Hospital Phoenix-Mesa-Chandler, AZ

Dignity Health

Dignity Health in Phoenix, AZ publishes cash prices for 270 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 above the Arizona median for 157 of 269 procedures and below it for 94. By typical cash price it ranks #30 of 53 Arizona hospitals and #20 of 32 hospitals in the Phoenix, AZ area, cheapest first. Click a procedure to compare it with other hospitals nearby.

350 W Thomas Rd, Phoenix, AZ 85013 Collected Sep 27, 2026 Source price file (602) 406-8225

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 030024 · 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 one side CPT 73610 XR ANKLE 3+ VIEWS LT	$336.93	$882.00	$38.27–$696.78	7% above	62%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3+ VIEWS LT	$336.93	$882.00	$529.20–$696.78	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US DOP ART EXT 1-2 LVL BI	$566.13	$1,482.00	$86.19–$1,366.76	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART EXT 1-2LTD UNI	$368.25	$964.00	$86.19–$964.00	1% below	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US DOP ART EXT 1-2LTD UNI	$379.33	$993.00	$86.19–$993.00	1% above	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US DOP ART EXT 1-2 LVL BI	$566.13	$1,482.00	$889.20–$1,170.78	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 DOP ART EXT 1-2LTD UNI	$368.25	$964.00	$578.40–$761.56	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US DOP ART EXT 1-2LTD UNI	$379.33	$993.00	$595.80–$784.47	—	62%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPH SCOUT CHST W CON	$374.36	$980.00	$102.28–$774.20	4% above	62%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPH SCOUT CHST W CON	$374.36	$980.00	$588.00–$774.20	—	62%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT WHOLE BODY	$1,206.36	$3,158.00	$282.16–$2,494.82	16% below	62%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT WHOLE BODY	$1,206.36	$3,158.00	$1,894.80–$2,494.82	—	62%
Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE BIL	$396.14	$1,037.00	$108.00–$819.23	16% above	62%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LT	$198.26	$519.00	$98.61–$519.00	42% below	62%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE BIL	$396.14	$1,037.00	$622.20–$819.23	—	62%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE LT	$198.26	$519.00	$311.40–$410.01	—	62%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED BIL	$269.31	$705.00	$89.40–$556.95	14% above	62%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LT	$178.40	$467.00	$88.73–$419.66	25% below	62%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED BIL	$269.31	$705.00	$423.00–$556.95	—	62%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED LT	$178.40	$467.00	$280.20–$368.93	—	62%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CON	$1,626.18	$4,257.00	$185.16–$3,363.03	17% above	62%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W CON	$1,626.18	$4,257.00	$2,554.20–$3,363.03	—	62%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT/COR ART 3D W	$1,151.35	$3,014.00	$346.53–$2,381.06	72% above	62%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT/COR ART 3D W	$1,151.35	$3,014.00	$1,808.40–$2,381.06	—	62%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT EVAL COR CA WO CON	$840.40	$2,200.00	$91.58–$1,738.00	55% above	62%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT EVAL COR CA WO CON	$840.40	$2,200.00	$1,320.00–$1,738.00	—	62%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CON	$1,332.42	$3,488.00	$197.40–$2,755.52	1% above	62%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CON	$1,332.42	$3,488.00	$2,092.80–$2,755.52	—	62%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CON	$2,115.14	$5,537.00	$326.86–$4,374.23	14% above	62%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CON	$2,115.14	$5,537.00	$3,322.20–$4,374.23	—	62%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WWO CON	$2,453.59	$6,423.00	$366.56–$5,074.17	6% above	62%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WWO CON	$2,453.59	$6,423.00	$3,853.80–$5,074.17	—	62%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON	$1,408.44	$3,687.00	$185.16–$2,912.73	9% above	62%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON	$1,408.44	$3,687.00	$2,212.20–$2,912.73	—	62%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON	$906.49	$2,373.00	$110.60–$1,874.67	at median	62%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON	$906.49	$2,373.00	$1,423.80–$1,874.67	—	62%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CON	$884.33	$2,315.00	$110.60–$1,828.85	8% above	62%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CON	$884.33	$2,315.00	$1,389.00–$1,828.85	—	62%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CON	$1,268.63	$3,321.00	$110.60–$2,623.59	44% above	62%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CON	$1,268.63	$3,321.00	$1,992.60–$2,623.59	—	62%
CT scan of the head with contrast CPT 70460 CT HEAD W CON	$1,699.90	$4,450.00	$159.85–$3,515.50	50% above	62%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CON	$1,699.90	$4,450.00	$2,670.00–$3,515.50	—	62%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO AND W CON	$2,004.36	$5,247.00	$185.16–$4,145.13	41% above	62%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO AND W CON	$2,004.36	$5,247.00	$3,148.20–$4,145.13	—	62%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON	$1,960.81	$5,133.00	$110.60–$4,055.07	67% above	62%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON	$1,960.81	$5,133.00	$3,079.80–$4,055.07	—	62%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON	$1,828.64	$4,787.00	$110.60–$3,781.73	64% above	62%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON	$1,828.64	$4,787.00	$2,872.20–$3,781.73	—	62%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON	$1,586.07	$4,152.00	$185.16–$3,280.08	35% above	62%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON	$1,586.07	$4,152.00	$2,491.20–$3,280.08	—	62%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DPLX EXTRACRAN CMP BIL	$1,034.84	$2,709.00	$199.19–$2,344.48	22% above	62%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DPLX EXTRACRAN CMP BIL	$1,034.84	$2,709.00	$1,625.40–$2,140.11	—	62%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$254.03	$665.00	$35.40–$525.35	32% above	62%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$254.03	$665.00	$399.00–$525.35	—	62%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$215.07	$563.00	$26.82–$444.77	101% above	62%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW	$215.07	$563.00	$337.80–$444.77	—	62%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPL	$418.68	$1,096.00	$110.60–$865.84	5% above	62%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPL	$418.68	$1,096.00	$657.60–$865.84	—	62%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY(DXA)AXAL	$229.97	$602.00	$40.77–$475.58	25% below	62%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY(DXA)AXAL	$229.97	$602.00	$361.20–$475.58	—	62%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CON	$903.43	$2,365.00	$110.60–$1,868.35	10% above	62%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CON	$903.43	$2,365.00	$1,419.00–$1,868.35	—	62%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CON	$1,505.85	$3,942.00	$179.88–$3,114.18	19% above	62%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CON	$1,505.85	$3,942.00	$2,365.20–$3,114.18	—	62%
Diagnostic mammogram, both breasts CPT 77066 MA MAMMO DIAG W CAD BIL	$349.53	$915.00	$166.65–$800.78	36% above	62%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA MAMMO DIAG W CAD BIL	$349.53	$915.00	$549.00–$722.85	—	62%
Diagnostic mammogram, one breast one side CPT 77065 MA MAMMO DIAG W CAD RT	$276.19	$723.00	$131.60–$625.90	27% below	62%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA MAMMO DIAG W CAD RT	$276.19	$723.00	$433.80–$571.17	—	62%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX ART LOW EXT BIL	$1,042.10	$2,728.00	$251.41–$2,728.00	41% above	62%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUPLEX ART LOW EXT BIL	$1,042.10	$2,728.00	$1,636.80–$2,155.12	—	62%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VENOUS EXT BIL	$1,079.92	$2,827.00	$195.97–$2,351.10	46% above	62%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DUPLEX VENOUS EXT BIL	$1,079.92	$2,827.00	$1,696.20–$2,233.33	—	62%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE PO	$806.41	$2,111.00	$206.35–$2,111.00	20% below	62%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$1,343.88	$3,518.00	$206.35–$2,962.26	33% above	62%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE PO	$806.41	$2,111.00	$1,266.60–$1,667.69	—	62%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE	$1,343.88	$3,518.00	$2,110.80–$2,779.22	—	62%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM	$1,235.01	$3,233.00	$310.77–$2,761.25	31% above	62%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM	$1,235.01	$3,233.00	$1,939.80–$2,554.07	—	62%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LT	$366.34	$959.00	$42.91–$757.61	14% above	62%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LT	$366.34	$959.00	$575.40–$757.61	—	62%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN WO CON LTD	$691.04	$1,809.00	$91.19–$1,429.11	56% above	62%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN WO CON LTD	$691.04	$1,809.00	$1,085.40–$1,429.11	—	62%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREEN LOW DOSE	$767.82	$2,010.00	$110.60–$1,669.00	488% above	62%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREEN LOW DOSE	$767.82	$2,010.00	$1,206.00–$1,587.90	—	62%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MR BREAST WO AND W CON BI	$1,691.12	$4,427.00	$370.13–$3,497.33	—	62%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MR BREAST WO AND W CON BI	$1,691.12	$4,427.00	$2,656.20–$3,497.33	—	62%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LOW EXTREM JNT WO BIL	$2,892.89	$7,573.00	$218.86–$5,982.67	32% above	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LOW EXTREM JNT WO RT	$1,446.26	$3,786.00	$218.86–$2,990.94	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LOW EXTREM JNT WO BIL	$2,892.89	$7,573.00	$4,543.80–$5,982.67	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LOW EXTREM JNT WO RT	$1,446.26	$3,786.00	$2,271.60–$2,990.94	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MR LOW EXTREM JNT WO W BI	$3,934.22	$10,299.00	$371.44–$8,136.21	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LOW EXTREM JNT WO W LT	$1,966.92	$5,149.00	$371.44–$4,067.71	34% below	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MR LOW EXTREM JNT WO W BI	$3,934.22	$10,299.00	$6,179.40–$8,136.21	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LOW EXTREM JNT WO W LT	$1,966.92	$5,149.00	$3,089.40–$4,067.71	—	62%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CON LTD	$370.93	$971.00	$184.49–$971.00	67% below	62%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CON	$1,719.39	$4,501.00	$211.35–$3,555.79	54% above	62%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CON LTD	$370.93	$971.00	$582.60–$767.09	—	62%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CON	$1,719.39	$4,501.00	$2,700.60–$3,555.79	—	62%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WO AND W CON	$2,773.32	$7,260.00	$365.13–$5,735.40	32% above	62%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WO AND W CON	$2,773.32	$7,260.00	$4,356.00–$5,735.40	—	62%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON	$1,263.66	$3,308.00	$211.71–$2,613.32	at median	62%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON	$1,263.66	$3,308.00	$1,984.80–$2,613.32	—	62%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WO AND W CON	$2,256.48	$5,907.00	$343.67–$4,666.53	19% above	62%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WO AND W CON	$2,256.48	$5,907.00	$3,544.20–$4,666.53	—	62%
MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO CON	$1,564.68	$4,096.00	$206.70–$3,235.84	at median	62%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE WO CON	$1,564.68	$4,096.00	$2,457.60–$3,235.84	—	62%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPINE WO AND W CON	$2,203.38	$5,768.00	$344.74–$4,556.72	8% below	62%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPINE WO AND W CON	$2,203.38	$5,768.00	$3,460.80–$4,556.72	—	62%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE WO CON	$1,564.68	$4,096.00	$205.63–$3,235.84	4% above	62%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPINE WO CON	$1,564.68	$4,096.00	$2,457.60–$3,235.84	—	62%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPINE WO AND W CON	$2,063.19	$5,401.00	$345.46–$4,266.79	14% below	62%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPINE WO AND W CON	$2,063.19	$5,401.00	$3,240.60–$4,266.79	—	62%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO CON	$1,464.97	$3,835.00	$205.99–$3,029.65	8% above	62%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE WO CON	$1,464.97	$3,835.00	$2,301.00–$3,029.65	—	62%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WO AND W CON	$2,106.73	$5,515.00	$363.70–$4,356.85	4% above	62%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WO AND W CON	$2,106.73	$5,515.00	$3,309.00–$4,356.85	—	62%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CON	$1,306.44	$3,420.00	$247.47–$2,701.80	5% above	62%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CON	$1,306.44	$3,420.00	$2,052.00–$2,701.80	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR UPP EXTREM JNT WO BIL	$2,457.03	$6,432.00	$219.22–$5,081.28	4% above	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR UPP EXTREM JNT WO RT	$1,228.52	$3,216.00	$219.22–$2,540.64	48% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR UPP EXTREM JNT WO BIL	$2,457.03	$6,432.00	$3,859.20–$5,081.28	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR UPP EXTREM JNT WO RT	$1,228.52	$3,216.00	$1,929.60–$2,540.64	—	62%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCAR SPECT WALL MULT	$3,133.93	$8,204.00	$453.82–$6,481.16	18% above	62%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCAR SPECT WALL MULT	$3,133.93	$8,204.00	$4,922.40–$6,481.16	—	62%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT SKULL THIGH INITAL	$3,988.47	$10,441.00	$1,517.05–$10,441.00	26% below	62%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT SKULL THIGH INITAL	$3,988.47	$10,441.00	$6,264.60–$8,248.39	—	62%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LTD F/U	$354.88	$929.00	$51.85–$733.91	21% above	62%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LTD F/U	$354.88	$929.00	$557.40–$733.91	—	62%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB COMP	$521.82	$1,366.00	$110.50–$1,079.14	22% above	62%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB COMP	$521.82	$1,366.00	$819.60–$1,079.14	—	62%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG=>14WK SNG 1ST GES	$441.60	$1,156.00	$110.60–$913.24	13% above	62%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG=>14WK SNG 1ST GES	$441.60	$1,156.00	$693.60–$913.24	—	62%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG<14WK SNGL1ST GEST	$581.03	$1,521.00	$110.60–$1,201.59	104% above	62%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG<14WK SNGL1ST GEST	$581.03	$1,521.00	$912.60–$1,201.59	—	62%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1 OR >FETUSES LTD	$347.62	$910.00	$85.11–$718.90	13% above	62%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1 OR >FETUSES LTD	$347.62	$910.00	$546.00–$718.90	—	62%
Screening mammogram, both breasts CPT 77067 MA MAMMO SCREEN W CAD BIL	$241.05	$631.00	$119.89–$631.00	82% above	62%
Screening mammogram, both breasts one side CPT 77067 MA MAMMO SCREEN W CAD RT	$132.56	$347.00	$65.93–$347.00	at median	62%
Screening mammogram, both breasts inpatient CPT 77067 MA MAMMO SCREEN W CAD BIL	$241.05	$631.00	$378.60–$498.49	—	62%
Screening mammogram, both breasts inpatient one side CPT 77067 MA MAMMO SCREEN W CAD RT	$132.56	$347.00	$208.20–$274.13	—	62%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2+ VIEWS LT	$323.56	$847.00	$36.83–$669.13	50% above	62%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2+ VIEWS LT	$323.56	$847.00	$508.20–$669.13	—	62%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STR TEST COMP W ECG	$952.33	$2,493.00	$243.89–$2,174.17	6% above	62%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO STR TEST COMP W ECG	$952.33	$2,493.00	$1,495.80–$1,969.47	—	62%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWL FNC/CN/VD/SCT WCON	$458.40	$1,200.00	$130.53–$948.00	13% above	62%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWL FNC/CN/VD/SCT WCON	$458.40	$1,200.00	$720.00–$948.00	—	62%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$501.57	$1,313.00	$110.60–$1,037.27	40% above	62%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$501.57	$1,313.00	$787.80–$1,037.27	—	62%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL	$469.86	$1,230.00	$97.27–$971.70	43% above	62%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL	$469.86	$1,230.00	$738.00–$971.70	—	62%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE WO CON	$877.46	$2,297.00	$110.60–$1,814.63	70% above	62%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE WO CON	$877.46	$2,297.00	$1,378.20–$1,814.63	—	62%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$511.12	$1,338.00	$105.14–$1,057.02	29% above	62%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$511.12	$1,338.00	$802.80–$1,057.02	—	62%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISS HEAD NECK	$336.16	$880.00	$110.60–$695.20	1% above	62%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISS HEAD NECK	$336.16	$880.00	$528.00–$695.20	—	62%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SCOUT ABD W CON	$441.60	$1,156.00	$128.74–$913.24	26% above	62%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI/SCOUT ABD W CON	$441.60	$1,156.00	$693.60–$913.24	—	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX VENOUS EXT UNI	$658.95	$1,725.00	$110.60–$1,532.97	49% above	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUPLEX VENOUS EXT UNI	$658.95	$1,725.00	$1,035.00–$1,362.75	—	62%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3+ VIEWS LT	$322.41	$844.00	$43.27–$666.76	at median	62%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3+ VIEWS LT	$322.41	$844.00	$506.40–$666.76	—	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W WO PELV 2-3VW LT	$327.38	$857.00	$50.07–$677.03	10% below	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W WO PELV 2-3VW LT	$327.38	$857.00	$514.20–$677.03	—	62%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW	$170.38	$446.00	$31.83–$352.34	2% below	62%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW	$170.38	$446.00	$267.60–$352.34	—	62%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 1 VIEW LTD RT	$212.01	$555.00	$33.97–$438.45	5% below	62%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 1 VIEW LTD LT	$279.63	$732.00	$33.97–$578.28	26% above	62%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT	$289.56	$758.00	$33.97–$598.82	30% above	62%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 1 VIEW LTD RT	$212.01	$555.00	$333.00–$438.45	—	62%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 1 VIEW LTD LT	$279.63	$732.00	$439.20–$578.28	—	62%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LT	$289.56	$758.00	$454.80–$598.82	—	62%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 1 VW LTD LT	$212.40	$556.00	$40.05–$439.24	56% above	62%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2+ VIEWS LT	$218.89	$573.00	$40.05–$452.67	61% above	62%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) 1 VW LTD LT	$212.40	$556.00	$333.60–$439.24	—	62%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) 2+ VIEWS LT	$218.89	$573.00	$343.80–$452.67	—	62%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 1 VIEW LTD LT	$274.28	$718.00	$30.04–$567.22	168% above	62%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT	$283.83	$743.00	$30.04–$586.97	178% above	62%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 1 VIEW LTD LT	$274.28	$718.00	$430.80–$567.22	—	62%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT	$283.83	$743.00	$445.80–$586.97	—	62%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3+ VIEWS LT	$318.97	$835.00	$36.12–$659.65	107% above	62%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3+ VIEWS LT	$318.97	$835.00	$501.00–$659.65	—	62%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+ VIEWS LT	$364.81	$955.00	$38.98–$754.45	at median	62%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3+ VIEWS LT	$364.81	$955.00	$573.00–$754.45	—	62%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS LT	$311.33	$815.00	$36.12–$643.85	8% above	62%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 VIEWS LT	$311.33	$815.00	$489.00–$643.85	—	62%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2 OR 3 VW	$335.78	$879.00	$41.84–$694.41	96% above	62%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2 OR 3 VW	$335.78	$879.00	$527.40–$694.41	—	62%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+ VIEWS	$372.84	$976.00	$54.72–$771.04	8% above	62%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+ VIEWS	$372.84	$976.00	$585.60–$771.04	—	62%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS	$361.38	$946.00	$34.69–$747.34	53% above	62%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS	$361.38	$946.00	$567.60–$747.34	—	62%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+ VIEWS	$163.50	$428.00	$39.34–$338.12	53% above	62%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3+ VIEWS	$163.50	$428.00	$256.80–$338.12	—	62%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3 VW	$333.11	$872.00	$41.48–$688.88	49% above	62%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3 VW	$333.11	$872.00	$523.20–$688.88	—	62%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$289.94	$759.00	$29.32–$599.61	57% above	62%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS	$289.94	$759.00	$455.40–$599.61	—	62%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ VWS	$263.97	$691.00	$34.33–$545.89	145% above	62%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ VWS	$263.97	$691.00	$414.60–$545.89	—	62%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 1456M FIBROSURE	$41.26	$108.00	$2.23–$85.32	13% above	62%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 1762M RL-A-FIBRO V 2005661	$46.23	$121.00	$2.23–$95.59	26% above	62%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 2157M RL-A-FIBRO NAFL 2012521	$47.37	$124.00	$2.23–$97.96	29% above	62%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT	$79.08	$207.00	$2.23–$163.53	116% above	62%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 1456M FIBROSURE	$41.26	$108.00	$64.80–$85.32	—	62%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 1762M RL-A-FIBRO V 2005661	$46.23	$121.00	$72.60–$95.59	—	62%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 2157M RL-A-FIBRO NAFL 2012521	$47.37	$124.00	$74.40–$97.96	—	62%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT	$79.08	$207.00	$124.20–$163.53	—	62%
