Hospital Quincy, IL-MO

Blessing Hospital

Blessing Hospital in Quincy, IL publishes cash prices for 406 common procedures listed here, from its own machine-readable price file updated Jun 8, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Illinois median for 325 of 398 procedures and above it for 72. By typical cash price it ranks #11 of 90 Illinois hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1005 Broadway St, Quincy, IL 62301 Collected Sep 27, 2026 Source price file (217) 223-1200

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 140015 · 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 Blessing Hospital in Quincy, IL:

Aug 18, 2023 Met requirements
Apr 24, 2025 Warning notice
May 21, 2025 Case closed
Apr 13, 2026 Warning notice
Jul 8, 2026 Case closed

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS	$58.03	$96.71	$48.84–$99.88	82% below	40%
Ankle X-ray, complete, 3 or more views CPT 73610 CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS	$58.03	$96.71	$31.60–$80.04	82% below	40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS	$58.03	$96.71	$49.71–$73.50	—	40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS	$58.03	$96.71	$31.60–$80.04	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY	$157.40	$262.33	$132.48–$201.31	71% below	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY	$157.40	$262.33	$86.88–$217.12	71% below	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY	$157.40	$262.33	$86.88–$217.12	—	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY	$157.40	$262.33	$134.84–$199.37	—	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED	$773.44	$1,289.06	$99.88–$979.69	109% above	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED	$773.44	$1,289.06	$79.15–$1,031.25	109% above	40%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED	$773.44	$1,289.06	$79.15–$1,031.25	—	40%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED	$773.44	$1,289.06	$662.58–$979.69	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CHG CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST	$774.53	$1,290.87	$201.31–$981.06	67% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CHG CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST	$774.53	$1,290.87	$264.34–$1,042.35	67% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CHG CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST	$774.53	$1,290.87	$663.51–$981.06	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CHG CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST	$774.53	$1,290.87	$264.34–$1,042.35	—	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CHG CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM	$45.00	$75.00	$56.25–$267.25	20% below	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CHG CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM	$45.00	$75.00	$37.88–$99.88	20% below	40%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CHG CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM	$45.00	$75.00	$56.25–$267.25	—	40%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CHG CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM	$45.00	$75.00	$38.55–$57.00	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL	$388.64	$647.73	$174.44–$536.10	87% below	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL	$388.64	$647.73	$273.84–$492.27	87% below	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL	$388.64	$647.73	$332.93–$492.27	—	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL	$388.64	$647.73	$174.44–$536.10	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$607.28	$1,012.13	$400.40–$769.22	82% below	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$607.28	$1,012.13	$282.12–$837.70	82% below	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$607.28	$1,012.13	$520.23–$769.22	—	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$607.28	$1,012.13	$282.12–$837.70	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CHG CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE	$769.41	$1,282.34	$400.40–$974.58	82% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CHG CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE	$769.41	$1,282.34	$317.56–$1,061.35	82% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CHG CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE	$769.41	$1,282.34	$659.12–$974.58	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CHG CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE	$769.41	$1,282.34	$317.56–$1,061.35	—	40%
CT scan of the abdomen with contrast CPT 74160 CHG CT ABDOMEN W/CONTRAST MATERIAL	$534.98	$891.62	$201.31–$677.63	73% below	40%
CT scan of the abdomen with contrast CPT 74160 CHG CT ABDOMEN W/CONTRAST MATERIAL	$534.98	$891.62	$215.67–$737.96	73% below	40%
CT scan of the abdomen with contrast inpatient CPT 74160 CHG CT ABDOMEN W/CONTRAST MATERIAL	$534.98	$891.62	$458.29–$677.63	—	40%
CT scan of the abdomen with contrast inpatient CPT 74160 CHG CT ABDOMEN W/CONTRAST MATERIAL	$534.98	$891.62	$215.67–$737.96	—	40%
CT scan of the abdomen without contrast CPT 74150 CHG CT ABDOMEN W/O CONTRAST MATERIAL	$394.91	$658.17	$129.53–$544.75	76% below	40%
CT scan of the abdomen without contrast CPT 74150 CHG CT ABDOMEN W/O CONTRAST MATERIAL	$394.91	$658.17	$119.99–$500.21	76% below	40%
CT scan of the abdomen without contrast inpatient CPT 74150 CHG CT ABDOMEN W/O CONTRAST MATERIAL	$394.91	$658.17	$129.53–$544.75	—	40%
CT scan of the abdomen without contrast inpatient CPT 74150 CHG CT ABDOMEN W/O CONTRAST MATERIAL	$394.91	$658.17	$338.30–$500.21	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL	$435.23	$725.37	$120.82–$585.72	70% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL	$435.23	$725.37	$119.99–$551.28	70% below	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL	$435.23	$725.37	$372.84–$551.28	—	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL	$435.23	$725.37	$120.82–$585.72	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL	$320.31	$533.84	$100.99–$431.07	80% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL	$320.31	$533.84	$119.99–$405.72	80% below	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL	$320.31	$533.84	$274.39–$405.72	—	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL	$320.31	$533.84	$100.99–$431.07	—	40%
CT scan of the head with contrast CPT 70460 CHG CT HEAD/BRAIN W/CONTRAST MATERIAL	$418.37	$697.28	$201.31–$529.93	74% below	40%
CT scan of the head with contrast CPT 70460 CHG CT HEAD/BRAIN W/CONTRAST MATERIAL	$418.37	$697.28	$140.55–$563.04	74% below	40%
CT scan of the head with contrast inpatient CPT 70460 CHG CT HEAD/BRAIN W/CONTRAST MATERIAL	$418.37	$697.28	$140.55–$563.04	—	40%
CT scan of the head with contrast inpatient CPT 70460 CHG CT HEAD/BRAIN W/CONTRAST MATERIAL	$418.37	$697.28	$358.40–$529.93	—	40%
CT scan of the head without and with contrast CPT 70470 CHG CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL	$448.11	$746.85	$201.31–$567.61	79% below	40%
CT scan of the head without and with contrast CPT 70470 CHG CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL	$448.11	$746.85	$163.52–$603.06	79% below	40%
CT scan of the head without and with contrast inpatient CPT 70470 CHG CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL	$448.11	$746.85	$383.88–$567.61	—	40%
CT scan of the head without and with contrast inpatient CPT 70470 CHG CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL	$448.11	$746.85	$163.52–$603.06	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CHG CT LUMBAR SPINE W/O CONTRAST MATERIAL	$407.78	$679.62	$122.99–$548.78	79% below	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CHG CT LUMBAR SPINE W/O CONTRAST MATERIAL	$407.78	$679.62	$119.99–$516.51	79% below	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CHG CT LUMBAR SPINE W/O CONTRAST MATERIAL	$407.78	$679.62	$349.32–$516.51	—	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CHG CT LUMBAR SPINE W/O CONTRAST MATERIAL	$407.78	$679.62	$122.99–$548.78	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CHG CT CERVICAL SPINE W/O CONTRAST MATERIAL	$415.73	$692.87	$119.99–$526.58	79% below	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CHG CT CERVICAL SPINE W/O CONTRAST MATERIAL	$415.73	$692.87	$123.60–$559.47	79% below	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CHG CT CERVICAL SPINE W/O CONTRAST MATERIAL	$415.73	$692.87	$356.14–$526.58	—	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CHG CT CERVICAL SPINE W/O CONTRAST MATERIAL	$415.73	$692.87	$123.60–$559.47	—	40%
CT scan of the pelvis, with contrast dye CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL	$480.51	$800.84	$201.31–$608.64	74% below	40%
CT scan of the pelvis, with contrast dye CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL	$480.51	$800.84	$211.38–$646.66	74% below	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL	$480.51	$800.84	$411.63–$608.64	—	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL	$480.51	$800.84	$211.38–$646.66	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$595.62	$992.69	$177.04–$794.15	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$595.62	$992.69	$273.84–$754.44	—	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$595.62	$992.69	$177.04–$794.15	—	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$595.62	$992.69	$510.24–$754.44	—	40%
Chest X-ray, 2 views CPT 71046 CHG RADIOLOGIC EXAM CHEST 2 VIEWS	$55.92	$93.20	$29.65–$74.56	80% below	40%
Chest X-ray, 2 views CPT 71046 CHG RADIOLOGIC EXAM CHEST 2 VIEWS	$55.92	$93.20	$47.07–$99.88	80% below	40%
Chest X-ray, 2 views inpatient CPT 71046 CHG RADIOLOGIC EXAM CHEST 2 VIEWS	$55.92	$93.20	$47.90–$70.83	—	40%
Chest X-ray, 2 views inpatient CPT 71046 CHG RADIOLOGIC EXAM CHEST 2 VIEWS	$55.92	$93.20	$29.65–$74.56	—	40%
Chest X-ray, single view CPT 71045 CHG RADIOLOGIC EXAM CHEST SINGLE VIEW	$42.83	$71.38	$36.05–$99.88	82% below	40%
Chest X-ray, single view CPT 71045 CHG RADIOLOGIC EXAM CHEST SINGLE VIEW	$42.83	$71.38	$23.31–$57.10	82% below	40%
Chest X-ray, single view inpatient CPT 71045 CHG RADIOLOGIC EXAM CHEST SINGLE VIEW	$42.83	$71.38	$36.69–$54.25	—	40%
Chest X-ray, single view inpatient CPT 71045 CHG RADIOLOGIC EXAM CHEST SINGLE VIEW	$42.83	$71.38	$23.31–$57.10	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 CHG US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE	$364.79	$607.97	$119.99–$462.06	54% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 CHG US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE	$364.79	$607.97	$100.15–$486.38	54% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 CHG US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE	$364.79	$607.97	$100.15–$486.38	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 CHG US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE	$364.79	$607.97	$312.50–$462.06	—	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 CHG DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL	$163.17	$271.95	$119.99–$206.68	61% below	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 CHG DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL	$163.17	$271.95	$35.73–$230.71	61% below	40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 CHG DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL	$163.17	$271.95	$139.78–$206.68	—	40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 CHG DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL	$163.17	$271.95	$35.73–$230.71	—	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 CHG DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL	$51.32	$85.52	$43.19–$99.88	78% below	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 CHG DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL	$51.32	$85.52	$29.35–$68.72	78% below	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 CHG DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL	$51.32	$85.52	$43.96–$65.00	—	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 CHG DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL	$51.32	$85.52	$29.35–$68.72	—	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 CHG US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION	$333.40	$555.66	$160.04–$459.90	64% below	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 CHG US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION	$333.40	$555.66	$273.84–$422.30	64% below	40%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 CHG US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION	$333.40	$555.66	$285.61–$422.30	—	40%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 CHG US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION	$333.40	$555.66	$160.04–$459.90	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST	$409.05	$681.74	$125.64–$550.49	67% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST	$409.05	$681.74	$119.99–$518.12	67% below	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST	$409.05	$681.74	$125.64–$550.49	—	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST	$409.05	$681.74	$350.41–$518.12	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST	$507.62	$846.02	$201.31–$642.98	75% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST	$507.62	$846.02	$157.41–$683.15	75% below	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST	$507.62	$846.02	$434.85–$642.98	—	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST	$507.62	$846.02	$157.41–$683.15	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$467.09	$778.47	$147.91–$622.78	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$467.09	$778.47	$393.13–$591.64	—	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$467.09	$778.47	$147.91–$622.78	—	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$467.09	$778.47	$400.13–$591.64	—	40%
Diagnostic mammogram, one breast CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$339.42	$565.70	$116.73–$452.56	20% above	40%
Diagnostic mammogram, one breast CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$339.42	$565.70	$285.68–$429.93	20% above	40%
Diagnostic mammogram, one breast inpatient CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$339.42	$565.70	$116.73–$452.56	—	40%
Diagnostic mammogram, one breast inpatient CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$339.42	$565.70	$290.77–$429.93	—	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$748.83	$1,248.05	$221.47–$998.44	—	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$748.83	$1,248.05	$273.84–$948.52	—	40%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$748.83	$1,248.05	$221.47–$998.44	—	40%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$748.83	$1,248.05	$641.50–$948.52	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$618.05	$1,030.08	$171.96–$824.06	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$618.05	$1,030.08	$273.84–$782.86	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$618.05	$1,030.08	$529.46–$782.86	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$618.05	$1,030.08	$171.96–$824.06	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PR ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D	$625.26	$1,042.09	$526.26–$791.99	65% below	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PR ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D	$625.26	$1,042.09	$185.48–$833.67	65% below	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 PR ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D	$625.26	$1,042.09	$185.48–$833.67	—	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 PR ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D	$625.26	$1,042.09	$535.63–$791.99	—	40%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT	$1,090.18	$1,816.96	$98.18–$1,453.57	35% above	40%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT	$1,090.18	$1,816.96	$247.82–$1,380.89	35% above	40%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT	$1,090.18	$1,816.96	$98.18–$1,453.57	—	40%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT	$1,090.18	$1,816.96	$933.92–$1,380.89	—	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND	$4,489.17	$7,481.95	$985.58–$5,686.28	37% above	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND	$4,489.17	$7,481.95	$575.94–$5,985.56	37% above	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND	$4,489.17	$7,481.95	$575.94–$5,985.56	—	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND	$4,489.17	$7,481.95	$3,845.72–$5,686.28	—	40%
Knee X-ray, 3 views CPT 73562 CHG RADIOLOGIC EXAMINATION KNEE 3 VIEWS	$65.88	$109.80	$35.42–$90.19	80% below	40%
Knee X-ray, 3 views CPT 73562 CHG RADIOLOGIC EXAMINATION KNEE 3 VIEWS	$65.88	$109.80	$55.45–$99.88	80% below	40%
Knee X-ray, 3 views inpatient CPT 73562 CHG RADIOLOGIC EXAMINATION KNEE 3 VIEWS	$65.88	$109.80	$35.42–$90.19	—	40%
Knee X-ray, 3 views inpatient CPT 73562 CHG RADIOLOGIC EXAMINATION KNEE 3 VIEWS	$65.88	$109.80	$56.44–$83.45	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 CHG US ABDOMINAL REAL TIME W/IMAGE LIMITED	$294.49	$490.81	$81.23–$392.65	49% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 CHG US ABDOMINAL REAL TIME W/IMAGE LIMITED	$294.49	$490.81	$81.23–$392.65	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-	$264.68	$441.13	$129.21–$352.90	52% below	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-	$264.68	$441.13	$119.99–$335.26	52% below	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-	$264.68	$441.13	$226.74–$335.26	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-	$264.68	$441.13	$129.21–$352.90	—	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 CHG MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL	$704.27	$1,173.77	$320.12–$939.02	—	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 CHG MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL	$704.27	$1,173.77	$592.75–$892.07	—	40%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 CHG MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL	$704.27	$1,173.77	$320.12–$939.02	—	40%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 CHG MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL	$704.27	$1,173.77	$603.32–$892.07	—	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$1,175.68	$1,959.46	$192.42–$1,567.57	51% below	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$1,175.68	$1,959.46	$273.84–$1,489.19	51% below	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$1,175.68	$1,959.46	$192.42–$1,567.57	—	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$1,175.68	$1,959.46	$1,007.16–$1,489.19	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL	$1,068.63	$1,781.04	$400.40–$1,353.59	67% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL	$1,068.63	$1,781.04	$357.61–$1,474.10	67% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL	$1,068.63	$1,781.04	$357.61–$1,474.10	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL	$1,068.63	$1,781.04	$915.45–$1,353.59	—	40%
MRI of the abdomen without contrast CPT 74181 CHG MRI ABDOMEN W/O CONTRAST MATERIAL	$723.41	$1,205.67	$182.95–$997.89	65% below	40%
MRI of the abdomen without contrast CPT 74181 CHG MRI ABDOMEN W/O CONTRAST MATERIAL	$723.41	$1,205.67	$273.84–$916.31	65% below	40%
MRI of the abdomen without contrast inpatient CPT 74181 CHG MRI ABDOMEN W/O CONTRAST MATERIAL	$723.41	$1,205.67	$619.71–$916.31	—	40%
MRI of the abdomen without contrast inpatient CPT 74181 CHG MRI ABDOMEN W/O CONTRAST MATERIAL	$723.41	$1,205.67	$182.95–$997.89	—	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 CHG MRI ABDOMEN W/O & W/CONTRAST MATERIAL	$1,139.34	$1,898.90	$400.40–$1,443.16	63% below	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 CHG MRI ABDOMEN W/O & W/CONTRAST MATERIAL	$1,139.34	$1,898.90	$316.50–$1,571.65	63% below	40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 CHG MRI ABDOMEN W/O & W/CONTRAST MATERIAL	$1,139.34	$1,898.90	$976.03–$1,443.16	—	40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 CHG MRI ABDOMEN W/O & W/CONTRAST MATERIAL	$1,139.34	$1,898.90	$316.50–$1,571.65	—	40%
MRI of the brain, no contrast dye CPT 70551 CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL	$836.62	$1,394.36	$184.75–$1,125.91	62% below	40%
MRI of the brain, no contrast dye CPT 70551 CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL	$836.62	$1,394.36	$273.84–$1,059.71	62% below	40%
MRI of the brain, no contrast dye inpatient CPT 70551 CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL	$836.62	$1,394.36	$716.70–$1,059.71	—	40%
MRI of the brain, no contrast dye inpatient CPT 70551 CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL	$836.62	$1,394.36	$184.75–$1,125.91	—	40%
MRI of the brain, with and without contrast dye CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$1,138.23	$1,897.05	$299.35–$1,531.83	65% below	40%
MRI of the brain, with and without contrast dye CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$1,138.23	$1,897.05	$400.40–$1,441.76	65% below	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$1,138.23	$1,897.05	$975.08–$1,441.76	—	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$1,138.23	$1,897.05	$299.35–$1,531.83	—	40%
MRI of the lower back, no contrast dye CPT 72148 CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$746.78	$1,244.62	$273.84–$945.91	71% below	40%
MRI of the lower back, no contrast dye CPT 72148 CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$746.78	$1,244.62	$181.40–$1,005.00	71% below	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$746.78	$1,244.62	$181.40–$1,005.00	—	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$746.78	$1,244.62	$639.73–$945.91	—	40%
MRI of the lower back, without and then with contrast dye CPT 72158 CHG MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL	$1,119.66	$1,866.09	$400.40–$1,418.23	66% below	40%
