00	—	44% above	—
Diagnostic mammogram, one breast one side CPT 77065 Dx Mammogrm Dig Uni Lt	$383.00	$383.00	—	44% above	—
Diagnostic mammogram, one breast one side CPT 77065 Scrn To Dx Mam Dig Uni Rt	$383.00	$383.00	—	44% above	—
Diagnostic mammogram, one breast one side CPT 77065 Scrn To Dx Mam Dig Uni Lt	$383.00	$383.00	—	44% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Scrn To Dx Mam Dig Uni Lt	$383.00	$383.00	—	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Scrn To Dx Mam Dig Uni Rt	$383.00	$383.00	—	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Dx Mammogrm Dig Uni Lt	$383.00	$383.00	—	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Dx Mammogrm Dig Uni Rt	$383.00	$383.00	—	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 Dupl Low Ext Art Bil	$986.00	$986.00	—	99% above	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Dupl Low Ext Art Bil	$986.00	$986.00	—	—	—
Duplex ultrasound of the leg veins, both legs CPT 93970 Dup Venous Ue+Le Com Bil	$986.00	$986.00	—	99% above	—
Duplex ultrasound of the leg veins, both legs CPT 93970 Dup Venous Ue Compl Bil	$986.00	$986.00	—	99% above	—
Duplex ultrasound of the leg veins, both legs CPT 93970 Dupl Up/Low Ext Vein Bil	$986.00	$986.00	—	99% above	—
Duplex ultrasound of the leg veins, both legs CPT 93970 Dup Venous Le Compl Bil	$986.00	$986.00	—	99% above	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Dup Venous Ue Compl Bil	$986.00	$986.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Dup Venous Ue+Le Com Bil	$986.00	$986.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Dup Venous Le Compl Bil	$986.00	$986.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Dupl Up/Low Ext Vein Bil	$986.00	$986.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Complete W/ Contrast	$2,300.00	$2,300.00	—	111% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Complete W/O Contrst	$2,300.00	$2,300.00	—	111% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Complete W/ Contrast	$2,300.00	$2,300.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Complete W/O Contrst	$2,300.00	$2,300.00	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm Hepatobil Sys Imaging	$1,839.00	$1,839.00	—	93% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nm Hepatobil Sys Imaging	$1,839.00	$1,839.00	—	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 4+Par/Cpap 6Yrs+	$4,382.00	$4,382.00	—	99% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 4+Par/Cpap 6Yrs+	$4,382.00	$4,382.00	—	—	—
Knee X-ray, 3 views one side CPT 73562 Knee 3V Lt	$295.00	$295.00	—	76% above	—
Knee X-ray, 3 views one side CPT 73562 Knee 3V Rt	$295.00	$295.00	—	76% above	—
Knee X-ray, 3 views inpatient one side CPT 73562 Knee 3V Lt	$295.00	$295.00	—	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 Knee 3V Rt	$295.00	$295.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Ltd	$653.00	$653.00	—	113% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Ltd W Contrst	$653.00	$653.00	—	113% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Abdomen Ltd W Contrst	$653.00	$653.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Abdomen Ltd	$653.00	$653.00	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Ld Screen Lung Cancer	$1,492.00	$1,492.00	—	256% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct Ld Screen Lung Cancer	$1,492.00	$1,492.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Joint Low Ext W/Oc Lt	$1,699.00	$1,699.00	—	69% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Joint Low Ext W/Oc Rt	$1,699.00	$1,699.00	—	69% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Joint Low Ext W/Oc Rt	$1,699.00	$1,699.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Joint Low Ext W/Oc Lt	$1,699.00	$1,699.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Joint Lower Ext Wwc R	$3,337.00	$3,337.00	—	82% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Joint Lower Ext Wwc L	$3,337.00	$3,337.00	—	82% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri Joint Lower Ext Wwc L	$3,337.00	$3,337.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri Joint Lower Ext Wwc R	$3,337.00	$3,337.00	—	—	—
MRI of the abdomen without contrast CPT 74181 Mri Abd Limitd Wo Contrst	$1,772.00	$1,772.00	—	74% above	—
MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O C	$1,772.00	$1,772.00	—	74% above	—
MRI of the abdomen without contrast CPT 74181 Mri Mrcp W/O C	$1,772.00	$1,772.00	—	74% above	—
MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O C	$1,772.00	$1,772.00	—	—	—
MRI of the abdomen without contrast inpatient CPT 74181 Mri Abd Limitd Wo Contrst	$1,772.00	$1,772.00	—	—	—
MRI of the abdomen without contrast inpatient CPT 74181 Mri Mrcp W/O C	$1,772.00	$1,772.00	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen Ww C	$3,337.00	$3,337.00	—	102% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen Ww C	$3,337.00	$3,337.00	—	—	—
MRI of the brain, no contrast dye CPT 70551 Mri Brain Limited W/O C	$1,415.00	$1,415.00	—	43% above	—
MRI of the brain, no contrast dye CPT 70551 Mri Brain W/O C	$1,415.00	$1,415.00	—	43% above	—
MRI of the brain, no contrast dye CPT 70551 Mri Brain Dwi/T1 Only Woc	$1,415.00	$1,415.00	—	43% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain Dwi/T1 Only Woc	$1,415.00	$1,415.00	—	—	—
MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain W/O C	$1,415.00	$1,415.00	—	—	—
MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain Limited W/O C	$1,415.00	$1,415.00	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 Mri Brain Ww C	$3,612.00	$3,612.00	—	125% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain Ww C	$3,612.00	$3,612.00	—	—	—
MRI of the lower back, no contrast dye CPT 72148 Mri L-Spine Limited W/O C	$1,699.00	$1,699.00	—	59% above	—
MRI of the lower back, no contrast dye CPT 72148 Mri L-Spine W/O C	$1,699.00	$1,699.00	—	59% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri L-Spine W/O C	$1,699.00	$1,699.00	—	—	—
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri L-Spine Limited W/O C	$1,699.00	$1,699.00	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 Mri L-Spine Ww C	$3,337.00	$3,337.00	—	102% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri L-Spine Ww C	$3,337.00	$3,337.00	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri T-Spine Limited W/O C	$1,699.00	$1,699.00	—	69% above	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri T-Spine W/O C	$1,699.00	$1,699.00	—	69% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri T-Spine W/O C	$1,699.00	$1,699.00	—	—	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri T-Spine Limited W/O C	$1,699.00	$1,699.00	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri C-Spine Ww C	$3,612.00	$3,612.00	—	124% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri C-Spine Ww C	$3,612.00	$3,612.00	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri C-Spine Limited W/O C	$1,839.00	$1,839.00	—	84% above	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri C-Spine W/O C	$1,839.00	$1,839.00	—	84% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri C-Spine W/O C	$1,839.00	$1,839.00	—	—	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri C-Spine Limited W/O C	$1,839.00	$1,839.00	—	—	—
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis Ww C	$3,337.00	$3,337.00	—	117% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis Ww C	$3,337.00	$3,337.00	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/O C	$1,770.00	$1,770.00	—	78% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis W/O C	$1,770.00	$1,770.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Upp Extr Lt Jnt W/O C	$1,699.00	$1,699.00	—	41% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Upp Extr Rt Jnt W/O C	$1,699.00	$1,699.00	—	41% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Upp Extr Lt Jnt W/O C	$1,699.00	$1,699.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Upp Extr Rt Jnt W/O C	$1,699.00	$1,699.00	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm Myo Spect Mult W/Efwm	$2,928.00	$2,928.00	—	33% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nm Myo Spect Mult W/Efwm	$2,928.00	$2,928.00	—	—	—
OCT scan of the retina (optical coherence tomography) CPT 92134 Cptr Opht Dx Img Post Seg	$175.00	$175.00	—	149% above	—
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Cptr Opht Dx Img Post Seg	$175.00	$175.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvis Non Ob Ltd/Fu	$401.00	$401.00	—	58% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Pelvis Non Ob Ltd/Fu	$401.00	$401.00	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvis Non Ob Comp	$653.00	$653.00	—	80% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Pelvis Non Ob Comp	$653.00	$653.00	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us Preg Uter>14Wks 1 Gst	$690.00	$690.00	—	113% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us Preg Uter>14Wks 1 Gst	$690.00	$690.00	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Preg Uter<14Wks 1 Gst	$424.00	$424.00	—	38% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Us Preg Uter<14Wks 1 Gst	$424.00	$424.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Preg Uterus Ltd	$424.00	$424.00	—	37% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us Preg Uterus Ltd	$424.00	$424.00	—	—	—
Screening mammogram, both breasts CPT 77067 Scrn Mammogrm Dig Bil	$329.00	$329.00	—	41% above	—
Screening mammogram, both breasts one side CPT 77067 Scrn Mammogr Dig Uni Lt	$329.00	$329.00	—	41% above	—
Screening mammogram, both breasts one side CPT 77067 Scrn Mammogr Dig Uni Rt	$329.00	$329.00	—	41% above	—
Screening mammogram, both breasts inpatient CPT 77067 Scrn Mammogrm Dig Bil	$329.00	$329.00	—	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 Scrn Mammogr Dig Uni Rt	$329.00	$329.00	—	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 Scrn Mammogr Dig Uni Lt	$329.00	$329.00	—	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Min 2V Rt	$295.00	$295.00	—	46% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Min 2V Lt	$295.00	$295.00	—	46% above	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder Min 2V Lt	$295.00	$295.00	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder Min 2V Rt	$295.00	$295.00	—	—	—
Sleep study in a lab (polysomnography) CPT 95810 Polysom 4+Parm/Stg 6Yrs+	$1,347.00	$1,347.00	—	36% below	—
Sleep study in a lab (polysomnography) CPT 95810 Polysm4+Par/6Yrs+Pfsonly	$1,347.00	$1,347.00	—	36% below	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 4+Parm/Stg 6Yrs+	$1,347.00	$1,347.00	—	—	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysm4+Par/6Yrs+Pfsonly	$1,347.00	$1,347.00	—	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Stress W/ Contin Ecg	$2,300.00	$2,300.00	—	103% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Stress W/ Contin Ecg	$2,300.00	$2,300.00	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallow Function Cinerad	$603.00	$603.00	—	79% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallow Function Cinerad	$603.00	$603.00	—	—	—
Transvaginal pelvic ultrasound CPT 76830 Us Transvaginal	$653.00	$653.00	—	88% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 Us Transvaginal	$653.00	$653.00	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 Us Preg Uter Transvaginal	$424.00	$424.00	—	53% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Us Preg Uter Transvaginal	$424.00	$424.00	—	—	—
Ultrasound of the abdomen, complete CPT 76700 Us Abdomen Comp	$653.00	$653.00	—	54% above	—
Ultrasound of the abdomen, complete CPT 76700 Us Abdomen Comp W Contrst	$653.00	$653.00	—	54% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Us Abdomen Comp W Contrst	$653.00	$653.00	—	—	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Us Abdomen Comp	$653.00	$653.00	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum & Contents	$653.00	$653.00	—	85% above	—
Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum Content 52	$653.00	$653.00	—	85% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us Scrotum Content 52	$653.00	$653.00	—	—	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us Scrotum & Contents	$653.00	$653.00	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tissue Head/Neck	$653.00	$653.00	—	109% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tiss Headneck 52	$653.00	$653.00	—	109% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Soft Tissue Head/Neck	$653.00	$653.00	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Soft Tiss Headneck 52	$653.00	$653.00	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugi W/O Kub	$603.00	$603.00	—	44% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Ugi W/O Kub	$603.00	$603.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Dup Venous Le Limited Lt	$986.00	$986.00	—	183% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Dup Venous Ue Limited Rt	$986.00	$986.00	—	183% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Dup Venous Ue Limited Lt	$986.00	$986.00	—	183% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Dupl Extrem Vein Ltd Lt	$986.00	$986.00	—	183% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Dup Venous Le Limited Rt	$986.00	$986.00	—	183% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Dupl Extrem Vein Ltd Rt	$986.00	$986.00	—	183% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Dup Venous Ue Limited Rt	$986.00	$986.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Dupl Extrem Vein Ltd Lt	$986.00	$986.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Dupl Extrem Vein Ltd Rt	$986.00	$986.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Dup Venous Le Limited Lt	$986.00	$986.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Dup Venous Ue Limited Lt	$986.00	$986.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Dup Venous Le Limited Rt	$986.00	$986.00	—	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Min 3V Rt	$295.00	$295.00	—	54% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Min 3V Lt	$295.00	$295.00	—	54% above	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Min 3V Lt	$295.00	$295.00	—	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Min 3V Rt	$295.00	$295.00	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hip Uni Wwo Pelvis 2-3Vlt	$384.00	$384.00	—	110% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hip Uni Wwo Pelvis 2-3Vrt	$384.00	$384.00	—	110% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Hip Uni Wwo Pelvis 2-3Vrt	$384.00	$384.00	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Hip Uni Wwo Pelvis 2-3Vlt	$384.00	$384.00	—	—	—
X-ray of the abdomen, 1 view CPT 74018 Abdomen Xray 1 View	$278.00	$278.00	—	38% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen Xray 1 View	$278.00	$278.00	—	—	—
X-ray of the ankle, 2 views one side CPT 73600 Ankle 2V Rt	$295.00	$295.00	—	85% above	—
