Hospital Chicago-Naperville-Elgin, IL-IN

Northwestern Memorial Hospital

Northwestern Memorial Hospital in Chicago, IL publishes cash prices for 412 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 Illinois median for 282 of 406 procedures and below it for 96. By typical cash price it ranks #63 of 90 Illinois hospitals and #43 of 61 hospitals in the Chicago, IL area, cheapest first. Click a procedure to compare it with other hospitals nearby.

251 E. Huron, Chicago, IL 60611 Collected Sep 27, 2026 Source price file (312) 926-2000

Acute care hospital Emergency department CMS star rating 5 of 5 CCN 140281 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 5 actions for a hospital named Northwestern Memorial Hospital in Chicago, IL:

Feb 23, 2023 Warning notice
Jun 27, 2023 Corrective action plan requested
Aug 1, 2023 Case closed
Jan 22, 2025 Met requirements
Mar 19, 2025 Met requirements

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 HB X-Ray Exam of Ankle 3 Views	$541.80	$774.00	$110.68–$774.00	64% above	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB Upr/L Xtremity Art 2 Levels	$595.70	$851.00	$74.65–$1,374.00	49% above	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HB Single Contrast X-Ray Esophagus	$828.10	$1,183.00	$229.50–$1,183.00	53% above	30%
Bone scan, whole body (nuclear medicine) CPT 78306 HB Bone Imaging Whole Body	$2,662.80	$3,804.00	$521.35–$3,960.00	74% above	30%
Breast ultrasound, complete, one breast CPT 76641 HB Ultrasound Breast Complete	$532.00	$760.00	$147.44–$760.00	21% above	30%
Breast ultrasound, limited (one breast or one area) CPT 76642 HB Ultrasound Breast Limited	$438.90	$627.00	$121.64–$627.00	19% above	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CT Angiography Chest	$3,502.80	$5,004.00	$970.78–$5,004.00	51% above	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post	$3,641.40	$5,202.00	$1,009.19–$5,202.00	114% above	30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB Heart Scan Screening - Self Pay	$56.00	$80.00	$15.52–$80.00	at median	30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB CT Heart No Contrast Quant Eval Coronry Calcium - Diagnostic	$539.70	$771.00	$149.57–$771.00	864% above	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT Abd & Pelvis W/O Contrast	$4,802.00	$6,860.00	$1,330.84–$6,860.00	59% above	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT Abd & Pelv W/Contrast	$6,049.40	$8,642.00	$1,676.55–$8,642.00	77% above	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT Abd & Pelv 1/> Regns	$7,105.70	$10,151.00	$1,969.29–$10,151.00	64% above	30%
CT scan of the abdomen with contrast CPT 74160 HB CT Abdomen W/Dye	$3,201.10	$4,573.00	$887.16–$4,573.00	61% above	30%
CT scan of the abdomen without contrast CPT 74150 HB CT Abdomen W/O Dye	$2,576.00	$3,680.00	$713.92–$3,680.00	58% above	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT Maxillofacial W/O Dye	$2,606.10	$3,723.00	$722.26–$3,723.00	82% above	30%
CT scan of the head or brain, no contrast dye CPT 70450 HB CT Head/Brain W/O Dye	$2,474.50	$3,535.00	$685.79–$3,535.00	57% above	30%
CT scan of the head with contrast CPT 70460 HB CT Head/Brain W/Dye	$2,921.80	$4,174.00	$809.76–$4,174.00	82% above	30%
CT scan of the head without and with contrast CPT 70470 HB CT Head/Brain W/O & W/Dye	$3,756.90	$5,367.00	$1,041.20–$5,367.00	75% above	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT Lumbar Spine W/O Dye	$3,083.50	$4,405.00	$854.57–$4,405.00	58% above	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT Neck Spine W/O Dye	$3,168.20	$4,526.00	$878.04–$4,526.00	60% above	30%
CT scan of the pelvis, with contrast dye CPT 72193 HB CT Pelvis W/Dye	$2,907.80	$4,154.00	$805.88–$4,154.00	59% above	30%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB Extracranial Bilat Study	$2,336.60	$3,338.00	$647.57–$3,338.00	—	30%
Chest X-ray, 2 views CPT 71046 HB-Xray Exam Chest 2 Views	$674.10	$963.00	$108.81–$963.00	138% above	30%
Chest X-ray, single view CPT 71045 HB X-Ray Chest Single View	$537.60	$768.00	$80.26–$768.00	129% above	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB US Exam Abdo Back Wall Comp	$1,474.20	$2,106.00	$408.56–$2,106.00	88% above	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB DXA Bone Density Axial	$637.00	$910.00	$176.54–$910.00	51% above	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB DXA Bone Density/Peripheral	$368.20	$526.00	$102.04–$526.00	61% above	30%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB OB US Detailed Sngl Fetus	$1,360.80	$1,944.00	$377.14–$1,944.00	45% above	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT Thorax, Diagnostic W/O Dye	$2,611.00	$3,730.00	$723.62–$3,730.00	109% above	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT Thorax, Diagnostic, W/Dye	$3,173.80	$4,534.00	$879.60–$4,534.00	58% above	30%
Diagnostic mammogram, both breasts both sides CPT 77066 HB Diagnostic Mammography Incl Cad Bilateral	$513.80	$734.00	$142.40–$734.00	—	30%
Diagnostic mammogram, one breast one side CPT 77065 HB Diagnostic Mammography Incl Cad Unilateral	$464.80	$664.00	$128.82–$664.00	65% above	30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB Lower Extremity Study Comp Bilat Study	$1,736.00	$2,480.00	$481.12–$2,480.00	—	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 HB US Dopp Venus Ext Bil	$2,626.40	$3,752.00	$310.52–$3,752.00	71% above	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB Tte W/Doppler Complete	$3,278.10	$4,683.00	$653.40–$1,653.10	82% above	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB Hepatobiliary System Imaging	$2,845.50	$4,065.00	$514.10–$4,065.00	122% above	30%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB Sleep Study Unatt&Resp Efft	$847.00	$1,210.00	$234.74–$1,642.00	5% above	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB Polysom 6/>Yrs Cpap 4/> Parm	$4,979.10	$7,113.00	$1,379.92–$8,168.00	52% above	30%
Knee X-ray, 3 views CPT 73562 HB X-Ray Exam of Knee 3	$598.50	$855.00	$165.87–$855.00	82% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB Echo Exam of Abdomen	$1,604.40	$2,292.00	$182.29–$2,292.00	178% above	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HB CT Thorax Lung Ca Screening W/O Contrast	$781.20	$1,116.00	$216.50–$1,116.00	43% above	30%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HB MRI Breast With and W/O Contrast W/Cad, Bilateral	$4,099.20	$5,856.00	$1,136.06–$5,856.00	—	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI Jnt of Lwr Extre W/O Dye	$3,835.30	$5,479.00	$1,062.93–$5,479.00	59% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI Joint Lwr Extr W/O&W/Dye	$4,428.90	$6,327.00	$1,227.44–$6,327.00	37% above	30%
MRI of the abdomen without contrast CPT 74181 HB MRI Abdomen W/O Dye	$3,700.20	$5,286.00	$1,025.48–$5,286.00	78% above	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI Abdomen W/O & W/Dye	$4,385.50	$6,265.00	$1,215.41–$6,265.00	43% above	30%
MRI of the brain, no contrast dye CPT 70551 HB MRI Brain Stem W/O Dye	$3,887.10	$5,553.00	$1,077.28–$5,553.00	78% above	30%
MRI of the brain, with and without contrast dye CPT 70553 HB MRI Brain Stem W/O & W/Dye	$5,385.10	$7,693.00	$1,492.44–$7,693.00	66% above	30%
MRI of the lower back, no contrast dye CPT 72148 HB MRI Lumbar Spine W/O Dye	$3,837.40	$5,482.00	$1,063.51–$5,482.00	51% above	30%
MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI Lumbar Spine W/O & W/Dye	$4,706.80	$6,724.00	$1,304.46–$6,724.00	45% above	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI Chest Spine W/O Dye	$3,809.40	$5,442.00	$1,055.75–$5,442.00	50% above	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI Neck Spine W/O & W/Dye	$5,142.90	$7,347.00	$1,425.32–$7,347.00	60% above	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI Neck Spine W/O Dye	$4,171.30	$5,959.00	$1,156.05–$5,959.00	82% above	30%
MRI of the pelvis without and with contrast CPT 72197 HB MRI Pelvis W/O & W/Dye	$4,765.60	$6,808.00	$1,320.75–$6,808.00	70% above	30%
MRI of the pelvis, no contrast dye CPT 72195 HB MRI Pelvis W/O Dye	$3,615.50	$5,165.00	$1,002.01–$5,165.00	68% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB MRI Joint Upr Extrem W/O Dye	$3,591.70	$5,131.00	$995.41–$5,131.00	39% above	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HB Ht Muscle Image Spect Mult	$5,432.70	$7,761.00	$1,083.89–$8,381.00	68% above	30%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB Pet Image W/CT Skull-Thigh	$7,096.60	$10,138.00	$1,966.77–$10,138.00	28% above	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US Exam Pelvic Limited	$862.40	$1,232.00	$239.01–$1,232.00	102% above	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB US Exam Pelvic Complete	$1,509.90	$2,157.00	$418.46–$2,157.00	140% above	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB OB US >/= 14 Wks Sngl Fetus	$1,206.10	$1,723.00	$334.26–$1,723.00	99% above	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB OB US < 14 Wks Single Fetus	$940.80	$1,344.00	$260.74–$1,344.00	70% above	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB OB US Limited Fetus(S)	$718.90	$1,027.00	$199.24–$1,027.00	77% above	30%
Screening mammogram, both breasts both sides CPT 77067 HB Screening Mammography Bilateral Incl Cad	$523.60	$748.00	$145.11–$748.00	—	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 HB X-Ray Exam of Shoulder Minimum 2 Views	$623.00	$890.00	$76.28–$890.00	93% above	30%
Sleep study in a lab (polysomnography) CPT 95810 HB Polysom 6/> Yrs 4/> Param	$3,990.00	$5,700.00	$1,105.80–$6,546.00	35% above	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB Stress Tte Complete WO Contrast	$4,490.50	$6,415.00	$1,244.51–$6,415.00	230% above	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB Echo 2d Exercise, and/or Pharm Induced Stress; With Contrast	$4,490.50	$6,415.00	$1,244.51–$6,415.00	230% above	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HB Cine/Vid X-Ray Throat/Esoph	$666.40	$952.00	$184.69–$1,001.00	24% above	30%
Transvaginal pelvic ultrasound CPT 76830 HB Transvaginal US Non-OB	$1,079.40	$1,542.00	$299.15–$1,542.00	96% above	30%
Transvaginal ultrasound during pregnancy CPT 76817 HB Transvaginal US Obstetric	$749.00	$1,070.00	$207.58–$1,070.00	59% above	30%
Ultrasound of the abdomen, complete CPT 76700 HB US Exam Abdom Complete	$1,772.40	$2,532.00	$491.21–$2,532.00	84% above	30%
Ultrasound of the scrotum and testicles CPT 76870 HB US Exam Scrotum	$1,376.90	$1,967.00	$381.60–$1,967.00	110% above	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US Exam of Head and Neck	$1,343.30	$1,919.00	$372.29–$1,919.00	118% above	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB Radiologic Exam Upr GI Trc Single Contrast Study	$822.50	$1,175.00	$227.95–$1,175.00	52% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HB US Dopp Venus Ext Uni	$1,673.00	$2,390.00	$212.94–$2,390.00	163% above	30%
Wrist X-ray, complete, 3 or more views CPT 73110 HB X-Ray Exam of Wrist 3 Views	$492.80	$704.00	$91.49–$704.00	59% above	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HB X-Ray Exam Hip Unilateral 2-3 Views	$522.90	$747.00	$144.92–$747.00	92% above	30%
X-ray of the abdomen, 1 view CPT 74018 HB Xray Exam Abdomen 1 View	$396.90	$567.00	$78.16–$567.00	52% above	30%
X-ray of the ankle, 2 views CPT 73600 HB X-Ray Exam of Ankle 2 Views	$386.40	$552.00	$107.09–$552.00	37% above	30%
X-ray of the finger(s), 2 or more views CPT 73140 HB X-Ray Exam of Finger(S) Min 2 Views	$458.50	$655.00	$106.70–$655.00	91% above	30%
X-ray of the foot, 2 views CPT 73620 HB X-Ray Exam of Foot 2 Views	$324.10	$463.00	$89.82–$463.00	22% above	30%
X-ray of the foot, complete, 3 or more views CPT 73630 HB X-Ray Exam of Foot 3 Views	$594.30	$849.00	$103.43–$849.00	85% above	30%
X-ray of the hand, 3 or more views CPT 73130 HB X-Ray Exam of Hand 3 Views	$547.40	$782.00	$91.49–$782.00	68% above	30%
X-ray of the knee, 1 or 2 views both sides CPT 73560 HB X-Ray Knee 1 or 2 Views; Bilateral	$556.50	$795.00	$154.23–$795.00	—	30%
X-ray of the knee, 1 or 2 views CPT 73560 HB X-Ray Exam of Knee 1 or 2	$556.50	$795.00	$154.23–$795.00	105% above	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB X-Ray Exam L-S Spine 2/3 Vws	$651.70	$931.00	$157.95–$931.00	63% above	30%
X-ray of the lower back, 4 or more views CPT 72110 HB X-Ray Exam L-2 Spine 4/>Vws	$909.30	$1,299.00	$194.69–$1,299.00	71% above	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB X-Ray Exam Thorac Spine 2vws	$697.90	$997.00	$193.42–$997.00	97% above	30%
X-ray of the nasal bones, 3 or more views CPT 70160 HB X-Ray Exam of Nasal Bones	$716.10	$1,023.00	$198.46–$1,023.00	146% above	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB X-Ray Exam Neck Spine 2-3 Vw	$665.70	$951.00	$142.27–$951.00	103% above	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 HB Xray Pelvis 1 or 2 Views	$576.10	$823.00	$107.41–$823.00	80% above	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB X-Ray Exam Sacrum Tailbone	$744.10	$1,063.00	$134.08–$1,063.00	162% above	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Ref Ashe Fibrosure, Alt (Lc)	$9.80	$14.00	$2.72–$14.00	81% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Ref Nash Fibrosure, Alt (Lc)	$46.20	$66.00	$11.93–$66.00	12% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Ref Liver Fibrosis Panel, Alt (Sgpt) (Lc)	$46.20	$66.00	$12.80–$66.00	12% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Ref Liver Fibrosis Panel, Alt (Sgpt) (Arup)	$48.30	$69.00	$13.39–$69.00	8% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Ref Fib-4 With Reflex to Nash Fibrosure Plus, Alt (Lc)	$48.30	$69.00	$13.39–$69.00	8% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Ref Alanine Aminotransferase (Alt) (Q)	$49.00	$70.00	$13.58–$70.00	7% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Ref Preeclampsia Monitoring Profile, Alt (Sgpt) (Lc)	$49.70	$71.00	$16.61–$71.00	5% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Ref Nafld Fibrosis Score, Alt (Q)	$82.60	$118.00	$27.61–$118.00	57% above	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Sgpt (Alt)	$154.70	$221.00	$13.19–$221.00	195% above	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Ref Ashe Fibrosure, Ast (Lc)	$9.80	$14.00	$2.72–$14.00	81% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Ref Nash Fibrosure, Ast (Lc)	$44.80	$64.00	$11.70–$64.00	15% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Ref Metabolic Panel, Ast (Q)	$47.60	$68.00	$13.19–$68.00	9% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Ref Liver Fibrosis Panel, Ast (Sgot) (Lc)	$47.60	$68.00	$13.19–$68.00	9% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Ref Liver Fibrosis Panel, Ast (Sgot) (Arup)	$50.40	$72.00	$13.97–$72.00	4% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Ref Fib-4 With Reflex to Nash Fibrosure Plus, Ast (Lc)	$50.40	$72.00	$13.97–$72.00	4% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Ref Preeclampsia Monitoring Profile, Ast (Sgot) (Lc)	$51.10	$73.00	$17.08–$73.00	3% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Ref Nafld Fibrosis Score, Ast (Q)	$79.10	$113.00	$13.81–$113.00	51% above	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Ref Aspartate Aminotransferase (Ast-Sgot) (Lc)	$84.00	$120.00	$28.08–$120.00	60% above	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Sgot (Ast)	$138.60	$198.00	$13.19–$198.00	164% above	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB Ref Acute Viral Hepatitis (Hav, Hbv, Hcv) (Lc)	$318.50	$455.00	$88.27–$455.00	31% above	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB Ref Acute Hepatitis Panel (Q)	$323.40	$462.00	$89.63–$462.00	33% above	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB Hepatitis Panel, Acute	$705.60	$1,008.00	$95.71–$1,008.00	191% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Respiratory Allergy Profile Region II: Dc, De, MD, Nc, VA, Ige Each (Q)	$11.20	$16.00	$3.30–$17.00	59% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Hypersensitivity Pneumonitis Extended Panel, Allergen Specific Ige (Arup)	$11.20	$16.00	$3.10–$16.00	59% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Respiratory Allergy Profile Region VII: Mi, Mn, Wi	$16.10	$23.00	$4.66–$43.00	41% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Profile, Fish (Lc)	$16.80	$24.00	$4.66–$24.00	39% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergens Mold Panel (Q)	$18.20	$26.00	$5.04–$26.00	34% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Respiratory Allergy Profile Region V: in, Ky, Oh, Tn, Wv, Allergen Specific Ige (Q)	$24.50	$35.00	$6.79–$35.00	11% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen, Squash Ige (Mayo)	$26.60	$38.00	$7.76–$40.00	3% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Pollack White, Ige (Mayo)	$27.30	$39.00	$7.57–$39.00	1% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Swordfish (Q)	$27.30	$39.00	$8.15–$42.00	1% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Cockroach American, Ige (Mayo)	$27.30	$39.00	$7.57–$39.00	1% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Bass Black, Ige (Mayo)	$27.30	$39.00	$7.57–$39.00	1% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Fenugreek (Rf305) Ige (Q)	$29.40	$42.00	$8.15–$42.00	7% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Respiratory Allergy Profile Region III, Ige Ea (Lc)	$29.40	$42.00	$8.15–$42.00	7% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Penicilloyl G & V Profile (Q)	$29.40	$42.00	$8.15–$42.00	7% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergy Panel, Region 8 (Ia, Il, Mo), Grasses (Q)	$29.40	$42.00	$8.15–$42.00	7% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Hymenoptera Venom Allergy (Hva) With Components Profile, Allg Spec Ige Crude Xtrc Ea (Lc)	$29.40	$42.00	$8.15–$42.00	7% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Food and Tree Nut Allergy Panel With Reflex to Components (Q)	$29.40	$42.00	$8.15–$42.00	7% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Herring (Q)	$29.40	$42.00	$8.15–$42.00	7% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Penicillin V, Ige (Mayo)	$29.40	$42.00	$8.15–$42.00	7% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Stachybotrys Panel I, Allergen Specific Ige (V)	$29.40	$42.00	$8.15–$42.00	7% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergy Insect Venom Panel (Q)	$29.40	$42.00	$8.15–$42.00	7% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Carmine Dye/Red Dye Cochineal (Dactylopius Coccus) Ige (Mayo)	$29.40	$42.00	$8.15–$42.00	7% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Coffee Ige (Mayo)	$29.40	$42.00	$8.15–$42.00	7% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen, Greek Fennel Ige (Mayo)	$30.10	$43.00	$7.76–$43.00	9% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen; Bass Black (Sea Bass) (Q)	$30.10	$43.00	$10.06–$147.00	9% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Aspergillosis Panel, Allergen Specific Ige (Arup)	$30.10	$43.00	$10.06–$43.00	9% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Respiratory Allergy Profile Region VIII, Ige Ea (Lc)	$30.10	$43.00	$8.34–$43.00	9% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Food Allergy Panel, Ige, Each (Q)	$30.10	$43.00	$8.34–$43.00	9% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergy Panel 13, Stinging Insect Group (Q)	$30.10	$43.00	$10.06–$44.00	9% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Respiratory