Hospital Prescott Valley-Prescott, AZ

Yavapai Community Hospital Association

Yavapai Community Hospital Association in Prescott, AZ publishes cash prices for 373 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Arizona median for 211 of 366 procedures and above it for 144. By typical cash price it ranks #24 of 52 Arizona hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1003 Willow Creek Rd, Prescott, AZ 86301 Collected Sep 27, 2026 Source price file (928) 445-2700

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 030012 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE COMPLETE BILATERAL - REPORT	$27.46	$37.00	$31.45–$40.19	—	26%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 SM ANKLE COMPLETE (MIN 3 VIEWS) BILAT	$105.37	$142.00	$38.27–$137.74	—	26%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 OS ANKLE COMPLETE (MIN 3 VIEWS) BILAT	$112.05	$151.00	$38.27–$146.47	—	26%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE COMPLETE BILATERAL	$1,005.41	$1,355.00	$38.27–$1,314.35	—	26%
Ankle X-ray, complete, 3 or more views one side CPT 73610 SM ANKLE COMPLETE (MIN 3 VIEWS) LEFT	$52.69	$71.00	$38.27–$75.26	84% below	26%
Ankle X-ray, complete, 3 or more views one side CPT 73610 OS ANKLE COMPLETE (MIN 3 VIEWS) LEFT	$57.14	$77.00	$38.27–$81.62	83% below	26%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLETE LEFT	$128.37	$173.00	$38.27–$167.81	62% below	26%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLETE RIGHT	$502.34	$677.00	$38.27–$656.69	49% above	26%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR ANKLE COMPLETE BILATERAL	$1,005.41	$1,355.00	$1,151.75–$1,314.35	—	26%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMPLETE RIGHT	$502.34	$677.00	$575.45–$656.69	—	26%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 TCOM SINGLE LEVEL BILAT	$851.08	$1,147.00	$86.19–$1,112.59	—	26%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US LE ARTERIAL DOPPLER SINGLE LVL BILAT	$851.08	$1,147.00	$86.19–$1,112.59	—	26%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ARTERIAL LE ABI ONLY - REPORT	$119.47	$161.00	$86.19–$156.17	68% below	26%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ARTERIAL LE ABI ONLY	$332.42	$448.00	$86.19–$434.56	11% below	26%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 STANDARD SINGLE LEG - STUDY TYPE	$697.48	$940.00	$86.19–$911.80	87% above	26%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 TCOM SINGLE LEVEL BILAT	$851.08	$1,147.00	$974.95–$1,112.59	—	26%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US LE ARTERIAL DOPPLER SINGLE LVL BILAT	$851.08	$1,147.00	$974.95–$1,112.59	—	26%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 STANDARD SINGLE LEG - STUDY TYPE	$697.48	$940.00	$799.00–$911.80	—	26%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR BARIUM SWALLOW (ESOPHOGRAM) ONLY - REPORT	$46.01	$62.00	$52.70–$107.40	87% below	26%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$851.08	$1,147.00	$102.28–$1,112.59	136% above	26%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR BARIUM SWALLOW (ESOPHOGRAM) ONLY	$1,026.93	$1,384.00	$102.28–$1,342.48	185% above	26%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS	$851.08	$1,147.00	$974.95–$1,112.59	—	26%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR BARIUM SWALLOW (ESOPHOGRAM) ONLY	$1,026.93	$1,384.00	$1,176.40–$1,342.48	—	26%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMAGING WHOLE BODY W/ SPECT	$2,619.26	$3,530.00	$282.16–$3,424.10	75% above	26%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMAGING WHOLE BODY	$3,155.73	$4,253.00	$282.16–$4,125.41	110% above	26%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE IMAGING WHOLE BODY W/ SPECT	$2,619.26	$3,530.00	$3,000.50–$3,424.10	—	26%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE IMAGING WHOLE BODY	$3,155.73	$4,253.00	$3,615.05–$4,125.41	—	26%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILATERAL - REPORT	$112.79	$152.00	$108.00–$147.44	—	26%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILATERAL	$585.44	$789.00	$108.00–$765.33	—	26%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE 76641	$160.28	$216.00	$108.00–$209.52	53% below	26%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LEFT - REPORT	$56.40	$76.00	$64.60–$113.40	84% below	26%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LEFT	$229.28	$309.00	$108.00–$299.73	33% below	26%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST BILATERAL	$585.44	$789.00	$670.65–$765.33	—	26%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LEFT	$229.28	$309.00	$262.65–$299.73	—	26%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 BEDSIDE US BREAST LIMITED BILATERAL	$511.24	$689.00	$89.40–$668.33	—	26%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED 76642	$132.08	$178.00	$89.40–$172.66	44% below	26%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BEDSIDE US BREAST LIMITED LEFT	$255.25	$344.00	$89.40–$333.68	8% above	26%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 BEDSIDE US BREAST LIMITED BILATERAL	$511.24	$689.00	$585.65–$668.33	—	26%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BEDSIDE US BREAST LIMITED LEFT	$255.25	$344.00	$292.40–$333.68	—	26%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$3,039.24	$4,096.00	$189.74–$3,973.12	109% above	26%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/ + W/O CONTRAST	$3,493.34	$4,708.00	$189.74–$4,566.76	140% above	26%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST	$3,039.24	$4,096.00	$3,481.60–$3,973.12	—	26%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/ + W/O CONTRAST	$3,493.34	$4,708.00	$4,001.80–$4,566.76	—	26%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HEART INTERPRETATION	$190.70	$257.00	$218.45–$363.86	72% below	26%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HEART (ARTERIES AND GRAFTS) W/ CONT	$2,153.29	$2,902.00	$346.53–$2,814.94	222% above	26%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HEART INTERPRETATION	$190.70	$257.00	$218.45–$249.29	—	26%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HEART (ARTERIES AND GRAFTS) W/ CONT	$2,153.29	$2,902.00	$2,466.70–$2,814.94	—	26%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART (CALCIUM SCORING) W/O CONT - REPORT	$44.52	$60.00	$51.00–$112.66	92% below	26%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART (CALCIUM SCORING) W/O CONT	$215.18	$290.00	$93.85–$281.30	60% below	26%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART (CALCIUM SCORING) W/O CONT	$215.18	$290.00	$246.50–$281.30	—	26%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/ ORAL CONTRAST ONLY	$4,736.93	$6,384.00	$197.40–$6,192.48	256% above	26%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O (NO ORAL OR IV CONT)	$5,199.94	$7,008.00	$197.40–$6,797.76	290% above	26%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL W/O CON	$5,459.64	$7,358.00	$197.40–$7,137.26	310% above	26%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS W/ ORAL CONTRAST ONLY	$4,736.93	$6,384.00	$5,426.40–$6,192.48	—	26%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS W/O (NO ORAL OR IV CONT)	$5,199.94	$7,008.00	$5,956.80–$6,797.76	—	26%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PEL W/O CON	$5,459.64	$7,358.00	$6,254.30–$7,137.26	—	26%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/ CONTRAST	$1,085.55	$1,463.00	$326.86–$1,419.11	42% below	26%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL W/ IV CONT ONLY (NON-TRAUMA)	$4,634.54	$6,246.00	$326.86–$6,058.62	147% above	26%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/ IV CONT ONLY (TRAUMA)	$5,098.29	$6,871.00	$326.86–$6,664.87	172% above	26%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PEL W/ IV CONT ONLY (NON-TRAUMA)	$4,634.54	$6,246.00	$5,309.10–$6,058.62	—	26%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W/ IV CONT ONLY (TRAUMA)	$5,098.29	$6,871.00	$5,840.35–$6,664.87	—	26%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/ + W/O CONTRAST	$4,790.36	$6,456.00	$366.56–$6,262.32	95% above	26%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN W/ + W/O PELVIS W/ CONTRAST	$5,250.40	$7,076.00	$366.56–$6,863.72	114% above	26%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W/ + W/O CONTRAST	$4,790.36	$6,456.00	$5,487.60–$6,262.32	—	26%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN W/ + W/O PELVIS W/ CONTRAST	$5,250.40	$7,076.00	$6,014.60–$6,863.72	—	26%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ IV CONT ONLY	$2,782.50	$3,750.00	$189.74–$3,637.50	100% above	26%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONTRAST	$3,071.88	$4,140.00	$189.74–$4,015.80	120% above	26%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ IV CONT ONLY	$2,782.50	$3,750.00	$3,187.50–$3,637.50	—	26%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ CONTRAST	$3,071.88	$4,140.00	$3,519.00–$4,015.80	—	26%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/ ORAL CONTRAST ONLY	$2,462.70	$3,319.00	$113.34–$3,219.43	172% above	26%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$2,718.69	$3,664.00	$113.34–$3,554.08	200% above	26%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/ ORAL CONTRAST ONLY	$2,462.70	$3,319.00	$2,821.15–$3,219.43	—	26%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$2,718.69	$3,664.00	$3,114.40–$3,554.08	—	26%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CONTRAST	$1,747.41	$2,355.00	$113.34–$2,284.35	108% above	26%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$2,018.24	$2,720.00	$113.34–$2,638.40	140% above	26%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS W/O CONTRAST	$1,747.41	$2,355.00	$2,001.75–$2,284.35	—	26%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$2,018.24	$2,720.00	$2,312.00–$2,638.40	—	26%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O (TPA CANDIDATE)	$2,209.68	$2,978.00	$113.34–$2,888.66	146% above	26%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O CONTRAST	$2,430.80	$3,276.00	$113.34–$3,177.72	171% above	26%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN W/O (TPA CANDIDATE)	$2,209.68	$2,978.00	$2,531.30–$2,888.66	—	26%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN W/O CONTRAST	$2,430.80	$3,276.00	$2,784.60–$3,177.72	—	26%
CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN W/ CONTRAST - REPORT	$224.09	$302.00	$159.85–$292.94	80% below	26%
CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN W/ CONTRAST	$2,873.03	$3,872.00	$159.85–$3,755.84	150% above	26%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD OR BRAIN W/ CONTRAST	$2,873.03	$3,872.00	$3,291.20–$3,755.84	—	26%
CT scan of the head without and with contrast CPT 70470 CT HEAD OR BRAIN W/ + W/O CONTRAST	$3,163.89	$4,264.00	$187.03–$4,136.08	120% above	26%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD OR BRAIN W/ + W/O CONTRAST	$3,163.89	$4,264.00	$3,624.40–$4,136.08	—	26%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR POST MYELOGRAPHY	$2,807.73	$3,784.00	$113.34–$3,670.48	135% above	26%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST	$2,935.36	$3,956.00	$113.34–$3,837.32	146% above	26%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR POST MYELOGRAPHY	$2,807.73	$3,784.00	$3,216.40–$3,670.48	—	26%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR W/O CONTRAST	$2,935.36	$3,956.00	$3,362.60–$3,837.32	—	26%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE ENTIRE POST MYELOGRAPHY	$2,404.08	$3,240.00	$113.34–$3,142.80	111% above	26%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST	$2,936.10	$3,957.00	$113.34–$3,838.29	158% above	26%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE ENTIRE POST MYELOGRAPHY	$2,404.08	$3,240.00	$2,754.00–$3,142.80	—	26%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL W/O CONTRAST	$2,936.10	$3,957.00	$3,363.45–$3,838.29	—	26%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST	$2,499.06	$3,368.00	$189.74–$3,266.96	101% above	26%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ CONTRAST	$2,499.06	$3,368.00	$2,862.80–$3,266.96	—	26%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILATERAL	$1,210.95	$1,632.00	$199.19–$1,583.04	—	26%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID DUPLEX BILATERAL	$1,210.95	$1,632.00	$1,387.20–$1,583.04	—	26%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS W/ FLUOROSCOPY	$365.81	$493.00	$35.40–$478.21	88% above	26%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$464.50	$626.00	$35.40–$607.22	139% above	26%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS W/ FLUOROSCOPY	$365.81	$493.00	$419.05–$478.21	—	26%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$464.50	$626.00	$532.10–$607.22	—	26%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW FRONTAL	$351.71	$474.00	$26.82–$459.78	221% above	26%
Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS LEFT	$278.25	$375.00	$26.82–$363.75	154% above	26%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW FRONTAL	$351.71	$474.00	$402.90–$459.78	—	26%
Chest X-ray, single view inpatient one side CPT 71045 XR CHEST DECUBITUS LEFT	$278.25	$375.00	$318.75–$363.75	—	26%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL - REPORT	$57.14	$77.00	$65.45–$119.41	86% below	26%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL	$908.95	$1,225.00	$113.34–$1,188.25	122% above	26%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL	$908.95	$1,225.00	$1,041.25–$1,188.25	—	26%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR DEXA BONE DENSITY STUDY	$562.44	$758.00	$40.77–$735.26	84% above	26%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR DEXA BONE DENSITY STUDY	$562.44	$758.00	$644.30–$735.26	—	26%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR DEXA APPENDICULAR STUDY	$183.28	$247.00	$33.26–$239.59	11% below	26%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA APPENDICULAR STUDY	$192.92	$260.00	$33.26–$252.20	6% below	26%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR DEXA APPENDICULAR STUDY	$183.28	$247.00	$209.95–$239.59	—	26%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA APPENDICULAR STUDY	$192.92	$260.00	$221.00–$252.20	—	26%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WITHOUT CONTRAST	$2,309.11	$3,112.00	$113.34–$3,018.64	156% above	26%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HIGH RESOLUTION W/O CONT	$2,666.01	$3,593.00	$113.34–$3,485.21	195% above	26%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WITHOUT CONTRAST	$2,309.11	$3,112.00	$2,645.20–$3,018.64	—	26%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST HIGH RESOLUTION W/O CONT	$2,666.01	$3,593.00	$3,054.05–$3,485.21	—	26%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH CONTRAST	$2,772.12	$3,736.00	$179.88–$3,623.92	107% above	26%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH CONTRAST	$2,772.12	$3,736.00	$3,175.60–$3,623.92	—	26%
Diagnostic mammogram, both breasts both sides CPT 77066 MA DIGITAL DIAGNOSTIC MAMMO/TOMO BILAT - REPORT	$77.91	$105.00	$89.25–$174.99	—	26%
Diagnostic mammogram, both breasts both sides CPT 77066 MA IMPLANT MAMMO DIAGNOSTIC BILAT	$317.58	$428.00	$166.65–$415.16	—	26%
Diagnostic mammogram, both breasts both sides CPT 77066 MA DIGITAL BREAST MAMMO/TOMO BILAT	$381.39	$514.00	$166.65–$498.58	—	26%
Diagnostic mammogram, both breasts both sides CPT 77066 MA MAMMO CONTRAST ENHANCED BILATERAL	$399.94	$539.00	$166.65–$522.83	—	26%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA IMPLANT MAMMO DIAGNOSTIC BILAT	$381.39	$514.00	$436.90–$498.58	—	26%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA MAMMO CONTRAST ENHANCED BILATERAL	$399.94	$539.00	$458.15–$522.83	—	26%
Diagnostic mammogram, one breast one side CPT 77065 MA DIGITAL DIAGNOSTIC MAMMO/TOMO LEFT - REPORT	$63.07	$85.00	$72.25–$138.18	83% below	26%
Diagnostic mammogram, one breast one side CPT 77065 MA MAMMO CONTRAST ENHANCED LEFT	$213.70	$288.00	$131.60–$279.36	43% below	26%
Diagnostic mammogram, one breast one side CPT 77065 MA IMPLANT MAMMO DIAGNOSTIC LEFT	$251.54	$339.00	$131.60–$328.83	33% below	26%
Diagnostic mammogram, one breast one side CPT 77065 MA DIGITAL BREAST MAMMO/TOMO LEFT	$316.10	$426.00	$131.60–$413.22	16% below	26%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA MAMMO CONTRAST ENHANCED LEFT	$301.26	$406.00	$345.10–$393.82	—	26%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DIGITAL BREAST MAMMO/TOMO LEFT	$316.10	$426.00	$362.10–$413.22	—	26%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE ARTERIAL DUPLEX BILATERAL - REPORT	$349.49	$471.00	$251.76–$456.87	—	26%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE ARTERIAL DUPLEX BILATERAL	$1,853.52	$2,498.00	$251.76–$2,423.06	—	26%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE ARTERIAL DUPLEX BILATERAL	$1,853.52	$2,498.00	$2,123.30–$2,423.06	—	26%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS LE/UE DVT BILAT - REPORT	$274.54	$370.00	$195.97–$358.90	—	26%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS REFLUX/INSUFFICIENCY LE BILAT	$947.54	$1,277.00	$195.97–$1,238.69	—	26%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE VEIN MAPPING BILAT	$1,472.13	$1,984.00	$195.97–$1,924.48	—	26%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS LE/UE DVT BILAT	$1,935.88	$2,609.00	$195.97–$2,530.73	—	26%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US SAPHENOUS VEIN MAPPING BILAT	$2,016.76	$2,718.00	$195.97–$2,636.46	—	26%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE VEIN MAPPING BILAT	$1,472.13	$1,984.00	$1,686.40–$1,924.48	—	26%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS LE/UE DVT BILAT	$1,935.88	$2,609.00	$2,217.65–$2,530.73	—	26%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US SAPHENOUS VEIN MAPPING BILAT	$2,016.76	$2,718.00	$2,310.30–$2,636.46	—	26%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO PROCEDURE	$2,272.75	$3,063.00	$206.35–$2,971.11	125% above	26%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO ADULT W/ STRAIN PROC	$2,545.81	$3,431.00	$206.35–$3,328.07	151% above	26%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO PROCEDURE	$2,272.75	$3,063.00	$2,603.55–$2,971.11	—	26%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO ADULT W/ STRAIN PROC	$2,545.81	$3,431.00	$2,916.35–$3,328.07	—	26%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY DUCT SYSTEM IMAGING	$3,377.59	$4,552.00	$310.77–$4,415.44	249% above	26%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY DUCT SYSTEM IMAGING	$3,377.59	$4,552.00	$3,869.20–$4,415.44	—	26%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED RESP EFFORT	$147.66	$199.00	$99.42–$193.03	68% below	26%
Knee X-ray, 3 views both sides CPT 73562 XR KNEE 3 VIEWS BILATERAL - REPORT	$29.68	$40.00	$34.00–$45.06	—	26%
Knee X-ray, 3 views both sides CPT 73562 OS KNEE (3 VIEWS) BILAT	$129.11	$174.00	$42.91–$168.78	—	26%
Knee X-ray, 3 views both sides CPT 73562 XR KNEE 3 VIEWS BILATERAL	$1,226.53	$1,653.00	$42.91–$1,603.41	—	26%
Knee X-ray, 3 views one side CPT 73562 OS KNEE (3 VIEWS) LEFT	$63.07	$85.00	$42.91–$90.10	83% below	26%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LEFT	$146.18	$197.00	$42.91–$191.09	60% below	26%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RIGHT	$613.64	$827.00	$42.91–$802.19	68% above	26%