X-ray of the ankle, 2 views one side CPT 73600 Ankle 2V Lt	$295.00	$295.00	—	85% above	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle 2V Lt	$295.00	$295.00	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle 2V Rt	$295.00	$295.00	—	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Fingers Min 2V Lt	$295.00	$295.00	—	87% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Fingers Min 2V Rt	$295.00	$295.00	—	87% above	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Fingers Min 2V Lt	$295.00	$295.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Fingers Min 2V Rt	$295.00	$295.00	—	—	—
X-ray of the foot, 2 views one side CPT 73620 Foot 2V Rt	$295.00	$295.00	—	77% above	—
X-ray of the foot, 2 views one side CPT 73620 Foot 2V Lt	$295.00	$295.00	—	77% above	—
X-ray of the foot, 2 views inpatient one side CPT 73620 Foot 2V Lt	$295.00	$295.00	—	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 Foot 2V Rt	$295.00	$295.00	—	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Min 3V Rt	$295.00	$295.00	—	65% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Min 3V Lt	$295.00	$295.00	—	65% above	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot Min 3V Rt	$295.00	$295.00	—	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot Min 3V Lt	$295.00	$295.00	—	—	—
X-ray of the hand, 3 or more views one side CPT 73130 Hand Min 3V Rt	$295.00	$295.00	—	46% above	—
X-ray of the hand, 3 or more views one side CPT 73130 Hand Min 3V Lt	$295.00	$295.00	—	46% above	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand Min 3V Lt	$295.00	$295.00	—	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand Min 3V Rt	$295.00	$295.00	—	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1 Or 2V Rt	$295.00	$295.00	—	61% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1 Or 2V Lt	$295.00	$295.00	—	61% above	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee 1 Or 2V Rt	$295.00	$295.00	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee 1 Or 2V Lt	$295.00	$295.00	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbosacral 2 Or 3 V	$295.00	$295.00	—	12% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbosacral 2 Or 3 V	$295.00	$295.00	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 Lumbosacral Min 4V	$497.00	$497.00	—	80% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbosacral Min 4V	$497.00	$497.00	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 T-Spine 2V	$295.00	$295.00	—	46% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T-Spine 2V	$295.00	$295.00	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Min 3V	$295.00	$295.00	—	46% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Min 3V	$295.00	$295.00	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-Spine 2 Or 3 Views	$295.00	$295.00	—	46% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-Spine 2 Or 3 Views	$295.00	$295.00	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1Or 2 V	$295.00	$295.00	—	33% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1Or 2 V	$295.00	$295.00	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum & Coccyx Min 2V	$295.00	$295.00	—	46% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum & Coccyx Min 2V	$295.00	$295.00	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Nash Fibrosure-Alt	$25.00	$25.00	—	7% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt(Sgpt) Alanine Aminotr	$25.00	$25.00	—	7% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Fib Alt	$25.00	$25.00	—	7% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt (Sgpt) Fluid	$25.00	$25.00	—	7% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Nash Fibrosure-Alt	$25.00	$25.00	—	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Fib Alt	$25.00	$25.00	—	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt(Sgpt) Alanine Aminotr	$25.00	$25.00	—	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt (Sgpt) Fluid	$25.00	$25.00	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Nash Fibrosure-Ast	$25.00	$25.00	—	at median	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast (Sgot) Fluid	$25.00	$25.00	—	at median	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast (Sgot) Asparate Amino	$25.00	$25.00	—	at median	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast Fibrometer Arup	$25.00	$25.00	—	at median	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast Fibrometer Arup	$25.00	$25.00	—	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast (Sgot) Asparate Amino	$25.00	$25.00	—	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Nash Fibrosure-Ast	$25.00	$25.00	—	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast (Sgot) Fluid	$25.00	$25.00	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel	$499.00	$499.00	—	189% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel	$499.00	$499.00	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 Setomrost	$54.00	$54.00	—	238% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Each Det 86003	$54.00	$54.00	—	238% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Cp	$54.00	$54.00	—	238% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Latex Specific Ab Ige	$54.00	$54.00	—	238% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut Cp	$54.00	$54.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Each Det 86003	$54.00	$54.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Setomrost	$54.00	$54.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Latex Specific Ab Ige	$54.00	$54.00	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Ab Igga	$116.00	$116.00	—	148% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclc Citrull Pept Igg Ab	$116.00	$116.00	—	148% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp Ab Igga	$116.00	$116.00	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclc Citrull Pept Igg Ab	$116.00	$116.00	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana - Nuclear Ab	$127.00	$127.00	—	190% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana - Nuclear Ab	$127.00	$127.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnpepride Poc	$346.00	$346.00	—	182% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Natriuretic Peptide	$346.00	$346.00	—	182% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-Probnp	$346.00	$346.00	—	182% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Bnpepride Poc	$346.00	$346.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Nt-Probnp	$346.00	$346.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Natriuretic Peptide	$346.00	$346.00	—	—	—
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$84.00	$84.00	—	35% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel	$84.00	$84.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block 88305	$194.00	$194.00	—	8% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bill Surg Path Level 4 Co	$194.00	$194.00	—	8% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bill Surg Path Level 4 Co	$194.00	$194.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cell Block 88305	$194.00	$194.00	—	—	—
Blood culture for bacteria CPT 87040 Blood Culture Anaerobic	$108.00	$108.00	—	55% above	—
Blood culture for bacteria CPT 87040 Blood Cult-Routine Aerob	$108.00	$108.00	—	55% above	—
Blood culture for bacteria inpatient CPT 87040 Blood Culture Anaerobic	$108.00	$108.00	—	—	—
Blood culture for bacteria inpatient CPT 87040 Blood Cult-Routine Aerob	$108.00	$108.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Md Venipuncture Routine	$10.00	$10.00	—	36% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Dg	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Routine Venipuncture	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Su	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Gc	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl Sterling	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl 1825 Maple	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Tc Venipuncture Routine	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl 4247 Maple	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Quest	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Dg Meadow	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw 1150 Youngs	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Transit	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Natera Combo	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Horizon	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Natera	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Dg River	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Ch	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Ch Sheridan	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Myriad	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Progenity	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl 5844 Sw Blvd	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl 564 Niagara	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Maple West	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Ococ	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl Nursing Home	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Bg	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Ship Zika	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl 1020 Youngs	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl Big Tree	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw 2325 Sher	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl Tran Re	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl Union Ctr	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl Del Com	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Research	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl 4535 Sw Blvd	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl Division	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl Wherle Dr	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bld Draw Fl Snyder Dr	$22.00	$22.00	—	40% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Md Venipuncture Routine	$10.00	$10.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Ch Sheridan	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Ch	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl 1020 Youngs	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl Big Tree	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Research	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw 2325 Sher	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl Division	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl Tran Re	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Quest	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl Union Ctr	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl Sterling	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl Wherle Dr	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl Del Com	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl 1825 Maple	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Gc	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Tc Venipuncture Routine	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw 1150 Youngs	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl 4535 Sw Blvd	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl 4247 Maple	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Dg	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Dg Meadow	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Transit	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Natera Combo	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl Snyder Dr	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Horizon	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Natera	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Myriad	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Su	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bill Routine Venipuncture	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Dg River	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Progenity	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl 5844 Sw Blvd	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl 564 Niagara	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Maple West	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Ococ	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Ship Zika	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Fl Nursing Home	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bld Draw Bg	$22.00	$22.00	—	—	—
Blood glucose (sugar) test CPT 82947 Glucose Fasting	$41.00	$41.00	—	128% above	—
Blood glucose (sugar) test CPT 82947 Glucose Istat Capil Poct	$41.00	$41.00	—	128% above	—
Blood glucose (sugar) test CPT 82947 Glucose Whole Blood G	$41.00	$41.00	—	128% above	—
Blood glucose (sugar) test CPT 82947 Glucose Istat Arter Poct	$41.00	$41.00	—	128% above	—
Blood glucose (sugar) test CPT 82947 Glucose Micro Sample	$41.00	$41.00	—	128% above	—
Blood glucose (sugar) test CPT 82947 Glucose	$41.00	$41.00	—	128% above	—
Blood glucose (sugar) test CPT 82947 Glucose 2H Post Prandial	$41.00	$41.00	—	128% above	—
Blood glucose (sugar) test CPT 82947 Glucose Istat Venous Poct	$41.00	$41.00	—	128% above	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Whole Blood G	$41.00	$41.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose	$41.00	$41.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose 2H Post Prandial	$41.00	$41.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Istat Venous Poct	$41.00	$41.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Istat Capil Poct	$41.00	$41.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Istat Arter Poct	$41.00	$41.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Micro Sample	$41.00	$41.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting	$41.00	$41.00	—	—	—
Blood lead test CPT 83655 Lead Ur 24H Collection	$127.00	$127.00	—	195% above	—
Blood lead test CPT 83655 Lead Level Urine	$127.00	$127.00	—	195% above	—
Blood lead test CPT 83655 Lead Bld	$127.00	$127.00	—	195% above	—
Blood lead test CPT 83655 Lead Random Urine	$127.00	$127.00	—	195% above	—
Blood lead test CPT 83655 Lead Whole Blood	$127.00	$127.00	—	195% above	—
Blood lead test inpatient CPT 83655 Lead Whole Blood	$127.00	$127.00	—	—	—
Blood lead test inpatient CPT 83655 Lead Level Urine	$127.00	$127.00	—	—	—
Blood lead test inpatient CPT 83655 Lead Random Urine	$127.00	$127.00	—	—	—
Blood lead test inpatient CPT 83655 Lead Ur 24H Collection	$127.00	$127.00	—	—	—