Allergy Profile Region I, Ige Ea (Q)	$30.10	$43.00	$2.72–$43.00	9% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Peanut, Ige Total (Arup, Mayo, Q)	$30.10	$43.00	$10.06–$51.00	9% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Profile, Sesame, Ige With Component Reflex (Lc)	$30.80	$44.00	$8.54–$44.00	12% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Specific Ige (Mayo)	$30.80	$44.00	$8.54–$44.00	12% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Hackberry (Celtis Occidentalis) (Mayo)	$30.80	$44.00	$8.54–$44.00	12% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen, Region 11 Respiratory Panel Rocky Mountain, Specific (Arup)	$30.80	$44.00	$8.54–$44.00	12% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Squash Summer (Cucurbita Spp) Ige (Vc, Arup)	$30.80	$44.00	$8.54–$44.00	12% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Smut Corn (Mayo)	$30.80	$44.00	$8.54–$44.00	12% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Cedar Red (Juniperus Virginiana) (Mayo)	$30.80	$44.00	$8.54–$44.00	12% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Specific (Q)	$30.80	$44.00	$8.54–$44.00	12% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Curvularia Spicifera/Bipolaris Ige (Mayo)	$30.80	$44.00	$8.54–$44.00	12% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Alpha-Gal Panel, Allergen Specific Ige (Mayo)	$30.80	$44.00	$8.54–$44.00	12% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Occupational, Latex Ige, Enhanced (Arup)	$31.50	$45.00	$8.73–$45.00	15% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Whitefish Ige (Vc)	$31.50	$45.00	$10.53–$67.00	15% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Anchovy Ige (Vc)	$31.50	$45.00	$10.53–$67.00	15% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergens, Food, Profile 9 (Arup)	$31.50	$45.00	$10.53–$45.00	15% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Profile, Shellfish (Lc)	$31.50	$45.00	$6.75–$45.00	15% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Cantaloupe Ige (Vc)	$31.50	$45.00	$8.73–$45.00	15% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Respiratory Allergy Panel Region IV: Fl, South of Orlando, Ige Ea (Q)	$32.20	$46.00	$8.92–$46.00	17% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergic Bronchopulmonary Panel II, Aspergillus Fumigatus Ige (Mayo)	$32.20	$46.00	$8.92–$46.00	17% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Mold Allergy Panel (15) Ige Ea (Gva)	$32.20	$46.00	$8.15–$47.00	17% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Food Allergy Panel (19), Ige Ea (Gva)	$32.20	$46.00	$10.76–$47.00	17% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Specific Ige (Vc)	$32.20	$46.00	$10.76–$46.00	17% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Inhalant Allergy Panel (14), Ige Ea (Gva)	$32.20	$46.00	$10.76–$47.00	17% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Nutmeg (F282) (Q)	$36.40	$52.00	$10.09–$52.00	32% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Cranberry (Q)	$39.90	$57.00	$9.13–$62.00	45% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Rat (Q)	$39.90	$57.00	$12.03–$62.00	45% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Macadamia Nut (Q)	$43.40	$62.00	$10.53–$66.00	58% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Walnut (Q)	$43.40	$62.00	$12.80–$66.00	58% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Quinoa (Q)	$46.20	$66.00	$12.80–$66.00	68% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Pistachio (Q)	$46.20	$66.00	$12.80–$66.00	68% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Gliocladium Fimbriatum	$56.70	$81.00	$18.95–$607.00	106% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Food Allergy Panel, Ige, Each	$56.70	$81.00	$15.71–$81.00	106% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Smut Johnson	$56.70	$81.00	$18.95–$359.00	106% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Profile, Egg White, Ige	$56.70	$81.00	$18.95–$171.00	106% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Fusarium Oxysporum/Vasinfectum	$56.70	$81.00	$18.95–$607.00	106% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Smut Oat	$56.70	$81.00	$18.95–$607.00	106% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Specific Addtl	$56.70	$81.00	$15.71–$81.00	106% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Orange Roughy Ige	$56.70	$81.00	$18.95–$299.00	106% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Tree Nut Allergy Panel	$69.30	$99.00	$21.53–$229.00	152% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Anti Gliadin Ige (Vc)	$72.80	$104.00	$20.18–$104.00	165% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Honey Ige (V)	$77.70	$111.00	$23.09–$119.00	183% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Horseradish Ige (Q)	$89.60	$128.00	$24.83–$128.00	226% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Ocean Perch (Q)	$95.20	$136.00	$28.32–$146.00	246% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Sugar Cane (Q)	$95.90	$137.00	$28.52–$147.00	249% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Allergen Specific Ige	$106.40	$152.00	$12.80–$152.00	287% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Whitefish (Q)	$113.40	$162.00	$33.76–$174.00	312% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Annatto Seed (Q)	$113.40	$162.00	$33.76–$174.00	312% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Galactose-Alpha-1,3-Galactose (Alpha-Gal) Ige	$114.80	$164.00	$10.06–$416.00	317% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Alpha-Gal Panel, Lamb Ige	$117.60	$168.00	$16.85–$168.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Penicillin G Ige (Mayo)	$117.60	$168.00	$10.53–$171.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Cockroach American	$117.60	$168.00	$16.85–$359.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Bean Black (Vr)	$117.60	$168.00	$18.95–$607.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Specific Ige, Crude, Each (Mayo)	$117.60	$168.00	$10.06–$168.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Pollock White, Ige	$117.60	$168.00	$39.31–$213.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Specific Ige (Lc)	$117.60	$168.00	$10.53–$168.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Tree of Heaven	$117.60	$168.00	$39.31–$607.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Respiratory Allergy Panel, Midwest, Ige Each	$117.60	$168.00	$13.97–$168.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Red Snapper	$117.60	$168.00	$16.85–$213.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Brewers Yeast	$117.60	$168.00	$18.95–$359.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Tilapia (Mayo)	$117.60	$168.00	$16.85–$607.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Careless Weed	$117.60	$168.00	$39.31–$607.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Alpha-Gal Panel, Beef Ige	$117.60	$168.00	$16.85–$168.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Smut Corn	$117.60	$168.00	$16.85–$607.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Childhood Allergy Panel, Ige, Each	$117.60	$168.00	$10.53–$168.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Snail/Escargot, Ige	$117.60	$168.00	$39.31–$315.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Elm Chinese	$117.60	$168.00	$39.31–$359.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Hemp Western Water	$117.60	$168.00	$39.31–$359.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen Profile, Milk, Ige	$117.60	$168.00	$33.17–$171.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Caraway Seed (Lc)	$117.60	$168.00	$8.19–$315.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Alpha-Gal Panel, Pork Ige	$117.60	$168.00	$16.85–$168.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Walnut Black Tree	$117.60	$168.00	$39.31–$359.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Mahi Mahi (V)	$117.60	$168.00	$34.92–$180.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Cedar Red	$117.60	$168.00	$39.31–$607.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Bean Pinto	$117.60	$168.00	$39.31–$359.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Rhodotorula, Ige	$117.60	$168.00	$39.31–$315.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Willow Black	$117.60	$168.00	$39.31–$359.00	328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergens Mold Panel (Lc)	$125.30	$179.00	$37.44–$193.00	356% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Poplar White, Ige	$138.60	$198.00	$41.32–$213.00	404% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Tapioca (Q)	$143.50	$205.00	$42.68–$220.00	422% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Curvularia Spicifera/Bipolaris Ige	$192.50	$275.00	$57.23–$295.00	600% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Mulberry Red Tree	$233.80	$334.00	$69.65–$359.00	750% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Paecilomyces Variotii	$395.50	$565.00	$117.76–$607.00	1338% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Hickory White	$395.50	$565.00	$117.76–$607.00	1338% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Clover Red	$395.50	$565.00	$109.61–$565.00	1338% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Epidermophyton Floccosum	$395.50	$565.00	$117.76–$607.00	1338% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Ref Allergen: Oat Grass False	$594.30	$849.00	$176.93–$912.00	2061% above	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Rheumatoid Arthritis Panel, CCP Antibody (Q)	$23.80	$34.00	$6.60–$124.00	72% below	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB CCP Antibody	$67.90	$97.00	$18.82–$441.00	19% below	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Ana 12 Profile, CCP Antibody (Lc)	$84.00	$120.00	$23.28–$120.00	at median	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Anti-CCP Antibodies, Igg and Iga (Lc)	$84.00	$120.00	$23.28–$120.00	at median	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Systemic Autoimmune Panel 1, CCP Antibody (Q)	$84.00	$120.00	$23.28–$120.00	at median	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Interstitial Lung Disease Panel, CCP Antibody (Q)	$86.80	$124.00	$24.06–$124.00	3% above	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Rheumatoid Arthritis (Ra) Profile, CCP Antibody (Lc)	$88.20	$126.00	$24.44–$126.00	5% above	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref CCP Antibody, Igg (Q)	$88.20	$126.00	$24.44–$126.00	5% above	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Connective Tissue Diseases Cascade, CCP Antibody (Mayo)	$88.20	$126.00	$24.44–$126.00	5% above	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Mayo Genetic Reflex, CCP Antibody (Mayo)	$92.40	$132.00	$25.61–$132.00	10% above	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Interstitial Lung Disease Autoantibody Panel, CCP Antibody (Arup)	$92.40	$132.00	$25.61–$132.00	10% above	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Radx6 Profile, CCP Antibody (Lc)	$92.40	$132.00	$25.61–$132.00	10% above	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Rheumassure, CCP Antibody (Lc)	$92.40	$132.00	$25.61–$132.00	10% above	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref Avise Anti-CCP (Anti-Cyclic Citrullinated Peptide) Igg Elisa (Exa)	$198.10	$283.00	$54.90–$283.00	136% above	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Ref CCP Antibody	$207.20	$296.00	$33.46–$296.00	147% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Sensorimotor Neuro Profile, Ana Screen (Q)	$16.10	$23.00	$4.46–$239.00	82% below	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Lupus Panel 5, Ana (Q)	$26.60	$38.00	$7.37–$38.00	70% below	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Ana Multiplex W/Reflex to 11 Antibody Cascade (Q)	$68.60	$98.00	$19.01–$142.00	24% below	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Antinuclear Antibodies (Ana), by Ifa (Lc)	$80.50	$115.00	$22.31–$115.00	11% below	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Scleroderma Comprehensive Profile, Antinuclear Antibodies (Mayo)	$88.90	$127.00	$24.64–$127.00	1% below	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Ana by Ifa, Reflex to 11-Biomarker Profile (Lc)	$88.90	$127.00	$24.64–$127.00	1% below	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Avise Ana (Antinuclear Antibodies) Hep-2 Iif (Exa)	$90.30	$129.00	$25.03–$129.00	at median	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Systemic Autoimmune Panel 1, Antinuclear Antibodies (Q)	$90.30	$129.00	$25.03–$129.00	at median	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Ana Screen, Ifa, W/ Reflex to Titer and Pattern/Lupus Panel 1 (Q)	$90.30	$129.00	$25.03–$129.00	at median	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Ana W/Reflex (Q)	$90.30	$129.00	$25.03–$129.00	at median	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Anachoice Panel 1, Ana (Q)	$93.10	$133.00	$5.15–$133.00	3% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Antinuclear Antibodies (Ana) Bt Ifa, Reflex to 9-Biomarker Profile (Lc)	$93.10	$133.00	$25.51–$133.00	3% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Connective Tissue Disease (Ctd) Cascade (Lc)	$94.50	$135.00	$26.19–$135.00	5% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Autoimmune Hepatitis Diagnostic Panel, Antinuclear Antibodies (Q)	$94.50	$135.00	$26.19–$135.00	5% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Connective Tissue Diseases Cascade, Ana (Mayo)	$94.50	$135.00	$26.19–$135.00	5% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Autoimmune Liver Disease Profile (Rdl), Ana (Lc)	$94.50	$135.00	$26.19–$135.00	5% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Autoimmune Profile, Antinuclear Antibodies (Lc)	$94.50	$135.00	$26.19–$135.00	5% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Antinuclear Antibodies (Ana), Multiplex (Lc)	$98.00	$140.00	$27.16–$140.00	9% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Ana 12 Profile, Antinuclear Antibodies (Lc)	$99.40	$142.00	$32.29–$142.00	10% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Vasculitis Profile (Rdl), Ana Antibodies (Lc)	$100.10	$143.00	$27.74–$143.00	11% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ana Screen	$164.50	$235.00	$29.72–$290.00	83% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Scleroderma Comprehensive Plus Profile (Rdl), Antinuclear Antibodies (Lc)	$177.80	$254.00	$31.12–$254.00	98% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Ref Ana Screen	$225.40	$322.00	$30.89–$322.00	150% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB Ref Nt-Probnp (Chl)	$206.50	$295.00	$57.23–$295.00	21% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB B-Type Natriuretic Peptide (Bnp)	$228.20	$326.00	$49.84–$423.00	34% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB Nt-Probnp (B-Type Natriuretic Peptide)	$237.30	$339.00	$65.05–$371.00	39% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB Ref Nt-Probnp (Q)	$356.30	$509.00	$59.20–$509.00	108% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB Ref B-Natiuretic Peptide	$374.50	$535.00	$94.23–$535.00	119% above	30%
Basic metabolic panel (blood test) CPT 80048 HB Bmp With Bun/Creat Ratio	$219.80	$314.00	$60.92–$314.00	71% above	30%
Basic metabolic panel (blood test) CPT 80048 HB Basic Metabolic Panel	$219.80	$314.00	$60.92–$314.00	71% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Ref Pathology, Gross and Microscopic Examination, Level IV (Nmg Dp)	$239.40	$342.00	$66.35–$342.00	at median	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Ref Surg Path Level IV (Uchi)	$239.40	$342.00	$66.35–$342.00	at median	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Ref Renal Consult, Surg Path IV (Mayo)	$249.20	$356.00	$69.06–$356.00	4% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Ref Surg Path Level IV, Gross and Micro (Mayo)	$251.30	$359.00	$69.65–$359.00	5% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Prostate Needle Core Level IV	$268.10	$383.00	$89.62–$1,020.00	12% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Ref Surgical Path Level IV (Arup)	$289.10	$413.00	$96.64–$595.00	21% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Ref Surg Path Level IV (Q)	$291.20	$416.00	$89.63–$480.00	22% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Path Exam-Muscle/Nerve	$574.70	$821.00	$192.11–$1,179.00	140% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Cytology Cell Block	$592.90	$847.00	$164.32–$847.00	148% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Ref Nerve Biopsy, Surg Path Level IV (Mcw)	$849.80	$1,214.00	$96.64–$1,214.00	255% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Bone Marrow Cell Block	$1,040.90	$1,487.00	$288.48–$1,487.00	335% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Bone Marrow Core	$1,204.00	$1,720.00	$333.68–$1,720.00	403% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Ref Muscle Biopsy, Surg Path IV (Mcw)	$1,642.90	$2,347.00	$85.41–$2,440.00	586% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Surgical Path Level IV	$8,605.29	$12,293.27	$2,432.00–$2,702.00	3495% above	30%
Blood culture for bacteria CPT 87040 HB Culture, Blood Product	$122.50	$175.00	$31.36–$175.00	19% below	30%
Blood culture for bacteria CPT 87040 HB Ref Blood Culture, Routine (Lc)	$180.60	$258.00	$50.05–$258.00	20% above	30%
Blood culture for bacteria CPT 87040 HB Culture, Blood	$216.30	$309.00	$55.93–$513.00	44% above	30%
Blood culture for bacteria CPT 87040 HB Ref Susceptibility, Streptococcus Sinensis, Culture (Lurie)	$612.50	$875.00	$204.75–$1,135.00	307% above	30%
Blood culture for bacteria CPT 87040 HB Ref Susceptibility, Abiotrophia Defectiva, Culture (Lurie)	$739.90	$1,057.00	$205.06–$1,057.00	392% above	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB Phlebotomy, Blood Culture	$33.60	$48.00	$11.23–$48.00	49% above	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB Venipuncture	$952.70	$1,361.00	$0.01–$303.71	4134% above	30%
Blood glucose (sugar) test CPT 82947 HB Ref Ashe Fibrosure, Glucose (Lc)	$7.70	$11.00	$2.13–$11.00	77% below	30%
Blood glucose (sugar) test CPT 82947 HB Ref Nash Fibrosure, Glucose (Lc)	$34.30	$49.00	$9.13–$49.00	4% above	30%
Blood glucose (sugar) test CPT 82947 HB Ref Metabolic Panel, Glucose (Q)	$39.90	$57.00	$11.06–$57.00	21% above	30%
Blood glucose (sugar) test CPT 82947 HB Ref Glucose Tolerance Test, Postprandial/1 Hr (Q)	$39.90	$57.00	$11.06–$57.00	21% above	30%
Blood glucose (sugar) test CPT 82947 HB Glucose, Blood, (Bg)	$42.70	$61.00	$14.27–$92.00	30% above	30%
Blood glucose (sugar) test CPT 82947 HB Ref Nafld Fibrosis Score, Glucose Level (Q)	$42.70	$61.00	$11.83–$61.00	30% above	30%
Blood glucose (sugar) test CPT 82947 HB Ref Glucose, Fasting and Postprandial/2-Hour (Q)	$42.70	$61.00	$11.83–$61.00	30% above	30%
Blood glucose (sugar) test CPT 82947 HB Assay Glucose Blood Quant (POC)	$44.10	$63.00	$12.22–$63.00	34% above	30%
Blood glucose (sugar) test CPT 82947 HB Ref Glucose, Serum (Q)	$44.10	$63.00	$12.22–$63.00	34% above	30%
Blood glucose (sugar) test CPT 82947 HB Glucose, (POCT)	$44.10	$63.00	$12.22–$63.00	34% above	30%
Blood glucose (sugar) test CPT 82947 HB Glucose Assay	$99.40	$142.00	$15.91–$142.00	202% above	30%
Blood lead test CPT 83655 HB Ref Heavy Metals Profile II, Urine, Lead (Lc)	$25.90	$37.00	$6.79–$92.00	55% below	30%
Blood lead test CPT 83655 HB Ref Lead, Capillary (Q)	$31.50	$45.00	$12.15–$77.00	45% below	30%
