Hospital Santa Maria-Santa Barbara, CA

Dignity Health

Dignity Health in Santa Maria, CA publishes cash prices for 230 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 181 of 227 procedures and above it for 46. By typical cash price it ranks #51 of 168 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1400 E Church St, Santa Maria, CA 93454 Collected Sep 27, 2026 Source price file (805) 739-3100

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 050107 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 TRANS O2 MEAS 1-2 LVL BI	$510.18	$1,192.00	$59.79–$7,044.00	—	57%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US DOP ART EXT 1-2 LVL BI	$566.25	$1,323.00	$59.79–$7,044.00	—	57%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 TRANS O2 MEAS 1-2 LVL BI	$510.18	$1,192.00	$750.96–$1,168.16	—	57%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPH SCOUT CHST W CON	$536.72	$1,254.00	$54.64–$1,228.92	1% above	57%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOP SCT CHST W CON FY	$565.82	$1,322.00	$54.64–$1,295.56	6% above	57%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPH SCOUT CHST W CON	$536.72	$1,254.00	$790.02–$1,228.92	—	57%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOP SCT CHST W CON FY	$619.32	$1,447.00	$911.61–$1,418.06	—	57%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT WHOLE BODY	$1,926.86	$4,502.00	$202.29–$4,411.96	9% below	57%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT WHOLE BODY	$2,214.90	$5,175.00	$3,260.25–$5,071.50	—	57%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CON	$2,787.14	$6,512.00	$222.30–$6,381.76	11% below	57%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W CON	$2,787.14	$6,512.00	$4,102.56–$6,381.76	—	57%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT/COR ART 3D W	$1,002.38	$2,342.00	$222.30–$2,342.00	60% below	57%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT/COR ART 3D W	$1,095.26	$2,559.00	$1,612.17–$2,507.82	—	57%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT EVAL COR CA WO CON	$245.25	$573.00	$81.33–$573.00	22% below	57%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT EVAL COR CA WO CON	$266.65	$623.00	$392.49–$610.54	—	57%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CON	$3,366.22	$7,865.00	$174.31–$7,707.70	20% above	57%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CON	$3,366.22	$7,865.00	$4,954.95–$7,707.70	—	57%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CON	$3,705.63	$8,658.00	$281.80–$8,484.84	7% below	57%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CON	$3,705.63	$8,658.00	$5,454.54–$8,484.84	—	57%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WWO CON	$4,038.61	$9,436.00	$319.24–$9,247.28	9% below	57%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WWO CON	$4,038.61	$9,436.00	$5,944.68–$9,247.28	—	57%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON	$2,498.24	$5,837.00	$222.30–$5,720.26	12% above	57%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON	$2,498.24	$5,837.00	$3,677.31–$5,720.26	—	57%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON	$2,365.13	$5,526.00	$135.12–$5,415.48	26% above	57%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON	$2,365.13	$5,526.00	$3,481.38–$5,415.48	—	57%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CON	$1,955.54	$4,569.00	$135.12–$4,477.62	10% below	57%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CON	$1,955.54	$4,569.00	$2,878.47–$4,477.62	—	57%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CON	$1,004.09	$2,346.00	$135.12–$2,299.08	56% below	57%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CON	$1,206.54	$2,819.00	$1,775.97–$2,762.62	—	57%
CT scan of the head with contrast CPT 70460 CT HEAD W CON	$2,338.17	$5,463.00	$204.88–$5,353.74	13% below	57%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CON	$2,338.17	$5,463.00	$3,441.69–$5,353.74	—	57%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO AND W CON	$2,560.73	$5,983.00	$222.30–$5,863.34	9% below	57%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO AND W CON	$2,560.73	$5,983.00	$3,769.29–$5,863.34	—	57%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON	$2,845.78	$6,649.00	$135.12–$6,516.02	1% above	57%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON	$2,845.78	$6,649.00	$4,188.87–$6,516.02	—	57%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON	$2,886.01	$6,743.00	$135.12–$6,608.14	1% below	57%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON	$2,886.01	$6,743.00	$4,248.09–$6,608.14	—	57%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON	$1,851.10	$4,325.00	$222.30–$4,238.50	27% below	57%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON	$1,851.10	$4,325.00	$2,724.75–$4,238.50	—	57%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DPLX EXTRACRAN CMP BIL	$1,134.63	$2,651.00	$179.75–$7,044.00	7% below	57%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DPLX EXTRACRAN CMP BIL	$1,307.12	$3,054.00	$1,924.02–$2,992.92	—	57%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$505.90	$1,182.00	$27.47–$1,158.36	31% above	57%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS FY	$554.69	$1,296.00	$27.47–$1,270.08	44% above	57%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$505.90	$1,182.00	$744.66–$1,158.36	—	57%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS FY	$554.69	$1,296.00	$816.48–$1,270.08	—	57%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$303.46	$709.00	$17.65–$694.82	10% below	57%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW	$303.46	$709.00	$446.67–$694.82	—	57%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPL	$675.82	$1,579.00	$115.78–$1,547.42	20% below	57%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPL	$675.82	$1,579.00	$994.77–$1,547.42	—	57%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENS(DXA)AXAL FY	$274.35	$641.00	$34.27–$641.00	42% below	57%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY(DXA)AXAL	$469.09	$1,096.00	$34.27–$1,096.00	1% below	57%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENS(DXA)AXAL FY	$274.35	$641.00	$403.83–$628.18	—	57%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY(DXA)AXAL	$286.76	$670.00	$422.10–$656.60	—	57%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENS(DXA)APEND FY	$144.67	$338.00	$25.10–$380.27	45% below	57%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY(DXA)APEND	$315.01	$736.00	$25.10–$736.00	19% above	57%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENS(DXA)APEND FY	$144.67	$338.00	$212.94–$331.24	—	57%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENSITY(DXA)APEND	$147.66	$345.00	$217.35–$338.10	—	57%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG+DETL SNGL1ST GEST	$1,201.40	$2,807.00	$158.68–$2,750.86	47% above	57%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG+DETL SNGL1ST GEST	$1,309.68	$3,060.00	$1,927.80–$2,998.80	—	57%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CON	$1,648.23	$3,851.00	$135.12–$3,773.98	9% below	57%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CON	$1,984.21	$4,636.00	$2,920.68–$4,543.28	—	57%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CON	$2,655.32	$6,204.00	$222.30–$6,079.92	13% above	57%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CON	$2,655.32	$6,204.00	$3,908.52–$6,079.92	—	57%
Diagnostic mammogram, both breasts CPT 77066 MA MAMMO DIAG W CAD BIL	$359.52	$840.00	$148.03–$840.00	12% below	57%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA MAMMO DIAG W CAD BIL	$359.52	$840.00	$529.20–$823.20	—	57%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX ART LOW EXT BIL	$693.79	$1,621.00	$111.16–$7,044.00	28% below	57%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US V DPLX ART LOW EXT BIL	$835.89	$1,953.00	$111.16–$7,044.00	13% below	57%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUPLEX ART LOW EXT BIL	$693.79	$1,621.00	$1,021.23–$1,588.58	—	57%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US V DPLX ART LOW EXT BIL	$835.89	$1,953.00	$1,230.39–$1,913.94	—	57%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VENOUS EXT BIL	$671.54	$1,569.00	$193.06–$7,044.00	41% below	57%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DUPLEX VENOUS EXT BIL	$775.54	$1,812.00	$1,141.56–$1,775.76	—	57%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$1,912.74	$4,469.00	$239.76–$7,044.00	21% below	57%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE	$1,912.74	$4,469.00	$2,815.47–$4,379.62	—	57%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM	$1,326.80	$3,100.00	$291.01–$3,100.00	14% below	57%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM	$1,525.40	$3,564.00	$2,245.32–$3,492.72	—	57%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSS W 4/>P W CPAP >=6YRS	$3,023.82	$7,065.00	$410.49–$7,044.00	17% below	57%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSS W 4/>P W CPAP >=6YRS	$3,023.82	$7,065.00	$4,450.95–$6,923.70	—	57%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN WO CON LTD	$780.68	$1,824.00	$87.13–$1,787.52	6% below	57%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN WO CON LTD	$780.68	$1,824.00	$1,149.12–$1,787.52	—	57%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREEN LOW DOSE	$91.60	$214.00	$107.00–$2,200.00	77% below	57%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREEN LOW DOSE	$91.60	$214.00	$134.82–$209.72	—	57%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CON	$2,403.22	$5,615.00	$273.91–$5,502.70	9% below	57%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CON	$2,403.22	$5,615.00	$3,537.45–$5,502.70	—	57%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WO AND W CON	$3,325.56	$7,770.00	$333.52–$7,614.60	24% below	57%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WO AND W CON	$3,325.56	$7,770.00	$4,895.10–$7,614.60	—	57%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON	$3,308.87	$7,731.00	$272.77–$7,576.38	27% above	57%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON	$4,188.41	$9,786.00	$6,165.18–$9,590.28	—	57%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WO AND W CON	$4,216.66	$9,852.00	$446.18–$9,654.96	12% above	57%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WO AND W CON	$4,216.66	$9,852.00	$6,206.76–$9,654.96	—	57%
MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO CON	$1,830.56	$4,277.00	$266.80–$4,191.46	28% below	57%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE WO CON	$2,196.50	$5,132.00	$3,233.16–$5,029.36	—	57%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPINE WO AND W CON	$3,298.60	$7,707.00	$447.95–$7,552.86	16% below	57%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPINE WO AND W CON	$3,298.60	$7,707.00	$4,855.41–$7,552.86	—	57%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE WO CON	$2,092.92	$4,890.00	$265.87–$4,792.20	13% below	57%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPINE WO CON	$2,092.92	$4,890.00	$3,080.70–$4,792.20	—	57%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPINE WO AND W CON	$3,206.15	$7,491.00	$449.31–$7,341.18	21% below	57%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPINE WO AND W CON	$3,206.15	$7,491.00	$4,719.33–$7,341.18	—	57%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO CON	$2,096.78	$4,899.00	$266.30–$4,801.02	17% below	57%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE WO CON	$2,096.78	$4,899.00	$3,086.37–$4,801.02	—	57%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WO AND W CON	$2,564.58	$5,992.00	$332.91–$5,872.16	25% below	57%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WO AND W CON	$2,564.58	$5,992.00	$3,774.96–$5,872.16	—	57%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CON	$1,761.65	$4,116.00	$226.34–$4,033.68	17% below	57%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CON	$1,761.65	$4,116.00	$2,593.08–$4,033.68	—	57%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCAR SPECT WALL MULT	$4,217.94	$9,855.00	$348.12–$9,657.90	15% above	57%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCAR SPECT WALL MULT	$4,847.96	$11,327.00	$7,136.01–$11,100.46	—	57%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LTD F/U	$503.76	$1,177.00	$60.49–$1,153.46	3% below	57%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LTD F/U	$503.76	$1,177.00	$741.51–$1,153.46	—	57%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB COMP	$796.94	$1,862.00	$97.04–$1,824.76	15% below	57%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB COMP	$796.94	$1,862.00	$1,173.06–$1,824.76	—	57%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG=>14WK SNG 1ST GES	$616.32	$1,440.00	$135.12–$1,411.20	15% below	57%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG=>14WK SNG 1ST GES	$616.32	$1,440.00	$907.20–$1,411.20	—	57%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG<14WK SNGL1ST GEST	$844.88	$1,974.00	$78.42–$1,934.52	21% above	57%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG<14WK SNGL1ST GEST	$844.88	$1,974.00	$1,243.62–$1,934.52	—	57%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1 OR >FETUSES LTD	$553.84	$1,294.00	$90.30–$1,268.12	10% above	57%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1 OR >FETUSES LTD	$553.84	$1,294.00	$815.22–$1,268.12	—	57%
Screening mammogram, both breasts CPT 77067 MA MAMMO SCREEN W CAD BIL	$335.56	$784.00	$119.45–$784.00	29% above	57%
Screening mammogram, both breasts inpatient CPT 77067 MA MAMMO SCREEN W CAD BIL	$335.56	$784.00	$493.92–$768.32	—	57%
Sleep study in a lab (polysomnography) CPT 95810 PSS W 4/> PAR W TECH>=6YR	$2,736.21	$6,393.00	$399.42–$7,044.00	44% below	57%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PSS W 4/> PAR W TECH>=6YR	$2,736.21	$6,393.00	$4,027.59–$6,265.14	—	57%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STR TEST COMP W ECG	$1,201.83	$2,808.00	$247.29–$7,044.00	32% below	57%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO STR TEST COMP W ECG	$1,200.97	$2,806.00	$1,767.78–$2,749.88	—	57%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWL FNC/CN/VD/SCT WCON	$446.84	$1,044.00	$74.46–$1,023.12	23% below	57%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWL/CN/VID/SCT WCON FY	$466.95	$1,091.00	$74.46–$1,069.18	19% below	57%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWL FNC/CN/VD/SCT WCON	$446.84	$1,044.00	$657.72–$1,023.12	—	57%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$705.35	$1,648.00	$97.04–$1,615.04	26% above	57%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$705.35	$1,648.00	$1,038.24–$1,615.04	—	57%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL	$698.50	$1,632.00	$82.17–$1,599.36	21% above	57%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL	$698.50	$1,632.00	$1,028.16–$1,599.36	—	57%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE WO CON	$995.53	$2,326.00	$119.34–$2,279.48	at median	57%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE WO CON	$995.53	$2,326.00	$1,465.38–$2,279.48	—	57%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$865.85	$2,023.00	$85.75–$1,982.54	3% below	57%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$865.85	$2,023.00	$1,274.49–$1,982.54	—	57%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISS HEAD NECK	$644.14	$1,505.00	$85.69–$1,474.90	22% below	57%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISS HEAD NECK	$644.14	$1,505.00	$948.15–$1,474.90	—	57%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SCOUT ABD W CON	$536.29	$1,253.00	$146.35–$1,227.94	11% below	57%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SCOUT ABD W CON FY	$567.96	$1,327.00	$146.35–$1,300.46	6% below	57%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI/SCOUT ABD W CON	$536.29	$1,253.00	$789.39–$1,227.94	—	57%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW	$322.29	$753.00	$24.60–$737.94	7% above	57%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW	$322.29	$753.00	$474.39–$737.94	—	57%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2 OR 3 VW	$283.34	$662.00	$43.45–$648.76	38% below	57%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2OR3V FY	$422.44	$987.00	$43.45–$967.26	8% below	57%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2 OR 3 VW	$310.30	$725.00	$456.75–$710.50	—	57%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+ VIEWS	$405.32	$947.00	$62.90–$928.06	31% below	57%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+VWS FY	$462.67	$1,081.00	$62.90–$1,059.38	21% below	57%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+ VIEWS	$439.56	$1,027.00	$647.01–$1,006.46	—	57%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS	$404.46	$945.00	$40.22–$926.10	13% above	57%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2VWS FY	$465.67	$1,088.00	$40.22–$1,066.24	30% above	57%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS	$442.13	$1,033.00	$650.79–$1,012.34	—	57%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+ VIEWS	$298.32	$697.00	$35.56–$683.06	21% below	57%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+VIEWS FY	$312.02	$729.00	$35.56–$714.42	18% below	57%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3+ VIEWS	$322.29	$753.00	$474.39–$737.94	—	57%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3 VW	$428.43	$1,001.00	$37.27–$980.98	1% below	57%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3V FY	$447.69	$1,046.00	$37.27–$1,025.08	4% above	57%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3 VW	$461.82	$1,079.00	$679.77–$1,057.42	—	57%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$388.63	$908.00	$31.01–$889.84	7% above	57%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS FY	$447.26	$1,045.00	$31.01–$1,024.10	23% above	57%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS	$422.44	$987.00	$621.81–$967.26	—	57%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ VWS	$354.39	$828.00	$35.89–$811.44	17% below	57%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ V FY	$370.22	$865.00	$35.89–$847.70	13% below	57%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ VWS	$383.92	$897.00	$565.11–$879.06	—	57%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ V FY	$388.63	$908.00	$572.04–$889.84	—	57%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT	$6.42	$15.00	$5.30–$15.00	85% below	57%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-FIBRO V 2005661B	$7.28	$17.00	$5.30–$17.00	83% below	57%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-FIBRO NAFL 2012521B	$13.19	$30.80	$5.30–$30.80	69% below	57%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-LA-NASHFIBSURE 550960I	$17.60	$41.10	$5.30–$41.10	59% below	57%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-LBCORP FIBRO 550180I	$18.88	$44.11	$5.30–$44.11	56% below	