MRI of the lower back, without and then with contrast dye CPT 72158 CHG MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL	$1,119.66	$1,866.09	$300.57–$1,506.83	66% below	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 CHG MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL	$1,119.66	$1,866.09	$959.17–$1,418.23	—	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 CHG MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL	$1,119.66	$1,866.09	$300.57–$1,506.83	—	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 CHG MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL	$757.33	$1,262.21	$273.84–$959.28	70% below	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 CHG MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL	$757.33	$1,262.21	$180.18–$1,019.21	70% below	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 CHG MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL	$757.33	$1,262.21	$180.18–$1,019.21	—	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 CHG MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL	$757.33	$1,262.21	$648.78–$959.28	—	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 CHG MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL	$1,138.85	$1,898.08	$300.27–$1,532.66	65% below	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 CHG MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL	$1,138.85	$1,898.08	$400.40–$1,442.54	65% below	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CHG MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL	$1,138.85	$1,898.08	$975.61–$1,442.54	—	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CHG MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL	$1,138.85	$1,898.08	$300.27–$1,532.66	—	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 CHG MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL	$751.53	$1,252.54	$273.84–$951.93	67% below	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 CHG MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL	$751.53	$1,252.54	$180.48–$1,011.40	67% below	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CHG MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL	$751.53	$1,252.54	$643.81–$951.93	—	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CHG MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL	$751.53	$1,252.54	$180.48–$1,011.40	—	40%
MRI of the pelvis without and with contrast CPT 72197 CHG MRI PELVIS W/O & W/CONTRAST MATERIAL	$1,164.92	$1,941.52	$400.40–$1,475.56	58% below	40%
MRI of the pelvis without and with contrast CPT 72197 CHG MRI PELVIS W/O & W/CONTRAST MATERIAL	$1,164.92	$1,941.52	$314.98–$1,567.74	58% below	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 CHG MRI PELVIS W/O & W/CONTRAST MATERIAL	$1,164.92	$1,941.52	$314.98–$1,567.74	—	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 CHG MRI PELVIS W/O & W/CONTRAST MATERIAL	$1,164.92	$1,941.52	$997.94–$1,475.56	—	40%
MRI of the pelvis, no contrast dye CPT 72195 CHG MRI PELVIS W/O CONTRAST MATERIAL	$831.82	$1,386.36	$213.75–$1,119.46	61% below	40%
MRI of the pelvis, no contrast dye CPT 72195 CHG MRI PELVIS W/O CONTRAST MATERIAL	$831.82	$1,386.36	$273.84–$1,053.63	61% below	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 CHG MRI PELVIS W/O CONTRAST MATERIAL	$831.82	$1,386.36	$712.59–$1,053.63	—	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 CHG MRI PELVIS W/O CONTRAST MATERIAL	$831.82	$1,386.36	$213.75–$1,119.46	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 CHG MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL	$766.83	$1,278.05	$273.84–$971.32	70% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 CHG MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL	$766.83	$1,278.05	$193.03–$1,057.80	70% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 CHG MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL	$766.83	$1,278.05	$193.03–$1,057.80	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 CHG MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL	$766.83	$1,278.05	$656.92–$971.32	—	40%
OCT scan of the retina (optical coherence tomography) CPT 92134 PR COMPUTERIZED OPHTHALMIC IMAGING RETINA	$71.84	$119.73	$60.46–$90.99	3% above	40%
OCT scan of the retina (optical coherence tomography) CPT 92134 PR COMPUTERIZED OPHTHALMIC IMAGING RETINA	$71.84	$119.73	$31.22–$96.68	3% above	40%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 PR COMPUTERIZED OPHTHALMIC IMAGING RETINA	$71.84	$119.73	$31.22–$96.68	—	40%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 PR COMPUTERIZED OPHTHALMIC IMAGING RETINA	$71.84	$119.73	$61.54–$90.99	—	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 CHG PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH	$8,369.23	$13,948.71	$109.54–$11,158.97	51% above	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 CHG PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH	$8,369.23	$13,948.71	$1,641.16–$10,601.02	51% above	40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 CHG PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH	$8,369.23	$13,948.71	$109.54–$11,158.97	—	40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 CHG PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH	$8,369.23	$13,948.71	$7,169.64–$10,601.02	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U	$269.46	$449.10	$44.00–$359.28	37% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U	$269.46	$449.10	$44.00–$359.28	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 CHG US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE	$341.64	$569.40	$98.91–$455.52	46% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 CHG US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE	$341.64	$569.40	$119.99–$432.74	46% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 CHG US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE	$341.64	$569.40	$98.91–$455.52	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 CHG US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE	$341.64	$569.40	$292.67–$432.74	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$409.33	$682.21	$119.99–$518.48	33% below	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$409.33	$682.21	$126.57–$545.77	33% below	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$409.33	$682.21	$350.66–$518.48	—	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$409.33	$682.21	$126.57–$545.77	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 CHG US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT	$355.02	$591.70	$110.63–$473.36	36% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 CHG US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT	$355.02	$591.70	$119.99–$449.69	36% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 CHG US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT	$355.02	$591.70	$110.63–$473.36	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 CHG US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT	$355.02	$591.70	$304.13–$449.69	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 CHG US PREGNANT UTERUS LIMITED 1/> FETUSES	$250.56	$417.60	$75.99–$334.08	38% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 CHG US PREGNANT UTERUS LIMITED 1/> FETUSES	$250.56	$417.60	$75.99–$334.08	—	40%
Screening mammogram, both breasts both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$305.13	$508.55	$118.51–$406.84	—	40%
Screening mammogram, both breasts both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$305.13	$508.55	$256.82–$386.50	—	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$305.13	$508.55	$261.39–$386.50	—	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$305.13	$508.55	$118.51–$406.84	—	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS	$54.65	$91.07	$30.01–$75.37	83% below	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS	$54.65	$91.07	$45.99–$99.88	83% below	40%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS	$54.65	$91.07	$30.01–$75.37	—	40%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS	$54.65	$91.07	$46.81–$69.21	—	40%
Sleep study in a lab (polysomnography) CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$4,056.62	$6,761.03	$551.50–$5,408.82	38% above	40%
Sleep study in a lab (polysomnography) CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$4,056.62	$6,761.03	$985.58–$5,138.38	38% above	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$4,056.62	$6,761.03	$551.50–$5,408.82	—	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$4,056.62	$6,761.03	$3,475.17–$5,138.38	—	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 CHG RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$207.83	$346.37	$174.92–$263.24	61% below	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 CHG RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$207.83	$346.37	$112.16–$277.10	61% below	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CHG RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$207.83	$346.37	$178.03–$263.24	—	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CHG RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$207.83	$346.37	$112.16–$277.10	—	40%
Transvaginal pelvic ultrasound CPT 76830 CHG US TRANSVAGINAL	$345.21	$575.35	$110.59–$460.28	37% below	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 CHG US TRANSVAGINAL	$345.21	$575.35	$110.59–$460.28	—	40%
Transvaginal ultrasound during pregnancy CPT 76817 CHG US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG	$283.45	$472.41	$86.42–$377.93	40% below	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 CHG US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG	$283.45	$472.41	$86.42–$377.93	—	40%
Ultrasound of the abdomen, complete CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$384.99	$641.64	$107.89–$513.31	60% below	40%
Ultrasound of the abdomen, complete CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$384.99	$641.64	$119.99–$487.65	60% below	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$384.99	$641.64	$107.89–$513.31	—	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$384.99	$641.64	$329.80–$487.65	—	40%
Ultrasound of the scrotum and testicles CPT 76870 CHG US SCROTUM & CONTENTS	$339.87	$566.44	$92.85–$453.15	48% below	40%
Ultrasound of the scrotum and testicles CPT 76870 CHG US SCROTUM & CONTENTS	$339.87	$566.44	$119.99–$430.49	48% below	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 CHG US SCROTUM & CONTENTS	$339.87	$566.44	$92.85–$453.15	—	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 CHG US SCROTUM & CONTENTS	$339.87	$566.44	$291.15–$430.49	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 CHG US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM	$328.94	$548.22	$101.58–$438.58	47% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 CHG US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM	$328.94	$548.22	$119.99–$416.65	47% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 CHG US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM	$328.94	$548.22	$101.58–$438.58	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 CHG US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM	$328.94	$548.22	$281.79–$416.65	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CHG RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY	$194.25	$323.75	$163.49–$246.05	64% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CHG RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY	$194.25	$323.75	$108.89–$274.65	64% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CHG RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY	$194.25	$323.75	$166.41–$246.05	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CHG RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY	$194.25	$323.75	$108.89–$274.65	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$367.91	$613.17	$119.99–$466.01	42% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$367.91	$613.17	$108.49–$490.54	42% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$367.91	$613.17	$108.49–$490.54	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$367.91	$613.17	$315.17–$466.01	—	40%
Wrist X-ray, complete, 3 or more views CPT 73110 CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS	$64.80	$107.99	$54.53–$99.88	79% below	40%
Wrist X-ray, complete, 3 or more views CPT 73110 CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS	$64.80	$107.99	$35.11–$89.38	79% below	40%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS	$64.80	$107.99	$55.51–$82.07	—	40%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS	$64.80	$107.99	$35.11–$89.38	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS	$76.56	$127.60	$64.44–$99.88	72% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS	$76.56	$127.60	$40.80–$102.08	72% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS	$76.56	$127.60	$65.59–$96.98	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS	$76.56	$127.60	$40.80–$102.08	—	40%
X-ray of the abdomen, 1 view CPT 74018 CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW	$49.12	$81.86	$26.49–$65.49	81% below	40%
X-ray of the abdomen, 1 view CPT 74018 CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW	$49.12	$81.86	$41.34–$99.88	81% below	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW	$49.12	$81.86	$26.49–$65.49	—	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW	$49.12	$81.86	$42.08–$62.21	—	40%
X-ray of the ankle, 2 views CPT 73600 CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS	$78.24	$130.39	$65.85–$99.88	72% below	40%
X-ray of the ankle, 2 views CPT 73600 CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS	$78.24	$130.39	$28.75–$104.31	72% below	40%
X-ray of the ankle, 2 views inpatient CPT 73600 CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS	$78.24	$130.39	$28.75–$104.31	—	40%
X-ray of the ankle, 2 views inpatient CPT 73600 CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS	$78.24	$130.39	$67.02–$99.10	—	40%
X-ray of the finger(s), 2 or more views CPT 73140 CHG RADEX FINGR MINIMUM 2 VIEWS	$58.34	$97.22	$49.10–$99.88	76% below	40%
X-ray of the finger(s), 2 or more views CPT 73140 CHG RADEX FINGR MINIMUM 2 VIEWS	$58.34	$97.22	$32.28–$78.93	76% below	40%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 CHG RADEX FINGR MINIMUM 2 VIEWS	$58.34	$97.22	$49.97–$73.89	—	40%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 CHG RADEX FINGR MINIMUM 2 VIEWS	$58.34	$97.22	$32.28–$78.93	—	40%
X-ray of the foot, 2 views CPT 73620 CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS	$71.68	$119.46	$60.33–$99.88	73% below	40%
X-ray of the foot, 2 views CPT 73620 CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS	$71.68	$119.46	$25.24–$95.57	73% below	40%
X-ray of the foot, 2 views inpatient CPT 73620 CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS	$71.68	$119.46	$25.24–$95.57	—	40%
X-ray of the foot, 2 views inpatient CPT 73620 CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS	$71.68	$119.46	$61.40–$90.79	—	40%
X-ray of the foot, complete, 3 or more views CPT 73630 CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS	$55.19	$91.98	$46.45–$99.88	83% below	40%
X-ray of the foot, complete, 3 or more views CPT 73630 CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS	$55.19	$91.98	$29.69–$76.13	83% below	40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS	$55.19	$91.98	$47.28–$69.90	—	40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS	$55.19	$91.98	$29.69–$76.13	—	40%
X-ray of the hand, 3 or more views CPT 73130 CHG RADEX HAND MINIMUM 3 VIEWS	$85.55	$142.58	$72.00–$108.36	74% below	40%
X-ray of the hand, 3 or more views CPT 73130 CHG RADEX HAND MINIMUM 3 VIEWS	$85.55	$142.58	$31.60–$114.06	74% below	40%
X-ray of the hand, 3 or more views inpatient CPT 73130 CHG RADEX HAND MINIMUM 3 VIEWS	$85.55	$142.58	$31.60–$114.06	—	40%
X-ray of the hand, 3 or more views inpatient CPT 73130 CHG RADEX HAND MINIMUM 3 VIEWS	$85.55	$142.58	$73.29–$108.36	—	40%
X-ray of the knee, 1 or 2 views CPT 73560 CHG RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS	$55.30	$92.16	$30.34–$76.08	80% below	40%
X-ray of the knee, 1 or 2 views CPT 73560 CHG RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS	$55.30	$92.16	$46.54–$99.88	80% below	40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 CHG RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS	$55.30	$92.16	$47.37–$70.04	—	40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 CHG RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS	$55.30	$92.16	$30.34–$76.08	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS	$66.69	$111.14	$34.43–$89.74	83% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS	$66.69	$111.14	$56.13–$119.99	83% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS	$66.69	$111.14	$34.43–$89.74	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS	$66.69	$111.14	$57.13–$84.47	—	40%
X-ray of the lower back, 4 or more views CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$90.37	$150.61	$76.06–$119.99	83% below	40%
X-ray of the lower back, 4 or more views CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$90.37	$150.61	$43.63–$121.62	83% below	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$90.37	$150.61	$43.63–$121.62	—	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$90.37	$150.61	$77.41–$114.46	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 CHG RADEX SPINE THORACIC 2 VIEWS	$60.33	$100.54	$28.71–$81.19	83% below	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 CHG RADEX SPINE THORACIC 2 VIEWS	$60.33	$100.54	$50.77–$119.99	83% below	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CHG RADEX SPINE THORACIC 2 VIEWS	$60.33	$100.54	$51.68–$76.41	—	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CHG RADEX SPINE THORACIC 2 VIEWS	$60.33	$100.54	$28.71–$81.19	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS	$62.10	$103.50	$52.27–$99.88	79% below	40%
X-ray of the nasal bones, 3 or more views CPT 70160 CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS	$62.10	$103.50	$32.88–$82.80	79% below	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS	$62.10	$103.50	$32.88–$82.80	—	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS	$62.10	$103.50	$53.20–$78.66	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS	$71.31	$118.84	$34.43–$95.96	78% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS	$71.31	$118.84	$60.01–$99.88	78% below	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS	$71.31	$118.84	$34.43–$95.96	—	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS	$71.31	$118.84	$61.08–$90.32	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 CHG RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS	$48.43	$80.71	$40.76–$119.99	85% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 CHG RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS	$48.43	$80.71	$25.87–$65.17	85% below	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CHG RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS	$48.43	$80.71	$41.48–$61.34	—	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CHG RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS	$48.43	$80.71	$25.87–$65.17	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS	$54.05	$90.08	$28.42–$72.06	81% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS	$54.05	$90.08	$45.49–$99.88	81% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS	$54.05	$90.08	$28.42–$72.06	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS	$54.05	$90.08	$46.30–$68.46	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT)	$125.94	$209.90	$5.48–$159.52	140% above	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT)	$125.94	$209.90	$107.89–$159.52	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT)	$119.95	$199.91	$5.35–$151.93	128% above	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT)	$119.95	$199.91	$102.75–$151.93	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE	$584.34	$973.89	$49.22–$740.16	141% above	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE	$584.34	$973.89	$500.58–$740.16	—	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TEST	$89.84	$149.72	$5.39–$113.79	227% above	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TEST	$89.84	$149.72	$76.96–$113.79	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY	$206.06	$343.43	$13.38–$261.01	145% above	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY	$206.06	$343.43	$176.52–$261.01	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES)	$292.73	$487.88	$12.49–$370.79	225% above	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES)	$292.73	$487.88	$250.77–$370.79	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE	$106.67	$177.78	$40.57–$135.11	38% below	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE	$326.71	$544.51	$279.88–$413.83	—	40%
Basic metabolic panel (blood test) CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL	$46.52	$77.52	$3.55–$62.02	64% below	40%
Basic metabolic panel (blood test) CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL	$46.52	$77.52	$8.74–$58.92	64% below	40%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$47.65	$79.41	$8.74–$60.35	63% below	40%
Basic metabolic panel (blood test) inpatient CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL	$46.52	$77.52	$3.55–$62.02	—	40%
Basic metabolic panel (blood test) inpatient CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL	$46.52	$77.52	$39.85–$58.92	—	40%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$175.85	$293.07	$150.64–$222.73	—	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PR SURG PATH,LEVEL IV	$226.12	$376.86	$59.81–$286.41	6% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PR SURG PATH,LEVEL IV	$226.12	$376.86	$44.43–$301.49	6% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV	$516.38	$860.63	$59.81–$654.08	116% above	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PR SURG PATH,LEVEL IV	$226.12	$376.86	$193.71–$286.41	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PR SURG PATH,LEVEL IV	$226.12	$376.86	$44.43–$301.49	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV	$516.38	$860.63	$442.36–$654.08	—	40%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD	$224.72	$374.52	$10.66–$284.64	49% above	40%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD	$224.72	$374.52	$192.50–$284.64	—	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PR COLLECTION VENOUS BLOOD VENIPUNCTURE	$12.92	$21.53	$3.00–$17.22	43% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PR COLLECTION VENOUS BLOOD VENIPUNCTURE	$12.92	$21.53	$9.65–$16.36	43% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE	$31.25	$52.07	$9.65–$39.57	39% above	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PR COLLECTION VENOUS BLOOD VENIPUNCTURE	$12.92	$21.53	$3.00–$17.22	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PR COLLECTION VENOUS BLOOD VENIPUNCTURE	$12.92	$21.53	$11.07–$16.36	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE	$31.25	$52.07	$26.76–$39.57	—	40%
Blood glucose (sugar) test CPT 82947 CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP	$10.41	$17.34	$4.06–$13.18	68% below	40%
Blood glucose (sugar) test CPT 82947 CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP	$10.41	$17.34	$2.36–$14.01	68% below	40%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - POCT GLUCOSE	$74.70	$124.49	$4.06–$94.61	127% above	40%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GTT FASTING	$74.70	$124.49	$4.06–$94.61	127% above	40%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE RANDOM	$74.70	$124.49	$4.06–$94.61	127% above	40%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE FASTING	$74.70	$124.49	$4.06–$94.61	127% above	40%