Blood lead test CPT 83655 HB Ref Heavy Metals Comprehensive Panel, Lead (Q)	$33.60	$48.00	$8.89–$77.00	42% below	30%
Blood lead test CPT 83655 HB Ref Heavy Metals Profile II, Whole Blood,Assay of Lead (Lc)	$53.90	$77.00	$14.94–$77.00	6% below	30%
Blood lead test CPT 83655 HB Ref Heavy Metal Screen, Lead (Mayo)	$53.90	$77.00	$14.94–$77.00	6% below	30%
Blood lead test CPT 83655 HB Ref Lead, Blood (Mayo)	$53.90	$77.00	$14.94–$77.00	6% below	30%
Blood lead test CPT 83655 HB Ref Lead, 24 Hour Urine (Mayo)	$53.90	$77.00	$14.94–$77.00	6% below	30%
Blood lead test CPT 83655 HB Ref Lead, Urine (Gva)	$53.90	$77.00	$14.94–$77.00	6% below	30%
Blood lead test CPT 83655 HB Ref Genova Panel, Lead Whole Blood (Gva)	$55.30	$79.00	$15.33–$79.00	4% below	30%
Blood lead test CPT 83655 HB Ref Lead, Blood (Q)	$56.00	$80.00	$15.52–$180.00	3% below	30%
Blood lead test CPT 83655 HB Ref Heavy Metals Screen, Lead, Whole Blood	$56.00	$80.00	$15.52–$174.00	3% below	30%
Blood lead test CPT 83655 HB Ref Heavy Metals Screen, Lead, 24 Hour Urine	$56.00	$80.00	$15.52–$174.00	3% below	30%
Blood lead test CPT 83655 HB Ref Heavy Metal Screen Lead, Urine Random (Q)	$56.00	$80.00	$14.74–$174.00	3% below	30%
Blood lead test CPT 83655 HB Ref Heavy Metal Panel, Lead, Blood	$59.50	$85.00	$16.49–$85.00	3% above	30%
Blood lead test CPT 83655 HB Ref Lead, Urine	$62.30	$89.00	$17.27–$89.00	8% above	30%
Blood lead test CPT 83655 HB Ref Lead, Hair (Q)	$79.10	$113.00	$18.02–$113.00	38% above	30%
Blood lead test CPT 83655 HB Ref Lead Level, Filter Paper (Lc)	$80.50	$115.00	$19.89–$174.00	40% above	30%
Blood lead test CPT 83655 HB Ref Lead, Whole Blood, Osha	$205.10	$293.00	$40.72–$293.00	257% above	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB Human Chorionic Gonadotropin Qual	$63.70	$91.00	$17.65–$270.00	11% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB Ref Chronionic Gonadotropin Qual	$101.50	$145.00	$28.13–$145.00	41% above	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB Urine Pregnancy Test	$116.20	$166.00	$21.06–$166.00	61% above	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB Ref Antibody ID Package (Irl), Abo (Arup)	$84.00	$120.00	$23.28–$120.00	2% above	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB Ref Dat Neg Hemolytic Anemia Eval, Abo Typing (Bcw)	$84.00	$120.00	$23.28–$120.00	2% above	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB Ref Abo Group Blood Typing	$98.70	$141.00	$3.98–$141.00	20% above	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB Abo Group Blood Typing	$103.60	$148.00	$25.61–$153.00	26% above	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB Abo Blood Typing Confirmation	$103.60	$148.00	$25.61–$153.00	26% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-Reactive Protein (Crp)	$88.90	$127.00	$18.95–$293.00	32% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB Ref C-Reactive Protein (Crp) Inflm	$92.40	$132.00	$25.61–$132.00	37% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB Ref Ibs Sgi Diagnostic, Bill Only, Crp	$92.40	$132.00	$25.61–$132.00	37% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB Ref C-Reactive Protein (Crp)	$92.40	$132.00	$25.61–$132.00	37% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB Ref Ibd Diagnostic, C-Reactive Protein (Pro-Z)	$177.10	$253.00	$12.64–$274.00	162% above	30%
C. difficile toxin gene test (stool PCR) CPT 87493 HB C. Difficile Pcr	$233.80	$334.00	$17.08–$334.00	26% above	30%
C. difficile toxin gene test (stool PCR) CPT 87493 HB Ref C. Difficile Pcr (Q)	$260.40	$372.00	$42.12–$372.00	40% above	30%
C. difficile toxin gene test (stool PCR) CPT 87493 HB Ref Clostridium Difficile Pcr, Stool	$260.40	$372.00	$87.05–$372.00	40% above	30%
CA 19-9 blood test (tumor marker) CPT 86301 HB Carbohydrate Antigen 19-9	$213.50	$305.00	$32.76–$305.00	103% above	30%
CA 19-9 blood test (tumor marker) CPT 86301 HB Ref Carbohydrate Antigen 19-9	$237.30	$339.00	$25.22–$545.00	126% above	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 HB Ref Cancer Antigen 125	$206.50	$295.00	$69.03–$504.00	32% above	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 HB Cancer Antigen 125	$266.00	$380.00	$46.80–$581.00	71% above	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 HB Cancer Antigen 125 (N/C)	$266.00	$380.00	$53.82–$472.00	71% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Coronavirus Ncov-19, Direct Pcr	$115.50	$165.00	$32.01–$165.00	15% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Coronavirus Sars-Cov-2 by Multiplex Pcr (A)	$115.50	$165.00	$32.01–$165.00	15% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Ref Sars-Cov-2 (Covid-19) Qualitative (Uwash)	$115.50	$165.00	$32.01–$165.00	15% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Rapid Sars-Cov-2 by Multiplex Pcr (R)	$115.50	$165.00	$32.01–$165.00	15% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Coronavirus Ncov-19 by Pcr (2019)	$115.50	$165.00	$32.01–$165.00	15% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Rapid Coronavirus (Covid 19) Assay (C)	$115.50	$165.00	$32.01–$165.00	15% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Coronavirus (Covid-19) Test (POCT)	$115.50	$165.00	$32.01–$165.00	15% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HB Ref Sars-Cov-2 by Reverse Transcriptase, Rt-Pcr (Mdl)	$115.50	$165.00	$32.01–$165.00	15% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HB Ref Sars-Cov-2 Rna, Qual Rt-Pcr (Mayo)	$115.50	$165.00	$32.01–$165.00	15% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HB Ref Sars-Cov-2 Plus Quantitative Flu a/ Flu B Rsv Rt-Pcr (Vc)	$125.30	$179.00	$34.73–$179.00	25% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Sureswab Advanced Vaginitis Plus Tma, Chlamydia Amp Probe (Q)	$29.40	$42.00	$7.49–$206.00	78% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Surepath, Chlamydia Trachomatis, Pcr	$79.80	$114.00	$26.68–$114.00	40% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Fda, Chlamydia Rna (Vc)	$79.80	$114.00	$22.12–$322.00	40% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Chlamydia Trachomatis, Tma (Alternate Target), Urogenital	$99.40	$142.00	$27.55–$206.00	25% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Chlamydia Trachomatis, Pcr	$103.60	$148.00	$28.71–$322.00	22% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Vaginitis Plus, Chlamydia Trach0matis,Amp Probe (Lc)	$144.20	$206.00	$39.96–$206.00	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref CT, Ng, Mycoplasma Profile, Chlamydia Trachomatis Dna Amp Probe (Lc)	$144.20	$206.00	$39.96–$206.00	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Chlamydia Trachomatis, Pcr (Mdl)	$144.20	$206.00	$39.96–$206.00	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Chlamydia/Neisseria Gonorrhoeae Rna, Tma With Reflex to Alternate Target, Chlmyd (Q)	$151.90	$217.00	$42.10–$217.00	15% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Chlamydia Trachomatis, Naa (Lc)	$151.90	$217.00	$42.10–$217.00	15% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Chlamydia/Neisseria Gonrrhoeae Rna, Tma Rectal, Chlmyd Trach (Q)	$151.90	$217.00	$42.10–$217.00	15% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Sexually Transmitted Infections (Sti) Profile, Chlmyd Trach Dna Amp Probe (Lc)	$151.90	$217.00	$42.10–$217.00	15% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Chlamydia Trachomatis, Pcr	$170.10	$243.00	$36.97–$393.00	28% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Chlamydia Trachomatis, Conjunctival Swab, Naa	$173.60	$248.00	$44.69–$322.00	31% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Ref Vag Screen, Chlamydia Trachomatis, Amp Probe	$353.50	$505.00	$75.35–$505.00	167% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Lipid Panel	$184.10	$263.00	$51.02–$263.00	66% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Lipid Panel (Lc)	$184.10	$263.00	$51.02–$263.00	66% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Lipid Risk Panel W/Score	$184.10	$263.00	$51.02–$263.00	66% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Lipoprotein Fractionation, Lipid Panel (Chl)	$184.10	$263.00	$51.02–$263.00	66% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Lipoprotein Profile, Lipid Panel (Mayo)	$184.10	$263.00	$51.02–$263.00	66% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Lipid Panel (Triglycerides, Total Cholesterol, Hdl) (Gva)	$184.10	$263.00	$51.02–$263.00	66% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Lipid Panel W/ Reflex to Direct Ldl (Q)	$184.10	$263.00	$51.02–$263.00	66% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Cardio Iq Advanced Panel, Lipid Panel	$184.10	$263.00	$51.02–$263.00	66% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Lipid Panel, Reflex Ldl-D	$184.10	$263.00	$51.02–$263.00	66% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Lipoprotein Phenotype, Lipid Panel	$184.10	$263.00	$51.02–$263.00	66% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Ref Metabolic Risk Panel, Lipid Panel (Q)	$184.10	$263.00	$51.02–$263.00	66% above	30%
Complete blood count (CBC) with differential CPT 85025 HB Ref Liver Fibrosis Risk Profile, Cbc W/Diff (Lc)	$78.40	$112.00	$21.73–$112.00	at median	30%
Complete blood count (CBC) with differential CPT 85025 HB Ref Anemia Profile B, Cbc (Lc)	$78.40	$112.00	$21.73–$112.00	at median	30%
Complete blood count (CBC) with differential CPT 85025 HB Ref Preeclampsia Monitoring Profile, Cbc W/ Diff (Lc)	$84.00	$120.00	$28.08–$120.00	7% above	30%
Complete blood count (CBC) with differential CPT 85025 HB Cbc With Differential	$113.40	$162.00	$22.46–$197.00	45% above	30%
Complete blood count (CBC) with differential CPT 85025 HB Ref Cbc W/ Platelets & Differential	$153.30	$219.00	$51.25–$219.00	96% above	30%
Complete blood count (CBC), no differential CPT 85027 HB Ref Cbc (Q)	$65.10	$93.00	$18.04–$93.00	2% above	30%
Complete blood count (CBC), no differential CPT 85027 HB Ref Hemoglobinopathy Fractionation Cascade, Cbc (Lc)	$67.90	$97.00	$18.82–$97.00	6% above	30%
Complete blood count (CBC), no differential CPT 85027 HB Cbc	$86.10	$123.00	$20.12–$175.00	35% above	30%
Comprehensive metabolic panel (blood test) CPT 80053 HB Ref Cmp With Bun/Creat Ratio	$306.60	$438.00	$84.97–$438.00	103% above	30%
Comprehensive metabolic panel (blood test) CPT 80053 HB Cmp With Bun/Creat Ratio	$306.60	$438.00	$84.97–$438.00	103% above	30%
Comprehensive metabolic panel (blood test) CPT 80053 HB Ref Comprehensive Metabolic Panel	$306.60	$438.00	$84.97–$438.00	103% above	30%
Comprehensive metabolic panel (blood test) CPT 80053 HB Ref Chem-12/Alt (Gva)	$306.60	$438.00	$84.97–$438.00	103% above	30%
Comprehensive metabolic panel (blood test) CPT 80053 HB Comprehensive Metabolic Panel	$306.60	$438.00	$84.97–$438.00	103% above	30%
D-dimer blood test (blood clot marker) CPT 85379 HB Ref Bleeding Diathesis Profile, Fibrin Degradation Quant (Mayo)	$127.40	$182.00	$35.31–$182.00	21% above	30%
D-dimer blood test (blood clot marker) CPT 85379 HB Ref Prolonged Clot Time, Fibrin Degradation Quant (Mayo)	$134.40	$192.00	$37.25–$192.00	28% above	30%
D-dimer blood test (blood clot marker) CPT 85379 HB Ref Disseminated Intravascular Coagulation (Dic) Profile, Fibrin Degration (Lc)	$134.40	$192.00	$37.25–$192.00	28% above	30%
D-dimer blood test (blood clot marker) CPT 85379 HB Ref Thrombophilia Profile, Fibrin Degradation Quant (Mayo)	$134.40	$192.00	$37.25–$192.00	28% above	30%
D-dimer blood test (blood clot marker) CPT 85379 HB Ref Thrombosis, Venous Risk Profile, D-Dimer, Quantitative (Lc)	$136.50	$195.00	$45.63–$195.00	30% above	30%
D-dimer blood test (blood clot marker) CPT 85379 HB Ref Markers of Coagulation Activation, Fibrin Degradation Quant (Lc)	$140.70	$201.00	$38.99–$201.00	34% above	30%
D-dimer blood test (blood clot marker) CPT 85379 HB Ref D-Dimer Quant	$172.90	$247.00	$57.80–$247.00	65% above	30%
D-dimer blood test (blood clot marker) CPT 85379 HB D-Dimer Quant	$181.30	$259.00	$15.91–$259.00	73% above	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 HB Ref Dhea-S (Sanesco)	$49.00	$70.00	$13.58–$70.00	54% below	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 HB Ref Dhea-Sulfate (Serum) (Gva)	$116.90	$167.00	$39.08–$167.00	9% above	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 HB Ref Dhea Sulfate (Q)	$163.10	$233.00	$45.20–$233.00	52% above	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 HB Dhea Sulfate Level	$303.80	$434.00	$50.31–$434.00	183% above	30%
Estradiol blood test CPT 82670 HB Ref Estradiol, Ultrasensitive, Lc/Ms (Q)	$38.50	$55.00	$10.06–$214.00	64% below	30%
Estradiol blood test CPT 82670 HB Ref Estradiol (Sanesco)	$61.60	$88.00	$17.07–$88.00	42% below	30%
Estradiol blood test CPT 82670 HB Estradiol	$84.00	$120.00	$19.89–$428.00	21% below	30%
Estradiol blood test CPT 82670 HB Ref Estradiol (Q)	$109.20	$156.00	$28.55–$476.00	3% above	30%
Estradiol blood test CPT 82670 HB Ref Estradiol, Ultrasensitive, Lc/Ms/Ms (Q)	$143.50	$205.00	$37.44–$476.00	35% above	30%
Estradiol blood test CPT 82670 HB Ref Estrogen, Fractionated, Estradiol (Lc)	$160.30	$229.00	$44.43–$229.00	51% above	30%
Estradiol blood test CPT 82670 HB Ref Estradiol (Gva)	$160.30	$229.00	$53.59–$229.00	51% above	30%
Estradiol blood test CPT 82670 HB Ref Estradiol by Tms (Mayo)	$165.20	$236.00	$45.78–$236.00	56% above	30%
Estradiol blood test CPT 82670 HB Ref Estradiol, Free Lc/Ms/Ms	$505.40	$722.00	$34.02–$722.00	376% above	30%
FSH (follicle-stimulating hormone) test CPT 83001 HB Ref Fsh (Follicle Stimulating Hormone), Pediatrics	$101.50	$145.00	$26.44–$145.00	12% below	30%
FSH (follicle-stimulating hormone) test CPT 83001 HB Ref Follicle Stimulating Hormone - (Gva)	$118.30	$169.00	$32.79–$169.00	3% above	30%
FSH (follicle-stimulating hormone) test CPT 83001 HB Follicle Stimulating Hormone (Fsh)	$130.20	$186.00	$36.08–$399.00	13% above	30%
FSH (follicle-stimulating hormone) test CPT 83001 HB Ref Follicle Stimulating Hormone (Fsh)	$339.50	$485.00	$16.38–$485.00	195% above	30%
Fecal calprotectin (stool inflammation test) CPT 83993 HB Ref Calprotectin (Gva)	$184.10	$263.00	$51.02–$263.00	8% above	30%
Fecal calprotectin (stool inflammation test) CPT 83993 HB Calprotectin, Fecal	$193.20	$276.00	$52.42–$331.00	14% above	30%
Fecal calprotectin (stool inflammation test) CPT 83993 HB Ref Calprotectin, Fecal (Q)	$360.50	$515.00	$58.03–$1,998.00	112% above	30%
Ferritin blood test (iron stores) CPT 82728 HB Ref Anemia Profile B, Ferritin (Lc)	$144.20	$206.00	$39.96–$206.00	12% above	30%
Ferritin blood test (iron stores) CPT 82728 HB Ref Ferritin	$144.20	$206.00	$39.96–$206.00	12% above	30%
Ferritin blood test (iron stores) CPT 82728 HB Ref Thalassemia & Hemoglobinopathy Comprehensive Evaluation, Ferritin (Q)	$144.20	$206.00	$39.96–$206.00	12% above	30%
Ferritin blood test (iron stores) CPT 82728 HB Ref Hemoglobinopathy Fractionation Cascade, Ferritin (Lc)	$144.20	$206.00	$39.96–$206.00	12% above	30%
Ferritin blood test (iron stores) CPT 82728 HB Ref Thalassemia and Hemoglobinopathy Evaluation, Ferritin (Mayo)	$144.20	$206.00	$39.96–$206.00	12% above	30%
Ferritin blood test (iron stores) CPT 82728 HB Ferritin	$144.20	$206.00	$39.96–$206.00	12% above	30%
Folate (folic acid) blood test CPT 82746 HB Ref Anemia Profile B, Folic Acid (Lc)	$104.30	$149.00	$28.91–$149.00	at median	30%
Folate (folic acid) blood test CPT 82746 HB Ref Micronutrients, B-Vitamin Panel, Folic Acid (Q)	$109.20	$156.00	$30.26–$156.00	5% above	30%
Folate (folic acid) blood test CPT 82746 HB Folic Acid	$130.90	$187.00	$22.23–$299.00	26% above	30%
Folate (folic acid) blood test CPT 82746 HB Ref Folic Acid, Serum (Q)	$167.30	$239.00	$55.93–$239.00	60% above	30%
Folate (folic acid) blood test CPT 82746 HB Ref Anemia Profile, Folic Acid Level (Lc)	$174.30	$249.00	$36.97–$249.00	67% above	30%
Free T3 thyroid hormone test CPT 84481 HB Ref Triiodothyronine, Total and Free, T3 by Dialysis	$125.30	$179.00	$34.73–$179.00	34% above	30%
Free T3 thyroid hormone test CPT 84481 HB T3 Free	$247.10	$353.00	$15.71–$388.00	163% above	30%
Free T3 thyroid hormone test CPT 84481 HB Ref T3 Free	$274.40	$392.00	$91.73–$392.00	192% above	30%
Free T3 thyroid hormone test CPT 84481 HB Ref Free T3 by Dialysis	$274.40	$392.00	$9.13–$439.00	192% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB Ref Free T4 (Gva)	$121.10	$173.00	$33.56–$173.00	5% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB Ref Thyroxine, Free, Direct Dialysis (Mayo)	$121.10	$173.00	$33.56–$173.00	5% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB Ref T4, Free (Lc)	$121.10	$173.00	$33.56–$173.00	5% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB Ref T4, Free	$121.10	$173.00	$33.56–$173.00	5% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB T4, Free	$121.10	$173.00	$33.56–$173.00	5% above	30%
Free testosterone test CPT 84402 HB Ref Testosterone (Sanesco)	$56.00	$80.00	$15.52–$80.00	54% below	30%
Free testosterone test CPT 84402 HB Ref Steroid Panel, Polycystic Ovary Syndrome, Free Testosterone (Q)	$114.80	$164.00	$31.82–$164.00	6% below	30%
Free testosterone test CPT 84402 HB Testosterone, Free, Calculated	$114.80	$164.00	$31.82–$164.00	6% below	30%
Free testosterone test CPT 84402 HB Ref Testosterone, Total, Bioavailable and Free, Free, Serum (Mayo)	$114.80	$164.00	$31.82–$164.00	6% below	30%
Free testosterone test CPT 84402 HB Ref Hormone Profile 4001, Testosterone, Free, Serum (Gva)	$114.80	$164.00	$31.82–$164.00	6% below	30%
Free testosterone test CPT 84402 HB Ref Testosterone, Salivary (Gva)	$122.50	$175.00	$40.95–$175.00	at median	30%
Free testosterone test CPT 84402 HB Testosterone, Free by Lc Ms/Ms	$128.80	$184.00	$43.06–$287.00	5% above	30%
Free testosterone test CPT 84402 HB Ref Testosterone Bio/Shbg, Testosterone, Free	$237.30	$339.00	$35.33–$339.00	94% above	30%
Free testosterone test CPT 84402 HB Ref Testosterone, Free (Q,Lc)	$237.30	$339.00	$34.63–$339.00	94% above	30%
Free testosterone test CPT 84402 HB Ref Testosterone, Free (Lc)	$237.30	$339.00	$79.33–$339.00	94% above	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB Ref Glucose, Two-Hour Postprandial (Lc)	$39.90	$57.00	$11.06–$57.00	at median	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB Glucose, Post Glucose Dose	$154.70	$221.00	$15.33–$221.00	287% above	30%
Glucose tolerance test, 3 samples CPT 82951 HB Glucose Tolerance, 2 Hour	$350.00	$500.00	$40.74–$500.00	180% above	30%
Glucose tolerance test, 3 samples CPT 82951 HB Ref Glucose Tolerance, 3 Specimens (Lc)	$389.20	$556.00	$1.17–$556.00	211% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Sureswab Advanced Vaginitis Plus Tma, Neisseria Amp Probe (Q)	$29.40	$42.00	$7.49–$206.00	79% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Fda, Gc Rna (Vc)	$79.80	$114.00	$22.12–$330.00	44% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Neisseria Gonorrhoeae, Pcr	$102.20	$146.00	$28.32–$330.00	28% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Surepath, Neisseria Gonorrhoeae, Pcr	$112.00	$160.00	$37.44–$227.00	21% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Neisseria Gonorrhoeae, Pcr (Mdl)	$144.20	$206.00	$39.96–$206.00	2% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Vaginitis Plus, N.Gonorrhoeae, Amp Probe (Lc)	$144.20	$206.00	$39.96–$206.00	2% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref CT, Ng, Mycoplasma Profile, N.Gonorrhoeae Dna Amp Prob (Lc)	$144.20	$206.00	$39.96–$206.00	2% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Neisseria Gonorrhoeae, Naa (Lc)	$151.20	$216.00	$41.90–$216.00	7% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Chlamydia/Neisseria Gonrrhoeae Rna, Tma Rectal, N Gono (Q)	$151.20	$216.00	$41.90–$216.00	7% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Sexually Transmitted Infections (Sti) Profile, N. Gonorrhoeae Dna Amp Prob (Lc)	$151.20	$216.00	$41.90–$216.00	7% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Chlamydia/Neisseria Gonorrhoeae Rna, Tma With Reflex to Alternate Target, N. Gono (Q)	$151.20	$216.00	$41.90–$216.00	7% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Neisseria Gonorrhoeae, Pcr	$159.60	$228.00	$23.17–$393.00	12% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Ref Vag Screen, Neisseria Gonorrhoeae, Amp Probe	$422.80	$604.00	$77.22–$604.00	198% above	30%