Knee X-ray, 3 views inpatient both sides CPT 73562 XR KNEE 3 VIEWS BILATERAL	$1,226.53	$1,653.00	$1,405.05–$1,603.41	—	26%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS RIGHT	$613.64	$827.00	$702.95–$802.19	—	26%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX - REPORT	$129.11	$174.00	$91.19–$168.78	71% below	26%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX	$412.56	$556.00	$91.19–$539.32	8% below	26%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$1,264.37	$1,704.00	$91.19–$1,652.88	182% above	26%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$1,264.37	$1,704.00	$1,448.40–$1,652.88	—	26%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING (INITIAL) - REPORT	$79.40	$107.00	$90.95–$155.46	39% below	26%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING (ANNUAL)	$140.98	$190.00	$113.34–$184.30	9% above	26%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST SCREENING	$161.02	$217.00	$113.34–$210.49	24% above	26%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREENING (ANNUAL)	$140.98	$190.00	$161.50–$184.30	—	26%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST SCREENING	$161.02	$217.00	$184.45–$210.49	—	26%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST W/ + W/O CONTRAST BILATERAL	$2,142.16	$2,887.00	$370.13–$2,800.39	—	26%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST W/ + W/O CONTRAST BILATERAL	$2,142.16	$2,887.00	$2,453.95–$2,800.39	—	26%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI ANKLE W/O CONTRAST BILATERAL - REPORT	$209.99	$283.00	$218.86–$274.51	—	26%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LOWR EXT JT W/WO +MTL SUPPRESS BILAT	$2,004.89	$2,702.00	$218.86–$2,620.94	—	26%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI HIP W/O CONTRAST BILATERAL	$3,935.57	$5,304.00	$218.86–$5,144.88	—	26%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LOWR EXT JT W/O+ MTL SUPPRESS BILAT	$5,616.20	$7,569.00	$218.86–$7,341.93	—	26%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI ANKLE W/O CONTRAST BILATERAL	$5,898.16	$7,949.00	$218.86–$7,710.53	—	26%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W/O CONTRAST LEFT	$944.57	$1,273.00	$218.86–$1,234.81	59% below	26%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CONTRAST LEFT	$954.96	$1,287.00	$218.86–$1,248.39	59% below	26%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O LEFT VISIONAIRE PROTOCOL	$1,002.45	$1,351.00	$218.86–$1,310.47	57% below	26%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W/O CONTRAST RIGHT	$2,808.47	$3,785.00	$218.86–$3,671.45	21% above	26%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CONTRAST RIGHT	$2,948.71	$3,974.00	$218.86–$3,854.78	27% above	26%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI HIP W/O CONTRAST BILATERAL	$3,935.57	$5,304.00	$4,508.40–$5,144.88	—	26%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI LOWR EXT JT W/O+ MTL SUPPRESS BILAT	$5,616.20	$7,569.00	$6,433.65–$7,341.93	—	26%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI ANKLE W/O CONTRAST BILATERAL	$5,898.16	$7,949.00	$6,756.65–$7,710.53	—	26%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP W/O CONTRAST RIGHT	$2,808.47	$3,785.00	$3,217.25–$3,671.45	—	26%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE W/O CONTRAST RIGHT	$2,948.71	$3,974.00	$3,377.90–$3,854.78	—	26%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI HIP W/ + W/O CONTRAST BILATERAL - REPORT	$333.16	$449.00	$380.64–$437.09	—	26%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI HIP W/ + W/O CONTRAST BILATERAL	$7,860.01	$10,593.00	$380.64–$10,275.21	—	26%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI ANKLE W/ + W/O CONTRAST BILATERAL	$12,385.47	$16,692.00	$380.64–$16,191.24	—	26%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W/ + W/O CONTRAST LEFT	$1,320.02	$1,779.00	$380.64–$1,725.63	58% below	26%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W/ + W/O CONTRAST LEFT	$1,331.15	$1,794.00	$380.64–$1,740.18	57% below	26%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W/ + W/O CONTRAST RIGHT	$3,965.99	$5,345.00	$380.64–$5,184.65	28% above	26%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W/ + W/O CONTRAST RIGHT	$5,901.87	$7,954.00	$380.64–$7,715.38	90% above	26%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI HIP W/ + W/O CONTRAST BILATERAL	$7,860.01	$10,593.00	$9,004.05–$10,275.21	—	26%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI ANKLE W/ + W/O CONTRAST BILATERAL	$12,385.47	$16,692.00	$14,188.20–$16,191.24	—	26%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE W/ + W/O CONTRAST RIGHT	$3,965.99	$5,345.00	$4,543.25–$5,184.65	—	26%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP W/ + W/O CONTRAST RIGHT	$5,901.87	$7,954.00	$6,760.90–$7,715.38	—	26%
MRI of the abdomen without contrast CPT 74181 MRI MRCP SECRETIN	$937.15	$1,263.00	$211.35–$1,225.11	17% below	26%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,428.57	$3,273.00	$211.35–$3,174.81	116% above	26%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN MRCP (BILIARY TREE)	$2,549.52	$3,436.00	$211.35–$3,332.92	127% above	26%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,428.57	$3,273.00	$2,782.05–$3,174.81	—	26%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN MRCP (BILIARY TREE)	$2,549.52	$3,436.00	$2,920.60–$3,332.92	—	26%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ENTEROGRAPHY	$1,499.59	$2,021.00	$365.13–$1,960.37	30% below	26%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/ + W/O CONTRAST AND MRCP	$3,570.51	$4,812.00	$365.13–$4,667.64	66% above	26%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/ + W/O CONTRAST	$3,749.33	$5,053.00	$365.13–$4,901.41	74% above	26%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/ + W/O CONTRAST AND MRCP	$3,570.51	$4,812.00	$4,090.20–$4,667.64	—	26%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/ + W/O CONTRAST	$3,749.33	$5,053.00	$4,295.05–$4,901.41	—	26%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/ CSF FLOW (CINE)	$2,684.56	$3,618.00	$211.71–$3,509.46	102% above	26%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$2,796.60	$3,769.00	$211.71–$3,655.93	111% above	26%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/ CSF FLOW (CINE)	$2,684.56	$3,618.00	$3,075.30–$3,509.46	—	26%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$2,796.60	$3,769.00	$3,203.65–$3,655.93	—	26%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC W/ + W/O CONTRAST	$4,167.08	$5,616.00	$343.67–$5,447.52	101% above	26%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/ + W/O CONTRAST	$4,362.96	$5,880.00	$343.67–$5,703.60	110% above	26%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC W/ + W/O CONTRAST	$4,167.08	$5,616.00	$4,773.60–$5,447.52	—	26%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/ + W/O CONTRAST	$4,362.96	$5,880.00	$4,998.00–$5,703.60	—	26%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CONT	$2,597.00	$3,500.00	$206.70–$3,395.00	66% above	26%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CONTRAST	$3,462.92	$4,667.00	$206.70–$4,526.99	121% above	26%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR W/O CONT	$2,597.00	$3,500.00	$2,975.00–$3,395.00	—	26%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR W/O CONTRAST	$3,462.92	$4,667.00	$3,966.95–$4,526.99	—	26%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W/ + W/O CONTRAST	$3,943.73	$5,315.00	$344.74–$5,155.55	61% above	26%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR W/ + W/O CONTRAST	$3,943.73	$5,315.00	$4,517.75–$5,155.55	—	26%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE W/O CONTRAST	$2,513.90	$3,388.00	$205.63–$3,286.36	64% above	26%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC W/O CONTRAST	$3,443.63	$4,641.00	$205.63–$4,501.77	124% above	26%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SPINE W/O CONTRAST	$2,513.90	$3,388.00	$2,879.80–$3,286.36	—	26%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC W/O CONTRAST	$3,443.63	$4,641.00	$3,944.85–$4,501.77	—	26%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W/ + W/O CONTRAST	$3,908.12	$5,267.00	$345.46–$5,108.99	58% above	26%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERVICAL W/ + W/O CONTRAST	$3,908.12	$5,267.00	$4,476.95–$5,108.99	—	26%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE SCREENING - REPORT	$290.13	$391.00	$205.99–$379.27	79% below	26%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE SCREENING	$2,699.40	$3,638.00	$205.99–$3,528.86	91% above	26%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL W/O CONTRAST	$3,600.19	$4,852.00	$205.99–$4,706.44	155% above	26%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE SCREENING	$2,699.40	$3,638.00	$3,092.30–$3,528.86	—	26%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL W/O CONTRAST	$3,600.19	$4,852.00	$4,124.20–$4,706.44	—	26%
MRI of the pelvis without and with contrast CPT 72197 MRI ENTEROGRAPHY-PELVIS	$1,780.06	$2,399.00	$363.70–$2,327.03	14% below	26%
MRI of the pelvis without and with contrast CPT 72197 MRI SACRUM AND COCCYX W/ + W/O CONTRAST	$4,449.78	$5,997.00	$363.70–$5,817.09	115% above	26%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/ + W/O CONTRAST	$4,669.41	$6,293.00	$363.70–$6,104.21	126% above	26%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI SACRUM AND COCCYX W/ + W/O CONTRAST	$4,449.78	$5,997.00	$5,097.45–$5,817.09	—	26%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/ + W/O CONTRAST	$4,669.41	$6,293.00	$5,349.05–$6,104.21	—	26%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CNTRST FOR OCCULT HIP FX	$1,202.04	$1,620.00	$247.47–$1,571.40	5% below	26%
MRI of the pelvis, no contrast dye CPT 72195 MRI SACRUM AND COCCYX W/O CONTRAST	$3,016.23	$4,065.00	$247.47–$3,943.05	139% above	26%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$3,177.99	$4,283.00	$247.47–$4,154.51	151% above	26%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI SACRUM AND COCCYX W/O CONTRAST	$3,016.23	$4,065.00	$3,455.25–$3,943.05	—	26%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST	$3,177.99	$4,283.00	$3,640.55–$4,154.51	—	26%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI SHOULDER W/O CONTRAST BILATERAL	$6,035.43	$8,134.00	$219.22–$7,889.98	—	26%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER W/O CONTRAST LEFT	$972.77	$1,311.00	$219.22–$1,271.67	59% below	26%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW W/O CONTRAST LEFT	$977.22	$1,317.00	$219.22–$1,277.49	59% below	26%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER W/O CONTRAST RIGHT	$2,873.77	$3,873.00	$219.22–$3,756.81	22% above	26%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW W/O CONTRAST RIGHT	$3,017.72	$4,067.00	$219.22–$3,944.99	28% above	26%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI SHOULDER W/O CONTRAST BILATERAL	$6,035.43	$8,134.00	$6,913.90–$7,889.98	—	26%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER W/O CONTRAST RIGHT	$2,873.77	$3,873.00	$3,292.05–$3,756.81	—	26%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW W/O CONTRAST RIGHT	$3,017.72	$4,067.00	$3,456.95–$3,944.99	—	26%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL SPECT MULTI REST/STRESS	$3,182.44	$4,289.00	$453.82–$4,160.33	18% above	26%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC VIABILITY	$4,009.77	$5,404.00	$453.82–$5,241.88	49% above	26%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL SPECT MULTI REST/STRESS	$3,182.44	$4,289.00	$3,645.65–$4,160.33	—	26%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM CARDIAC VIABILITY	$4,009.77	$5,404.00	$4,593.40–$5,241.88	—	26%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET PMSA PROSTATE INITIAL	$4,932.08	$6,647.00	$1,554.59–$6,447.59	9% below	26%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL TO MIDTHIGH	$5,360.95	$7,225.00	$1,554.59–$7,008.25	1% below	26%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET PMSA PROSTATE INITIAL	$4,932.08	$6,647.00	$5,649.95–$6,447.59	—	26%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL TO MIDTHIGH	$5,360.95	$7,225.00	$6,141.25–$7,008.25	—	26%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U 76857	$37.10	$50.00	$42.50–$54.45	88% below	26%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER - REPORT	$38.59	$52.00	$44.20–$55.12	87% below	26%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMITED	$463.01	$624.00	$51.85–$605.28	55% above	26%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER	$480.08	$647.00	$51.85–$627.59	60% above	26%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LIMITED	$463.01	$624.00	$530.40–$605.28	—	26%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER	$480.08	$647.00	$549.95–$627.59	—	26%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS WITH TRANSVAGINAL	$345.78	$466.00	$110.50–$452.02	21% below	26%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON-OB COMPLETE	$1,312.60	$1,769.00	$110.50–$1,715.93	198% above	26%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON-OB COMPLETE	$1,312.60	$1,769.00	$1,503.65–$1,715.93	—	26%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANCY COMPLETE >14 WEEKS - REPORT	$77.17	$104.00	$88.40–$149.83	82% below	26%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANCY COMPLETE W/ DETAIL	$1,136.01	$1,531.00	$113.34–$1,485.07	171% above	26%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREGNANCY COMPLETE W/ DETAIL	$1,136.01	$1,531.00	$1,301.35–$1,485.07	—	26%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREGNANCY COMPLETE <14 WEEKS - REPORT	$77.17	$104.00	$88.40–$129.55	73% below	26%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREGNANCY COMPLETE <14 WEEKS	$391.78	$528.00	$113.34–$512.16	38% above	26%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PRENANCY TRANSABDOMINAL BILL ONLY	$1,417.97	$1,911.00	$113.34–$1,853.67	398% above	26%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PRENANCY TRANSABDOMINAL BILL ONLY	$1,417.97	$1,911.00	$1,624.35–$1,853.67	—	26%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LIMITED - REPORT	$119.47	$161.00	$85.11–$156.17	61% below	26%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1 OR >FETUSES LTD - OB PROCEDURES	$499.37	$673.00	$85.11–$652.81	62% above	26%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LIMITED	$597.31	$805.00	$85.11–$780.85	93% above	26%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1 OR >FETUSES LTD - OB PROCEDURES	$499.37	$673.00	$572.05–$652.81	—	26%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANCY LIMITED	$597.31	$805.00	$684.25–$780.85	—	26%
Screening mammogram, both breasts both sides CPT 77067 MA IMPLANT SCREENING DIGITAL MAMMO BILAT	$201.09	$271.00	$134.46–$262.87	—	26%
Screening mammogram, both breasts CPT 77067 MA DIGITAL BREAST MAMMO/TOMO SCREENING - REPORT	$59.36	$80.00	$68.00–$141.19	55% below	26%
Screening mammogram, both breasts CPT 77067 MA IMPLANT BREAST MAMMO/TOMO SCREENING - REPORT	$187.73	$253.00	$134.46–$245.41	42% above	26%
Screening mammogram, both breasts CPT 77067 MA IMPLANT BREAST MAMMO/TOMO SCREENING	$212.22	$286.00	$134.46–$277.42	60% above	26%
Screening mammogram, both breasts CPT 77067 MA DIGITAL BREAST MAMMO/TOMO SCREENING	$254.51	$343.00	$134.46–$332.71	92% above	26%
Screening mammogram, both breasts inpatient both sides CPT 77067 MA IMPLANT SCREENING DIGITAL MAMMO BILAT	$201.09	$271.00	$230.35–$262.87	—	26%
Screening mammogram, both breasts inpatient CPT 77067 MA DIGITAL BREAST MAMMO/TOMO SCREENING	$254.51	$343.00	$291.55–$332.71	—	26%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER COMPLETE BILATERAL - REPORT	$29.68	$40.00	$34.00–$42.40	—	26%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SM SHOULDER (MIN 2 VIEWS) BILAT	$99.43	$134.00	$36.83–$129.98	—	26%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 OS SHOULDER (MIN 2 VIEWS) BILAT	$105.37	$142.00	$36.83–$137.74	—	26%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER COMPLETE BILATERAL	$1,194.62	$1,610.00	$36.83–$1,561.70	—	26%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SM SHOULDER (MIN 2 VIEWS) LEFT	$49.72	$67.00	$36.83–$71.02	78% below	26%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 OS SHOULDER (MIN 2 VIEWS) LEFT	$53.43	$72.00	$36.83–$76.32	77% below	26%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMPLETE LEFT	$146.92	$198.00	$36.83–$192.06	36% below	26%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMPLETE RIGHT	$598.06	$806.00	$36.83–$781.82	160% above	26%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR SHOULDER COMPLETE BILATERAL	$1,194.62	$1,610.00	$1,368.50–$1,561.70	—	26%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMPLETE RIGHT	$598.06	$806.00	$685.10–$781.82	—	26%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 DCS - STRESS ECHO - TREADMILL PROC	$2,336.56	$3,149.00	$243.89–$3,054.53	160% above	26%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 DCS - STRESS ECHO - PHARM PROC	$2,967.26	$3,999.00	$243.89–$3,879.03	230% above	26%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 DCS - STRESS ECHO - TREADMILL PROC	$2,336.56	$3,149.00	$2,676.65–$3,054.53	—	26%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 DCS - STRESS ECHO - PHARM PROC	$2,967.26	$3,999.00	$3,399.15–$3,879.03	—	26%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOWING FUNCTION W/ VIDEO	$834.01	$1,124.00	$130.53–$1,090.28	105% above	26%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWALLOWING FUNCTION W/ VIDEO	$834.01	$1,124.00	$955.40–$1,090.28	—	26%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB - REPORT	$54.17	$73.00	$62.05–$131.43	85% below	26%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB BILL ONLY	$779.85	$1,051.00	$113.34–$1,019.47	117% above	26%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB	$919.34	$1,239.00	$113.34–$1,201.83	155% above	26%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON-OB BILL ONLY	$779.85	$1,051.00	$893.35–$1,019.47	—	26%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON-OB	$919.34	$1,239.00	$1,053.15–$1,201.83	—	26%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANCY TRANSVAGINAL - REPORT	$60.11	$81.00	$68.85–$102.14	82% below	26%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANCY TRANSVAGINAL	$905.99	$1,221.00	$97.27–$1,184.37	170% above	26%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREGNANCY TRANSVAGINAL	$905.99	$1,221.00	$1,037.85–$1,184.37	—	26%
Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND ABDOMINAL 76700	$181.79	$245.00	$113.34–$237.65	66% below	26%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$1,472.87	$1,985.00	$113.34–$1,925.45	173% above	26%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$1,472.87	$1,985.00	$1,687.25–$1,925.45	—	26%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM (CONTENTS)	$1,039.55	$1,401.00	$105.14–$1,358.97	162% above	26%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM (CONTENTS)	$1,039.55	$1,401.00	$1,190.85–$1,358.97	—	26%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF NECK/HEAD	$417.75	$563.00	$113.34–$546.11	24% above	26%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK SOFT TISSUE	$923.79	$1,245.00	$113.34–$1,207.65	175% above	26%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF NECK/HEAD	$417.75	$563.00	$478.55–$546.11	—	26%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NECK SOFT TISSUE	$923.79	$1,245.00	$1,058.25–$1,207.65	—	26%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR ESOPHAGUS + UGI - REPORT	$63.07	$85.00	$72.25–$135.18	82% below	26%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI (+ ESOPHOGUS)	$701.19	$945.00	$128.74–$916.65	100% above	26%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR ESOPHAGUS + UGI	$882.98	$1,190.00	$128.74–$1,154.30	152% above	26%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI (+ ESOPHOGUS)	$701.19	$945.00	$803.25–$916.65	—	26%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR ESOPHAGUS + UGI	$882.98	$1,190.00	$1,011.50–$1,154.30	—	26%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DCS - VENOUS DUPLEX COMP RIGHT RPT	$173.63	$234.00	$113.34–$226.98	62% below	26%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE VEIN MAPPING LEFT	$322.77	$435.00	$113.34–$421.95	30% below	26%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US SAPHENOUS VEIN MAPPING LEFT	$382.88	$516.00	$113.34–$500.52	17% below	26%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS REFLUX/INSUFFICIENCY LE LEFT	$463.75	$625.00	$113.34–$606.25	1% above	26%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE VEIN MAPPING RIGHT	$1,210.21	$1,631.00	$113.34–$1,582.07	163% above	26%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LE/UE DVT LEFT	$1,613.11	$2,174.00	$113.34–$2,108.78	251% above	26%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US SAPHENOUS VEIN MAPPING RIGHT	$1,673.96	$2,256.00	$113.34–$2,188.32	264% above	26%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DCS - VENOUS DUPLEX COMP RIGHT RPT	$173.63	$234.00	$198.90–$226.98	—	26%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE VEIN MAPPING RIGHT	$1,210.21	$1,631.00	$1,386.35–$1,582.07	—	26%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS LE/UE DVT LEFT	$1,613.11	$2,174.00	$1,847.90–$2,108.78	—	26%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US SAPHENOUS VEIN MAPPING RIGHT	$1,673.96	$2,256.00	$1,917.60–$2,188.32	—	26%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR WRIST COMPLETE BILATERAL - REPORT	$27.46	$37.00	$31.45–$45.44	—	26%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 SM WRIST (MIN 3 VIEWS) BILAT	$117.24	$158.00	$43.27–$153.26	—	26%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 OS WRIST (MIN 3 VIEWS) BILAT	$123.92	$167.00	$43.27–$161.99	—	26%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR WRIST COMPLETE BILATERAL	$1,092.97	$1,473.00	$43.27–$1,428.81	—	26%
Wrist X-ray, complete, 3 or more views one side CPT 73110 SM WRIST (MIN 3 VIEWS) LEFT	$58.62	$79.00	$43.27–$83.74	85% below	26%
Wrist X-ray, complete, 3 or more views one side CPT 73110 OS WRIST (MIN 3 VIEWS) LEFT	$63.82	$86.00	$43.27–$91.16	84% below	26%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE LEFT	$148.40	$200.00	$43.27–$194.00	63% below	26%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE RIGHT	$546.86	$737.00	$43.27–$714.89	38% above	26%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR WRIST COMPLETE BILATERAL	$1,092.97	$1,473.00	$1,252.05–$1,428.81	—	26%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMPLETE RIGHT	$546.86	$737.00	$626.45–$714.89	—	26%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 OS PELVIS W/2-3 VIEWS HIP (UNILAT) LEFT	$72.72	$98.00	$50.07–$99.49	80% below	26%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP COMPLETE LEFT	$120.95	$163.00	$50.07–$158.11	67% below	26%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP COMPLETE RIGHT	$604.73	$815.00	$50.07–$790.55	66% above	26%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP COMPLETE RIGHT	$604.73	$815.00	$692.75–$790.55	—	26%
X-ray of the abdomen, 1 view CPT 74018 XR KUB (ABDOMEN)	$325.00	$438.00	$31.83–$424.86	82% above	26%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN AP	$357.65	$482.00	$31.83–$467.54	101% above	26%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR KUB (ABDOMEN)	$325.00	$438.00	$372.30–$424.86	—	26%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN AP	$357.65	$482.00	$409.70–$467.54	—	26%
X-ray of the ankle, 2 views both sides CPT 73600 XR ANKLE 2 VIEWS BILATERAL - REPORT	$25.97	$35.00	$29.75–$37.10	—	26%
X-ray of the ankle, 2 views both sides CPT 73600 OS ANKLE LIMITED (MIN 2 VIEWS) BILAT	$103.14	$139.00	$33.97–$134.83	—	26%
X-ray of the ankle, 2 views both sides CPT 73600 XR ANKLE 2 VIEWS BILATERAL	$843.66	$1,137.00	$33.97–$1,102.89	—	26%
X-ray of the ankle, 2 views one side CPT 73600 OS ANKLE LIMITED (MIN 2 VIEWS) LEFT	$51.20	$69.00	$33.97–$73.14	77% below	26%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LEFT	$92.01	$124.00	$33.97–$120.28	59% below	26%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RIGHT	$422.20	$569.00	$33.97–$551.93	90% above	26%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR ANKLE 2 VIEWS BILATERAL	$843.66	$1,137.00	$966.45–$1,102.89	—	26%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS RIGHT	$422.20	$569.00	$483.65–$551.93	—	26%
X-ray of the finger(s), 2 or more views both sides CPT 73140 XR FINGERS BOTH HANDS (BILAT) - REPORT	$21.52	$29.00	$24.65–$42.06	—	26%
X-ray of the finger(s), 2 or more views both sides CPT 73140 SM FINGERS (MIN 2 VIEWS) BILAT	$108.34	$146.00	$40.05–$141.62	—	26%
X-ray of the finger(s), 2 or more views both sides CPT 73140 OS FINGERS (MIN 2 VIEWS) BILAT	$115.01	$155.00	$40.05–$150.35	—	26%
X-ray of the finger(s), 2 or more views both sides CPT 73140 XR FINGERS BOTH HANDS (BILAT)	$655.93	$884.00	$40.05–$857.48	—	26%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER(S) EITHER HAND	$328.71	$443.00	$40.05–$429.71	141% above	26%
X-ray of the finger(s), 2 or more views one side CPT 73140 SM FINGERS (MIN 2 VIEWS) LEFT	$54.17	$73.00	$40.05–$77.38	60% below	26%
X-ray of the finger(s), 2 or more views one side CPT 73140 OS FINGERS (MIN 2 VIEWS) LEFT	$59.36	$80.00	$40.05–$84.80	57% below	26%
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 XR FINGERS BOTH HANDS (BILAT)	$655.93	$884.00	$751.40–$857.48	—	26%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER(S) EITHER HAND	$328.71	$443.00	$376.55–$429.71	—	26%
X-ray of the foot, 2 views both sides CPT 73620 XR FOOT 2 VIEWS BILATERAL - REPORT	$24.49	$33.00	$28.05–$34.98	—	26%
X-ray of the foot, 2 views both sides CPT 73620 OS FOOT LIMITED (MIN 2 VIEWS) BILAT	$91.27	$123.00	$30.04–$119.31	—	26%
X-ray of the foot, 2 views both sides CPT 73620 XR FOOT 2 VIEWS BILATERAL	$743.49	$1,002.00	$30.04–$971.94	—	26%
X-ray of the foot, 2 views one side CPT 73620 OS FOOT LIMITED (MIN 2 VIEWS) LEFT	$43.78	$59.00	$30.04–$62.54	59% below	26%
X-ray of the foot, 2 views one side CPT 73620 OS FOOT LIMITED (MIN 2 VIEWS) RIGHT	$45.27	$61.00	$30.04–$64.66	58% below	26%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LEFT	$107.59	$145.00	$30.04–$140.65	1% above	26%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RIGHT	$371.00	$500.00	$30.04–$485.00	247% above	26%
X-ray of the foot, 2 views inpatient both sides CPT 73620 XR FOOT 2 VIEWS BILATERAL	$743.49	$1,002.00	$851.70–$971.94	—	26%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RIGHT	$371.00	$500.00	$425.00–$485.00	—	26%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 SM FOOT COMPLETE (MIN 3 VIEWS) BILAT	$99.43	$134.00	$36.12–$129.98	—	26%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 OS FOOT COMPLETE (MIN 3 VIEWS) BILAT	$109.08	$147.00	$36.12–$142.59	—	26%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT COMPLETE BILATERAL	$1,031.38	$1,390.00	$36.12–$1,348.30	—	26%
X-ray of the foot, complete, 3 or more views one side CPT 73630 SM FOOT COMPLETE (MIN 3 VIEWS) LEFT	$49.72	$67.00	$36.12–$71.02	68% below	26%
X-ray of the foot, complete, 3 or more views one side CPT 73630 OS FOOT COMPLETE (MIN 3 VIEWS) LEFT	$53.43	$72.00	$36.12–$76.32	65% below	26%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE LEFT	$147.66	$199.00	$36.12–$193.03	4% below	26%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE RIGHT	$515.69	$695.00	$36.12–$674.15	234% above	26%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR FOOT COMPLETE BILATERAL	$1,031.38	$1,390.00	$1,181.50–$1,348.30	—	26%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMPLETE RIGHT	$515.69	$695.00	$590.75–$674.15	—	26%
X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND COMPLETE BILATERAL - REPORT	$27.46	$37.00	$31.45–$40.93	—	26%
X-ray of the hand, 3 or more views both sides CPT 73130 SM HAND (MIN 3 VIEWS) BILAT	$105.37	$142.00	$38.98–$137.74	—	26%
X-ray of the hand, 3 or more views both sides CPT 73130 OS HAND (MIN 3 VIEWS) BILAT	$115.76	$156.00	$38.98–$151.32	—	26%
X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND COMPLETE BILATERAL	$958.67	$1,292.00	$38.98–$1,253.24	—	26%
X-ray of the hand, 3 or more views one side CPT 73130 SM HAND (MIN 3 VIEWS) LEFT	$52.69	$71.00	$38.98–$75.26	86% below	26%
X-ray of the hand, 3 or more views one side CPT 73130 OS HAND (MIN 3 VIEWS) LEFT	$57.14	$77.00	$38.98–$81.62	84% below	26%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMPLETE LEFT	$126.14	$170.00	$38.98–$164.90	65% below	26%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMPLETE RIGHT	$479.34	$646.00	$38.98–$626.62	31% above	26%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR HAND COMPLETE BILATERAL	$958.67	$1,292.00	$1,098.20–$1,253.24	—	26%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND COMPLETE RIGHT	$479.34	$646.00	$549.10–$626.62	—	26%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BILATERAL - REPORT	$25.97	$35.00	$29.75–$37.93	—	26%
X-ray of the knee, 1 or 2 views both sides CPT 73560 SM KNEE (1-2 VIEWS) BILAT	$99.43	$134.00	$36.12–$129.98	—	26%
X-ray of the knee, 1 or 2 views both sides CPT 73560 OS KNEE (1-2 VIEWS) BILAT	$109.08	$147.00	$36.12–$142.59	—	26%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BILATERAL	$808.78	$1,090.00	$36.12–$1,057.30	—	26%
X-ray of the knee, 1 or 2 views one side CPT 73560 SM KNEE (1-2 VIEWS) LEFT	$49.72	$67.00	$36.12–$71.02	84% below	26%
X-ray of the knee, 1 or 2 views one side CPT 73560 OS KNEE (1-2 VIEWS) LEFT	$52.69	$71.00	$36.12–$75.26	83% below	26%
X-ray of the knee, 1 or 2 views one side CPT 73560 OS KNEE (1-2 VIEWS) RIGHT	$54.91	$74.00	$36.12–$78.44	82% below	26%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS LEFT	$105.37	$142.00	$36.12–$137.74	66% below	26%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS RIGHT	$404.39	$545.00	$36.12–$528.65	30% above	26%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BILATERAL	$808.78	$1,090.00	$926.50–$1,057.30	—	26%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 VIEWS RIGHT	$404.39	$545.00	$463.25–$528.65	—	26%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 OS LUMBOSACRAL SPINE (2-3 VIEWS)	$63.82	$86.00	$41.84–$91.16	64% below	26%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$658.16	$887.00	$41.84–$860.39	276% above	26%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$658.16	$887.00	$753.95–$860.39	—	26%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$816.20	$1,100.00	$54.72–$1,067.00	127% above	26%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$816.20	$1,100.00	$935.00–$1,067.00	—	26%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 OS THORACIC SPINE (2 VIEWS)	$51.94	$70.00	$34.69–$74.20	79% below	26%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS	$370.26	$499.00	$34.69–$484.03	48% above	26%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2 VIEWS	$370.26	$499.00	$424.15–$484.03	—	26%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES MINIMUM 3 VIEWS	$584.70	$788.00	$39.34–$764.36	446% above	26%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES MINIMUM 3 VIEWS	$584.70	$788.00	$669.80–$764.36	—	26%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 OS CERVICAL SPINE (2-3 VIEWS)	$63.07	$85.00	$41.48–$90.10	73% below	26%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS	$629.22	$848.00	$41.48–$822.56	174% above	26%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS	$629.22	$848.00	$720.80–$822.56	—	26%
X-ray of the pelvis, 1 or 2 views CPT 72170 OS PELVIS (1-2 VIEWS)	$43.04	$58.00	$29.32–$61.48	77% below	26%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$467.46	$630.00	$29.32–$611.10	150% above	26%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS	$467.46	$630.00	$535.50–$611.10	—	26%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 OS SACRUM/COCCYX (MIN 2 VIEWS)	$51.20	$69.00	$34.33–$73.14	53% below	26%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX MINIMUM 2 VIEWS	$464.50	$626.00	$34.33–$607.22	328% above	26%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX MINIMUM 2 VIEWS	$464.50	$626.00	$532.10–$607.22	—	26%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE	$35.62	$48.00	$5.30–$46.56	at median	26%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALANINE AMINO	$48.98	$66.00	$5.30–$64.02	38% above	26%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-FIBRO V 2005661B	$50.46	$68.00	$5.30–$65.96	42% above	26%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINOTRANSFERASE	$35.62	$48.00	$40.80–$46.56	—	26%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALANINE AMINO	$48.98	$66.00	$56.10–$64.02	—	26%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-FIBRO V 2005661B	$50.46	$68.00	$57.80–$65.96	—	26%
AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE	$44.52	$60.00	$5.18–$58.20	32% above	26%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-FIBRO V 2005661A	$50.46	$68.00	$5.18–$65.96	49% above	26%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 ASPARTATE AMINOTRANSFERASE	$44.52	$60.00	$51.00–$58.20	—	26%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-FIBRO V 2005661A	$50.46	$68.00	$57.80–$65.96	—	26%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 RL-A-HEPACUTEQR 3002989	$141.37	$190.52	$47.63–$184.81	5% above	26%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 RL-A-HEPACUTEQR 3002989	$141.37	$190.52	$161.95–$184.81	—	26%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ASP RAST 55061	$7.42	$10.00	$5.22–$13.05	37% below	26%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ASPNIG IGE 92598	$15.50	$20.88	$5.22–$20.26	31% above	26%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN REGION 11 RESPIRATORY PANEL IGE	$18.55	$25.00	$5.22–$24.25	57% above	26%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE (RAST) INDIVIDUAL	$35.62	$48.00	$5.22–$46.56	201% above	26%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EA	$49.72	$67.00	$5.22–$64.99	321% above	26%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-FOOD ADULT 50486B	$170.43	$229.68	$5.22–$222.79	1342% above	26%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-REG11PANEL 3001721A	$15.50	$20.88	$17.75–$20.26	—	26%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN REGION 11 RESPIRATORY PANEL IGE	$18.55	$25.00	$21.25–$24.25	—	26%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE (RAST) INDIVIDUAL	$35.62	$48.00	$40.80–$46.56	—	26%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE EA	$49.72	$67.00	$56.95–$64.99	—	26%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-FOOD ADULT 50486B	$170.43	$229.68	$195.23–$222.79	—	26%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-CCP IGG 55256	$38.44	$51.80	$12.95–$50.25	19% above	26%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-CCP IGG 55256	$38.44	$51.80	$44.03–$50.25	—	26%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-A-ANA 50080	$35.89	$48.36	$12.09–$46.91	21% above	26%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR ANTIBODY	$111.30	$150.00	$12.09–$145.50	276% above	26%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-A-ANA 50080	$35.89	$48.36	$41.11–$46.91	—	26%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR ANTIBODY	$111.30	$150.00	$127.50–$145.50	—	26%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL-A-PRO BNP 50083	$116.53	$157.04	$39.26–$152.33	54% above	26%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP/B-TYPE NATRIURETIC PEPTIDE	$300.51	$405.00	$39.26–$392.85	297% above	26%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 RL-A-PRO BNP 50083	$116.53	$157.04	$133.49–$152.33	—	26%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP/B-TYPE NATRIURETIC PEPTIDE	$300.51	$405.00	$344.25–$392.85	—	26%
Basic metabolic panel (blood test) CPT 80048 BMP	$148.40	$200.00	$8.46–$194.00	31% above	26%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP	$148.40	$200.00	$170.00–$194.00	—	26%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY BILLING SURGICAL PATHOLOGY LEVEL IV COMPLEXITY	$459.30	$619.00	$56.95–$600.43	339% above	26%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATHOLOGY BILLING SURGICAL PATHOLOGY LEVEL IV COMPLEXITY	$459.30	$619.00	$526.15–$600.43	—	26%
Blood culture for bacteria CPT 87040 BONE MARROW CULTURE	$156.57	$211.00	$10.32–$204.67	7% above	26%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$216.67	$292.00	$10.32–$283.24	48% above	26%
Blood culture for bacteria inpatient CPT 87040 BONE MARROW CULTURE	$156.57	$211.00	$179.35–$204.67	—	26%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$216.67	$292.00	$248.20–$283.24	—	26%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE 36415	$11.88	$16.00	$3.08–$15.52	48% below	26%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: VENOUS DRAW	$23.75	$32.00	$3.08–$31.04	5% above	26%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BILL ONLY VENIPUNCTURE FEE	$29.68	$40.00	$3.08–$38.80	31% above	26%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: VENOUS DRAW	$23.75	$32.00	$27.20–$31.04	—	26%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BILL ONLY VENIPUNCTURE FEE	$29.68	$40.00	$34.00–$38.80	—	26%
Blood glucose (sugar) test CPT 82947 GLUC RAND	$40.81	$55.00	$3.93–$53.35	13% below	26%
Blood glucose (sugar) test CPT 82947 GLUC FASTING	$42.30	$57.00	$3.93–$55.29	10% below	26%
Blood glucose (sugar) test inpatient CPT 82947 GLUC RAND	$40.81	$55.00	$46.75–$53.35	—	26%
Blood glucose (sugar) test inpatient CPT 82947 GLUC FASTING	$42.30	$57.00	$48.45–$55.29	—	26%
Blood lead test CPT 83655 LEAD LEVEL POC-PC	$23.75	$32.00	$12.11–$31.04	7% above	26%
Blood lead test CPT 83655 RL-A-HY MET U4 20572B	$35.95	$48.44	$12.11–$46.99	62% above	26%
Blood lead test CPT 83655 LEAD URINE	$143.21	$193.00	$12.11–$187.21	543% above	26%
Blood lead test CPT 83655 HEAVY METALS URINE RANDOM (LABCORP AMB ONLY)	$150.63	$203.00	$12.11–$196.91	577% above	26%
Blood lead test inpatient CPT 83655 RL-A-HY MET U4 20572B	$35.95	$48.44	$41.18–$46.99	—	26%
Blood lead test inpatient CPT 83655 LEAD URINE	$143.21	$193.00	$164.05–$187.21	—	26%
Blood lead test inpatient CPT 83655 HEAVY METALS URINE RANDOM (LABCORP AMB ONLY)	$150.63	$203.00	$172.55–$196.91	—	26%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG TEST	$308.68	$416.00	$7.52–$403.52	272% above	26%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG TEST	$308.68	$416.00	$353.60–$403.52	—	26%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RH + WEAK D INTERP	$184.02	$248.00	$3.06–$240.56	114% above	26%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RH AUTOMATED INTERP	$200.34	$270.00	$3.06–$261.90	133% above	26%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/RH + WEAK D INTERP	$184.02	$248.00	$210.80–$240.56	—	26%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/RH AUTOMATED INTERP	$200.34	$270.00	$229.50–$261.90	—	26%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (C-REACTIVE PROTEIN)	$112.05	$151.00	$5.18–$146.47	227% above	26%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP (C-REACTIVE PROTEIN)	$112.05	$151.00	$128.35–$146.47	—	26%