Blood glucose (sugar) test inpatient CPT 82947 CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP	$10.41	$17.34	$8.91–$13.18	—	40%
Blood glucose (sugar) test inpatient CPT 82947 CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP	$10.41	$17.34	$2.36–$14.01	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - POCT GLUCOSE	$74.70	$124.49	$63.99–$94.61	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE FASTING	$74.70	$124.49	$63.99–$94.61	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE RANDOM	$74.70	$124.49	$63.99–$94.61	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GTT FASTING	$74.70	$124.49	$63.99–$94.61	—	40%
Blood lead test CPT 83655 CHG ASSAY OF LEAD	$32.12	$53.52	$12.51–$40.68	44% below	40%
Blood lead test CPT 83655 CHG ASSAY OF LEAD	$32.12	$53.52	$5.09–$43.22	44% below	40%
Blood lead test CPT 83655 HC ASSAY OF LEAD	$67.97	$113.27	$12.51–$86.09	18% above	40%
Blood lead test inpatient CPT 83655 CHG ASSAY OF LEAD	$32.12	$53.52	$27.51–$40.68	—	40%
Blood lead test inpatient CPT 83655 CHG ASSAY OF LEAD	$32.12	$53.52	$5.09–$43.22	—	40%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD	$67.97	$113.27	$58.22–$86.09	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE URINE	$40.54	$67.56	$7.77–$51.35	44% below	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE URINE	$168.21	$280.35	$144.10–$213.07	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE	$211.67	$352.77	$152.70–$268.11	157% above	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE	$211.67	$352.77	$181.32–$268.11	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFF AMP PROBE	$244.61	$407.68	$38.51–$309.84	32% above	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFF AMP PROBE	$244.61	$407.68	$209.55–$309.84	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 - CANCER ANTIGEN 19-9	$416.73	$694.55	$21.50–$527.86	297% above	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 - CANCER ANTIGEN 19-9	$416.73	$694.55	$357.00–$527.86	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 - CA 125	$368.16	$613.59	$21.50–$466.33	136% above	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 - CA 125	$368.16	$613.59	$315.39–$466.33	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$89.22	$148.70	$53.02–$113.01	11% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$89.22	$148.70	$30.79–$118.96	11% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-COV-2 RT PCR	$105.23	$175.38	$53.02–$133.29	5% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$89.22	$148.70	$76.43–$113.01	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$89.22	$148.70	$30.79–$118.96	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-COV-2 RT PCR	$105.23	$175.38	$90.15–$133.29	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ	$124.26	$207.10	$36.26–$157.40	6% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ	$124.26	$207.10	$14.74–$165.68	6% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE	$127.29	$212.15	$36.26–$161.23	4% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ	$124.26	$207.10	$106.45–$157.40	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ	$124.26	$207.10	$14.74–$165.68	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE	$207.59	$345.98	$177.83–$262.94	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG LIPID PANEL	$69.42	$115.70	$13.84–$87.93	37% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG LIPID PANEL	$69.42	$115.70	$5.62–$92.56	37% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - BUNDLED CHARGE	$71.12	$118.52	$13.84–$90.08	36% below	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHG LIPID PANEL	$69.42	$115.70	$5.62–$92.56	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHG LIPID PANEL	$69.42	$115.70	$59.47–$87.93	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - BUNDLED CHARGE	$263.30	$438.83	$225.56–$333.51	—	40%
Complete blood count (CBC) with differential CPT 85025 PR COMPLETE CBC & AUTO DIFF WBC	$34.71	$57.85	$8.03–$43.97	56% below	40%
Complete blood count (CBC) with differential CPT 85025 PR COMPLETE CBC & AUTO DIFF WBC	$34.71	$57.85	$3.26–$46.28	56% below	40%
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$35.56	$59.26	$8.03–$45.04	55% below	40%
Complete blood count (CBC) with differential inpatient CPT 85025 PR COMPLETE CBC & AUTO DIFF WBC	$34.71	$57.85	$29.73–$43.97	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 PR COMPLETE CBC & AUTO DIFF WBC	$34.71	$57.85	$3.26–$46.28	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$127.06	$211.76	$108.84–$160.94	—	40%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC - CBC	$34.85	$58.08	$6.69–$44.14	46% below	40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC - CBC	$121.57	$202.61	$104.14–$153.98	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL	$61.79	$102.97	$4.44–$82.38	59% below	40%
Comprehensive metabolic panel (blood test) CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL	$61.79	$102.97	$10.91–$78.26	59% below	40%
Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$63.29	$105.48	$10.91–$80.16	58% below	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL	$61.79	$102.97	$4.44–$82.38	—	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL	$61.79	$102.97	$52.93–$78.26	—	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$233.72	$389.53	$200.22–$296.04	—	40%
D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE	$109.52	$182.52	$10.52–$138.72	4% above	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE	$424.52	$707.52	$363.67–$537.72	—	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	$217.61	$362.67	$22.97–$275.63	102% above	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	$217.61	$362.67	$186.41–$275.63	—	40%
Estradiol blood test CPT 82670 CHG ASSAY OF TOTAL ESTRADIOL	$36.06	$60.09	$11.73–$68.51	66% below	40%
Estradiol blood test CPT 82670 CHG ASSAY OF TOTAL ESTRADIOL	$36.06	$60.09	$28.87–$45.67	66% below	40%
Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL	$238.98	$398.29	$28.87–$302.70	125% above	40%
Estradiol blood test inpatient CPT 82670 CHG ASSAY OF TOTAL ESTRADIOL	$36.06	$60.09	$11.73–$68.51	—	40%
Estradiol blood test inpatient CPT 82670 CHG ASSAY OF TOTAL ESTRADIOL	$36.06	$60.09	$30.89–$45.67	—	40%
Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL	$238.98	$398.29	$204.72–$302.70	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 CHG GONADOTROPIN FOLLICLE STIMULATING HORMONE	$49.29	$82.14	$19.20–$62.43	57% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 CHG GONADOTROPIN FOLLICLE STIMULATING HORMONE	$49.29	$82.14	$7.80–$66.33	57% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) - FSH	$360.24	$600.39	$19.20–$456.30	213% above	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 CHG GONADOTROPIN FOLLICLE STIMULATING HORMONE	$49.29	$82.14	$7.80–$66.33	—	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 CHG GONADOTROPIN FOLLICLE STIMULATING HORMONE	$49.29	$82.14	$42.22–$62.43	—	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN (FSH) - FSH	$360.24	$600.39	$308.60–$456.30	—	40%
Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSY FOR CALPROTECT FECAL	$338.78	$564.63	$20.28–$429.12	99% above	40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC ASSY FOR CALPROTECT FECAL	$338.78	$564.63	$290.22–$429.12	—	40%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN - FERRITIN	$63.29	$105.48	$14.08–$80.16	51% below	40%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN - FERRITIN	$208.66	$347.76	$178.75–$264.30	—	40%
Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE	$207.45	$345.74	$15.19–$262.76	99% above	40%
Folate (folic acid) blood test inpatient CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE	$207.45	$345.74	$177.71–$262.76	—	40%
Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	$352.43	$587.38	$17.50–$446.41	276% above	40%
Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	$352.43	$587.38	$301.91–$446.41	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 CHG ASSAY OF FREE THYROXINE	$49.29	$82.15	$3.79–$65.72	57% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 CHG ASSAY OF FREE THYROXINE	$49.29	$82.15	$9.32–$62.43	57% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE	$50.50	$84.16	$9.32–$63.96	56% below	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CHG ASSAY OF FREE THYROXINE	$49.29	$82.15	$42.23–$62.43	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CHG ASSAY OF FREE THYROXINE	$49.29	$82.15	$3.79–$65.72	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE	$187.44	$312.40	$160.57–$237.42	—	40%
Free testosterone test CPT 84402 CHG ASSAY OF TESTOSTERONE FREE	$67.55	$112.58	$26.32–$85.56	45% below	40%
Free testosterone test CPT 84402 CHG ASSAY OF TESTOSTERONE FREE	$67.55	$112.58	$10.70–$90.90	45% below	40%
Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	$303.50	$505.83	$26.32–$384.43	148% above	40%
Free testosterone test inpatient CPT 84402 CHG ASSAY OF TESTOSTERONE FREE	$67.55	$112.58	$57.87–$85.56	—	40%
Free testosterone test inpatient CPT 84402 CHG ASSAY OF TESTOSTERONE FREE	$67.55	$112.58	$10.70–$90.90	—	40%
Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	$303.50	$505.83	$260.00–$384.43	—	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 PR GENERAL HEALTH PANEL	$168.69	$281.15	$20.63–$224.92	40% below	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 PR GENERAL HEALTH PANEL	$168.69	$281.15	$141.98–$213.67	40% below	40%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 PR GENERAL HEALTH PANEL	$168.69	$281.15	$20.63–$224.92	—	40%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 PR GENERAL HEALTH PANEL	$168.69	$281.15	$144.51–$213.67	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 PR GLUCOSE TEST	$12.30	$20.49	$2.85–$16.96	69% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 PR GLUCOSE TEST	$12.30	$20.49	$4.91–$15.57	69% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST - GTT 1 HOUR	$169.52	$282.52	$4.91–$214.72	324% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 PR GLUCOSE TEST	$12.30	$20.49	$10.53–$15.57	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 PR GLUCOSE TEST	$12.30	$20.49	$2.85–$16.96	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST - GTT 1 HOUR	$169.52	$282.52	$145.22–$214.72	—	40%
Glucose tolerance test, 3 samples CPT 82951 PR GLUCOSE TOLERANCE TEST (GTT)	$33.30	$55.50	$7.72–$45.94	73% below	40%
Glucose tolerance test, 3 samples CPT 82951 PR GLUCOSE TOLERANCE TEST (GTT)	$33.30	$55.50	$13.30–$42.18	73% below	40%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 HR	$273.83	$456.38	$13.30–$346.85	119% above	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 PR GLUCOSE TOLERANCE TEST (GTT)	$33.30	$55.50	$7.72–$45.94	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 PR GLUCOSE TOLERANCE TEST (GTT)	$33.30	$55.50	$28.53–$42.18	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 HR	$273.83	$456.38	$234.58–$346.85	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$124.26	$207.10	$36.26–$157.40	12% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$124.26	$207.10	$14.74–$165.68	12% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR	$127.29	$212.15	$36.26–$161.23	10% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$124.26	$207.10	$14.74–$165.68	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$124.26	$207.10	$106.45–$157.40	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR	$201.18	$335.30	$172.34–$254.83	—	40%
H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL	$231.57	$385.94	$14.86–$293.31	139% above	40%
H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL	$231.57	$385.94	$198.37–$293.31	—	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ	$586.27	$977.11	$87.94–$742.60	95% above	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ	$586.27	$977.11	$502.23–$742.60	—	40%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN	$121.64	$202.72	$14.17–$154.07	2% above	40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN	$121.64	$202.72	$104.20–$154.07	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV1 AG W/HIV-1 & HIV-2AB	$217.63	$362.71	$24.88–$275.66	93% above	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV1 AG W/HIV-1 & HIV-2AB	$217.63	$362.71	$186.43–$275.66	—	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 CHG IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES	$124.26	$207.10	$14.74–$165.68	15% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 CHG IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES	$124.26	$207.10	$36.26–$157.40	15% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH	$171.50	$285.83	$36.26–$217.23	17% above	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 CHG IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES	$124.26	$207.10	$106.45–$157.40	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 CHG IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES	$124.26	$207.10	$14.74–$165.68	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH	$171.50	$285.83	$146.92–$217.23	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CHG HEMOGLOBIN GLYCOSYLATED A1C	$40.97	$68.27	$4.08–$54.62	50% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CHG HEMOGLOBIN GLYCOSYLATED A1C	$40.97	$68.27	$10.03–$51.89	50% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	$41.96	$69.93	$10.03–$53.15	48% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - POCT GLYCATED HEMOGLOBIN, TOTAL	$41.96	$69.93	$10.03–$53.15	48% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CHG HEMOGLOBIN GLYCOSYLATED A1C	$40.97	$68.27	$35.09–$51.89	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CHG HEMOGLOBIN GLYCOSYLATED A1C	$40.97	$68.27	$4.08–$54.62	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - POCT GLYCATED HEMOGLOBIN, TOTAL	$41.96	$69.93	$35.94–$53.15	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	$162.54	$270.90	$139.24–$205.88	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY	$173.37	$288.94	$11.10–$219.59	102% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY	$173.37	$288.94	$148.52–$219.59	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN	$149.15	$248.58	$10.67–$188.92	86% above	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN	$149.15	$248.58	$127.77–$188.92	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY	$137.01	$228.34	$14.75–$173.54	27% above	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY	$137.01	$228.34	$117.37–$173.54	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION	$956.61	$1,594.34	$44.27–$1,211.70	283% above	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION	$956.61	$1,594.34	$819.49–$1,211.70	—	40%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY	$170.96	$284.93	$13.63–$216.55	163% above	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY	$170.96	$284.93	$146.45–$216.55	—	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY	$170.96	$284.93	$20.00–$216.55	90% above	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY	$170.96	$284.93	$146.45–$216.55	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY - HIGH SENSITIVITY CRP	$55.47	$92.44	$13.38–$70.25	38% below	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY - HIGH SENSITIVITY CRP	$159.72	$266.20	$136.83–$202.31	—	40%
Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE	$729.91	$1,216.51	$18.52–$924.55	593% above	40%
Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE	$729.91	$1,216.51	$625.29–$924.55	—	40%
Insulin blood test CPT 83525 HC ASSAY OF INSULIN,TOTAL - INSULIN, TOTAL	$259.14	$431.90	$11.81–$328.24	256% above	40%
Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN,TOTAL - INSULIN, TOTAL	$259.14	$431.90	$222.00–$328.24	—	40%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON	$120.20	$200.33	$6.69–$152.25	64% above	40%
Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON	$120.20	$200.33	$102.97–$152.25	—	40%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST	$41.96	$69.93	$9.03–$53.15	39% below	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST	$152.11	$253.51	$130.30–$192.67	—	40%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$141.77	$236.28	$8.97–$179.57	1% below	40%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$141.77	$236.28	$121.45–$179.57	—	40%
LH (luteinizing hormone) test CPT 83002 CHG GONADOTROPIN LUTEINIZING HORMONE	$49.13	$81.87	$19.14–$62.22	48% below	40%
LH (luteinizing hormone) test CPT 83002 CHG GONADOTROPIN LUTEINIZING HORMONE	$49.13	$81.87	$7.78–$66.10	48% below	40%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE	$387.03	$645.04	$19.14–$490.23	307% above	40%
LH (luteinizing hormone) test inpatient CPT 83002 CHG GONADOTROPIN LUTEINIZING HORMONE	$49.13	$81.87	$42.08–$62.22	—	40%
LH (luteinizing hormone) test inpatient CPT 83002 CHG GONADOTROPIN LUTEINIZING HORMONE	$49.13	$81.87	$7.78–$66.10	—	40%
LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE	$387.03	$645.04	$331.55–$490.23	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE	$36.27	$60.45	$7.12–$45.94	55% below	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE	$221.44	$369.06	$189.70–$280.49	—	40%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$59.03	$98.37	$8.44–$74.76	51% below	40%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$228.39	$380.65	$195.65–$289.29	—	40%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT	$159.92	$266.52	$17.60–$202.56	126% above	40%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT	$159.92	$266.52	$136.99–$202.56	—	40%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM	$33.43	$55.71	$6.92–$42.34	53% below	40%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM	$120.78	$201.30	$103.47–$152.99	—	40%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA	$170.06	$283.43	$13.31–$215.41	135% above	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA	$170.06	$283.43	$145.68–$215.41	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 CHG HETEROPHILE ANTIBODIES SCREEN	$13.73	$22.87	$3.11–$18.47	81% below	40%
Mono test (heterophile antibody, Monospot) CPT 86308 CHG HETEROPHILE ANTIBODIES SCREEN	$13.73	$22.87	$5.35–$17.38	81% below	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN - MONONUCLEOSIS SCREEN	$76.55	$127.58	$5.35–$96.96	6% above	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 CHG HETEROPHILE ANTIBODIES SCREEN	$13.73	$22.87	$3.11–$18.47	—	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 CHG HETEROPHILE ANTIBODIES SCREEN	$13.73	$22.87	$11.76–$17.38	—	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN - MONONUCLEOSIS SCREEN	$76.55	$127.58	$65.58–$96.96	—	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPEC ANTIGEN PSA	$187.15	$311.91	$19.00–$237.05	82% above	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPEC ANTIGEN PSA	$187.15	$311.91	$160.32–$237.05	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL	$102.75	$171.24	$7.72–$136.99	4% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL	$102.75	$171.24	$19.00–$130.14	4% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL	$105.25	$175.41	$19.00–$133.31	2% below	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL	$102.75	$171.24	$7.72–$136.99	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL	$102.75	$171.24	$88.02–$130.14	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL	$277.60	$462.66	$237.81–$351.62	—	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CHG CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN	$53.74	$89.56	$12.16–$72.32	51% below	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CHG CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN	$53.74	$89.56	$20.94–$68.07	51% below	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER	$155.28	$258.80	$20.94–$196.69	41% above	40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CHG CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN	$53.74	$89.56	$46.03–$68.07	—	40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CHG CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN	$53.74	$89.56	$12.16–$72.32	—	40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER	$155.28	$258.80	$133.02–$196.69	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT	$149.34	$248.89	$42.66–$189.16	31% below	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT	$392.54	$654.23	$336.27–$497.21	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL	$29.16	$48.59	$6.21–$36.93	47% below	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL	$135.21	$225.34	$115.82–$171.26	—	40%
Progesterone blood test CPT 84144 CHG ASSAY OF PROGESTERONE	$55.34	$92.22	$21.56–$70.09	58% below	40%
Progesterone blood test CPT 84144 CHG ASSAY OF PROGESTERONE	$55.34	$92.22	$8.76–$74.47	58% below	40%
Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE	$137.20	$228.66	$21.56–$173.78	3% above	40%
Progesterone blood test inpatient CPT 84144 CHG ASSAY OF PROGESTERONE	$55.34	$92.22	$8.76–$74.47	—	40%
Progesterone blood test inpatient CPT 84144 CHG ASSAY OF PROGESTERONE	$55.34	$92.22	$47.40–$70.09	—	40%
Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE	$137.20	$228.66	$117.53–$173.78	—	40%
Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN	$406.91	$678.18	$20.03–$515.42	252% above	40%
Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN	$406.91	$678.18	$348.58–$515.42	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME	$24.18	$40.30	$4.43–$30.63	22% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR	$24.18	$40.30	$4.43–$30.63	22% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME	$24.18	$40.30	$2.57–$32.24	22% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR CLIA WAIVED	$24.18	$40.30	$4.43–$30.63	22% below	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG PROTHROMBIN TIME	$24.18	$40.30	$20.71–$30.63	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR CLIA WAIVED	$24.18	$40.30	$20.71–$30.63	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG PROTHROMBIN TIME	$24.18	$40.30	$2.57–$32.24	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR	$78.90	$131.50	$67.59–$99.94	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 CHG DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE	$28.02	$46.69	$5.29–$37.35	66% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 CHG DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE	$28.02	$46.69	$13.02–$35.48	66% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS	$145.34	$242.22	$13.02–$184.09	77% above	40%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 CHG DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE	$28.02	$46.69	$5.29–$37.35	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 CHG DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE	$28.02	$46.69	$24.00–$35.48	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS	$145.34	$242.22	$124.50–$184.09	—	40%