H. pylori antibody blood test CPT 86677 HB Ref Helicobacter Pylori Antibody, Igm	$125.30	$179.00	$34.73–$179.00	10% above	30%
H. pylori antibody blood test CPT 86677 HB Ref Helicobacter Pylori Antibody Igm	$126.70	$181.00	$35.11–$181.00	11% above	30%
H. pylori antibody blood test CPT 86677 HB Ref Helicobacter Pylori Antibody, Iga	$138.60	$198.00	$38.41–$198.00	21% above	30%
H. pylori antibody blood test CPT 86677 HB H. Pylori Igg Antibody	$325.50	$465.00	$47.03–$574.00	185% above	30%
H. pylori stool antigen test CPT 87338 HB Ref Heliobacter Pylori Antigen, Stool (Gva)	$116.20	$166.00	$32.20–$166.00	20% above	30%
H. pylori stool antigen test CPT 87338 HB Helicobacter Pylori Antigen, Stool (Cdh)	$116.20	$166.00	$32.20–$166.00	20% above	30%
H. pylori stool antigen test CPT 87338 HB H. Pylori Stool Ia	$170.10	$243.00	$25.51–$109.00	75% above	30%
H. pylori stool antigen test CPT 87338 HB Ref H. Pylori Stool Ia	$245.00	$350.00	$20.76–$350.00	152% above	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB Ref Hiv-1 Rna, Quantitative, Real-Time Pcr, CSF (Q)	$192.50	$275.00	$53.35–$499.00	36% below	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB Ref Hiv, Quantitative, Pcr	$299.60	$428.00	$83.03–$428.00	at median	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB Ref Hiv-1 Rna Detection and Quantification, Plasma (Mayo)	$384.30	$549.00	$106.51–$549.00	28% above	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB Ref Hiv-1 Rna, Quantitative, Pcr With Reflex to Genotype (Rti,Pi,Integrase) (Q)	$384.30	$549.00	$106.51–$549.00	28% above	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB Hiv, Quantitative, Pcr	$410.20	$586.00	$73.14–$1,631.00	37% above	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB Ref Genosure, Hiv-1 Quant Rna Pcr (Lc)	$737.80	$1,054.00	$103.21–$1,054.00	146% above	30%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HB Ref Hiv-1 Rna Quantitative, Rt-Pcr (Q)	$365.40	$522.00	$101.27–$522.00	22% above	30%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HB Ref Hiv-1, Quantitative, Rt-Pcr (Lc)	$403.20	$576.00	$111.74–$576.00	34% above	30%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HB Ref Hiv-1, Quant, Rt Pcr (Graphical)	$737.80	$1,054.00	$92.66–$1,054.00	146% above	30%
HIV-1 and HIV-2 antibody test CPT 86703 HB Ref Fda, Hiv 1/2+O Antibody Screen (Vc)	$83.30	$119.00	$23.09–$300.00	30% below	30%
HIV-1 and HIV-2 antibody test CPT 86703 HB Ref Hiv-1/Hiv-2 Single Result	$121.80	$174.00	$33.76–$174.00	2% above	30%
HIV-1 and HIV-2 antibody test CPT 86703 HB Hiv-1/Hiv-2 Single Result	$141.40	$202.00	$39.19–$202.00	18% above	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Ref Hiv P24 Antigen/Antibody W/Reflex to Confirmation (Lc)	$96.60	$138.00	$26.77–$138.00	14% below	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Ref Hiv-1/2 Antigen and Antibodies,Fourth Generation, With Reflexes (Q)	$106.40	$152.00	$29.49–$152.00	5% below	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Ref Sexually Transmitted Infections (Sti) Profile, Hiv-1 Ag W/Hiv-1&-2 Ab Ag Ia (Lc)	$106.40	$152.00	$29.49–$152.00	5% below	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Ref Hiv Ag/Ab, Reflex Confirmation (Q)	$106.40	$152.00	$29.49–$152.00	5% below	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Ref Donor Hiv-1/Hiv-2 Plus O Ab Screen (Lc)	$112.00	$160.00	$31.04–$160.00	at median	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Hiv Antigen/Antibody Combination	$189.70	$271.00	$11.45–$271.00	69% above	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Ref Hiv Antigen/Antibody Combination	$210.00	$300.00	$70.20–$300.00	87% above	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Ref Hiv Antigen/Antibody	$210.00	$300.00	$70.20–$300.00	87% above	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Ref Surepath, Hpv Mrna E6/E7	$123.90	$177.00	$41.42–$177.00	15% below	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Ref Hpv Mrna E6/E7, Rectal With Reflex to Genotypes, 16, 18/45 (Q)	$146.30	$209.00	$40.55–$209.00	at median	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Ref Hpv Dna Tissue Testing (Neog)	$146.30	$209.00	$40.55–$209.00	at median	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Ref Hpv Type-Detect 3.0, Ngs (Mdl)	$151.90	$217.00	$42.10–$217.00	4% above	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Ref Hpv Dna, High Risk	$184.10	$263.00	$61.54–$461.00	26% above	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Ref Hpv High and Low Risk,Dna	$184.10	$263.00	$51.02–$263.00	26% above	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Hpv High-Risk Types	$266.70	$381.00	$34.16–$381.00	82% above	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Ref Hpv High-Risk Types	$295.40	$422.00	$16.10–$422.00	102% above	30%
HPV test for high-risk types, one combined (pooled) result one side CPT 87624 HB Ref Hpv 4.0, High Risk, Rt-Pcr (Mdl)	$149.10	$213.00	$49.84–$213.00	2% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Hemoglobin A1c	$116.90	$167.00	$32.40–$167.00	44% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Ref Glycomark and Hba1c, Hba1c (Lc)	$116.90	$167.00	$32.40–$167.00	44% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Hemoglobin A1c (POCT)	$116.90	$167.00	$32.40–$167.00	44% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Ref Hemoglobin A1c (Lc)	$116.90	$167.00	$32.40–$167.00	44% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Glycosylated Hemoglobin Test (POC A1c)	$116.90	$167.00	$32.40–$167.00	44% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Ref Metabolic Risk Panel, Hemoglobin A1c (Q)	$116.90	$167.00	$32.40–$167.00	44% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Ref Hemoglobin A1c (Q)	$116.90	$167.00	$32.40–$167.00	44% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Ref Cardio Iq� Hemoglobin A1c (Q)	$116.90	$167.00	$32.40–$167.00	44% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB Ref Sexually Transmitted Infections (Sti) Profile, Hep B Surface Antibody (Lc)	$93.80	$134.00	$26.00–$134.00	10% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB Hepatitis B Surface Antibody	$216.30	$309.00	$16.15–$365.00	153% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB Ref Hepatitis B Surface Antibody	$240.10	$343.00	$80.26–$343.00	180% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Ref Fda, Hepatitis B Surface Antigen (Vc)	$79.80	$114.00	$22.12–$365.00	1% below	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Ref Sexually Transmitted Infections (Sti) Profile, Hepatitis B Surface Ag Ia (Lc)	$93.10	$133.00	$25.80–$133.00	16% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Ref Ivf Male Panel	$94.50	$135.00	$26.19–$135.00	18% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Hepatitis B Surface Antigen	$108.50	$155.00	$30.07–$329.00	35% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Ref Hepatitis B Surface Antigen	$110.60	$158.00	$26.68–$365.00	38% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Unrelated Confirm Type Infectious Disease Markers; National	$1,327.90	$1,897.00	$368.02–$1,897.00	1555% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Unrelated Confirm Type Infectious Disease Markers; International	$6,109.60	$8,728.00	$1,693.23–$8,728.00	7515% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HB Ref Fda, Hepatitis C Antibody (Vc)	$83.30	$119.00	$23.09–$461.00	23% below	30%
Hepatitis C antibody blood test (screening) CPT 86803 HB Ref Sexually Transmitted Infections (Sti) Profile, Hepatitis C Ab Test (Lc)	$112.00	$160.00	$31.04–$160.00	4% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HB Ref Hcv Antibody (Lc)	$116.90	$167.00	$32.40–$167.00	8% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HB Ref Hepatitis C Virus (Hcv) Chlia (Vc)	$116.90	$167.00	$32.40–$167.00	8% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HB Hepatitis C Antibody	$272.30	$389.00	$20.12–$415.00	152% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HB Ref Hepatitis C Antibody(Q)	$322.70	$461.00	$55.69–$461.00	199% above	30%
Hepatitis C antibody blood test (screening) one side CPT 86803 HB Ref Hepatitis C Virus (Hcv) Antibody With Reflex to Quant Rt-Pcr (Lc)	$112.00	$160.00	$31.04–$160.00	4% above	30%
Hepatitis C antibody blood test (screening) one side CPT 86803 HB Ref Hcv Rt-Pcr, Quant (Lc)	$116.90	$167.00	$32.40–$167.00	8% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB Ref Hepatitis C Virus (Hcv) Rna Quantification With Reflex to Hcv Genotype, Serum (Mayo)	$303.10	$433.00	$84.00–$433.00	21% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB Ref Hcv Quantasure (Ngi)	$369.60	$528.00	$123.55–$1,392.00	48% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB Hepatitis C, Quantitative, Pcr	$688.10	$983.00	$46.80–$983.00	175% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB Ref C Virus Rna Quant (Pcr) (Q)	$764.40	$1,092.00	$123.55–$1,092.00	206% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB Ref Hep C Virus Rna Quant (Pcr)	$764.40	$1,092.00	$52.88–$1,092.00	206% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB Ref Fda, Hcv Quant Pcr (Hcv Confirmatory) (Vrl)	$839.30	$1,199.00	$280.57–$1,555.00	236% above	30%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HB Ref Hcv Rt-Pcr, Quant (Non-Graph) (Lc)	$302.40	$432.00	$82.84–$432.00	21% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Virus 1 Antibody, Igm, Ifa, CSF (Q)	$16.80	$24.00	$4.66–$24.00	74% below	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Virus Type 1 Igm Antibodies (Q)	$25.20	$36.00	$6.98–$92.00	61% below	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Virus Types 1 Igm Antibodies Titer	$27.30	$39.00	$7.57–$39.00	58% below	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Virus Antibodies, Type 1 (Lc)	$68.60	$98.00	$19.01–$98.00	6% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Glycoprotein Antibodies, Type 1 Igg by Cia (Arup)	$72.10	$103.00	$19.98–$103.00	11% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Virus Type 1 Igg Antibodies (Q)	$72.80	$104.00	$20.18–$108.00	12% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Herpes Simplex 1 Antibodies, Igg	$86.10	$123.00	$20.59–$165.00	32% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Type 1, Igm Ab	$114.10	$163.00	$31.62–$163.00	76% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Virus Type 1 Igm Antibody Titer (Q)	$136.50	$195.00	$37.83–$195.00	110% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HB Ref Herpes Simplex Type 1 Antibodies (Uwash)	$205.10	$293.00	$56.84–$293.00	216% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Ref Herpes Simplex Virus 2 Antibody, Igm, Ifa, CSF (Q)	$21.70	$31.00	$6.01–$31.00	76% below	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Ref Herpes Simplex Virus Type 2 Igm Antibodies (Q)	$39.20	$56.00	$10.86–$122.00	56% below	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Ref Herpes Simplex Virus Type 2 Igm Antibodies	$42.00	$60.00	$11.64–$60.00	53% below	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Ref Herpes Simplex Virus 2 (Igg) (Q)	$70.00	$100.00	$23.40–$100.00	22% below	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Ref Herpes Simplex Virus Antibodies, Type 2 (Lc)	$82.60	$118.00	$22.89–$118.00	8% below	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Ref Herpes Simplex Glycoprotein Antibodies, Type 2 Igg by Cia (Arup)	$86.10	$123.00	$23.86–$123.00	4% below	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Herpes Simplex 2 Antibodies, Igg	$86.10	$123.00	$23.86–$182.00	4% below	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Ref Herpes Simplex Virus Type 2 Igg Antibodies (Q)	$88.90	$127.00	$24.64–$131.00	1% below	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Ref Herpes Simplex Virus Type 2 Igg Antibodies (Lc)	$134.40	$192.00	$44.93–$192.00	49% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Ref Herpes Simplex Virus Type 2 Igm Antibody Titer (Q)	$136.50	$195.00	$37.83–$195.00	52% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HB Ref Herpes Simplex Type 2 Antibodies (Uwash)	$205.10	$293.00	$56.84–$293.00	128% above	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB Ref Hs C-Reactive Protein (Hs-Crp) (Gva)	$92.40	$132.00	$25.61–$132.00	3% above	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB Ref Prometheus Monitr� Crohns Disease, Hs-Crp (Pro)	$117.60	$168.00	$34.92–$180.00	32% above	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB Crp High Sensitivity	$177.80	$254.00	$28.31–$724.00	99% above	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB Ref Crp High Sensitivity	$198.10	$283.00	$16.85–$283.00	122% above	30%
Homocysteine blood test CPT 83090 HB Ref Genova Panel, Homocysteine (Gva)	$24.50	$35.00	$8.19–$179.00	77% below	30%
Homocysteine blood test CPT 83090 HB Ref Cardio Iq Homocysteine (Q)	$121.10	$173.00	$33.56–$173.00	15% above	30%
Homocysteine blood test CPT 83090 HB Ref Homocysteine (Chl)	$127.40	$182.00	$35.31–$182.00	21% above	30%
Homocysteine blood test CPT 83090 HB Ref Fetal Demise Profile, Homocystine Assay (Lc)	$127.40	$182.00	$35.31–$182.00	21% above	30%
Homocysteine blood test CPT 83090 HB Ref Venous Thrombosis Hypercoag Panel, Homocystine Assay (Q)	$127.40	$182.00	$35.31–$182.00	21% above	30%
Homocysteine blood test CPT 83090 HB Ref Thrombotic Risk Profile II, Homocysteine (Lc)	$127.40	$182.00	$35.31–$182.00	21% above	30%
Homocysteine blood test CPT 83090 HB Homocysteine	$300.30	$429.00	$41.65–$429.00	185% above	30%
Homocysteine blood test CPT 83090 HB Ref Homocysteine	$333.90	$477.00	$98.28–$477.00	217% above	30%
Insulin blood test CPT 83525 HB Ref Cardio Iq Insulin Resistance Panel W/Score, Insulin (Q)	$72.80	$104.00	$20.18–$104.00	at median	30%
Insulin blood test CPT 83525 HB Ref Insulin Level (Gva)	$76.30	$109.00	$21.15–$109.00	5% above	30%
Insulin blood test CPT 83525 HB Ref Metabolic Risk Panel, Insulin (Q)	$76.30	$109.00	$21.15–$109.00	5% above	30%
Insulin blood test CPT 83525 HB Insulin Level	$182.70	$261.00	$18.43–$261.00	151% above	30%
Insulin blood test CPT 83525 HB Ref Insulin Level	$203.00	$290.00	$20.95–$290.00	179% above	30%
Iron blood test (serum iron) CPT 83540 HB Ref Anemia Profile B, Iron (Lc)	$79.10	$113.00	$21.92–$113.00	8% above	30%
Iron blood test (serum iron) CPT 83540 HB Iron Level	$79.10	$113.00	$21.92–$113.00	8% above	30%
Iron blood test (serum iron) CPT 83540 HB Ref Iron Level (Q, Lc)	$79.10	$113.00	$21.92–$113.00	8% above	30%
Iron blood test (serum iron) CPT 83540 HB Ref Iron, 24-Hour Urine (Q)	$79.10	$113.00	$21.92–$113.00	8% above	30%
Iron blood test (serum iron) CPT 83540 HB Ref Iron Liver Tissue	$79.10	$113.00	$21.92–$113.00	8% above	30%
Iron blood test (serum iron) CPT 83540 HB Ref Micronutrients, Mineral/Element Panel, Iron (Q)	$79.10	$113.00	$21.92–$113.00	8% above	30%
Iron blood test (serum iron) CPT 83540 HB Ref Iron Level (Gva)	$79.10	$113.00	$21.92–$113.00	8% above	30%
Iron-binding capacity (TIBC) test CPT 83550 HB Ref Anemia Profile B, Iron Binding Capacity (Lc)	$68.60	$98.00	$19.01–$98.00	at median	30%
Iron-binding capacity (TIBC) test CPT 83550 HB Ref Anemia Profile, Iron Bindig Capacity (Lc)	$73.50	$105.00	$20.37–$105.00	7% above	30%
Iron-binding capacity (TIBC) test CPT 83550 HB Iron Binding Capacity	$105.00	$150.00	$22.23–$95.00	53% above	30%
Iron-binding capacity (TIBC) test CPT 83550 HB Ref Iron Binding Capacity (Q, Lc)	$118.30	$169.00	$39.55–$169.00	72% above	30%
Kidney function blood test panel CPT 80069 HB Ref Renal Function Panel	$148.40	$212.00	$41.13–$212.00	3% above	30%
Kidney function blood test panel CPT 80069 HB Renal Function Panel	$277.90	$397.00	$43.26–$397.00	94% above	30%
LH (luteinizing hormone) test CPT 83002 HB Ref Luteininzing Hormone, Pediatrics (Q)	$51.80	$74.00	$13.57–$74.00	45% below	30%
LH (luteinizing hormone) test CPT 83002 HB Ref Luteinizing Hormone (Lh), Pediatric (Lc)	$114.80	$164.00	$31.82–$164.00	21% above	30%
LH (luteinizing hormone) test CPT 83002 HB Ref Luteinizing Hormone (Lh), Pediatrics, Serum (Mayo)	$121.10	$173.00	$33.56–$173.00	27% above	30%
LH (luteinizing hormone) test CPT 83002 HB Ref Lutenizing Hormone (Gva)	$121.10	$173.00	$33.56–$173.00	27% above	30%
LH (luteinizing hormone) test CPT 83002 HB Luteinizing Hormone (Lh)	$130.20	$186.00	$35.33–$419.00	37% above	30%
LH (luteinizing hormone) test CPT 83002 HB Ref Luteinizing Hormone (Lh)	$137.90	$197.00	$32.29–$465.00	45% above	30%
Lipase blood test (pancreas enzyme) CPT 83690 HB Ref Pancreatic Enzyme Analysis, Lipase (Q)	$95.90	$137.00	$26.58–$137.00	20% above	30%
Lipase blood test (pancreas enzyme) CPT 83690 HB Lipase	$99.40	$142.00	$11.47–$337.00	24% above	30%
Lipase blood test (pancreas enzyme) CPT 83690 HB Lipase, Fluid	$99.40	$142.00	$24.80–$337.00	24% above	30%
Lipase blood test (pancreas enzyme) CPT 83690 HB Ref Lipase, Urine	$102.90	$147.00	$28.52–$181.00	29% above	30%
Lipase blood test (pancreas enzyme) CPT 83690 HB Ref Lipase, Jp Drainage (Q)	$107.80	$154.00	$29.88–$376.00	35% above	30%
Lipase blood test (pancreas enzyme) CPT 83690 HB Ref Lipase, Body Fluid	$114.10	$163.00	$38.14–$163.00	43% above	30%
Liver function blood test panel CPT 80076 HB Ref Liver Fibrosis Risk Profile, Hepatic Function Panel (Lc)	$120.40	$172.00	$33.37–$172.00	at median	30%
Liver function blood test panel CPT 80076 HB Ref Liver Fibrosis, Hepatic Function Panel (Q)	$139.30	$199.00	$38.61–$199.00	16% above	30%
Liver function blood test panel CPT 80076 HB Hepatic Function Panel	$271.60	$388.00	$18.72–$395.00	126% above	30%
Lyme disease antibody test CPT 86618 HB Ref Lyme Disease European Antibody Screen, Serum (Mayo)	$70.70	$101.00	$21.15–$109.00	at median	30%
Lyme disease antibody test CPT 86618 HB Ref Tick-Borne Disease Antibodies Panel, Borrelia Burgdorferi, Serum (Mayo, Q)	$74.20	$106.00	$24.80–$151.00	5% above	30%
Lyme disease antibody test CPT 86618 HB Ref Borrelia Burgdorferi Antibodies, Total by Elisa (Arup)	$102.20	$146.00	$28.32–$146.00	45% above	30%
Lyme disease antibody test CPT 86618 HB Ref Tick-Borne Disease, Antibody Panel, Lyme Disease Antibody (Q)	$102.20	$146.00	$28.32–$146.00	45% above	30%
Lyme disease antibody test CPT 86618 HB Ref Lyme Disease C6 Peptide Elisa (Mdl)	$102.20	$146.00	$28.32–$146.00	45% above	30%
Lyme disease antibody test CPT 86618 HB Ref Borrelia Burgdorferi C6 Peptide Antibodies	$105.70	$151.00	$29.29–$151.00	50% above	30%
Lyme disease antibody test CPT 86618 HB Ref Lyme Antibodies, Modified 2-Tier Testing Profile (Lc)	$107.10	$153.00	$29.68–$153.00	51% above	30%