57%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-FIBRO V 2005661B	$7.28	$17.00	$10.71–$16.66	—	57%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-FIBRO NAFL 2012521B	$13.19	$30.80	$19.41–$30.19	—	57%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-LA-NASHFIBSURE 550960I	$17.60	$41.10	$25.90–$40.28	—	57%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-LBCORP FIBRO 550180I	$18.88	$44.11	$27.79–$43.23	—	57%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT	$162.22	$379.00	$238.77–$371.42	—	57%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT	$6.42	$15.00	$5.18–$15.00	85% below	57%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-FIBRO V 2005661A	$7.28	$17.00	$5.18–$17.00	83% below	57%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-FIBRO NAFL 2012521A	$13.19	$30.80	$5.18–$30.80	70% below	57%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-LA-NASHFIBSURE 550960H	$17.60	$41.10	$5.18–$41.10	60% below	57%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-LBCORP FIBRO 550180H	$18.88	$44.11	$5.18–$44.11	57% below	57%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-FIBRO V 2005661A	$7.28	$17.00	$10.71–$16.66	—	57%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-FIBRO NAFL 2012521A	$13.19	$30.80	$19.41–$30.19	—	57%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-LA-NASHFIBSURE 550960H	$17.60	$41.10	$25.90–$40.28	—	57%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-LBCORP FIBRO 550180H	$18.88	$44.11	$27.79–$43.23	—	57%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT	$167.35	$391.00	$246.33–$383.18	—	57%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$110.43	$258.00	$47.63–$258.00	55% below	57%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$110.43	$258.00	$162.54–$252.84	—	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-HYPEREXT 3001561A	$2.41	$5.63	$2.82–$13.44	71% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ALPHAGALPN 3003924B	$4.90	$11.44	$5.22–$13.44	41% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-CW ROSEMARY IGE F352	$5.78	$13.50	$5.22–$13.50	31% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-LBCORP 602778	$6.10	$14.25	$5.22–$14.25	27% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-VIR SAFF IGE 31410S	$6.40	$14.93	$5.22–$14.93	23% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-VIR PINE MX 65010	$6.41	$14.96	$5.22–$14.96	23% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-CW KALE IGE F370	$6.85	$16.00	$5.22–$16.00	18% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ALMTRX CUMIN F140	$7.02	$16.40	$5.22–$16.40	16% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-SQUASH SUM 99122	$7.48	$17.46	$5.22–$17.46	10% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-QST FOODALLRGN 10715	$7.92	$18.50	$5.22–$18.50	5% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-VIR ALLER TREE 67710	$9.22	$21.53	$5.22–$21.53	11% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ALMTRX ACETAMIGES033	$9.63	$22.50	$5.22–$22.50	16% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-QST BRUSSEL SPR 2569	$10.28	$24.00	$5.22–$24.00	24% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-OAK RED 97933	$10.29	$24.03	$5.22–$24.03	24% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-QST JALAPENO 17052	$10.68	$24.95	$5.22–$24.95	28% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ALMTRX TOBACCO K002	$10.70	$25.00	$5.22–$25.00	29% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-LBCORPBRAZIL 603972A	$10.72	$25.03	$5.22–$25.03	29% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-QST GRN PEPPER 2931	$11.35	$26.50	$5.22–$26.50	36% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-VIR WINGSCALE 72110S	$11.76	$27.46	$5.22–$27.46	41% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-LB FOOD II 604783	$12.04	$28.13	$5.22–$28.13	45% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-STACHPAN 3004553B	$12.47	$29.13	$5.22–$29.13	50% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-LBC FOODFRUIT 601872	$12.95	$30.25	$5.22–$30.25	56% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-LBCORPWALNUT 604600A	$14.53	$33.93	$5.22–$33.93	75% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-LBC LIME TREE 602954	$14.66	$34.25	$5.22–$34.25	76% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-VIR SAFF IGE 38910	$14.73	$34.41	$5.22–$34.41	77% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-LB HOP HORNSB 602955	$15.18	$35.46	$5.22–$35.46	82% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-VIR PERSIMMON 31010A	$15.80	$36.91	$5.22–$36.91	90% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-VIR ALPHAPNL 403196P	$19.26	$45.00	$5.22–$45.00	131% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-QST ABALONE 38766	$20.29	$47.40	$5.22–$47.40	144% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-MAYO CKDROPPING CDRP	$23.07	$53.90	$5.22–$53.90	177% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-MAYO ANISP	$24.14	$56.39	$5.22–$56.39	190% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-MAYO FOOD2	$77.47	$181.00	$5.22–$181.00	831% above	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-HYPEREXT 3001561A	$2.41	$5.63	$3.55–$5.52	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ALPHAGALPN 3003924B	$4.90	$11.44	$7.21–$11.22	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-CW ROSEMARY IGE F352	$5.78	$13.50	$8.51–$13.23	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-LBCORP 602778	$6.10	$14.25	$8.98–$13.97	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-VIR SAFF IGE 31410S	$6.40	$14.93	$9.41–$14.64	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-VIR PINE MX 65010	$6.41	$14.96	$9.43–$14.67	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-CW KALE IGE F370	$6.85	$16.00	$10.08–$15.68	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ALMTRX CUMIN F140	$7.02	$16.40	$10.34–$16.08	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-SQUASH SUM 99122	$7.48	$17.46	$11.00–$17.12	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-QST FOODALLRGN 10715	$7.92	$18.50	$11.66–$18.13	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-VIR ALLER TREE 67710	$9.22	$21.53	$13.57–$21.10	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ALMTRX ACETAMIGES033	$9.63	$22.50	$14.18–$22.05	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-QST BRUSSEL SPR 2569	$10.28	$24.00	$15.12–$23.52	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-OAK RED 97933	$10.29	$24.03	$15.14–$23.55	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-QST JALAPENO 17052	$10.68	$24.95	$15.72–$24.46	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ALMTRX TOBACCO K002	$10.70	$25.00	$15.75–$24.50	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-LBCORPBRAZIL 603972A	$10.72	$25.03	$15.77–$24.53	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-QST GRN PEPPER 2931	$11.35	$26.50	$16.70–$25.97	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-VIR WINGSCALE 72110S	$11.76	$27.46	$17.30–$26.92	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-LB FOOD II 604783	$12.04	$28.13	$17.73–$27.57	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-STACHPAN 3004553B	$12.47	$29.13	$18.36–$28.55	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-LBC FOODFRUIT 601872	$12.95	$30.25	$19.06–$29.65	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-LBCORPWALNUT 604600A	$14.53	$33.93	$21.38–$33.26	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-LBC LIME TREE 602954	$14.66	$34.25	$21.58–$33.57	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-VIR SAFF IGE 38910	$14.73	$34.41	$21.68–$33.73	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-LB HOP HORNSB 602955	$15.18	$35.46	$22.34–$34.76	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-VIR PERSIMMON 31010A	$15.80	$36.91	$23.26–$36.18	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-VIR ALPHAPNL 403196P	$19.26	$45.00	$28.35–$44.10	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-QST ABALONE 38766	$20.29	$47.40	$29.87–$46.46	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-MAYO CKDROPPING CDRP	$23.07	$53.90	$33.96–$52.83	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-MAYO ANISP	$24.14	$56.39	$35.53–$55.27	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-MAYO FOOD2	$77.47	$181.00	$114.03–$177.38	—	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-RAPANEL 3017891B	$8.28	$19.33	$7.10–$33.38	59% below	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-RA PNL 3016634A	$9.70	$22.66	$7.10–$33.38	52% below	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-ILD PANEL2 3018869E	$10.70	$25.00	$7.10–$33.38	47% below	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-LA-ANAPLUS POS 520176C	$14.44	$33.73	$7.10–$33.73	29% below	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-LA-ANA12 POS 520232C	$15.40	$35.98	$7.10–$35.98	24% below	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-LBCORP ANA12 520175D	$18.38	$42.94	$7.10–$42.94	9% below	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-LA-RA PROF 164065A	$18.62	$43.50	$7.10–$43.50	8% below	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-RD-ANA12 PLUS RFX1229I	$20.64	$48.22	$7.10–$48.22	2% above	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-RDL RADX5 1224B	$26.54	$62.00	$7.10–$62.00	31% above	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-LA-ANA12ALL RDL520175D	$26.63	