Rapid flu test (influenza antigen) CPT 87804 CHG IAADIADOO INFLUENZA	$29.54	$49.23	$14.00–$42.81	48% below	40%
Rapid flu test (influenza antigen) CPT 87804 CHG IAADIADOO INFLUENZA	$29.54	$49.23	$17.10–$37.41	48% below	40%
Rapid flu test (influenza antigen) CPT 87804 HC DETECT AGENT,IMMUN,DIR OBS,INFLUENZA - RAPID FLU	$29.77	$49.61	$17.10–$37.70	48% below	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 CHG IAADIADOO INFLUENZA	$29.54	$49.23	$25.30–$37.41	—	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 CHG IAADIADOO INFLUENZA	$29.54	$49.23	$14.00–$42.81	—	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC DETECT AGENT,IMMUN,DIR OBS,INFLUENZA - RAPID FLU	$29.77	$49.61	$25.50–$37.70	—	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 CHG IAADIADOO STREPTOCOCCUS GROUP A	$31.81	$53.01	$17.08–$40.29	42% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 CHG IAADIADOO STREPTOCOCCUS GROUP A	$31.81	$53.01	$9.92–$42.81	42% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN	$106.07	$176.78	$17.08–$134.35	95% above	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 CHG IAADIADOO STREPTOCOCCUS GROUP A	$31.81	$53.01	$27.25–$40.29	—	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 CHG IAADIADOO STREPTOCOCCUS GROUP A	$31.81	$53.01	$9.92–$42.81	—	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN	$106.07	$176.78	$90.86–$134.35	—	40%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR	$338.78	$564.62	$5.86–$429.11	534% above	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR	$338.78	$564.62	$290.21–$429.11	—	40%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGM	$135.16	$225.26	$14.87–$171.20	77% above	40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGM	$135.16	$225.26	$115.78–$171.20	—	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED	$20.83	$34.71	$2.79–$26.38	53% below	40%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED	$74.94	$124.89	$64.19–$94.92	—	40%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION	$213.97	$356.61	$9.20–$271.02	193% above	40%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION	$213.97	$356.61	$183.30–$271.02	—	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER	$8.63	$14.38	$4.53–$10.93	67% below	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER	$8.63	$14.38	$2.63–$11.62	67% below	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN	$31.26	$52.09	$4.53–$39.59	21% above	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER	$8.63	$14.38	$2.63–$11.62	—	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER	$8.63	$14.38	$7.39–$10.93	—	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN	$31.26	$52.09	$26.77–$39.59	—	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 PR BLOOD,OCCULT,FECAL HGB,FECES,1-3 SIMULT	$42.20	$70.32	$16.45–$53.44	43% below	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 PR BLOOD,OCCULT,FECAL HGB,FECES,1-3 SIMULT	$42.20	$70.32	$9.55–$56.78	43% below	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC ASSAY TEST BLOOD FECAL	$87.69	$146.14	$16.45–$111.07	18% above	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 PR BLOOD,OCCULT,FECAL HGB,FECES,1-3 SIMULT	$42.20	$70.32	$9.55–$56.78	—	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 PR BLOOD,OCCULT,FECAL HGB,FECES,1-3 SIMULT	$42.20	$70.32	$36.14–$53.44	—	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC ASSAY TEST BLOOD FECAL	$87.69	$146.14	$75.12–$111.07	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL	$120.15	$200.24	$4.41–$152.18	135% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL	$120.15	$200.24	$102.92–$152.18	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST	$263.75	$439.57	$64.05–$334.07	13% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST	$263.75	$439.57	$225.94–$334.07	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 CHG ASSAY OF TESTOSTERONE TOTAL	$68.48	$114.13	$26.67–$86.74	45% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 CHG ASSAY OF TESTOSTERONE TOTAL	$68.48	$114.13	$10.84–$92.16	45% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	$361.61	$602.68	$26.67–$458.04	190% above	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 CHG ASSAY OF TESTOSTERONE TOTAL	$68.48	$114.13	$58.66–$86.74	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 CHG ASSAY OF TESTOSTERONE TOTAL	$68.48	$114.13	$10.84–$92.16	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	$361.61	$602.68	$309.78–$458.04	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY	$375.59	$625.97	$15.04–$475.74	318% above	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY	$375.59	$625.97	$321.75–$475.74	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH	$72.89	$121.48	$7.06–$97.18	44% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH	$72.89	$121.48	$17.36–$92.32	44% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$74.67	$124.45	$17.36–$94.58	43% below	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH	$72.89	$121.48	$62.44–$92.32	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH	$72.89	$121.48	$7.06–$97.18	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$279.61	$466.01	$239.53–$354.17	—	40%
Trichomonas test (NAAT) CPT 87661 PR IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH	$89.63	$149.38	$14.74–$120.63	28% below	40%
Trichomonas test (NAAT) CPT 87661 PR IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH	$89.63	$149.38	$36.26–$113.53	28% below	40%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAG AMPLIFIED PROBE TECH	$149.34	$248.89	$36.26–$189.16	20% above	40%
Trichomonas test (NAAT) inpatient CPT 87661 PR IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH	$89.63	$149.38	$76.78–$113.53	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 PR IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH	$89.63	$149.38	$14.74–$120.63	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAG AMPLIFIED PROBE TECH	$149.34	$248.89	$127.93–$189.16	—	40%
Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID, BLOOD	$106.31	$177.18	$4.67–$134.66	51% above	40%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF URIC ACID, BLOOD	$106.31	$177.18	$91.07–$134.66	—	40%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE	$19.92	$33.19	$3.28–$25.22	67% below	40%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE	$19.92	$33.19	$3.28–$25.22	67% below	40%
Urinalysis with microscope exam, automated CPT 81001 CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY	$19.92	$33.19	$1.90–$26.55	67% below	40%
Urinalysis with microscope exam, automated CPT 81001 CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY	$19.92	$33.19	$3.28–$25.22	67% below	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY	$19.92	$33.19	$17.06–$25.22	—	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY	$19.92	$33.19	$1.90–$26.55	—	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE	$64.27	$107.11	$55.05–$81.40	—	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE	$64.27	$107.11	$55.05–$81.40	—	40%
Urinalysis with microscope exam, manual CPT 81000 PR URINALYSIS, NONAUTO, W/SCOPE	$18.75	$31.24	$2.41–$24.99	9% below	40%
Urinalysis with microscope exam, manual CPT 81000 PR URINALYSIS, NONAUTO, W/SCOPE	$18.75	$31.24	$4.15–$23.74	9% below	40%
Urinalysis with microscope exam, manual inpatient CPT 81000 PR URINALYSIS, NONAUTO, W/SCOPE	$18.75	$31.24	$2.41–$24.99	—	40%
Urinalysis with microscope exam, manual inpatient CPT 81000 PR URINALYSIS, NONAUTO, W/SCOPE	$18.75	$31.24	$16.06–$23.74	—	40%
Urinalysis without microscope exam, automated CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$25.61	$42.67	$2.32–$32.43	43% above	40%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$25.61	$42.67	$2.32–$32.43	43% above	40%
Urinalysis without microscope exam, automated CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$25.61	$42.67	$1.35–$34.14	43% above	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$25.61	$42.67	$21.93–$32.43	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$25.61	$42.67	$1.35–$34.14	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$55.28	$92.12	$47.35–$70.01	—	40%
Urinalysis without microscope exam, manual CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	$6.78	$11.30	$3.60–$8.59	72% below	40%
Urinalysis without microscope exam, manual CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	$6.78	$11.30	$2.09–$9.12	72% below	40%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE	$49.34	$82.23	$3.60–$62.49	101% above	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	$6.78	$11.30	$5.81–$8.59	—	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	$6.78	$11.30	$2.09–$9.12	—	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE	$49.34	$82.23	$42.27–$62.49	—	40%
Urine culture for bacteria, with colony count CPT 87086 CHG CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE	$42.35	$70.58	$3.39–$56.46	52% below	40%
Urine culture for bacteria, with colony count CPT 87086 CHG CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE	$42.35	$70.58	$8.34–$53.64	52% below	40%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE	$42.35	$70.58	$8.34–$53.64	52% below	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 CHG CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE	$42.35	$70.58	$36.28–$53.64	—	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 CHG CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE	$42.35	$70.58	$3.39–$56.46	—	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE	$159.07	$265.11	$136.27–$201.48	—	40%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE	$34.85	$58.08	$8.90–$44.14	49% below	40%
Urine pregnancy test, read by color change CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS	$34.85	$58.08	$8.90–$44.14	49% below	40%
Urine pregnancy test, read by color change CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS	$34.85	$58.08	$5.17–$46.46	49% below	40%
Urine pregnancy test, read by color change inpatient CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS	$34.85	$58.08	$29.85–$44.14	—	40%
Urine pregnancy test, read by color change inpatient CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS	$34.85	$58.08	$5.17–$46.46	—	40%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE	$133.36	$222.26	$114.24–$168.92	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 CHG CYANOCOBALAMIN VITAMIN B-12	$68.04	$113.39	$15.58–$86.18	46% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 CHG CYANOCOBALAMIN VITAMIN B-12	$68.04	$113.39	$6.33–$90.71	46% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 - VITAMIN B12	$69.69	$116.15	$15.58–$88.27	45% below	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CHG CYANOCOBALAMIN VITAMIN B-12	$68.04	$113.39	$6.33–$90.71	—	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CHG CYANOCOBALAMIN VITAMIN B-12	$68.04	$113.39	$58.28–$86.18	—	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 - VITAMIN B12	$185.31	$308.85	$158.75–$234.73	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED - VITAMIN D 25	$127.29	$212.15	$30.59–$161.23	32% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED - VITAMIN D 25	$364.52	$607.53	$312.27–$461.72	—	40%
Zinc blood test CPT 84630 HC ASSAY OF ZINC	$133.40	$222.33	$11.77–$168.97	113% above	40%
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC	$133.40	$222.33	$114.28–$168.97	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD	$71.12	$118.52	$15.55–$90.08	32% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD	$152.68	$254.46	$130.79–$193.39	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 PR ADENOIDECTOMY PRIMARY <AGE 12	$399.00	$664.99	$194.14–$537.91	94% below	40%
Adenoid removal (adenoidectomy), child under 12 CPT 42830 PR ADENOIDECTOMY PRIMARY <AGE 12	$399.00	$664.99	$335.82–$3,805.16	94% below	40%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 PR ADENOIDECTOMY PRIMARY <AGE 12	$399.00	$664.99	$194.14–$537.91	—	40%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 PR ADENOIDECTOMY PRIMARY <AGE 12	$399.00	$664.99	$341.80–$505.39	—	40%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2	$3,342.78	$5,571.29	$1,715.03–$4,493.74	65% below	40%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2	$3,342.78	$5,571.29	$2,813.50–$14,735.00	65% below	40%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2	$3,342.78	$5,571.29	$2,863.64–$4,234.18	—	40%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2	$3,342.78	$5,571.29	$1,715.03–$4,493.74	—	40%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 PR APPENDEC RPTD APPENDIX ABSC/PRITONITIS	$1,701.14	$2,835.22	$1,431.79–$2,154.77	49% below	40%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 PR APPENDEC RPTD APPENDIX ABSC/PRITONITIS	$1,701.14	$2,835.22	$874.21–$2,290.64	49% below	40%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 PR APPENDEC RPTD APPENDIX ABSC/PRITONITIS	$1,701.14	$2,835.22	$874.21–$2,290.64	—	40%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 PR APPENDEC RPTD APPENDIX ABSC/PRITONITIS	$1,701.14	$2,835.22	$1,457.30–$2,154.77	—	40%
Appendectomy, open surgery CPT 44950 PR APPENDECTOMY	$1,245.59	$2,075.97	$1,048.36–$7,430.03	61% below	40%
Appendectomy, open surgery CPT 44950 PR APPENDECTOMY	$1,245.59	$2,075.97	$639.59–$1,675.75	61% below	40%
Appendectomy, open surgery inpatient CPT 44950 PR APPENDECTOMY	$1,245.59	$2,075.97	$1,067.05–$1,577.74	—	40%
Appendectomy, open surgery inpatient CPT 44950 PR APPENDECTOMY	$1,245.59	$2,075.97	$639.59–$1,675.75	—	40%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ	$1,850.96	$3,084.93	$912.08–$2,493.39	88% below	40%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ	$1,850.96	$3,084.93	$1,557.89–$8,327.98	88% below	40%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ	$1,850.96	$3,084.93	$1,585.65–$2,344.55	—	40%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ	$1,850.96	$3,084.93	$912.08–$2,493.39	—	40%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR	$2,436.12	$4,060.20	$2,050.40–$8,327.98	78% below	40%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR	$2,436.12	$4,060.20	$1,001.76–$3,248.16	78% below	40%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR	$2,436.12	$4,060.20	$1,001.76–$3,248.16	—	40%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR	$2,436.12	$4,060.20	$2,086.94–$3,085.75	—	40%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 PR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS	$5,556.99	$9,261.65	$139.31–$7,409.32	43% above	40%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 PR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS	$5,556.99	$9,261.65	$4,677.13–$8,099.87	43% above	40%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 PR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS	$5,556.99	$9,261.65	$4,760.49–$7,038.85	—	40%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 PR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS	$5,556.99	$9,261.65	$139.31–$7,409.32	—	40%
Botox injections for chronic migraine CPT 64615 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$295.38	$492.30	$248.61–$374.15	13% below	40%
Botox injections for chronic migraine CPT 64615 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$295.38	$492.30	$118.41–$393.84	13% below	40%
Botox injections for chronic migraine inpatient CPT 64615 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$295.38	$492.30	$118.41–$393.84	—	40%
Botox injections for chronic migraine inpatient CPT 64615 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$295.38	$492.30	$253.04–$374.15	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID	$713.59	$1,189.31	$143.18–$1,158.56	75% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID	$713.59	$1,189.31	$600.60–$1,895.54	75% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID	$713.59	$1,189.31	$143.18–$1,158.56	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID	$713.59	$1,189.31	$611.31–$903.88	—	40%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ	$595.60	$992.66	$288.32–$803.36	72% above	40%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ	$595.60	$992.66	$288.32–$803.36	—	40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PR CLOSED TX METATARSAL FRACTURE W/O MANIPULATION	$408.69	$681.14	$202.64–$550.50	36% below	40%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 PR CLOSED TX METATARSAL FRACTURE W/O MANIPULATION	$408.69	$681.14	$202.64–$550.50	—	40%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT	$1,591.78	$2,652.96	$483.34–$2,122.37	54% below	40%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT	$1,591.78	$2,652.96	$1,339.74–$3,755.29	54% below	40%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT	$1,591.78	$2,652.96	$483.34–$2,122.37	—	40%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT	$1,591.78	$2,652.96	$1,363.62–$2,016.25	—	40%
Bunion correction with removal of part of the big toe joint CPT 28292 PR CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE	$1,409.84	$2,349.73	$1,186.61–$3,755.29	60% below	40%
Bunion correction with removal of part of the big toe joint CPT 28292 PR CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE	$1,409.84	$2,349.73	$457.92–$1,879.78	60% below	40%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 PR CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE	$1,409.84	$2,349.73	$457.92–$1,879.78	—	40%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 PR CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE	$1,409.84	$2,349.73	$1,207.76–$1,785.79	—	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$346.63	$577.71	$95.53–$462.17	70% below	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$346.63	$577.71	$95.53–$462.17	—	40%
Carpal tunnel release, open surgery CPT 64721 PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$1,257.85	$2,096.41	$420.40–$1,677.13	58% below	40%
Carpal tunnel release, open surgery inpatient CPT 64721 PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$1,257.85	$2,096.41	$420.40–$1,677.13	—	40%
Cataract surgery with lens implant CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP	$984.07	$1,640.11	$828.26–$2,648.70	91% below	40%
Cataract surgery with lens implant CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP	$984.07	$1,640.11	$454.91–$1,318.31	91% below	40%
Cataract surgery with lens implant inpatient CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP	$984.07	$1,640.11	$843.02–$1,246.48	—	40%
Cataract surgery with lens implant inpatient CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP	$984.07	$1,640.11	$454.91–$1,318.31	—	40%
Cervical biopsy CPT 57500 PR BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX	$278.51	$464.17	$70.47–$371.34	70% below	40%
Cervical biopsy CPT 57500 PR BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX	$278.51	$464.17	$234.41–$1,057.09	70% below	40%
Cervical biopsy inpatient CPT 57500 PR BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX	$278.51	$464.17	$238.58–$352.77	—	40%
Cervical biopsy inpatient CPT 57500 PR BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX	$278.51	$464.17	$70.47–$371.34	—	40%
Cesarean delivery, including prenatal and postpartum care CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	$5,258.85	$8,764.74	$4,426.19–$6,661.20	36% above	40%
Cesarean delivery, including prenatal and postpartum care CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	$5,258.85	$8,764.74	$2,398.84–$7,020.12	36% above	40%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	$5,258.85	$8,764.74	$2,398.84–$7,020.12	—	40%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	$5,258.85	$8,764.74	$4,505.08–$6,661.20	—	40%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PR CIRCUMCISION AGE >28 DAYS	$370.26	$617.10	$183.82–$500.16	84% below	40%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PR CIRCUMCISION AGE >28 DAYS	$370.26	$617.10	$311.64–$2,399.14	84% below	40%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 PR CIRCUMCISION AGE >28 DAYS	$370.26	$617.10	$183.82–$500.16	—	40%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 PR CIRCUMCISION AGE >28 DAYS	$370.26	$617.10	$317.19–$469.00	—	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PR CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK	$294.21	$490.34	$247.62–$2,399.14	86% below	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PR CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK	$294.21	$490.34	$87.43–$392.27	86% below	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 PR CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK	$294.21	$490.34	$87.43–$392.27	—	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 PR CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK	$294.21	$490.34	$252.03–$372.66	—	40%
Circumcision, surgical, older than a newborn CPT 54160 PR CIRCUMCISION NEONATE	$405.73	$676.21	$341.49–$800.29	65% below	40%
Circumcision, surgical, older than a newborn CPT 54160 PR CIRCUMCISION NEONATE	$405.73	$676.21	$135.10–$540.97	65% below	40%
Circumcision, surgical, older than a newborn inpatient CPT 54160 PR CIRCUMCISION NEONATE	$405.73	$676.21	$135.10–$540.97	—	40%
Circumcision, surgical, older than a newborn inpatient CPT 54160 PR CIRCUMCISION NEONATE	$405.73	$676.21	$347.57–$513.92	—	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ	$963.78	$1,606.30	$314.25–$1,285.04	84% above	40%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ	$963.78	$1,606.30	$314.25–$1,285.04	—	40%
Colonoscopy with polyp removal CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$973.10	$1,621.83	$228.04–$1,297.46	61% below	40%
Colonoscopy with polyp removal inpatient CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$973.10	$1,621.83	$228.04–$1,297.46	—	40%
Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$861.96	$1,436.60	$181.44–$1,149.28	53% below	40%
Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$861.96	$1,436.60	$725.48–$1,373.39	53% below	40%
Colonoscopy with tissue sample inpatient CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$861.96	$1,436.60	$181.44–$1,149.28	—	40%
Colonoscopy with tissue sample inpatient CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$861.96	$1,436.60	$738.41–$1,091.82	—	40%
Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$615.79	$1,026.31	$168.48–$821.21	67% below	40%