Lyme disease antibody test CPT 86618 HB Ref Lyme Disease Serology (Mayo)	$107.10	$153.00	$29.68–$153.00	51% above	30%
Lyme disease antibody test CPT 86618 HB Ref Borrelia Burgdorferi Vlse1/Pepc10 Antibodies, Elisa (Arup)	$107.10	$153.00	$29.68–$153.00	51% above	30%
Lyme disease antibody test CPT 86618 HB Ref Tick-Borne Disease Antibodies Panel, Borrelia Burgdorferi, Serum (Mayo)	$118.30	$169.00	$36.97–$196.00	67% above	30%
Lyme disease antibody test CPT 86618 HB Ref Lyme Serology Igg/Igm/Iga (Igx)	$218.40	$312.00	$73.01–$312.00	209% above	30%
Lyme disease antibody test CPT 86618 HB Lyme Disease Antibody	$221.20	$316.00	$32.76–$316.00	213% above	30%
Lyme disease antibody test CPT 86618 HB Ref Lymes Igg/Igm Antibodies, Each	$245.70	$351.00	$25.97–$537.00	248% above	30%
Lyme disease antibody test CPT 86618 HB Ref Lyme Screen Immunoassay, Igg/Igm Ea (Igx)	$305.20	$436.00	$84.58–$436.00	332% above	30%
Magnesium blood test CPT 83735 HB Ref Magnesium RBC	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Kidney Stone Risk Assessr, Magnesium (Q)	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Supersaturation Profile, 24 Hour Urine, Magnesium (Mayo)	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Magnesium Level, Urine	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Calculi Risk Assessment Urine, Magnesium (Arup)	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Magnesum Level, Stool (Arup)	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Stone Risk Panel, Magnesium (Q)	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Magnesium, 24hr Urine	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Cathartic Laxatives Profile, Magnesium, Stool (Q)	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Magnesium, Urine (Gva)	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Magnesium, Urine	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Micronutrients, Mineral/Element Panel, Magnesium (Q)	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Litholink 24 Hr Urine Panel, Magnesium (Lc)	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Magnesium (Q)	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Litholink Serum Panel, Magnesium (Lc)	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Magnesium Level	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Genova Panel, Magnesium RBC (Gva)	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Kidney Stone, Magnesium Assay (Lc)	$81.20	$116.00	$22.50–$116.00	14% above	30%
Magnesium blood test CPT 83735 HB Ref Electrolyte & Osmolality Panel, Feces, Magnesium (Mayo)	$81.20	$116.00	$22.50–$116.00	14% above	30%
Measles (rubeola) antibody test CPT 86765 HB Ref Immune Status Panel, Rubeola Antibody (Mayo)	$35.00	$50.00	$9.70–$50.00	52% below	30%
Measles (rubeola) antibody test CPT 86765 HB Rubeola Antibody, Igg	$56.70	$81.00	$15.71–$207.00	22% below	30%
Measles (rubeola) antibody test CPT 86765 HB Ref Rubeola Antibodies, Igm (Mayo)	$67.20	$96.00	$18.62–$96.00	7% below	30%
Measles (rubeola) antibody test CPT 86765 HB Ref Rubeola Antibody, Igm	$161.00	$230.00	$31.82–$230.00	122% above	30%
Measles (rubeola) antibody test CPT 86765 HB Ref Rubeola Antibody (Q)	$161.00	$230.00	$9.51–$230.00	122% above	30%
Mono test (heterophile antibody, Monospot) CPT 86308 HB Heterophile Screen	$132.30	$189.00	$30.89–$232.00	84% above	30%
Mono test (heterophile antibody, Monospot) CPT 86308 HB Ref Heterophile Screen	$170.10	$243.00	$56.86–$243.00	136% above	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HB Prostate Health Index, Free Psa	$96.60	$138.00	$26.44–$230.00	6% below	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HB Free Psa	$98.00	$140.00	$27.16–$230.00	5% below	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HB Ref Prostate Health Index, Free Psa (Mayo)	$178.50	$255.00	$29.02–$255.00	74% above	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HB Ref Free Psa	$178.50	$255.00	$55.69–$255.00	74% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Prostate Health Index, Total Psa	$60.20	$86.00	$15.68–$327.00	44% below	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Ref Psa, Post Prostatectomy�With Hama�Treatment (Q)	$60.90	$87.00	$15.91–$253.00	43% below	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Ref Psa, Post Prostatectomy (Q)	$80.50	$115.00	$21.06–$115.00	25% below	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Ref Prostate-Specific Antigen (Psa) Ultrasensitive, Serum (Mayo)	$84.00	$120.00	$22.00–$166.00	22% below	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Ref Hormone Profile 4001, Prostate Specific Antigen, Serum (Gva)	$116.20	$166.00	$32.20–$166.00	8% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Prostate Specific Antigen, Diagnostic	$175.70	$251.00	$38.84–$327.00	63% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Prostate Specific Antigen, Total	$175.70	$251.00	$36.97–$327.00	63% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Ref Total Psa	$254.10	$363.00	$36.97–$363.00	136% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Ref Prostate Health Index, Total Psa (Mayo)	$254.10	$363.00	$40.95–$407.00	136% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Ref Prostate Specific Antigen, Total	$254.10	$363.00	$50.78–$363.00	136% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 HB Ref Surepath Pap, Liquid W/Imaging	$103.60	$148.00	$34.63–$148.00	23% below	30%
Pap test (liquid-based, automated screening with review) CPT 88175 HB Pap Test, Liquid Diagnostic W/Imaging	$128.10	$183.00	$35.50–$191.00	5% below	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB Ref Surepath Pap, Liquid	$83.30	$119.00	$23.09–$119.00	24% below	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB Pap Test, Liquid, Diagnostic	$129.50	$185.00	$35.89–$236.00	18% above	30%
Parathyroid hormone (PTH) blood test CPT 83970 HB Parathyroid Hormone, Intact	$352.10	$503.00	$38.84–$503.00	62% above	30%
Parathyroid hormone (PTH) blood test CPT 83970 HB Ref Parathyroid Hormone (Pth), Intact	$391.30	$559.00	$54.05–$559.00	80% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Vw Comprehensive Panel, Partial Thromboplastin Time (Q)	$23.80	$34.00	$6.60–$126.00	57% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Factor VIII Inhibitor Panel, Ptt (Lc)	$30.80	$44.00	$8.54–$44.00	44% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Lupus Anticoagulant Profile, Thromboplastin Time Partial (Mayo)	$73.50	$105.00	$20.37–$105.00	33% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Antiphospholipid Syndrome (Aps) Profile, Thromboplastin Time Partial (Lc)	$73.50	$105.00	$20.37–$105.00	33% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Bleeding Diathesis Profile, Partial Thromboplastin Time (Mayo)	$73.50	$105.00	$20.37–$105.00	33% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Factor V Inhibitor Profile, Thromboplastin Time Partial (Lc)	$73.50	$105.00	$20.37–$105.00	33% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Antiphospholipid Syndrome Diagnostic Panel, Beta-2 Glycoprotein Antibody (Q)	$73.50	$105.00	$20.37–$105.00	33% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Factor VII Inhibitor Profile, Thromboplastin Time Partial (Lc)	$77.00	$110.00	$21.34–$110.00	39% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Prolonged Clot Time, Thromboplastin Time Partial (Mayo)	$77.00	$110.00	$21.34–$110.00	39% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Lupus Anticoagulant Evaluation, Thromboplastin Time Partial (Q)	$77.00	$110.00	$21.34–$110.00	39% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Disseminated Intravascular Coagulation (Dic) Profile, Ptt (Lc)	$77.00	$110.00	$21.34–$110.00	39% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Coagulation Screening Reflexive Evaluation, Thromboplastin Time Partial (Lc)	$77.00	$110.00	$21.34–$110.00	39% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Venous Thrombosis Hypercoag Panel, Ptt (Q)	$77.00	$110.00	$21.34–$110.00	39% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Thrombophilia Profile, Thromboplastin Time Partial (Mayo)	$77.00	$110.00	$21.34–$110.00	39% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Fetal Demise Profile, Ptt (Lc)	$77.00	$110.00	$21.34–$110.00	39% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Thrombosis, Venous Risk Profile, Partial Thromboplastin Time (Lc)	$78.40	$112.00	$26.21–$112.00	42% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Lupus Anticoagulant Evaluation Panel, Ptt-Hepzymed	$112.70	$161.00	$25.74–$161.00	104% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Lupus Anticoagulant Evaluation Panel, Silica Clotting Time Confirm	$112.70	$161.00	$21.76–$161.00	104% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Lupus Anticoagulant Evaluation Panel, Silica Clotting Time Screen	$112.70	$161.00	$21.76–$161.00	104% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Lupus Anticoagulant Evaluation Panel, Silica Clotting Time Confirm-Hepzymed	$112.70	$161.00	$25.74–$161.00	104% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Lupus Anticoagulant Evaluation Panel, Silica Clotting Time Screen-Hepzymed	$112.70	$161.00	$25.74–$161.00	104% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Lupus Anticoagulant Evaluation Panel, Ptt	$112.70	$161.00	$21.76–$161.00	104% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Partial Thromboplastin Time	$120.40	$172.00	$18.49–$190.00	118% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Aptt Mixing Study	$125.30	$179.00	$23.17–$190.00	127% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Vw Panel-Partial Thromboplastin Time	$135.10	$193.00	$16.85–$211.00	145% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Ref Partial Thromboplastin Time	$147.70	$211.00	$27.00–$211.00	168% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Maternit21 Plus Core + Sca (Lc-Z)	$879.90	$1,257.00	$294.14–$1,770.00	14% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Maternit21 Plus, Fetal Chromosome Anuploidy (Lc-Z)	$879.90	$1,257.00	$216.81–$1,257.00	14% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Maternit Genome, Fetal Chromosomal Aneuploidy (Lc-Z)	$879.90	$1,257.00	$243.86–$1,257.00	14% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Qnataltm Advanced, Fetal Chromosomal Aneuploidy (Q-Z)	$879.90	$1,257.00	$267.46–$2,183.00	14% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Maternit21 Plus Core (Lc-Z)	$879.90	$1,257.00	$243.86–$1,257.00	14% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Maternit21 Plus Core + Ess + Sca, Fetal Chrmoml Aneuploidy (Lc-Z)	$879.90	$1,257.00	$216.81–$1,257.00	14% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Prequel Prenatal Screen (Myriad)	$926.80	$1,324.00	$256.86–$1,324.00	20% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Panorama Extended, Fetal Chromosomal Aneuploidy (Nat)	$1,968.40	$2,812.00	$545.53–$2,812.00	155% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Informaseq Prenatal Test (Lc)	$2,207.80	$3,154.00	$738.04–$3,611.00	187% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Ref Fetal Chromosomal Aneuploidy	$2,207.80	$3,154.00	$611.88–$3,154.00	187% above	30%
Progesterone blood test CPT 84144 HB Progesterone, Lc Ms/Ms	$46.20	$66.00	$12.80–$66.00	65% below	30%
Progesterone blood test CPT 84144 HB Ref Progesterone (Sanesco)	$46.20	$66.00	$12.80–$66.00	65% below	30%
Progesterone blood test CPT 84144 HB Ref Progesterone, Lc/Ms (Q)	$49.00	$70.00	$12.87–$169.00	63% below	30%
Progesterone blood test CPT 84144 HB Progesterone	$51.10	$73.00	$14.16–$411.00	61% below	30%
Progesterone blood test CPT 84144 HB Ref Progesterone - Serum & Salivary (Gva)	$112.70	$161.00	$31.23–$161.00	15% below	30%
Progesterone blood test CPT 84144 HB Ref Progesterone, Free, W/ Total, Total Progesterone (Lc)	$112.70	$161.00	$31.23–$161.00	15% below	30%
Progesterone blood test CPT 84144 HB Ref Congenital Adrenal Hyperplasia (CAH) Pediatric Profile 6, Progesterone (Mayo)	$112.70	$161.00	$31.23–$161.00	15% below	30%
Progesterone blood test CPT 84144 HB Ref Progesterone	$319.90	$457.00	$8.89–$457.00	141% above	30%
Prolactin blood test CPT 84146 HB Ref Prolactin, Dilution Study (Q, Arup)	$25.90	$37.00	$6.79–$200.00	78% below	30%
Prolactin blood test CPT 84146 HB Ref Prolactin, Pituitary Macroadenoma, Serum (Mayo)	$130.90	$187.00	$36.28–$187.00	13% above	30%
Prolactin blood test CPT 84146 HB Ref Proclactic (Gva)	$130.90	$187.00	$36.28–$187.00	13% above	30%
Prolactin blood test CPT 84146 HB Prolactin Assay	$136.50	$195.00	$18.49–$443.00	18% above	30%
Prolactin blood test CPT 84146 HB Ref Prolactin, Total and Monomeric (Mayo)	$299.60	$428.00	$35.33–$428.00	159% above	30%
Prolactin blood test CPT 84146 HB Ref Prolactin Assay	$299.60	$428.00	$83.03–$492.00	159% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Prothrombin Time-Inr, Hemochron (POCT)	$27.30	$39.00	$7.57–$39.00	12% below	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Lupus Anticoagulant, Prothrombin Time (Q)	$44.80	$64.00	$14.98–$64.00	44% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Thrombophilia Profile, Prothrombin Time (Mayo)	$49.70	$71.00	$13.77–$71.00	59% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Lupus Anticoagulant Profile, Prothrombin Time (Mayo)	$49.70	$71.00	$13.77–$71.00	59% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Antiphospholipid Syndrome (Aps) Profile, Prothrombin Time (Lc)	$49.70	$71.00	$13.77–$71.00	59% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Factor V Inhibitor Profile, Prothrombin Time (Lc)	$49.70	$71.00	$13.77–$71.00	59% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Bleeding Diathesis Profile, Prothrombin Time (Mayo)	$49.70	$71.00	$13.77–$71.00	59% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Coagulation Screening Reflexive Evaluation, Prothrombin Time (Lc)	$49.70	$71.00	$13.77–$71.00	59% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Prothrombin Time (Coag)	$49.70	$71.00	$13.77–$71.00	59% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Prolonged Clot Time, Prothrombin Time (Mayo)	$51.80	$74.00	$14.36–$74.00	66% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Factor VII Inhibitor Profile, Prothrombin Time (Lc)	$51.80	$74.00	$14.36–$74.00	66% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Disseminated Intravascular Coagulation (Dic) Profile, Pt (Lc)	$51.80	$74.00	$14.36–$74.00	66% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Prothrombin-Inr (POCT)	$51.80	$74.00	$14.36–$74.00	66% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Ref Thrombosis, Venous Risk Profile, Prothrombin Time (Lc)	$53.20	$76.00	$17.78–$76.00	71% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Lupus Anticoagulant Evaluation Panel, Pt	$77.70	$111.00	$14.74–$111.00	149% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Prothrombin Time	$83.30	$119.00	$16.85–$130.00	167% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Prothrombin Time (POCT)	$86.80	$124.00	$14.98–$128.00	178% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HB Prothrombin Time Mixing Study	$86.80	$124.00	$17.55–$124.00	178% above	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HB Drug Test Prsmv Read Direct Optical Obs PR Date (POC)	$81.90	$117.00	$22.70–$117.00	at median	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB Rapid Strep Test (POCT)	$113.40	$162.00	$21.53–$162.00	108% above	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB Strep a Antigen	$133.00	$190.00	$36.86–$190.00	144% above	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB Strep a Antigen, Immunoassay W/Optic	$133.70	$191.00	$28.31–$191.00	146% above	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Lupus Panel 5, Rheumatoid Factor (Q)	$16.80	$24.00	$4.66–$24.00	69% below	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Avise Rheumatoid Factor Quant Iga (Exa)	$57.40	$82.00	$15.91–$82.00	7% above	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Avise Rheumatoid Factor Quant Igm (Exa)	$57.40	$82.00	$15.91–$82.00	7% above	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Ana 12 Profile, Rheumatoid Factor Quant (Lc)	$57.40	$82.00	$15.91–$82.00	7% above	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Rheumatoid Factor (Q)	$59.50	$85.00	$19.89–$88.00	11% above	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Anachoice Panel 1, Rheumatoid Factor Quant (Q)	$59.50	$85.00	$3.04–$85.00	11% above	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Interstitial Lung Disease Panel, Rheumatoid Factor Quant (Q)	$59.50	$85.00	$16.49–$85.00	11% above	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Rheumatoid Arthritis (Ra) Profile, Rheumatoid Factor (Lc)	$60.20	$86.00	$16.68–$86.00	13% above	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Interstitial Lung Disease Autoantibody Panel, Rheumatoid Factor Quant (Arup)	$63.00	$90.00	$17.46–$90.00	18% above	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Vasculitis Profile (Rdl), Rheumatoid Factor (Lc)	$63.00	$90.00	$17.46–$90.00	18% above	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Rheumassure, Rheumatoid Factor Quant (Lc)	$63.00	$90.00	$17.46–$90.00	18% above	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Radx6 Profile, Rheumatoid Factor (Lc)	$63.00	$90.00	$17.46–$90.00	18% above	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Sensorimotor Neuro Profile, Rheumatoid Factor (Q)	$67.90	$97.00	$5.24–$152.00	27% above	30%
Rheumatoid factor (RF) test CPT 86431 HB Rheumatoid Factor (Rf), Quantitative	$144.20	$206.00	$13.19–$257.00	170% above	30%
Rheumatoid factor (RF) test CPT 86431 HB Ref Rheumatoid Factor (Rf), Quantitative (Q)	$160.30	$229.00	$19.21–$229.00	200% above	30%
Rubella antibody test (immunity check) CPT 86762 HB Rubella Antibody, Igg	$58.80	$84.00	$16.30–$252.00	23% below	30%
Rubella antibody test (immunity check) CPT 86762 HB Ref Rubella Antibody, Igg (Q)	$76.30	$109.00	$21.15–$109.00	at median	30%
Rubella antibody test (immunity check) CPT 86762 HB Ref Immune Status Panel, Rubella Antibody (Mayo)	$82.60	$118.00	$22.89–$118.00	8% above	30%
Rubella antibody test (immunity check) CPT 86762 HB Ref Rubella Antibody	$94.50	$135.00	$31.59–$166.00	24% above	30%
Rubella antibody test (immunity check) CPT 86762 HB Ref Prenatal Inf. Disease Ab, Rubella	$108.50	$155.00	$30.07–$155.00	42% above	30%
Rubella antibody test (immunity check) CPT 86762 HB Ref Rubella Titer Igg, Semi-Quant	$240.80	$344.00	$28.31–$344.00	216% above	30%
Rubella antibody test (immunity check) CPT 86762 HB Ref Rubella Antibody, Igm	$250.60	$358.00	$31.59–$358.00	228% above	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB Sedimentation Rate	$23.10	$33.00	$6.40–$142.00	48% below	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB Ref Sed Rate by Modified Westergren (Q)	$44.80	$64.00	$12.42–$64.00	1% above	30%
Stool ova and parasites exam CPT 87177 HB Ref Parasitology Identification, Concentrate (Gva)	$74.90	$107.00	$20.76–$107.00	2% above	30%
Stool ova and parasites exam CPT 87177 HB Ova and Parasites Smears	$199.50	$285.00	$22.93–$285.00	173% above	30%