Blood lead test inpatient CPT 83655 Lead Bld	$127.00	$127.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Qual	$78.00	$78.00	—	120% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Quali Ur	$78.00	$78.00	—	120% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test Qual	$78.00	$78.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test Quali Ur	$78.00	$78.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bill Arc Abo Type	$650.00	$650.00	—	326% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo+Rh Group Repeat	$650.00	$650.00	—	326% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Aborh Type - Newborn	$650.00	$650.00	—	326% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bill Mbc Abo Type	$650.00	$650.00	—	326% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo+Rh Group Gel	$650.00	$650.00	—	326% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo+Rh Group Confirm	$650.00	$650.00	—	326% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo+Rh Group	$650.00	$650.00	—	326% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Bill Arc Abo Type	$650.00	$650.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Bill Mbc Abo Type	$650.00	$650.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo+Rh Group Repeat	$650.00	$650.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo+Rh Group Confirm	$650.00	$650.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo+Rh Group	$650.00	$650.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Aborh Type - Newborn	$650.00	$650.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo+Rh Group Gel	$650.00	$650.00	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Tox A&B Naat Stcon	$138.00	$138.00	—	10% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 Cdiff Pcr	$138.00	$138.00	—	10% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 Cdiff Toxin Pcr Stool	$138.00	$138.00	—	10% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Cdiff Pcr	$138.00	$138.00	—	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Tox A&B Naat Stcon	$138.00	$138.00	—	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Cdiff Toxin Pcr Stool	$138.00	$138.00	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Ag 19-9	$218.00	$218.00	—	189% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Carbohydrate Ag 19-9	$218.00	$218.00	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Ag 125	$218.00	$218.00	—	164% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Ag 125	$218.00	$218.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars Cov2 Poc	$140.00	$140.00	—	22% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars Cov2 Pcr	$140.00	$140.00	—	22% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars Cov2 Pcr (For So)	$140.00	$140.00	—	22% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars Cov2 Rapid	$140.00	$140.00	—	22% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars Cov2 Pcr	$140.00	$140.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars Cov2 Rapid	$140.00	$140.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars Cov2 Pcr (For So)	$140.00	$140.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars Cov2 Poc	$140.00	$140.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trach Ag Amp Ur	$366.00	$366.00	—	323% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trach Ag Amplif	$366.00	$366.00	—	323% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trach Ag Amp Ur	$366.00	$366.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trach Ag Amplif	$366.00	$366.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$140.00	$140.00	—	92% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$140.00	$140.00	—	—	—
Complete blood count (CBC) with differential CPT 85025 Ycbc Poc	$80.00	$80.00	—	93% above	—
Complete blood count (CBC) with differential CPT 85025 Bill Auto Diff	$80.00	$80.00	—	93% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 Bill Auto Diff	$80.00	$80.00	—	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 Ycbc Poc	$80.00	$80.00	—	—	—
Complete blood count (CBC), no differential CPT 85027 Bill Cbc	$67.00	$67.00	—	116% above	—
Complete blood count (CBC), no differential CPT 85027 Bill Man + Plt Man	$67.00	$67.00	—	116% above	—
Complete blood count (CBC), no differential CPT 85027 Bill Man + Plt Est	$67.00	$67.00	—	116% above	—
Complete blood count (CBC), no differential CPT 85027 Bill Auto + Plt Man	$67.00	$67.00	—	116% above	—
Complete blood count (CBC), no differential CPT 85027 Bill Auto + Plt Est	$67.00	$67.00	—	116% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 Bill Man + Plt Est	$67.00	$67.00	—	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 Bill Man + Plt Man	$67.00	$67.00	—	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 Bill Auto + Plt Man	$67.00	$67.00	—	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 Bill Cbc	$67.00	$67.00	—	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 Bill Auto + Plt Est	$67.00	$67.00	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 Ycmp Poc	$107.00	$107.00	—	13% above	—
Comprehensive metabolic panel (blood test) CPT 80053 Compre Metabolic Panel	$107.00	$107.00	—	13% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Compre Metabolic Panel	$107.00	$107.00	—	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Ycmp Poc	$107.00	$107.00	—	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Quantitative	$60.00	$60.00	—	62% above	—
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Poc	$61.00	$61.00	—	65% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Quantitative	$60.00	$60.00	—	—	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Poc	$61.00	$61.00	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dheas - Dehydroepiandrost	$232.00	$232.00	—	139% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Eso Adren. 1-Dheas	$232.00	$232.00	—	139% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dheas - Dehydroepiandrost	$232.00	$232.00	—	—	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Eso Adren. 1-Dheas	$232.00	$232.00	—	—	—
Estradiol blood test CPT 82670 Estradiol - E2	$294.00	$294.00	—	191% above	—
Estradiol blood test inpatient CPT 82670 Estradiol - E2	$294.00	$294.00	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 Fsh - Follitropin	$188.00	$188.00	—	147% above	—
FSH (follicle-stimulating hormone) test CPT 83001 Esoterix Fsh	$188.00	$188.00	—	147% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh - Follitropin	$188.00	$188.00	—	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Esoterix Fsh	$188.00	$188.00	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotec	$327.00	$327.00	—	205% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotec	$327.00	$327.00	—	—	—
Ferritin blood test (iron stores) CPT 82728 Ferritin	$143.00	$143.00	—	113% above	—
Ferritin blood test (iron stores) CPT 82728 Ferritin Fibrometer Arup	$143.00	$143.00	—	113% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin Fibrometer Arup	$143.00	$143.00	—	—	—
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$143.00	$143.00	—	—	—
Folate (folic acid) blood test CPT 82746 Folate	$140.00	$140.00	—	128% above	—
Folate (folic acid) blood test inpatient CPT 82746 Folate	$140.00	$140.00	—	—	—
Free T3 thyroid hormone test CPT 84481 Esoterix Free T3	$95.00	$95.00	—	7% above	—
Free T3 thyroid hormone test CPT 84481 T3 Free - Triiodothyronin	$95.00	$95.00	—	7% above	—
Free T3 thyroid hormone test CPT 84481 T3 Free Dialy/Massspec/Lc	$95.00	$95.00	—	7% above	—
Free T3 thyroid hormone test inpatient CPT 84481 T3 Free - Triiodothyronin	$95.00	$95.00	—	—	—
Free T3 thyroid hormone test inpatient CPT 84481 T3 Free Dialy/Massspec/Lc	$95.00	$95.00	—	—	—
Free T3 thyroid hormone test inpatient CPT 84481 Esoterix Free T3	$95.00	$95.00	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Esoterix T4, Fre Dialysis	$95.00	$95.00	—	50% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Esoterix Free T4	$95.00	$95.00	—	50% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 By Equildial Arup	$95.00	$95.00	—	50% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free - Thyroxine Free	$95.00	$95.00	—	50% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free Dialy/Mass Spec	$95.00	$95.00	—	50% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Free - Thyroxine Free	$95.00	$95.00	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 By Equildial Arup	$95.00	$95.00	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Esoterix Free T4	$95.00	$95.00	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Esoterix T4, Fre Dialysis	$95.00	$95.00	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Free Dialy/Mass Spec	$95.00	$95.00	—	—	—
Free testosterone test CPT 84402 Testosterone Free	$266.00	$266.00	—	189% above	—
Free testosterone test CPT 84402 Eso Free And Total Test.	$266.00	$266.00	—	189% above	—
Free testosterone test inpatient CPT 84402 Eso Free And Total Test.	$266.00	$266.00	—	—	—
Free testosterone test inpatient CPT 84402 Testosterone Free	$266.00	$266.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1H Post 50 G Gluc	$46.00	$46.00	—	116% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1H Post 50 G Gluc	$46.00	$46.00	—	—	—
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 2H	$121.00	$121.00	—	102% above	—
Glucose tolerance test, 3 samples CPT 82951 Glucose Fasting Gtt	$121.00	$121.00	—	102% above	—
Glucose tolerance test, 3 samples CPT 82951 Glucose Fasting Ltt	$121.00	$121.00	—	102% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Fasting Ltt	$121.00	$121.00	—	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test 2H	$121.00	$121.00	—	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Fasting Gtt	$121.00	$121.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoea Ag U	$366.00	$366.00	—	263% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorr Ag Amp	$366.00	$366.00	—	263% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoea Ag U	$366.00	$366.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorr Ag Amp	$366.00	$366.00	—	—	—
H. pylori antibody blood test CPT 86677 Helicobacter Pylor Ab Igm	$103.00	$103.00	—	96% above	—
H. pylori antibody blood test CPT 86677 Helicobact Pylori Ab Iga	$103.00	$103.00	—	96% above	—
H. pylori antibody blood test CPT 86677 Helicobacter Pylori Ab	$103.00	$103.00	—	96% above	—
H. pylori antibody blood test inpatient CPT 86677 Helicobact Pylori Ab Iga	$103.00	$103.00	—	—	—
H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylor Ab Igm	$103.00	$103.00	—	—	—
H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Ab	$103.00	$103.00	—	—	—
H. pylori stool antigen test CPT 87338 Helicobacter Pylori Ag St	$165.00	$165.00	—	163% above	—
H. pylori stool antigen test inpatient CPT 87338 Helicobacter Pylori Ag St	$165.00	$165.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Vir Ultra	$891.00	$891.00	—	281% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Vir Viral Load	$891.00	$891.00	—	281% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Vir Ultra	$891.00	$891.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Vir Viral Load	$891.00	$891.00	—	—	—
HIV-1 and HIV-2 antibody test CPT 86703 Vir Rapd 1/2 Ab Test Poct	$101.00	$101.00	—	77% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Vir Rapd 1/2 Ab Test Poct	$101.00	$101.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Vir Expedit Mat New Ag&Ab	$97.00	$97.00	—	19% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Vir Types 1 & 2 Ab & 1Ag	$97.00	$97.00	—	19% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Vir Types 1 & 2 Ab & 1Ag	$97.00	$97.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Vir Expedit Mat New Ag&Ab	$97.00	$97.00	—	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Ascus Hpapillomavirsrfxgt	$366.00	$366.00	—	311% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpvmrna Reflex Genotype	$366.00	$366.00	—	311% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Human Papillomavirus Mrna	$366.00	$366.00	—	311% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Digene Hpv High Risk	$366.00	$366.00	—	311% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Ascus Hpapillomavirusmrna	$366.00	$366.00	—	311% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Hi/Lo	$366.00	$366.00	—	311% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpvmrna Reflex Genotype	$366.00	$366.00	—	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Ascus Hpapillomavirsrfxgt	$366.00	$366.00	—	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Digene Hpv High Risk	$366.00	$366.00	—	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Hi/Lo	$366.00	$366.00	—	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Human Papillomavirus Mrna	$366.00	$366.00	—	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Ascus Hpapillomavirusmrna	$366.00	$366.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C	$103.00	$103.00	—	150% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C Glyca Poct	$103.00	$103.00	—	150% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C Poc	$103.00	$103.00	—	150% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C	$103.00	$103.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C Poc	$103.00	$103.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C Glyca Poct	$103.00	$103.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepat B Virus Surface Ab	$113.00	$113.00	—	163% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab	$113.00	$113.00	—	163% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepat B Virus Surface Ab	$113.00	$113.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab	$113.00	$113.00	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepat B Virus Surface Ag	$108.00	$108.00	—	189% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag	$108.00	$108.00	—	189% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag	$108.00	$108.00	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepat B Virus Surface Ag	$108.00	$108.00	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Ab Elis	$148.00	$148.00	—	148% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Ab Elis	$148.00	$148.00	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus Qt Pcr	$221.00	$221.00	—	67% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus Dna Pcr	$221.00	$221.00	—	67% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Virus Rna Qnt Rflx	$221.00	$221.00	—	67% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C Virus Rna Qnt Rflx	$221.00	$221.00	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus Dna Pcr	$221.00	$221.00	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus Qt Pcr	$221.00	$221.00	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1 Ab	$97.00	$97.00	—	145% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1 Ab	$97.00	$97.00	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Virus 2 Ab	$202.00	$202.00	—	240% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Virus 2 Ab	$202.00	$202.00	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein Ultra	$134.00	$134.00	—	183% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein Ultra	$134.00	$134.00	—	—	—
Homocysteine blood test CPT 83090 Homocysteine Plasma	$177.00	$177.00	—	131% above	—
Homocysteine blood test inpatient CPT 83090 Homocysteine Plasma	$177.00	$177.00	—	—	—
Insulin blood test CPT 83525 Insulin	$55.00	$55.00	—	18% above	—