AST (aspartate aminotransferase) enzyme test CPT 84450 1762M RL-A-FIBRO V 2005661	$47.37	$124.00	$2.18–$97.96	33% above	62%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT	$71.06	$186.00	$2.18–$146.94	99% above	62%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 1762M RL-A-FIBRO V 2005661	$47.37	$124.00	$74.40–$97.96	—	62%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT	$71.06	$186.00	$111.60–$146.94	—	62%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$246.78	$646.00	$20.00–$510.34	79% above	62%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$246.78	$646.00	$387.60–$510.34	—	62%
Allergy blood test, specific IgE, per allergen CPT 86003 2273M RL-A-MOLD PAN 55125	$6.12	$16.00	$2.19–$16.00	52% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 817E RL-A-FOOD 8 55133	$6.88	$18.00	$2.19–$18.00	46% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 1177M RL-A-REG11PAN 3001721 P1	$8.03	$21.00	$2.19–$21.00	37% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 1566EALLRGN RESP PANEL R11 PT1	$8.41	$22.00	$2.19–$22.00	34% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 1646M RL-A-AZ TOT PAN 55312PT1	$9.94	$26.00	$2.19–$26.00	21% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-LATEX 99614	$12.23	$32.00	$2.19–$32.00	3% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TEST INDIVIDUAL	$14.52	$38.00	$2.19–$35.46	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 2066E ASPERGILLUS IGE V402810P	$30.18	$79.00	$2.19–$62.41	139% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ASPNIG IGE 92598	$52.72	$138.00	$2.19–$109.02	317% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 1421M RL-A-ABPA 2004243	$90.16	$236.00	$2.19–$186.44	613% above	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 2273M RL-A-MOLD PAN 55125	$6.12	$16.00	$9.60–$12.64	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 817E RL-A-FOOD 8 55133	$6.88	$18.00	$10.80–$14.22	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 1177M RL-A-REG11PAN 3001721 P1	$8.03	$21.00	$12.60–$16.59	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 1566EALLRGN RESP PANEL R11 PT1	$8.41	$22.00	$13.20–$17.38	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 1646M RL-A-AZ TOT PAN 55312PT1	$9.94	$26.00	$15.60–$20.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-LATEX 99614	$12.23	$32.00	$19.20–$25.28	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TEST INDIVIDUAL	$14.52	$38.00	$22.80–$30.02	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 2066E ASPERGILLUS IGE V402810P	$30.18	$79.00	$47.40–$62.41	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ASPNIG IGE 92598	$52.72	$138.00	$82.80–$109.02	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 1421M RL-A-ABPA 2004243	$90.16	$236.00	$141.60–$186.44	—	62%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-CCP IGGIGA 3016632	$24.07	$63.00	$5.44–$63.00	28% below	62%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-CCP IGGIGA 3016632	$24.07	$63.00	$37.80–$49.77	—	62%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-A-ANA REF 50317	$18.34	$48.00	$5.08–$48.00	41% below	62%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-A-ANA 50080	$40.11	$105.00	$5.08–$82.95	29% above	62%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN	$91.68	$240.00	$5.08–$189.60	195% above	62%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-A-ANA REF 50317	$18.34	$48.00	$28.80–$37.92	—	62%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-A-ANA 50080	$40.11	$105.00	$63.00–$82.95	—	62%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN	$91.68	$240.00	$144.00–$189.60	—	62%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL-A-PRO BNP 50083	$75.64	$198.00	$16.49–$198.00	12% below	62%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$189.86	$497.00	$16.49–$392.63	120% above	62%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 RL-A-PRO BNP 50083	$75.64	$198.00	$118.80–$156.42	—	62%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$189.86	$497.00	$298.20–$392.63	—	62%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$123.77	$324.00	$3.55–$255.96	21% above	62%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$123.77	$324.00	$194.40–$255.96	—	62%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-AR-TISSUE EXAM PATHOLOGIST	$447.33	$1,171.00	$21.68–$925.09	225% above	62%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS MICRO LEVEL IV	$460.70	$1,206.00	$21.68–$952.74	235% above	62%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-AR-TISSUE EXAM PATHOLOGIST	$447.33	$1,171.00	$702.60–$925.09	—	62%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS MICRO LEVEL IV	$460.70	$1,206.00	$723.60–$952.74	—	62%
Blood culture for bacteria CPT 87040 CULT BLOOD	$250.60	$656.00	$4.33–$518.24	72% above	62%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD	$250.60	$656.00	$393.60–$518.24	—	62%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE NON LAB	$25.60	$67.00	$3.08–$52.93	30% above	62%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE NON LAB	$25.60	$67.00	$40.20–$52.93	—	62%
Blood glucose (sugar) test CPT 82947 2157M RL-A-FIBRO NAFL 2012521	$46.23	$121.00	$1.65–$95.59	at median	62%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD NONL	$59.60	$156.00	$1.65–$123.24	29% above	62%
Blood glucose (sugar) test inpatient CPT 82947 2157M RL-A-FIBRO NAFL 2012521	$46.23	$121.00	$72.60–$95.59	—	62%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD NONL	$59.60	$156.00	$93.60–$123.24	—	62%
Blood lead test CPT 83655 RL-A-LEAD U 25060	$26.74	$70.00	$5.09–$70.00	13% above	62%
Blood lead test CPT 83655 RL-A-LEAD WB 20098	$28.65	$75.00	$5.09–$75.00	21% above	62%
Blood lead test inpatient CPT 83655 RL-A-LEAD U 25060	$26.74	$70.00	$42.00–$55.30	—	62%
Blood lead test inpatient CPT 83655 RL-A-LEAD WB 20098	$28.65	$75.00	$45.00–$59.25	—	62%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL	$152.04	$398.00	$3.16–$314.42	100% above	62%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL	$152.04	$398.00	$238.80–$314.42	—	62%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 2200M RL-V-DAT NHAM 3111	$85.19	$223.00	$1.26–$176.17	at median	62%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 3E BLOOD TYPE ABO	$101.62	$266.00	$1.26–$210.14	19% above	62%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 VITALANT ABO GROUPING	$199.03	$521.00	$1.26–$411.59	134% above	62%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 2200M RL-V-DAT NHAM 3111	$85.19	$223.00	$133.80–$176.17	—	62%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 3E BLOOD TYPE ABO	$101.62	$266.00	$159.60–$210.14	—	62%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 VITALANT ABO GROUPING	$199.03	$521.00	$312.60–$411.59	—	62%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 1670E SYNOVASURE PJI	$12.23	$32.00	$2.18–$32.00	67% below	62%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 1670E SYNOVASURE PJI	$12.23	$32.00	$19.20–$25.28	—	62%
C. difficile toxin gene test (stool PCR) CPT 87493 IA CLOS DIFF TOXN AMP PRB	$91.30	$239.00	$15.65–$239.00	24% above	62%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 IA CLOS DIFF TOXN AMP PRB	$91.30	$239.00	$143.40–$188.81	—	62%
CA 19-9 blood test (tumor marker) CPT 86301 RL-A-CA-GI 80461	$49.28	$129.00	$8.74–$129.00	40% above	62%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 RL-A-CA-GI 80461	$49.28	$129.00	$77.40–$101.91	—	62%
CA-125 blood test (ovarian cancer marker) CPT 86304 2100E RL-A-ROMA S 2012618	$16.05	$42.00	$7.98–$42.00	81% below	62%
CA-125 blood test (ovarian cancer marker) CPT 86304 IA TUMOR AG CA 125	$93.98	$246.00	$8.74–$194.34	12% above	62%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 2100E RL-A-ROMA S 2012618	$16.05	$42.00	$25.20–$33.18	—	62%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IA TUMOR AG CA 125	$93.98	$246.00	$147.60–$194.34	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NP RL-LCA- 139900	$77.93	$204.00	$21.55–$204.00	36% above	62%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL-A-COVID19NAA 3002638	$114.60	$300.00	$21.55–$300.00	100% above	62%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 CVD-19 PRB HT	$173.05	$453.00	$21.55–$357.87	203% above	62%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 COVID RNA QL RT PCR SWB 907080	$168.08	$440.00	$21.55–$347.90	194% above	62%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 NP RL-LCA- 139900	$77.93	$204.00	$122.40–$161.16	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL-A-COVID19NAA 3002638	$114.60	$300.00	$180.00–$237.00	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 CVD-19 PRB HT	$173.05	$453.00	$271.80–$357.87	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 COVID RNA QL RT PCR SWB 907080	$168.08	$440.00	$264.00–$347.60	—	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 15E RL-A-CGAMD 60241	$75.26	$197.00	$14.74–$197.00	27% above	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IA CHLAMYD TRACH AMP PRB	$103.14	$270.00	$14.74–$237.97	74% above	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 15E RL-A-CGAMD 60241	$75.26	$197.00	$118.20–$155.63	—	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 IA CHLAMYD TRACH AMP PRB	$103.14	$270.00	$162.00–$213.30	—	62%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 1737M LIPOPROFILE BY NMR	$182.98	$479.00	$5.62–$378.41	263% above	62%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$192.15	$503.00	$5.62–$397.37	281% above	62%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 1737M LIPOPROFILE BY NMR	$182.98	$479.00	$287.40–$378.41	—	62%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$192.15	$503.00	$301.80–$397.37	—	62%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF	$96.27	$252.00	$3.26–$199.08	22% above	62%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF	$96.27	$252.00	$151.20–$199.08	—	62%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF	$73.35	$192.00	$2.72–$151.68	32% above	62%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF	$73.35	$192.00	$115.20–$151.68	—	62%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$131.41	$344.00	$4.44–$271.76	15% below	62%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL	$131.41	$344.00	$206.40–$271.76	—	62%
D-dimer blood test (blood clot marker) CPT 85379 2196M RL-M-BLEED DIATH L ALBLD	$130.65	$342.00	$4.28–$270.18	25% above	62%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QN	$166.17	$435.00	$4.28–$343.65	58% above	62%
D-dimer blood test (blood clot marker) inpatient CPT 85379 2196M RL-M-BLEED DIATH L ALBLD	$130.65	$342.00	$205.20–$270.18	—	62%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QN	$166.17	$435.00	$261.00–$343.65	—	62%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$70.29	$184.00	$9.34–$150.71	12% above	62%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$70.29	$184.00	$110.40–$145.36	—	62%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$126.06	$330.00	$11.73–$260.70	61% above	62%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL	$126.06	$330.00	$198.00–$260.70	—	62%