$62.20	$7.10–$62.20	31% above	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-QST-ANALYZER 36378H	$31.69	$74.02	$7.10–$74.02	56% above	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-LBCORP 164065A	$34.18	$79.84	$7.10–$79.84	69% above	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-LA-ANTI CCP AB 52008	$35.74	$83.50	$7.10–$83.50	76% above	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-QST ANAMPLX11 94954C	$36.16	$84.48	$7.10–$84.48	78% above	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-LA-CCP IGG IGA 164914	$38.52	$90.00	$7.10–$90.00	90% above	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-LA-ILD PRO RDL 520210D	$40.72	$95.13	$7.10–$95.13	101% above	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-MAYO CTDC CAS SERU B	$41.03	$95.85	$7.10–$95.85	102% above	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-RD-ANTI CCP AB EIA 165	$49.22	$115.00	$7.10–$115.00	143% above	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-LBCORP CCP AB 164914	$53.29	$124.50	$7.10–$124.50	163% above	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-RAPANEL 3017891B	$8.28	$19.33	$12.18–$18.95	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-RA PNL 3016634A	$9.70	$22.66	$14.28–$22.21	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-ILD PANEL2 3018869E	$10.70	$25.00	$15.75–$24.50	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-LA-ANAPLUS POS 520176C	$14.44	$33.73	$21.25–$33.06	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-LA-ANA12 POS 520232C	$15.40	$35.98	$22.67–$35.27	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-LBCORP ANA12 520175D	$18.38	$42.94	$27.06–$42.09	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-LA-RA PROF 164065A	$18.62	$43.50	$27.41–$42.63	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-RD-ANA12 PLUS RFX1229I	$20.64	$48.22	$30.38–$47.26	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-RDL RADX5 1224B	$26.54	$62.00	$39.06–$60.76	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-LA-ANA12ALL RDL520175D	$26.63	$62.20	$39.19–$60.96	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-QST-ANALYZER 36378H	$31.69	$74.02	$46.64–$72.54	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-LBCORP 164065A	$34.18	$79.84	$50.30–$78.25	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-LA-ANTI CCP AB 52008	$35.74	$83.50	$52.61–$81.83	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-QST ANAMPLX11 94954C	$36.16	$84.48	$53.23–$82.80	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-LA-CCP IGG IGA 164914	$38.52	$90.00	$56.70–$88.20	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-LA-ILD PRO RDL 520210D	$40.72	$95.13	$59.94–$93.23	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-MAYO CTDC CAS SERU B	$41.03	$95.85	$60.39–$93.94	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-RD-ANTI CCP AB EIA 165	$49.22	$115.00	$72.45–$112.70	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-LBCORP CCP AB 164914	$53.29	$124.50	$78.44–$122.01	—	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-A-LBCORP ANA12 520188A	$14.37	$33.57	$12.09–$33.57	59% below	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-A-LBCORP ANA12 520175A	$18.38	$42.94	$12.09–$42.94	47% below	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-RD-ANA IFA 20	$21.40	$50.00	$12.09–$50.00	39% below	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-RD-ANA 12 PROFILE 1201	$22.26	$52.00	$12.09–$52.00	36% below	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-A-LB SCLERCOMP 520130B	$24.59	$57.44	$12.09–$57.44	30% below	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-RD-ANCA PANEL 994D	$24.61	$57.50	$12.09–$57.50	29% below	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-LA-ANA12ALL RDL520175A	$26.63	$62.20	$12.09–$62.20	24% below	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-LA-PLUS PRO RDL 520180	$27.72	$64.75	$12.09–$64.75	21% below	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-LA-SCLERO COMP 520130B	$29.96	$70.00	$12.09–$70.00	14% below	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-A-QST-ANALYZER 36378A	$31.68	$74.01	$12.09–$74.01	9% below	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-A-DFS70 AB 3016769	$33.03	$77.17	$12.09–$77.17	5% below	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-LA-ANA12 PLUS 520075	$35.53	$83.00	$12.09–$83.00	2% above	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-A-QST ANAMPLX11 94954B	$36.16	$84.48	$12.09–$84.48	4% above	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-LA-ANA12PRO RDL 520188	$37.31	$87.15	$12.09–$87.15	7% above	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-LA-ILD PRO RDL 520210C	$40.72	$95.13	$12.09–$95.13	17% above	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-A-MAYO CTDC CAS SERU A	$41.03	$95.85	$12.09–$95.85	18% above	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-LA-ANA12 RDL 520299A	$41.07	$95.94	$12.09–$95.94	18% above	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-A-LBCORP ANA12 520188A	$14.37	$33.57	$21.15–$32.90	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-A-LBCORP ANA12 520175A	$18.38	$42.94	$27.06–$42.09	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-RD-ANA IFA 20	$21.40	$50.00	$31.50–$49.00	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-RD-ANA 12 PROFILE 1201	$22.26	$52.00	$32.76–$50.96	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-A-LB SCLERCOMP 520130B	$24.59	$57.44	$36.19–$56.30	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-RD-ANCA PANEL 994D	$24.61	$57.50	$36.23–$56.35	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-LA-ANA12ALL RDL520175A	$26.63	$62.20	$39.19–$60.96	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-LA-PLUS PRO RDL 520180	$27.72	$64.75	$40.80–$63.46	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-LA-SCLERO COMP 520130B	$29.96	$70.00	$44.10–$68.60	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-A-QST-ANALYZER 36378A	$31.68	$74.01	$46.63–$72.53	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-A-DFS70 AB 3016769	$33.03	$77.17	$48.62–$75.63	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-LA-ANA12 PLUS 520075	$35.53	$83.00	$52.29–$81.34	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-A-QST ANAMPLX11 94954B	$36.16	$84.48	$53.23–$82.80	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-LA-ANA12PRO RDL 520188	$37.31	$87.15	$54.91–$85.41	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-LA-ILD PRO RDL 520210C	$40.72	$95.13	$59.94–$93.23	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-A-MAYO CTDC CAS SERU A	$41.03	$95.85	$60.39–$93.94	—	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-LA-ANA12 RDL 520299A	$41.07	$95.94	$60.45–$94.03	—	57%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL-A-BNP 30191	$24.83	$58.00	$29.00–$101.16	86% below	57%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE BNP	$64.63	$151.00	$30.15–$151.00	63% below	57%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 RL-A-BNP 30191	$24.83	$58.00	$36.54–$56.84	—	57%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B TYPE BNP	$224.70	$525.00	$330.75–$514.50	—	57%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$10.28	$24.00	$8.46–$24.00	95% below	57%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$270.50	$632.00	$398.16–$619.36	—	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-CS-SURG PATH LVL IV	$22.33	$52.15	$26.08–$89.15	85% below	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-NG-SURG GROSS LVL IV	$38.52	$90.00	$45.00–$90.00	75% below	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-CS-SURG PATH IV TC26	$44.94	$105.00	$52.50–$105.00	71% below	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-SF-SURG PATH LVL IV	$128.06	$299.20	$58.80–$299.20	16% below	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-SF-SURG PATH IV TC26	$170.18	$397.60	$58.80–$397.60	12% above	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-CS-SURG PATH LVL IV	$22.33	$52.15	$32.86–$51.11	—	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-NG-SURG GROSS LVL IV	$38.52	$90.00	$56.70–$88.20	—	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-CS-SURG PATH IV TC26	$44.94	$105.00	$66.15–$102.90	—	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-SF-SURG PATH LVL IV	$128.06	$299.20	$188.50–$293.22	—	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-SF-SURG PATH IV TC26	$170.18	$397.60	$250.49–$389.65	—	57%
Blood culture for bacteria CPT 87040 CULT BLOOD	$15.84	$37.00	$10.32–$37.00	93% below	57%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD	$258.94	$605.00	$381.15–$592.90	—	57%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE IP/ER	$3.86	$9.00	$3.00–$16,097.00	84% below	57%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$32.96	$77.00	$3.00–$16,097.00	36% above	57%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE NON LAB	$34.67	$81.00	$3.00–$16,097.00	43% above	57%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$32.96	$77.00	$48.51–$75.46	—	57%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE IP/ER	$34.67	$81.00	$51.03–$79.38	—	57%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE NON LAB	$37.67	$88.00	$55.44–$86.24	—	57%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$5.14	$12.00	$3.93–$12.00	86% below	57%
Blood glucose (sugar) test CPT 82947 RL-A-FIBRO NAFL 2012521D	$13.19	$30.80	$3.93–$30.80	65% below	57%