Colonoscopy, diagnostic inpatient CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$615.79	$1,026.31	$168.48–$821.21	—	40%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX	$572.38	$953.96	$481.75–$3,715.26	69% below	40%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX	$572.38	$953.96	$147.74–$763.17	69% below	40%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX	$572.38	$953.96	$490.34–$725.01	—	40%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX	$572.38	$953.96	$147.74–$763.17	—	40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE	$317.38	$528.96	$123.84–$423.17	20% below	40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE	$317.38	$528.96	$267.12–$402.01	20% below	40%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE	$317.38	$528.96	$123.84–$423.17	—	40%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE	$317.38	$528.96	$271.89–$402.01	—	40%
Complex cataract surgery with lens implant CPT 66982 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP	$1,945.36	$3,242.26	$621.93–$2,618.05	80% below	40%
Complex cataract surgery with lens implant CPT 66982 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP	$1,945.36	$3,242.26	$1,637.34–$2,648.70	80% below	40%
Complex cataract surgery with lens implant inpatient CPT 66982 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP	$1,945.36	$3,242.26	$621.93–$2,618.05	—	40%
Complex cataract surgery with lens implant inpatient CPT 66982 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP	$1,945.36	$3,242.26	$1,666.52–$2,464.12	—	40%
Cystoscopy with ureteral stent placement CPT 52332 PR CYSTO W/INSERT URETERAL STENT	$1,333.42	$2,222.36	$143.28–$1,777.89	68% below	40%
Cystoscopy with ureteral stent placement CPT 52332 PR CYSTO W/INSERT URETERAL STENT	$1,333.42	$2,222.36	$1,122.29–$4,045.63	68% below	40%
Cystoscopy with ureteral stent placement inpatient CPT 52332 PR CYSTO W/INSERT URETERAL STENT	$1,333.42	$2,222.36	$143.28–$1,777.89	—	40%
Cystoscopy with ureteral stent placement inpatient CPT 52332 PR CYSTO W/INSERT URETERAL STENT	$1,333.42	$2,222.36	$1,142.29–$1,688.99	—	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 PR CYSTOURETHROSCOPY	$427.09	$711.81	$73.63–$569.45	60% below	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 PR CYSTOURETHROSCOPY	$427.09	$711.81	$359.46–$800.29	60% below	40%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 PR CYSTOURETHROSCOPY	$427.09	$711.81	$73.63–$569.45	—	40%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 PR CYSTOURETHROSCOPY	$427.09	$711.81	$365.87–$540.98	—	40%
D&C (dilation and curettage), not related to pregnancy CPT 58120 PR DILATION & CURETTAGE DX&/THER NONOBSTETRIC	$555.73	$926.21	$467.74–$3,715.26	81% below	40%
D&C (dilation and curettage), not related to pregnancy CPT 58120 PR DILATION & CURETTAGE DX&/THER NONOBSTETRIC	$555.73	$926.21	$215.79–$740.97	81% below	40%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 PR DILATION & CURETTAGE DX&/THER NONOBSTETRIC	$555.73	$926.21	$476.07–$703.92	—	40%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 PR DILATION & CURETTAGE DX&/THER NONOBSTETRIC	$555.73	$926.21	$215.79–$740.97	—	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PR DESTRUCTION PREMALIGNANT LESION 1ST	$122.33	$203.88	$46.62–$164.35	27% below	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PR DESTRUCTION PREMALIGNANT LESION 1ST	$122.33	$203.88	$102.96–$230.27	27% below	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PR DESTRUCTION PREMALIGNANT LESION 1ST	$122.33	$203.88	$46.62–$164.35	—	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PR DESTRUCTION PREMALIGNANT LESION 1ST	$122.33	$203.88	$104.79–$154.95	—	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 PR TYMPANOSTOMY GENERAL ANESTHESIA	$451.31	$752.18	$143.82–$601.74	75% below	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 PR TYMPANOSTOMY GENERAL ANESTHESIA	$451.31	$752.18	$379.85–$1,780.76	75% below	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 PR TYMPANOSTOMY GENERAL ANESTHESIA	$451.31	$752.18	$143.82–$601.74	—	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 PR TYMPANOSTOMY GENERAL ANESTHESIA	$451.31	$752.18	$386.62–$571.66	—	40%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA	$366.77	$611.28	$118.18–$489.02	33% below	40%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA	$366.77	$611.28	$308.70–$618.99	33% below	40%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA	$366.77	$611.28	$314.20–$464.57	—	40%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA	$366.77	$611.28	$118.18–$489.02	—	40%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$41.81	$69.67	$13.01–$55.74	63% below	40%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$41.81	$69.67	$13.01–$55.74	—	40%
Earwax removal with instruments, one ear one side CPT 69210 PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$92.94	$154.90	$27.94–$123.92	26% below	40%
Earwax removal with instruments, one ear inpatient one side CPT 69210 PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$92.94	$154.90	$27.94–$123.92	—	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 PR ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX	$205.40	$342.33	$58.30–$273.86	39% below	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 PR ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX	$205.40	$342.33	$172.88–$260.17	39% below	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 PR ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX	$205.40	$342.33	$58.30–$273.86	—	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 PR ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX	$205.40	$342.33	$175.96–$260.17	—	40%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY	$1,137.49	$1,895.81	$283.55–$1,516.65	96% below	40%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY	$1,137.49	$1,895.81	$957.38–$8,099.87	96% below	40%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY	$1,137.49	$1,895.81	$974.45–$1,440.82	—	40%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY	$1,137.49	$1,895.81	$283.55–$1,516.65	—	40%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS	$1,437.44	$2,395.72	$330.28–$1,916.58	96% below	40%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS	$1,437.44	$2,395.72	$1,209.84–$8,099.87	96% below	40%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS	$1,437.44	$2,395.72	$1,231.40–$1,820.75	—	40%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS	$1,437.44	$2,395.72	$330.28–$1,916.58	—	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 PR NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY	$559.85	$933.07	$157.50–$746.46	86% below	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 PR NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY	$559.85	$933.07	$471.20–$4,279.04	86% below	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 PR NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY	$559.85	$933.07	$479.60–$709.13	—	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 PR NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY	$559.85	$933.07	$157.50–$746.46	—	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 PR NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS	$901.17	$1,501.94	$232.20–$1,201.55	88% below	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 PR NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS	$901.17	$1,501.94	$758.48–$8,099.87	88% below	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 PR NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS	$901.17	$1,501.94	$232.20–$1,201.55	—	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 PR NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS	$901.17	$1,501.94	$772.00–$1,141.47	—	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$469.62	$782.70	$96.64–$626.16	72% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$469.62	$782.70	$395.26–$810.14	72% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$469.62	$782.70	$402.31–$594.85	—	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$469.62	$782.70	$96.64–$626.16	—	40%
Eye injection into the vitreous (intravitreal injection) CPT 67028 PR INTRAVITREAL NJX PHARMACOLOGIC AGT SPX	$210.78	$351.29	$177.40–$379.09	56% below	40%
Eye injection into the vitreous (intravitreal injection) CPT 67028 PR INTRAVITREAL NJX PHARMACOLOGIC AGT SPX	$210.78	$351.29	$75.38–$281.03	56% below	40%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 PR INTRAVITREAL NJX PHARMACOLOGIC AGT SPX	$210.78	$351.29	$75.38–$281.03	—	40%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 PR INTRAVITREAL NJX PHARMACOLOGIC AGT SPX	$210.78	$351.29	$180.56–$266.98	—	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL	$320.84	$534.72	$270.03–$1,015.11	78% below	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL	$320.84	$534.72	$81.75–$427.78	78% below	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL	$320.84	$534.72	$274.85–$406.39	—	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL	$320.84	$534.72	$81.75–$427.78	—	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE	$1,117.58	$1,862.63	$565.11–$1,505.36	84% below	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE	$1,117.58	$1,862.63	$565.11–$1,505.36	—	40%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE	$1,504.31	$2,507.17	$757.97–$2,029.88	76% below	40%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 PR RPR AA HERNIA 1ST > 10 CM REDUCIBLE	$1,504.31	$2,507.17	$757.97–$2,029.88	—	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE	$665.81	$1,109.68	$337.41–$896.30	83% below	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE	$665.81	$1,109.68	$337.41–$896.30	—	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD	$329.29	$548.81	$54.09–$440.25	64% below	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD	$329.29	$548.81	$277.15–$1,067.32	64% below	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD	$329.29	$548.81	$54.09–$440.25	—	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD	$329.29	$548.81	$282.09–$417.10	—	40%
Gallbladder removal, laparoscopic CPT 47562 PR LAPAROSCOPY SURG CHOLECYSTECTOMY	$1,681.91	$2,803.18	$664.60–$2,242.54	74% below	40%
Gallbladder removal, laparoscopic inpatient CPT 47562 PR LAPAROSCOPY SURG CHOLECYSTECTOMY	$1,681.91	$2,803.18	$664.60–$2,242.54	—	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY	$1,392.52	$2,320.86	$1,172.03–$6,938.47	90% below	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY	$1,392.52	$2,320.86	$721.16–$1,878.91	90% below	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY	$1,392.52	$2,320.86	$1,192.92–$1,763.85	—	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY	$1,392.52	$2,320.86	$721.16–$1,878.91	—	40%
Gallbladder removal, open surgery through a larger incision CPT 47600 PR CHOLECYSTECTOMY	$2,072.93	$3,454.87	$1,066.43–$2,795.16	60% below	40%
Gallbladder removal, open surgery through a larger incision CPT 47600 PR CHOLECYSTECTOMY	$2,072.93	$3,454.87	$1,744.71–$2,625.70	60% below	40%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 PR CHOLECYSTECTOMY	$2,072.93	$3,454.87	$1,775.80–$2,625.70	—	40%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 PR CHOLECYSTECTOMY	$2,072.93	$3,454.87	$1,066.43–$2,795.16	—	40%
Hammertoe correction surgery CPT 28285 PR CORRECTION HAMMERTOE	$980.83	$1,634.71	$367.88–$1,315.91	62% below	40%
Hammertoe correction surgery CPT 28285 PR CORRECTION HAMMERTOE	$980.83	$1,634.71	$825.53–$3,755.29	62% below	40%
Hammertoe correction surgery inpatient CPT 28285 PR CORRECTION HAMMERTOE	$980.83	$1,634.71	$840.24–$1,242.38	—	40%
Hammertoe correction surgery inpatient CPT 28285 PR CORRECTION HAMMERTOE	$980.83	$1,634.71	$367.88–$1,315.91	—	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS	$513.39	$855.64	$194.42–$695.48	35% below	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS	$513.39	$855.64	$432.10–$1,067.32	35% below	40%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS	$513.39	$855.64	$439.80–$650.29	—	40%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS	$513.39	$855.64	$194.42–$695.48	—	40%
Hemorrhoidectomy (internal and external), one area CPT 46255 PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP	$953.90	$1,589.83	$802.86–$3,185.64	65% below	40%
Hemorrhoidectomy (internal and external), one area CPT 46255 PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP	$953.90	$1,589.83	$354.02–$1,278.21	65% below	40%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP	$953.90	$1,589.83	$817.17–$1,208.27	—	40%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP	$953.90	$1,589.83	$354.02–$1,278.21	—	40%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 PR CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT	$3,179.54	$5,299.22	$2,676.11–$14,735.00	54% below	40%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 PR CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT	$3,179.54	$5,299.22	$1,561.27–$4,290.44	54% below	40%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 PR CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT	$3,179.54	$5,299.22	$1,561.27–$4,290.44	—	40%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 PR CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT	$3,179.54	$5,299.22	$2,723.80–$4,027.41	—	40%
Hysterectomy through an abdominal incision (total) CPT 58150 PR TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY	$1,940.71	$3,234.51	$1,633.43–$2,458.23	67% below	40%
Hysterectomy through an abdominal incision (total) CPT 58150 PR TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY	$1,940.71	$3,234.51	$975.12–$2,607.17	67% below	40%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 PR TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY	$1,940.71	$3,234.51	$1,662.54–$2,458.23	—	40%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 PR TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY	$1,940.71	$3,234.51	$975.12–$2,607.17	—	40%
Hysteroscopy with endometrial ablation CPT 58563 PR HYSTEROSCOPY ENDOMETRIAL ABLATION	$3,646.11	$6,076.85	$3,068.81–$5,741.33	27% below	40%
Hysteroscopy with endometrial ablation CPT 58563 PR HYSTEROSCOPY ENDOMETRIAL ABLATION	$3,646.11	$6,076.85	$227.82–$4,861.48	27% below	40%
Hysteroscopy with endometrial ablation inpatient CPT 58563 PR HYSTEROSCOPY ENDOMETRIAL ABLATION	$3,646.11	$6,076.85	$227.82–$4,861.48	—	40%
Hysteroscopy with endometrial ablation inpatient CPT 58563 PR HYSTEROSCOPY ENDOMETRIAL ABLATION	$3,646.11	$6,076.85	$3,123.50–$4,618.41	—	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$2,315.84	$3,859.72	$1,949.16–$3,715.26	26% below	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$2,315.84	$3,859.72	$214.09–$3,087.78	26% below	40%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$2,315.84	$3,859.72	$1,983.90–$2,933.39	—	40%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$2,315.84	$3,859.72	$214.09–$3,087.78	—	40%
IUD insertion (the device itself billed separately) CPT 58300 PR INSERTION INTRAUTERINE DEVICE IUD	$198.68	$331.13	$84.31–$264.90	31% below	40%
IUD insertion (the device itself billed separately) CPT 58300 PR INSERTION INTRAUTERINE DEVICE IUD	$198.68	$331.13	$167.22–$251.66	31% below	40%
IUD insertion (the device itself billed separately) inpatient CPT 58300 PR INSERTION INTRAUTERINE DEVICE IUD	$198.68	$331.13	$170.20–$251.66	—	40%
IUD insertion (the device itself billed separately) inpatient CPT 58300 PR INSERTION INTRAUTERINE DEVICE IUD	$198.68	$331.13	$84.31–$264.90	—	40%
Incision and drainage of a simple or single skin abscess CPT 10060 PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE	$230.60	$384.32	$98.07–$309.87	43% below	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE	$230.60	$384.32	$98.07–$309.87	—	40%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$1,518.29	$2,530.48	$1,277.89–$4,109.24	60% below	40%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$1,518.29	$2,530.48	$525.98–$2,024.38	60% below	40%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$1,518.29	$2,530.48	$1,300.67–$1,923.16	—	40%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$1,518.29	$2,530.48	$525.98–$2,024.38	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	$160.59	$267.65	$34.57–$214.12	58% below	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	$160.59	$267.65	$135.16–$352.29	58% below	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	$160.59	$267.65	$34.57–$214.12	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	$160.59	$267.65	$137.57–$203.41	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$189.93	$316.54	$41.35–$253.23	58% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$189.93	$316.54	$41.35–$253.23	—	40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 PR INSERTION DRUG DELIVERY IMPLANT	$191.22	$318.70	$57.80–$254.96	8% above	40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 PR INSERTION DRUG DELIVERY IMPLANT	$191.22	$318.70	$152.70–$242.21	8% above	40%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 PR INSERTION DRUG DELIVERY IMPLANT	$191.22	$318.70	$57.80–$254.96	—	40%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 PR INSERTION DRUG DELIVERY IMPLANT	$191.22	$318.70	$163.81–$242.21	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$155.18	$258.63	$32.93–$206.90	59% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$155.18	$258.63	$32.93–$206.90	—	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$149.06	$248.42	$32.26–$198.74	50% below	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$149.06	$248.42	$32.26–$198.74	—	40%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL	$1,308.65	$2,181.08	$1,101.45–$3,755.29	71% below	40%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL	$1,308.65	$2,181.08	$653.70–$1,768.42	71% below	40%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL	$1,308.65	$2,181.08	$653.70–$1,768.42	—	40%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL	$1,308.65	$2,181.08	$1,121.08–$1,657.62	—	40%
Knee arthroscopy with meniscus trim CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$1,028.08	$1,713.46	$865.30–$3,755.29	82% below	40%
Knee arthroscopy with meniscus trim CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$1,028.08	$1,713.46	$521.14–$1,388.46	82% below	40%
Knee arthroscopy with meniscus trim inpatient CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$1,028.08	$1,713.46	$521.14–$1,388.46	—	40%
Knee arthroscopy with meniscus trim inpatient CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$1,028.08	$1,713.46	$880.72–$1,302.23	—	40%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING	$1,068.05	$1,780.08	$898.94–$3,755.29	76% below	40%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING	$1,068.05	$1,780.08	$539.57–$1,442.04	76% below	40%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING	$1,068.05	$1,780.08	$914.96–$1,352.86	—	40%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING	$1,068.05	$1,780.08	$539.57–$1,442.04	—	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG	$1,180.08	$1,966.79	$993.23–$3,755.29	76% below	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG	$1,180.08	$1,966.79	$595.35–$1,594.12	76% below	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG	$1,180.08	$1,966.79	$1,010.93–$1,494.76	—	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG	$1,180.08	$1,966.79	$595.35–$1,594.12	—	40%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM	$4,053.61	$6,756.01	$3,411.79–$5,134.57	95% below	40%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM	$4,053.61	$6,756.01	$1,726.66–$5,404.81	95% below	40%
Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM	$4,053.61	$6,756.01	$3,472.59–$5,134.57	—	40%
Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM	$4,053.61	$6,756.01	$1,726.66–$5,404.81	—	40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 PR LAPAROSCOPIC APPENDECTOMY	$1,398.91	$2,331.51	$606.30–$1,865.21	78% below	40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 PR LAPAROSCOPIC APPENDECTOMY	$1,398.91	$2,331.51	$1,177.41–$6,938.47	78% below	40%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 PR LAPAROSCOPIC APPENDECTOMY	$1,398.91	$2,331.51	$606.30–$1,865.21	—	40%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 PR LAPAROSCOPIC APPENDECTOMY	$1,398.91	$2,331.51	$1,198.40–$1,771.95	—	40%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 PR LAPS SURG ESOPG/GSTR FUNDOPLASTY	$2,091.18	$3,485.29	$1,760.07–$12,199.90	95% below	40%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 PR LAPS SURG ESOPG/GSTR FUNDOPLASTY	$2,091.18	$3,485.29	$1,075.16–$2,814.22	95% below	40%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 PR LAPS SURG ESOPG/GSTR FUNDOPLASTY	$2,091.18	$3,485.29	$1,791.44–$2,648.82	—	40%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 PR LAPS SURG ESOPG/GSTR FUNDOPLASTY	$2,091.18	$3,485.29	$1,075.16–$2,814.22	—	40%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 PR LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/<	$1,768.97	$2,948.28	$1,488.88–$12,199.90	96% below	40%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 PR LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/<	$1,768.97	$2,948.28	$755.58–$2,380.67	96% below	40%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 PR LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/<	$1,768.97	$2,948.28	$755.58–$2,380.67	—	40%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 PR LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/<	$1,768.97	$2,948.28	$1,515.42–$2,240.69	—	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 PR LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY	$1,967.20	$3,278.66	$863.57–$2,647.44	83% below	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 PR LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY	$1,967.20	$3,278.66	$1,655.72–$12,199.90	83% below	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 PR LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY	$1,967.20	$3,278.66	$1,685.23–$2,491.78	—	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 PR LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY	$1,967.20	$3,278.66	$863.57–$2,647.44	—	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA	$1,254.63	$2,091.04	$1,055.98–$6,938.47	82% below	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA	$1,254.63	$2,091.04	$432.34–$1,672.83	82% below	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA	$1,254.63	$2,091.04	$432.34–$1,672.83	—	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA	$1,254.63	$2,091.04	$1,074.79–$1,589.19	—	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 PR LAPS SURG RPR RECURRENT INGUINAL HERNIA	$1,639.10	$2,731.83	$1,379.57–$6,938.47	78% below	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 PR LAPS SURG RPR RECURRENT INGUINAL HERNIA	$1,639.10	$2,731.83	$563.35–$2,185.46	78% below	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 PR LAPS SURG RPR RECURRENT INGUINAL HERNIA	$1,639.10	$2,731.83	$563.35–$2,185.46	—	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 PR LAPS SURG RPR RECURRENT INGUINAL HERNIA	$1,639.10	$2,731.83	$1,404.16–$2,076.19	—	40%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 PR LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES	$1,872.48	$3,120.80	$1,576.00–$6,938.47	68% below	40%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 PR LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES	$1,872.48	$3,120.80	$613.60–$2,496.64	68% below	40%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 PR LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES	$1,872.48	$3,120.80	$613.60–$2,496.64	—	40%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 PR LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES	$1,872.48	$3,120.80	$1,604.09–$2,371.81	—	40%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 PR LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY	$2,924.76	$4,874.59	$2,461.67–$3,704.69	96% below	40%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 PR LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY	$2,924.76	$4,874.59	$1,084.96–$3,899.67	96% below	40%