FSH (follicle-stimulating hormone) test CPT 83001 2090E RL-A-LH/FSH 70193A	$28.27	$74.00	$7.80–$74.00	80% below	62%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE	$119.57	$313.00	$7.80–$247.27	17% below	62%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 2090E RL-A-LH/FSH 70193A	$28.27	$74.00	$44.40–$58.46	—	62%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMONE	$119.57	$313.00	$187.80–$247.27	—	62%
Fecal calprotectin (stool inflammation test) CPT 83993 RL-A-CALPRO FEC 3002859	$42.41	$111.00	$8.24–$111.00	12% below	62%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL-A-CALPRO FEC 3002859	$42.41	$111.00	$66.60–$87.69	—	62%
Ferritin blood test (iron stores) CPT 82728 2157M RL-A-FIBRO NAFL 2012521	$47.37	$124.00	$5.72–$97.96	49% below	62%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$145.16	$380.00	$5.72–$300.20	57% above	62%
Ferritin blood test (iron stores) inpatient CPT 82728 2157M RL-A-FIBRO NAFL 2012521	$47.37	$124.00	$74.40–$97.96	—	62%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$145.16	$380.00	$228.00–$300.20	—	62%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$116.13	$304.00	$6.17–$240.16	9% above	62%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$116.13	$304.00	$182.40–$240.16	—	62%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE FREE	$68.00	$178.00	$7.11–$140.62	46% above	62%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE FREE	$68.00	$178.00	$106.80–$140.62	—	62%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$119.57	$313.00	$3.79–$247.27	93% above	62%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$119.57	$313.00	$187.80–$247.27	—	62%
Free testosterone test CPT 84402 2263M RL-A-BIO T MASS 81057	$38.97	$102.00	$10.70–$102.00	48% below	62%
Free testosterone test CPT 84402 TESTOSTERONE FREE FEM/CHILD	$55.01	$144.00	$10.70–$144.00	27% below	62%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$148.98	$390.00	$10.70–$308.10	98% above	62%
Free testosterone test inpatient CPT 84402 2263M RL-A-BIO T MASS 81057	$38.97	$102.00	$61.20–$80.58	—	62%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE FEM/CHILD	$55.01	$144.00	$86.40–$113.76	—	62%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$148.98	$390.00	$234.00–$308.10	—	62%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$155.48	$407.00	$16.64–$321.53	75% below	62%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$155.48	$407.00	$244.20–$321.53	—	62%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR PP	$46.61	$122.00	$2.00–$96.38	49% below	62%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2HR PP	$46.61	$122.00	$73.20–$96.38	—	62%
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPEC	$129.12	$338.00	$5.41–$267.02	at median	62%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1ST 3 SPEC	$129.12	$338.00	$202.80–$267.02	—	62%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 15M RL-A-CGAMD 60241	$75.26	$197.00	$14.74–$197.00	45% above	62%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 IA NEISSERIA GONO AMP PRB	$102.00	$267.00	$14.74–$237.97	97% above	62%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 15M RL-A-CGAMD 60241	$75.26	$197.00	$118.20–$155.63	—	62%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 IA NEISSERIA GONO AMP PRB	$102.00	$267.00	$160.20–$210.93	—	62%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB IGG	$13.76	$36.00	$6.84–$36.00	66% below	62%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI AB IGG	$13.76	$36.00	$21.60–$28.44	—	62%
H. pylori stool antigen test CPT 87338 RL-A-PYLORI AG 65147	$44.32	$116.00	$6.04–$97.52	at median	62%
H. pylori stool antigen test inpatient CPT 87338 RL-A-PYLORI AG 65147	$44.32	$116.00	$69.60–$91.64	—	62%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 REFLEX HIV-1 BY QPCR	$124.54	$326.00	$35.74–$326.00	2% above	62%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL-A-HIVQT GR 3000870	$130.27	$341.00	$35.74–$341.00	7% above	62%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL-A-HIV AB DIF 3000867	$201.32	$527.00	$35.74–$527.00	65% above	62%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 IA HIV1 QN RT PCR	$150.89	$395.00	$35.74–$395.00	24% above	62%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 REFLEX HIV-1 BY QPCR	$124.54	$326.00	$195.60–$257.54	—	62%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RL-A-HIVQT GR 3000870	$130.27	$341.00	$204.60–$269.39	—	62%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RL-A-HIV AB DIF 3000867	$201.32	$527.00	$316.20–$416.33	—	62%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 IA HIV1 QN RT PCR	$150.89	$395.00	$237.00–$312.05	—	62%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 HIV-2 AB RAPID	$113.08	$296.00	$5.76–$233.84	129% above	62%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 HIV-2 AB RAPID	$113.08	$296.00	$177.60–$233.84	—	62%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RL-A-TASK MALDI 2009960	$11.83	$30.96	$5.89–$30.96	72% below	62%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RL-A-HIV PANEL 2012674	$36.68	$96.00	$10.11–$96.00	13% below	62%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 IA HIV1 AG W HIV1 HIV2 AB	$59.98	$157.00	$10.11–$128.78	42% above	62%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 RL-A-TASK MALDI 2009960	$11.83	$30.96	$18.58–$24.46	—	62%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 RL-A-HIV PANEL 2012674	$36.68	$96.00	$57.60–$75.84	—	62%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 IA HIV1 AG W HIV1 HIV2 AB	$59.98	$157.00	$94.20–$124.03	—	62%
HPV test for high-risk types, one combined (pooled) result CPT 87624 RL-A-HPV REFLEX 3016945	$53.48	$140.00	$14.74–$140.00	3% below	62%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI RISK RFLX GNTYP16 18/45	$56.54	$148.00	$14.74–$148.00	2% above	62%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK THIN PREP	$57.69	$151.00	$14.74–$151.00	4% above	62%
HPV test for high-risk types, one combined (pooled) result CPT 87624 RL-NG-HPV DNA TISSUE 87624	$626.48	$1,640.00	$14.74–$1,295.60	1033% above	62%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 RL-A-HPV REFLEX 3016945	$53.48	$140.00	$84.00–$110.60	—	62%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HI RISK RFLX GNTYP16 18/45	$56.54	$148.00	$88.80–$116.92	—	62%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK THIN PREP	$57.69	$151.00	$90.60–$119.29	—	62%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 RL-NG-HPV DNA TISSUE 87624	$626.48	$1,640.00	$984.00–$1,295.60	—	62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL-A-HBA1C 70426	$7.64	$20.00	$3.80–$20.00	86% below	62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$91.68	$240.00	$4.08–$189.60	71% above	62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 RL-A-HBA1C 70426	$7.64	$20.00	$12.00–$15.80	—	62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$91.68	$240.00	$144.00–$189.60	—	62%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB	$79.46	$208.00	$4.51–$164.32	52% above	62%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB	$79.46	$208.00	$124.80–$164.32	—	62%
Hepatitis B surface antigen (HBsAg) test CPT 87340 IA HEP B SURFACE AG QL	$74.88	$196.00	$4.34–$154.84	41% above	62%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 IA HEP B SURFACE AG QL	$74.88	$196.00	$117.60–$154.84	—	62%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$92.07	$241.00	$5.99–$190.39	83% above	62%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$92.07	$241.00	$144.60–$190.39	—	62%
Hepatitis C viral load (HCV RNA) test CPT 87522 RL-A-HEPC QNT 3000572	$65.71	$172.00	$17.99–$172.00	16% below	62%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPTIMAX (TM)	$220.42	$577.00	$17.99–$455.83	182% above	62%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 IA HEPATITIS C QN RT	$226.91	$594.00	$17.99–$469.26	191% above	62%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 RL-A-HEPC QNT 3000572	$65.71	$172.00	$103.20–$135.88	—	62%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPTIMAX (TM)	$220.42	$577.00	$346.20–$455.83	—	62%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 IA HEPATITIS C QN RT	$226.91	$594.00	$356.40–$469.26	—	62%
Herpes blood test, HSV-1 antibody CPT 86695 RL-A-HERPICSF 50379	$22.92	$60.00	$5.54–$60.00	28% below	62%
Herpes blood test, HSV-1 antibody CPT 86695 1493E RL-A-HERP PAN 2 51152	$27.89	$73.00	$5.54–$73.00	12% below	62%
Herpes blood test, HSV-1 antibody CPT 86695 RL-A-RFLX HERPICSF 50379	$28.65	$75.00	$5.54–$75.00	10% below	62%
Herpes blood test, HSV-1 antibody CPT 86695 RL-A-HERP I S 50292	$29.80	$78.00	$5.54–$78.00	6% below	62%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-HERPICSF 50379	$22.92	$60.00	$36.00–$47.40	—	62%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 1493E RL-A-HERP PAN 2 51152	$27.89	$73.00	$43.80–$57.67	—	62%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-RFLX HERPICSF 50379	$28.65	$75.00	$45.00–$59.25	—	62%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-HERP I S 50292	$29.80	$78.00	$46.80–$61.62	—	62%
Herpes blood test, HSV-2 antibody CPT 86696 RL-A-HERPICSF 50359	$34.00	$89.00	$8.13–$89.00	2% above	62%
Herpes blood test, HSV-2 antibody CPT 86696 1493M RL-A-HERP PAN 2 51152	$40.88	$107.00	$8.13–$107.00	23% above	62%
Herpes blood test, HSV-2 antibody CPT 86696 RL-A-RFLX HERPIICSF 50359	$41.64	$109.00	$8.13–$109.00	25% above	62%
Herpes blood test, HSV-2 antibody CPT 86696 RL-A-HERP II S 50294	$43.55	$114.00	$8.13–$114.00	31% above	62%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-HERPICSF 50359	$34.00	$89.00	$53.40–$70.31	—	62%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 1493M RL-A-HERP PAN 2 51152	$40.88	$107.00	$64.20–$84.53	—	62%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-RFLX HERPIICSF 50359	$41.64	$109.00	$65.40–$86.11	—	62%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-HERP II S 50294	$43.55	$114.00	$68.40–$90.06	—	62%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY	$77.17	$202.00	$5.44–$159.58	14% above	62%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY	$77.17	$202.00	$121.20–$159.58	—	62%
Homocysteine blood test CPT 83090 2031M RL-A-THROMRISK 3017156	$27.51	$72.00	$7.53–$72.00	70% below	62%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$108.49	$284.00	$7.53–$224.36	16% above	62%
Homocysteine blood test inpatient CPT 83090 2031M RL-A-THROMRISK 3017156	$27.51	$72.00	$43.20–$56.88	—	62%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$108.49	$284.00	$170.40–$224.36	—	62%
Insulin blood test CPT 83525 INSULIN TOTAL	$39.73	$104.00	$4.80–$82.16	33% above	62%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$39.73	$104.00	$62.40–$82.16	—	62%
Iron blood test (serum iron) CPT 83540 RL-A-FE LIVER 28250	$9.94	$26.00	$2.72–$26.00	76% below	62%
Iron blood test (serum iron) CPT 83540 IRON	$54.25	$142.00	$2.72–$112.18	29% above	62%
Iron blood test (serum iron) CPT 83540 IRON RANDOM URINE	$260.15	$681.00	$2.72–$537.99	520% above	62%
Iron blood test (serum iron) inpatient CPT 83540 RL-A-FE LIVER 28250	$9.94	$26.00	$15.60–$20.54	—	62%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$54.25	$142.00	$85.20–$112.18	—	62%