Blood glucose (sugar) test CPT 82947 RL-LA-NASHFIBSURE 550960D	$17.60	$41.10	$3.93–$41.10	53% below	57%
Blood glucose (sugar) test CPT 82947 RL-A-LBCORP FIBRO 550180D	$18.88	$44.11	$3.93–$44.11	50% below	57%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD LAB	$11.56	$27.00	$17.01–$26.46	—	57%
Blood glucose (sugar) test inpatient CPT 82947 RL-A-FIBRO NAFL 2012521D	$13.19	$30.80	$19.41–$30.19	—	57%
Blood glucose (sugar) test inpatient CPT 82947 RL-LA-NASHFIBSURE 550960D	$17.60	$41.10	$25.90–$40.28	—	57%
Blood glucose (sugar) test inpatient CPT 82947 RL-A-LBCORP FIBRO 550180D	$18.88	$44.11	$27.79–$43.23	—	57%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD	$108.72	$254.00	$160.02–$248.92	—	57%
Blood lead test CPT 83655 RL-A-LEAD-IND 25016A	$4.67	$10.89	$5.45–$31.20	67% below	57%
Blood lead test CPT 83655 RL-A-HYMETU RND 2011304B	$4.90	$11.43	$5.72–$31.20	66% below	57%
Blood lead test CPT 83655 RL-A-HYMET 6 25055D	$4.94	$11.52	$5.76–$31.20	65% below	57%
Blood lead test CPT 83655 RL-A-HY MET U4 20572B	$5.06	$11.81	$5.91–$31.20	64% below	57%
Blood lead test inpatient CPT 83655 RL-A-LEAD-IND 25016A	$4.67	$10.89	$6.87–$10.68	—	57%
Blood lead test inpatient CPT 83655 RL-A-HYMETU RND 2011304B	$4.90	$11.43	$7.21–$11.21	—	57%
Blood lead test inpatient CPT 83655 RL-A-HYMET 6 25055D	$4.94	$11.52	$7.26–$11.29	—	57%
Blood lead test inpatient CPT 83655 RL-A-HY MET U4 20572B	$5.06	$11.81	$7.45–$11.58	—	57%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL SERUM	$12.42	$29.00	$7.52–$29.00	92% below	57%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL SERUM	$29.54	$69.00	$43.47–$67.62	—	57%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-VT-ABO GROUPING LS005	$15.58	$36.38	$3.41–$163.78	80% below	57%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-VT-DAT AIH EVAL LS295D	$22.21	$51.88	$3.41–$163.78	71% below	57%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-VT-ABO DISCREP LS010	$22.65	$52.92	$3.41–$163.78	71% below	57%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-A-IRL AB PKG 3017610A	$32.91	$76.88	$3.41–$163.78	57% below	57%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-VT-ABO GROUPING LS005	$15.58	$36.38	$22.92–$35.66	—	57%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-VT-DAT AIH EVAL LS295D	$22.21	$51.88	$32.69–$50.85	—	57%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-VT-ABO DISCREP LS010	$22.65	$52.92	$33.34–$51.87	—	57%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-A-IRL AB PKG 3017610A	$32.91	$76.88	$48.44–$75.35	—	57%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$93.74	$219.00	$137.97–$214.62	—	57%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$6.85	$16.00	$5.18–$16.00	85% below	57%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 RL-P-IBD SGI DX 1800 C	$13.55	$31.65	$5.18–$31.65	71% below	57%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 RL-P-IBD SGI DX 1800 C	$13.55	$31.65	$19.94–$31.02	—	57%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$179.76	$420.00	$264.60–$411.60	—	57%
C. difficile toxin gene test (stool PCR) CPT 87493 RL-A-CDIFF PCR 2002838	$40.24	$94.00	$28.64–$96.05	74% below	57%
C. difficile toxin gene test (stool PCR) CPT 87493 IA CLOS DIFF TOXN AMP PRB	$199.45	$466.00	$28.64–$466.00	30% above	57%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 RL-A-CDIFF PCR 2002838	$40.24	$94.00	$59.22–$92.12	—	57%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 IA CLOS DIFF TOXN AMP PRB	$199.45	$466.00	$293.58–$456.68	—	57%
CA-125 blood test (ovarian cancer marker) CPT 86304 RL-A-ROMA S 2012618A	$18.24	$42.60	$16.64–$53.63	81% below	57%
CA-125 blood test (ovarian cancer marker) CPT 86304 IA TUMOR AG CA 125	$102.30	$239.00	$16.64–$239.00	8% above	57%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 RL-A-ROMA S 2012618A	$18.24	$42.60	$26.84–$41.75	—	57%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IA TUMOR AG CA 125	$102.30	$239.00	$150.57–$234.22	—	57%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL-A-COVID19NAA 3002638	$32.02	$74.80	$37.40–$77.63	54% below	57%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 CVD-19 PRB TCH	$65.49	$153.00	$51.31–$153.00	6% below	57%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 RL-PS-SARS-COV2 PE RT-PCR	$59.07	$138.00	$51.31–$138.00	16% below	57%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL-A-COVID19NAA 3002638	$32.02	$74.80	$47.13–$73.31	—	57%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 CVD-19 PRB TCH	$98.44	$230.00	$144.90–$225.40	—	57%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 RL-PS-SARS-COV2 PE RT-PCR	$59.07	$138.00	$86.94–$135.24	—	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL-A-LBCORP VAG 180021A	$18.05	$42.15	$21.08–$90.42	67% below	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL-A-GUDP PCR 3005674A	$27.40	$64.00	$32.00–$90.42	50% below	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IA CHLAMYD TRACH AMP PRB	$44.94	$105.00	$35.09–$105.00	18% below	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL-A-CT LGVPCR 2013768	$60.27	$140.80	$35.09–$140.80	10% above	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 RL-A-LBCORP VAG 180021A	$18.05	$42.15	$26.56–$41.31	—	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 RL-A-GUDP PCR 3005674A	$27.40	$64.00	$40.32–$62.72	—	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 RL-A-CT LGVPCR 2013768	$60.27	$140.80	$88.71–$137.99	—	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 IA CHLAMYD TRACH AMP PRB	$109.57	$256.00	$161.28–$250.88	—	57%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-LIPOELECT 80503B	$8.71	$20.34	$10.17–$34.49	91% below	57%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$16.27	$38.00	$13.39–$38.00	84% below	57%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-QST CARDIOIQ 92145A	$24.13	$56.37	$13.39–$56.37	76% below	57%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-QST LIPW/INFM 94220E	$24.40	$56.99	$13.39–$56.99	76% below	57%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-QST LIPID PNL 91716	$40.66	$95.00	$13.39–$95.00	60% below	57%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-LIPOELECT 80503B	$8.71	$20.34	$12.82–$19.94	—	57%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-QST CARDIOIQ 92145A	$24.13	$56.37	$35.52–$55.25	—	57%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-QST LIPW/INFM 94220E	$24.40	$56.99	$35.91–$55.86	—	57%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-QST LIPID PNL 91716	$40.66	$95.00	$59.85–$93.10	—	57%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$415.16	$970.00	$611.10–$950.60	—	57%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF	$9.42	$22.00	$7.77–$22.00	91% below	57%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF	$163.93	$383.00	$241.29–$375.34	—	57%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF	$7.71	$18.00	$6.47–$18.00	90% below	57%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF	$92.45	$216.00	$136.08–$211.68	—	57%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$12.84	$30.00	$10.56–$30.00	95% below	57%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL	$384.35	$898.00	$565.74–$880.04	—	57%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QN	$16.27	$38.00	$10.18–$38.00	86% below	57%
D-dimer blood test (blood clot marker) CPT 85379 RL-A-D-DI 30057	$17.87	$41.75	$10.18–$41.75	85% below	57%
D-dimer blood test (blood clot marker) CPT 85379 RL-A-QST THROM PNL 39476C	$44.20	$103.25	$10.18–$103.25	63% below	57%
D-dimer blood test (blood clot marker) CPT 85379 RL-A-MAYO BDIAL LIMITED F	$51.13	$119.44	$10.18–$119.44	57% below	57%
D-dimer blood test (blood clot marker) CPT 85379 RL-A-QST FIB COMP 90923B	$97.60	$228.03	$10.18–$223.47	18% below	57%
D-dimer blood test (blood clot marker) inpatient CPT 85379 RL-A-D-DI 30057	$17.87	$41.75	$26.31–$40.92	—	57%
D-dimer blood test (blood clot marker) inpatient CPT 85379 RL-A-QST THROM PNL 39476C	$44.20	$103.25	$65.05–$101.19	—	57%
D-dimer blood test (blood clot marker) inpatient CPT 85379 RL-A-MAYO BDIAL LIMITED F	$51.13	$119.44	$75.25–$117.06	—	57%
D-dimer blood test (blood clot marker) inpatient CPT 85379 RL-A-QST FIB COMP 90923B	$97.60	$228.03	$143.66–$223.47	—	57%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QN	$261.51	$611.00	$384.93–$598.78	—	57%
Estradiol blood test CPT 82670 RL-A-ESDIOL TMS 93247	$11.99	$28.00	$14.00–$71.99	81% below	57%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$35.96	$84.00	$27.94–$84.00	43% below	57%
Estradiol blood test inpatient CPT 82670 RL-A-ESDIOL TMS 93247	$11.99	$28.00	$17.64–$27.44	—	57%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL	$128.83	$301.00	$189.63–$294.98	—	57%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE	$30.39	$71.00	$18.58–$71.00	66% below	57%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMONE	$95.02	$222.00	$139.86–$217.56	—	57%
Fecal calprotectin (stool inflammation test) CPT 83993 RL-A-CALPRO FEC 3002859	$17.12	$40.00	$15.70–$50.58	76% below	57%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL-A-CALPRO FEC 3002859	$17.12	$40.00	$25.20–$39.20	—	57%
Ferritin blood test (iron stores) CPT 82728 RL-A-FIBRO NAFL 2012521C	$13.19	$30.80	$13.63–$35.12	84% below	57%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$20.55	$48.00	$13.63–$48.00	75% below	57%