Stool ova and parasites exam CPT 87177 HB Ref Ova and Parasites Smears (Q)	$221.90	$317.00	$20.83–$317.00	203% above	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HB Occult Blood Feces (POC)	$37.10	$53.00	$10.28–$53.00	43% above	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HB Occult Blood, Stool Screening	$79.10	$113.00	$8.66–$113.00	205% above	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB Ref Fecal Occult Blood by Immunochemistry (Q)	$63.00	$90.00	$17.46–$90.00	15% below	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB Ref Occult Blood, Fecal (Lc)	$63.00	$90.00	$17.46–$90.00	15% below	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB Occult Bld, Stool, Immunoassay	$90.30	$129.00	$18.02–$129.00	22% above	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB Ref Occult Bld, Stool, Immunoassay (Gva)	$100.10	$143.00	$10.76–$143.00	35% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Sexually Transmitted Infections (Sti) Profile, Syphilis Test Non-Trep Qual (Lc)	$51.10	$73.00	$14.16–$73.00	at median	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Vdrl, Serum (Q)	$51.10	$73.00	$14.16–$73.00	at median	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Rpr Test W/ Reflex to Titer & TPA (Lc)	$51.10	$73.00	$14.16–$73.00	at median	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Vdrl, Spinal Fluid (Mayo)	$51.10	$73.00	$14.16–$73.00	at median	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Rpr W/ Reflex (Q)	$51.10	$73.00	$14.16–$73.00	at median	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Donor Rpr With Rflx to Titer (Lc)	$53.20	$76.00	$14.74–$76.00	4% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Fda Captia G, Confirmatory Syphilis Test (Vc)	$56.70	$81.00	$15.71–$81.00	11% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Fda Syphilis Screening, Nontreponemal (Vc)	$56.70	$81.00	$15.71–$81.00	11% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Vdrl, CSF	$58.80	$84.00	$19.66–$211.00	15% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Fda, Fta-Abs (Syphilis Confirmatory)	$75.60	$108.00	$20.95–$108.00	48% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Syphilis Rpr Screen	$140.00	$200.00	$19.98–$200.00	174% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Vdrl CSF (Q)	$155.40	$222.00	$20.59–$285.00	204% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Syphilis Test, Qualitative	$155.40	$222.00	$51.95–$222.00	204% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Ref Fda, Rpr	$155.40	$222.00	$27.94–$222.00	204% above	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB Quantiferon TB - Gold Plus (Cdh)	$205.10	$293.00	$56.84–$347.00	12% below	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB Quantiferon TB - Gold Plus (Nmh, Lfh)	$215.60	$308.00	$59.75–$1,103.00	7% below	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB Ref Quantiferon TB - Gold Plus	$321.30	$459.00	$107.41–$459.00	38% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Testosterone, Total and Bioavailable, Total Testosterone (Mayo)	$75.60	$108.00	$19.89–$185.00	39% below	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Testosterone, Total (Q)	$134.40	$192.00	$37.25–$192.00	8% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Testosterone, Total, Women, Children, and Hypogonadal Males, Lc/Ms-Ms (Lc)	$134.40	$192.00	$22.95–$192.00	8% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Testosterone � Serum & Urine (Gva)	$134.40	$192.00	$37.25–$192.00	8% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Testosterone, Total, Bioavailable and Free, Total, Serum (Mayo)	$134.40	$192.00	$37.25–$192.00	8% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Steroid Panel, Polycystic Ovary Syndrome, Total Testosterone (Q)	$134.40	$192.00	$37.25–$192.00	8% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Congenital Adrenal Hyperplasia (CAH) Pediatric Profile 6, Testosterone Total (Mayo)	$134.40	$192.00	$37.25–$192.00	8% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Testosterone, Total, Ms (Q,Lc)	$138.60	$198.00	$38.41–$495.00	11% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Testosterone, Free, Bio & Total, Testosterone, Total	$154.70	$221.00	$40.48–$495.00	24% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Testosterone Bio/Shbg, Testosterone, Total	$154.70	$221.00	$40.48–$495.00	24% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Testosterone, Total, Ms	$256.20	$366.00	$62.95–$366.00	105% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Testosterone, Total	$256.20	$366.00	$39.31–$366.00	105% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Testosterone, Total (Lc)	$346.50	$495.00	$115.83–$495.00	178% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Ref Testosterone, Total, All Ages	$346.50	$495.00	$115.83–$495.00	178% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Lupus Panel 5, Microsomal Ab (Q)	$30.10	$43.00	$8.34–$43.00	67% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Anti-Tpo Antibodies (Gva)	$88.90	$127.00	$24.64–$127.00	1% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Systemic Autoimmune Panel 1, Microsomal Antibody Each (Q)	$88.90	$127.00	$24.64–$127.00	1% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Thyroid Peroxidase Antibody (Q)	$88.90	$127.00	$24.64–$127.00	1% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Avise Anti-Thyroid Peroxidase Igg Elisa (Exa)	$88.90	$127.00	$24.64–$127.00	1% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Liver Cytosol (Lc-1) Autoab (Q)	$88.90	$127.00	$24.64–$127.00	1% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Chronic Urticaria Panel 2, Microsomal Antibody (Q)	$93.10	$133.00	$25.80–$133.00	4% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Autoimmune Hepatitis Diagnostic Panel, Microsomal Antibody (Q)	$93.10	$133.00	$25.80–$133.00	4% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Autoimmune Liver Disease Profile (Rdl), Microsomal Antibody Each (Lc)	$93.10	$133.00	$25.80–$133.00	4% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Thyroid Peroxidase Antibody	$96.60	$138.00	$26.21–$394.00	7% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Ana 12 Profile, Microsomal Antibody (Lc)	$98.00	$140.00	$29.72–$247.00	9% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Culture,Typing Fluoresc Ea	$98.70	$141.00	$27.35–$141.00	10% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Tpo (Microsomal) Antibody (Q)	$203.00	$290.00	$26.38–$290.00	126% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Liver Kidney Microsomal Antibody (Igg) (Mayo)	$203.00	$290.00	$8.42–$386.00	126% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Ref Antimicrosomal Antibody Each	$203.00	$290.00	$67.86–$290.00	126% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Tpo (Microsomal) Antibody	$242.90	$347.00	$76.44–$394.00	170% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376	$243.60	$348.00	$76.44–$394.00	171% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Thyroid Stimulating Hormone (Tsh)	$162.40	$232.00	$45.01–$232.00	24% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Newborn Metabolic Screen, Tsh/T4	$162.40	$232.00	$45.01–$232.00	24% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Thyroid-Stimulating Hormone (Tsh) (Lc)	$162.40	$232.00	$45.01–$232.00	24% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Tsh With Reflex to Free T4 (Q)	$162.40	$232.00	$45.01–$232.00	24% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Thyroid Stimulating Hormone (Tsh) (Q)	$162.40	$232.00	$45.01–$232.00	24% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Tsh W/ Hama Treatment (Q)	$162.40	$232.00	$45.01–$232.00	24% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Tsh, 3rd Generation (Gva)	$162.40	$232.00	$45.01–$232.00	24% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Thyroid Stimulating Hormone-High Sensitivity (Mayo)	$162.40	$232.00	$45.01–$232.00	24% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Chronic Urticaria Panel 2, Tsh (Q)	$162.40	$232.00	$45.01–$232.00	24% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Ref Thyroid Profile II, Comprehensive, Tsh (Lc)	$162.40	$232.00	$45.01–$232.00	24% above	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Vaginitis (Vg) Nuswab, Trichomonas Vaginalis, Pcr (Mayo)	$124.60	$178.00	$34.53–$178.00	at median	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Trichomanos Vaginalis Rna, Qualitative,Tma. Males (Q)	$124.60	$178.00	$34.53–$178.00	at median	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Trichomonas Vaginalis, Pcr (Mdl)	$124.60	$178.00	$34.53–$178.00	at median	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Sureswab Advanced Vaginitis Plus Tma, Trichomonas Amp Probe (Q)	$124.60	$178.00	$7.49–$178.00	at median	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Vaginitis Plus, Trichomonas Vaginalis, Amp Probe (Lc)	$124.60	$178.00	$34.53–$178.00	at median	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Trichomonas Vaginalis Rna, Qualitative, Tma (Q)	$130.90	$187.00	$36.28–$187.00	5% above	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Sexually Transmitted Infections (Sti) Profile, Trichomonas Vaginalis Amplif (Lc)	$130.90	$187.00	$36.28–$187.00	5% above	30%
Trichomonas test (NAAT) CPT 87661 HB Trichomonas Vaginalis, Amp Probe, Swab	$137.90	$197.00	$25.61–$197.00	11% above	30%
Trichomonas test (NAAT) CPT 87661 HB Trichomonas Vaginalis, Amp Probe, Urine	$137.90	$197.00	$25.61–$206.00	11% above	30%
Trichomonas test (NAAT) CPT 87661 HB Trichomonas Pcr	$137.90	$197.00	$17.08–$197.00	11% above	30%
Trichomonas test (NAAT) CPT 87661 HB Trichomonas Vaginalis Amplif	$204.40	$292.00	$19.98–$292.00	64% above	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Trichomonas Vaginalis Amplif	$226.10	$323.00	$15.68–$1,007.00	81% above	30%
Trichomonas test (NAAT) CPT 87661 HB Ref Vag Screen, Trichomonas Vaginalis, Amp Probe	$226.10	$323.00	$75.58–$604.00	81% above	30%
Uric acid blood test CPT 84550 HB Uric Acid Blood	$79.10	$113.00	$21.92–$113.00	12% above	30%
Uric acid blood test CPT 84550 HB Ref Litholink Serum Panel, Bun (Lc)	$79.10	$113.00	$21.92–$113.00	12% above	30%
Uric acid blood test CPT 84550 HB Ref Uric Acid, Serum/Plasma (Lc, Q)	$79.10	$113.00	$21.92–$113.00	12% above	30%
Uric acid blood test CPT 84550 HB Ref Preeclampsia Monitoring Profile, Uric Acid (Lc)	$79.10	$113.00	$21.92–$113.00	12% above	30%
Urinalysis with microscope exam, automated CPT 81001 HB Ketone, Urine	$58.80	$84.00	$16.30–$84.00	2% below	30%
Urinalysis with microscope exam, automated CPT 81001 HB Urinalysis W Microscopic	$92.40	$132.00	$19.42–$180.00	55% above	30%
Urinalysis with microscope exam, automated CPT 81001 HB Ref Urinalysis W Microscopic (Q)	$140.00	$200.00	$24.80–$200.00	134% above	30%
Urinalysis without microscope exam, automated CPT 81003 HB Ref Kidney Stone, Urinalysis (Lc)	$7.00	$10.00	$1.94–$10.00	61% below	30%
Urinalysis without microscope exam, automated CPT 81003 HB Ketone, Urine	$37.10	$53.00	$10.28–$53.00	107% above	30%
Urinalysis without microscope exam, automated CPT 81003 HB Ref Urinalysis W/O Microscopic	$37.10	$53.00	$10.28–$53.00	107% above	30%
Urinalysis without microscope exam, automated CPT 81003 HB Ua No Micro (POCT)	$40.60	$58.00	$11.25–$103.00	127% above	30%
Urinalysis without microscope exam, automated CPT 81003 HB Urinalysis W/O Microscopic	$50.40	$72.00	$13.97–$146.00	181% above	30%
Urinalysis without microscope exam, manual CPT 81002 HB Urine Analysis (POCT)	$21.70	$31.00	$6.01–$31.00	11% below	30%
Urinalysis without microscope exam, manual CPT 81002 HB Urinalysis Nonauto W/O Scope (POC)	$21.70	$31.00	$6.01–$31.00	11% below	30%
Urinalysis without microscope exam, manual CPT 81002 HB Specific Gravity, Urine	$34.30	$49.00	$10.53–$203.00	40% above	30%
Urinalysis without microscope exam, manual CPT 81002 HB Ref Benzene Panel, Urinalysis	$85.40	$122.00	$28.55–$171.00	249% above	30%
Urine culture for bacteria, with colony count CPT 87086 HB Ref Culture, Urine (Q)	$91.70	$131.00	$25.41–$131.00	3% above	30%
Urine culture for bacteria, with colony count CPT 87086 HB Culture, Urine	$192.50	$275.00	$19.42–$275.00	116% above	30%
Urine pregnancy test, read by color change CPT 81025 HB Urine Pregnancy Test (POCT)	$135.80	$194.00	$33.46–$194.00	100% above	30%
Urine pregnancy test, read by color change CPT 81025 HB Urine Pregnancy Test	$142.10	$203.00	$28.08–$203.00	110% above	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HB Ref Vitamin B12 W/ Reflex to Methylmalonic Acid, Serum (Arup)	$135.10	$193.00	$37.44–$193.00	7% above	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HB Ref Vitamin B12 Level, Serum (Q, Lc)	$135.10	$193.00	$37.44–$193.00	7% above	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HB Ref Micronutrients, B-Vitamin Panel, B-12 (Q)	$135.10	$193.00	$37.44–$193.00	7% above	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HB Vitamin B12 Level	$135.10	$193.00	$37.44–$193.00	7% above	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HB Ref Anemia Profile B, vitamin B-12 (Lc)	$135.10	$193.00	$37.44–$193.00	7% above	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HB Ref Pernicious Anemia Diagnostic Panel,Vitamin B-12 (Q)	$135.10	$193.00	$37.44–$193.00	7% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Ref 25-Hydroxyvitamin D (Mayo)	$191.10	$273.00	$52.96–$273.00	2% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Ref Cardio Iq Vitamin D, 25-Hydroxy (Q)	$191.10	$273.00	$52.96–$273.00	2% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Ref Quest-Assure-D� for Infants, 25-Hydroxyvitamin D (Q)	$191.10	$273.00	$52.96–$273.00	2% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Vitamin D 25-Hydroxy	$191.10	$273.00	$52.96–$273.00	2% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Ref Vitamin D 25-Hydroxy (D2,D3), Lc-Ms-Ms (Lc)	$191.10	$273.00	$52.96–$273.00	2% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Ref Genova Panel, Vitamin D (Gva)	$191.10	$273.00	$52.96–$273.00	2% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Ref 25-Hydroxyvitamin D2 and D3 (Mayo)	$191.10	$273.00	$52.96–$273.00	2% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB Ref Vitamin D 25-Hydroxy (D2,D3) (Q)	$191.10	$273.00	$52.96–$273.00	2% above	30%
Zinc blood test CPT 84630 HB Ref Micronutrients, Mineral/Element Panel, Zinc (Q)	$62.30	$89.00	$17.27–$89.00	at median	30%
Zinc blood test CPT 84630 HB Ref Mineral Profile, Rbcs, Zinc (Q)	$62.30	$89.00	$17.27–$89.00	at median	30%
Zinc blood test CPT 84630 HB Ref Zinc, Serum (Mayo)	$62.30	$89.00	$17.27–$89.00	at median	30%
Zinc blood test CPT 84630 HB Ref Genova Panel, Zinc Plasma (Gva)	$65.10	$93.00	$18.04–$93.00	4% above	30%
Zinc blood test CPT 84630 HB Ref Zinc, Whole Blood (Lc)	$65.80	$94.00	$18.24–$94.00	5% above	30%
Zinc blood test CPT 84630 HB Ref Zinc, 24 Hr Urine (Mayo)	$68.60	$98.00	$19.01–$98.00	10% above	30%
Zinc blood test CPT 84630 HB Ref Zinc, 24 Hour Urine (Q)	$74.20	$106.00	$20.56–$106.00	19% above	30%
Zinc blood test CPT 84630 HB Ref Zinc, RBC	$131.60	$188.00	$21.29–$375.00	111% above	30%
Zinc blood test CPT 84630 HB Ref Zinc	$131.60	$188.00	$19.19–$275.00	111% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Hcg, Beta, CSF (Q)	$22.40	$32.00	$6.21–$32.00	79% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Sequential Screen- Second Trimester, Hcg	$66.50	$95.00	$22.23–$236.00	37% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Hcg, Alternate Method (Q)	$97.30	$139.00	$23.87–$139.00	7% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Beta-Human Chorionic Gonadotropin, Quantitative, Serum (Mayo)	$144.90	$207.00	$40.16–$207.00	38% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Inteference Eval Heterophile, Hcg (Mayo)	$144.90	$207.00	$40.16–$207.00	38% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Hcg, Beta, CSF (Arup, Mayo)	$144.90	$207.00	$12.22–$207.00	38% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Integrated Screen, 2nd Trimester, Hcg (Ig)	$165.20	$236.00	$45.78–$236.00	57% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Quadruple Marker Test, Hcg	$165.20	$236.00	$45.78–$236.00	57% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Beta Hcg, Quantitative	$307.30	$439.00	$49.61–$439.00	193% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref First Screen- First Trimester, Hcg	$341.60	$488.00	$38.22–$488.00	225% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Chronionic Gonadotropin Quant	$341.60	$488.00	$31.36–$488.00	225% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Ref Sequential Screen-First Trimester, Hcg	$341.60	$488.00	$22.89–$488.00	225% above	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 HB Adenoidectomy Primary <Age 12	$12,600.97	$18,001.39	$1,241.37–$2,917.75	80% above	30%
Appendectomy, open surgery CPT 44950 Appendectomy	$26,789.59	$38,270.84	—	748% above	30%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 HB Arthroscopically Knee Aided	$106,675.84	$152,394.06	$7,941.00–$8,823.00	591% above	30%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 HB Arthroscop Rotator Cuff Repr	$10,879.40	$15,542.00	$2,277.76–$18,095.55	at median	30%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 HB Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus	$3,878.00	$5,540.00	$1,296.36–$3,047.00	at median	30%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus	$29,868.45	$42,669.21	—	670% above	30%
Botox injections for chronic migraine CPT 64615 HB Chemodenerv Musc Migraine	$177.10	$253.00	$59.20–$623.00	48% below	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HB Bx Breast 1st Lesion Strtctc	$2,353.40	$3,362.00	$628.69–$7,967.00	18% below	30%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HB Tx Fx Distal Fibula W/O Manipulation	$695.10	$993.00	$192.64–$1,146.00	101% above	30%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HB Fracture Metatarsal; Without Manipulation	$829.50	$1,185.00	$1,185.00	30% above	30%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HB Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot	$6,246.10	$8,923.00	$2,087.98–$9,766.35	79% above	30%
Bunion correction with removal of part of the big toe joint CPT 28292 HB Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base	$4,402.30	$6,289.00	$1,471.63–$8,019.55	26% above	30%
Cardiac catheterization with coronary angiogram CPT 93458 HB L Hrt Artery/Ventricle Angio	$24,326.40	$34,752.00	$1,592.60–$34,752.00	143% above	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HB Cardioversion Elective Arrhythmia External	$1,737.40	$2,482.00	$286.18–$5,991.00	52% above	30%
Carpal tunnel release, open surgery CPT 64721 HB Carpal Tunnel Surgery	$8,775.65	$12,536.64	$6,039.00–$6,711.00	192% above	30%
Cataract surgery with lens implant CPT 66984 HB Extracapsular Catarct Removal W/O Ecp	$10,852.99	$15,504.27	$4,026.00–$4,474.00	1% above	30%
Catheter ablation for atrial fibrillation CPT 93656 HB Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation	$27,258.00	$38,940.00	$6,183.22–$38,940.00	at median	30%
Cervical biopsy CPT 57500 HB Biopsy of Cervix	$28,390.08	$40,557.26	$1,094.00–$1,215.50	3003% above	30%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HB Circum 28 Days or Older	$2,744.00	$3,920.00	$917.28–$3,300.00	18% above	30%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Age >28 Days	$11,281.63	$16,116.61	$4,026.00–$4,474.00	384% above	30%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HB Circumcision W/Regionl Block	$14,600.53	$20,857.90	$4,026.00–$7,500.00	577% above	30%
Circumcision, surgical, older than a newborn CPT 54160 HB Circumcision Neonate	$4,374.47	$6,249.24	$1,159.96–$6,203.00	278% above	30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB Treat Fracture Radius & Ulna W/O Manipulation Colles Smith Type	$825.30	$1,179.00	$129.64–$1,997.60	58% above	30%