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 PR LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY	$2,924.76	$4,874.59	$1,084.96–$3,899.67	—	40%
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 PR LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY	$2,924.76	$4,874.59	$2,505.54–$3,704.69	—	40%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 PR POST-CATARACT LASER SURGERY	$600.08	$1,000.13	$266.38–$800.10	10% below	40%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 PR POST-CATARACT LASER SURGERY	$600.08	$1,000.13	$505.07–$760.10	10% below	40%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 PR POST-CATARACT LASER SURGERY	$600.08	$1,000.13	$514.07–$760.10	—	40%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 PR POST-CATARACT LASER SURGERY	$600.08	$1,000.13	$266.38–$800.10	—	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<	$472.83	$788.04	$132.34–$630.43	21% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<	$472.83	$788.04	$132.34–$630.43	—	40%
Lower-back epidural injection, with imaging guidance CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$461.03	$768.38	$90.23–$614.70	68% below	40%
Lower-back epidural injection, with imaging guidance CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$461.03	$768.38	$388.03–$810.14	68% below	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$461.03	$768.38	$394.95–$583.97	—	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$461.03	$768.38	$90.23–$614.70	—	40%
Lower-back epidural injection, without imaging guidance CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$284.90	$474.83	$75.34–$379.86	80% below	40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$284.90	$474.83	$75.34–$379.86	—	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$440.91	$734.84	$371.09–$1,015.11	69% below	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$440.91	$734.84	$99.94–$587.87	69% below	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$440.91	$734.84	$99.94–$587.87	—	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$440.91	$734.84	$377.71–$558.48	—	40%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR	$2,760.69	$4,601.14	$2,323.58–$8,327.98	71% below	40%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR	$2,760.69	$4,601.14	$937.38–$3,680.91	71% below	40%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR	$2,760.69	$4,601.14	$2,364.99–$3,496.87	—	40%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR	$2,760.69	$4,601.14	$937.38–$3,680.91	—	40%
Lumbar laminectomy (spinal decompression), one level CPT 63047 PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR	$2,161.08	$3,601.79	$1,121.43–$2,913.30	78% below	40%
Lumbar laminectomy (spinal decompression), one level CPT 63047 PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR	$2,161.08	$3,601.79	$1,818.90–$8,327.98	78% below	40%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR	$2,161.08	$3,601.79	$1,121.43–$2,913.30	—	40%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR	$2,161.08	$3,601.79	$1,851.32–$2,737.36	—	40%
Lumbar spinal fusion (posterior), one level CPT 22612 PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR	$3,074.56	$5,124.26	$1,550.34–$4,135.79	50% below	40%
Lumbar spinal fusion (posterior), one level CPT 22612 PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR	$3,074.56	$5,124.26	$2,587.75–$20,123.62	50% below	40%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR	$3,074.56	$5,124.26	$1,550.34–$4,135.79	—	40%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR	$3,074.56	$5,124.26	$2,633.87–$3,894.44	—	40%
Lumpectomy (partial mastectomy) CPT 19301 PR MASTECTOMY PARTIAL	$1,276.54	$2,127.56	$1,074.42–$4,493.76	69% below	40%
Lumpectomy (partial mastectomy) CPT 19301 PR MASTECTOMY PARTIAL	$1,276.54	$2,127.56	$661.43–$1,715.31	69% below	40%
Lumpectomy (partial mastectomy) inpatient CPT 19301 PR MASTECTOMY PARTIAL	$1,276.54	$2,127.56	$1,093.57–$1,616.95	—	40%
Lumpectomy (partial mastectomy) inpatient CPT 19301 PR MASTECTOMY PARTIAL	$1,276.54	$2,127.56	$661.43–$1,715.31	—	40%
Mastectomy (total removal of the breast) CPT 19303 PR MASTECTOMY SIMPLE COMPLETE	$2,780.04	$4,633.40	$2,339.87–$7,620.94	41% below	40%
Mastectomy (total removal of the breast) CPT 19303 PR MASTECTOMY SIMPLE COMPLETE	$2,780.04	$4,633.40	$960.10–$3,706.72	41% below	40%
Mastectomy (total removal of the breast) inpatient CPT 19303 PR MASTECTOMY SIMPLE COMPLETE	$2,780.04	$4,633.40	$2,381.57–$3,521.38	—	40%
Mastectomy (total removal of the breast) inpatient CPT 19303 PR MASTECTOMY SIMPLE COMPLETE	$2,780.04	$4,633.40	$960.10–$3,706.72	—	40%
Miscarriage treatment with D&C, first trimester CPT 59820 PR TX MISSED ABORTION FIRST TRIMESTER SURGICAL	$838.22	$1,397.02	$367.09–$1,117.62	78% below	40%
Miscarriage treatment with D&C, first trimester CPT 59820 PR TX MISSED ABORTION FIRST TRIMESTER SURGICAL	$838.22	$1,397.02	$705.50–$3,715.26	78% below	40%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 PR TX MISSED ABORTION FIRST TRIMESTER SURGICAL	$838.22	$1,397.02	$367.09–$1,117.62	—	40%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 PR TX MISSED ABORTION FIRST TRIMESTER SURGICAL	$838.22	$1,397.02	$718.07–$1,061.74	—	40%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 PR MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS	$1,227.92	$2,046.52	$292.34–$1,645.18	110% above	40%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 PR MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS	$1,227.92	$2,046.52	$848.24–$1,555.36	110% above	40%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 PR MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS	$1,227.92	$2,046.52	$1,051.91–$1,555.36	—	40%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 PR MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS	$1,227.92	$2,046.52	$292.34–$1,645.18	—	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	$230.83	$384.71	$74.78–$307.77	67% below	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	$230.83	$384.71	$194.28–$812.73	67% below	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	$230.83	$384.71	$197.74–$292.38	—	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	$230.83	$384.71	$74.78–$307.77	—	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<	$257.79	$429.64	$94.70–$343.71	53% below	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<	$257.79	$429.64	$216.97–$812.73	53% below	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<	$257.79	$429.64	$220.83–$326.53	—	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<	$257.79	$429.64	$94.70–$343.71	—	40%
Nail removal (partial or complete), one nail CPT 11730 PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1	$207.23	$345.37	$49.22–$276.30	29% below	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1	$207.23	$345.37	$49.22–$276.30	—	40%
Occipital nerve block (injection for headaches) CPT 64405 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE	$175.74	$292.89	$49.32–$234.31	64% below	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE	$175.74	$292.89	$49.32–$234.31	—	40%
Paracentesis with imaging guidance CPT 49083 PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE	$199.58	$332.62	$95.00–$682.63	85% below	40%
Paracentesis with imaging guidance CPT 49083 PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE	$199.58	$332.62	$167.97–$1,040.95	85% below	40%
Paracentesis with imaging guidance inpatient CPT 49083 PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE	$199.58	$332.62	$170.97–$252.79	—	40%
Paracentesis with imaging guidance inpatient CPT 49083 PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE	$199.58	$332.62	$95.00–$682.63	—	40%
Partial knee replacement (one compartment) CPT 27446 PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT	$2,185.47	$3,642.44	$1,081.49–$2,949.48	70% below	40%
Partial knee replacement (one compartment) CPT 27446 PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT	$2,185.47	$3,642.44	$1,839.43–$14,735.00	70% below	40%
Partial knee replacement (one compartment) inpatient CPT 27446 PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT	$2,185.47	$3,642.44	$1,081.49–$2,949.48	—	40%
Partial knee replacement (one compartment) inpatient CPT 27446 PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT	$2,185.47	$3,642.44	$1,872.21–$2,768.25	—	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PR EXCISION NAIL MATRIX PERMANENT REMOVAL	$302.78	$504.62	$93.51–$403.70	43% below	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PR EXCISION NAIL MATRIX PERMANENT REMOVAL	$302.78	$504.62	$93.51–$403.70	—	40%
Prostate biopsy CPT 55700 PR PROSTATE NEEDLE BIOPSY ANY APPROACH	$427.61	$712.68	$246.26–$585.19	80% below	40%
Prostate biopsy CPT 55700 PR PROSTATE NEEDLE BIOPSY ANY APPROACH	$427.61	$712.68	$359.90–$541.64	80% below	40%
Prostate biopsy inpatient CPT 55700 PR PROSTATE NEEDLE BIOPSY ANY APPROACH	$427.61	$712.68	$246.26–$585.19	—	40%
Prostate biopsy inpatient CPT 55700 PR PROSTATE NEEDLE BIOPSY ANY APPROACH	$427.61	$712.68	$366.32–$541.64	—	40%
Prostate removal (prostatectomy), laparoscopic CPT 55866 PR LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT	$3,248.64	$5,414.40	$1,112.81–$4,372.00	96% below	40%
Prostate removal (prostatectomy), laparoscopic CPT 55866 PR LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT	$3,248.64	$5,414.40	$2,734.27–$12,199.90	96% below	40%
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 PR LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT	$3,248.64	$5,414.40	$2,783.00–$4,114.94	—	40%
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 PR LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT	$3,248.64	$5,414.40	$1,112.81–$4,372.00	—	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$1,184.27	$1,973.77	$173.68–$1,579.02	49% below	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$1,184.27	$1,973.77	$996.75–$2,241.15	49% below	40%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$1,184.27	$1,973.77	$1,014.52–$1,500.07	—	40%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$1,184.27	$1,973.77	$173.68–$1,579.02	—	40%
Removal of a breast lump, open surgery CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$979.76	$1,632.93	$824.63–$4,493.76	44% below	40%
Removal of a breast lump, open surgery CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$979.76	$1,632.93	$420.59–$1,316.77	44% below	40%
Removal of a breast lump, open surgery inpatient CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$979.76	$1,632.93	$420.59–$1,316.77	—	40%
Removal of a breast lump, open surgery inpatient CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$979.76	$1,632.93	$839.33–$1,241.03	—	40%
Removal of a foreign object under the skin, simple CPT 10120 PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE	$274.85	$458.07	$99.81–$366.46	41% below	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE	$274.85	$458.07	$99.81–$366.46	—	40%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PR TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY	$1,349.28	$2,248.80	$1,135.64–$6,938.47	92% below	40%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PR TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY	$1,349.28	$2,248.80	$662.54–$1,815.17	92% below	40%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 PR TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY	$1,349.28	$2,248.80	$662.54–$1,815.17	—	40%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 PR TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY	$1,349.28	$2,248.80	$1,155.88–$1,709.09	—	40%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 PR COLON CA SCRN NOT HI RSK IND	$545.79	$909.64	$459.37–$1,067.32	78% below	40%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 PR COLON CA SCRN NOT HI RSK IND	$545.79	$909.64	$169.00–$727.85	78% below	40%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 PR COLON CA SCRN NOT HI RSK IND	$545.79	$909.64	$169.00–$727.85	—	40%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 PR COLON CA SCRN NOT HI RSK IND	$545.79	$909.64	$467.55–$691.33	—	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PR COLORECTAL SCRN; HI RISK IND	$545.00	$908.33	$168.48–$726.81	77% below	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PR COLORECTAL SCRN; HI RISK IND	$545.00	$908.33	$458.71–$1,067.32	77% below	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 PR COLORECTAL SCRN; HI RISK IND	$545.00	$908.33	$466.88–$690.33	—	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 PR COLORECTAL SCRN; HI RISK IND	$545.00	$908.33	$168.48–$726.81	—	40%
Septoplasty to straighten the nasal septum CPT 30520 PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF	$1,243.07	$2,071.78	$1,046.25–$3,805.16	91% below	40%
Septoplasty to straighten the nasal septum CPT 30520 PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF	$1,243.07	$2,071.78	$601.66–$1,657.42	91% below	40%
Septoplasty to straighten the nasal septum inpatient CPT 30520 PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF	$1,243.07	$2,071.78	$601.66–$1,657.42	—	40%
Septoplasty to straighten the nasal septum inpatient CPT 30520 PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF	$1,243.07	$2,071.78	$1,064.89–$1,574.55	—	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 PR LITHOTRIPSY XTRCORP SHOCK WAVE	$1,481.10	$2,468.49	$1,246.59–$4,045.63	77% below	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 PR LITHOTRIPSY XTRCORP SHOCK WAVE	$1,481.10	$2,468.49	$530.12–$1,974.79	77% below	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 PR LITHOTRIPSY XTRCORP SHOCK WAVE	$1,481.10	$2,468.49	$530.12–$1,974.79	—	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 PR LITHOTRIPSY XTRCORP SHOCK WAVE	$1,481.10	$2,468.49	$1,268.80–$1,876.05	—	40%
Short arm cast (elbow to hand) CPT 29075 PR APPLICATION CAST ELBOW FINGER SHORT ARM	$163.21	$272.01	$58.89–$223.79	47% below	40%
Short arm cast (elbow to hand) CPT 29075 PR APPLICATION CAST ELBOW FINGER SHORT ARM	$163.21	$272.01	$137.37–$321.00	47% below	40%
Short arm cast (elbow to hand) inpatient CPT 29075 PR APPLICATION CAST ELBOW FINGER SHORT ARM	$163.21	$272.01	$58.89–$223.79	—	40%
Short arm cast (elbow to hand) inpatient CPT 29075 PR APPLICATION CAST ELBOW FINGER SHORT ARM	$163.21	$272.01	$139.81–$206.73	—	40%
Short arm splint (forearm and hand) CPT 29125 PR APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC	$123.18	$205.30	$40.89–$167.03	50% below	40%
Short arm splint (forearm and hand) inpatient CPT 29125 PR APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC	$123.18	$205.30	$40.89–$167.03	—	40%
Short leg cast (below the knee) CPT 29405 PR APPLICATION SHORT LEG CAST BELOW KNEE-TOE	$149.58	$249.29	$56.02–$203.58	52% below	40%
Short leg cast (below the knee) inpatient CPT 29405 PR APPLICATION SHORT LEG CAST BELOW KNEE-TOE	$149.58	$249.29	$56.02–$203.58	—	40%
Short leg splint (calf to foot) CPT 29515 PR APPLICATION SHORT LEG SPLINT CALF FOOT	$134.24	$223.73	$50.11–$184.18	49% below	40%
Short leg splint (calf to foot) CPT 29515 PR APPLICATION SHORT LEG SPLINT CALF FOOT	$134.24	$223.73	$112.98–$186.50	49% below	40%
Short leg splint (calf to foot) inpatient CPT 29515 PR APPLICATION SHORT LEG SPLINT CALF FOOT	$134.24	$223.73	$115.00–$170.03	—	40%
Short leg splint (calf to foot) inpatient CPT 29515 PR APPLICATION SHORT LEG SPLINT CALF FOOT	$134.24	$223.73	$50.11–$184.18	—	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC	$1,284.74	$2,141.23	$647.04–$1,735.99	80% below	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC	$1,284.74	$2,141.23	$1,081.32–$3,755.29	80% below	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC	$1,284.74	$2,141.23	$647.04–$1,735.99	—	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC	$1,284.74	$2,141.23	$1,100.59–$1,627.33	—	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$337.04	$561.72	$155.89–$453.57	99% below	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$337.04	$561.72	$283.67–$426.91	99% below	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$337.04	$561.72	$288.72–$426.91	—	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$337.04	$561.72	$155.89–$453.57	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<	$172.52	$287.52	$46.54–$230.02	53% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<	$172.52	$287.52	$46.54–$230.02	—	40%
Skin biopsy, punch, one lesion CPT 11104 PR PUNCH BIOPSY SKIN SINGLE LESION	$223.53	$372.55	$39.07–$298.04	35% below	40%
Skin biopsy, punch, one lesion CPT 11104 PR PUNCH BIOPSY SKIN SINGLE LESION	$223.53	$372.55	$188.14–$466.56	35% below	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 PR PUNCH BIOPSY SKIN SINGLE LESION	$223.53	$372.55	$191.49–$283.14	—	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 PR PUNCH BIOPSY SKIN SINGLE LESION	$223.53	$372.55	$39.07–$298.04	—	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<	$357.30	$595.49	$108.29–$476.39	16% below	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<	$357.30	$595.49	$300.72–$812.73	16% below	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<	$357.30	$595.49	$108.29–$476.39	—	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<	$357.30	$595.49	$306.08–$452.57	—	40%
Skin tag removal, up to 15 tags CPT 11200 PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15	$167.46	$279.10	$67.19–$224.08	32% below	40%
Skin tag removal, up to 15 tags inpatient CPT 11200 PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15	$167.46	$279.10	$67.19–$224.08	—	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE	$281.28	$468.80	$63.43–$375.04	65% below	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE	$281.28	$468.80	$63.43–$375.04	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM	$210.41	$350.68	$60.89–$281.27	49% below	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM	$210.41	$350.68	$60.89–$281.27	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<	$206.28	$343.80	$57.72–$275.74	49% below	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<	$206.28	$343.80	$57.72–$275.74	—	40%
TURP (transurethral resection of the prostate) CPT 52601 PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE	$1,571.93	$2,619.87	$1,323.03–$6,153.75	73% below	40%
TURP (transurethral resection of the prostate) CPT 52601 PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE	$1,571.93	$2,619.87	$535.98–$2,115.49	73% below	40%
TURP (transurethral resection of the prostate) inpatient CPT 52601 PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE	$1,571.93	$2,619.87	$535.98–$2,115.49	—	40%
TURP (transurethral resection of the prostate) inpatient CPT 52601 PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE	$1,571.93	$2,619.87	$1,346.61–$1,991.10	—	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 PR TANGENTIAL BIOPSY SKIN SINGLE LESION	$179.20	$298.66	$30.61–$238.93	34% below	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 PR TANGENTIAL BIOPSY SKIN SINGLE LESION	$179.20	$298.66	$150.82–$466.56	34% below	40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 PR TANGENTIAL BIOPSY SKIN SINGLE LESION	$179.20	$298.66	$153.51–$226.98	—	40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 PR TANGENTIAL BIOPSY SKIN SINGLE LESION	$179.20	$298.66	$30.61–$238.93	—	40%
Thoracentesis with imaging guidance CPT 32555 PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,697.68	$2,829.46	$96.89–$2,263.57	55% above	40%
Thoracentesis with imaging guidance CPT 32555 PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,697.68	$2,829.46	$719.96–$2,150.39	55% above	40%
Thoracentesis with imaging guidance inpatient CPT 32555 PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,697.68	$2,829.46	$96.89–$2,263.57	—	40%
Thoracentesis with imaging guidance inpatient CPT 32555 PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,697.68	$2,829.46	$1,454.34–$2,150.39	—	40%
Tonsil and adenoid removal, age 12 or older CPT 42821 PR TONSILLECTOMY & ADENOIDECTOMY AGE 12/>	$573.53	$955.87	$482.71–$3,805.16	86% below	40%
Tonsil and adenoid removal, age 12 or older CPT 42821 PR TONSILLECTOMY & ADENOIDECTOMY AGE 12/>	$573.53	$955.87	$274.13–$771.08	86% below	40%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 PR TONSILLECTOMY & ADENOIDECTOMY AGE 12/>	$573.53	$955.87	$274.13–$771.08	—	40%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 PR TONSILLECTOMY & ADENOIDECTOMY AGE 12/>	$573.53	$955.87	$491.32–$726.46	—	40%
Tonsil and adenoid removal, child under 12 CPT 42820 PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12	$549.76	$916.26	$462.71–$6,794.21	93% below	40%
Tonsil and adenoid removal, child under 12 CPT 42820 PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12	$549.76	$916.26	$262.92–$739.99	93% below	40%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12	$549.76	$916.26	$470.96–$696.36	—	40%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12	$549.76	$916.26	$262.92–$739.99	—	40%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/>	$480.78	$801.29	$404.65–$3,805.16	86% below	40%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/>	$480.78	$801.29	$231.52–$647.53	86% below	40%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/>	$480.78	$801.29	$411.86–$608.98	—	40%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/>	$480.78	$801.29	$231.52–$647.53	—	40%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 PR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12	$503.51	$839.18	$423.79–$6,794.21	86% below	40%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 PR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12	$503.51	$839.18	$242.67–$679.94	86% below	40%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 PR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12	$503.51	$839.18	$242.67–$679.94	—	40%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 PR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12	$503.51	$839.18	$431.34–$637.78	—	40%