C. difficile toxin gene test (stool PCR) CPT 87493 STOOL CLOSTRIDIUM DIFFICILE DNA	$165.47	$223.00	$37.27–$216.31	124% above	26%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN B	$227.80	$307.00	$37.27–$297.79	209% above	26%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFFICILE TOXIN B GENE PCR	$281.96	$380.00	$37.27–$368.60	282% above	26%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 STOOL CLOSTRIDIUM DIFFICILE DNA	$165.47	$223.00	$189.55–$216.31	—	26%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN B	$227.80	$307.00	$260.95–$297.79	—	26%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFFICILE TOXIN B GENE PCR	$281.96	$380.00	$323.00–$368.60	—	26%
CA 19-9 blood test (tumor marker) CPT 86301 RL-A-CA-GI 80461	$61.77	$83.24	$20.81–$80.75	85% above	26%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 RL-A-CA-GI 80461	$61.77	$83.24	$70.76–$80.75	—	26%
CA-125 blood test (ovarian cancer marker) CPT 86304 RL-A-CA125 80462	$61.77	$83.24	$20.81–$80.75	15% below	26%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 RL-A-CA125 80462	$61.77	$83.24	$70.76–$80.75	—	26%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS 2019 COMPLETED ADD ON	$38.59	$52.00	$44.20–$128.28	33% below	26%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 CVD-19 PRB TCH	$148.40	$200.00	$51.31–$194.00	159% above	26%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS 2019 IN-HOUSE	$168.44	$227.00	$51.31–$220.19	194% above	26%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIRUS 2019 COMPLETED ADD ON	$38.59	$52.00	$44.20–$50.44	—	26%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 CVD-19 PRB TCH	$148.40	$200.00	$170.00–$194.00	—	26%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIRUS 2019 IN-HOUSE	$168.44	$227.00	$192.95–$220.19	—	26%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/GC DNA	$75.69	$102.00	$35.09–$98.94	33% above	26%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL-A-CGAMD 60241A	$104.15	$140.36	$35.09–$136.15	83% above	26%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/GC DNA THIN PREP VIAL	$248.57	$335.00	$35.09–$324.95	336% above	26%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 N GONORRHOEAE DNA SDA	$271.58	$366.00	$35.09–$355.02	376% above	26%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 RL-A-CGAMD 60241A	$104.15	$140.36	$119.31–$136.15	—	26%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA/GC DNA THIN PREP VIAL	$248.57	$335.00	$284.75–$324.95	—	26%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 N GONORRHOEAE DNA SDA	$271.58	$366.00	$311.10–$355.02	—	26%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE POC-PC	$26.72	$36.00	$13.39–$34.92	46% below	26%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROF	$169.92	$229.00	$13.39–$222.13	244% above	26%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROF	$169.92	$229.00	$194.65–$222.13	—	26%
Complete blood count (CBC) with differential CPT 85025 CBC W/ DIFF	$161.02	$217.00	$7.77–$210.49	85% above	26%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ DIFF	$161.02	$217.00	$184.45–$210.49	—	26%
Complete blood count (CBC), no differential CPT 85027 CBC W/ MDIFF	$131.34	$177.00	$6.47–$171.69	127% above	26%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/ MDIFF	$131.34	$177.00	$150.45–$171.69	—	26%
Comprehensive metabolic panel (blood test) CPT 80053 CMP POC - PC	$21.52	$29.00	$10.56–$28.13	86% below	26%
Comprehensive metabolic panel (blood test) CPT 80053 CMP ADDED TO BMP	$345.78	$466.00	$10.56–$452.02	121% above	26%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$415.52	$560.00	$10.56–$543.20	165% above	26%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP ADDED TO BMP	$345.78	$466.00	$396.10–$452.02	—	26%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$415.52	$560.00	$476.00–$543.20	—	26%
DHEA sulfate (DHEA-S) blood test CPT 82627 RL-A-DHEAS 70040	$65.98	$88.92	$22.23–$86.26	11% above	26%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 RL-A-DHEAS 70040	$65.98	$88.92	$75.59–$86.26	—	26%
Estradiol blood test CPT 82670 RL-A-ESTRA 70045	$82.93	$111.76	$27.94–$108.41	15% above	26%
Estradiol blood test CPT 82670 ESTRADIOL FREE & TOTAL (QUEST AMBULATORY ONLY)	$178.83	$241.00	$27.94–$233.77	148% above	26%
Estradiol blood test CPT 82670 ESTRADIOL FREE	$218.15	$294.00	$27.94–$285.18	203% above	26%
Estradiol blood test inpatient CPT 82670 RL-A-ESTRA 70045	$82.93	$111.76	$95.00–$108.41	—	26%
Estradiol blood test inpatient CPT 82670 ESTRADIOL FREE & TOTAL (QUEST AMBULATORY ONLY)	$178.83	$241.00	$204.85–$233.77	—	26%
Estradiol blood test inpatient CPT 82670 ESTRADIOL FREE	$218.15	$294.00	$249.90–$285.18	—	26%
FSH (follicle-stimulating hormone) test CPT 83001 RL-A-FSH 70055	$55.15	$74.32	$18.58–$72.10	71% below	26%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 RL-A-FSH 70055	$55.15	$74.32	$63.18–$72.10	—	26%
Fecal calprotectin (stool inflammation test) CPT 83993 RL-A-CALPRO FEC 3002859	$118.72	$160.00	$19.63–$155.20	150% above	26%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL-A-CALPRO FEC 3002859	$118.72	$160.00	$136.00–$155.20	—	26%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$201.09	$271.00	$13.63–$262.87	110% above	26%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$201.09	$271.00	$230.35–$262.87	—	26%
Folate (folic acid) blood test CPT 82746 FOLATE LEVEL SERUM	$206.28	$278.00	$14.70–$269.66	93% above	26%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE LEVEL SERUM	$206.28	$278.00	$236.30–$269.66	—	26%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$175.12	$236.00	$16.94–$228.92	289% above	26%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$175.12	$236.00	$200.60–$228.92	—	26%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE BY DIALYSIS	$91.27	$123.00	$9.02–$119.31	54% above	26%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$125.40	$169.00	$9.02–$163.93	112% above	26%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE BY DIALYSIS	$91.27	$123.00	$104.55–$119.31	—	26%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$125.40	$169.00	$143.65–$163.93	—	26%
Free testosterone test CPT 84402 RL-A-TE F T ED 2004246A	$75.60	$101.88	$25.47–$98.83	25% above	26%
Free testosterone test inpatient CPT 84402 RL-A-TE F T ED 2004246A	$75.60	$101.88	$86.60–$98.83	—	26%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 BILL ONLY GENERAL HEALTH PROFILE	$678.93	$915.00	$39.17–$887.55	10% above	26%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 BILL ONLY GENERAL HEALTH PROFILE	$678.93	$915.00	$777.75–$887.55	—	26%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HOUR POST PRANDIAL	$52.69	$71.00	$4.75–$68.87	43% below	26%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HOUR POST 50G GLUCOLA	$57.88	$78.00	$4.75–$75.66	38% below	26%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1 HOUR POST PRANDIAL	$52.69	$71.00	$60.35–$68.87	—	26%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1 HOUR POST 50G GLUCOLA	$57.88	$78.00	$66.30–$75.66	—	26%
Glucose tolerance test, 3 samples CPT 82951 .GLUCOSE FASTING	$129.85	$175.00	$12.87–$169.75	1% above	26%
Glucose tolerance test, 3 samples inpatient CPT 82951 .GLUCOSE FASTING	$129.85	$175.00	$148.75–$169.75	—	26%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 RL-A-CGAMD 60241B	$104.15	$140.36	$35.09–$136.15	101% above	26%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHOLINE W/ DIBUCAINE INHIBITION	$209.25	$282.00	$35.09–$273.54	304% above	26%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA DNA SDA	$237.44	$320.00	$35.09–$310.40	359% above	26%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 RL-A-CGAMD 60241B	$104.15	$140.36	$119.31–$136.15	—	26%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHOLINE W/ DIBUCAINE INHIBITION	$209.25	$282.00	$239.70–$273.54	—	26%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHLAMYDIA DNA SDA	$237.44	$320.00	$272.00–$310.40	—	26%
H. pylori stool antigen test CPT 87338 RL-A-PYLORI AG 65147	$50.46	$68.00	$14.38–$65.96	16% above	26%
H. pylori stool antigen test inpatient CPT 87338 RL-A-PYLORI AG 65147	$50.46	$68.00	$57.80–$65.96	—	26%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL-A-HIV QNT 3000867	$252.58	$340.40	$85.10–$330.19	108% above	26%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RL-A-HIV QNT 3000867	$252.58	$340.40	$289.34–$330.19	—	26%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/2 ANTIBODIES RAPID	$158.05	$213.00	$13.71–$206.61	257% above	26%
HIV-1 and HIV-2 antibody test CPT 86703 HIV2 WESTERN BLOT	$178.83	$241.00	$13.71–$233.77	304% above	26%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/2 ANTIBODIES RAPID	$158.05	$213.00	$181.05–$206.61	—	26%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV2 WESTERN BLOT	$178.83	$241.00	$204.85–$233.77	—	26%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RL-A-HIV PANEL 2012674	$71.47	$96.32	$24.08–$93.44	74% above	26%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 RL-A-HIV PANEL 2012674	$71.47	$96.32	$81.88–$93.44	—	26%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA CERVICAL-THINPREP	$299.03	$403.00	$35.09–$390.91	441% above	26%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV (HUMAN PAPILLOMAVIRIS) HIGH RISK DNA CERVICAL	$412.56	$556.00	$35.09–$539.32	646% above	26%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA CERVICAL-THINPREP	$299.03	$403.00	$342.55–$390.91	—	26%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV (HUMAN PAPILLOMAVIRIS) HIGH RISK DNA CERVICAL	$412.56	$556.00	$472.60–$539.32	—	26%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C POC	$18.55	$25.00	$9.71–$24.25	63% below	26%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C (GLYCOHEMOGLOBIN)	$171.41	$231.00	$9.71–$224.07	240% above	26%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C (GLYCOHEMOGLOBIN)	$171.41	$231.00	$196.35–$224.07	—	26%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$100.92	$136.00	$10.74–$131.92	99% above	26%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$100.92	$136.00	$115.60–$131.92	—	26%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN SCREEN	$106.11	$143.00	$10.33–$138.71	102% above	26%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURGACE ANTIGEN EIA	$133.56	$180.00	$10.33–$174.60	154% above	26%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN SCREEN	$106.11	$143.00	$121.55–$138.71	—	26%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURGACE ANTIGEN EIA	$133.56	$180.00	$153.00–$174.60	—	26%
Hepatitis C antibody blood test (screening) CPT 86803 RL-A-HCV AB QR 2010784	$42.36	$57.08	$14.27–$55.37	14% below	26%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY SCREEN	$123.92	$167.00	$14.27–$161.99	151% above	26%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$155.82	$210.00	$14.27–$203.70	215% above	26%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 RL-A-HCV AB QR 2010784	$42.36	$57.08	$48.52–$55.37	—	26%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY SCREEN	$123.92	$167.00	$141.95–$161.99	—	26%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$155.82	$210.00	$178.50–$203.70	—	26%
Hepatitis C viral load (HCV RNA) test CPT 87522 RL-A-HEPC QNT 3000572	$127.15	$171.36	$42.84–$166.22	68% above	26%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 RL-A-HEPC QNT 3000572	$127.15	$171.36	$145.66–$166.22	—	26%
Herpes blood test, HSV-1 antibody CPT 86695 RL-A-RFLX HERP I 50292	$40.07	$54.00	$13.19–$52.38	27% above	26%
Herpes blood test, HSV-1 antibody CPT 86695 TORCH CONVALESCENT (IGG) PANEL	$89.79	$121.00	$13.19–$117.37	184% above	26%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 2 ANTIBODY IGG	$97.95	$132.00	$13.19–$128.04	209% above	26%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-RFLX HERP I 50292	$40.07	$54.00	$45.90–$52.38	—	26%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 TORCH CONVALESCENT (IGG) PANEL	$89.79	$121.00	$102.85–$117.37	—	26%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 2 ANTIBODY IGG	$97.95	$132.00	$112.20–$128.04	—	26%
Herpes blood test, HSV-2 antibody CPT 86696 RL-A-RFLX HERP II 50294	$57.44	$77.40	$19.35–$75.08	73% above	26%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES 2 AB	$130.60	$176.00	$19.35–$170.72	293% above	26%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-RFLX HERP II 50294	$57.44	$77.40	$65.79–$75.08	—	26%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES 2 AB	$130.60	$176.00	$149.60–$170.72	—	26%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIO	$163.99	$221.00	$12.95–$214.37	139% above	26%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP CARDIO	$163.99	$221.00	$187.85–$214.37	—	26%
Homocysteine blood test CPT 83090 HOMOCYSTEINE CARDIO	$160.28	$216.00	$17.92–$209.52	26% above	26%
Homocysteine blood test CPT 83090 HOMOCYSTINE TOTAL	$221.12	$298.00	$17.92–$289.06	74% above	26%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE CARDIO	$160.28	$216.00	$183.60–$209.52	—	26%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE TOTAL	$221.12	$298.00	$253.30–$289.06	—	26%
Insulin blood test CPT 83525 RL-A-INSULIN FAST 70063	$23.75	$32.00	$11.43–$31.04	15% below	26%
Insulin blood test CPT 83525 RL-A-INS F T 70155A	$33.93	$45.72	$11.43–$44.35	22% above	26%
Insulin blood test CPT 83525 INSULIN RESPONSE TO GLUCOSE	$173.63	$234.00	$11.43–$226.98	524% above	26%
Insulin blood test CPT 83525 INSULIN TOTAL	$189.21	$255.00	$11.43–$247.35	580% above	26%
Insulin blood test inpatient CPT 83525 RL-A-INSULIN FAST 70063	$23.75	$32.00	$27.20–$31.04	—	26%
Insulin blood test inpatient CPT 83525 RL-A-INS F T 70155A	$33.93	$45.72	$38.87–$44.35	—	26%
Insulin blood test inpatient CPT 83525 INSULIN RESPONSE TO GLUCOSE	$173.63	$234.00	$198.90–$226.98	—	26%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$189.21	$255.00	$216.75–$247.35	—	26%
Iron blood test (serum iron) CPT 83540 IRON	$66.78	$90.00	$6.47–$87.30	64% above	26%
Iron blood test (serum iron) CPT 83540 PATHOLOGY BILLING QUANTITATIVE IRON LEVEL LIVER TISSUE BLOCK	$92.01	$124.00	$6.47–$120.28	126% above	26%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$66.78	$90.00	$76.50–$87.30	—	26%
Iron blood test (serum iron) inpatient CPT 83540 PATHOLOGY BILLING QUANTITATIVE IRON LEVEL LIVER TISSUE BLOCK	$92.01	$124.00	$105.40–$120.28	—	26%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY	$109.08	$147.00	$8.74–$142.59	1% above	26%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY	$109.08	$147.00	$124.95–$142.59	—	26%
Kidney function blood test panel CPT 80069 RENAL PAN	$140.24	$189.00	$8.68–$183.33	20% above	26%
Kidney function blood test panel inpatient CPT 80069 RENAL PAN	$140.24	$189.00	$160.65–$183.33	—	26%
LH (luteinizing hormone) test CPT 83002 RL-A-LH 70093	$54.97	$74.08	$18.52–$71.86	44% below	26%
LH (luteinizing hormone) test inpatient CPT 83002 RL-A-LH 70093	$54.97	$74.08	$62.97–$71.86	—	26%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID	$135.79	$183.00	$6.89–$177.51	49% above	26%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL	$186.99	$252.00	$6.89–$244.44	105% above	26%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BODY FLUID	$135.79	$183.00	$155.55–$177.51	—	26%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE LEVEL	$186.99	$252.00	$214.20–$244.44	—	26%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$109.82	$148.00	$8.17–$143.56	at median	26%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$109.82	$148.00	$125.80–$143.56	—	26%
Magnesium blood test CPT 83735 RL-A-SUPERSAT 2008771E	$19.89	$26.80	$6.70–$26.00	2% above	26%
Magnesium blood test CPT 83735 RL-A-MG RBC 92079	$71.24	$96.00	$6.70–$93.12	264% above	26%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$98.69	$133.00	$6.70–$129.01	405% above	26%
Magnesium blood test CPT 83735 ASSAY MAGNESIUM	$102.40	$138.00	$6.70–$133.86	424% above	26%
Magnesium blood test inpatient CPT 83735 RL-A-SUPERSAT 2008771E	$19.89	$26.80	$22.78–$26.00	—	26%
Magnesium blood test inpatient CPT 83735 RL-A-MG RBC 92079	$71.24	$96.00	$81.60–$93.12	—	26%
Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL	$98.69	$133.00	$113.05–$129.01	—	26%
Magnesium blood test inpatient CPT 83735 ASSAY MAGNESIUM	$102.40	$138.00	$117.30–$133.86	—	26%
Measles (rubeola) antibody test CPT 86765 RL-A-MEASLES G 50380	$38.23	$51.52	$12.88–$49.98	129% above	26%
Measles (rubeola) antibody test CPT 86765 RUBEOLA	$129.85	$175.00	$12.88–$169.75	678% above	26%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$131.34	$177.00	$12.88–$171.69	687% above	26%
Measles (rubeola) antibody test inpatient CPT 86765 RL-A-MEASLES G 50380	$38.23	$51.52	$43.80–$49.98	—	26%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA	$129.85	$175.00	$148.75–$169.75	—	26%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$131.34	$177.00	$150.45–$171.69	—	26%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS POC-PC	$9.65	$13.00	$5.18–$12.61	87% below	26%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCREEN	$137.27	$185.00	$5.18–$179.45	81% above	26%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS SCREEN	$137.27	$185.00	$157.25–$179.45	—	26%
PSA (prostate-specific antigen) blood test, free CPT 84154 RL-A-PSA FP 80206B	$54.59	$73.56	$18.39–$71.36	11% below	26%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 RL-A-PSA FP 80206B	$54.59	$73.56	$62.53–$71.36	—	26%
PSA (prostate-specific antigen) blood test, total CPT 84153 RL-A-PSA FP 80206A	$54.59	$73.56	$18.39–$71.36	24% below	26%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$166.21	$224.00	$18.39–$217.28	133% above	26%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 RL-A-PSA FP 80206A	$54.59	$73.56	$62.53–$71.36	—	26%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$166.21	$224.00	$190.40–$217.28	—	26%
Pap test (liquid-based, automated screening with review) CPT 88175 88175 BILL GYN THINP AUTOS R MANUAL	$162.50	$219.00	$26.61–$212.43	280% above	26%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 BILL GYN THINP AUTOS R MANUAL	$162.50	$219.00	$186.15–$212.43	—	26%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR CERV/VAGINAL COLLECTED IN PRESV FLUID	$74.20	$100.00	$20.26–$97.00	144% above	26%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 BILL GYN THIN P MANUAL	$92.01	$124.00	$20.26–$120.28	202% above	26%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 BILL GYN THIN P MANUAL	$92.01	$124.00	$105.40–$120.28	—	26%
Parathyroid hormone (PTH) blood test CPT 83970 PTH N-TERMINAL INTACT	$326.48	$440.00	$41.28–$426.80	176% above	26%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH N-TERMINAL INTACT	$326.48	$440.00	$374.00–$426.80	—	26%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-LUPUS R 30181C	$17.84	$24.04	$6.01–$23.32	48% below	26%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-RF BILL PTTT 3017033	$91.42	$123.20	$6.01–$119.51	168% above	26%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$141.73	$191.00	$6.01–$185.27	315% above	26%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-LUPUS R 30181C	$17.84	$24.04	$20.44–$23.32	—	26%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-RF BILL PTTT 3017033	$91.42	$123.20	$104.72–$119.51	—	26%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$141.73	$191.00	$162.35–$185.27	—	26%
Progesterone blood test CPT 84144 RL-A-PGSN 2008509	$71.24	$96.00	$20.86–$93.12	22% below	26%
Progesterone blood test inpatient CPT 84144 RL-A-PGSN 2008509	$71.24	$96.00	$81.60–$93.12	—	26%
Prolactin blood test CPT 84146 RL-A-PROLAC 70115	$57.52	$77.52	$19.38–$75.20	17% below	26%