Colonoscopy with endoscopic ultrasound CPT 45391 HB Colonoscopy W/Endoscope US	$12,241.49	$17,487.84	$3,132.00–$3,480.00	136% above	30%
Colonoscopy with polyp removal CPT 45385 HB Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$4,094.30	$5,849.00	$937.40–$5,849.00	64% above	30%
Colonoscopy with tissue sample CPT 45380 HB Colonoscopy W/Biopsy Single/Multiple	$4,094.30	$5,849.00	$931.09–$5,849.00	123% above	30%
Colonoscopy, diagnostic CPT 45378 HB Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$4,336.60	$6,195.14	$2,432.00–$2,702.00	134% above	30%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HB Colposcopy Cervis Upper Adjacent Vagina Leep Biopsy	$705.60	$1,008.00	$235.87–$554.40	61% below	30%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$13,223.20	$18,890.29	$4,026.00–$4,474.00	622% above	30%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage	$14,458.58	$20,655.11	$973.00–$1,081.00	3525% above	30%
Complex cataract surgery with lens implant CPT 66982 HB Complex Extracapsular Cataract Removal W/O Ecp	$7,338.80	$10,484.00	$2,453.26–$5,766.20	25% below	30%
Coronary stent placement, one artery CPT 92928 HB Perq Tcat Plmt Ntrac St 1 Les 1+C Segments	$22,266.30	$31,809.00	$6,170.95–$31,809.00	58% above	30%
Cystoscopy with ureteral stent placement CPT 52332 HB Cysto W/Insert Ureteral Stent	$2,912.00	$4,160.00	$973.44–$6,836.50	31% below	30%
Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent	$17,272.39	$24,674.84	$2,013.00–$3,750.00	312% above	30%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HB Cystoscopy	$9,786.06	$13,980.09	$2,188.00–$2,431.00	806% above	30%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric	$15,385.26	$21,978.94	$4,026.00–$4,474.00	423% above	30%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HB Tympanostomy General Anesthesia	$1,701.70	$2,431.00	$568.85–$3,506.25	6% below	30%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy Local/Topical Anesthesia	$11,083.72	$15,833.89	$1,459.50–$1,621.50	1915% above	30%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HB Removal Impacted Cerumen, Irrigation/Lavage, Unilateral	$81.90	$117.00	$27.38–$346.00	28% below	30%
Earwax removal with instruments, one ear one side CPT 69210 HB Remove Impacted Ear Wax, Unilateral	$477.40	$682.00	$328.00–$682.00	282% above	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HB Biopsy of Uterus Lining	$646.10	$923.00	$122.49–$768.00	90% above	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$12,082.85	$17,261.21	$486.50–$540.50	3460% above	30%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 HB Nasal/Sinus Ndsc W/Total Ethoidectomy	$5,358.50	$7,655.00	$1,791.27–$4,210.25	82% below	30%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/Sinus Ndsc W/Total Ethoidectomy	$45,469.83	$64,956.90	$5,944.00–$6,604.00	54% above	30%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 HB Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus	$5,387.20	$7,696.00	$1,800.86–$4,232.80	87% below	30%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 HB Nasal/Sinus Endoscopy W/Maxillary Antrostomy	$4,890.20	$6,986.00	$1,634.72–$3,842.30	23% above	30%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 HB Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus	$4,986.10	$7,123.00	$1,666.78–$3,917.65	36% below	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HB Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$1,777.30	$2,539.00	$2,539.00–$2,695.00	5% above	30%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HB Intravitreal Njx Pharmacologic Agt Spx	$3,068.80	$4,384.00	$4,384.00	537% above	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB Inj Paravert F Jnt L/S 1 Lev	$8,948.80	$12,784.00	$1.40–$425.00	501% above	30%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible	$26,730.95	$38,187.07	$425.00–$6,604.00	287% above	30%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 HB Rpr Aa Hernia 1st > 10 Cm Reducible	$5,200.30	$7,429.00	$1,738.39–$4,085.95	16% below	30%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr Aa Hernia 1st > 10 Cm Reducible	$60,722.84	$86,746.91	$425.00–$6,604.00	886% above	30%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 HB Rpr Aa Hernia 1st < 3 Cm Reducible	$7,725.20	$11,036.00	$11,036.00	102% above	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HB Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$3,103.10	$4,433.00	$213.88–$4,433.00	240% above	30%
Gallbladder removal, laparoscopic CPT 47562 HB Laparoscopy Surg Cholecystectomy	$15,822.80	$22,604.00	$2,663.39–$22,604.00	143% above	30%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy	$30,640.64	$43,772.34	$7,941.00–$8,823.00	370% above	30%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HB Laps Surg Cholecystectomy W/Cholangiography	$14,162.40	$20,232.00	$2,663.39–$20,232.00	at median	30%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography	$30,271.46	$43,244.94	$425.00–$8,823.00	114% above	30%
Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy	$53,536.52	$76,480.74	$425.00–$7,705.00	924% above	30%
Hammertoe correction surgery CPT 28285 HB Correction Hammertoe	$4,122.30	$5,889.00	$1,378.03–$4,450.60	59% above	30%
Hemorrhoid banding (rubber band ligation) CPT 46221 HB Hemorrhoidectomy Internal Rubber Band Ligations	$5,569.05	$7,955.79	$213.64–$3,614.00	605% above	30%
Hemorrhoidectomy (internal and external), one area CPT 46255 HB Hemorrhoidectomy Simp	$3,801.70	$5,431.00	$1,270.85–$2,987.05	39% above	30%
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$13,198.59	$18,855.13	$4,026.00–$4,474.00	383% above	30%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 HB Conv Prev Hip Tot Hip Arthrp W/WO Agrft/Algrft	$33,250.00	$47,500.00	$11,115.00–$26,125.00	376% above	30%
Hysterectomy through an abdominal incision (total) CPT 58150 Total Abdominal Hysterect W/WO Rmvl Tube Ovary	$48,384.33	$69,120.47	$425.00–$6,604.00	719% above	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB Catheter for Hysterography	$388.50	$555.00	$246.00–$952.00	25% above	30%
Hysteroscopy with endometrial ablation CPT 58563 HB Hysteroscopy Endometrial Ablation	$6,496.00	$9,280.00	$2,171.52–$5,104.00	31% above	30%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Endometrial Ablation	$18,692.65	$26,703.79	$5,944.00–$6,604.00	276% above	30%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HB Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$3,869.60	$5,528.00	$1,293.55–$7,772.05	24% above	30%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$18,795.57	$26,850.81	$4,026.00–$4,474.00	501% above	30%
IUD insertion (the device itself billed separately) CPT 58300 HB Insertion Intrauterine Device Iud	$27,174.10	$38,820.14	$486.50–$540.50	9317% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 HB Drainage of Skin Abscess Simple or Single	$954.10	$1,363.00	$254.88–$1,763.30	137% above	30%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HB Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$4,657.80	$6,654.00	$1,557.04–$3,659.70	22% above	30%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$19,604.89	$28,006.99	$5,944.00–$6,604.00	413% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB Injection 1 Tendon Sheath/Ligament Aponeurosis	$423.50	$605.00	$74.80–$1,504.00	11% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB Drain/Inj Joint/Bursa W/O US	$1,018.50	$1,455.00	$297.00–$1,455.00	126% above	30%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HB Insert Drug Implant Device	$3,361.40	$4,802.00	$5.50–$4,802.00	1794% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$968.10	$1,383.00	$292.00–$1,383.00	156% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB Arthrocentesis, Aspiration/Injection; Small Joint W/O US	$919.10	$1,313.00	$839.00–$1,313.00	211% above	30%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 HB Arthro Meniscus Med or Lat	$4,870.60	$6,958.00	$2,676.96–$15,017.75	8% above	30%
Knee arthroscopy with meniscus trim CPT 29881 HB Arthroscop Knee Med and Lat	$25,663.99	$36,662.84	$5,944.00–$6,604.00	360% above	30%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 HB Arthroscopy Knee Med or Lat	$4,870.60	$6,958.00	$2,676.96–$13,787.95	8% above	30%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 HB Arthroscopy Knee Debridement	$4,870.60	$6,958.00	$2,277.76–$12,064.25	at median	30%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm	$103,066.49	$147,237.84	$425.00–$8,823.00	21% above	30%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HB Laparoscopic Appendectomy	$9,069.20	$12,956.00	$3,031.70–$7,125.80	41% above	30%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy	$30,072.48	$42,960.69	$425.00–$8,823.00	367% above	30%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laps Surg Esopg/Gstr Fundoplasty	$103,760.46	$148,229.23	$425.00–$8,823.00	160% above	30%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy W Total Hysterectomy Uterus 250 Gm/<	$41,393.84	$59,134.06	$7,941.00–$8,823.00	2% above	30%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary	$52,934.16	$75,620.23	$425.00–$8,823.00	367% above	30%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$62,291.03	$88,987.19	$7,941.00–$8,823.00	769% above	30%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia	$40,973.35	$58,533.36	$7,941.00–$8,823.00	448% above	30%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 HB Laparoscopy W/Rmvl Adnexal Structures	$8,085.00	$11,550.00	$2,702.70–$6,352.50	37% above	30%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures	$39,147.03	$55,924.33	$11,911.50–$13,234.50	566% above	30%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy	$74,263.22	$106,090.31	$425.00–$8,823.00	at median	30%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HB Post-Cataract Laser Surgery	$893.90	$1,277.00	$298.82–$702.35	34% above	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB Intmd Rpr S/a/T/Ext 2.5 Cm/<	$1,190.00	$1,700.00	$74.65–$1,919.50	98% above	30%
Left heart catheterization, diagnostic one side CPT 93452 HB Left Hrt Cath W/Ventrclgrphy	$10,777.90	$15,397.00	$2,675.45–$15,397.00	48% above	30%
Lower-back epidural injection, with imaging guidance CPT 62323 HB Injection Inclu Needle/Cath Plct Interlaminar Lmbr/Sac W/ Flouro	$2,781.62	$3,973.74	$16.00	95% above	30%
Lower-back epidural injection, without imaging guidance CPT 62322 HB Injection Inclu Needle/Cath Plct Interlaminar Lmbr/Sac	$2,927.40	$4,182.00	$4,182.00	102% above	30%
Lower-back epidural injection, without imaging guidance CPT 62322 HB Inject Spine Lumbar/Sacral	$23,212.63	$33,160.90	$425.00–$1,215.50	1503% above	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB Inj Foramen Epidural L/S	$2,570.22	$3,671.74	$11.36	84% above	30%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 HB Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr	$9,702.00	$13,860.00	$3,243.24–$7,623.00	2% above	30%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr	$49,857.21	$71,224.59	$7,941.00–$8,823.00	422% above	30%
Lumbar laminectomy (spinal decompression), one level CPT 63047 HB Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar	$9,702.00	$13,860.00	$3,243.24–$7,623.00	at median	30%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar	$50,687.09	$72,410.13	$425.00–$26,952.94	422% above	30%
Lumpectomy (partial mastectomy) CPT 19301 HB Partial Mastectomy	$7,170.80	$10,244.00	$2,397.10–$5,634.20	71% above	30%
Mastectomy (total removal of the breast) CPT 19303 HB Mastectomy Simple Complete	$7,795.20	$11,136.00	$2,605.82–$6,124.80	66% above	30%
Miscarriage treatment with D&C, first trimester CPT 59820 HB Tx Missed Abortion First Trimester Surgical	$5,276.60	$7,538.00	$1,409.61–$7,538.00	40% above	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HB Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$2,388.40	$3,412.00	$239.25–$5,135.00	245% above	30%
Nail removal (partial or complete), one nail CPT 11730 HB Removal of Nail Plate	$282.10	$403.00	$184.00–$839.00	3% below	30%
Occipital nerve block (injection for headaches) CPT 64405 HB Injection Aa&/Strd Greater Occipital Nerve	$1,206.10	$1,723.00	$1,465.00–$2,140.00	147% above	30%
Pacemaker implant (dual chamber) CPT 33208 HB Insrt Heart Pm Atrial & Vent	$5,551.00	$7,930.00	$1,855.62–$21,046.00	53% below	30%
Paracentesis with imaging guidance CPT 49083 HB Abd Paracentesis W/Imaging	$7,104.37	$10,149.10	$51.31	417% above	30%
Partial knee replacement (one compartment) CPT 27446 HB Arthrp Knee Condyle&Plateau Medial/Lat Cmprt	$41,473.60	$59,248.00	$13,864.03–$32,586.40	473% above	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB Removal of Nail Bed	$627.90	$897.00	$112.55–$2,922.15	18% above	30%
Prostate biopsy CPT 55700 HB Biopsy of Prostate_Biopsy, Prostate; Needle or Punch, Single or Multiple, Any Approach	$5,028.80	$7,184.00	$7,184.00	135% above	30%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot	$84,657.59	$120,939.41	$425.00–$12,933.00	2% below	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HB Destroy Lumb/Sac Facet Jnt	$5,714.07	$8,162.96	$8.00–$425.00	148% above	30%
Removal of a breast lump, open surgery CPT 19120 HB Removal of Breast Lesion	$4,458.30	$6,369.00	$1,490.35–$3,502.95	154% above	30%
Removal of a foreign object under the skin, simple CPT 10120 HB Remove Foreign Body Simple	$1,481.90	$2,117.00	$87.52–$2,538.25	219% above	30%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy	$26,845.85	$38,351.21	$425.00–$8,823.00	61% above	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HB Colon Ca Scrn Not Hi Rsk Ind	$3,198.30	$4,569.00	$468.00–$4,112.00	28% above	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HB Colorectal Scrn; Hi Risk Ind	$2,389.80	$3,414.00	$468.00–$4,747.00	at median	30%
Septoplasty to straighten the nasal septum CPT 30520 HB Septoplasty/Submucous Resecj W/WO Cartilage Grf	$32,729.44	$46,756.34	$3,750.00–$6,711.00	146% above	30%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HB Fragment Kidney Stone/ Eswl	$5,215.00	$7,450.00	$1,743.30–$6,211.70	19% below	30%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy Xtrcorp Shock Wave	$12,705.35	$18,150.50	$7,941.00–$8,823.00	97% above	30%
Short arm cast (elbow to hand) CPT 29075 HB Application Cast Elbow Finger Short Arm	$243.60	$348.00	$81.43–$1,256.00	21% below	30%
Short arm splint (forearm and hand) CPT 29125 HB Application, Splint; Forearm to Hand-Static	$1,184.40	$1,692.00	$355.00–$1,692.00	376% above	30%
Short leg cast (below the knee) CPT 29405 HB Application, Cast; Below Knees to Toes-Short Leg	$879.20	$1,256.00	$621.00–$1,256.00	183% above	30%
Short leg splint (calf to foot) CPT 29515 HB Application Lower Leg Splint	$508.20	$726.00	$71.84–$726.00	92% above	30%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 HB Arthro/Surg Shld Mumford Pro	$4,870.60	$6,958.00	$2,277.76–$11,202.40	23% below	30%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HB Arthro/Surg Shld Decompress	$54,262.96	$77,518.51	$486.50–$540.50	15% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB Rpr S/N/Ax/Gen/Trnk 2.5cm/<	$23,086.46	$32,980.66	$796.00–$20,796.00	6156% above	30%
Skin biopsy, punch, one lesion CPT 11104 HB Punch Bx Skin Single Lesion	$1,533.00	$2,190.00	$64.12–$2,190.00	344% above	30%
Skin tag removal, up to 15 tags CPT 11200 HB Removal of Skin Tags <W/15	$770.00	$1,100.00	$354.00–$1,100.00	211% above	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HB Spinal Tap/Lumbar Puncture	$1,194.20	$1,706.00	$765.00–$2,834.00	50% above	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB Rpr S/N/Ax/Gen/Trnk2.6-7.5cm	$688.10	$983.00	$490.00–$1,062.00	67% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HB Rpr F/E/E/N/L/M 2.5 Cm/<	$401.80	$574.00	$134.32–$1,050.00	1% below	30%
TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete	$25,003.36	$35,719.09	$6,935.00–$7,705.00	337% above	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HB Tangential Biopsy Skin Single Lesion	$651.00	$930.00	$930.00–$1,171.00	141% above	30%
Thoracentesis with imaging guidance CPT 32555 HB Thoracentesis Needle/Cath Pleura W/Imaging	$3,192.70	$4,561.00	$1,000.00–$5,985.00	192% above	30%
Tonsil and adenoid removal, age 12 or older CPT 42821 HB Tonsillectomy & Adenoidectomy Age 12/>	$15,701.94	$22,431.34	$4,026.00–$4,474.00	284% above	30%
Tonsil and adenoid removal, child under 12 CPT 42820 HB Tonsillectomy & Adenoidectomy <Age 12	$5,326.30	$7,609.00	$1,780.51–$6,481.75	35% below	30%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 HB Tonsillectomy Primary/Secondary Age 12/>	$13,550.22	$19,357.46	$4,026.00–$4,474.00	283% above	30%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 HB Tonsillectomy Primary/Secondary <Age 12	$3,875.20	$5,536.00	$1,295.42–$3,044.80	10% above	30%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy Primary/Secondary <Age 12	$14,431.47	$20,616.39	—	309% above	30%
Total hip replacement CPT 27130 HB Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$34,605.90	$49,437.00	$11,568.26–$27,190.35	450% above	30%
Total knee replacement CPT 27447 HB Arthrp Kne Condyle&Platu Medial&Lat Compartments	$34,605.90	$49,437.00	$11,568.26–$29,975.00	366% above	30%
Total shoulder replacement CPT 23472 HB Arthroplasty Glenohumeral Joint Total Shoulder	$34,605.90	$49,437.00	$11,568.26–$35,255.00	333% above	30%
Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy Total/Complete	$73,286.35	$104,694.79	$425.00–$8,823.00	145% above	30%
Trigger finger release surgery CPT 26055 HB Incise Finger Tendon Sheath	$2,626.40	$3,752.00	$1,484.73–$7,257.25	98% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 HB Injection Single/Mlt Trigger Point 1/2 Muscles	$423.50	$605.00	$74.80–$1,871.10	14% below	30%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy Fulguration Oviducts	$26,479.26	$37,827.51	—	818% above	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HB Bx Breast 1st Lesion US Imag	$2,353.40	$3,362.00	$3,362.00–$8,563.00	6% above	30%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HB Egd Balloon Dilation Esophagus <30 Mm Diam	$3,315.20	$4,736.00	$408.56–$4,736.00	51% above	30%
Upper endoscopy (EGD) with biopsy CPT 43239 HB Egd Transoral Biopsy Single/Multiple	$10,335.13	$14,764.47	$3,132.00–$7,500.00	523% above	30%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HB Esophagogastroduodenoscopy Submucosal Injection	$1,165.50	$1,665.00	$389.61–$3,978.00	45% below	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HB Egd Removal Tumor Polyp/Other Lesion Snare Tech	$13,244.91	$18,921.30	$1,566.00–$3,750.00	328% above	30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HB Egd Insert Guide Wire Dilator Passage Esophagus	$10,432.09	$14,902.99	$1,566.00–$3,750.00	291% above	30%
Upper endoscopy (EGD), diagnostic CPT 43235 HB Esophagogastroduodenoscopy Transoral Diagnostic	$4,437.85	$6,339.79	$3,132.00–$3,480.00	110% above	30%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HB Egd W/Transmural Drain Cyst	$4,375.00	$6,250.00	$1,168.75–$6,250.00	at median	30%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy	$35,980.58	$51,400.83	$6,935.00–$7,705.00	58% above	30%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 HB Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$6,157.90	$8,797.00	$2,058.50–$4,838.35	65% below	30%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$28,741.29	$41,058.99	$6,935.00–$7,705.00	62% above	30%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HB Vasectomy Uni/Bi Spx W/Postop Semen Exams	$2,744.00	$3,920.00	$917.28–$4,082.65	—	30%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$15,443.07	$22,061.53	$2,013.00–$3,750.00	—	30%