Iron blood test (serum iron) inpatient CPT 83540 IRON RANDOM URINE	$260.15	$681.00	$408.60–$537.99	—	62%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$152.04	$398.00	$3.65–$314.42	31% above	62%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$152.04	$398.00	$238.80–$314.42	—	62%
LH (luteinizing hormone) test CPT 83002 RL-A-LH 70093	$27.51	$72.00	$7.78–$72.00	71% below	62%
LH (luteinizing hormone) test CPT 83002 2090M RL-A-LH/FSH 70193B	$28.27	$74.00	$7.78–$74.00	70% below	62%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$125.68	$329.00	$7.78–$259.91	34% above	62%
LH (luteinizing hormone) test inpatient CPT 83002 RL-A-LH 70093	$27.51	$72.00	$43.20–$56.88	—	62%
LH (luteinizing hormone) test inpatient CPT 83002 2090M RL-A-LH/FSH 70193B	$28.27	$74.00	$44.40–$58.46	—	62%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$125.68	$329.00	$197.40–$259.91	—	62%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$123.39	$323.00	$2.89–$255.17	35% above	62%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$123.39	$323.00	$193.80–$255.17	—	62%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$111.93	$293.00	$3.43–$231.47	9% above	62%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$111.93	$293.00	$175.80–$231.47	—	62%
Lyme disease antibody test CPT 86618 RL-A-LYME MTTT 3006053	$25.98	$68.00	$7.15–$68.00	15% below	62%
Lyme disease antibody test CPT 86618 RL-A-LPEP CHRON 3003255	$74.11	$194.00	$7.15–$153.26	143% above	62%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME MTTT 3006053	$25.98	$68.00	$40.80–$53.72	—	62%
Lyme disease antibody test inpatient CPT 86618 RL-A-LPEP CHRON 3003255	$74.11	$194.00	$116.40–$153.26	—	62%
Magnesium blood test CPT 83735 RL-A-UMG 20477	$9.17	$24.00	$2.81–$24.00	54% below	62%
Magnesium blood test CPT 83735 1770M RL-A-CRA 2008708	$10.70	$28.00	$2.81–$28.00	46% below	62%
Magnesium blood test CPT 83735 MAGNESIUM	$87.86	$230.00	$2.81–$181.70	342% above	62%
Magnesium blood test inpatient CPT 83735 RL-A-UMG 20477	$9.17	$24.00	$14.40–$18.96	—	62%
Magnesium blood test inpatient CPT 83735 1770M RL-A-CRA 2008708	$10.70	$28.00	$16.80–$22.12	—	62%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$87.86	$230.00	$138.00–$181.70	—	62%
Measles (rubeola) antibody test CPT 86765 RL-A-MEASLES G 50380	$19.87	$52.00	$5.41–$52.00	19% above	62%
Measles (rubeola) antibody test CPT 86765 1579E ENCEPHALITI REFLX HSV12	$22.54	$59.00	$5.41–$59.00	35% above	62%
Measles (rubeola) antibody test CPT 86765 1543M MENINGOENC PN RF HSV 1 2	$24.45	$64.00	$5.41–$64.00	47% above	62%
Measles (rubeola) antibody test CPT 86765 RL-A-MEASLES M 99597	$30.18	$79.00	$5.41–$79.00	81% above	62%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$47.37	$124.00	$5.41–$97.96	184% above	62%
Measles (rubeola) antibody test inpatient CPT 86765 RL-A-MEASLES G 50380	$19.87	$52.00	$31.20–$41.08	—	62%
Measles (rubeola) antibody test inpatient CPT 86765 1579E ENCEPHALITI REFLX HSV12	$22.54	$59.00	$35.40–$46.61	—	62%
Measles (rubeola) antibody test inpatient CPT 86765 1543M MENINGOENC PN RF HSV 1 2	$24.45	$64.00	$38.40–$50.56	—	62%
Measles (rubeola) antibody test inpatient CPT 86765 RL-A-MEASLES M 99597	$30.18	$79.00	$47.40–$62.41	—	62%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$47.37	$124.00	$74.40–$97.96	—	62%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCR	$75.64	$198.00	$2.18–$156.42	6% above	62%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCR	$75.64	$198.00	$118.80–$156.42	—	62%
PSA (prostate-specific antigen) blood test, free CPT 84154 810M RL-A-PSA FP 80206	$38.97	$102.00	$7.72–$102.00	39% below	62%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 810M RL-A-PSA FP 80206	$38.97	$102.00	$61.20–$80.58	—	62%
PSA (prostate-specific antigen) blood test, total CPT 84153 810E RL-A-PSA FP 80206	$38.97	$102.00	$7.72–$102.00	50% below	62%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$106.20	$278.00	$7.72–$219.62	37% above	62%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 810E RL-A-PSA FP 80206	$38.97	$102.00	$61.20–$80.58	—	62%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$106.20	$278.00	$166.80–$219.62	—	62%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTO THIN PREP AUTO MAN	$69.53	$182.00	$11.18–$143.78	62% above	62%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTO THIN PREP AUTO MAN	$69.53	$182.00	$109.20–$143.78	—	62%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 RL-A-TR REQUEST 2000138	$32.09	$84.00	$8.51–$66.36	3% above	62%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 RL-A-GT REQUEST 2000137	$44.70	$117.00	$8.51–$92.43	43% above	62%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH CER/VAG AUTO MAN	$76.40	$200.00	$8.51–$158.00	144% above	62%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 RL-A-TR REQUEST 2000138	$32.09	$84.00	$50.40–$66.36	—	62%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 RL-A-GT REQUEST 2000137	$44.70	$117.00	$70.20–$92.43	—	62%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH CER/VAG AUTO MAN	$76.40	$200.00	$120.00–$158.00	—	62%
Parathyroid hormone (PTH) blood test CPT 83970 RL-A-PTH FNA 2001491	$71.82	$188.00	$17.34–$188.00	40% below	62%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTRAOP	$528.31	$1,383.00	$17.34–$1,092.57	342% above	62%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 RL-A-PTH FNA 2001491	$71.82	$188.00	$112.80–$148.52	—	62%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-INTRAOP	$528.31	$1,383.00	$829.80–$1,092.57	—	62%
Partial thromboplastin time (PTT) clotting test CPT 85730 2253M RL-A-LUPUS RFLX 3017009	$30.56	$80.00	$2.52–$63.20	10% below	62%
Partial thromboplastin time (PTT) clotting test CPT 85730 2031M RL-A-THROMRISK 3017156	$46.99	$123.00	$2.52–$97.17	38% above	62%
Partial thromboplastin time (PTT) clotting test CPT 85730 2196M RL-M-BLEED DIATH L ALBLD	$77.17	$202.00	$2.52–$159.58	126% above	62%
Partial thromboplastin time (PTT) clotting test CPT 85730 43M LUPUS COAGULANT PANEL	$78.31	$205.00	$2.52–$161.95	129% above	62%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 2253M RL-A-LUPUS RFLX 3017009	$30.56	$80.00	$48.00–$63.20	—	62%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 2031M RL-A-THROMRISK 3017156	$46.99	$123.00	$73.80–$97.17	—	62%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 2196M RL-M-BLEED DIATH L ALBLD	$77.17	$202.00	$121.20–$159.58	—	62%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 43M LUPUS COAGULANT PANEL	$78.31	$205.00	$123.00–$161.95	—	62%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 2062E RL-A-FAS MD 3004781	$420.20	$1,100.00	$209.00–$1,100.00	52% below	62%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 2062E RL-A-FAS MD 3004781	$420.20	$1,100.00	$660.00–$869.00	—	62%
Progesterone blood test CPT 84144 PROGESTERONE	$90.16	$236.00	$8.76–$186.44	2% below	62%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$90.16	$236.00	$141.60–$186.44	—	62%
Prolactin blood test CPT 84146 RL-A-PROLAC 70115	$30.95	$81.00	$8.14–$81.00	61% below	62%
Prolactin blood test CPT 84146 189E RL-A-MACROPRO 20765	$45.46	$119.00	$8.14–$119.00	43% below	62%
Prolactin blood test CPT 84146 PROLACTIN	$124.15	$325.00	$8.14–$256.75	56% above	62%
Prolactin blood test inpatient CPT 84146 RL-A-PROLAC 70115	$30.95	$81.00	$48.60–$63.99	—	62%
Prolactin blood test inpatient CPT 84146 189E RL-A-MACROPRO 20765	$45.46	$119.00	$71.40–$94.01	—	62%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$124.15	$325.00	$195.00–$256.75	—	62%
Prothrombin time (PT/INR) clotting test CPT 85610 2253E RL-A-LUPUS RFLX 3017009	$30.56	$80.00	$1.80–$63.20	8% above	62%
Prothrombin time (PT/INR) clotting test CPT 85610 2031M RL-A-THROMRISK 3017156	$45.84	$120.00	$1.80–$94.80	62% above	62%
Prothrombin time (PT/INR) clotting test CPT 85610 2196M RL-M-BLEED DIATH L ALBLD	$55.01	$144.00	$1.80–$113.76	95% above	62%
Prothrombin time (PT/INR) clotting test CPT 85610 43M LUPUS COAGULANT PANEL	$64.94	$170.00	$1.80–$134.30	130% above	62%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 2253E RL-A-LUPUS RFLX 3017009	$30.56	$80.00	$48.00–$63.20	—	62%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 2031M RL-A-THROMRISK 3017156	$45.84	$120.00	$72.00–$94.80	—	62%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 2196M RL-M-BLEED DIATH L ALBLD	$55.01	$144.00	$86.40–$113.76	—	62%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 43M LUPUS COAGULANT PANEL	$64.94	$170.00	$102.00–$134.30	—	62%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA AG OPTIC	$44.70	$117.00	$6.95–$112.26	67% above	62%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA AG OPTIC	$44.70	$117.00	$70.20–$92.43	—	62%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A IA AG OPTIC	$61.89	$162.00	$6.94–$127.98	77% above	62%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A IA AG OPTIC	$61.89	$162.00	$97.20–$127.98	—	62%
Rheumatoid factor (RF) test CPT 86431 RL-A-RA-FL 2003347	$22.92	$60.00	$2.38–$47.40	45% above	62%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-RA-FL 2003347	$22.92	$60.00	$36.00–$47.40	—	62%
Rubella antibody test (immunity check) CPT 86762 1915M RL-A-TORCH IGM 3017749	$27.13	$71.00	$6.04–$71.00	1% below	62%
Rubella antibody test (immunity check) CPT 86762 RL-A-RUBEIGM 50551	$34.00	$89.00	$6.04–$89.00	24% above	62%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$78.31	$205.00	$6.04–$161.95	185% above	62%
Rubella antibody test (immunity check) inpatient CPT 86762 1915M RL-A-TORCH IGM 3017749	$27.13	$71.00	$42.60–$56.09	—	62%
Rubella antibody test (immunity check) inpatient CPT 86762 RL-A-RUBEIGM 50551	$34.00	$89.00	$53.40–$70.31	—	62%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$78.31	$205.00	$123.00–$161.95	—	62%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE RBC AUTO	$71.44	$187.00	$1.13–$147.73	24% above	62%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE RBC AUTO	$71.44	$187.00	$112.20–$147.73	—	62%
Stool ova and parasites exam CPT 87177 1790E RL-A-OP FEC 3001662	$28.65	$75.00	$3.74–$60.38	at median	62%
Stool ova and parasites exam CPT 87177 1445M RL-A-PARAST 60046	$34.00	$89.00	$3.74–$70.31	19% above	62%
Stool ova and parasites exam CPT 87177 29E OVA PARASITES CONC ID	$65.33	$171.00	$3.74–$135.09	128% above	62%
Stool ova and parasites exam inpatient CPT 87177 1790E RL-A-OP FEC 3001662	$28.65	$75.00	$45.00–$59.25	—	62%
Stool ova and parasites exam inpatient CPT 87177 1445M RL-A-PARAST 60046	$34.00	$89.00	$53.40–$70.31	—	62%
Stool ova and parasites exam inpatient CPT 87177 29E OVA PARASITES CONC ID	$65.33	$171.00	$102.60–$135.09	—	62%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL BLOOD ASSAY QL	$40.11	$105.00	$6.69–$105.00	108% above	62%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL BLOOD ASSAY QL	$40.11	$105.00	$63.00–$82.95	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL-A-VDRL SERU 93093	$5.73	$15.00	$1.79–$15.00	56% below	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL-A-RPR PAN 50478	$24.07	$63.00	$1.79–$49.77	85% above	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL-A-VDRL CSF 50206	$41.26	$108.00	$1.79–$85.32	217% above	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHIL VDRL/RPR QL	$56.16	$147.00	$1.79–$116.13	332% above	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL-A-VDRL SERU 93093	$5.73	$15.00	$9.00–$11.85	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL-A-RPR PAN 50478	$24.07	$63.00	$37.80–$49.77	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL-A-VDRL CSF 50206	$41.26	$108.00	$64.80–$85.32	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHIL VDRL/RPR QL	$56.16	$147.00	$88.20–$116.13	—	62%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL-A-QFT PLUS 3017554	$94.74	$248.00	$26.03–$248.00	28% above	62%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON FOR TB	$139.05	$364.00	$26.03–$364.00	88% above	62%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 RL-A-QFT PLUS 3017554	$94.74	$248.00	$148.80–$195.92	—	62%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON FOR TB	$139.05	$364.00	$218.40–$287.56	—	62%