Ferritin blood test (iron stores) inpatient CPT 82728 RL-A-FIBRO NAFL 2012521C	$13.19	$30.80	$19.41–$30.19	—	57%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$125.41	$293.00	$184.59–$287.14	—	57%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$23.97	$56.00	$14.70–$56.00	72% below	57%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$92.45	$216.00	$136.08–$211.68	—	57%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE FREE	$23.97	$56.00	$16.94–$56.00	62% below	57%
Free T3 thyroid hormone test CPT 84481 RL-A-T3 FREE SP 2011793	$40.66	$95.00	$16.94–$95.00	36% below	57%
Free T3 thyroid hormone test inpatient CPT 84481 RL-A-T3 FREE SP 2011793	$40.66	$95.00	$59.85–$93.10	—	57%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE FREE	$70.20	$164.00	$103.32–$160.72	—	57%
Free T4 (free thyroxine) thyroid blood test CPT 84439 RL-A-FT4 ED-TMS 93244	$9.42	$22.00	$9.02–$23.23	86% below	57%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$11.99	$28.00	$9.02–$28.00	82% below	57%
Free T4 (free thyroxine) thyroid blood test CPT 84439 RL-A-MAYO-THSCM B	$52.50	$122.65	$9.02–$122.65	23% below	57%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 RL-A-FT4 ED-TMS 93244	$9.42	$22.00	$13.86–$21.56	—	57%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 RL-A-MAYO-THSCM B	$52.50	$122.65	$77.27–$120.20	—	57%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$148.52	$347.00	$218.61–$340.06	—	57%
Free testosterone test CPT 84402 RL-A-TE F T ED 2004246A	$10.70	$25.00	$12.50–$65.64	74% below	57%
Free testosterone test CPT 84402 RL-A-FREE T TMS 2003246	$12.84	$30.00	$15.00–$65.64	69% below	57%
Free testosterone test CPT 84402 RL-A-TESTOS FR 81059	$14.13	$33.00	$16.50–$65.64	66% below	57%
Free testosterone test CPT 84402 RL-A-QST TESTO F T 36170A	$44.52	$104.00	$25.47–$104.00	7% above	57%
Free testosterone test inpatient CPT 84402 RL-A-TE F T ED 2004246A	$10.70	$25.00	$15.75–$24.50	—	57%
Free testosterone test inpatient CPT 84402 RL-A-FREE T TMS 2003246	$12.84	$30.00	$18.90–$29.40	—	57%
Free testosterone test inpatient CPT 84402 RL-A-TESTOS FR 81059	$14.13	$33.00	$20.79–$32.34	—	57%
Free testosterone test inpatient CPT 84402 RL-A-QST TESTO F T 36170A	$44.52	$104.00	$65.52–$101.92	—	57%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$801.65	$1,873.00	$54.43–$1,835.54	189% above	57%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$801.65	$1,873.00	$1,179.99–$1,835.54	—	57%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR PP	$7.28	$17.00	$4.75–$17.00	84% below	57%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE	$35.10	$82.00	$51.66–$80.36	—	57%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR PP	$153.23	$358.00	$225.54–$350.84	—	57%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2HR PP	$222.14	$519.00	$326.97–$508.62	—	57%
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPEC	$20.98	$49.00	$12.87–$49.00	82% below	57%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1ST 3 SPEC	$50.51	$118.00	$74.34–$115.64	—	57%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 RL-A-N GONORRHOEA AMP DET	$13.47	$31.47	$15.74–$90.42	75% below	57%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 RL-A-LBCORP VAG 180021B	$18.05	$42.15	$21.08–$90.42	66% below	57%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 IA NEISSERIA GONO AMP PRB	$44.94	$105.00	$35.09–$105.00	16% below	57%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 RL-A-N GONORRHOEA AMP DET	$13.47	$31.47	$19.83–$30.85	—	57%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 RL-A-LBCORP VAG 180021B	$18.05	$42.15	$26.56–$41.31	—	57%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 IA NEISSERIA GONO AMP PRB	$109.57	$256.00	$161.28–$250.88	—	57%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 RL-A-HIV-1 RNA QT RT PCR	$32.67	$76.33	$38.17–$219.29	62% below	57%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 RL-A-HIV-1 RNA QT RT PCR	$32.67	$76.33	$48.09–$74.81	—	57%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 HIV-2 AB RAPID	$22.69	$53.00	$13.71–$53.00	46% below	57%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 HIV-2 AB RAPID	$68.91	$161.00	$101.43–$157.78	—	57%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 IA HIV1 AG W HIV1 HIV2 AB	$38.95	$91.00	$19.26–$91.00	36% below	57%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 IA HIV1 AG W HIV1 HIV2 AB	$105.72	$247.00	$155.61–$242.06	—	57%
HPV test for high-risk types, one combined (pooled) result CPT 87624 RL-A-HPV REFLEX 3016945	$16.27	$38.00	$19.00–$90.42	88% below	57%
HPV test for high-risk types, one combined (pooled) result CPT 87624 IA HPV HIGH RISK TYPES	$52.22	$122.00	$28.07–$122.00	61% below	57%
HPV test for high-risk types, one combined (pooled) result CPT 87624 RL-NG-HPV HIGH RISK	$89.88	$210.00	$28.07–$210.00	34% below	57%
HPV test for high-risk types, one combined (pooled) result CPT 87624 RL-NG-HPV DNA TISSUE TEST	$175.48	$410.00	$28.07–$410.00	30% above	57%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 RL-A-HPV REFLEX 3016945	$16.27	$38.00	$23.94–$37.24	—	57%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 RL-NG-HPV HIGH RISK	$89.88	$210.00	$132.30–$205.80	—	57%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 IA HPV HIGH RISK TYPES	$98.87	$231.00	$145.53–$226.38	—	57%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 RL-NG-HPV DNA TISSUE TEST	$175.48	$410.00	$258.30–$401.80	—	57%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$12.42	$29.00	$9.71–$29.00	81% below	57%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$200.31	$468.00	$294.84–$458.64	—	57%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB	$15.84	$37.00	$10.74–$37.00	59% below	57%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 RL-A-LB VIRHEP IMM 28910B	$16.04	$37.47	$10.74–$37.47	58% below	57%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 RL-A-LB VIRHEP IMM 28910B	$16.04	$37.47	$23.61–$36.73	—	57%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB	$23.97	$56.00	$35.28–$54.88	—	57%
Hepatitis B surface antigen (HBsAg) test CPT 87340 IA HEP B SURFACE AG QL	$14.56	$34.00	$10.33–$34.00	77% below	57%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 IA HEP B SURFACE AG QL	$70.20	$164.00	$103.32–$160.72	—	57%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$20.12	$47.00	$14.27–$47.00	61% below	57%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$84.75	$198.00	$124.74–$194.04	—	57%
Herpes blood test, HSV-1 antibody CPT 86695 RL-A-HERPICSF 50379	$9.47	$22.11	$11.06–$33.97	50% below	57%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-HERPICSF 50379	$9.47	$22.11	$13.93–$21.67	—	57%
Herpes blood test, HSV-2 antibody CPT 86696 RL-A-HERPIICSF 50359	$9.47	$22.11	$11.06–$49.87	65% below	57%
Herpes blood test, HSV-2 antibody CPT 86696 RL-A-HSV2 INHIB 2012135	$67.95	$158.75	$15.48–$158.75	155% above	57%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-HERPIICSF 50359	$9.47	$22.11	$13.93–$21.67	—	57%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-HSV2 INHIB 2012135	$67.95	$158.75	$100.02–$155.58	—	57%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY	$16.70	$39.00	$10.36–$39.00	64% below	57%
High-sensitivity CRP (hs-CRP) test CPT 86141 RL-A-QST LIPW/INFM 94220D	$24.40	$56.99	$10.36–$56.99	48% below	57%
High-sensitivity CRP (hs-CRP) test CPT 86141 RL-LA-CRP HS 120766	$27.65	$64.58	$10.36–$64.58	41% below	57%
High-sensitivity CRP (hs-CRP) test CPT 86141 RL-A-QST CARDIO IQR 91737	$27.82	$65.00	$10.36–$65.00	41% below	57%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 RL-A-QST LIPW/INFM 94220D	$24.40	$56.99	$35.91–$55.86	—	57%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 RL-LA-CRP HS 120766	$27.65	$64.58	$40.69–$63.29	—	57%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 RL-A-QST CARDIO IQR 91737	$27.82	$65.00	$40.95–$63.70	—	57%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY	$178.48	$417.00	$262.71–$408.66	—	57%
Homocysteine blood test CPT 83090 RL-LA-THROMB RISK 117720B	$77.79	$181.75	$14.33–$181.75	89% above	57%
Homocysteine blood test CPT 83090 RL-A-MAYO HCYSU TOT URINE	$140.73	$328.80	$14.33–$324.52	242% above	57%
Homocysteine blood test inpatient CPT 83090 RL-LA-THROMB RISK 117720B	$77.79	$181.75	$114.51–$178.12	—	57%
Homocysteine blood test inpatient CPT 83090 RL-A-MAYO HCYSU TOT URINE	$140.73	$328.80	$207.15–$322.23	—	57%
Insulin blood test CPT 83525 RL-A-PRO INS 70256B	$7.78	$18.16	$9.08–$29.45	77% below	57%
Insulin blood test CPT 83525 RL-A-QST-CARDIO IQ 36509A	$33.17	$77.50	$11.43–$77.50	1% below	57%
Insulin blood test inpatient CPT 83525 RL-A-PRO INS 70256B	$7.78	$18.16	$11.45–$17.80	—	57%
Insulin blood test inpatient CPT 83525 RL-A-QST-CARDIO IQ 36509A	$33.17	$77.50	$48.83–$75.95	—	57%
Iron blood test (serum iron) CPT 83540 IRON	$8.31	$19.41	$6.47–$19.41	81% below	57%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$13.70	$32.00	$20.16–$31.36	—	57%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$11.56	$27.00	$8.74–$27.00	79% below	57%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$163.50	$382.00	$240.66–$374.36	—	57%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$10.70	$25.00	$8.68–$25.00	92% below	57%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$327.42	$765.00	$481.95–$749.70	—	57%
LH (luteinizing hormone) test CPT 83002 RL-A-LH PEDIA 2007567	$23.54	$55.00	$18.52–$55.00	70% below	57%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$30.82	$72.00	$18.52–$72.00	61% below	57%