Insulin blood test CPT 83525 Esoterix Insulin	$55.00	$55.00	—	18% above	—
Insulin blood test CPT 83525 Insulin Total	$55.00	$55.00	—	18% above	—
Insulin blood test inpatient CPT 83525 Esoterix Insulin	$55.00	$55.00	—	—	—
Insulin blood test inpatient CPT 83525 Insulin Total	$55.00	$55.00	—	—	—
Insulin blood test inpatient CPT 83525 Insulin	$55.00	$55.00	—	—	—
Iron blood test (serum iron) CPT 83540 Iron	$67.00	$67.00	—	119% above	—
Iron blood test (serum iron) CPT 83540 Iron Liver Tissue	$67.00	$67.00	—	119% above	—
Iron blood test (serum iron) inpatient CPT 83540 Iron	$67.00	$67.00	—	—	—
Iron blood test (serum iron) inpatient CPT 83540 Iron Liver Tissue	$67.00	$67.00	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$91.00	$91.00	—	118% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity	$91.00	$91.00	—	—	—
Kidney function blood test panel CPT 80069 Renal Function Panel	$104.00	$104.00	—	58% above	—
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$104.00	$104.00	—	—	—
LH (luteinizing hormone) test CPT 83002 Esoterix Lh	$186.00	$186.00	—	141% above	—
LH (luteinizing hormone) test CPT 83002 Lh - Lutropin	$186.00	$186.00	—	141% above	—
LH (luteinizing hormone) test inpatient CPT 83002 Esoterix Lh	$186.00	$186.00	—	—	—
LH (luteinizing hormone) test inpatient CPT 83002 Lh - Lutropin	$186.00	$186.00	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Fluid	$67.00	$67.00	—	97% above	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$67.00	$67.00	—	97% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Fluid	$67.00	$67.00	—	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase	$67.00	$67.00	—	—	—
Liver function blood test panel CPT 80076 Hepatic Function Panel	$84.00	$84.00	—	13% above	—
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$84.00	$84.00	—	—	—
Lyme disease antibody test CPT 86618 Aphag Igg	$107.00	$107.00	—	133% above	—
Lyme disease antibody test CPT 86618 Tick Abs	$107.00	$107.00	—	133% above	—
Lyme disease antibody test CPT 86618 Lyme Ab Igg Igm (Bgh)	$107.00	$107.00	—	133% above	—
Lyme disease antibody test inpatient CPT 86618 Tick Abs	$107.00	$107.00	—	—	—
Lyme disease antibody test inpatient CPT 86618 Aphag Igg	$107.00	$107.00	—	—	—
Lyme disease antibody test inpatient CPT 86618 Lyme Ab Igg Igm (Bgh)	$107.00	$107.00	—	—	—
Magnesium blood test CPT 83735 Magnesium	$70.00	$70.00	—	140% above	—
Magnesium blood test CPT 83735 Magnesium Rbc	$70.00	$70.00	—	140% above	—
Magnesium blood test CPT 83735 Magnesium Fluid	$70.00	$70.00	—	140% above	—
Magnesium blood test CPT 83735 Magnesium Ur	$70.00	$70.00	—	140% above	—
Magnesium blood test CPT 83735 Magnesium Ur 24H Collect	$70.00	$70.00	—	140% above	—
Magnesium blood test CPT 83735 Magnesium Ur Per 24H Arup	$71.00	$71.00	—	143% above	—
Magnesium blood test inpatient CPT 83735 Magnesium Fluid	$70.00	$70.00	—	—	—
Magnesium blood test inpatient CPT 83735 Magnesium Ur	$70.00	$70.00	—	—	—
Magnesium blood test inpatient CPT 83735 Magnesium	$70.00	$70.00	—	—	—
Magnesium blood test inpatient CPT 83735 Magnesium Ur 24H Collect	$70.00	$70.00	—	—	—
Magnesium blood test inpatient CPT 83735 Magnesium Rbc	$70.00	$70.00	—	—	—
Magnesium blood test inpatient CPT 83735 Magnesium Ur Per 24H Arup	$71.00	$71.00	—	—	—
Measles (rubeola) antibody test CPT 86765 Rubeola Virus Ab Igg	$97.00	$97.00	—	114% above	—
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Virus Ab Igg	$97.00	$97.00	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 Monotest Poc	$54.00	$54.00	—	44% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Ab	$54.00	$54.00	—	44% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Ab	$54.00	$54.00	—	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monotest Poc	$54.00	$54.00	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free	$191.00	$191.00	—	223% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free	$191.00	$191.00	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Screen	$189.00	$189.00	—	188% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa - Prostate Specif Ag	$189.00	$189.00	—	188% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Screen	$189.00	$189.00	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa - Prostate Specif Ag	$189.00	$189.00	—	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 Cyto Dg Auto Screen Pap	$215.00	$215.00	—	234% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Cyto Sc Auto Screen Pap	$215.00	$215.00	—	234% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cyto Dg Auto Screen Pap	$215.00	$215.00	—	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cyto Sc Auto Screen Pap	$215.00	$215.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cyto Sc Liquid Based Pap	$215.00	$215.00	—	193% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cyto Dg Liquid Based Pap	$215.00	$215.00	—	193% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cyto Dg Liquid Based Pap	$215.00	$215.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cyto Sc Liquid Based Pap	$215.00	$215.00	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 Pth-Parathyroid Horm Int	$432.00	$432.00	—	219% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth-Parathyroid Horm Int	$432.00	$432.00	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Mixing Study Aptt Basline	$62.00	$62.00	—	108% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Aptt Act.Partial Thrombop	$62.00	$62.00	—	108% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Aptt Act.Partial Thrombop	$62.00	$62.00	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Mixing Study Aptt Basline	$62.00	$62.00	—	—	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Non-Invasive Prenatalarup	$3,342.00	$3,342.00	—	249% above	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Non-Invasive Prenatalarup	$3,342.00	$3,342.00	—	—	—
Progesterone blood test CPT 84144 Progesterone	$88.00	$88.00	—	at median	—
Progesterone blood test CPT 84144 Progesterone Qnt S/P Arup	$88.00	$88.00	—	at median	—
Progesterone blood test CPT 84144 Eso Cah-5 (Progesterone)	$88.00	$88.00	—	at median	—
Progesterone blood test inpatient CPT 84144 Progesterone	$88.00	$88.00	—	—	—
Progesterone blood test inpatient CPT 84144 Eso Cah-5 (Progesterone)	$88.00	$88.00	—	—	—
Progesterone blood test inpatient CPT 84144 Progesterone Qnt S/P Arup	$88.00	$88.00	—	—	—
Prolactin blood test CPT 84146 Eso Macroprolactin	$80.00	$80.00	—	12% above	—
Prolactin blood test CPT 84146 Prolactin - Mammotropin	$80.00	$80.00	—	12% above	—
Prolactin blood test CPT 84146 Esoterix Prolactin	$80.00	$80.00	—	12% above	—
Prolactin blood test inpatient CPT 84146 Esoterix Prolactin	$80.00	$80.00	—	—	—
Prolactin blood test inpatient CPT 84146 Prolactin - Mammotropin	$80.00	$80.00	—	—	—
Prolactin blood test inpatient CPT 84146 Eso Macroprolactin	$80.00	$80.00	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Poct	$41.00	$41.00	—	116% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 Mixing Study Pt Baseline	$41.00	$41.00	—	116% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 Protime Poc	$41.00	$41.00	—	116% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 Pt - Prothrombin Time W	$41.00	$41.00	—	116% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Mixing Study Pt Baseline	$41.00	$41.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Protime Poc	$41.00	$41.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt - Prothrombin Time W	$41.00	$41.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time Poct	$41.00	$41.00	—	—	—
Rapid flu test (influenza antigen) CPT 87804 Rapid Test Influenza Poct	$116.00	$116.00	—	186% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 Rapid Test Influenza Poct	$116.00	$116.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Test Poct	$116.00	$116.00	—	192% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep Test Poct	$116.00	$116.00	—	—	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor	$59.00	$59.00	—	115% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor	$59.00	$59.00	—	—	—
Rubella antibody test (immunity check) CPT 86762 Rubella Ab Igm Quant	$100.00	$100.00	—	135% above	—
Rubella antibody test (immunity check) CPT 86762 Rubella Virus Ab Igg	$100.00	$100.00	—	135% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab Igm Quant	$100.00	$100.00	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Virus Ab Igg	$100.00	$100.00	—	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Bill 89320	$48.00	$48.00	—	30% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Bill 89320	$48.00	$48.00	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool Poc	$35.00	$35.00	—	131% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood - Hgb Gi Sto	$35.00	$35.00	—	131% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Oc Bld Q Fec Ca Scrn Poct	$35.00	$35.00	—	131% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occltbld Fec Ca Scrn Poct	$35.00	$35.00	—	131% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occltbld Fec Ca Scrn Poct	$35.00	$35.00	—	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Oc Bld Q Fec Ca Scrn Poct	$35.00	$35.00	—	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool Poc	$35.00	$35.00	—	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood - Hgb Gi Sto	$35.00	$35.00	—	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Ob	$32.00	$32.00	—	29% below	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Ob	$32.00	$32.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr - Reagin Ab Donor	$29.00	$29.00	—	57% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl Csf	$29.00	$29.00	—	57% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr - Reagin Ab Cord	$29.00	$29.00	—	57% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr - Reagin Ab Cord	$29.00	$29.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr - Reagin Ab Donor	$29.00	$29.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl Csf	$29.00	$29.00	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-Tb Plus	$81.00	$81.00	—	46% below	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon-Tb Plus	$81.00	$81.00	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 Eso Adrenarch 1-Test.	$267.00	$267.00	—	207% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Eso Cah-5 (Testosterone)	$267.00	$267.00	—	207% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Esoterix Testosterone	$267.00	$267.00	—	207% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone	$267.00	$267.00	—	207% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Eso Testosterone, Free	$267.00	$267.00	—	207% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Eso Adrenarch 1-Test.	$267.00	$267.00	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone	$267.00	$267.00	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Eso Testosterone, Free	$267.00	$267.00	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Eso Cah-5 (Testosterone)	$267.00	$267.00	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Esoterix Testosterone	$267.00	$267.00	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Microsomal Ab	$153.00	$153.00	—	204% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Antithyroid Ab	$153.00	$153.00	—	204% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Microsomal Ab	$153.00	$153.00	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Antithyroid Ab	$153.00	$153.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Esoterix Tsh	$175.00	$175.00	—	122% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormo	$175.00	$175.00	—	122% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Esoterix Tsh	$175.00	$175.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormo	$175.00	$175.00	—	—	—
Trichomonas test (NAAT) CPT 87661 Trichom Vagin Naat Amp	$145.00	$145.00	—	98% above	—
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Pcr	$145.00	$145.00	—	98% above	—
Trichomonas test (NAAT) CPT 87661 Trichom Vagin Naat Amp Ur	$145.00	$145.00	—	98% above	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichom Vagin Naat Amp Ur	$145.00	$145.00	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichom Vagin Naat Amp	$145.00	$145.00	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Pcr	$145.00	$145.00	—	—	—
Uric acid blood test CPT 84550 Urate	$46.00	$46.00	—	96% above	—
Uric acid blood test inpatient CPT 84550 Urate	$46.00	$46.00	—	—	—
Urinalysis with microscope exam, automated CPT 81001 Urinalysis W Microscopy	$33.00	$33.00	—	12% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis W Microscopy	$33.00	$33.00	—	—	—
Urinalysis with microscope exam, manual CPT 81000 Ua Noauto W/Micro Poct	$33.00	$33.00	—	206% above	—
Urinalysis with microscope exam, manual CPT 81000 Reducing Substances Ur	$33.00	$33.00	—	206% above	—
Urinalysis with microscope exam, manual inpatient CPT 81000 Ua Noauto W/Micro Poct	$33.00	$33.00	—	—	—
Urinalysis with microscope exam, manual inpatient CPT 81000 Reducing Substances Ur	$33.00	$33.00	—	—	—
Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Ur	$24.00	$24.00	—	41% above	—
Urinalysis without microscope exam, automated CPT 81003 Ua Auto W/O Microsc Poct	$24.00	$24.00	—	41% above	—
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Poc	$24.00	$24.00	—	41% above	—
Urinalysis without microscope exam, automated CPT 81003 Urinalysis	$24.00	$24.00	—	41% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Ua Auto W/O Microsc Poct	$24.00	$24.00	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Poc	$24.00	$24.00	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Ur	$24.00	$24.00	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis	$24.00	$24.00	—	—	—
Urinalysis without microscope exam, manual CPT 81002 Ua Nonauto W/O Micro Poct	$26.00	$26.00	—	121% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Ua Nonauto W/O Micro Poct	$26.00	$26.00	—	—	—
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$84.00	$84.00	—	98% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture	$84.00	$84.00	—	—	—
Urine pregnancy test, read by color change CPT 81025 Hcg Qualitative Ur Poc	$72.00	$72.00	—	132% above	—
Urine pregnancy test, read by color change CPT 81025 Urine Preg Test Ql Poct	$72.00	$72.00	—	132% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 Hcg Qualitative Ur Poc	$72.00	$72.00	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Preg Test Ql Poct	$72.00	$72.00	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 - Cyanocobalm	$153.00	$153.00	—	138% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 - Cyanocobalm	$153.00	$153.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy	$305.00	$305.00	—	243% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy	$305.00	$305.00	—	—	—
Zinc blood test CPT 84630 Zinc	$103.00	$103.00	—	198% above	—
Zinc blood test CPT 84630 Zinc Rbc	$103.00	$103.00	—	198% above	—
Zinc blood test inpatient CPT 84630 Zinc	$103.00	$103.00	—	—	—