Testosterone blood test, total (not free testosterone) CPT 84403 2224M RL-A-CAH11BHYDR 2002282	$29.04	$76.00	$10.84–$76.00	18% below	62%
Testosterone blood test, total (not free testosterone) CPT 84403 2263E RL-A-BIO T MASS 81057	$39.73	$104.00	$10.84–$104.00	12% above	62%
Testosterone blood test, total (not free testosterone) CPT 84403 1024E RL-A-BIO T 70102	$54.25	$142.00	$10.84–$142.00	52% above	62%
Testosterone blood test, total (not free testosterone) CPT 84403 RL-A-TESTOS 70130	$55.78	$146.00	$10.84–$146.00	57% above	62%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$132.18	$346.00	$10.84–$273.34	271% above	62%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 2224M RL-A-CAH11BHYDR 2002282	$29.04	$76.00	$45.60–$60.04	—	62%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 2263E RL-A-BIO T MASS 81057	$39.73	$104.00	$62.40–$82.16	—	62%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 1024E RL-A-BIO T 70102	$54.25	$142.00	$85.20–$112.18	—	62%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 RL-A-TESTOS 70130	$55.78	$146.00	$87.60–$115.34	—	62%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$132.18	$346.00	$207.60–$273.34	—	62%
Thyroid peroxidase (TPO) antibody test CPT 86376 2091E RL-A-THYRO 50645	$22.16	$58.00	$6.11–$58.00	3% below	62%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-RFLX AMICR 50075	$22.92	$60.00	$6.11–$60.00	1% above	62%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-LKM1 IGG 55241	$28.65	$75.00	$6.11–$75.00	26% above	62%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-LIVER-KID 99270	$38.97	$102.00	$6.11–$98.64	71% above	62%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOML AB THYROID	$64.56	$169.00	$6.11–$133.51	184% above	62%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 2091E RL-A-THYRO 50645	$22.16	$58.00	$34.80–$45.82	—	62%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-RFLX AMICR 50075	$22.92	$60.00	$36.00–$47.40	—	62%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-LKM1 IGG 55241	$28.65	$75.00	$45.00–$59.25	—	62%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-LIVER-KID 99270	$38.97	$102.00	$61.20–$80.58	—	62%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOML AB THYROID	$64.56	$169.00	$101.40–$133.51	—	62%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE	$170.38	$446.00	$7.06–$352.34	92% above	62%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE	$170.38	$446.00	$267.60–$352.34	—	62%
Trichomonas test (NAAT) CPT 87661 698M RL-A-VPAN TMA 3002581	$53.48	$140.00	$14.74–$140.00	3% above	62%
Trichomonas test (NAAT) CPT 87661 TRICHOMON VAG TMA	$57.30	$150.00	$14.74–$150.00	11% above	62%
Trichomonas test (NAAT) CPT 87661 RL-A-TVAG AMD2005506	$61.12	$160.00	$14.74–$160.00	18% above	62%
Trichomonas test (NAAT) inpatient CPT 87661 698M RL-A-VPAN TMA 3002581	$53.48	$140.00	$84.00–$110.60	—	62%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMON VAG TMA	$57.30	$150.00	$90.00–$118.50	—	62%
Trichomonas test (NAAT) inpatient CPT 87661 RL-A-TVAG AMD2005506	$61.12	$160.00	$96.00–$126.40	—	62%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$78.31	$205.00	$1.90–$161.95	75% above	62%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$78.31	$205.00	$123.00–$161.95	—	62%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W MICRO	$62.65	$164.00	$1.33–$129.56	40% above	62%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W MICRO	$62.65	$164.00	$98.40–$129.56	—	62%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO	$42.41	$111.00	$0.95–$87.69	63% above	62%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO	$42.41	$111.00	$66.60–$87.69	—	62%
Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO WO MICRO	$12.23	$32.00	$1.46–$25.28	90% above	62%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO WO MICRO	$12.23	$32.00	$19.20–$25.28	—	62%
Urine culture for bacteria, with colony count CPT 87086 CULT UR W COLONY CNT	$138.29	$362.00	$3.39–$285.98	105% above	62%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT UR W COLONY CNT	$138.29	$362.00	$217.20–$285.98	—	62%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL NONL	$105.82	$277.00	$3.62–$218.83	120% above	62%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL NONL	$105.82	$277.00	$166.20–$218.83	—	62%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$143.25	$375.00	$6.33–$296.25	89% above	62%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$143.25	$375.00	$225.00–$296.25	—	62%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 RL-A-VITD2D3TMS 2002348	$57.30	$150.00	$12.43–$150.00	18% below	62%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$105.44	$276.00	$12.43–$218.04	50% above	62%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 RL-A-VITD2D3TMS 2002348	$57.30	$150.00	$90.00–$118.50	—	62%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$105.44	$276.00	$165.60–$218.04	—	62%
Zinc blood test CPT 84630 RL-A-ZINC WB 2009373	$24.83	$65.00	$4.78–$65.00	2% above	62%
Zinc blood test CPT 84630 RL-A-ZINC 20097	$27.13	$71.00	$4.78–$71.00	12% above	62%
Zinc blood test inpatient CPT 84630 RL-A-ZINC WB 2009373	$24.83	$65.00	$39.00–$51.35	—	62%
Zinc blood test inpatient CPT 84630 RL-A-ZINC 20097	$27.13	$71.00	$42.60–$56.09	—	62%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL-A-BHCG TM 70029	$24.07	$63.00	$6.32–$63.00	38% below	62%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL-A-BHCG CSF 20730	$33.24	$87.00	$6.32–$87.00	14% below	62%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 1545E MATERNAL SCRN SEQ SPEC#1	$33.62	$88.00	$6.32–$88.00	13% below	62%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QN	$184.51	$483.00	$6.32–$381.57	376% above	62%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 RL-A-BHCG TM 70029	$24.07	$63.00	$37.80–$49.77	—	62%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 RL-A-BHCG CSF 20730	$33.24	$87.00	$52.20–$68.73	—	62%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 1545E MATERNAL SCRN SEQ SPEC#1	$33.62	$88.00	$52.80–$69.52	—	62%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QN	$184.51	$483.00	$289.80–$381.57	—	62%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Botox injections for chronic migraine CPT 64615 PACU STANDARD 1ST 30MIN	$637.56	$1,669.00	$128.03–$1,318.51	51% above	62%
Botox injections for chronic migraine inpatient CPT 64615 PACU STANDARD 1ST 30MIN	$637.56	$1,669.00	$1,001.40–$1,318.51	—	62%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRST STERO PRC 1ST UNI	$1,335.48	$3,496.00	$168.44–$6,448.41	70% below	62%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BRST STERO PRC 1ST UNI	$1,335.48	$3,496.00	$2,097.60–$2,761.84	—	62%
Cardiac catheterization with coronary angiogram CPT 93458 LT HRT CTH COR ANG VNTRCU	$8,735.20	$22,867.00	$1,072.85–$22,602.10	1% below	62%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LT HRT CTH COR ANG VNTRCU	$8,735.20	$22,867.00	$13,720.20–$18,064.93	—	62%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELCTIVE EXT	$920.24	$2,409.00	$111.93–$2,409.00	1% below	62%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELCTIVE EXT	$920.24	$2,409.00	$1,445.40–$1,903.11	—	62%
Catheter ablation for atrial fibrillation CPT 93656 EP AFIB ABL PV ISOL 3DMAP	$33,603.78	$87,968.00	$963.78–$69,494.72	at median	62%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP AFIB ABL PV ISOL 3DMAP	$33,603.78	$87,968.00	$52,780.80–$69,494.72	—	62%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$3,007.49	$7,873.00	$1,495.87–$6,219.67	1593% above	62%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION	$3,007.49	$7,873.00	$4,723.80–$6,219.67	—	62%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY SNARE TUMR PO	$1,812.59	$4,745.00	$262.85–$6,448.41	34% below	62%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY SNARE TUMR PO	$1,812.59	$4,745.00	$2,847.00–$3,748.55	—	62%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W BIOPSY PO	$1,812.59	$4,745.00	$207.78–$6,448.41	36% below	62%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W BIOPSY PO	$1,812.59	$4,745.00	$2,847.00–$3,748.55	—	62%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC PO	$1,390.87	$3,641.00	$190.97–$6,448.41	24% below	62%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC PO	$1,390.87	$3,641.00	$2,184.60–$2,876.39	—	62%
Coronary stent placement, one artery CPT 92928 IC NDES PLC SNGL LC	$13,957.14	$36,537.00	$598.29–$28,864.23	at median	62%
Coronary stent placement, one artery inpatient CPT 92928 IC NDES PLC SNGL LC	$13,957.14	$36,537.00	$21,922.20–$28,864.23	—	62%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$1,046.68	$2,740.00	$83.68–$14,650.00	20% below	62%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY PO	$3,104.90	$8,128.00	$83.68–$14,650.00	136% above	62%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY	$1,046.68	$2,740.00	$1,644.00–$2,164.60	—	62%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY PO	$3,104.90	$8,128.00	$4,876.80–$6,421.12	—	62%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ EPI/SUBAR C/T W IMAG	$992.44	$2,598.00	$112.65–$3,794.00	26% below	62%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ EPI/SUBAR C/T W IMAG	$992.44	$2,598.00	$1,558.80–$2,052.42	—	62%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET JT/NRV L/S SNG INJ	$1,285.43	$3,365.00	$94.77–$3,794.00	65% below	62%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET JT/NRV L/S SNG INJ	$1,285.43	$3,365.00	$2,019.00–$2,658.35	—	62%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOID FLEX DIAGNOST PO	$1,390.87	$3,641.00	$59.01–$4,815.31	47% below	62%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOID FLEX DIAGNOST PO	$1,390.87	$3,641.00	$2,184.60–$2,876.39	—	62%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOID LIGTN RB INT	$1,482.16	$3,880.00	$202.77–$4,815.31	39% above	62%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOID LIGTN RB INT	$1,482.16	$3,880.00	$2,328.00–$3,065.20	—	62%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTERO NS/CON INTRO	$238.37	$624.00	$60.44–$815.80	28% above	62%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTERO NS/CON INTRO	$238.37	$624.00	$374.40–$492.96	—	62%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE PO	$270.46	$708.00	$112.65–$870.96	25% above	62%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE	$270.46	$708.00	$112.65–$870.96	25% above	62%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D ABSCESS SIMPLE PO	$270.46	$708.00	$424.80–$559.32	—	62%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D ABSCESS SIMPLE	$270.46	$708.00	$424.80–$559.32	—	62%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTH ASP MJR JT WO US UNI	$504.63	$1,321.00	$47.56–$4,815.31	45% below	62%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTH ASP MJR JT WO US UNI	$504.63	$1,321.00	$792.60–$1,043.59	—	62%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCEN ASP INTER JT WO	$448.47	$1,174.00	$38.62–$4,815.31	20% below	62%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCEN ASP INTER JT WO	$448.47	$1,174.00	$704.40–$927.46	—	62%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCEN ASP SMALL JT WO	$398.81	$1,044.00	$37.55–$4,815.31	18% below	62%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCEN ASP SMALL JT WO	$398.81	$1,044.00	$626.40–$824.76	—	62%