Prolactin blood test CPT 84146 RL-A-MACROPRO 20765	$113.80	$153.36	$19.38–$148.76	65% above	26%
Prolactin blood test CPT 84146 PROLACTIN UNDILUTED	$170.66	$230.00	$19.38–$223.10	148% above	26%
Prolactin blood test inpatient CPT 84146 RL-A-PROLAC 70115	$57.52	$77.52	$65.90–$75.20	—	26%
Prolactin blood test inpatient CPT 84146 RL-A-MACROPRO 20765	$113.80	$153.36	$130.36–$148.76	—	26%
Prolactin blood test inpatient CPT 84146 PROLACTIN UNDILUTED	$170.66	$230.00	$195.50–$223.10	—	26%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN AND INR POC	$7.42	$10.00	$4.29–$9.70	73% below	26%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-LUPUS R 30181A	$12.74	$17.16	$4.29–$16.65	54% below	26%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR	$58.62	$79.00	$4.29–$76.63	110% above	26%
Prothrombin time (PT/INR) clotting test CPT 85610 MIXING STUDY PROTIME	$80.88	$109.00	$4.29–$105.73	189% above	26%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-LUPUS R 30181A	$12.74	$17.16	$14.59–$16.65	—	26%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR	$58.62	$79.00	$67.15–$76.63	—	26%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 MIXING STUDY PROTIME	$80.88	$109.00	$92.65–$105.73	—	26%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREENING POC-PC	$20.04	$27.00	$12.60–$26.19	42% above	26%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 U DS RAPID	$287.16	$387.00	$12.60–$375.39	1939% above	26%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 U DS RAPID	$287.16	$387.00	$328.95–$375.39	—	26%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA POC-PC	$25.97	$35.00	$16.55–$33.95	2% below	26%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP POC-PC	$25.97	$35.00	$16.53–$33.95	29% below	26%
Rheumatoid factor (RF) test CPT 86431 RL-A-RA 50465	$16.83	$22.68	$5.67–$22.00	7% above	26%
Rheumatoid factor (RF) test CPT 86431 .RHEUMATOID FACTOR QUANT	$97.95	$132.00	$5.67–$128.04	523% above	26%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-RA 50465	$16.83	$22.68	$19.28–$22.00	—	26%
Rheumatoid factor (RF) test inpatient CPT 86431 .RHEUMATOID FACTOR QUANT	$97.95	$132.00	$112.20–$128.04	—	26%
Rubella antibody test (immunity check) CPT 86762 RL-A-RUBEIGG 50771	$42.71	$57.56	$14.39–$55.84	57% above	26%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$159.53	$215.00	$14.39–$208.55	488% above	26%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM ACUTE TITER	$161.02	$217.00	$14.39–$210.49	494% above	26%
Rubella antibody test (immunity check) inpatient CPT 86762 RL-A-RUBEIGG 50771	$42.71	$57.56	$48.93–$55.84	—	26%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$159.53	$215.00	$182.75–$208.55	—	26%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM ACUTE TITER	$161.02	$217.00	$184.45–$210.49	—	26%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR (SEDIMENTATION RATE)	$89.04	$120.00	$2.70–$116.40	54% above	26%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR (SEDIMENTATION RATE)	$89.04	$120.00	$102.00–$116.40	—	26%
Stool ova and parasites exam CPT 87177 RL-A-OP FEC 3001662A	$53.37	$71.92	$8.90–$69.77	123% above	26%
Stool ova and parasites exam inpatient CPT 87177 RL-A-OP FEC 3001662A	$53.37	$71.92	$61.14–$69.77	—	26%
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL FOR OCCULT BLOOD POC-PC	$6.68	$9.00	$4.38–$8.73	76% below	26%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL FOR OCCULT BLOOD POC-PC	$30.43	$41.00	$15.92–$39.77	62% above	26%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ST IFOB	$148.40	$200.00	$15.92–$194.00	689% above	26%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ST IFOB	$148.40	$200.00	$170.00–$194.00	—	26%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL-A-RPR REV 2007443	$13.36	$18.00	$4.27–$17.46	3% above	26%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL-A-VDRL CSF 50206	$17.81	$24.00	$4.27–$23.28	37% above	26%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL	$94.24	$127.00	$4.27–$123.19	625% above	26%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL-A-RPR REV 2007443	$13.36	$18.00	$15.30–$17.46	—	26%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL-A-VDRL CSF 50206	$17.81	$24.00	$20.40–$23.28	—	26%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUAL	$94.24	$127.00	$107.95–$123.19	—	26%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL-A-QFT 4 3017562	$183.96	$247.92	$61.98–$240.49	153% above	26%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 RL-A-QFT 4 3017562	$183.96	$247.92	$210.74–$240.49	—	26%
Testosterone blood test, total (not free testosterone) CPT 84403 RL-A-TESTOS F T 81056B	$76.61	$103.24	$25.81–$100.15	122% above	26%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL & FREE	$92.01	$124.00	$25.81–$120.28	166% above	26%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE LEVEL	$227.80	$307.00	$25.81–$297.79	559% above	26%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 RL-A-TESTOS F T 81056B	$76.61	$103.24	$87.76–$100.15	—	26%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL & FREE	$92.01	$124.00	$105.40–$120.28	—	26%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE LEVEL	$227.80	$307.00	$260.95–$297.79	—	26%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-LIVER-KID 99270	$43.19	$58.20	$14.55–$56.46	95% above	26%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-LIVER-KID 99270	$43.19	$58.20	$49.47–$56.46	—	26%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$226.31	$305.00	$16.80–$295.85	157% above	26%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$307.93	$415.00	$16.80–$402.55	250% above	26%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$226.31	$305.00	$259.25–$295.85	—	26%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE	$307.93	$415.00	$352.75–$402.55	—	26%
Trichomonas test (NAAT) CPT 87661 RL-A-CVTV TMA 3002583B	$104.15	$140.36	$35.09–$136.15	108% above	26%
Trichomonas test (NAAT) inpatient CPT 87661 RL-A-CVTV TMA 3002583B	$104.15	$140.36	$119.31–$136.15	—	26%
Uric acid blood test CPT 84550 URIC ACID	$87.56	$118.00	$4.52–$114.46	66% above	26%
Uric acid blood test inpatient CPT 84550 URIC ACID	$87.56	$118.00	$100.30–$114.46	—	26%
Urinalysis with microscope exam, automated CPT 81001 URINANLYSIS DIPSTICK W/SCOPE POC	$5.20	$7.00	$3.17–$6.79	89% below	26%
Urinalysis with microscope exam, manual CPT 81000 SPECIFIC GRAVITY URINE	$55.65	$75.00	$4.02–$72.75	178% above	26%
Urinalysis with microscope exam, manual CPT 81000 KETONES SEMI-QUALITATIVE URINE	$61.59	$83.00	$4.02–$80.51	208% above	26%
Urinalysis with microscope exam, manual inpatient CPT 81000 SPECIFIC GRAVITY URINE	$55.65	$75.00	$63.75–$72.75	—	26%
Urinalysis with microscope exam, manual inpatient CPT 81000 KETONES SEMI-QUALITATIVE URINE	$61.59	$83.00	$70.55–$80.51	—	26%
Urinalysis without microscope exam, automated CPT 81003 UA RFLX CULT	$51.94	$70.00	$2.25–$67.90	97% above	26%
Urinalysis without microscope exam, automated CPT 81003 UA	$71.24	$96.00	$2.25–$93.12	170% above	26%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA RFLX CULT	$51.94	$70.00	$59.50–$67.90	—	26%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA	$71.24	$96.00	$81.60–$93.12	—	26%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK POC	$5.20	$7.00	$3.48–$6.79	24% below	26%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$116.50	$157.00	$8.07–$152.29	70% above	26%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE	$116.50	$157.00	$133.45–$152.29	—	26%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY POC-PC	$13.36	$18.00	$8.61–$17.46	74% below	26%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST QUAL URINE	$181.05	$244.00	$8.61–$236.68	246% above	26%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST QUAL URINE	$181.05	$244.00	$207.40–$236.68	—	26%
Vitamin B12 (cobalamin) blood test CPT 82607 VIT B12	$217.41	$293.00	$15.08–$284.21	190% above	26%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VIT B12	$217.41	$293.00	$249.05–$284.21	—	26%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 RL-A-VIT D 25 80379	$87.86	$118.40	$29.60–$114.85	26% above	26%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH LEVEL TOTAL	$178.08	$240.00	$29.60–$232.80	155% above	26%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 RL-A-VIT D 25 80379	$87.86	$118.40	$100.64–$114.85	—	26%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 OH LEVEL TOTAL	$178.08	$240.00	$204.00–$232.80	—	26%
Zinc blood test CPT 84630 RL-A-ZINC 20097	$33.81	$45.56	$11.39–$44.20	39% above	26%
Zinc blood test CPT 84630 ZINC URINE	$100.92	$136.00	$11.39–$131.92	315% above	26%
Zinc blood test inpatient CPT 84630 RL-A-ZINC 20097	$33.81	$45.56	$38.73–$44.20	—	26%
Zinc blood test inpatient CPT 84630 ZINC URINE	$100.92	$136.00	$115.60–$131.92	—	26%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL-A-BHCG TM 70029	$44.67	$60.20	$15.05–$58.40	22% above	26%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG TUMOR MARKER CSF	$258.22	$348.00	$15.05–$337.56	605% above	26%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$343.55	$463.00	$15.05–$449.11	838% above	26%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 RL-A-BHCG TM 70029	$44.67	$60.20	$51.17–$58.40	—	26%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG TUMOR MARKER CSF	$258.22	$348.00	$295.80–$337.56	—	26%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$343.55	$463.00	$393.55–$449.11	—	26%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRODESIS CERVICAL BELOW C2	$2,626.68	$3,540.00	$1,782.01–$3,752.40	86% below	26%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDEC RPTD APPENDIX ABSC/PRITONITIS PC	$1,265.11	$1,705.00	$915.86–$1,653.85	at median	26%
Appendectomy, open surgery CPT 44950 APPENDECTOMY PC	$928.25	$1,251.00	$671.96–$1,326.06	19% below	26%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ PC	$1,524.07	$2,054.00	$1,026.72–$2,177.24	91% below	26%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY SHOULDER W/ROTATOR CUFF REPAIR	$1,673.21	$2,255.00	$1,125.42–$2,390.30	86% below	26%
Botox injections for chronic migraine CPT 64615 CHEMODENERVATION MUSCLE MIGRAINE 64615	$223.35	$301.00	$128.03–$319.06	47% below	26%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion both sides CPT 19081 MA STEREOTACTIC NEEDLE BIOPSY BILAT	$9,034.60	$12,176.00	$168.44–$11,810.72	—	26%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MA STEREOTACTIC NEEDLE BIOPSY LEFT	$4,517.30	$6,088.00	$168.44–$5,905.36	at median	26%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient both sides CPT 19081 MA STEREOTACTIC NEEDLE BIOPSY BILAT	$9,034.60	$12,176.00	$10,349.60–$11,810.72	—	26%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MA STEREOTACTIC NEEDLE BIOPSY LEFT	$4,517.30	$6,088.00	$5,174.80–$5,905.36	—	26%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ PC	$432.59	$583.00	$255.67–$565.51	22% below	26%
Cardiac catheterization with coronary angiogram one side CPT 93458 PLACE CATH CORONARY ANGIO W/INJECT & CATH LEFT HEART	$17,406.58	$23,459.00	$1,072.85–$22,755.23	98% above	26%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 PLACE CATH CORONARY ANGIO W/INJECT & CATH LEFT HEART	$17,406.58	$23,459.00	$19,940.15–$22,755.23	—	26%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$166.95	$225.00	$111.93–$238.50	82% below	26%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION COMPLETION RPT	$177.34	$239.00	$111.93–$253.34	81% below	26%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION CHARGE	$1,796.39	$2,421.00	$111.93–$2,348.37	94% above	26%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$1,796.39	$2,421.00	$111.93–$2,348.37	94% above	26%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION COMPLETION RPT	$177.34	$239.00	$203.15–$231.83	—	26%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION CHARGE	$1,796.39	$2,421.00	$2,057.85–$2,348.37	—	26%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$1,796.39	$2,421.00	$2,057.85–$2,348.37	—	26%
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY MEDIAN NERVE AT CARPAL TUNNEL	$681.90	$919.00	$466.33–$974.14	88% below	26%
Catheter ablation for atrial fibrillation CPT 93656 EP AFIB ABL PV ISOL 3DMAP	$38,402.96	$51,756.00	$963.78–$50,203.32	14% above	26%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP AFIB ABL PV ISOL 3DMAP	$38,402.96	$51,756.00	$43,992.60–$50,203.32	—	26%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION AGE >28 DAYS PC	$305.71	$412.00	$207.78–$436.72	78% below	26%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION USING CLAMP 54150	$224.83	$303.00	$257.55–$321.18	26% above	26%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION NEWBORN - OB NEWBORN PROCEDURES	$3,968.96	$5,349.00	$2,183.34–$5,188.53	2130% above	26%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION NEWBORN - OB NEWBORN PROCEDURES	$3,968.96	$5,349.00	$4,546.65–$5,188.53	—	26%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE 54160	$361.36	$487.00	$413.95–$516.22	41% below	26%
Closed treatment of a wrist (distal radius) fracture, no resetting both sides CPT 25600 CLOSED TREATMENT FRACTURE DISTAL RADIAL W/O MANIP BILAT	$1,006.90	$1,357.00	$255.67–$1,316.29	—	26%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ PC	$482.30	$650.00	$255.67–$630.50	21% below	26%
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLOSED TREATMENT FRACTURE DISTAL RADIAL W/O MANIP LEFT	$503.82	$679.00	$255.67–$658.63	17% below	26%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient both sides CPT 25600 CLOSED TREATMENT FRACTURE DISTAL RADIAL W/O MANIP BILAT	$1,006.90	$1,357.00	$1,153.45–$1,316.29	—	26%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 CLOSED TREATMENT FRACTURE DISTAL RADIAL W/O MANIP LEFT	$503.82	$679.00	$577.15–$658.63	—	26%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US	$2,512.42	$3,386.00	$266.42–$3,284.42	13% above	26%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 COLONOSCOPY W/ENDOSCOPE US	$2,512.42	$3,386.00	$2,878.10–$3,284.42	—	26%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/SNARE PC	$388.81	$524.00	$262.85–$555.44	86% below	26%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/SNARE	$2,512.42	$3,386.00	$262.85–$3,284.42	11% below	26%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/SNARE	$2,512.42	$3,386.00	$2,878.10–$3,284.42	—	26%
Colonoscopy with tissue sample CPT 45380 COLON WITH BXSCREENING TO DIAGNOSTIC	$306.45	$413.00	$207.78–$437.78	90% below	26%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY	$2,512.42	$3,386.00	$207.78–$3,284.42	18% below	26%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BIOPSY	$2,512.42	$3,386.00	$2,878.10–$3,284.42	—	26%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC PC	$282.71	$381.00	$190.97–$403.86	86% below	26%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC	$1,909.91	$2,574.00	$190.97–$2,496.78	2% below	26%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC	$1,909.91	$2,574.00	$2,187.90–$2,496.78	—	26%
Coronary stent placement, one artery CPT 92928 PLACE STENT TRANSCATH INTRACORONARY W/ANGIO SINGLE	$17,586.15	$23,701.00	$598.29–$22,989.97	26% above	26%
Coronary stent placement, one artery inpatient CPT 92928 PLACE STENT TRANSCATH INTRACORONARY W/ANGIO SINGLE	$17,586.15	$23,701.00	$20,145.85–$22,989.97	—	26%
Cystoscopy with ureteral stent placement CPT 52332 CYSTO W/INSERT URETERAL STENT 52332	$621.80	$838.00	$161.29–$888.28	86% below	26%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE) - 52000	$371.75	$501.00	$83.68–$531.06	72% below	26%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION LESION PREMALIGNANT FIRST LESION 17000	$94.98	$128.00	$58.29–$135.68	at median	26%
Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 REMOVE IMPACTED CERUMEN W/IRRIG/LAVAGE BILAT 69209	$47.49	$64.00	$16.81–$67.11	—	26%
Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 REMOVE IMPACTED CERUMEN IRRIG/LAV UNILAT BILATERAL	$495.66	$668.00	$16.81–$647.96	—	26%
Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 REM IMP CERUMEN W/LAVAGE BILAT	$495.66	$668.00	$16.81–$647.96	—	26%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED CERUMEN W/IRRIG/LAVAGE UNI 69209	$23.75	$32.00	$16.81–$33.92	9% below	26%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REM IMP CERUMEN W/LAVAGE RT PROFEE	$22.26	$30.00	$16.81–$31.80	14% below	26%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REM IMP CERUMEN W/LAVAGE RT	$247.83	$334.00	$16.81–$323.98	853% above	26%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTED CERUMEN IRRIG/LAV UNILAT LEFT	$247.83	$334.00	$16.81–$323.98	853% above	26%
Earwax removal by irrigation (rinsing), one ear inpatient both sides CPT 69209 REM IMP CERUMEN W/LAVAGE BILAT	$495.66	$668.00	$567.80–$647.96	—	26%
Earwax removal by irrigation (rinsing), one ear inpatient both sides CPT 69209 REMOVE IMPACTED CERUMEN IRRIG/LAV UNILAT BILATERAL	$495.66	$668.00	$567.80–$647.96	—	26%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REM IMP CERUMEN W/LAVAGE RT PROFEE	$22.26	$30.00	$25.50–$29.10	—	26%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REM IMP CERUMEN W/LAVAGE RT	$247.83	$334.00	$283.90–$323.98	—	26%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVE IMPACTED CERUMEN IRRIG/LAV UNILAT LEFT	$247.83	$334.00	$283.90–$323.98	—	26%
Earwax removal with instruments, one ear both sides CPT 69210 REM IMP CERUMEN W/INST BILAT PROFEE	$101.66	$137.00	$33.97–$132.89	—	26%
Earwax removal with instruments, one ear both sides CPT 69210 REMOVE IMPACTED CERUMEN INSTRUMENT UNILAT BILATERAL	$495.66	$668.00	$33.97–$647.96	—	26%
Earwax removal with instruments, one ear both sides CPT 69210 REM IMP CERUMEN W/INST BILAT	$495.66	$668.00	$33.97–$647.96	—	26%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED CERUMEN W/INSTRUMENT UNI 69210	$69.01	$93.00	$33.97–$90.21	41% below	26%
Earwax removal with instruments, one ear one side CPT 69210 REM IMP CERUMEN W/INST RT PROFEE	$51.20	$69.00	$33.97–$67.11	56% below	26%
Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMPACTED CERUMEN INSTRUMENT UNILAT LEFT	$247.83	$334.00	$33.97–$323.98	114% above	26%
Earwax removal with instruments, one ear one side CPT 69210 REM IMP CERUMEN W/INST RT	$247.83	$334.00	$33.97–$323.98	114% above	26%
Earwax removal with instruments, one ear inpatient both sides CPT 69210 REM IMP CERUMEN W/INST BILAT PROFEE	$101.66	$137.00	$116.45–$132.89	—	26%
Earwax removal with instruments, one ear inpatient both sides CPT 69210 REM IMP CERUMEN W/INST BILAT	$495.66	$668.00	$567.80–$647.96	—	26%
Earwax removal with instruments, one ear inpatient both sides CPT 69210 REMOVE IMPACTED CERUMEN INSTRUMENT UNILAT BILATERAL	$495.66	$668.00	$567.80–$647.96	—	26%
Earwax removal with instruments, one ear inpatient one side CPT 69210 REM IMP CERUMEN W/INST RT PROFEE	$51.20	$69.00	$58.65–$66.93	—	26%
Earwax removal with instruments, one ear inpatient one side CPT 69210 REM IMP CERUMEN W/INST RT	$247.83	$334.00	$283.90–$323.98	—	26%
Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVE IMPACTED CERUMEN INSTRUMENT UNILAT LEFT	$247.83	$334.00	$283.90–$323.98	—	26%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECT SPINE CERVICAL/THORACIC W/IMAGING	$164.73	$222.00	$112.65–$235.32	87% below	26%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CT EPIDURAL (SUBLAM) C/T-SP INIT LEVEL	$1,903.23	$2,565.00	$112.65–$2,488.05	47% above	26%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CT EPIDURAL (SUBLAM) C/T-SP INIT LEVEL	$1,903.23	$2,565.00	$2,180.25–$2,488.05	—	26%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 XR FACET INJECT L-SPINE INITIAL LEVEL	$1,419.45	$1,913.00	$94.77–$1,855.61	72% below	26%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PRC FACET INJ L/S SP INITIAL LEVEL	$1,694.73	$2,284.00	$94.77–$2,215.48	66% below	26%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 XR FACET INJECT L-SPINE INITIAL LEVEL	$1,419.45	$1,913.00	$1,626.05–$1,855.61	—	26%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 PRC FACET INJ L/S SP INITIAL LEVEL	$1,694.73	$2,284.00	$1,941.40–$2,215.48	—	26%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE PC	$823.62	$1,110.00	$943.50–$1,076.70	92% below	26%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR AA HERNIA 1ST > 10 REDUCIBLE - 49595	$1,085.55	$1,463.00	$1,243.55–$1,419.11	88% below	26%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE PC	$491.95	$663.00	$563.55–$643.11	97% below	26%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY DIAGNOSTIC	$1,909.91	$2,574.00	$59.01–$2,496.78	27% below	26%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY DIAGNOSTIC	$1,909.91	$2,574.00	$2,187.90–$2,496.78	—	26%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY SURG CHOLECYSTECTOMY PC	$940.86	$1,268.00	$692.35–$1,344.08	94% below	26%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP CHOLE W/ GRAPH	$1,112.26	$1,499.00	$752.78–$1,588.94	91% below	26%
Gallbladder removal, open surgery through a larger incision CPT 47600 OPEN CHOLECYSTECTOMY	$1,605.69	$2,164.00	$1,118.63–$2,099.08	at median	26%
Hammertoe correction surgery CPT 28285 CORRECTION HAMMERTOE	$597.31	$805.00	$411.62–$853.30	95% below	26%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTERNAL LIGATION PC	$299.03	$403.00	$202.77–$427.18	72% below	26%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTERNAL LIGATION	$1,270.31	$1,712.00	$202.77–$1,660.64	20% above	26%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY INTERNAL LIGATION	$1,270.31	$1,712.00	$1,455.20–$1,660.64	—	26%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY INTERNAL/EXTERNAL SINGLE	$532.76	$718.00	$374.07–$761.08	91% below	26%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT PC	$2,599.97	$3,504.00	$1,749.10–$3,398.88	72% below	26%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 PRC HYSTERSALPINGOGRAM	$2,613.33	$3,522.00	$60.44–$3,416.34	1300% above	26%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 PRC HYSTERSALPINGOGRAM	$2,613.33	$3,522.00	$2,993.70–$3,416.34	—	26%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE (IUD)	$157.31	$212.00	$52.93–$205.64	96% below	26%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE PROFEE	$156.57	$211.00	$112.65–$223.66	28% below	26%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE 10060	$178.83	$241.00	$112.65–$233.77	18% below	26%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$566.89	$764.00	$112.65–$741.08	161% above	26%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE	$952.73	$1,284.00	$112.65–$1,245.48	339% above	26%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE PROFEE	$156.57	$211.00	$179.35–$204.67	—	26%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$566.89	$764.00	$649.40–$741.08	—	26%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE	$952.73	$1,284.00	$1,091.40–$1,245.48	—	26%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INITIAL INGUINAL HERNIA 5 YRS/> REDUCIBLE	$811.01	$1,093.00	$550.01–$1,158.58	95% below	26%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT SINGLE TENDON SHEATH/LIGAMENT 20550	$80.14	$108.00	$40.77–$114.48	91% below	26%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PRC INJ OF TENDON SHEATH/LIGAMENT	$729.39	$983.00	$40.77–$953.51	17% below	26%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PRC INJ OF TENDON SHEATH/LIGAMENT	$729.39	$983.00	$835.55–$953.51	—	26%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 DRAIN/INJ JOINT MAJOR BILATERAL	$1,787.48	$2,409.00	$47.56–$2,336.73	—	26%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT MAJOR JOINT/BURSA 20610	$92.01	$124.00	$47.56–$131.44	93% below	26%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PRC LARGE JOINT ASPIRATION	$893.37	$1,204.00	$47.56–$1,167.88	28% below	26%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 DRAIN/INJ JOINT MAJOR LEFT	$893.37	$1,204.00	$47.56–$1,167.88	28% below	26%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 DRAIN/INJ JOINT MAJOR BILATERAL	$1,787.48	$2,409.00	$2,047.65–$2,336.73	—	26%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PRC LARGE JOINT ASPIRATION	$893.37	$1,204.00	$1,023.40–$1,167.88	—	26%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 DRAIN/INJ JOINT MAJOR LEFT	$893.37	$1,204.00	$1,023.40–$1,167.88	—	26%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG DELIVERY IMPLANT	$100.17	$135.00	$65.44–$143.10	44% below	26%
Joint injection or drainage, medium joint (wrist, elbow, ankle) both sides CPT 20605 DRAIN/INJ JOINT INTERMEDIATE BILATERAL	$1,732.57	$2,335.00	$38.62–$2,264.95	—	26%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT INTERMEDIATE JOINT/BURSA 20605	$77.17	$104.00	$38.62–$110.24	86% below	26%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PRC MEDIUM JOINT ASPIRATION	$821.40	$1,107.00	$38.62–$1,073.79	47% above	26%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 DRAIN/INJ JOINT INTERMEDIATE LEFT	$863.69	$1,164.00	$38.62–$1,129.08	54% above	26%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient both sides CPT 20605 DRAIN/INJ JOINT INTERMEDIATE BILATERAL	$1,732.57	$2,335.00	$1,984.75–$2,264.95	—	26%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PRC MEDIUM JOINT ASPIRATION	$821.40	$1,107.00	$940.95–$1,073.79	—	26%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 DRAIN/INJ JOINT INTERMEDIATE LEFT	$863.69	$1,164.00	$989.40–$1,129.08	—	26%
Joint injection or drainage, small joint (fingers, toes) both sides CPT 20600 DRAIN/INJ JOINT SMALL BILATERAL	$1,557.46	$2,099.00	$37.55–$2,036.03	—	26%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT SMALL JOINT/BURSA 20600	$74.95	$101.00	$37.55–$107.06	85% below	26%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PRC SMALL JOINT ASPIRATION	$779.10	$1,050.00	$37.55–$1,018.50	59% above	26%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 DRAIN/INJ JOINT SMALL LEFT	$779.10	$1,050.00	$37.55–$1,018.50	59% above	26%
Joint injection or drainage, small joint (fingers, toes) inpatient both sides CPT 20600 DRAIN/INJ JOINT SMALL BILATERAL	$1,557.46	$2,099.00	$1,784.15–$2,036.03	—	26%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PRC SMALL JOINT ASPIRATION	$779.10	$1,050.00	$892.50–$1,018.50	—	26%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 DRAIN/INJ JOINT SMALL LEFT	$779.10	$1,050.00	$892.50–$1,018.50	—	26%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL PC	$1,075.90	$1,450.00	$729.18–$1,537.00	83% below	26%
Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY KNEE W/MENISCECTOMY (MEDIAL OR LATERAL)	$843.66	$1,137.00	$575.41–$1,205.22	88% below	26%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHROSCOPY KNEE W/MENISCECTOMY (MEDIAL & LATERAL)	$877.05	$1,182.00	$597.22–$1,252.92	88% below	26%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG PC	$970.54	$1,308.00	$658.73–$1,386.48	86% below	26%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPIC APPENDECTOMY PC	$859.24	$1,158.00	$632.27–$1,227.48	93% below	26%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY SURGICAL ESOPHAGOGASTRIC FUNDOPLASTY - 43280	$1,515.91	$2,043.00	$1,123.27–$2,165.58	at median	26%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA PC	$619.57	$835.00	$456.32–$885.10	96% below	26%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPS SURG RPR RECURRENT INGUINAL HERNIA PC	$822.14	$1,108.00	$595.07–$1,174.48	94% below	26%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/ PROFEE	$221.12	$298.00	$159.14–$315.88	50% below	26%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR WOUND INTERMED TRUNK/EXT < 2.5 CM 12031	$374.71	$505.00	$159.14–$489.85	15% below	26%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/	$819.91	$1,105.00	$159.14–$1,071.85	85% above	26%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMED LAC SCALP/TRUNK/EXTREM <-2.5 CM	$1,130.81	$1,524.00	$159.14–$1,478.28	155% above	26%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/ PROFEE	$221.12	$298.00	$253.30–$289.06	—	26%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/	$819.91	$1,105.00	$939.25–$1,071.85	—	26%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTERMED LAC SCALP/TRUNK/EXTREM <-2.5 CM	$1,130.81	$1,524.00	$1,295.40–$1,478.28	—	26%
Lower-back epidural injection, with imaging guidance CPT 62323 INJECT SPINE LUMBAR/SACRAL W/IMAGING	$152.86	$206.00	$104.07–$218.36	88% below	26%
Lower-back epidural injection, with imaging guidance CPT 62323 CT EPIDURAL (SUBLAM) L-SP INIT LEVEL	$2,212.65	$2,982.00	$104.07–$2,892.54	72% above	26%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CT EPIDURAL (SUBLAM) L-SP INIT LEVEL	$2,212.65	$2,982.00	$2,534.70–$2,892.54	—	26%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECT SPINE LUMBAR/SACRAL W/O IMAGING 62322	$211.47	$285.00	$82.97–$302.10	79% below	26%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECT TRANSFORAMINAL EPIDURAL W/IMAGE L/S SINGLE	$170.66	$230.00	$116.58–$243.80	93% below	26%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 CT EPIDURAL (TRANSFORAM) L SP INIT LEVEL	$1,480.29	$1,995.00	$116.58–$1,935.15	42% below	26%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XR LUMBAR TRANSFORAM EPIDURAL NERVE BLCK	$1,501.07	$2,023.00	$116.58–$1,962.31	41% below	26%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 CT EPIDURAL (TRANSFORAM) L SP INIT LEVEL	$1,480.29	$1,995.00	$1,695.75–$1,935.15	—	26%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 XR LUMBAR TRANSFORAM EPIDURAL NERVE BLCK	$1,501.07	$2,023.00	$1,719.55–$1,962.31	—	26%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LAMINOTOMY LUMBAR 1 INTERSPACE	$1,450.61	$1,955.00	$964.85–$2,072.30	90% below	26%
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAMINECTOMY W/FACETECTOMY LUMBAR SINGLE	$1,713.28	$2,309.00	$1,164.40–$2,447.54	81% below	26%
Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRODESIS POSTERIOR SINGLE LUMBAR	$2,447.86	$3,299.00	$1,658.27–$3,496.94	89% below	26%
Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY PARTIAL	$1,021.74	$1,377.00	$693.06–$1,459.62	91% below	26%
Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY SIMPLE COMPLETE	$1,481.04	$1,996.00	$1,004.19–$2,115.76	85% below	26%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BENIGN TRUNK/ARM/LEG < 0.5 CM 11400	$186.25	$251.00	$89.05–$266.06	41% below	26%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION BENIGN FACE/EAR/NOSE/LIP < 0.5 CM 11440	$207.76	$280.00	$113.36–$296.80	55% below	26%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGL PROFEE	$82.37	$111.00	$56.50–$117.66	56% below	26%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE 11730	$161.76	$218.00	$56.50–$224.49	13% below	26%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGL	$520.89	$702.00	$56.50–$680.94	179% above	26%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE SINGLE	$520.89	$702.00	$56.50–$680.94	179% above	26%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SINGL PROFEE	$82.37	$111.00	$94.35–$107.67	—	26%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SIMPLE SINGLE	$520.89	$702.00	$596.70–$680.94	—	26%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SINGL	$520.89	$702.00	$596.70–$680.94	—	26%
Occipital nerve block (injection for headaches) CPT 64405 INJECT GREATER OCCIPITAL NERVE 64405	$108.34	$146.00	$55.07–$154.76	15% below	26%
Pacemaker implant (dual chamber) CPT 33208 INSERT/REPLACE PPM LEAD ATRIAL/VENTRICULAR	$18,000.92	$24,260.00	$531.06–$23,532.20	10% above	26%
Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT/REPLACE PPM LEAD ATRIAL/VENTRICULAR	$18,000.92	$24,260.00	$20,621.00–$23,532.20	—	26%
Paracentesis with imaging guidance CPT 49083 PRC ABDOMINAL PARACENTESIS	$1,656.15	$2,232.00	$109.79–$2,165.04	12% above	26%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS ABDOMINAL W/ IMAGING GUIDANCE	$2,285.36	$3,080.00	$109.79–$2,987.60	55% above	26%
Paracentesis with imaging guidance CPT 49083 CT PARACENTESIS	$2,285.36	$3,080.00	$109.79–$2,987.60	55% above	26%
Paracentesis with imaging guidance inpatient CPT 49083 PRC ABDOMINAL PARACENTESIS	$1,656.15	$2,232.00	$1,897.20–$2,165.04	—	26%
Paracentesis with imaging guidance inpatient CPT 49083 CT PARACENTESIS	$2,285.36	$3,080.00	$2,618.00–$2,987.60	—	26%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS ABDOMINAL W/ IMAGING GUIDANCE	$2,285.36	$3,080.00	$2,618.00–$2,987.60	—	26%
Partial knee replacement (one compartment) CPT 27446 ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT PC	$1,797.87	$2,423.00	$1,206.24–$2,568.38	91% below	26%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVE NAIL BED PERMANENT 11750	$227.80	$307.00	$107.64–$325.42	16% below	26%
Prostate biopsy CPT 55700 PROSTATE NEEDLE BIOPSY ANY APPROACH 55700	$373.97	$504.00	$135.54–$534.24	87% below	26%
Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT 55866	$1,834.97	$2,473.00	$1,247.01–$2,621.38	80% below	26%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY FACET JOINT L/S	$320.55	$432.00	$202.05–$457.92	87% below	26%
Removal of a breast lump, open surgery CPT 19120 EXCISION BREAST LESION OPEN	$647.03	$872.00	$440.23–$924.32	87% below	26%
Removal of a foreign object under the skin, simple CPT 10120 I&R FOREIGN BODY SIMPLE PROFEE	$158.05	$213.00	$111.58–$225.78	39% below	26%
Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE 10120	$234.48	$316.00	$111.58–$334.96	9% below	26%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FB SUBQ SIMPLE	$1,130.81	$1,524.00	$111.58–$1,478.28	340% above	26%
Removal of a foreign object under the skin, simple CPT 10120 PRC REMOVAL FOREIGN BODY	$1,311.86	$1,768.00	$111.58–$1,714.96	410% above	26%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&R FOREIGN BODY SIMPLE PROFEE	$158.05	$213.00	$181.05–$206.61	—	26%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FB SUBQ SIMPLE	$1,130.81	$1,524.00	$1,295.40–$1,478.28	—	26%
Removal of a foreign object under the skin, simple inpatient CPT 10120 PRC REMOVAL FOREIGN BODY	$1,311.86	$1,768.00	$1,502.80–$1,714.96	—	26%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY PC	$1,027.67	$1,385.00	$743.84–$1,468.10	89% below	26%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY XTRCORP SHOCK WAVE PC	$878.53	$1,184.00	$601.51–$1,255.04	93% below	26%
Short arm cast (elbow to hand) CPT 29075 APPLY CAST SHORT ARM 29075	$123.18	$166.00	$65.80–$175.96	93% below	26%
Short arm splint (forearm and hand) both sides CPT 29125 APPLY SHORT ARM SPLINT BILATERAL	$1,013.58	$1,366.00	$42.56–$1,325.02	—	26%
Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT SHORT ARM 29125	$96.46	$130.00	$42.56–$137.80	44% below	26%
Short arm splint (forearm and hand) CPT 29125 YES - PT HT SHORT ARM SPLINT APPLICATION	$506.79	$683.00	$42.56–$662.51	195% above	26%
Short arm splint (forearm and hand) CPT 29125 YES - APPLICATION SHORT ARM SPLINT CHARGE	$506.79	$683.00	$42.56–$662.51	195% above	26%
Short arm splint (forearm and hand) one side CPT 29125 APPLY SHORT ARM SPLINT LEFT	$506.79	$683.00	$42.56–$662.51	195% above	26%
Short arm splint (forearm and hand) inpatient both sides CPT 29125 APPLY SHORT ARM SPLINT BILATERAL	$1,013.58	$1,366.00	$1,161.10–$1,325.02	—	26%
Short arm splint (forearm and hand) inpatient CPT 29125 YES - APPLICATION SHORT ARM SPLINT CHARGE	$506.79	$683.00	$580.55–$662.51	—	26%
Short arm splint (forearm and hand) inpatient CPT 29125 YES - PT HT SHORT ARM SPLINT APPLICATION	$506.79	$683.00	$580.55–$662.51	—	26%
Short arm splint (forearm and hand) inpatient one side CPT 29125 APPLY SHORT ARM SPLINT LEFT	$506.79	$683.00	$580.55–$662.51	—	26%
Short leg cast (below the knee) CPT 29405 APPLY CAST SHORT LEG 29405	$118.72	$160.00	$61.87–$169.60	65% below	26%
Short leg splint (calf to foot) both sides CPT 29515 APPLY SHORT LEG SPLINT BILATERAL	$933.44	$1,258.00	$52.57–$1,220.26	—	26%
Short leg splint (calf to foot) CPT 29515 APPLY SPLINT SHORT LEG 29515	$100.92	$136.00	$52.57–$144.16	21% below	26%
Short leg splint (calf to foot) one side CPT 29515 APPLY SHORT LEG SPLINT LEFT	$466.72	$629.00	$52.57–$610.13	265% above	26%
Short leg splint (calf to foot) inpatient both sides CPT 29515 APPLY SHORT LEG SPLINT BILATERAL	$933.44	$1,258.00	$1,069.30–$1,220.26	—	26%
Short leg splint (calf to foot) inpatient one side CPT 29515 APPLY SHORT LEG SPLINT LEFT	$466.72	$629.00	$534.65–$610.13	—	26%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY INCLUDING DISTAL ARTICULAR SURFACE PC	$1,059.58	$1,428.00	$718.45–$1,513.68	91% below	26%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPY SHOULDER DECOMPRESSION OF SUBACROMIAL SPACE W/PARTIAL ACROMIOPLASTY PC	$272.32	$367.00	$178.09–$355.99	98% below	26%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFIC WND2.5/< PROFEE	$133.56	$180.00	$46.85–$190.80	10% below	26%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR WOUND SIMPLE NECK/TRUNK/EXT < 2.5 CM 12001	$135.79	$183.00	$46.85–$193.98	9% below	26%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SIMPLE LAC SCALP/TRUNK/EXTREM/HAND/FOOT <=2.5 CM	$577.28	$778.00	$46.85–$754.66	289% above	26%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFIC WND2.5/<	$577.28	$778.00	$46.85–$754.66	289% above	26%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SUPERFIC WND2.5/< PROFEE	$133.56	$180.00	$153.00–$174.60	—	26%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SIMPLE LAC SCALP/TRUNK/EXTREM/HAND/FOOT <=2.5 CM	$577.28	$778.00	$661.30–$754.66	—	26%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SUPERFIC WND2.5/<	$577.28	$778.00	$661.30–$754.66	—	26%
Skin biopsy, punch, one lesion CPT 11104 BIOPSY SKIN PUNCH SINGLE PROFEE	$180.31	$243.00	$48.64–$257.58	64% below	26%
Skin biopsy, punch, one lesion CPT 11104 BIOPSY SKIN PUNCH SINGLE 11104	$184.02	$248.00	$48.64–$262.88	64% below	26%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SINGLE LESION	$341.32	$460.00	$48.64–$451.38	33% below	26%