Vein ablation, radiofrequency, first vein CPT 36475 HB Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein	$4,347.00	$6,210.00	$6,210.00–$12,549.00	6% below	30%
Wart removal, up to 14 warts CPT 17110 HB Destruct B9 Lesion 1-14	$154.70	$221.00	$41.33–$2,057.55	33% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB Debridement Subcutaneous Tissue 1st 20 Sq Cm/<	$1,899.80	$2,714.00	$1,346.00–$2,714.00	186% above	30%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 HB Treat Fx Rad Extra-Articul	$14,605.50	$20,865.00	$2,968.99–$11,475.75	89% above	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HB Blood Transfusion Service	$1,491.00	$2,130.00	$176.44–$4,076.00	64% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB Airway Inhalation Treatment	$185.50	$265.00	$17.32–$550.00	1% below	30%
Chemotherapy IV infusion, first hour CPT 96413 HB Chemo IV Infusion, Initial Hr	$1,051.40	$1,502.00	$316.37–$1,610.00	71% above	30%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB Comprehensive Hearing Test	$256.90	$367.00	$71.20–$367.00	2% above	30%
Critical care, first 30 to 74 minutes CPT 99291 HB Critical Care First Hour	$1,598.10	$2,283.00	$534.22–$5,045.00	10% below	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HB Eeg Awake and Drowsy	$885.50	$1,265.00	$245.41–$1,265.00	6% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB Electrocardiogram Tracing	$238.00	$340.00	$26.21–$435.00	8% above	30%
Electroconvulsive therapy (ECT), one session CPT 90870 HB Electroconvulsive Therapy	$555.10	$793.00	$153.84–$1,978.00	34% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB ED Visit Level 1	$380.80	$544.00	$110.77–$571.00	114% above	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB ED Visit Level 2	$757.40	$1,082.00	$209.91–$1,082.00	102% above	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB ED Visit Level 3	$1,346.80	$1,924.00	$373.26–$1,924.00	114% above	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB ED Visit Level 4	$4,049.15	$5,784.50	$796.00–$3,026.00	297% above	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB ED Visit Level 5	$10,081.05	$14,401.50	$796.00–$3,026.00	576% above	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB Cardiovascular Stress Test	$828.10	$1,183.00	$216.68–$1,899.00	at median	30%
Family therapy with the patient, 50 minutes CPT 90847 HB Cdh Family Psytx W/Patient	$160.30	$229.00	$50.25–$259.00	at median	30%
Family therapy with the patient, 50 minutes CPT 90847 HB Family Psytx W/Patient	$319.20	$456.00	$53.59–$456.00	98% above	30%
Family therapy without the patient, 50 minutes CPT 90846 HB Family Psychotherapy W/O Patient Present 50 Mins	$141.40	$202.00	$47.27–$202.00	10% below	30%
Group psychotherapy session CPT 90853 HB M/H Group Therapy	$63.00	$90.00	$21.06–$114.00	43% below	30%
Group psychotherapy session CPT 90853 HB Cdh C/D Group Therapy	$63.00	$90.00	$21.06–$90.00	43% below	30%
Group psychotherapy session CPT 90853 HB Continuing Care Group Psychotherapy	$82.60	$118.00	$22.89–$118.00	26% below	30%
Group psychotherapy session CPT 90853 HB M/H Intensive OP Prg Adult	$259.00	$370.00	$86.58–$657.00	133% above	30%
Group psychotherapy session CPT 90853 HB Group Psychotherapy	$319.90	$457.00	$42.10–$457.00	188% above	30%
Group psychotherapy session CPT 90853 HB Cdh C/D Intensive OP Day	$459.90	$657.00	$153.74–$657.00	313% above	30%
Group psychotherapy session CPT 90853 HB Cdh M/H Intensive OP Prg Adult	$459.90	$657.00	$153.74–$657.00	313% above	30%
Group psychotherapy session CPT 90853 HB Adol Mh-Cd Iop	$574.00	$820.00	$191.88–$820.00	416% above	30%
Group psychotherapy session CPT 90853 HB Cdh M/H Intensive OP Prg Adol	$574.00	$820.00	$191.88–$820.00	416% above	30%
Group psychotherapy session CPT 90853 HB M/H Partial Day Hosp	$674.10	$963.00	$260.01–$481.50	506% above	30%
Group psychotherapy session CPT 90853 HB Cdh C/D Part Day Hospital	$674.10	$963.00	$260.01–$481.50	506% above	30%
Group psychotherapy session CPT 90853 HB Cdh M/H Partial Day Hosp	$674.10	$963.00	$225.34–$963.00	506% above	30%
Group psychotherapy session CPT 90853 HB Cdh M/H Partial Day Hosp Adol	$845.60	$1,208.00	$282.67–$1,208.00	660% above	30%
Group psychotherapy session CPT 90853 HB M/H Partial Day Hosp Adol	$845.60	$1,208.00	$282.67–$1,208.00	660% above	30%
Group psychotherapy session CPT 90853 HB Adol Mh-Cd Php	$845.60	$1,208.00	$1,208.00	660% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB Hydration IV Infusion Initial; 31 Minutes to 1 Hour	$301.00	$430.00	$83.42–$691.00	7% below	30%
IV infusion of a medicine, first hour CPT 96365 HB IV Infusion, Medicine (Tx/Px/D); Intial Up to 1 Hour	$329.00	$470.00	$109.51–$757.00	16% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB Ther/Proph/Diag Inj Sc/Im	$93.10	$133.00	$10.02–$212.00	11% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Cdh M/H Evaluation	$104.30	$149.00	$34.87–$149.00	50% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Cdh M/H Adoles Eval	$104.30	$149.00	$34.87–$149.00	50% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB M/H Evaluation	$104.30	$149.00	$34.87–$290.00	50% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB M/H Adoles Eval	$104.30	$149.00	$34.87–$149.00	50% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Cdh Top Eval Adult	$104.30	$149.00	$34.87–$149.00	50% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Cdh Top Eval Adolescent	$104.30	$149.00	$34.87–$149.00	50% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB C/D Evaluation	$104.30	$149.00	$28.91–$149.00	50% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Cdh C/D Evaluation	$104.30	$149.00	$34.87–$149.00	50% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Psych Diagnostic Evaluation	$343.00	$490.00	$78.38–$714.00	63% above	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Crisis Diagnostic Evaluation	$343.00	$490.00	$95.06–$490.00	63% above	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Adolescent Diagnostic Evaluation	$343.00	$490.00	$78.38–$490.00	63% above	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Psych Evaluation Lvl 1 IP	$445.90	$637.00	$118.17–$637.00	112% above	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Crisis Assessment Lvl 1 ED	$445.90	$637.00	$118.17–$637.00	112% above	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Cdh C/D Intensive OP Evening	$459.90	$657.00	$153.74–$657.00	119% above	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Crisis Assessment Lvl 2 ED	$706.30	$1,009.00	$236.11–$1,274.00	236% above	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Psych Evaluation Lvl 2 IP	$891.80	$1,274.00	$236.11–$1,274.00	324% above	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Psych Evaluation Lvl 3 IP	$1,337.70	$1,911.00	$354.28–$1,911.00	536% above	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Crisis Assessment Lvl 3 ED	$1,337.70	$1,911.00	$354.28–$1,911.00	536% above	30%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB Nrv Cndj Test 7-8 Studies	$1,758.40	$2,512.00	$106.94–$3,808.00	185% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 HB Neuromuscular Reeducation	$168.70	$241.00	$42.35–$241.00	57% above	30%
New patient office visit, about 30 minutes CPT 99203 HB Office/Outpatient Visit New Level 3	$380.10	$543.00	$105.34–$543.00	78% above	30%
New patient office visit, about 45 minutes CPT 99204 HB Office/Outpatient Visit New Level 4	$438.20	$626.00	$121.44–$626.00	56% above	30%
New patient office visit, about 60 minutes CPT 99205 HB Office/Outpatient Visit New Level 5	$640.50	$915.00	$177.51–$915.00	70% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB Office/Outpatient Visit New Level 2	$215.60	$308.00	$59.75–$308.00	44% above	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi	$40.60	$58.00	$13.57–$123.00	26% below	30%
Occupational therapy evaluation, low complexity CPT 97165 HB Drivers Ot Eval Low Complexity - Self Pay	$346.50	$495.00	$115.83–$495.00	36% above	30%
Occupational therapy evaluation, low complexity CPT 97165 HB Ot Feeding Clinic Low Complex	$348.60	$498.00	$96.61–$498.00	36% above	30%
Occupational therapy evaluation, low complexity CPT 97165 HB Ot Eval Low Complex	$348.60	$498.00	$96.61–$498.00	36% above	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB Pt Eval High Complex	$446.60	$638.00	$123.77–$731.50	37% above	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB Pt Eval Low Complex	$293.30	$419.00	$81.29–$486.50	23% above	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB Pt Eval Mod Complex	$352.10	$503.00	$97.58–$611.10	19% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB Manual Therapy 1/> Regions	$214.20	$306.00	$43.99–$306.00	88% above	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB Therapeutic Exercises	$165.20	$236.00	$42.35–$236.00	65% above	30%
Psychiatric evaluation with medical services CPT 90792 Hcpf Psych Diag Eval W/Med Srvcs	$252.70	$361.00	$70.03–$361.00	at median	30%
Psychiatric evaluation with medical services CPT 90792 HB Psych Diag Eval W/Med Srvcs	$399.00	$570.00	$81.43–$570.00	58% above	30%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HB Psychological Tst Eval Svc Phys/Qhp First Hr	$805.00	$1,150.00	$69.73–$1,150.00	156% above	30%
Psychotherapy for crisis, first 60 minutes CPT 90839 HB Psytx Crisis Initial 60 Min	$679.00	$970.00	$37.64–$970.00	183% above	30%
Psychotherapy session, 30 minutes CPT 90832 HB Psychotherapy W/Patient 30 Minutes	$219.80	$314.00	$37.21–$281.00	37% above	30%
Psychotherapy session, 45 minutes CPT 90834 HB Psychotherapy W/Patient 45 Minutes	$133.70	$191.00	$44.69–$392.00	26% below	30%
Psychotherapy session, 45 minutes CPT 90834 HB Cdh M/H OP Counseling Ind- 45 Min	$135.80	$194.00	$37.64–$205.00	24% below	30%
Psychotherapy session, 45 minutes CPT 90834 HB Cdh C/D OP Mat Therapy	$143.50	$205.00	$47.97–$205.00	20% below	30%
Psychotherapy session, 45 minutes CPT 90834 HB Cdh C/D OP Counseling Ind- 45 Min	$143.50	$205.00	$47.97–$205.00	20% below	30%
Psychotherapy session, 60 minutes CPT 90837 HB Cdh C/D OP Counseling Ind- 60 Min	$179.20	$256.00	$59.90–$256.00	19% below	30%
Psychotherapy session, 60 minutes CPT 90837 HB Cdh M/H OP Counseling Ind- 60 Min	$179.20	$256.00	$53.59–$256.00	19% below	30%
Psychotherapy session, 60 minutes CPT 90837 HB Psychotherapy W/Patient 60 Minutes	$555.80	$794.00	$53.59–$794.00	152% above	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB Smoking and Tobacco Use Counseling - 3-10 Minutes	$30.10	$43.00	$10.06–$43.00	10% below	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB Office/Outpatient Visit Established Level 5	$609.00	$870.00	$168.78–$870.00	130% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hcpf Established Patient Level 3 Bh	$151.20	$216.00	$41.90–$216.00	3% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB Office/Outpatient Visit Established Level 3	$291.20	$416.00	$80.70–$416.00	97% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hcpf Established Patient Level 4 Bh	$164.50	$235.00	$45.59–$235.00	7% below	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB Office/Outpatient Visit Established Level 4	$398.30	$569.00	$110.39–$569.00	124% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hcpf Established Patient Level 2 Bh	$105.70	$151.00	$29.29–$151.00	7% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB Office/Outpatient Visit Established Level 2	$196.00	$280.00	$54.32–$280.00	72% above	30%
Speech and language evaluation CPT 92523 HB Speech Sound Lang Comprehen	$564.20	$806.00	$156.36–$806.00	48% above	30%
Speech therapy session, individual CPT 92507 HB Speech/Hearing Therapy Individual	$355.60	$508.00	$98.55–$508.00	70% above	30%
Spirometry (breathing test) CPT 94010 HB Breathing Capacity Test	$405.30	$579.00	$112.33–$579.00	36% above	30%
Spirometry before and after a bronchodilator CPT 94060 HB Bronchodilation Responsiveness, Pre/Post Bronchodilator	$620.20	$886.00	$171.88–$1,229.00	18% above	30%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HB Tcranial Magn Stim Tx Plan	$543.90	$777.00	$117.00–$777.00	64% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB Therapeutic Activities	$168.70	$241.00	$42.12–$241.00	33% above	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB Therapeutic Phlebotomy	$316.40	$452.00	$105.77–$452.00	52% above	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB Phlebotomy	$316.40	$452.00	$105.77–$452.00	52% above	30%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 HB Cv Strs Tst Xers&/or Rx Cont Ecg W/Si&R	$431.20	$616.00	$119.50–$616.00	at median	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VAC 25-26(12UP)(PFI)(PF) 30 MCG/0.3 ML IM SYRG	$137.90	$197.00	$38.22–$197.00	27% below	30%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HB Sarscv2 Vac 30mcg Trs-Suc Im Pfizer	$137.90	$197.00	$38.22–$197.00	27% below	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HB Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use	$33.60	$48.00	$9.31–$48.00	5% below	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TS 2025-26(6MOS UP)-PF 45 MCG (15 MCG X 3)/0.5 ML IM SYRG	$65.80	$94.00	$7.02–$116.00	87% above	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HB 9vhpv Vacc 2/3 Dose Sched Im Use	$423.50	$605.00	$117.37–$605.00	14% below	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAV VAC,9-VAL(PF) 0.5 ML IM SUSP	$967.22	$1,381.75	$268.06–$1,381.75	97% above	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAV VAC,9-VAL(PF) 0.5 ML IM SYRG	$1,678.95	$2,398.50	$350.66–$3,693.50	243% above	30%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HB Hepatitis a & B Vaccine Hepa-Hepb Adult Im	$326.90	$467.00	$90.60–$467.00	63% above	30%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VACCINE (PF) 720 ELISA UNIT- 20 MCG/ML IM SYRG	$509.77	$728.25	$141.28–$1,014.25	154% above	30%
Hepatitis A vaccine, adult dose CPT 90632 HB Hepatitis a Vacine, Adult Dosage, Intramuscular	$107.10	$153.00	$29.68–$153.00	1% below	30%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML IM SUSP	$126.35	$180.50	$35.02–$251.25	17% above	30%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRG	$331.45	$473.50	$91.86–$1,913.75	207% above	30%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNITS/ML IM SUSP	$378.17	$540.25	$75.22–$540.25	250% above	30%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNITS/ML IM SYRG	$394.97	$564.25	$132.03–$564.25	266% above	30%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 720 UNITS IM SYRG	$609.17	$870.25	$203.64–$870.25	464% above	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HB Hepatitis B Vaccine, Adult Dosage, Intramuscular	$84.00	$120.00	$23.28–$120.00	14% below	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SUSP	$278.07	$397.25	$77.07–$1,605.00	185% above	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/ML IM SUSP	$471.27	$673.25	$67.84–$673.25	383% above	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SYRG	$1,123.50	$1,605.00	$77.07–$1,605.00	1052% above	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HH Iiv Vaccine Preserv Free Increased Ag Content Im	$70.70	$101.00	$19.59–$101.00	5% above	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HB Influenza Vaccine, Quadrivalent Iiv4 Intramuscular, 0.5 Ml	$81.20	$116.00	$22.50–$116.00	21% above	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC TS2025-26(65YR UP)-PF 180 MCG/0.5 ML IM SYRG	$302.40	$432.00	$10.53–$432.00	350% above	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HB Measles Mumps Rubella Virus Vaccine Live Subq	$242.90	$347.00	$67.32–$347.00	22% above	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ SOLR	$505.22	$721.75	$100.54–$2,193.50	154% above	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HB Meningococcal Conjugate Vaccine, Intramuscular	$247.80	$354.00	$68.68–$354.00	4% above	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT	$848.92	$1,212.75	$177.75–$1,872.00	257% above	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HB Menb-4c Vacc 2 Dose Im	$329.00	$470.00	$91.18–$470.00	at median	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRG	$1,158.50	$1,655.00	$242.55–$2,554.50	252% above	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HB Pneumococcal Vaccine, 20 Valent, Intramuscular	$314.30	$449.00	$87.11–$449.00	12% below	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG	$1,193.67	$1,705.25	$296.83–$2,149.25	235% above	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HB Pneumococcal Vaccine, 23 Valent, 2 Years and Older	$164.50	$235.00	$54.99–$235.00	at median	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG	$1,237.60	$1,768.00	$134.67–$1,768.00	652% above	30%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML IM SYRG	$2,387.70	$3,411.00	$499.89–$5,265.00	87% above	30%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HB Abrysvo Rsv Vaccine Pref Subunit Bivalent for Im Use	$364.70	$521.00	$101.07–$521.00	at median	30%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR	$1,048.25	$1,497.50	$290.52–$1,497.50	187% above	30%
Rabies vaccine, one dose CPT 90675 HB Rabies Vaccine, Intramuscular	$466.90	$667.00	$137.35–$708.00	38% below	30%
Rabies vaccine, one dose CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNITS IM SOLR	$1,270.50	$1,815.00	$424.71–$2,896.75	69% above	30%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNITS IM SUSR	$2,116.97	$3,024.25	$527.67–$5,091.00	181% above	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HB Hzv Vacc Recombinant Im	$186.20	$266.00	$51.60–$266.00	at median	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GE-AS01B (PF) 50 MCG/0.5 ML IM SUSR	$662.37	$946.25	$162.77–$1,865.00	256% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HB Tetanus and Diphtheria Toxoids; 7 Yrs and Older	$77.00	$110.00	$21.34–$110.00	at median	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5 LF UNIT- 2 LF UNIT/0.5ML IM SUSP	$665.17	$950.25	$71.62–$950.25	764% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG	$665.17	$950.25	$45.64–$950.25	764% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HB Tdap Vaccine, Intramuscular, 7 Years and Older	$77.70	$111.00	$21.53–$111.00	24% below	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM SYRG	$512.22	$731.75	$62.01–$731.75	398% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH,PERTUSS(ACEL),TET VAC(PF) 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 ML IM SUSP	$569.62	$813.75	$39.09–$813.75	454% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH,PERTUSS(ACEL),TET VAC(PF) 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 ML IM SYRG	$775.42	$1,107.75	$63.18–$1,107.75	655% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB Immunization Admin	$54.60	$78.00	$14.98–$103.00	3% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB Im Adm Prq ID Subq/Im Njxs Ea Vaccine	$47.60	$68.00	$13.10–$89.00	24% above	30%

Dental

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HB Extraction, Erupted Tooth or Exposed Root (Elevation and/or Forceps Removal)	$328.30	$469.00	$90.99–$469.00	at median	30%

Source file: https://www.nm.org/site_data/370960170_northwestern-memorial-hospital_standardcharges.json