Zinc blood test inpatient CPT 84630 Zinc Rbc	$103.00	$103.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant For Afp3 Screen	$159.00	$159.00	—	160% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quantitative - Chorio	$159.00	$159.00	—	160% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Esoterix Hcg	$159.00	$159.00	—	160% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Esoterix Hcg	$159.00	$159.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Quant For Afp3 Screen	$159.00	$159.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Quantitative - Chorio	$159.00	$159.00	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Md Cltx Distfib Fx W/Omn	$784.00	$784.00	—	64% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Tc Cltx Distfib Fx W/Omn	$1,062.00	$1,062.00	—	122% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Md Cltx Distfib Fx W/Omn	$784.00	$784.00	—	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Tc Cltx Distfib Fx W/Omn	$1,062.00	$1,062.00	—	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Tc Cltx Fx Metars W/O Man	$675.00	$675.00	—	68% above	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Md Cltx Metars Fx W/Oman	$1,405.00	$1,405.00	—	250% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Tc Cltx Fx Metars W/O Man	$675.00	$675.00	—	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Md Cltx Metars Fx W/Oman	$1,405.00	$1,405.00	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Procedure	$2,917.00	$2,917.00	—	194% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Procedure	$2,917.00	$2,917.00	—	—	—
Cervical biopsy CPT 57500 Md Bx Cervix Sng/Mult Exc	$176.00	$176.00	—	85% below	—
Cervical biopsy CPT 57500 Tc Bx Cervix Sng/Mult Exc	$893.00	$893.00	—	24% below	—
Cervical biopsy inpatient CPT 57500 Md Bx Cervix Sng/Mult Exc	$176.00	$176.00	—	—	—
Cervical biopsy inpatient CPT 57500 Tc Bx Cervix Sng/Mult Exc	$893.00	$893.00	—	—	—
Cesarean delivery, including prenatal and postpartum care CPT 59510 C-Section W/Antepar&Post	$6,994.00	$6,994.00	—	191% above	—
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 C-Section W/Antepar&Post	$6,994.00	$6,994.00	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Md Circumc Clamp Not Nb	$1,647.00	$1,647.00	—	85% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Md Circumcis Clmp/Othr Nb	$1,647.00	$1,647.00	—	85% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Md Circumc Clamp Not Nb	$1,647.00	$1,647.00	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Md Circumcis Clmp/Othr Nb	$1,647.00	$1,647.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Md Cltx Dist Rad Fx W/Omn	$678.00	$678.00	—	37% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Tc Cltx Dist Rad Fx W/Omn	$1,062.00	$1,062.00	—	114% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Md Cltx Dist Rad Fx W/Omn	$678.00	$678.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Tc Cltx Dist Rad Fx W/Omn	$1,062.00	$1,062.00	—	—	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Md Colpo Crvx W/Loop Bx	$492.00	$492.00	—	87% below	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Tc Colpo Crvx W/Loop Bx	$4,415.00	$4,415.00	—	17% above	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Md Colpo Crvx W/Loop Bx	$492.00	$492.00	—	—	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Tc Colpo Crvx W/Loop Bx	$4,415.00	$4,415.00	—	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Md Colpo Crvx W/Bx&Curret	$395.00	$395.00	—	at median	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Tc Colpo Crvx W/Bx&Curret	$833.00	$833.00	—	111% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Md Colpo Crvx W/Bx&Curret	$395.00	$395.00	—	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Tc Colpo Crvx W/Bx&Curret	$833.00	$833.00	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Md Cystourethroscopy	$278.00	$278.00	—	80% below	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Tc Cystourethroscopy	$2,580.00	$2,580.00	—	89% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Md Cystourethroscopy	$278.00	$278.00	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Tc Cystourethroscopy	$2,580.00	$2,580.00	—	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Tc Dstr Bn/Premal Les 1St	$219.00	$219.00	—	7% below	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Md Dstr Bn/Premal Les 1St	$421.00	$421.00	—	79% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Tc Dstr Bn/Premal Les 1St	$219.00	$219.00	—	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Md Dstr Bn/Premal Les 1St	$421.00	$421.00	—	—	—
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Md Tympanostomy W/Tube	$280.00	$280.00	—	67% below	—
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tc Tympanostomy W/Tube	$2,465.00	$2,465.00	—	187% above	—
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Md Tympanostomy W/Tube	$280.00	$280.00	—	—	—
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Tc Tympanostomy W/Tube	$2,465.00	$2,465.00	—	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 Md Rem Cerumn W/Irrig Uni	$101.00	$101.00	—	at median	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 Tc Rem Cerumn W/Irrig Uni	$216.00	$216.00	—	115% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Md Rem Cerumn W/Irrig Uni	$101.00	$101.00	—	—	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Tc Rem Cerumn W/Irrig Uni	$216.00	$216.00	—	—	—
Earwax removal with instruments, one ear CPT 69210 Md Remv Cerumn W/Inst Uni	$101.00	$101.00	—	19% below	—
Earwax removal with instruments, one ear CPT 69210 Tc Remv Cerumn W/Inst Uni	$216.00	$216.00	—	73% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 Md Remv Cerumn W/Inst Uni	$101.00	$101.00	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 Tc Remv Cerumn W/Inst Uni	$216.00	$216.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Md Biopsy Uterus Lining	$267.00	$267.00	—	39% below	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Tc Biopsy Uterus Lining	$529.00	$529.00	—	21% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Md Biopsy Uterus Lining	$267.00	$267.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Tc Biopsy Uterus Lining	$529.00	$529.00	—	—	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 Md Intravitreal Injection	$431.00	$431.00	—	40% below	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 Tc Intravitreal Injection	$2,240.00	$2,240.00	—	211% above	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Md Intravitreal Injection	$431.00	$431.00	—	—	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Tc Intravitreal Injection	$2,240.00	$2,240.00	—	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Md Flex Sigmoid Diagnosti	$174.00	$174.00	—	84% below	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Tc Flex Sigmoid Diagnosti	$1,325.00	$1,325.00	—	23% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Md Flex Sigmoid Diagnosti	$174.00	$174.00	—	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Tc Flex Sigmoid Diagnosti	$1,325.00	$1,325.00	—	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 Md Ligature Of Hemorrhoid	$366.00	$366.00	—	66% below	—
Hemorrhoid banding (rubber band ligation) CPT 46221 Tc Ligature Of Hemorrhoid	$1,121.00	$1,121.00	—	4% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Md Ligature Of Hemorrhoid	$366.00	$366.00	—	—	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Tc Ligature Of Hemorrhoid	$1,121.00	$1,121.00	—	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Md Hystersc W/Bx/Plypctmy	$829.00	$829.00	—	83% below	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Tc Hystersc W/Bx/Plypctmy	$6,232.00	$6,232.00	—	26% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Md Hystersc W/Bx/Plypctmy	$829.00	$829.00	—	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Tc Hystersc W/Bx/Plypctmy	$6,232.00	$6,232.00	—	—	—
IUD insertion (the device itself billed separately) CPT 58300 Md Insert Iud	$215.00	$215.00	—	12% below	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 Md Insert Iud	$215.00	$215.00	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 Tc I & D Abscess Simp	$589.00	$589.00	—	62% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 Md I & D Abscess Simple	$656.00	$656.00	—	81% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Tc I & D Abscess Simp	$589.00	$589.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Md I & D Abscess Simple	$656.00	$656.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Md Inj(S) 1Tendn Shth/Lg	$405.00	$405.00	—	1% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Tc Inj(S) 1Tendn Shth/Lg	$844.00	$844.00	—	106% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Md Inj(S) 1Tendn Shth/Lg	$405.00	$405.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Tc Inj(S) 1Tendn Shth/Lg	$844.00	$844.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Md Arth/Asp/Inj Lgjnt/Brs	$206.00	$206.00	—	44% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthr Asp/Injct Lrg Jnt/B	$847.00	$847.00	—	132% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Md Arth/Asp/Inj Lgjnt/Brs	$206.00	$206.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthr Asp/Injct Lrg Jnt/B	$847.00	$847.00	—	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Md Insert Drug Implant	$336.00	$336.00	—	27% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Md Insert Drug Implant	$336.00	$336.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Md Arthro/Asp/Inj Md Jnt	$188.00	$188.00	—	46% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Tc Arth/Asp/Inj Inter/Brs	$844.00	$844.00	—	142% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Md Arthro/Asp/Inj Md Jnt	$188.00	$188.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Tc Arth/Asp/Inj Inter/Brs	$844.00	$844.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Md Arth/Asp/Inj Smjnt/Brs	$188.00	$188.00	—	46% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Tc Arth/Asp/Inj Smjnt/Brs	$844.00	$844.00	—	142% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Md Arth/Asp/Inj Smjnt/Brs	$188.00	$188.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Tc Arth/Asp/Inj Smjnt/Brs	$844.00	$844.00	—	—	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Md Aftr Cataract Lsr Surg	$650.00	$650.00	—	at median	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Tc Aftr Cataract Lsr Surg	$1,598.00	$1,598.00	—	145% above	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Md Aftr Cataract Lsr Surg	$650.00	$650.00	—	—	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Tc Aftr Cataract Lsr Surg	$1,598.00	$1,598.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Md Clsr Trnk/Arm/Lg<2.5Cm	$1,213.00	$1,213.00	—	118% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Md Clsr Trnk/Arm/Lg<2.5Cm	$1,213.00	$1,213.00	—	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 Inj Spine Lumb/Sacral	$2,249.00	$2,249.00	—	99% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inj Spine Lumb/Sacral	$2,249.00	$2,249.00	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Md Exls Bn Trk/Arlg .5<Cm	$759.00	$759.00	—	13% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Md Exls Bn Trk/Arlg .5<Cm	$759.00	$759.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Md Exc Ls Bn Face 0-0.5Cm	$873.00	$873.00	—	4% below	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Md Exc Ls Bn Face 0-0.5Cm	$873.00	$873.00	—	—	—
Nail removal (partial or complete), one nail CPT 11730 Md Avulsn Nail Plate Sngl	$188.00	$188.00	—	34% below	—
Nail removal (partial or complete), one nail CPT 11730 Tc Avulsn Nail Plate Sngl	$376.00	$376.00	—	33% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Md Avulsn Nail Plate Sngl	$188.00	$188.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Tc Avulsn Nail Plate Sngl	$376.00	$376.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Md Removal Of Nail Bed	$315.00	$315.00	—	46% below	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Tc Removal Of Nail Bed	$1,235.00	$1,235.00	—	113% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Md Removal Of Nail Bed	$315.00	$315.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Tc Removal Of Nail Bed	$1,235.00	$1,235.00	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 Md Incis/Rem Fb Subtissue	$191.00	$191.00	—	66% below	—
Removal of a foreign object under the skin, simple CPT 10120 Tc Incis/Rem Fb Subtissue	$589.00	$589.00	—	6% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Md Incis/Rem Fb Subtissue	$191.00	$191.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Tc Incis/Rem Fb Subtissue	$589.00	$589.00	—	—	—
Short arm cast (elbow to hand) CPT 29075 Md Applic Short Arm Cast	$559.00	$559.00	—	78% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 Md Applic Short Arm Cast	$559.00	$559.00	—	—	—
Short arm splint (forearm and hand) CPT 29125 Applic Shrtarm Splnt Stat	$376.00	$376.00	—	103% above	—
Short arm splint (forearm and hand) CPT 29125 Tc Appl Frarm Splnt Statc	$376.00	$376.00	—	103% above	—
Short arm splint (forearm and hand) CPT 29125 Md Appl Frarm Splnt Statc	$438.00	$438.00	—	136% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 Tc Appl Frarm Splnt Statc	$376.00	$376.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Applic Shrtarm Splnt Stat	$376.00	$376.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Md Appl Frarm Splnt Statc	$438.00	$438.00	—	—	—
Short leg cast (below the knee) CPT 29405 Appli Cast Sh Lg Knee-Toe	$414.00	$414.00	—	25% above	—
Short leg cast (below the knee) CPT 29405 Md Applic Short Leg Cast	$577.00	$577.00	—	74% above	—
Short leg cast (below the knee) inpatient CPT 29405 Appli Cast Sh Lg Knee-Toe	$414.00	$414.00	—	—	—
Short leg cast (below the knee) inpatient CPT 29405 Md Applic Short Leg Cast	$577.00	$577.00	—	—	—
Short leg splint (calf to foot) CPT 29515 Tc Appl Lower Leg Splint	$414.00	$414.00	—	115% above	—
Short leg splint (calf to foot) CPT 29515 Applic Short Leg Splint	$414.00	$414.00	—	115% above	—
Short leg splint (calf to foot) CPT 29515 Md Appl Lower Leg Splint	$442.00	$442.00	—	130% above	—
Short leg splint (calf to foot) inpatient CPT 29515 Tc Appl Lower Leg Splint	$414.00	$414.00	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Applic Short Leg Splint	$414.00	$414.00	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Md Appl Lower Leg Splint	$442.00	$442.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Md Rep Smpl 2.5Cm No Face	$1,008.00	$1,008.00	—	255% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Md Rep Smpl 2.5Cm No Face	$1,008.00	$1,008.00	—	—	—
Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Sgl Les	$687.00	$687.00	—	21% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Skin Sgl Les	$687.00	$687.00	—	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Md Excls Mltrk/Ar/Lg.5<Cm	$1,056.00	$1,056.00	—	27% above	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Md Excls Mltrk/Ar/Lg.5<Cm	$1,056.00	$1,056.00	—	—	—