Skin biopsy, punch, one lesion inpatient CPT 11104 BIOPSY SKIN PUNCH SINGLE PROFEE	$180.31	$243.00	$206.55–$235.71	—	26%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SINGLE LESION	$341.32	$460.00	$391.00–$446.20	—	26%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/ PROFEE	$188.47	$254.00	$128.74–$269.24	54% below	26%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION MALIGNANT TRUNK/ARM/LEG < 0.5 CM 11600	$302.74	$408.00	$128.74–$432.48	26% below	26%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/	$1,079.61	$1,455.00	$128.74–$1,411.35	164% above	26%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/ PROFEE	$188.47	$254.00	$215.90–$246.38	—	26%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/	$1,079.61	$1,455.00	$1,236.75–$1,411.35	—	26%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS <= 15 LESIONS 11200	$129.85	$175.00	$80.82–$185.50	24% below	26%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$1,307.41	$1,762.00	$66.16–$1,709.14	142% above	26%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE PROCEDURE	$1,633.89	$2,202.00	$66.16–$2,135.94	202% above	26%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PRC LUMBAR PUNCTURE	$1,633.89	$2,202.00	$66.16–$2,135.94	202% above	26%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$1,307.41	$1,762.00	$1,497.70–$1,709.14	—	26%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE PROCEDURE	$1,633.89	$2,202.00	$1,871.70–$2,135.94	—	26%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PRC LUMBAR PUNCTURE	$1,633.89	$2,202.00	$1,871.70–$2,135.94	—	26%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM PROFEE	$86.82	$117.00	$61.51–$124.02	58% below	26%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR WOUND SIMPLE NECK/TRUNK/EXT 2.6-7.5 CM 12002	$165.47	$223.00	$61.51–$224.49	20% below	26%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM	$374.71	$505.00	$61.51–$489.85	80% above	26%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SIMPLE LAC SCALP/TRUNK/EXTREM/HAND/FOOT 2.6-7.5 CM	$749.42	$1,010.00	$61.51–$979.70	261% above	26%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM PROFEE	$86.82	$117.00	$99.45–$113.49	—	26%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM	$374.71	$505.00	$429.25–$489.85	—	26%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SIMPLE LAC SCALP/TRUNK/EXTREM/HAND/FOOT 2.6-7.5 CM	$749.42	$1,010.00	$858.50–$979.70	—	26%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR FACE/EAR/NOSE <=2.5CM PROFEE	$81.62	$110.00	$57.93–$116.60	74% below	26%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR WOUND SIMPLE FACE/EAR/NOSE < 2.5 CM 12011	$170.66	$230.00	$57.93–$224.49	46% below	26%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR FACE/EAR/NOSE <=2.5CM	$443.72	$598.00	$57.93–$580.06	40% above	26%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SIMPLE LAC FACE/EAR/NOSE <=2.5 CM	$727.16	$980.00	$57.93–$950.60	129% above	26%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR FACE/EAR/NOSE <=2.5CM PROFEE	$81.62	$110.00	$93.50–$106.70	—	26%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR FACE/EAR/NOSE <=2.5CM	$443.72	$598.00	$508.30–$580.06	—	26%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR SIMPLE LAC FACE/EAR/NOSE <=2.5 CM	$727.16	$980.00	$833.00–$950.60	—	26%
TURP (transurethral resection of the prostate) CPT 52601 TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE PC	$1,035.84	$1,396.00	$762.44–$1,479.76	92% below	26%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY SKIN SHAVE SINGLE PROFEE	$143.95	$194.00	$39.34–$205.64	58% below	26%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY SKIN SHAVE SINGLE 11102	$146.92	$198.00	$39.34–$209.88	57% below	26%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY SKIN SHAVE SINGLE	$341.32	$460.00	$39.34–$446.20	1% below	26%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BIOPSY SKIN SHAVE SINGLE PROFEE	$143.95	$194.00	$164.90–$188.18	—	26%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BIOPSY SKIN SHAVE SINGLE	$341.32	$460.00	$391.00–$446.20	—	26%
Thoracentesis with imaging guidance both sides CPT 32555 THORACENTESIS ASPIRATION PLEURAL SPACE W/ IMAGING BILAT	$2,979.88	$4,016.00	$112.65–$3,895.52	—	26%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING PC	$155.82	$210.00	$112.65–$222.60	90% below	26%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$993.54	$1,339.00	$112.65–$1,298.83	38% below	26%
Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS	$1,439.48	$1,940.00	$112.65–$1,881.80	10% below	26%
Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS	$1,497.36	$2,018.00	$112.65–$1,957.46	7% below	26%
Thoracentesis with imaging guidance CPT 32555 PRC THORA-PARACENTESIS IN US	$1,641.31	$2,212.00	$112.65–$2,145.64	2% above	26%
Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS ASPIRATION PLEURAL SPACE W/ IMAGING LEFT	$1,497.36	$2,018.00	$112.65–$1,957.46	7% below	26%
Thoracentesis with imaging guidance inpatient both sides CPT 32555 THORACENTESIS ASPIRATION PLEURAL SPACE W/ IMAGING BILAT	$2,979.88	$4,016.00	$3,413.60–$3,895.52	—	26%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$993.54	$1,339.00	$1,138.15–$1,298.83	—	26%
Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTESIS	$1,439.48	$1,940.00	$1,649.00–$1,881.80	—	26%
Thoracentesis with imaging guidance inpatient CPT 32555 CT THORACENTESIS	$1,497.36	$2,018.00	$1,715.30–$1,957.46	—	26%
Thoracentesis with imaging guidance inpatient CPT 32555 PRC THORA-PARACENTESIS IN US	$1,641.31	$2,212.00	$1,880.20–$2,145.64	—	26%
Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS ASPIRATION PLEURAL SPACE W/ IMAGING LEFT	$1,497.36	$2,018.00	$1,715.30–$1,957.46	—	26%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$2,010.82	$2,710.00	$1,347.14–$2,872.60	91% below	26%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY	$1,984.11	$2,674.00	$1,345.00–$2,834.44	91% below	26%
Total shoulder replacement CPT 23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER PC	$2,351.40	$3,169.00	$1,515.22–$3,359.14	90% below	26%
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION	$509.76	$687.00	$313.27–$728.22	89% below	26%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECT SINGLE/MULTI TRIGGER POINT 1-2 MUSC 20552	$77.17	$104.00	$38.62–$110.24	81% below	26%
Trigger point injections, 1 or 2 muscles CPT 20552 CT PIRIFORMIS MUSCLE INJECT (1 OR 2 INJ)	$792.46	$1,068.00	$38.62–$1,035.96	92% above	26%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 CT PIRIFORMIS MUSCLE INJECT (1 OR 2 INJ)	$792.46	$1,068.00	$907.80–$1,035.96	—	26%
Ultrasound-guided breast needle biopsy with marker clip, first lesion both sides CPT 19083 US BREAST BIOPSY BILAT	$5,139.84	$6,927.00	$159.14–$6,719.19	—	26%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY BREAST W/US 1ST LESION 19083	$833.27	$1,123.00	$159.14–$1,190.38	83% below	26%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BREAST CORE BIOPSY LEFT	$2,570.29	$3,464.00	$159.14–$3,360.08	48% below	26%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient both sides CPT 19083 US BREAST BIOPSY BILAT	$5,139.84	$6,927.00	$5,887.95–$6,719.19	—	26%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US BREAST CORE BIOPSY LEFT	$2,570.29	$3,464.00	$2,944.40–$3,360.08	—	26%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/BALLOON DILATION < 30 MM PC	$235.22	$317.00	$159.14–$336.02	91% below	26%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/BALLOON DILATION < 30 MM	$3,257.38	$4,390.00	$159.14–$4,258.30	19% above	26%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD W/BALLOON DILATION < 30 MM	$3,257.38	$4,390.00	$3,731.50–$4,258.30	—	26%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY PC	$211.47	$285.00	$143.76–$302.10	91% below	26%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY	$1,966.30	$2,650.00	$143.76–$2,570.50	18% below	26%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/BIOPSY	$1,966.30	$2,650.00	$2,252.50–$2,570.50	—	26%
Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W/SUBMUCOSAL INJECTION PC	$210.73	$284.00	$143.76–$301.04	86% below	26%
Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W/SUBMUCOSAL INJECTION	$1,638.34	$2,208.00	$143.76–$2,141.76	8% above	26%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 EGD W/SUBMUCOSAL INJECTION	$1,638.34	$2,208.00	$1,876.80–$2,141.76	—	26%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/SNARE POLYPECTOMY PC	$299.77	$404.00	$202.77–$428.24	92% below	26%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/SNARE POLYPECTOMY	$2,714.24	$3,658.00	$202.77–$3,548.26	24% below	26%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD W/SNARE POLYPECTOMY	$2,714.24	$3,658.00	$3,109.30–$3,548.26	—	26%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W/DILATION OVER GUIDE WIRE PC	$253.77	$342.00	$172.37–$362.52	77% below	26%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W/DILATION OVER GUIDE WIRE	$1,307.41	$1,762.00	$172.37–$1,709.14	17% above	26%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD W/DILATION OVER GUIDE WIRE	$1,307.41	$1,762.00	$1,497.70–$1,709.14	—	26%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC PC	$186.99	$252.00	$127.31–$267.12	89% below	26%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC	$1,966.30	$2,650.00	$127.31–$2,570.50	11% above	26%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC	$1,966.30	$2,650.00	$2,252.50–$2,570.50	—	26%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTO W/URETEROSCOPY W/LITHOTRIPSY PC	$595.83	$803.00	$405.18–$851.18	93% below	26%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT 52356	$631.45	$851.00	$429.86–$902.06	93% below	26%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS 55250	$518.66	$699.00	$242.82–$740.94	—	26%
Vein ablation, radiofrequency, first vein CPT 36475 US VEIN ABLATION THERAPY - REPORT	$437.78	$590.00	$283.95–$625.40	99% below	26%
Vein ablation, radiofrequency, first vein CPT 36475 DCS - US VEIN ABLATION RPT	$454.85	$613.00	$283.95–$649.78	99% below	26%
Vein ablation, radiofrequency, first vein CPT 36475 US VEIN ABLATION THERAPY	$9,225.29	$12,433.00	$283.95–$12,060.01	71% below	26%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 DCS - US VEIN ABLATION RPT	$454.85	$613.00	$521.05–$594.61	—	26%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 US VEIN ABLATION THERAPY	$9,225.29	$12,433.00	$10,568.05–$12,060.01	—	26%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION LESION BENIGN 1-14 LESIONS 17110	$163.24	$220.00	$72.60–$224.49	28% below	26%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN & SUBQ PROFEE	$92.01	$124.00	$63.30–$131.44	86% below	26%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE TISSUE SUBQ 20 SQCM/<	$1,133.04	$1,527.00	$63.30–$1,481.19	73% above	26%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE TISSUE SUBQ 20SQCM/<	$2,059.80	$2,776.00	$63.30–$2,692.72	214% above	26%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN & SUBQ PROFEE	$92.01	$124.00	$105.40–$120.28	—	26%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE TISSUE SUBQ 20 SQCM/<	$1,133.04	$1,527.00	$1,297.95–$1,481.19	—	26%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE TISSUE SUBQ 20SQCM/<	$2,059.80	$2,776.00	$2,359.60–$2,692.72	—	26%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 ORIF EXTRA-ARTICULAR RADIAL FRACTURE PC	$1,156.04	$1,558.00	$788.55–$1,651.48	92% below	26%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION CHARGE	$1,273.28	$1,716.00	$43.99–$1,664.52	138% above	26%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD	$1,337.09	$1,802.00	$43.99–$1,747.94	150% above	26%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 2HR	$1,337.09	$1,802.00	$43.99–$1,747.94	150% above	26%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION CHARGE	$1,273.28	$1,716.00	$1,458.60–$1,664.52	—	26%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD	$1,337.09	$1,802.00	$1,531.70–$1,747.94	—	26%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION 2HR	$1,337.09	$1,802.00	$1,531.70–$1,747.94	—	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 INHALATION TREATMENT - PC - ADMIN CHARGE (INHALATION)	$18.55	$25.00	$8.23–$26.50	92% below	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RE-CHECK - HEATED HIGH FLOW O2 ACTIVITY CCN	$77.91	$105.00	$8.23–$111.30	65% below	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEW START - HEATED HIGH FLOW O2 ACTIVITY CCN	$138.76	$187.00	$8.23–$198.22	38% below	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEW START HELIOX THERAPY - HELIOX ACTIVITY	$166.95	$225.00	$8.23–$229.79	25% below	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 OXYGEN HOOD SHIFT CHARGE - OXYGEN ACTIVITY	$271.58	$366.00	$8.23–$355.02	22% above	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEW START - EZPAP ACTIVITY	$281.22	$379.00	$8.23–$367.63	26% above	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONTINUOUS SHIFT CHARGE - BLAND AEROSOL ACTIVITY	$336.13	$453.00	$8.23–$439.41	51% above	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RE-CHECK - HEATED HIGH FLOW O2 ACTIVITY CCN	$77.91	$105.00	$89.25–$101.85	—	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEW START - HEATED HIGH FLOW O2 ACTIVITY CCN	$138.76	$187.00	$158.95–$181.39	—	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEW START HELIOX THERAPY - HELIOX ACTIVITY	$166.95	$225.00	$191.25–$218.25	—	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 OXYGEN HOOD SHIFT CHARGE - OXYGEN ACTIVITY	$271.58	$366.00	$311.10–$355.02	—	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEW START - EZPAP ACTIVITY	$281.22	$379.00	$322.15–$367.63	—	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CONTINUOUS SHIFT CHARGE - BLAND AEROSOL ACTIVITY	$336.13	$453.00	$385.05–$439.41	—	26%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INIT 1ST HR	$774.65	$1,044.00	$135.18–$1,012.68	77% above	26%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF INIT 1ST HR	$774.65	$1,044.00	$887.40–$1,012.68	—	26%
Comprehensive eye exam, returning patient CPT 92014 EYE EXAM & TREATMENT 92014	$186.99	$252.00	$78.68–$244.44	14% above	26%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MIN 99291	$330.19	$445.00	$185.32–$471.70	84% below	26%
Critical care, first 30 to 74 minutes CPT 99291 99291 - CRITICAL CARE	$5,136.87	$6,923.00	$185.32–$6,715.31	143% above	26%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - CRITICAL CARE	$5,136.87	$6,923.00	$5,884.55–$6,715.31	—	26%
EEG (brain wave test), awake and drowsy, routine CPT 95816 ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY PC	$81.62	$110.00	$93.50–$434.45	86% below	26%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG COMPLETION RPT	$93.50	$126.00	$107.10–$434.45	84% below	26%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG COMPLETION PROCEDURE	$1,229.50	$1,657.00	$331.90–$1,607.29	112% above	26%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG COMPLETION RPT	$93.50	$126.00	$107.10–$122.22	—	26%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG COMPLETION PROCEDURE	$1,229.50	$1,657.00	$1,408.45–$1,607.29	—	26%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG - INTERPRETATION	$20.78	$28.00	$15.02–$27.16	3% above	26%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG IN OFFICE 93000	$41.56	$56.00	$15.02–$54.32	105% above	26%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG - ACQUISITION	$376.20	$507.00	$6.44–$491.79	222% above	26%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG - ACQUISITION	$376.20	$507.00	$430.95–$491.79	—	26%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LIMITED	$34.88	$47.00	$9.85–$49.82	86% below	26%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - LEVEL 1	$387.33	$522.00	$9.85–$506.34	59% above	26%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - LEVEL 1	$387.33	$522.00	$443.70–$506.34	—	26%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LOW 99282	$65.30	$88.00	$36.41–$93.28	82% below	26%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - LEVEL 2	$745.71	$1,005.00	$36.41–$974.85	104% above	26%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - LEVEL 2	$745.71	$1,005.00	$854.25–$974.85	—	26%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT MOD 99283	$112.05	$151.00	$62.07–$160.06	82% below	26%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - LEVEL 3	$1,133.78	$1,528.00	$62.07–$1,482.16	83% above	26%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - LEVEL 3	$1,133.78	$1,528.00	$1,298.80–$1,482.16	—	26%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT HIGH 99284	$187.73	$253.00	$105.34–$268.18	83% below	26%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - LEVEL 4	$1,849.07	$2,492.00	$105.34–$2,417.24	69% above	26%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - LEVEL 4	$1,849.07	$2,492.00	$2,118.20–$2,417.24	—	26%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT HIGH URGENT 99285	$273.06	$368.00	$152.79–$390.08	82% below	26%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - LEVEL 5	$2,982.84	$4,020.00	$152.79–$3,899.40	97% above	26%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - LEVEL 5	$2,982.84	$4,020.00	$3,417.00–$3,899.40	—	26%
Exercise stress test, tracing only, the hospital charge CPT 93017 EST PROCEDURE	$1,264.37	$1,704.00	$39.34–$1,652.88	131% above	26%
Exercise stress test, tracing only, the hospital charge CPT 93017 EST NUCLEAR EST PROCEDURE	$1,374.19	$1,852.00	$39.34–$1,796.44	151% above	26%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EST PROCEDURE	$1,264.37	$1,704.00	$1,448.40–$1,652.88	—	26%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EST NUCLEAR EST PROCEDURE	$1,374.19	$1,852.00	$1,574.20–$1,796.44	—	26%
Eye exam, returning patient, intermediate CPT 92012 VISION TEST ESTAB PATIE	$132.08	$178.00	$52.21–$172.66	at median	26%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INTRAVENOUS INFUSION HYDRATION: INITIAL 31 MIN TO 1 HOUR	$55.65	$75.00	$33.97–$79.50	69% below	26%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR	$458.56	$618.00	$33.97–$599.46	154% above	26%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION UP TO ONE HOUR - OB PRIMARY IV	$458.56	$618.00	$33.97–$599.46	154% above	26%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR	$458.56	$618.00	$525.30–$599.46	—	26%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION UP TO ONE HOUR - OB PRIMARY IV	$458.56	$618.00	$525.30–$599.46	—	26%
IV infusion of a medicine, first hour CPT 96365 96365 IV INF THERAPY/PROP - PC - ADMIN CHARGE (JOINT/IM/IV)	$102.40	$138.00	$65.44–$146.28	55% below	26%
IV infusion of a medicine, first hour CPT 96365 INTRAVENOUS INFUSION	$108.34	$146.00	$65.44–$154.76	53% below	26%
IV infusion of a medicine, first hour CPT 96365 IV INIT MED INF UP TO 1HR	$586.18	$790.00	$65.44–$766.30	155% above	26%
IV infusion of a medicine, first hour CPT 96365 IV MEDICATION INFUSION UP TO ONE HOUR - OB PRIMARY IV	$586.18	$790.00	$65.44–$766.30	155% above	26%
IV infusion of a medicine, first hour inpatient CPT 96365 IV MEDICATION INFUSION UP TO ONE HOUR - OB PRIMARY IV	$586.18	$790.00	$671.50–$766.30	—	26%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INIT MED INF UP TO 1HR	$586.18	$790.00	$671.50–$766.30	—	26%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 VFC - ADMIN 50 MG/0.5 ML (CVX 306) - PC - ADMIN CHARGE (NIRSEVIMAB CVX 306)	$15.59	$21.00	$15.02–$22.26	77% below	26%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 30MG/ML 2ML - PC - ADMIN CHARGE (ORPHENADRINE)	$19.30	$26.00	$15.02–$27.56	71% below	26%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SUBQ	$22.26	$30.00	$15.02–$31.80	67% below	26%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION CHARGE	$126.89	$171.00	$15.02–$165.87	87% above	26%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION MED SQ/IM	$207.76	$280.00	$15.02–$271.60	207% above	26%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 XR THYROGEN INJECTION BY IMAGING NURSE	$217.41	$293.00	$15.02–$284.21	221% above	26%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB INJECTION MEDICATIONS	$217.41	$293.00	$15.02–$284.21	221% above	26%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION CHARGE	$126.89	$171.00	$145.35–$165.87	—	26%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION MED SQ/IM	$207.76	$280.00	$238.00–$271.60	—	26%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 XR THYROGEN INJECTION BY IMAGING NURSE	$217.41	$293.00	$249.05–$284.21	—	26%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB INJECTION MEDICATIONS	$217.41	$293.00	$249.05–$284.21	—	26%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDY 7-8 95909	$274.54	$370.00	$184.53–$358.90	37% above	26%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR REEDUCATION CHARGES	$106.85	$144.00	$35.76–$139.68	15% below	26%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR REEDUCATION CHARGES	$111.30	$150.00	$35.76–$145.50	11% below	26%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR REEDUCATION CHARGES	$106.85	$144.00	$122.40–$139.68	—	26%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR REEDUCATION CHARGES	$111.30	$150.00	$127.50–$145.50	—	26%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 PROFEE	$116.50	$157.00	$57.49–$152.29	36% below	26%