Total hip replacement CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$2,703.64	$4,506.06	$1,204.38–$3,638.55	57% below	40%
Total hip replacement CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$2,703.64	$4,506.06	$2,275.56–$14,735.00	57% below	40%
Total hip replacement inpatient CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$2,703.64	$4,506.06	$2,316.11–$3,424.61	—	40%
Total hip replacement inpatient CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$2,703.64	$4,506.06	$1,204.38–$3,638.55	—	40%
Total knee replacement CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$2,887.76	$4,812.92	$2,430.52–$14,735.00	61% below	40%
Total knee replacement CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$2,887.76	$4,812.92	$1,201.29–$3,886.32	61% below	40%
Total knee replacement inpatient CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$2,887.76	$4,812.92	$2,473.84–$3,657.82	—	40%
Total knee replacement inpatient CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$2,887.76	$4,812.92	$1,201.29–$3,886.32	—	40%
Total shoulder replacement CPT 23472 PR ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER	$2,803.14	$4,671.89	$1,344.54–$3,772.44	65% below	40%
Total shoulder replacement CPT 23472 PR ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER	$2,803.14	$4,671.89	$2,359.30–$20,123.62	65% below	40%
Total shoulder replacement inpatient CPT 23472 PR ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER	$2,803.14	$4,671.89	$1,344.54–$3,772.44	—	40%
Total shoulder replacement inpatient CPT 23472 PR ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER	$2,803.14	$4,671.89	$2,401.35–$3,550.64	—	40%
Total thyroid removal (thyroidectomy) CPT 60240 PR THYROIDECTOMY TOTAL/COMPLETE	$1,758.22	$2,930.36	$865.88–$2,363.68	94% below	40%
Total thyroid removal (thyroidectomy) CPT 60240 PR THYROIDECTOMY TOTAL/COMPLETE	$1,758.22	$2,930.36	$1,479.83–$6,938.47	94% below	40%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 PR THYROIDECTOMY TOTAL/COMPLETE	$1,758.22	$2,930.36	$865.88–$2,363.68	—	40%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 PR THYROIDECTOMY TOTAL/COMPLETE	$1,758.22	$2,930.36	$1,506.21–$2,227.07	—	40%
Trigger finger release surgery CPT 26055 PR TENDON SHEATH INCISION	$1,057.67	$1,762.77	$283.96–$1,410.22	20% below	40%
Trigger finger release surgery CPT 26055 PR TENDON SHEATH INCISION	$1,057.67	$1,762.77	$890.20–$1,845.50	20% below	40%
Trigger finger release surgery inpatient CPT 26055 PR TENDON SHEATH INCISION	$1,057.67	$1,762.77	$906.06–$1,339.71	—	40%
Trigger finger release surgery inpatient CPT 26055 PR TENDON SHEATH INCISION	$1,057.67	$1,762.77	$283.96–$1,410.22	—	40%
Trigger point injections, 1 or 2 muscles CPT 20552 PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES	$97.28	$162.12	$36.01–$129.70	80% below	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES	$97.28	$162.12	$36.01–$129.70	—	40%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 PR LAPAROSCOPY FULGURATION OVIDUCTS	$708.79	$1,181.31	$342.92–$947.39	75% below	40%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 PR LAPAROSCOPY FULGURATION OVIDUCTS	$708.79	$1,181.31	$596.56–$6,938.47	75% below	40%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 PR LAPAROSCOPY FULGURATION OVIDUCTS	$708.79	$1,181.31	$342.92–$947.39	—	40%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 PR LAPAROSCOPY FULGURATION OVIDUCTS	$708.79	$1,181.31	$607.19–$897.80	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID	$877.04	$1,461.73	$135.39–$1,169.38	61% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID	$877.04	$1,461.73	$738.17–$1,895.54	61% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID	$877.04	$1,461.73	$135.39–$1,169.38	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID	$877.04	$1,461.73	$751.33–$1,110.91	—	40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM	$1,865.21	$3,108.68	$138.49–$2,486.94	15% below	40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM	$1,865.21	$3,108.68	$1,569.88–$2,362.60	15% below	40%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM	$1,865.21	$3,108.68	$138.49–$2,486.94	—	40%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM	$1,865.21	$3,108.68	$1,597.86–$2,362.60	—	40%
Upper endoscopy (EGD) with biopsy CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$670.04	$1,116.72	$125.46–$893.38	60% below	40%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$670.04	$1,116.72	$125.46–$893.38	—	40%
Upper endoscopy (EGD) with injection into the lining CPT 43236 PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION	$712.53	$1,187.55	$125.46–$950.04	67% below	40%
Upper endoscopy (EGD) with injection into the lining CPT 43236 PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION	$712.53	$1,187.55	$599.71–$1,040.95	67% below	40%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION	$712.53	$1,187.55	$125.46–$950.04	—	40%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION	$712.53	$1,187.55	$610.40–$902.54	—	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH	$881.18	$1,468.63	$741.66–$2,202.34	72% below	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH	$881.18	$1,468.63	$176.25–$1,174.90	72% below	40%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH	$881.18	$1,468.63	$754.88–$1,116.16	—	40%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH	$881.18	$1,468.63	$176.25–$1,174.90	—	40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS	$737.87	$1,229.78	$621.04–$1,040.95	72% below	40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS	$737.87	$1,229.78	$150.73–$983.82	72% below	40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS	$737.87	$1,229.78	$150.73–$983.82	—	40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS	$737.87	$1,229.78	$632.11–$934.63	—	40%
Upper endoscopy (EGD), diagnostic CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$542.46	$904.10	$112.08–$723.28	74% below	40%
Upper endoscopy (EGD), diagnostic CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$542.46	$904.10	$456.57–$1,040.95	74% below	40%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$542.46	$904.10	$112.08–$723.28	—	40%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$542.46	$904.10	$464.71–$687.12	—	40%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 PR CYSTO W/URETEROSCOPY W/LITHOTRIPSY	$794.52	$1,324.20	$355.23–$1,069.26	97% below	40%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 PR CYSTO W/URETEROSCOPY W/LITHOTRIPSY	$794.52	$1,324.20	$668.72–$6,153.75	97% below	40%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 PR CYSTO W/URETEROSCOPY W/LITHOTRIPSY	$794.52	$1,324.20	$355.23–$1,069.26	—	40%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 PR CYSTO W/URETEROSCOPY W/LITHOTRIPSY	$794.52	$1,324.20	$680.64–$1,006.39	—	40%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 PR CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT	$1,164.53	$1,940.88	$980.14–$6,153.75	93% below	40%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 PR CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT	$1,164.53	$1,940.88	$378.12–$1,552.70	93% below	40%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 PR CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT	$1,164.53	$1,940.88	$378.12–$1,552.70	—	40%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 PR CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT	$1,164.53	$1,940.88	$997.61–$1,475.07	—	40%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB	$4,961.93	$8,269.88	$2,278.90–$6,625.62	at median	40%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB	$4,961.93	$8,269.88	$4,176.29–$6,285.11	at median	40%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB	$4,961.93	$8,269.88	$4,250.72–$6,285.11	—	40%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB	$4,961.93	$8,269.88	$2,278.90–$6,625.62	—	40%
Vaginal delivery, including prenatal and postpartum care CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	$4,699.48	$7,832.46	$2,145.75–$6,279.99	3% above	40%
Vaginal delivery, including prenatal and postpartum care CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	$4,699.48	$7,832.46	$3,955.39–$5,952.67	3% above	40%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	$4,699.48	$7,832.46	$4,025.88–$5,952.67	—	40%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	$4,699.48	$7,832.46	$2,145.75–$6,279.99	—	40%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 PR VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS	$715.08	$1,191.79	$601.85–$2,399.14	—	40%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 PR VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS	$715.08	$1,191.79	$217.81–$953.43	—	40%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 PR VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS	$715.08	$1,191.79	$612.58–$905.76	—	40%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 PR VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS	$715.08	$1,191.79	$217.81–$953.43	—	40%
Vein ablation, radiofrequency, first vein CPT 36475 PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN	$3,193.98	$5,323.30	$2,688.27–$4,045.71	31% below	40%
Vein ablation, radiofrequency, first vein CPT 36475 PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN	$3,193.98	$5,323.30	$265.04–$4,258.64	31% below	40%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN	$3,193.98	$5,323.30	$265.04–$4,258.64	—	40%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN	$3,193.98	$5,323.30	$2,736.18–$4,045.71	—	40%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESION 1-14	$84.00	$140.00	$70.70–$230.27	64% below	40%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESION 1-14	$84.00	$140.00	$60.52–$269.36	64% below	40%
Wart removal, up to 14 warts CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14	$202.97	$338.28	$170.83–$257.09	13% below	40%
Wart removal, up to 14 warts CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14	$202.97	$338.28	$60.52–$270.62	13% below	40%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESION 1-14	$84.00	$140.00	$60.52–$269.36	—	40%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESION 1-14	$84.00	$140.00	$71.96–$106.40	—	40%
Wart removal, up to 14 warts inpatient CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14	$202.97	$338.28	$173.88–$257.09	—	40%
Wart removal, up to 14 warts inpatient CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14	$202.97	$338.28	$60.52–$270.62	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/<	$233.46	$389.09	$56.60–$311.27	65% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/<	$233.46	$389.09	$56.60–$311.27	—	40%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 PR OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP	$1,406.37	$2,343.95	$704.63–$1,906.74	82% below	40%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 PR OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP	$1,406.37	$2,343.95	$1,183.69–$8,327.98	82% below	40%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 PR OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP	$1,406.37	$2,343.95	$1,204.79–$1,781.40	—	40%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 PR OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP	$1,406.37	$2,343.95	$704.63–$1,906.74	—	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PR PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT	$27.14	$45.23	$8.15–$36.52	86% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PR PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT	$27.14	$45.23	$22.84–$251.32	86% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PR PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT	$27.14	$45.23	$23.25–$34.37	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PR PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT	$27.14	$45.23	$8.15–$36.52	—	40%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 PR OPHTH MEDICAL XM&EVAL COMPRE NEW PT 1/> VST	$236.97	$394.95	$77.21–$315.96	80% above	40%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 PR OPHTH MEDICAL XM&EVAL COMPRE NEW PT 1/> VST	$236.97	$394.95	$152.80–$300.16	80% above	40%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 PR OPHTH MEDICAL XM&EVAL COMPRE NEW PT 1/> VST	$236.97	$394.95	$203.00–$300.16	—	40%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 PR OPHTH MEDICAL XM&EVAL COMPRE NEW PT 1/> VST	$236.97	$394.95	$77.21–$315.96	—	40%
Comprehensive eye exam, returning patient CPT 92014 PR OPHTH MEDICAL XM&EVAL COMPRHNSV ESTAB PT 1/>	$199.67	$332.78	$61.72–$266.22	59% above	40%
Comprehensive eye exam, returning patient CPT 92014 PR OPHTH MEDICAL XM&EVAL COMPRHNSV ESTAB PT 1/>	$199.67	$332.78	$152.80–$252.91	59% above	40%
Comprehensive eye exam, returning patient inpatient CPT 92014 PR OPHTH MEDICAL XM&EVAL COMPRHNSV ESTAB PT 1/>	$199.67	$332.78	$61.72–$266.22	—	40%
Comprehensive eye exam, returning patient inpatient CPT 92014 PR OPHTH MEDICAL XM&EVAL COMPRHNSV ESTAB PT 1/>	$199.67	$332.78	$171.05–$252.91	—	40%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 PR COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ	$63.33	$105.54	$25.44–$84.43	75% below	40%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 PR COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ	$63.33	$105.54	$53.30–$147.68	75% below	40%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 PR COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ	$63.33	$105.54	$54.25–$80.21	—	40%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 PR COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ	$63.33	$105.54	$25.44–$84.43	—	40%
Critical care, first 30 to 74 minutes CPT 99291 PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN	$783.56	$1,305.93	$204.81–$1,044.74	56% below	40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN	$783.56	$1,305.93	$204.81–$1,044.74	—	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 PR ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY	$91.50	$152.50	$114.38–$801.75	89% below	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 PR ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY	$91.50	$152.50	$77.01–$247.82	89% below	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 PR ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY	$91.50	$152.50	$78.39–$115.90	—	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 PR ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY	$91.50	$152.50	$114.38–$801.75	—	40%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R	$30.33	$50.54	$14.96–$40.82	45% below	40%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R	$30.33	$50.54	$25.52–$38.41	45% below	40%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R	$30.33	$50.54	$25.98–$38.41	—	40%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R	$30.33	$50.54	$14.96–$40.82	—	40%
Electroconvulsive therapy (ECT), one session CPT 90870 PR ELECTROCONVULSIVE THERAPY	$278.22	$463.69	$99.18–$370.95	67% below	40%
Electroconvulsive therapy (ECT), one session CPT 90870 PR ELECTROCONVULSIVE THERAPY	$278.22	$463.69	$234.16–$985.58	67% below	40%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 PR ELECTROCONVULSIVE THERAPY	$278.22	$463.69	$238.34–$352.40	—	40%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 PR ELECTROCONVULSIVE THERAPY	$278.22	$463.69	$99.18–$370.95	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PR EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP	$26.52	$44.19	$11.44–$35.68	85% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 PR EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP	$26.52	$44.19	$11.44–$35.68	—	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PR EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM	$163.90	$273.16	$40.72–$218.53	56% below	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 PR EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM	$163.90	$273.16	$40.72–$218.53	—	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PR EMERGENCY DEPARTMENT VISIT LOW MDM	$252.15	$420.25	$60.77–$336.20	60% below	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 PR EMERGENCY DEPARTMENT VISIT LOW MDM	$252.15	$420.25	$60.77–$336.20	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PR EMERGENCY DEPARTMENT VISIT MODERATE MDM	$378.86	$631.43	$112.46–$505.14	63% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 PR EMERGENCY DEPARTMENT VISIT MODERATE MDM	$378.86	$631.43	$112.46–$505.14	—	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PR EMERGENCY DEPARTMENT VISIT HIGH MDM	$567.98	$946.62	$163.54–$757.30	62% below	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PR EMERGENCY DEPARTMENT VISIT HIGH MDM	$567.98	$946.62	$163.54–$757.30	—	40%
Eye exam, returning patient, intermediate CPT 92012 PR OPHTH MEDICAL XM&EVAL INTERMEDIATE ESTAB PT	$141.04	$235.06	$41.14–$188.05	7% above	40%
Eye exam, returning patient, intermediate CPT 92012 PR OPHTH MEDICAL XM&EVAL INTERMEDIATE ESTAB PT	$141.04	$235.06	$118.71–$178.65	7% above	40%
Eye exam, returning patient, intermediate inpatient CPT 92012 PR OPHTH MEDICAL XM&EVAL INTERMEDIATE ESTAB PT	$141.04	$235.06	$41.14–$188.05	—	40%
Eye exam, returning patient, intermediate inpatient CPT 92012 PR OPHTH MEDICAL XM&EVAL INTERMEDIATE ESTAB PT	$141.04	$235.06	$120.82–$178.65	—	40%
Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$170.75	$284.58	$94.73–$239.43	6% above	40%
Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$170.75	$284.58	$143.71–$216.28	6% above	40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$170.75	$284.58	$146.27–$216.28	—	40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$170.75	$284.58	$94.73–$239.43	—	40%
Family therapy without the patient, 50 minutes CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$163.10	$271.83	$91.64–$231.20	4% above	40%
Family therapy without the patient, 50 minutes CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$163.10	$271.83	$137.27–$206.59	4% above	40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$163.10	$271.83	$139.72–$206.59	—	40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$163.10	$271.83	$91.64–$231.20	—	40%
Group psychotherapy session CPT 90853 PR GROUP PSYCHOTHERAPY	$51.38	$85.63	$24.43–$68.50	54% below	40%
Group psychotherapy session CPT 90853 PR GROUP PSYCHOTHERAPY	$51.38	$85.63	$43.24–$116.59	54% below	40%
Group psychotherapy session inpatient CPT 90853 PR GROUP PSYCHOTHERAPY	$51.38	$85.63	$44.01–$65.08	—	40%
Group psychotherapy session inpatient CPT 90853 PR GROUP PSYCHOTHERAPY	$51.38	$85.63	$24.43–$68.50	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PR IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR	$88.52	$147.52	$30.97–$119.12	73% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PR IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR	$88.52	$147.52	$74.50–$244.12	73% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 PR IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR	$88.52	$147.52	$30.97–$119.12	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 PR IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR	$88.52	$147.52	$75.83–$112.12	—	40%
IV infusion of a medicine, first hour CPT 96365 PR IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR	$112.00	$186.66	$62.77–$150.73	71% below	40%
IV infusion of a medicine, first hour CPT 96365 PR IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR	$112.00	$186.66	$94.26–$244.12	71% below	40%
IV infusion of a medicine, first hour inpatient CPT 96365 PR IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR	$112.00	$186.66	$95.94–$141.86	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 PR IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR	$112.00	$186.66	$62.77–$150.73	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PR THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM	$37.85	$63.08	$12.85–$51.80	64% below	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PR THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM	$37.85	$63.08	$12.85–$51.80	—	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION	$284.29	$473.81	$203.71–$360.10	35% above	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION	$284.29	$473.81	$128.59–$380.38	35% above	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION	$284.29	$473.81	$243.54–$360.10	—	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION	$284.29	$473.81	$128.59–$380.38	—	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 PR NERVE CONDUCTION STUDIES 7-8 STUDIES	$293.12	$488.53	$246.71–$428.27	53% below	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 PR NERVE CONDUCTION STUDIES 7-8 STUDIES	$293.12	$488.53	$173.54–$405.81	53% below	40%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 PR NERVE CONDUCTION STUDIES 7-8 STUDIES	$293.12	$488.53	$251.10–$371.28	—	40%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 PR NERVE CONDUCTION STUDIES 7-8 STUDIES	$293.12	$488.53	$173.54–$405.81	—	40%
New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$152.48	$254.13	$73.38–$210.67	29% below	40%
New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$152.48	$254.13	$73.38–$210.67	—	40%
New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$229.33	$382.21	$119.50–$316.83	18% below	40%
New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$229.33	$382.21	$119.50–$316.83	—	40%
New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$303.00	$505.00	$164.36–$419.53	19% below	40%