Skin tag removal, up to 15 tags CPT 11200 Md Remov Skin Tags 1To15	$490.00	$490.00	—	69% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Md Remov Skin Tags 1To15	$490.00	$490.00	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Md Lumbar Puncture	$192.00	$192.00	—	80% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Tc Lumbar Puncture	$1,886.00	$1,886.00	—	99% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Md Lumbar Puncture	$192.00	$192.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Tc Lumbar Puncture	$1,886.00	$1,886.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Md Rep Spl2.6-7.5Cm Nofac	$1,072.00	$1,072.00	—	210% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Md Rep Spl2.6-7.5Cm Nofac	$1,072.00	$1,072.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Md Rep Spl 2.5 Cm Face	$1,065.00	$1,065.00	—	252% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Md Rep Spl 2.5 Cm Face	$1,065.00	$1,065.00	—	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Sgl Les	$687.00	$687.00	—	52% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl Bx Skin Sgl Les	$687.00	$687.00	—	—	—
Thoracentesis with imaging guidance CPT 32555 Md Thoracentesis W/Img G	$217.00	$217.00	—	82% below	—
Thoracentesis with imaging guidance CPT 32555 Tc Thoracentesis W/Imag G	$2,388.00	$2,388.00	—	94% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 Md Thoracentesis W/Img G	$217.00	$217.00	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Tc Thoracentesis W/Imag G	$2,388.00	$2,388.00	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 Md Inj 1+Trgrpnts 1-2Mscl	$377.00	$377.00	—	8% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 Inj 1+Trigrpnts 1-2 Mscls	$751.00	$751.00	—	115% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Md Inj 1+Trgrpnts 1-2Mscl	$377.00	$377.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj 1+Trigrpnts 1-2 Mscls	$751.00	$751.00	—	—	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Vag Del W/Ant&Pst Prev Cs	$6,503.00	$6,503.00	—	100% above	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Vag Del W/Ant&Pst Prev Cs	$6,503.00	$6,503.00	—	—	—
Vaginal delivery, including prenatal and postpartum care CPT 59400 Vag Del W/Antepart & Post	$6,177.00	$6,177.00	—	96% above	—
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Vag Del W/Antepart & Post	$6,177.00	$6,177.00	—	—	—
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Md Vasectomy Unilat/Bilat	$1,565.00	$1,565.00	—	—	—
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Tc Vasectomy Unilat/Bilat	$9,360.00	$9,360.00	—	—	—
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Md Vasectomy Unilat/Bilat	$1,565.00	$1,565.00	—	—	—
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Tc Vasectomy Unilat/Bilat	$9,360.00	$9,360.00	—	—	—
Wart removal, up to 14 warts CPT 17110 Tc Dstr Benign Les 1-14	$257.00	$257.00	—	9% above	—
Wart removal, up to 14 warts CPT 17110 Md Dstr Benign Les 1-14	$605.00	$605.00	—	156% above	—
Wart removal, up to 14 warts inpatient CPT 17110 Tc Dstr Benign Les 1-14	$257.00	$257.00	—	—	—
Wart removal, up to 14 warts inpatient CPT 17110 Md Dstr Benign Les 1-14	$605.00	$605.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Md Debr Sbqtiss 1St20Sqcm	$190.00	$190.00	—	74% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Tc Debr Sbqtiss 1St20Sqcm	$1,034.00	$1,034.00	—	44% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Md Debr Sbqtiss 1St20Sqcm	$190.00	$190.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Tc Debr Sbqtiss 1St20Sqcm	$1,034.00	$1,034.00	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transf Admin 4-6 Hr	$1,574.00	$1,574.00	—	115% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transf Admin >6 Hr	$1,574.00	$1,574.00	—	115% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transf Admin 2-4Hrs	$1,574.00	$1,574.00	—	115% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transf Admin <2Hrs	$1,574.00	$1,574.00	—	115% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Tc Blood Transf Admin>6Hr	$1,574.00	$1,574.00	—	115% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Tc Blood Transf Admin<2Hr	$1,574.00	$1,574.00	—	115% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Tc Blood Transf Adm 4-6Hr	$1,574.00	$1,574.00	—	115% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Tc Blood Transf Adm 2-4Hr	$1,574.00	$1,574.00	—	115% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Bill Transfusion Charge	$1,574.00	$1,574.00	—	115% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transf Admin 4-6 Hr	$1,574.00	$1,574.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Tc Blood Transf Admin>6Hr	$1,574.00	$1,574.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transf Admin 2-4Hrs	$1,574.00	$1,574.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transf Admin >6 Hr	$1,574.00	$1,574.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Tc Blood Transf Admin<2Hr	$1,574.00	$1,574.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Tc Blood Transf Adm 4-6Hr	$1,574.00	$1,574.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transf Admin <2Hrs	$1,574.00	$1,574.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Tc Blood Transf Adm 2-4Hr	$1,574.00	$1,574.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Bill Transfusion Charge	$1,574.00	$1,574.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Inhalat Tx Singl Drug	$139.00	$139.00	—	38% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Inhalation Tx 1St/Day	$139.00	$139.00	—	38% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Inhal Tx Addl Ea Day	$139.00	$139.00	—	38% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Tx 1St/Day	$139.00	$139.00	—	38% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebuliz Tx Addl Tx Ea Day	$139.00	$139.00	—	38% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol/Ihnal Eaaddl Tx	$139.00	$139.00	—	38% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol/Inhalation Tx	$139.00	$139.00	—	38% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Tx Single Drug	$139.00	$139.00	—	38% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Tx Multip Drug	$139.00	$139.00	—	38% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Inhalatn Tx Mult Drug	$139.00	$139.00	—	38% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Tx Single Drug	$139.00	$139.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Inhalation Tx 1St/Day	$139.00	$139.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Tx 1St/Day	$139.00	$139.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol/Ihnal Eaaddl Tx	$139.00	$139.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol/Inhalation Tx	$139.00	$139.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebuliz Tx Addl Tx Ea Day	$139.00	$139.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Inhalatn Tx Mult Drug	$139.00	$139.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Tx Multip Drug	$139.00	$139.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Inhalat Tx Singl Drug	$139.00	$139.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Inhal Tx Addl Ea Day	$139.00	$139.00	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 Chemotx Infusion 1St Hr	$1,788.00	$1,788.00	—	204% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemotx Infusion 1St Hr	$1,788.00	$1,788.00	—	—	—
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye Exam New Patient Comp	$522.00	$522.00	—	127% above	—
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Eye Exam New Patient Comp	$522.00	$522.00	—	—	—
Comprehensive eye exam, returning patient CPT 92014 Eye Exam & Treatment	$522.00	$522.00	—	146% above	—
Comprehensive eye exam, returning patient inpatient CPT 92014 Eye Exam & Treatment	$522.00	$522.00	—	—	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Md Comprehens Audiometry	$139.00	$139.00	—	43% below	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Tc Comprehens Audiometry	$591.00	$591.00	—	142% above	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comp Audio Thresh Eval	$591.00	$591.00	—	142% above	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Md Comprehens Audiometry	$139.00	$139.00	—	—	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Tc Comprehens Audiometry	$591.00	$591.00	—	—	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comp Audio Thresh Eval	$591.00	$591.00	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 Ed Critc Care 30-74Min 25	$3,992.00	$3,992.00	—	159% above	—
Critical care, first 30 to 74 minutes CPT 99291 Ed Critical Care 30-74Min	$3,992.00	$3,992.00	—	159% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Ed Critc Care 30-74Min 25	$3,992.00	$3,992.00	—	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Ed Critical Care 30-74Min	$3,992.00	$3,992.00	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy	$839.00	$839.00	—	54% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake & Drowsy	$839.00	$839.00	—	—	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Md Ekg 12+ Lead W/Int&Rpt	$79.00	$79.00	—	58% above	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Md Ekg 12+ Lead W/Int&Rpt	$79.00	$79.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12+ Lead Tracing Only	$167.00	$167.00	—	16% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Lead	$167.00	$167.00	—	16% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg 12+ Lead Tracing Only	$167.00	$167.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg 12 Lead	$167.00	$167.00	—	—	—
Electroconvulsive therapy (ECT), one session CPT 90870 Ect With Monitoring	$1,107.00	$1,107.00	—	18% above	—
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Ect With Monitoring	$1,107.00	$1,107.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Present To Wrong Dept	$634.00	$634.00	—	337% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level I Visit Hosp 25	$634.00	$634.00	—	337% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level I Visit Hosp	$634.00	$634.00	—	337% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Er Level I Visit Hosp 25	$634.00	$634.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Present To Wrong Dept	$634.00	$634.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Er Level I Visit Hosp	$634.00	$634.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level Ii Visit Hosp	$962.00	$962.00	—	207% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level Ii Visit Hosp 25	$962.00	$962.00	—	207% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Er Level Ii Visit Hosp	$962.00	$962.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Er Level Ii Visit Hosp 25	$962.00	$962.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level Iii Vist Hosp 25	$1,332.00	$1,332.00	—	193% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level Iii Visit Hosp	$1,332.00	$1,332.00	—	193% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er Level Iii Visit Hosp	$1,332.00	$1,332.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er Level Iii Vist Hosp 25	$1,332.00	$1,332.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level Iv Visit Hosp	$2,162.00	$2,162.00	—	225% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level Iv Visit Hosp 25	$2,162.00	$2,162.00	—	225% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Er Level Iv Visit Hosp	$2,162.00	$2,162.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Er Level Iv Visit Hosp 25	$2,162.00	$2,162.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level V Visit Hosp	$2,825.00	$2,825.00	—	231% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level V Visit Hosp 25	$2,825.00	$2,825.00	—	231% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Er Level V Visit Hosp 25	$2,825.00	$2,825.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Er Level V Visit Hosp	$2,825.00	$2,825.00	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular Stress Tes	$683.00	$683.00	—	18% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular Stress Tes	$683.00	$683.00	—	—	—
Eye exam, returning patient, intermediate CPT 92012 Eye Exam Established Pat	$301.00	$301.00	—	55% above	—
Eye exam, returning patient, intermediate inpatient CPT 92012 Eye Exam Established Pat	$301.00	$301.00	—	—	—
Family therapy with the patient, 50 minutes CPT 90847 Family Counsel W/Pat	$660.00	$660.00	—	161% above	—
Family therapy with the patient, 50 minutes CPT 90847 Family Psy Tx W/Pt	$660.00	$660.00	—	161% above	—
Family therapy with the patient, 50 minutes CPT 90847 Offsite Family Psytx W/Pt	$660.00	$660.00	—	161% above	—
Family therapy with the patient, 50 minutes CPT 90847 Family Counseling W/Patie	$660.00	$660.00	—	161% above	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Counsel W/Pat	$660.00	$660.00	—	—	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psy Tx W/Pt	$660.00	$660.00	—	—	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Counseling W/Patie	$660.00	$660.00	—	—	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Offsite Family Psytx W/Pt	$660.00	$660.00	—	—	—
Family therapy without the patient, 50 minutes CPT 90846 Family Psy Tx W/O Pt	$613.00	$613.00	—	141% above	—
Family therapy without the patient, 50 minutes CPT 90846 Offsite Fam Psy Tx W/O Pt	$613.00	$613.00	—	141% above	—
Family therapy without the patient, 50 minutes CPT 90846 Family Counsel W/Opatient	$613.00	$613.00	—	141% above	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psy Tx W/O Pt	$613.00	$613.00	—	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Counsel W/Opatient	$613.00	$613.00	—	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Offsite Fam Psy Tx W/O Pt	$613.00	$613.00	—	—	—
Group psychotherapy session CPT 90853 Group Counseling 1-2 Hrs	$258.00	$258.00	—	74% above	—
Group psychotherapy session CPT 90853 Group Psychotherapy	$295.00	$295.00	—	99% above	—
Group psychotherapy session CPT 90853 Group Counseling > 2 Hrs	$307.00	$307.00	—	107% above	—
Group psychotherapy session inpatient CPT 90853 Group Counseling 1-2 Hrs	$258.00	$258.00	—	—	—
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy	$295.00	$295.00	—	—	—
Group psychotherapy session inpatient CPT 90853 Group Counseling > 2 Hrs	$307.00	$307.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infus Hydrat 31-60 Min	$1,432.00	$1,432.00	—	311% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infus Hydrat 31-60Min	$1,432.00	$1,432.00	—	311% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infus Hydrat 31-60Min	$1,432.00	$1,432.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infus Hydrat 31-60 Min	$1,432.00	$1,432.00	—	—	—