LH (luteinizing hormone) test inpatient CPT 83002 RL-A-LH PEDIA 2007567	$23.54	$55.00	$34.65–$53.90	—	57%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$91.17	$213.00	$134.19–$208.74	—	57%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$8.99	$21.00	$6.89–$21.00	88% below	57%
Lipase blood test (pancreas enzyme) CPT 83690 RL-A-QST-LIPASE URINE 731	$22.27	$52.02	$6.89–$52.02	70% below	57%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 RL-A-QST-LIPASE URINE 731	$22.27	$52.02	$32.78–$50.98	—	57%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$173.34	$405.00	$255.15–$396.90	—	57%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$12.42	$29.00	$8.17–$29.00	91% below	57%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$297.04	$694.00	$437.22–$680.12	—	57%
Lyme disease antibody test CPT 86618 RL-A-TICK PAN 3006367C	$9.61	$22.43	$11.22–$43.88	60% below	57%
Lyme disease antibody test CPT 86618 RL-A-RFLX LYME MGR3006188	$10.70	$25.00	$12.50–$43.88	55% below	57%
Lyme disease antibody test CPT 86618 RL-A-LYME MTTT 3006053	$20.77	$48.51	$17.03–$48.51	13% below	57%
Lyme disease antibody test CPT 86618 RL-A-LYME STTTC 3016760	$21.40	$50.00	$17.03–$50.00	11% below	57%
Lyme disease antibody test inpatient CPT 86618 RL-A-TICK PAN 3006367C	$9.61	$22.43	$14.14–$21.99	—	57%
Lyme disease antibody test inpatient CPT 86618 RL-A-RFLX LYME MGR3006188	$10.70	$25.00	$15.75–$24.50	—	57%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME MTTT 3006053	$20.77	$48.51	$30.57–$47.54	—	57%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME STTTC 3016760	$21.40	$50.00	$31.50–$49.00	—	57%
Magnesium blood test CPT 83735 RL-A-FEC PRO 20699C	$5.71	$13.32	$6.66–$17.28	90% below	57%
Magnesium blood test CPT 83735 MAGNESIUM	$8.99	$21.00	$6.70–$21.00	84% below	57%
Magnesium blood test CPT 83735 RL-A-MG RBC 92079	$10.28	$24.00	$6.70–$24.00	82% below	57%
Magnesium blood test CPT 83735 RL-A-NMS CATH ST 1033ST A	$53.08	$124.00	$6.70–$124.00	8% below	57%
Magnesium blood test inpatient CPT 83735 RL-A-FEC PRO 20699C	$5.71	$13.32	$8.40–$13.06	—	57%
Magnesium blood test inpatient CPT 83735 RL-A-MG RBC 92079	$10.28	$24.00	$15.12–$23.52	—	57%
Magnesium blood test inpatient CPT 83735 RL-A-NMS CATH ST 1033ST A	$53.08	$124.00	$78.12–$121.52	—	57%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$146.81	$343.00	$216.09–$336.14	—	57%
Measles (rubeola) antibody test CPT 86765 RL-A-ENCEPH-CSF 3017752C	$6.54	$15.26	$7.63–$33.18	69% below	57%
Measles (rubeola) antibody test inpatient CPT 86765 RL-A-ENCEPH-CSF 3017752C	$6.54	$15.26	$9.62–$14.96	—	57%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST SCRN	$8.14	$19.00	$5.18–$19.00	91% below	57%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST SCRN	$208.01	$486.00	$306.18–$476.28	—	57%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$100.16	$234.00	$18.39–$234.00	189% above	57%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$100.16	$234.00	$147.42–$229.32	—	57%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$22.26	$52.00	$18.39–$52.00	52% below	57%
PSA (prostate-specific antigen) blood test, total CPT 84153 RL-A-PROST INDX 3000134	$31.68	$74.00	$18.39–$74.00	32% below	57%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 RL-A-PROST INDX 3000134	$31.68	$74.00	$46.62–$72.52	—	57%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$170.78	$399.00	$251.37–$391.02	—	57%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 RL-A-PAP AUTO THN MAN SC	$14.29	$33.38	$16.69–$52.21	84% below	57%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH CER/VAG AUTO MAN	$30.39	$71.00	$20.26–$71.00	67% below	57%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 RL-A-PAP AUTO THN MAN SC	$14.29	$33.38	$21.03–$32.72	—	57%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH CER/VAG AUTO MAN	$85.60	$200.00	$126.00–$196.00	—	57%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-THROMRISK 3017156I	$6.52	$15.23	$6.01–$15.50	83% below	57%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO TIME	$8.14	$19.00	$6.01–$19.00	78% below	57%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-RF BILL PTTT 3017033	$13.19	$30.80	$6.01–$30.80	65% below	57%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-LB FACTVINHB 500380E	$32.10	$75.00	$6.01–$75.00	15% below	57%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-LA-LUPUS/CARDI 500711E	$33.11	$77.34	$6.01–$77.34	12% below	57%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-LA-APS 504400 D	$39.00	$91.11	$6.01–$91.11	3% above	57%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-LA-LUPUS ANTI 500070F	$44.79	$104.63	$6.01–$104.63	19% above	57%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-MAYO BDIAL LIMITED D	$51.13	$119.45	$6.01–$117.07	35% above	57%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-THROMRISK 3017156I	$6.52	$15.23	$9.60–$14.93	—	57%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-RF BILL PTTT 3017033	$13.19	$30.80	$19.41–$30.19	—	57%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-LB FACTVINHB 500380E	$32.10	$75.00	$47.25–$73.50	—	57%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-LA-LUPUS/CARDI 500711E	$33.11	$77.34	$48.73–$75.80	—	57%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-LA-APS 504400 D	$39.00	$91.11	$57.40–$89.29	—	57%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-LA-LUPUS ANTI 500070F	$44.79	$104.63	$65.92–$102.54	—	57%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-MAYO BDIAL LIMITED D	$51.13	$119.45	$75.26–$117.07	—	57%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO TIME	$98.02	$229.00	$144.27–$224.42	—	57%
Progesterone blood test CPT 84144 RL-A-PGSN 2008509	$10.28	$24.00	$12.00–$53.75	81% below	57%
Progesterone blood test CPT 84144 PROGESTERONE	$26.97	$63.00	$20.86–$63.00	51% below	57%
Progesterone blood test CPT 84144 RL-A-MAYO FFCAH PROF 6 H	$29.42	$68.73	$20.86–$68.73	46% below	57%
Progesterone blood test CPT 84144 RL-A-LBCORPTOTFREE503658A	$63.03	$147.25	$20.86–$147.25	15% above	57%
Progesterone blood test inpatient CPT 84144 RL-A-PGSN 2008509	$10.28	$24.00	$15.12–$23.52	—	57%
Progesterone blood test inpatient CPT 84144 RL-A-MAYO FFCAH PROF 6 H	$29.42	$68.73	$43.30–$67.36	—	57%
Progesterone blood test inpatient CPT 84144 RL-A-LBCORPTOTFREE503658A	$63.03	$147.25	$92.77–$144.31	—	57%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$126.26	$295.00	$185.85–$289.10	—	57%
Prolactin blood test CPT 84146 RL-A-MACROPRO 20765	$16.41	$38.34	$19.17–$49.95	82% below	57%
Prolactin blood test CPT 84146 PROLACTIN	$24.83	$58.00	$19.38–$58.00	72% below	57%
Prolactin blood test inpatient CPT 84146 RL-A-MACROPRO 20765	$16.41	$38.34	$24.16–$37.58	—	57%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$147.66	$345.00	$217.35–$338.10	—	57%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-PT 30215	$4.16	$9.71	$4.29–$11.06	91% below	57%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-PT INHIB 2003260	$5.77	$13.46	$4.29–$13.46	88% below	57%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$6.42	$15.00	$4.29–$15.00	87% below	57%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-THROMRISK 3017156G	$6.52	$15.23	$4.29–$15.23	86% below	57%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-LB FACTVINHB 500380C	$32.10	$75.00	$4.29–$75.00	33% below	57%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-LA-LUPUS/CARDI 500711B	$33.11	$77.34	$4.29–$75.82	31% below	57%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-LA-LUPUS ANTI 500070C	$44.79	$104.63	$4.29–$102.54	6% below	57%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-MAYO BDIAL LIMITED E	$51.13	$119.45	$4.29–$117.07	7% above	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-PT 30215	$4.16	$9.71	$6.12–$9.52	—	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-PT INHIB 2003260	$5.77	$13.46	$8.48–$13.20	—	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-THROMRISK 3017156G	$6.52	$15.23	$9.60–$14.93	—	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME LAB	$12.42	$29.00	$18.27–$28.42	—	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-LB FACTVINHB 500380C	$32.10	$75.00	$47.25–$73.50	—	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-LA-LUPUS/CARDI 500711B	$33.11	$77.34	$48.73–$75.80	—	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-LA-LUPUS ANTI 500070C	$44.79	$104.63	$65.92–$102.54	—	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-MAYO BDIAL LIMITED E	$51.13	$119.45	$75.26–$117.07	—	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$60.78	$142.00	$89.46–$139.16	—	57%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QN	$6.85	$16.00	$5.67–$16.00	47% below	57%
Rheumatoid factor (RF) test CPT 86431 RL-A-RAPANEL 3017891C	$8.28	$19.33	$5.67–$19.33	36% below	57%
Rheumatoid factor (RF) test CPT 86431 RL-A-RA PNL 3016634B	$9.70	$22.66	$5.67–$22.66	25% below	57%
Rheumatoid factor (RF) test CPT 86431 RL-A-ILD PANEL2 3018869D	$10.70	$25.00	$5.67–$25.00	18% below	57%
Rheumatoid factor (RF) test CPT 86431 RL-LA-RHEUMO TURB 520129	$14.34	$33.50	$5.67–$33.50	10% above	57%
Rheumatoid factor (RF) test CPT 86431 RL-LA-ANAPLUS POS 520176H	$14.47	$33.80	$5.67–$33.80	11% above	57%
Rheumatoid factor (RF) test CPT 86431 RL-LA-ANA12 POS 520232H	$15.43	$36.03	$5.67–$36.03	19% above	57%