New patient office visit, about 30 minutes CPT 99203 VISIT LOW 30MN NW PT 99203	$405.88	$547.00	$57.49–$530.59	122% above	26%
New patient office visit, about 30 minutes CPT 99203 VISIT LOW 30MN NW PT	$592.12	$798.00	$57.49–$774.06	223% above	26%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3 PROFEE	$116.50	$157.00	$133.45–$152.29	—	26%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT LOW 30MN NW PT 99203	$405.88	$547.00	$464.95–$530.59	—	26%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT LOW 30MN NW PT	$592.12	$798.00	$678.30–$774.06	—	26%
New patient office visit, about 45 minutes CPT 99204 VISIT MDT 45MN NW PT 99204	$526.82	$710.00	$93.66–$688.70	129% above	26%
New patient office visit, about 45 minutes CPT 99204 VISIT MDT 45MN NW PT	$764.26	$1,030.00	$93.66–$999.10	232% above	26%
New patient office visit, about 45 minutes CPT 99204 FETAL DEM <23 NEW W PROC - OB PROCEDURES	$764.26	$1,030.00	$93.66–$999.10	232% above	26%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT MDT 45MN NW PT 99204	$526.82	$710.00	$603.50–$688.70	—	26%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT MDT 45MN NW PT	$764.26	$1,030.00	$875.50–$999.10	—	26%
New patient office visit, about 45 minutes inpatient CPT 99204 FETAL DEM <23 NEW W PROC - OB PROCEDURES	$764.26	$1,030.00	$875.50–$999.10	—	26%
New patient office visit, about 60 minutes CPT 99205 VISIT HIGH 60MN NW PT 99205	$643.32	$867.00	$127.20–$840.99	125% above	26%
New patient office visit, about 60 minutes CPT 99205 VISIT HIGH 60MN NW PT	$1,001.70	$1,350.00	$127.20–$1,309.50	251% above	26%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT HIGH 60MN NW PT 99205	$643.32	$867.00	$736.95–$840.99	—	26%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT HIGH 60MN NW PT	$1,001.70	$1,350.00	$1,147.50–$1,309.50	—	26%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT 99202	$284.19	$383.00	$33.30–$371.51	133% above	26%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT/FETAL MONITR NEW - OB GREATER THAN LEVEL 1	$442.98	$597.00	$33.30–$579.09	263% above	26%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT	$442.98	$597.00	$33.30–$579.09	263% above	26%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT 99202	$284.19	$383.00	$325.55–$371.51	—	26%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB VISIT/FETAL MONITR NEW - OB GREATER THAN LEVEL 1	$442.98	$597.00	$507.45–$579.09	—	26%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT	$442.98	$597.00	$507.45–$579.09	—	26%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INITIAL ASSESSMENT 15 MINUTE CHARGE	$61.59	$83.00	$33.62–$80.51	67% below	26%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 INITIAL ASSESSMENT 15 MINUTE CHARGE	$61.59	$83.00	$70.55–$80.51	—	26%
Occupational therapy evaluation, low complexity CPT 97165 YES - OT EVAL LOW COMPLEX 20 MIN	$215.18	$290.00	$107.29–$281.30	39% below	26%
Occupational therapy evaluation, low complexity inpatient CPT 97165 YES - OT EVAL LOW COMPLEX 20 MIN	$215.18	$290.00	$246.50–$281.30	—	26%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 YES - KPKGE PT EVAL HIGH COMPLEX 45 MIN	$255.99	$345.00	$106.21–$334.65	61% below	26%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 YES - KPKGE PT EVAL HIGH COMPLEX 45 MIN	$255.99	$345.00	$293.25–$334.65	—	26%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 YES - PT EVAL LOW COMPLEX 20 MIN	$196.63	$265.00	$106.21–$257.05	44% below	26%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 YES - PT EVAL LOW COMPLEX 20 MIN	$196.63	$265.00	$225.25–$257.05	—	26%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 YES - PT EVAL MOD COMPLEX 30 MIN	$230.02	$310.00	$106.21–$300.70	56% below	26%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 YES - PT EVAL MOD COMPLEX 30 MIN	$230.02	$310.00	$263.50–$300.70	—	26%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1 OR MORE AREAS 15MIN	$42.30	$57.00	$28.61–$55.29	66% below	26%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY CHARGE UNITS	$132.82	$179.00	$28.61–$173.63	6% above	26%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY CHARGE UNITS	$132.82	$179.00	$28.61–$173.63	6% above	26%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY CHARGE UNITS	$132.82	$179.00	$152.15–$173.63	—	26%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY CHARGE UNITS	$132.82	$179.00	$152.15–$173.63	—	26%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC PROCEDURE 1 OR MORE AREAS EACH 15MIN	$45.27	$61.00	$31.11–$59.17	74% below	26%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE CHARGES	$109.08	$147.00	$31.11–$142.59	36% below	26%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE CHARGES	$113.53	$153.00	$31.11–$148.41	34% below	26%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE CHARGES	$109.08	$147.00	$124.95–$142.59	—	26%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE CHARGES	$113.53	$153.00	$130.05–$148.41	—	26%
Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL COMP PREVENTIVE MED 18 TO 39 YEARS NEW 99385	$187.73	$253.00	$80.17–$245.41	43% above	26%
Preventive checkup, new patient aged 40–64 CPT 99386 INITIAL COMP PREVENTIVE MED 40 TO 64 YEARS NEW 99386	$218.15	$294.00	$97.43–$285.18	42% above	26%
Preventive checkup, new patient aged 65 or older CPT 99387 INITIAL COMP PREVENTIVE MED 65+ YEARS NEW 99387	$235.96	$318.00	$104.45–$308.46	61% above	26%
Preventive checkup, returning patient aged 18–39 CPT 99395 PERIODIC COMP PREVENTIVE MED 18 TO 39 YEARS EST 99395	$169.92	$229.00	$73.44–$222.13	66% above	26%
Preventive checkup, returning patient aged 40–64 CPT 99396 PERIODIC COMP PREVENTIVE MED 40 TO 64 YEARS EST 99396	$181.05	$244.00	$79.58–$236.68	64% above	26%
Preventive checkup, returning patient aged 65 or older CPT 99397 PERIODIC COMP PREVENTIVE MED 65+ YEARS EST 99397	$194.41	$262.00	$83.68–$254.14	60% above	26%
Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES 90792	$287.16	$387.00	$171.25–$375.39	31% above	26%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BETWEEN 3 AND 10 MINUTES - TIME SPENT DISCUSSING SMOKING CESSATION	$37.85	$51.00	$7.14–$49.47	18% above	26%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE CESSATION COUNSELING VISIT 3 TO 10 MINUTES 99406	$41.56	$56.00	$7.84–$54.32	30% above	26%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BETWEEN 3 AND 10 MINUTES - TIME SPENT DISCUSSING SMOKING CESSATION	$37.85	$51.00	$43.35–$49.47	—	26%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING AND TOBACCO USE CESSATION COUNSELING VISIT 3 TO 10 MINUTES 99406	$41.56	$56.00	$47.60–$54.32	—	26%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT 40-54MN EST PT 99215	$582.47	$785.00	$101.32–$761.45	121% above	26%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT 40-54MN EST PT	$764.26	$1,030.00	$101.32–$999.10	191% above	26%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT 40-54MN EST PT 99215	$582.47	$785.00	$667.25–$761.45	—	26%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT 40-54MN EST PT	$764.26	$1,030.00	$875.50–$999.10	—	26%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT LEVEL 3 PROFEE	$79.40	$107.00	$46.23–$103.79	48% below	26%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LOW 20MN EST PT 99213	$96.46	$130.00	$46.23–$126.10	37% below	26%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LOW 20MN EST PT	$349.49	$471.00	$46.23–$456.87	129% above	26%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB VISIT LOW 20MN EST PT - OB TRIAGE LEVEL	$787.27	$1,061.00	$46.23–$1,029.17	417% above	26%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT LEVEL 3 PROFEE	$79.40	$107.00	$90.95–$103.79	—	26%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT LOW 20MN EST PT 99213	$96.46	$130.00	$110.50–$126.10	—	26%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT LOW 20MN EST PT	$349.49	$471.00	$400.35–$456.87	—	26%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB VISIT LOW 20MN EST PT - OB TRIAGE LEVEL	$787.27	$1,061.00	$901.85–$1,029.17	—	26%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT MDT 30MN EST PT 99214	$465.98	$628.00	$68.27–$609.16	95% above	26%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT MDT 30MN EST PT	$592.12	$798.00	$68.27–$774.06	147% above	26%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FETAL DEM <23 EST W PROC - OB PROCEDURES	$888.92	$1,198.00	$68.27–$1,162.06	271% above	26%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB VISIT MDT 30MN EST PT - OB TRIAGE LEVEL	$915.63	$1,234.00	$68.27–$1,196.98	282% above	26%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT MDT 30MN EST PT 99214	$465.98	$628.00	$533.80–$609.16	—	26%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT MDT 30MN EST PT	$592.12	$798.00	$678.30–$774.06	—	26%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FETAL DEM <23 EST W PROC - OB PROCEDURES	$888.92	$1,198.00	$1,018.30–$1,162.06	—	26%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB VISIT MDT 30MN EST PT - OB TRIAGE LEVEL	$915.63	$1,234.00	$1,048.90–$1,196.98	—	26%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT STFD 10MN EST PT 99212	$232.99	$314.00	$24.67–$304.58	140% above	26%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT STFD 10MN EST PT	$372.49	$502.00	$24.67–$486.94	284% above	26%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB VISIT STFD 10MN EST PT - OB TRIAGE LEVEL	$525.34	$708.00	$24.67–$686.76	442% above	26%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT STFD 10MN EST PT 99212	$232.99	$314.00	$266.90–$304.58	—	26%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT STFD 10MN EST PT	$372.49	$502.00	$426.70–$486.94	—	26%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OB VISIT STFD 10MN EST PT - OB TRIAGE LEVEL	$525.34	$708.00	$601.80–$686.76	—	26%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT LEVEL 3 NEW 99243	$170.66	$230.00	$77.29–$223.10	72% above	26%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT LEVEL 4 NEW 99244	$255.99	$345.00	$117.58–$334.65	88% above	26%
Speech and language evaluation CPT 92523 YES - EVALUATION OF SPEECH SOUND PRODUCTION W/LANGUAGE COMPREHENSION & EXPRESSION	$563.18	$759.00	$241.39–$736.23	24% below	26%
Speech and language evaluation inpatient CPT 92523 YES - EVALUATION OF SPEECH SOUND PRODUCTION W/LANGUAGE COMPREHENSION & EXPRESSION	$563.18	$759.00	$645.15–$736.23	—	26%
Speech therapy session, individual CPT 92507 YES - SPEECH TREATMENT CHARGE	$292.35	$394.00	$40.69–$382.18	17% below	26%
Speech therapy session, individual inpatient CPT 92507 YES - SPEECH TREATMENT CHARGE	$292.35	$394.00	$334.90–$382.18	—	26%
Spirometry (breathing test) CPT 94010 SPIROMETRY POC-PC	$41.56	$56.00	$28.61–$59.36	76% below	26%
Spirometry (breathing test) CPT 94010 PFT SEATED-SUPINE - PFT EXAM COMPLETED	$267.12	$360.00	$28.61–$349.20	51% above	26%
Spirometry (breathing test) CPT 94010 PFT PRE SPIROMETRY ONLY - PFT EXAM COMPLETED	$299.77	$404.00	$28.61–$391.88	70% above	26%
Spirometry (breathing test) inpatient CPT 94010 PFT SEATED-SUPINE - PFT EXAM COMPLETED	$267.12	$360.00	$306.00–$349.20	—	26%
Spirometry (breathing test) inpatient CPT 94010 PFT PRE SPIROMETRY ONLY - PFT EXAM COMPLETED	$299.77	$404.00	$343.40–$391.88	—	26%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY POC-PC	$65.30	$88.00	$40.77–$93.28	75% below	26%
Spirometry before and after a bronchodilator CPT 94060 POST BRONCHODILATOR SPIROMETRY - SPIROMETRY ACTIVITY	$267.12	$360.00	$40.77–$351.82	1% above	26%
Spirometry before and after a bronchodilator CPT 94060 PFT PRE AND POST SPIROMETRY - PFT EXAM COMPLETED	$681.90	$919.00	$40.77–$891.43	158% above	26%
Spirometry before and after a bronchodilator inpatient CPT 94060 POST BRONCHODILATOR SPIROMETRY - SPIROMETRY ACTIVITY	$267.12	$360.00	$306.00–$349.20	—	26%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT PRE AND POST SPIROMETRY - PFT EXAM COMPLETED	$681.90	$919.00	$781.15–$891.43	—	26%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY CHARGE	$102.40	$138.00	$38.62–$133.86	57% below	26%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITY CHARGE	$106.11	$143.00	$38.62–$138.71	56% below	26%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITIES CHARGES.	$107.59	$145.00	$38.62–$140.65	55% below	26%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITY CHARGE	$102.40	$138.00	$117.30–$133.86	—	26%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITY CHARGE	$106.11	$143.00	$121.55–$138.71	—	26%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITIES CHARGES.	$107.59	$145.00	$123.25–$140.65	—	26%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT - NURSE CHG	$291.61	$393.00	$99.78–$381.21	21% above	26%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$383.62	$517.00	$99.78–$501.49	60% above	26%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT - NURSE CHG	$291.61	$393.00	$334.05–$381.21	—	26%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$383.62	$517.00	$439.45–$501.49	—	26%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 STRESS TEST COMPLETE	$109.08	$147.00	$75.81–$142.59	at median	26%
Visual field test, extended CPT 92083 AUTOMATED VISUAL FIELD 92083	$96.46	$130.00	$66.52–$137.80	19% below	26%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 91320 - 30 MCG/0.3 ML - PC - MED CHARGE (COVID 19 PFIZER COMIRNATY 12Y+)	$181.05	$244.00	$207.40–$236.68	—	26%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 90716 VARICELLA VIRUS - PC - MED CHARGE (VARICELLA)	$242.64	$327.00	$187.58–$317.19	at median	26%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 90656 FLU VAC PF TR SV 0.5MLPFS (FLUZONE/FLULAVAL) - PC - MED CHARGE (INFLUENZA)	$103.14	$139.00	$22.91–$134.83	42% above	26%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 90651 HPV 9 - PC - MED CHARGE (HPV)	$520.15	$701.00	$315.30–$679.97	67% above	26%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 90636 HEPA/HEPB ADULT - PC - MED CHARGE (HEP A/B ADULT)	$189.21	$255.00	$129.36–$247.35	103% above	26%
Hepatitis A vaccine, adult dose CPT 90632 90632 HEP A ADULT - PC - MED CHARGE (HEP A ADULT)	$94.24	$127.00	$73.40–$123.19	8% above	26%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 90746 HEP B ADULT - PC - MED CHARGE (HEP B ADULT)	$102.40	$138.00	$40.02–$133.86	35% above	26%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 FLUZONE HIGH DOSE - PC - MED CHARGE (INFLUENZA)	$103.14	$139.00	$40.31–$134.83	69% above	26%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0124-65 INFLUENZA VIRUS VACCINE INACTIVATED HIGH DOSE PF TRIVALENT	$235.22	$317.00	$85.58–$307.49	285% above	26%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0124-65 INFLUENZA VIRUS VACCINE INACTIVATED HIGH DOSE PF TRIVALENT	$235.22	$317.00	$91.93–$307.49	—	26%
MMR vaccine (measles, mumps and rubella), live CPT 90707 90707 MMR LIVE - PC - MED CHARGE (MMR)	$126.89	$171.00	$94.80–$165.87	16% below	26%
MMR vaccine (measles, mumps and rubella), live CPT 90707 00006-4681-00 - MEASLES/MUMPS/RUBELLA VIRUS VACCINE REC INJECTION	$528.31	$712.00	$94.80–$690.64	250% above	26%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 00006-4681-00 - MEASLES/MUMPS/RUBELLA VIRUS VACCINE REC INJECTION	$528.31	$712.00	$605.20–$690.64	—	26%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 MENACTRA - PC - MED CHARGE (MCV4)	$157.31	$212.00	$161.28–$205.64	57% below	26%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 90620 BEXSERO - PC - MED CHARGE (MENINGO B)	$245.61	$331.00	$229.34–$321.07	18% below	26%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 58160-0976-06 - MENINGOCOCCAL GROUP B VACCINE RECOMBINANT OMV ADJUVANTED SUSP	$1,149.36	$1,549.00	$229.34–$1,502.53	285% above	26%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 58160-0976-06 - MENINGOCOCCAL GROUP B VACCINE RECOMBINANT OMV ADJUVANTED SUSP	$1,149.36	$1,549.00	$1,316.65–$1,502.53	—	26%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 90677 PNEUMOCOCCAL 20 - PC - MED CHARGE ( PNEUMOCOCCAL 20 )	$460.04	$620.00	$86.80–$601.40	27% below	26%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 PNEUMOCOCCAL 23 - PC - MED CHARGE (PNEUMOCOCCAL 23)	$179.57	$242.00	$70.18–$234.74	113% above	26%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 90380 50 MG/0.5 ML - PC - MED CHARGE (NIRSEVIMAB CVX 306) 50 MG/0.5 ML	$778.36	$1,049.00	$891.65–$1,017.53	176% above	26%
Rabies vaccine, one dose CPT 90675 50632-0010-01 - RABIES VACCINE 2.5 INTL UNITS KIT JW	$2,352.89	$3,171.00	$266.30–$3,075.87	542% above	26%
Rabies vaccine, one dose inpatient CPT 90675 50632-0010-01 - RABIES VACCINE 2.5 INTL UNITS KIT JW	$2,352.89	$3,171.00	$2,695.35–$3,075.87	—	26%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 90750 SHINGRIX - PC - MED CHARGE (ZOSTER)	$276.03	$372.00	$202.85–$360.84	at median	26%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 - TDAP PRSRV FREE >7 IM - PC - MED CHARGE (TDAP)	$17.07	$23.00	$19.55–$36.04	86% below	26%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 TD NO PRSRV >= 7 - PC - MED CHARGE (TD)	$39.33	$53.00	$34.32–$51.41	68% below	26%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-15 - TETANUS-DIPHTH TOXOIDS (TD) ADULT/ADOL 5 UNITS-2UNITS/0.5 ML SUSP	$171.41	$231.00	$34.32–$224.07	40% above	26%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-15 - TETANUS-DIPHTH TOXOIDS (TD) ADULT/ADOL 5 UNITS-2UNITS/0.5 ML SUSP	$171.41	$231.00	$196.35–$224.07	—	26%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 TDAP VACCINE >7 IM - PC - MED CHARGE (TDAP)	$52.69	$71.00	$39.60–$68.87	57% below	26%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC - ADMIN 1 VACC - PC - ADMIN CHARGE (PNEUMOCOCCAL 20)	$15.59	$21.00	$17.85–$26.63	69% below	26%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN 1 VACC - PC - ADMIN CHARGE (HIB)	$40.07	$54.00	$25.36–$57.24	20% below	26%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ ADMIN-TD PED	$153.60	$207.00	$25.36–$200.79	205% above	26%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJ ADMIN-TD PED	$153.60	$207.00	$175.95–$200.79	—	26%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VFC - ADMIN EA ADD VACC - PC - ADMIN CHARGE (PNEUMOCOCCAL 20)	$15.59	$21.00	$12.82–$20.37	62% below	26%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EA ADD VACC - PC - ADMIN CHARGE (HIB)	$21.52	$29.00	$12.82–$28.13	47% below	26%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472- ADMIN IMMUNIZATION ADDIT	$153.60	$207.00	$12.82–$200.79	279% above	26%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472- ADMIN IMMUNIZATION ADDIT	$153.60	$207.00	$175.95–$200.79	—	26%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/dharz/ceaz/finance/price-transparency/860098923-1902897820_yavapai-community-hospital-association_standardcharges.json