IV infusion of a medicine, first hour CPT 96365 Iv Infusion Therapy 1Sthr	$1,432.00	$1,432.00	—	282% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion Therapy 1Sthr	$1,432.00	$1,432.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Md Injection Sq/Im	$55.00	$55.00	—	35% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Sq/Im Ea	$188.00	$188.00	—	123% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Bill Injection Sq Or Im	$188.00	$188.00	—	123% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Tc Injection Sq/Im	$188.00	$188.00	—	123% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Md Injection Sq/Im	$55.00	$55.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Bill Injection Sq Or Im	$188.00	$188.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Tc Injection Sq/Im	$188.00	$188.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection Sq/Im Ea	$188.00	$188.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Er Psy Evaluation	$395.00	$395.00	—	82% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Offsite Psy Dx Evaluation	$633.00	$633.00	—	192% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Dx Evaluation	$633.00	$633.00	—	192% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Dx Eval	$633.00	$633.00	—	192% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Er Psy Evaluation	$395.00	$395.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Dx Evaluation	$633.00	$633.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Dx Eval	$633.00	$633.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Offsite Psy Dx Evaluation	$633.00	$633.00	—	—	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Md Nerve Cond 7-8 Studies	$158.00	$158.00	—	65% below	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Cond 7-8 Studies	$1,070.00	$1,070.00	—	140% above	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Tc Nerve Cond 7-8 Studies	$1,070.00	$1,070.00	—	140% above	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Md Nerve Cond 7-8 Studies	$158.00	$158.00	—	—	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Cond 7-8 Studies	$1,070.00	$1,070.00	—	—	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Tc Nerve Cond 7-8 Studies	$1,070.00	$1,070.00	—	—	—
Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromsc Re-Ed Ea15Min	$170.00	$170.00	—	102% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromsc Re-Ed Ea15Min	$170.00	$170.00	—	102% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt Neuromsc Re-Ed Ea15Min	$170.00	$170.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot Neuromsc Re-Ed Ea15Min	$170.00	$170.00	—	—	—
New patient office visit, about 30 minutes CPT 99203 Level 3 New Detail Lowmdm	$385.00	$385.00	—	96% above	—
New patient office visit, about 30 minutes CPT 99203 Tel Lev 3 New 30-44 Lwmdm	$385.00	$385.00	—	96% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 Level 3 New Detail Lowmdm	$385.00	$385.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 Tel Lev 3 New 30-44 Lwmdm	$385.00	$385.00	—	—	—
New patient office visit, about 45 minutes CPT 99204 Level 4 New Compr Modmdm	$649.00	$649.00	—	126% above	—
New patient office visit, about 45 minutes CPT 99204 Tel Schl 84 Devlpmnt Eval	$649.00	$649.00	—	126% above	—
New patient office visit, about 45 minutes CPT 99204 Tel Lev 4 New 45-59Modmdm	$649.00	$649.00	—	126% above	—
New patient office visit, about 45 minutes CPT 99204 Schl 84 Developmentl Eval	$649.00	$649.00	—	126% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 Tel Lev 4 New 45-59Modmdm	$649.00	$649.00	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 Level 4 New Compr Modmdm	$649.00	$649.00	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 Tel Schl 84 Devlpmnt Eval	$649.00	$649.00	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 Schl 84 Developmentl Eval	$649.00	$649.00	—	—	—
New patient office visit, about 60 minutes CPT 99205 Tel Lev 5 New 60-74 Himdm	$675.00	$675.00	—	140% above	—
New patient office visit, about 60 minutes CPT 99205 Oral/Max Initial	$675.00	$675.00	—	140% above	—
New patient office visit, about 60 minutes CPT 99205 Level 5 New Comp High Mdm	$675.00	$675.00	—	140% above	—
New patient office visit, about 60 minutes CPT 99205 Urology Clinic Visit	$675.00	$675.00	—	140% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 Urology Clinic Visit	$675.00	$675.00	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 Tel Lev 5 New 60-74 Himdm	$675.00	$675.00	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 Level 5 New Comp High Mdm	$675.00	$675.00	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 Oral/Max Initial	$675.00	$675.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Level 2 New Expand Sfmdm	$280.00	$280.00	—	78% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Tel Lev 2 New 15-29 Sfmdm	$280.00	$280.00	—	78% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Tel Lev 2 New 15-29 Sfmdm	$280.00	$280.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Level 2 New Expand Sfmdm	$280.00	$280.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrit Tx Initl Ea 15Min	$101.00	$101.00	—	77% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrit Tx Initial Ea15Min	$101.00	$101.00	—	77% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nutrit Tx Initl Ea 15Min	$101.00	$101.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nutrit Tx Initial Ea15Min	$101.00	$101.00	—	—	—
Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex 30Min	$255.00	$255.00	—	49% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complex 30Min	$255.00	$255.00	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complx 45Min	$500.00	$500.00	—	75% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complx 45Min	$500.00	$500.00	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex 20Min	$222.00	$222.00	—	23% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complex 20Min	$222.00	$222.00	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex 30Min	$333.00	$333.00	—	39% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complex 30Min	$333.00	$333.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Ther Ea 15M	$153.00	$153.00	—	84% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Ther Ea 15M	$153.00	$153.00	—	84% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pt Manual Ther Ea 15M	$153.00	$153.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ot Manual Ther Ea 15M	$153.00	$153.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Theraptc Exer Ea 15Min	$163.00	$163.00	—	99% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Theraptc Exer Ea 15Min	$163.00	$163.00	—	99% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Theraptc Exer Ea 15Min	$163.00	$163.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Theraptc Exer Ea 15Min	$163.00	$163.00	—	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 Tel New Pt Prevnt 18-39Yr	$617.00	$617.00	—	208% above	—
Preventive checkup, new patient aged 18–39 CPT 99385 New Pt Prevnt Med 18-39Yr	$617.00	$617.00	—	208% above	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Tel New Pt Prevnt 18-39Yr	$617.00	$617.00	—	—	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 New Pt Prevnt Med 18-39Yr	$617.00	$617.00	—	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 New Pt Prevnt Med 40-64Yr	$617.00	$617.00	—	198% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 New Pt Prevnt Med 40-64Yr	$617.00	$617.00	—	—	—
Preventive checkup, new patient aged 65 or older CPT 99387 New Pt Prevnt Med 65+Yr	$617.00	$617.00	—	147% above	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 New Pt Prevnt Med 65+Yr	$617.00	$617.00	—	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 Est Pt Prevnt Med 18-39Yr	$427.00	$427.00	—	136% above	—
Preventive checkup, returning patient aged 18–39 CPT 99395 Tel Est Pt Prevnt 18-39Yr	$427.00	$427.00	—	136% above	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Est Pt Prevnt Med 18-39Yr	$427.00	$427.00	—	—	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Tel Est Pt Prevnt 18-39Yr	$427.00	$427.00	—	—	—
Preventive checkup, returning patient aged 40–64 CPT 99396 Est Pt Prevnt Med 40-64Yr	$480.00	$480.00	—	147% above	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Est Pt Prevnt Med 40-64Yr	$480.00	$480.00	—	—	—
Preventive checkup, returning patient aged 65 or older CPT 99397 Est Pt Prevnt Med 65+Yrs	$514.00	$514.00	—	158% above	—
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Est Pt Prevnt Med 65+Yrs	$514.00	$514.00	—	—	—
Psychiatric evaluation with medical services CPT 90792 Offsite Psy Dx Eval W/Med	$665.00	$665.00	—	135% above	—
Psychiatric evaluation with medical services CPT 90792 Psych Dx Eval W/Medical	$665.00	$665.00	—	135% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 Psych Dx Eval W/Medical	$665.00	$665.00	—	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 Offsite Psy Dx Eval W/Med	$665.00	$665.00	—	—	—
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psyc Tst Evl Phys/Qhp 1St	$460.00	$460.00	—	33% above	—
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Psyc Tst Evl Phys/Qhp 1St	$460.00	$460.00	—	—	—
Psychotherapy for crisis, first 60 minutes CPT 90839 Crisis Intervent(1Hr Min)	$235.00	$235.00	—	1% below	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Crisis Intervent(1Hr Min)	$235.00	$235.00	—	—	—
Psychotherapy session, 30 minutes CPT 90832 Psy Tx 30Min Minim	$355.00	$355.00	—	79% above	—
Psychotherapy session, 30 minutes CPT 90832 Indiv Brief Counsel 30Min	$355.00	$355.00	—	79% above	—
Psychotherapy session, 30 minutes CPT 90832 Indiv Counseling 30Min	$355.00	$355.00	—	79% above	—
Psychotherapy session, 30 minutes CPT 90832 Psy Tx 20-29Min Mimim	$355.00	$355.00	—	79% above	—
Psychotherapy session, 30 minutes CPT 90832 Offsite Psy Tx (30 Min)	$355.00	$355.00	—	79% above	—
Psychotherapy session, 30 minutes CPT 90832 Psy Tx 16-37Min	$355.00	$355.00	—	79% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Indiv Counseling 30Min	$355.00	$355.00	—	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Indiv Brief Counsel 30Min	$355.00	$355.00	—	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Psy Tx 16-37Min	$355.00	$355.00	—	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Offsite Psy Tx (30 Min)	$355.00	$355.00	—	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Psy Tx 30Min Minim	$355.00	$355.00	—	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Psy Tx 20-29Min Mimim	$355.00	$355.00	—	—	—
Psychotherapy session, 45 minutes CPT 90834 Psych Tx 45Min Minim	$515.00	$515.00	—	103% above	—
Psychotherapy session, 45 minutes CPT 90834 Offsite Psy Tx 45Min	$515.00	$515.00	—	103% above	—
Psychotherapy session, 45 minutes CPT 90834 Indiv Comp Counsel 45-50M	$515.00	$515.00	—	103% above	—
Psychotherapy session, 45 minutes CPT 90834 Indiv Counseling 45-50Min	$515.00	$515.00	—	103% above	—
Psychotherapy session, 45 minutes CPT 90834 Psych Tx 38-52Min	$515.00	$515.00	—	103% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Indiv Comp Counsel 45-50M	$515.00	$515.00	—	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Indiv Counseling 45-50Min	$515.00	$515.00	—	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Psych Tx 38-52Min	$515.00	$515.00	—	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Offsite Psy Tx 45Min	$515.00	$515.00	—	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Psych Tx 45Min Minim	$515.00	$515.00	—	—	—
Psychotherapy session, 60 minutes CPT 90837 Psych Tx 60Min Minimum	$515.00	$515.00	—	75% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Psych Tx 60Min Minimum	$515.00	$515.00	—	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Counsl Tobac Intrm 4-10Mn	$56.00	$56.00	—	33% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tel Counsl Tobac 4-10Mn	$56.00	$56.00	—	33% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Counsl Tobac Intrm 4-10Mn	$56.00	$56.00	—	—	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tel Counsl Tobac 4-10Mn	$56.00	$56.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Urology F/U Comp	$649.00	$649.00	—	176% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Tel Lev 5 Est 40-54 Himdm	$649.00	$649.00	—	176% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Oral/Max F/U Comp	$649.00	$649.00	—	176% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Lev 5 Est Compcmp Highmdm	$649.00	$649.00	—	176% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Lev 5 Est Compcmp Highmdm	$649.00	$649.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Urology F/U Comp	$649.00	$649.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Oral/Max F/U Comp	$649.00	$649.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Tel Lev 5 Est 40-54 Himdm	$649.00	$649.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Oral/Max F/U Exp	$359.00	$359.00	—	111% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Urology F/U Exp	$359.00	$359.00	—	111% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Lev 3 Est Expfexpf Lowmdm	$359.00	$359.00	—	111% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Tel Lev 3 Est 20-29 Lwmdm	$359.00	$359.00	—	111% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Lev 3 Est Expfexpf Lowmdm	$359.00	$359.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Urology F/U Exp	$359.00	$359.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Oral/Max F/U Exp	$359.00	$359.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Tel Lev 3 Est 20-29 Lwmdm	$359.00	$359.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Tel Lev 4 Est 30-39Modmdm	$620.00	$620.00	—	223% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Level 4 Est Detdet Modmdm	$620.00	$620.00	—	223% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Urology F/U Det	$620.00	$620.00	—	223% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Oral/Max F/U Det	$620.00	$620.00	—	223% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Oral/Max F/U Det	$620.00	$620.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Urology F/U Det	$620.00	$620.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Tel Lev 4 Est 30-39Modmdm	$620.00	$620.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Level 4 Est Detdet Modmdm	$620.00	$620.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Tel Lev 2 Est 10-19 Sfmdm	$253.00	$253.00	—	96% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Oral/Max F/U Foc	$253.00	$253.00	—	96% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Level 2 Est Pfopfoc Sfmdm	$253.00	$253.00	—	96% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Oral/Max F/U Foc	$253.00	$253.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Level 2 Est Pfopfoc Sfmdm	$253.00	$253.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Tel Lev 2 Est 10-19 Sfmdm	$253.00	$253.00	—	—	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 Tel Lev3 Op Con Dtlowmdm	$649.00	$649.00	—	134% above	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 Tel Lev3 Op Cons Dtlowmdm	$649.00	$649.00	—	134% above	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 Level3 Op Conslt Dtlowmdm	$649.00	$649.00	—	134% above	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Tel Lev3 Op Cons Dtlowmdm	$649.00	$649.00	—	—	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Level3 Op Conslt Dtlowmdm	$649.00	$649.00	—	—	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Tel Lev3 Op Con Dtlowmdm	$649.00	$649.00	—	—	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Tel Lev4 Op Cons Cmpmdmdm	$860.00	$860.00	—	184% above	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Levl4 Op Conslt Compmdmdm	$860.00	$860.00	—	184% above	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Tel Lev4 Op Con Compmdmdm	$860.00	$860.00	—	184% above	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Levl4 Op Conslt Compmdmdm	$860.00	$860.00	—	—	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Tel Lev4 Op Cons Cmpmdmdm	$860.00	$860.00	—	—	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Tel Lev4 Op Con Compmdmdm	$860.00	$860.00	—	—	—