New patient office visit, about 60 minutes inpatient CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$303.00	$505.00	$164.36–$419.53	—	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES	$97.82	$163.02	$41.73–$133.51	35% below	40%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES	$97.82	$163.02	$41.73–$133.51	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 PR MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI	$58.28	$97.13	$25.85–$78.79	6% above	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 PR MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI	$58.28	$97.13	$49.05–$73.82	6% above	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 PR MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI	$58.28	$97.13	$25.85–$78.79	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 PR MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI	$58.28	$97.13	$49.92–$73.82	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PR MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES	$45.93	$76.55	$38.66–$58.18	60% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PR MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES	$45.93	$76.55	$25.63–$61.81	60% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PR MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES	$45.93	$76.55	$25.63–$61.81	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PR MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES	$45.93	$76.55	$39.35–$58.18	—	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES	$49.14	$81.90	$41.36–$62.24	51% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES	$49.14	$81.90	$27.85–$66.13	51% below	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES	$49.14	$81.90	$27.85–$66.13	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES	$49.14	$81.90	$42.10–$62.24	—	40%
Preventive checkup, new patient aged 18–39 CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$175.03	$291.71	$105.99–$242.53	3% below	40%
Preventive checkup, new patient aged 18–39 CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$175.03	$291.71	$147.31–$221.70	3% below	40%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$175.03	$291.71	$149.94–$221.70	—	40%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$175.03	$291.71	$105.99–$242.53	—	40%
Preventive checkup, new patient aged 40–64 CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$202.23	$337.04	$129.01–$279.90	9% below	40%
Preventive checkup, new patient aged 40–64 CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$202.23	$337.04	$170.21–$256.15	9% below	40%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$202.23	$337.04	$173.24–$256.15	—	40%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$202.23	$337.04	$129.01–$279.90	—	40%
Preventive checkup, new patient aged 65 or older CPT 99387 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>	$219.30	$365.50	$184.58–$277.78	27% above	40%
Preventive checkup, new patient aged 65 or older CPT 99387 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>	$219.30	$365.50	$138.59–$303.94	27% above	40%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>	$219.30	$365.50	$187.87–$277.78	—	40%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>	$219.30	$365.50	$138.59–$303.94	—	40%
Preventive checkup, returning patient aged 18–39 CPT 99395 PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS	$157.95	$263.25	$96.76–$219.07	11% below	40%
Preventive checkup, returning patient aged 18–39 CPT 99395 PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS	$157.95	$263.25	$132.94–$200.07	11% below	40%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS	$157.95	$263.25	$135.31–$200.07	—	40%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS	$157.95	$263.25	$96.76–$219.07	—	40%
Preventive checkup, returning patient aged 40–64 CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS	$168.14	$280.22	$141.51–$212.97	16% below	40%
Preventive checkup, returning patient aged 40–64 CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS	$168.14	$280.22	$105.19–$233.07	16% below	40%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS	$168.14	$280.22	$105.19–$233.07	—	40%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS	$168.14	$280.22	$144.03–$212.97	—	40%
Preventive checkup, returning patient aged 65 or older CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER	$180.46	$300.76	$151.88–$228.58	10% below	40%
Preventive checkup, returning patient aged 65 or older CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER	$180.46	$300.76	$110.60–$250.57	10% below	40%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER	$180.46	$300.76	$154.59–$228.58	—	40%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER	$180.46	$300.76	$110.60–$250.57	—	40%
Psychiatric evaluation with medical services CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$320.73	$534.54	$142.06–$428.88	27% above	40%
Psychiatric evaluation with medical services CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$320.73	$534.54	$203.71–$406.25	27% above	40%
Psychiatric evaluation with medical services inpatient CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$320.73	$534.54	$142.06–$428.88	—	40%
Psychiatric evaluation with medical services inpatient CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$320.73	$534.54	$274.75–$406.25	—	40%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR	$207.80	$346.32	$100.27–$277.06	34% below	40%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR	$207.80	$346.32	$174.89–$263.20	34% below	40%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR	$207.80	$346.32	$100.27–$277.06	—	40%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR	$207.80	$346.32	$178.01–$263.20	—	40%
Psychotherapy for crisis, first 60 minutes CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES	$242.39	$403.98	$129.38–$338.84	1% above	40%
Psychotherapy for crisis, first 60 minutes CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES	$242.39	$403.98	$203.71–$307.02	1% above	40%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES	$242.39	$403.98	$129.38–$338.84	—	40%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES	$242.39	$403.98	$207.65–$307.02	—	40%
Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES	$129.51	$215.84	$62.99–$179.91	19% below	40%
Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES	$129.51	$215.84	$109.00–$203.71	19% below	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES	$129.51	$215.84	$110.94–$164.04	—	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES	$129.51	$215.84	$62.99–$179.91	—	40%
Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES	$170.70	$284.49	$83.78–$237.29	5% below	40%
Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES	$170.70	$284.49	$143.67–$216.21	5% below	40%
Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES	$170.70	$284.49	$146.23–$216.21	—	40%
Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES	$170.70	$284.49	$83.78–$237.29	—	40%
Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES	$251.70	$419.50	$203.71–$318.82	14% above	40%
Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES	$251.70	$419.50	$125.08–$351.72	14% above	40%
Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES	$251.70	$419.50	$125.08–$351.72	—	40%
Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES	$251.70	$419.50	$215.62–$318.82	—	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$20.64	$34.39	$10.89–$27.51	38% below	40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$20.64	$34.39	$10.89–$27.51	—	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN	$246.71	$411.18	$119.88–$339.26	7% below	40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN	$246.71	$411.18	$119.88–$339.26	—	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 TH OFFICE/OUTPATIENT VISIT, EST LEV 3	$123.58	$205.96	$55.16–$170.96	16% below	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$123.58	$205.96	$55.16–$170.96	16% below	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 TH OFFICE/OUTPATIENT VISIT, EST LEV 3	$123.58	$205.96	$104.01–$156.53	16% below	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TH OFFICE/OUTPATIENT VISIT, EST LEV 3	$123.58	$205.96	$105.86–$156.53	—	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TH OFFICE/OUTPATIENT VISIT, EST LEV 3	$123.58	$205.96	$55.16–$170.96	—	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$123.58	$205.96	$55.16–$170.96	—	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$174.61	$291.01	$84.68–$241.37	2% below	40%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$174.61	$291.01	$84.68–$241.37	—	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SPORTS/LIMITED SCHOOL PHYSICAL	$28.20	$47.00	$27.23–$104.74	75% below	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SPORTS/LIMITED SCHOOL PHYSICAL	$28.20	$47.00	$23.74–$35.72	75% below	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN	$76.46	$127.42	$27.23–$104.74	33% below	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 SPORTS/LIMITED SCHOOL PHYSICAL	$28.20	$47.00	$27.23–$104.74	—	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 SPORTS/LIMITED SCHOOL PHYSICAL	$28.20	$47.00	$24.16–$35.72	—	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN	$76.46	$127.42	$27.23–$104.74	—	40%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$156.89	$261.47	$132.04–$198.72	19% below	40%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$156.89	$261.47	$108.33–$211.18	19% below	40%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$156.89	$261.47	$134.40–$198.72	—	40%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$156.89	$261.47	$108.33–$211.18	—	40%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$225.54	$375.89	$170.50–$300.92	34% below	40%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$225.54	$375.89	$189.82–$285.68	34% below	40%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$225.54	$375.89	$170.50–$300.92	—	40%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$225.54	$375.89	$193.21–$285.68	—	40%
Speech and language evaluation CPT 92523 PR EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	$369.18	$615.30	$175.44–$499.64	3% below	40%
Speech and language evaluation CPT 92523 PR EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	$369.18	$615.30	$310.73–$467.63	3% below	40%
Speech and language evaluation inpatient CPT 92523 PR EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	$369.18	$615.30	$175.44–$499.64	—	40%
Speech and language evaluation inpatient CPT 92523 PR EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	$369.18	$615.30	$316.26–$467.63	—	40%
Speech therapy session, individual CPT 92507 ST THRPY INDIV IL/MO MCDAID	$54.27	$90.44	$45.67–$68.73	74% below	40%
Speech therapy session, individual CPT 92507 ST THRPY INDIV IL/MO MCDAID	$54.27	$90.44	$67.83–$172.41	74% below	40%
Speech therapy session, individual CPT 92507 PR TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND	$217.02	$361.69	$182.65–$274.88	4% above	40%
Speech therapy session, individual CPT 92507 PR TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND	$217.02	$361.69	$71.83–$289.35	4% above	40%
Speech therapy session, individual inpatient CPT 92507 ST THRPY INDIV IL/MO MCDAID	$54.27	$90.44	$67.83–$172.41	—	40%
Speech therapy session, individual inpatient CPT 92507 ST THRPY INDIV IL/MO MCDAID	$54.27	$90.44	$46.49–$68.73	—	40%
Speech therapy session, individual inpatient CPT 92507 PR TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND	$217.02	$361.69	$71.83–$289.35	—	40%
Speech therapy session, individual inpatient CPT 92507 PR TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND	$217.02	$361.69	$185.91–$274.88	—	40%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 PR REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M	$592.95	$988.25	$247.82–$751.07	79% above	40%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 PR REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M	$592.95	$988.25	$196.70–$790.60	79% above	40%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 PR REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M	$592.95	$988.25	$507.96–$751.07	—	40%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 PR REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M	$592.95	$988.25	$196.70–$790.60	—	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$58.35	$97.24	$33.52–$77.79	54% below	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$58.35	$97.24	$49.11–$73.90	54% below	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$58.35	$97.24	$49.98–$73.90	—	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$58.35	$97.24	$33.52–$77.79	—	40%
Visual field test, extended both sides CPT 92083 PR VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM	$139.61	$232.68	$56.80–$187.88	—	40%
Visual field test, extended both sides CPT 92083 PR VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM	$139.61	$232.68	$117.50–$176.84	—	40%
Visual field test, extended inpatient both sides CPT 92083 PR VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM	$139.61	$232.68	$119.60–$176.84	—	40%
Visual field test, extended inpatient both sides CPT 92083 PR VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM	$139.61	$232.68	$56.80–$187.88	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$60.00	$100.00	$65.80–$101.26	28% below	40%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$60.00	$100.00	$50.50–$98.16	28% below	40%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$60.00	$100.00	$65.80–$101.26	—	40%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$60.00	$100.00	$51.40–$76.00	—	40%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 PR VAR VACCINE LIVE FOR SUBCUTANEOUS USE	$207.61	$346.01	$190.07–$300.65	11% below	40%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 PR VAR VACCINE LIVE FOR SUBCUTANEOUS USE	$207.61	$346.01	$174.74–$262.97	11% below	40%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 PR VAR VACCINE LIVE FOR SUBCUTANEOUS USE	$207.61	$346.01	$190.07–$300.65	—	40%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 PR VAR VACCINE LIVE FOR SUBCUTANEOUS USE	$207.61	$346.01	$177.85–$262.97	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE	$15.99	$26.65	$13.68–$23.95	55% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE	$15.99	$26.65	$13.46–$23.22	55% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE	$15.99	$26.65	$13.70–$20.25	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE	$15.99	$26.65	$13.68–$23.95	—	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 PR 9VHPV VACC 2/3 DOSE SCHED IM USE	$342.53	$570.88	$264.01–$505.50	30% below	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 PR 9VHPV VACC 2/3 DOSE SCHED IM USE	$342.53	$570.88	$288.29–$433.87	30% below	40%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 PR 9VHPV VACC 2/3 DOSE SCHED IM USE	$342.53	$570.88	$293.43–$433.87	—	40%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 PR 9VHPV VACC 2/3 DOSE SCHED IM USE	$342.53	$570.88	$264.01–$505.50	—	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 PR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM	$108.56	$180.92	$91.36–$137.50	46% below	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 PR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM	$108.56	$180.92	$116.24–$217.31	46% below	40%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 PR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM	$108.56	$180.92	$116.24–$217.31	—	40%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 PR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM	$108.56	$180.92	$92.99–$137.50	—	40%
Hepatitis A vaccine, adult dose CPT 90632 PR HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE	$68.61	$114.35	$57.75–$86.91	36% below	40%
Hepatitis A vaccine, adult dose CPT 90632 PR HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE	$68.61	$114.35	$80.14–$133.48	36% below	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 PR HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE	$68.61	$114.35	$80.14–$133.48	—	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 PR HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE	$68.61	$114.35	$58.78–$86.91	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	$47.84	$79.73	$59.80–$108.37	51% below	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	$47.84	$79.73	$40.26–$75.14	51% below	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	$47.84	$79.73	$59.80–$108.37	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	$47.84	$79.73	$40.98–$60.59	—	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM	$54.90	$91.49	$46.20–$98.16	18% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM	$54.90	$91.49	$68.62–$101.26	18% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM	$54.90	$91.49	$47.03–$69.53	—	40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM	$54.90	$91.49	$68.62–$101.26	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 PR MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ	$109.79	$182.97	$92.40–$139.06	45% below	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 PR MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ	$109.79	$182.97	$96.60–$155.89	45% below	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 PR MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ	$109.79	$182.97	$96.60–$155.89	—	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 PR MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ	$109.79	$182.97	$94.05–$139.06	—	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE	$177.14	$295.22	$149.09–$224.37	25% below	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE	$177.14	$295.22	$138.02–$244.34	25% below	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE	$177.14	$295.22	$138.02–$244.34	—	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE	$177.14	$295.22	$151.74–$224.37	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 PR MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM	$189.24	$315.40	$159.28–$239.70	42% below	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 PR MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM	$189.24	$315.40	$236.55–$389.63	42% below	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 PR MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM	$189.24	$315.40	$162.12–$239.70	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 PR MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM	$189.24	$315.40	$236.55–$389.63	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PR PCV20 VACCINE FOR INTRAMUSCULAR USE	$311.63	$519.37	$298.49–$451.24	13% below	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PR PCV20 VACCINE FOR INTRAMUSCULAR USE	$311.63	$519.37	$262.28–$394.72	13% below	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PR PCV20 VACCINE FOR INTRAMUSCULAR USE	$311.63	$519.37	$298.49–$451.24	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PR PCV20 VACCINE FOR INTRAMUSCULAR USE	$311.63	$519.37	$266.96–$394.72	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	$139.55	$232.57	$117.45–$176.75	15% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	$139.55	$232.57	$117.08–$192.49	15% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	$139.55	$232.57	$117.08–$192.49	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	$139.55	$232.57	$119.54–$176.75	—	40%
Rabies vaccine, one dose CPT 90675 PR RABIES VACCINE INTRAMUSCULAR	$339.64	$566.06	$285.86–$430.21	55% below	40%
Rabies vaccine, one dose CPT 90675 PR RABIES VACCINE INTRAMUSCULAR	$339.64	$566.06	$332.54–$623.14	55% below	40%
Rabies vaccine, one dose inpatient CPT 90675 PR RABIES VACCINE INTRAMUSCULAR	$339.64	$566.06	$332.54–$623.14	—	40%
Rabies vaccine, one dose inpatient CPT 90675 PR RABIES VACCINE INTRAMUSCULAR	$339.64	$566.06	$290.95–$430.21	—	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX	$235.85	$393.07	$198.50–$298.73	27% above	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX	$235.85	$393.07	$215.51–$325.35	27% above	40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX	$235.85	$393.07	$215.51–$325.35	—	40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX	$235.85	$393.07	$202.04–$298.73	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE	$33.35	$55.58	$37.00–$46.00	57% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE	$33.35	$55.58	$28.07–$42.24	57% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$72.11	$120.17	$60.68–$91.33	6% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE	$33.35	$55.58	$37.00–$46.00	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE	$33.35	$55.58	$28.57–$42.24	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$72.11	$120.17	$61.77–$91.33	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$78.37	$130.60	$65.95–$99.26	24% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PR TDAP VACCINE 7 YRS/> IM	$98.43	$164.04	$46.84–$131.23	4% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PR TDAP VACCINE 7 YRS/> IM	$98.43	$164.04	$82.84–$124.67	4% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$78.37	$130.60	$67.13–$99.26	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PR TDAP VACCINE 7 YRS/> IM	$98.43	$164.04	$84.32–$124.67	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PR TDAP VACCINE 7 YRS/> IM	$98.43	$164.04	$46.84–$131.23	—	40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 PR TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM	$75.55	$125.91	$63.58–$95.69	55% below	40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 PR TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM	$75.55	$125.91	$62.74–$166.56	55% below	40%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 PR TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM	$75.55	$125.91	$62.74–$166.56	—	40%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 PR TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM	$75.55	$125.91	$64.72–$95.69	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE	$57.57	$95.95	$12.85–$76.76	2% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE	$57.57	$95.95	$48.45–$82.64	2% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN- FLU	$57.57	$95.95	$12.85–$76.76	2% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN- FLU	$57.57	$95.95	$48.45–$82.64	2% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE	$57.57	$95.95	$12.85–$76.76	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN- FLU	$57.57	$95.95	$49.32–$72.92	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN- FLU	$57.57	$95.95	$12.85–$76.76	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE	$57.57	$95.95	$49.32–$72.92	—	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PR IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE	$57.57	$95.95	$48.45–$72.92	50% above	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PR IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE	$57.57	$95.95	$8.00–$76.76	50% above	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 PR IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE	$57.57	$95.95	$49.32–$72.92	—	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 PR IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE	$57.57	$95.95	$8.00–$76.76	—	40%

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/7854/370661183-1760571699_blessing-hospital_standardcharges.csv