Left heart catheterization, diagnostic CPT 93452 LT HRT CTH VENTRICULGRPHY	$6,630.00	$17,356.00	$924.80–$22,602.10	67% above	62%
Left heart catheterization, diagnostic inpatient CPT 93452 LT HRT CTH VENTRICULGRPHY	$6,630.00	$17,356.00	$10,413.60–$13,711.24	—	62%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPI/SUBAR L/S W IMAG	$1,272.45	$3,331.00	$104.07–$3,794.00	2% below	62%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPI/SUBAR L/S W IMAG	$1,272.45	$3,331.00	$1,998.60–$2,631.49	—	62%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 ANES/STE EPI L/S SNGL INJ	$763.24	$1,998.00	$116.58–$3,794.00	66% below	62%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 ANES/STE EPI L/S SNGL INJ	$763.24	$1,998.00	$1,198.80–$1,578.42	—	62%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLAT SINGLE	$268.55	$703.00	$56.50–$555.37	50% above	62%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLAT SINGLE	$268.55	$703.00	$421.80–$555.37	—	62%
Pacemaker implant (dual chamber) CPT 33208 PACEMAKER INS/REPL A/V	$13,119.41	$34,344.00	$531.06–$27,131.76	11% below	62%
Pacemaker implant (dual chamber) inpatient CPT 33208 PACEMAKER INS/REPL A/V	$13,119.41	$34,344.00	$20,606.40–$27,131.76	—	62%
Paracentesis with imaging guidance CPT 49083 PARACENTSIS ABD W IMAGING	$1,382.08	$3,618.00	$109.79–$6,448.41	7% below	62%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTSIS ABD W IMAGING	$1,382.08	$3,618.00	$2,170.80–$2,858.22	—	62%
Prostate biopsy CPT 55700 BX PROSTATE NDL/PUNCH PO	$2,674.00	$7,000.00	$135.54–$6,448.41	5% below	62%
Prostate biopsy inpatient CPT 55700 BX PROSTATE NDL/PUNCH PO	$2,674.00	$7,000.00	$4,200.00–$5,530.00	—	62%
Removal of a breast lump, open surgery CPT 19120 EXC LES BREAST OPN 1 OR >	$5,771.64	$15,109.00	$440.23–$11,936.11	37% above	62%
Removal of a breast lump, open surgery inpatient CPT 19120 EXC LES BREAST OPN 1 OR >	$5,771.64	$15,109.00	$9,065.40–$11,936.11	—	62%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY ESWL UNI	$12,105.58	$31,690.00	$601.51–$31,598.15	at median	62%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY ESWL BIL	$18,158.37	$47,535.00	$601.51–$37,552.65	50% above	62%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY ESWL UNI	$12,105.58	$31,690.00	$19,014.00–$25,035.10	—	62%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY ESWL BIL	$18,158.37	$47,535.00	$28,521.00–$37,552.65	—	62%
Skin biopsy, punch, one lesion CPT 11104 BX SKIN PUNCH SNG LESION	$348.77	$913.00	$48.64–$721.27	30% below	62%
Skin biopsy, punch, one lesion inpatient CPT 11104 BX SKIN PUNCH SNG LESION	$348.77	$913.00	$547.80–$721.27	—	62%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS <=15	$152.80	$400.00	$76.00–$4,815.31	5% below	62%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAGS <=15	$152.80	$400.00	$240.00–$316.00	—	62%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBER DX	$2,540.30	$6,650.00	$66.16–$5,253.50	394% above	62%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCTURE SPINAL LUMBER DX	$2,540.30	$6,650.00	$3,990.00–$5,253.50	—	62%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKN TANGENTIAL SNG LES	$303.31	$794.00	$39.34–$627.26	at median	62%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKN TANGENTIAL SNG LES	$303.31	$794.00	$476.40–$627.26	—	62%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMG UNI PO	$1,257.93	$3,293.00	$112.65–$4,815.31	19% below	62%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING	$1,295.75	$3,392.00	$112.65–$4,815.31	16% below	62%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAG BIL	$2,591.49	$6,784.00	$112.65–$5,359.36	68% above	62%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMG UNI PO	$1,257.93	$3,293.00	$1,975.80–$2,601.47	—	62%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING	$1,295.75	$3,392.00	$2,035.20–$2,679.68	—	62%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAG BIL	$2,591.49	$6,784.00	$4,070.40–$5,359.36	—	62%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT 1-2 MUSCL	$448.47	$1,174.00	$38.62–$3,794.00	19% above	62%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PT 1-2 MUSCL	$448.47	$1,174.00	$704.40–$927.46	—	62%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST US PERC 1ST UNI	$2,798.15	$7,325.00	$159.14–$6,448.41	44% below	62%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST US PERC 1ST PO	$2,798.15	$7,325.00	$159.14–$6,448.41	44% below	62%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST US PERC 1ST UNI	$2,798.15	$7,325.00	$4,395.00–$5,786.75	—	62%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST US PERC 1ST PO	$2,798.15	$7,325.00	$4,395.00–$5,786.75	—	62%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOP DIAG PO	$1,382.08	$3,618.00	$127.31–$4,815.31	16% below	62%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GI ENDOSCOP DIAG PO	$1,382.08	$3,618.00	$2,170.80–$2,858.22	—	62%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SUBQ TISS 1ST 20SQCM	$624.57	$1,635.00	$63.30–$4,576.00	1% below	62%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBR SUBQ TISS 1ST 20SQCM	$624.57	$1,635.00	$981.00–$1,291.65	—	62%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/BLD COMP	$624.19	$1,634.00	$43.99–$3,794.00	15% above	62%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 2HR	$651.31	$1,705.00	$43.99–$3,794.00	20% above	62%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 3HR	$671.56	$1,758.00	$43.99–$3,794.00	24% above	62%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 4HR	$691.81	$1,811.00	$43.99–$3,794.00	28% above	62%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 5HR	$718.93	$1,882.00	$43.99–$3,794.00	33% above	62%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 6HR	$732.68	$1,918.00	$43.99–$3,794.00	35% above	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLD/BLD COMP	$624.19	$1,634.00	$980.40–$1,290.86	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 2HR	$651.31	$1,705.00	$1,023.00–$1,346.95	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 3HR	$671.56	$1,758.00	$1,054.80–$1,388.82	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 4HR	$691.81	$1,811.00	$1,086.60–$1,430.69	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 5HR	$718.93	$1,882.00	$1,129.20–$1,486.78	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 6HR	$732.68	$1,918.00	$1,150.80–$1,515.22	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX EA SUBSEQ TX/DAY	$109.64	$287.00	$8.23–$287.00	50% below	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX INITIAL EA DAY	$330.05	$864.00	$8.23–$864.00	51% above	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX EA SUBSEQ TX/DAY	$109.64	$287.00	$172.20–$226.73	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX INITIAL EA DAY	$330.05	$864.00	$518.40–$682.56	—	62%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INIT 1ST HR	$1,041.34	$2,726.00	$135.18–$2,153.54	137% above	62%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF INIT 1ST HR	$1,041.34	$2,726.00	$1,635.60–$2,153.54	—	62%
Critical care, first 30 to 74 minutes CPT 99291 TRAUMA COMPREHENS W/PROC	$3,656.13	$9,571.00	$185.32–$9,571.00	74% above	62%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74MIN	$3,656.13	$9,571.00	$185.32–$7,561.09	74% above	62%
Critical care, first 30 to 74 minutes inpatient CPT 99291 TRAUMA COMPREHENS W/PROC	$3,656.13	$9,571.00	$5,742.60–$7,561.09	—	62%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30-74MIN	$3,656.13	$9,571.00	$5,742.60–$7,561.09	—	62%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$618.84	$1,620.00	$307.80–$1,620.00	6% above	62%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$618.84	$1,620.00	$972.00–$1,279.80	—	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD TRACING ONLY	$222.33	$582.00	$6.44–$582.00	91% above	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD TRACING ONLY	$222.33	$582.00	$349.20–$459.78	—	62%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1	$237.99	$623.00	$9.85–$1,930.00	1% below	62%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1	$237.99	$623.00	$373.80–$492.17	—	62%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2	$364.81	$955.00	$36.41–$1,930.00	at median	62%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2	$364.81	$955.00	$573.00–$754.45	—	62%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3	$618.46	$1,619.00	$62.07–$3,609.00	at median	62%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 TRAUMA MINOR	$618.46	$1,619.00	$62.07–$3,609.00	at median	62%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3	$618.46	$1,619.00	$971.40–$1,279.01	—	62%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 TRAUMA MINOR	$618.46	$1,619.00	$971.40–$5,955.00	—	62%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 TRAUMA LIMITED W/PROC	$1,094.05	$2,864.00	$105.34–$3,609.00	at median	62%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4	$1,094.05	$2,864.00	$105.34–$3,609.00	at median	62%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4	$1,094.05	$2,864.00	$1,718.40–$2,262.56	—	62%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 TRAUMA LIMITED W/PROC	$1,094.05	$2,864.00	$1,718.40–$5,955.00	—	62%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5	$1,585.69	$4,151.00	$152.79–$3,609.00	5% above	62%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 TRAUMA ESSENTIAL W/PROC	$1,585.69	$4,151.00	$152.79–$3,609.00	5% above	62%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5	$1,585.69	$4,151.00	$2,490.60–$3,279.29	—	62%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 TRAUMA ESSENTIAL W/PROC	$1,585.69	$4,151.00	$2,490.60–$5,955.00	—	62%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM CARDIOVAS STRES TEST	$677.29	$1,773.00	$39.34–$1,773.00	24% above	62%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CARDIOVAS STRES TEST	$677.29	$1,773.00	$1,063.80–$1,400.67	—	62%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRA INIT 31-60MN	$436.25	$1,142.00	$33.97–$902.18	145% above	62%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRA INIT 31-60MN	$436.25	$1,142.00	$685.20–$902.18	—	62%
IV infusion of a medicine, first hour CPT 96365 INF TX/DX/PRO INIT 1ST HR	$485.91	$1,272.00	$65.44–$1,004.88	108% above	62%
IV infusion of a medicine, first hour inpatient CPT 96365 INF TX/DX/PRO INIT 1ST HR	$485.91	$1,272.00	$763.20–$1,004.88	—	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/DX/PROPH SUBQ/IM	$148.98	$390.00	$15.02–$390.00	121% above	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/DX/PROP SUBQ/IM PO	$156.62	$410.00	$15.02–$323.90	133% above	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/DX/PROPH SUBQ/IM	$148.98	$390.00	$234.00–$308.10	—	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/DX/PROP SUBQ/IM PO	$156.62	$410.00	$246.00–$323.90	—	62%