Speech and language evaluation CPT 92523 Eval Lang Comp/Exprs Only	$717.00	$717.00	—	83% above	—
Speech and language evaluation CPT 92523 Eval Sp Sound W/Eval Lang	$717.00	$717.00	—	83% above	—
Speech and language evaluation inpatient CPT 92523 Eval Lang Comp/Exprs Only	$717.00	$717.00	—	—	—
Speech and language evaluation inpatient CPT 92523 Eval Sp Sound W/Eval Lang	$717.00	$717.00	—	—	—
Speech therapy session, individual CPT 92507 Speech/Hearing Tx Single	$567.00	$567.00	—	212% above	—
Speech therapy session, individual CPT 92507 Speech/Hearing Tx Indiv	$567.00	$567.00	—	212% above	—
Speech therapy session, individual inpatient CPT 92507 Speech/Hearing Tx Single	$567.00	$567.00	—	—	—
Speech therapy session, individual inpatient CPT 92507 Speech/Hearing Tx Indiv	$567.00	$567.00	—	—	—
Spirometry (breathing test) CPT 94010 Spirometry (Vital/Flow)	$408.00	$408.00	—	76% above	—
Spirometry (breathing test) CPT 94010 Spirometry Breath Capacit	$408.00	$408.00	—	76% above	—
Spirometry (breathing test) CPT 94010 Tc Spirom Breath Capacity	$408.00	$408.00	—	76% above	—
Spirometry (breathing test) inpatient CPT 94010 Spirometry Breath Capacit	$408.00	$408.00	—	—	—
Spirometry (breathing test) inpatient CPT 94010 Spirometry (Vital/Flow)	$408.00	$408.00	—	—	—
Spirometry (breathing test) inpatient CPT 94010 Tc Spirom Breath Capacity	$408.00	$408.00	—	—	—
Spirometry before and after a bronchodilator CPT 94060 Bronchosp Eval Bef&After	$444.00	$444.00	—	18% above	—
Spirometry before and after a bronchodilator CPT 94060 Bronchsp Eval Bef&After	$444.00	$444.00	—	18% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchosp Eval Bef&After	$444.00	$444.00	—	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchsp Eval Bef&After	$444.00	$444.00	—	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Act Ea 15M	$203.00	$203.00	—	117% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Act Ea 15M	$203.00	$203.00	—	117% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pt Therapeutic Act Ea 15M	$203.00	$203.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Therapeutic Act Ea 15M	$203.00	$203.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy	$257.00	$257.00	—	21% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy	$257.00	$257.00	—	—	—
Visual field test, extended CPT 92083 Md Visual Field Exm Extnd	$85.00	$85.00	—	75% below	—
Visual field test, extended CPT 92083 Tc Visual Field Exm Extnd	$368.00	$368.00	—	10% above	—
Visual field test, extended inpatient CPT 92083 Md Visual Field Exm Extnd	$85.00	$85.00	—	—	—
Visual field test, extended inpatient CPT 92083 Tc Visual Field Exm Extnd	$368.00	$368.00	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influ Tri Adju .5Ml Fluad	$185.20	$185.20	—	51% above	—
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Influ Tri Adju .5Ml Fluad	$185.20	$185.20	—	—	—
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax 12+ Moderna	$367.00	$367.00	—	71% above	—
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Spikevax 12+ Moderna	$367.00	$367.00	—	—	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty Pfs 12+	$366.00	$366.00	—	48% above	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Comirnaty Pfs 12+	$366.00	$366.00	—	—	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Vaccine Live Sq	$369.03	$369.03	—	75% above	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Vac-Varivax	$386.08	$386.08	—	83% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella Vaccine Live Sq	$369.03	$369.03	—	—	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella Vac-Varivax	$386.08	$386.08	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vac Iiv3 Prfr 0.5Ml	$50.00	$50.00	—	61% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Fluzone 0.5Ml	$51.00	$51.00	—	64% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influ Trival Pf 0.5Ml Vac	$55.41	$55.41	—	78% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influ Tri Pf 0.5Ml Fluarx	$59.00	$59.00	—	90% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influ Tri .5Ml Afluria	$59.00	$59.00	—	90% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influ Tri .5Ml Fluzone	$66.00	$66.00	—	112% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influ Pf Fluvr Iiv3 0.5Ml	$775.00	$775.00	—	2394% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flu Vac Iiv3 Prfr 0.5Ml	$50.00	$50.00	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Fluzone 0.5Ml	$51.00	$51.00	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influ Trival Pf 0.5Ml Vac	$55.41	$55.41	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influ Tri .5Ml Afluria	$59.00	$59.00	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influ Tri Pf 0.5Ml Fluarx	$59.00	$59.00	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influ Tri .5Ml Fluzone	$66.00	$66.00	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influ Pf Fluvr Iiv3 0.5Ml	$775.00	$775.00	—	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv9 Valent Vacc 0.5Ml	$617.34	$617.34	—	8% above	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Hpv9 Valent Vacc 0.5Ml	$617.34	$617.34	—	—	—
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hep A & B Vac-Twinrix	$400.00	$400.00	—	91% above	—
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hep A & B Vac-Twinrix	$400.00	$400.00	—	—	—
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Adult-Vaqta	$247.85	$247.85	—	141% above	—
Hepatitis A vaccine, adult dose CPT 90632 Hep A Vaccine Adult Im	$253.00	$253.00	—	146% above	—
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Adult-Havrix	$257.18	$257.18	—	150% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A Adult-Vaqta	$247.85	$247.85	—	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hep A Vaccine Adult Im	$253.00	$253.00	—	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A Adult-Havrix	$257.18	$257.18	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vaccine Adult Im	$206.52	$206.52	—	155% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vac 20Mcg/1Ml	$214.06	$214.06	—	164% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hep B Vaccine Adult Im	$206.52	$206.52	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vac 20Mcg/1Ml	$214.06	$214.06	—	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Vaccine Live Sq	$215.44	$215.44	—	97% above	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles/Mumps/Rubella	$222.89	$222.89	—	104% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr Vaccine Live Sq	$215.44	$215.44	—	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles/Mumps/Rubella	$222.89	$222.89	—	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningo Vac .5Ml-10+	$316.45	$316.45	—	63% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningoc Vac 0.5Ml-Menveo	$438.34	$438.34	—	125% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menin Mcv4 Menacwy Vac Im	$464.00	$464.00	—	138% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningoc Vac 0.5Ml-Menact	$477.00	$477.00	—	145% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningo Vac .5Ml-10+	$316.45	$316.45	—	—	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningoc Vac 0.5Ml-Menveo	$438.34	$438.34	—	—	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menin Mcv4 Menacwy Vac Im	$464.00	$464.00	—	—	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningoc Vac 0.5Ml-Menact	$477.00	$477.00	—	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococ B Vac 0.5Ml	$642.46	$642.46	—	95% above	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Meningococ B Vac 0.5Ml	$642.46	$642.46	—	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococ Conj 20 Vac 0.5	$777.82	$777.82	—	82% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococ Conj 20 Vac 0.5	$777.82	$777.82	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumo Vacc 23Val2+Yr Im	$172.94	$172.94	—	22% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococ Vacc 0.5Ml 23V	$271.51	$271.51	—	91% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumo Vacc 23Val2+Yr Im	$172.94	$172.94	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococ Vacc 0.5Ml 23V	$271.51	$271.51	—	—	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus 50Mg/0.5Ml Inj	$1,465.38	$1,465.38	—	42% above	—
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Beyfortus 50Mg/0.5Ml Inj	$1,465.38	$1,465.38	—	—	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Abrysvo Rsv Vac 0.5Ml	$849.14	$849.14	—	111% above	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Abrysvo Rsv Vac 0.5Ml	$849.14	$849.14	—	—	—
Rabies vaccine, one dose CPT 90675 Rabies Vac Hum 2.5U/Ml Ij	$1,037.42	$1,037.42	—	116% above	—
Rabies vaccine, one dose CPT 90675 Rabies Vac 2.5U Inj 1Ml	$1,065.88	$1,065.88	—	122% above	—
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vac Hum 2.5U/Ml Ij	$1,037.42	$1,037.42	—	—	—
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vac 2.5U Inj 1Ml	$1,065.88	$1,065.88	—	—	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Varicella Vac-Shingrix	$530.00	$530.00	—	94% above	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Varicella Vac-Shingrix	$530.00	$530.00	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tdvax 0.5Ml Adult/Adol	$84.00	$84.00	—	51% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vac Ab 7+Y Tenivac Im	$84.69	$84.69	—	52% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Dt Tenivac 0.5Ml Age 7+	$85.85	$85.85	—	54% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vacc Absrbd 7+Yrs Im	$87.00	$87.00	—	56% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Dt Ad 0.5Ml Age >7Yrs	$90.00	$90.00	—	61% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tdvax 0.5Ml Adult/Adol	$84.00	$84.00	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Vac Ab 7+Y Tenivac Im	$84.69	$84.69	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Dt Tenivac 0.5Ml Age 7+	$85.85	$85.85	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Vacc Absrbd 7+Yrs Im	$87.00	$87.00	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Dt Ad 0.5Ml Age >7Yrs	$90.00	$90.00	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vacc >7Yrs Adacel Im	$126.69	$126.69	—	125% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Adacel 0.5Ml 11-64Yr	$131.28	$131.28	—	133% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vacc >7Yrs Boostr Im	$144.62	$144.62	—	157% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Boostrix 0.5Ml 10+Yr	$149.24	$149.24	—	165% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vacc >7Yrs Adacel Im	$126.69	$126.69	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Adacel 0.5Ml 11-64Yr	$131.28	$131.28	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vacc >7Yrs Boostr Im	$144.62	$144.62	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Boostrix 0.5Ml 10+Yr	$149.24	$149.24	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin Other Singl	$77.00	$77.00	—	4% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hepatitis B Vaccine Admin	$77.00	$77.00	—	4% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Tc Vacc Admin Other Singl	$77.00	$77.00	—	4% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin Other Sngle	$77.00	$77.00	—	4% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hep B Vaccine Admin	$77.00	$77.00	—	4% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Influenza Vaccine Admin	$77.00	$77.00	—	4% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pneumococcal Vacc Admin	$77.00	$77.00	—	4% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Admin Other Sngle	$77.00	$77.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hep B Vaccine Admin	$77.00	$77.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Influenza Vaccine Admin	$77.00	$77.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Admin Other Singl	$77.00	$77.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hepatitis B Vaccine Admin	$77.00	$77.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Tc Vacc Admin Other Singl	$77.00	$77.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pneumococcal Vacc Admin	$77.00	$77.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccin Admin Other/Eaaddl	$77.00	$77.00	—	141% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vacc Adm Other Eaaddl	$77.00	$77.00	—	141% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Tc Vacc Adm Other Eaaddl	$77.00	$77.00	—	141% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Tc Vacc Adm Other Eaaddl	$77.00	$77.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vacc Adm Other Eaaddl	$77.00	$77.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vaccin Admin Other/Eaaddl	$77.00	$77.00	—	—	—

Dental

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 Periodontal Scalin&Rtplan	$456.00	$456.00	—	50% below	—
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant inpatient CDT D4341 Periodontal Scalin&Rtplan	$456.00	$456.00	—	—	—
Dental implant, surgical placement CDT D6010 Odontics Endosteal Implnt	$3,745.00	$3,745.00	—	247% above	—
Dental implant, surgical placement inpatient CDT D6010 Odontics Endosteal Implnt	$3,745.00	$3,745.00	—	—	—
Porcelain crown CDT D2740 Crown Porcln/Cermc Substr	$1,992.00	$1,992.00	—	84% above	—
Porcelain crown inpatient CDT D2740 Crown Porcln/Cermc Substr	$1,992.00	$1,992.00	—	—	—
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 Impact Tth Rem Compl Bony	$896.00	$896.00	—	11% above	—
Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 Impact Tth Rem Compl Bony	$896.00	$896.00	—	—	—
Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 Molar (Excl Restor)	$1,823.00	$1,823.00	—	69% above	—
Root canal treatment on a molar (back tooth), not including the final crown inpatient CDT D3330 Molar (Excl Restor)	$1,823.00	$1,823.00	—	—	—
Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 Prophylaxis-Adult	$165.00	$165.00	—	8% above	—
Routine teeth cleaning (prophylaxis), adult or teen inpatient CDT D1110 Prophylaxis-Adult	$165.00	$165.00	—	—	—
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Extract Erupt/Expsd Root	$266.00	$266.00	—	22% below	—
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 Extract Erupt/Expsd Root	$266.00	$266.00	—	—	—

Source file: https://hospitalpricedisclosure.com/download.aspx?pi=8O1flKb9ncxmFbwWjt6PBg*-*