Neuromuscular re-education, 15 minutes CPT 97112 OT RE-ED NEUROMSCL EA 15	$77.17	$202.00	$35.76–$202.00	38% below	62%
Neuromuscular re-education, 15 minutes CPT 97112 PT RE-ED NEUROMSCL EA 15	$77.17	$202.00	$35.76–$202.00	38% below	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT RE-ED NEUROMSCL EA 15	$77.17	$202.00	$121.20–$159.58	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT RE-ED NEUROMSCL EA 15	$77.17	$202.00	$121.20–$159.58	—	62%
New patient office visit, about 30 minutes CPT 99203 VST LOW 30MN NW W/PROC PO	$204.76	$536.00	$57.49–$423.44	14% above	62%
New patient office visit, about 30 minutes CPT 99203 VISIT LOW 30MN NW PT PO	$210.87	$552.00	$57.49–$436.08	17% above	62%
New patient office visit, about 30 minutes CPT 99203 VISIT LOW 30MN NW PT	$210.87	$552.00	$57.49–$436.08	17% above	62%
New patient office visit, about 30 minutes inpatient CPT 99203 VST LOW 30MN NW W/PROC PO	$204.76	$536.00	$321.60–$423.44	—	62%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT LOW 30MN NW PT PO	$210.87	$552.00	$331.20–$436.08	—	62%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT LOW 30MN NW PT	$210.87	$552.00	$331.20–$436.08	—	62%
New patient office visit, about 45 minutes CPT 99204 VISIT MDT 45MN NW PT PO	$259.38	$679.00	$93.66–$536.41	12% above	62%
New patient office visit, about 45 minutes CPT 99204 VISIT MDT 45MN NW PT	$267.02	$699.00	$93.66–$552.21	15% above	62%
New patient office visit, about 45 minutes CPT 99204 FETAL DEMISE <23WK NEW PT	$1,205.98	$3,157.00	$93.66–$3,157.00	419% above	62%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT MDT 45MN NW PT PO	$259.38	$679.00	$407.40–$536.41	—	62%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT MDT 45MN NW PT	$267.02	$699.00	$419.40–$552.21	—	62%
New patient office visit, about 45 minutes inpatient CPT 99204 FETAL DEMISE <23WK NEW PT	$1,205.98	$3,157.00	$1,894.20–$2,494.03	—	62%
New patient office visit, about 60 minutes CPT 99205 VISIT HIGH 60MN NW PT PO	$314.39	$823.00	$127.20–$650.17	9% above	62%
New patient office visit, about 60 minutes CPT 99205 VISIT HIGH 60MN NW PT	$323.56	$847.00	$127.20–$669.13	12% above	62%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT HIGH 60MN NW PT PO	$314.39	$823.00	$493.80–$650.17	—	62%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT HIGH 60MN NW PT	$323.56	$847.00	$508.20–$669.13	—	62%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW WPRC	$153.95	$403.00	$33.30–$318.37	28% above	62%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT PO	$158.53	$415.00	$33.30–$327.85	31% above	62%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT	$158.53	$415.00	$33.30–$327.85	31% above	62%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT/FETAL MONITR NEW	$164.65	$431.00	$33.30–$431.00	36% above	62%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW WPRC	$153.95	$403.00	$241.80–$318.37	—	62%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT PO	$158.53	$415.00	$249.00–$327.85	—	62%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT	$158.53	$415.00	$249.00–$327.85	—	62%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB VISIT/FETAL MONITR NEW	$164.65	$431.00	$258.60–$340.49	—	62%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY	$195.59	$512.00	$97.28–$434.00	44% below	62%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY	$195.59	$512.00	$307.20–$404.48	—	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY	$223.47	$585.00	$106.21–$462.15	66% below	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY	$223.47	$585.00	$351.00–$462.15	—	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX	$194.44	$509.00	$96.71–$434.00	44% below	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX	$194.44	$509.00	$305.40–$402.11	—	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEX	$203.23	$532.00	$101.08–$434.00	61% below	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MODERATE COMPLEX	$203.23	$532.00	$319.20–$420.28	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT THERAPY MANUAL EA 15	$83.66	$219.00	$28.61–$219.00	33% below	62%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT THERAPY MANUAL EA 15	$83.66	$219.00	$28.61–$219.00	33% below	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT THERAPY MANUAL EA 15	$83.66	$219.00	$131.40–$173.01	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT THERAPY MANUAL EA 15	$83.66	$219.00	$131.40–$173.01	—	62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT EXERCISE THR EA 15	$89.39	$234.00	$31.11–$234.00	48% below	62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT EXERCISE THR EA 15	$89.39	$234.00	$31.11–$234.00	48% below	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT EXERCISE THR EA 15	$89.39	$234.00	$140.40–$184.86	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT EXERCISE THR EA 15	$89.39	$234.00	$140.40–$184.86	—	62%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO COUNSELING 3-10MN	$30.18	$79.00	$11.06–$79.00	3% below	62%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO COUNSELING 3-10MN	$30.18	$79.00	$47.40–$62.41	—	62%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VST HIGH 40MN EST WPRC PO	$287.65	$753.00	$101.32–$594.87	12% above	62%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT HIGH 40MN EST PT	$296.05	$775.00	$101.32–$612.25	16% above	62%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VST HIGH 40MN EST WPRC PO	$287.65	$753.00	$451.80–$594.87	—	62%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT HIGH 40MN EST PT	$296.05	$775.00	$465.00–$612.25	—	62%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LOW 20MN EST PT	$186.04	$487.00	$46.23–$384.73	25% above	62%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT LOW 20MN EST PT	$186.04	$487.00	$292.20–$384.73	—	62%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VST MDT 30MN EST WPRC PO	$239.52	$627.00	$68.27–$495.33	8% above	62%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT MDT 30MN EST PT	$246.39	$645.00	$68.27–$509.55	11% above	62%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FETAL DEMISE <23WK EST PT	$1,205.98	$3,157.00	$68.27–$3,157.00	441% above	62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VST MDT 30MN EST WPRC PO	$239.52	$627.00	$376.20–$495.33	—	62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT MDT 30MN EST PT	$246.39	$645.00	$387.00–$509.55	—	62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FETAL DEMISE <23WK EST PT	$1,205.98	$3,157.00	$1,894.20–$2,494.03	—	62%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT STFD 10MN EST PT	$137.91	$361.00	$24.67–$285.19	42% above	62%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT STFD 10MN EST PT	$137.91	$361.00	$216.60–$285.19	—	62%
Speech and language evaluation CPT 92523 ST EVAL PROD W COMP SP	$458.02	$1,199.00	$162.00–$1,016.29	38% below	62%
Speech and language evaluation inpatient CPT 92523 ST EVAL PROD W COMP SP	$458.02	$1,199.00	$719.40–$947.21	—	62%
Speech therapy session, individual CPT 92507 ST TREATMENT SPEECH	$154.33	$404.00	$40.69–$404.00	56% below	62%
Speech therapy session, individual inpatient CPT 92507 ST TREATMENT SPEECH	$154.33	$404.00	$242.40–$319.16	—	62%
Spirometry (breathing test) CPT 94010 SPIROMETRY PO	$218.51	$572.00	$28.61–$572.00	25% above	62%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$240.28	$629.00	$28.61–$629.00	37% above	62%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY PO	$218.51	$572.00	$343.20–$451.88	—	62%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$240.28	$629.00	$377.40–$496.91	—	62%
Spirometry before and after a bronchodilator CPT 94060 BRNCHSPASM EVAL PRE/POST	$422.50	$1,106.00	$40.77–$1,106.00	86% above	62%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRNCHSPASM EVAL PRE/POST	$422.50	$1,106.00	$663.60–$873.74	—	62%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THR ACTIVITY EA 15	$76.40	$200.00	$38.00–$200.00	64% below	62%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THR ACTIVITY EA 15	$76.40	$200.00	$38.00–$200.00	64% below	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THR ACTIVITY EA 15	$76.40	$200.00	$120.00–$158.00	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THR ACTIVITY EA 15	$76.40	$200.00	$120.00–$158.00	—	62%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT	$351.44	$920.00	$99.78–$817.20	48% above	62%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT	$351.44	$920.00	$552.00–$726.80	—	62%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC PF TR SV 0.5MLPFS	$36.29	$95.00	$17.10–$75.05	51% below	62%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC PF TR SV 0.5MLPFS	$36.29	$95.00	$17.10–$75.05	—	62%
Hepatitis A vaccine, adult dose CPT 90632 HEPAT A VACC 1440U 1ML IN	$135.23	$354.00	$67.26–$279.66	55% above	62%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPAT A VACC 1440U 1ML IN	$135.23	$354.00	$148.68–$279.66	—	62%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPAT B VAC 20MCG 1MLINPC	$113.46	$297.00	$53.46–$234.63	49% above	62%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPAT B VAC 20MCG 1MLINPC	$113.46	$297.00	$53.46–$234.63	—	62%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC	$150.89	$395.00	$75.05–$312.05	at median	62%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC	$150.89	$395.00	$165.90–$312.05	—	62%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOC B OMV 0.5MLVACC	$351.44	$920.00	$174.80–$726.80	18% above	62%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOC B OMV 0.5MLVACC	$351.44	$920.00	$386.40–$726.80	—	62%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOC VACC 20 VAL PFS	$456.49	$1,195.00	$227.05–$944.05	27% below	62%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOC VACC 20 VAL PFS	$456.49	$1,195.00	$501.90–$944.05	—	62%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOC VACC 23 VAL PC	$214.69	$562.00	$101.16–$443.98	186% above	62%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOC VACC 23 VAL PC	$214.69	$562.00	$101.16–$443.98	—	62%
Rabies vaccine, one dose CPT 90675 RABIES VACC 2.5IU/ML 1ML	$695.24	$1,820.00	$266.30–$1,437.80	89% above	62%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC 2.5IU/ML 1ML	$695.24	$1,820.00	$764.40–$1,437.80	—	62%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOM ADJ0.5ML	$297.20	$778.00	$147.82–$614.62	8% above	62%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOM ADJ0.5ML	$297.20	$778.00	$326.76–$614.62	—	62%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 0.5ML >=7YR IM	$81.75	$214.00	$39.60–$169.06	42% below	62%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 0.5ML >=7YR IM	$81.75	$214.00	$89.88–$169.06	—	62%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEP B VACCINE	$90.92	$238.00	$25.36–$188.02	83% above	62%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEP B VACCINE	$90.92	$238.00	$142.80–$188.02	—	62%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN OTHER IMMUN VAC ADD	$90.92	$238.00	$12.82–$188.02	124% above	62%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN OTHER IMMUN VAC ADD	$90.92	$238.00	$142.80–$188.02	—	62%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/dharz/ceaz/finance/price-transparency/941196203-1982733655_dignity-health-st-josephs-hospital-and-medical-center_standardcharges.json