Rheumatoid factor (RF) test CPT 86431 RL-A-LBCORP ANA12 520175H	$18.38	$42.94	$5.67–$42.94	41% above	57%
Rheumatoid factor (RF) test CPT 86431 RL-RD-RHEUM FACT TURB 615	$18.84	$44.00	$5.67–$44.00	45% above	57%
Rheumatoid factor (RF) test CPT 86431 RL-RD-ANA12 PLUS RFX1229H	$20.64	$48.22	$5.67–$48.22	59% above	57%
Rheumatoid factor (RF) test CPT 86431 RL-A-RDL RADX5 1224C	$26.54	$62.00	$5.67–$62.00	104% above	57%
Rheumatoid factor (RF) test CPT 86431 RL-LA-ANA12ALL RDL520175I	$26.67	$62.30	$5.67–$62.30	105% above	57%
Rheumatoid factor (RF) test CPT 86431 RL-A-LBCORP 164065B	$34.18	$79.84	$5.67–$79.84	163% above	57%
Rheumatoid factor (RF) test CPT 86431 RL-LA-RA PROF 164065B	$34.24	$80.00	$5.67–$80.00	163% above	57%
Rheumatoid factor (RF) test CPT 86431 RL-A-QST ANAMPLX11 94954D	$36.16	$84.48	$5.67–$84.48	178% above	57%
Rheumatoid factor (RF) test CPT 86431 RL-A-LBCORP 520178	$40.24	$94.00	$5.67–$94.00	210% above	57%
Rheumatoid factor (RF) test CPT 86431 RL-LA-ILD PRO RDL 520210F	$40.74	$95.18	$5.67–$95.18	213% above	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-RAPANEL 3017891C	$8.28	$19.33	$12.18–$18.95	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-RA PNL 3016634B	$9.70	$22.66	$14.28–$22.21	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-ILD PANEL2 3018869D	$10.70	$25.00	$15.75–$24.50	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-LA-RHEUMO TURB 520129	$14.34	$33.50	$21.11–$32.83	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-LA-ANAPLUS POS 520176H	$14.47	$33.80	$21.30–$33.13	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-LA-ANA12 POS 520232H	$15.43	$36.03	$22.70–$35.31	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-LBCORP ANA12 520175H	$18.38	$42.94	$27.06–$42.09	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-RD-RHEUM FACT TURB 615	$18.84	$44.00	$27.72–$43.12	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-RD-ANA12 PLUS RFX1229H	$20.64	$48.22	$30.38–$47.26	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-RDL RADX5 1224C	$26.54	$62.00	$39.06–$60.76	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-LA-ANA12ALL RDL520175I	$26.67	$62.30	$39.25–$61.06	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-LBCORP 164065B	$34.18	$79.84	$50.30–$78.25	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-LA-RA PROF 164065B	$34.24	$80.00	$50.40–$78.40	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-QST ANAMPLX11 94954D	$36.16	$84.48	$53.23–$82.80	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-LBCORP 520178	$40.24	$94.00	$59.22–$92.12	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-LA-ILD PRO RDL 520210F	$40.74	$95.18	$59.97–$93.28	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QN	$77.04	$180.00	$113.40–$176.40	—	57%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGG	$18.41	$43.00	$14.39–$43.00	54% below	57%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGG	$49.65	$116.00	$73.08–$113.68	—	57%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE RBC AUTO	$145.52	$340.00	$214.20–$333.20	—	57%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE	$20.12	$47.00	$12.31–$47.00	86% below	57%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS COMPLETE	$401.04	$937.00	$590.31–$918.26	—	57%
Stool ova and parasites exam CPT 87177 RL-A-OP BF/U 3001663A	$12.58	$29.37	$8.90–$29.37	30% below	57%
Stool ova and parasites exam inpatient CPT 87177 RL-A-OP BF/U 3001663A	$12.58	$29.37	$18.51–$28.79	—	57%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD FEC QL 3 SPEC	$5.14	$12.00	$3.56–$12.00	87% below	57%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCC BLD FEC QL 3SPEC NONL	$61.21	$143.00	$3.56–$140.14	57% above	57%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCC BLD FEC QL 3SPEC NONL	$61.21	$143.00	$90.09–$140.14	—	57%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD FEC QL 3 SPEC	$62.49	$146.00	$91.98–$143.08	—	57%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHIL VDRL/RPR QL	$9.42	$22.00	$4.27–$22.00	37% below	57%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL-PS-RPR QUAL	$12.42	$29.00	$4.27–$29.00	17% below	57%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHIL VDRL/RPR QL	$9.42	$22.00	$13.86–$21.56	—	57%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL-PS-RPR QUAL	$12.42	$29.00	$18.27–$28.42	—	57%
Testosterone blood test, total (not free testosterone) CPT 84403 RL-A-TE F T ED 2004246B	$10.70	$25.00	$12.50–$66.52	73% below	57%
Testosterone blood test, total (not free testosterone) CPT 84403 RL-A-MAYO FFCAH PROF 6 I	$29.42	$68.73	$25.81–$68.73	27% below	57%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$32.96	$77.00	$25.81–$77.00	18% below	57%
Testosterone blood test, total (not free testosterone) CPT 84403 RL-A-QST TESTO F T 36170B	$44.52	$104.00	$25.81–$104.00	11% above	57%
Testosterone blood test, total (not free testosterone) CPT 84403 RL-A-QST TEST FREE 14966C	$46.51	$108.65	$25.81–$108.65	16% above	57%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 RL-A-TE F T ED 2004246B	$10.70	$25.00	$15.75–$24.50	—	57%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 RL-A-MAYO FFCAH PROF 6 I	$29.42	$68.73	$43.30–$67.36	—	57%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 RL-A-QST TESTO F T 36170B	$44.52	$104.00	$65.52–$101.92	—	57%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 RL-A-QST TEST FREE 14966C	$46.51	$108.65	$68.45–$106.48	—	57%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$84.32	$197.00	$124.11–$193.06	—	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-UIAT 2005415D	$11.02	$25.74	$12.87–$37.50	52% below	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-LBCORP ANA12 520188G	$14.38	$33.58	$14.55–$37.50	37% below	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-LA-ANAPLUS POS 520176G	$14.44	$33.73	$14.55–$37.50	37% below	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-LA-ANA12 POS 520232G	$15.40	$35.98	$14.55–$37.50	33% below	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-LA-ANA12 PROF 520179F	$15.92	$37.18	$14.55–$37.50	30% below	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-LBCORP ANA12 520175G	$18.38	$42.94	$14.55–$42.94	20% below	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-RD-ANA12 PLUS RFX1229F	$20.64	$48.22	$14.55–$48.22	10% below	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-RD-ANA 12 RFLX 1202F	$23.73	$55.43	$14.55–$55.43	4% above	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-LA-ANA12ALL RDL520175H	$26.63	$62.20	$14.55–$62.20	16% above	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-QST-ANALYZER 36378I	$31.68	$74.01	$14.55–$74.01	38% above	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-MAYO FCUIP PANEL C	$33.51	$78.28	$14.55–$78.28	46% above	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-LA-ANA12 RDL 520299G	$41.09	$95.99	$14.55–$95.99	80% above	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-UIAT 2005415D	$11.02	$25.74	$16.22–$25.23	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-LBCORP ANA12 520188G	$14.38	$33.58	$21.16–$32.91	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-LA-ANAPLUS POS 520176G	$14.44	$33.73	$21.25–$33.06	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-LA-ANA12 POS 520232G	$15.40	$35.98	$22.67–$35.27	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-LA-ANA12 PROF 520179F	$15.92	$37.18	$23.43–$36.44	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-LBCORP ANA12 520175G	$18.38	$42.94	$27.06–$42.09	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-RD-ANA12 PLUS RFX1229F	$20.64	$48.22	$30.38–$47.26	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-RD-ANA 12 RFLX 1202F	$23.73	$55.43	$34.93–$54.33	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-LA-ANA12ALL RDL520175H	$26.63	$62.20	$39.19–$60.96	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-QST-ANALYZER 36378I	$31.68	$74.01	$46.63–$72.53	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-MAYO FCUIP PANEL C	$33.51	$78.28	$49.32–$76.72	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-LA-ANA12 RDL 520299G	$41.09	$95.99	$60.48–$94.08	—	57%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL-A-UIAT 2005415C	$11.02	$25.74	$12.87–$43.29	87% below	57%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE	$20.55	$48.00	$16.80–$48.00	75% below	57%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL-A-LBCORP THYCAS 330015	$28.36	$66.24	$16.80–$66.24	66% below	57%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL-A-QST TSH HAMA 19537	$32.32	$75.50	$16.80–$75.50	61% below	57%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL-A-MAYO FCUIP PANEL A	$33.51	$78.29	$16.80–$78.29	60% below	57%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL-A-MAYO-THSCM A	$52.50	$122.65	$16.80–$122.65	37% below	57%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 RL-A-UIAT 2005415C	$11.02	$25.74	$16.22–$25.23	—	57%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 RL-A-LBCORP THYCAS 330015	$28.36	$66.24	$41.74–$64.92	—	57%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 RL-A-QST TSH HAMA 19537	$32.32	$75.50	$47.57–$73.99	—	57%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 RL-A-MAYO FCUIP PANEL A	$33.51	$78.29	$49.33–$76.73	—	57%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 RL-A-MAYO-THSCM A	$52.50	$122.65	$77.27–$120.20	—	57%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE	$112.14	$262.00	$165.06–$256.76	—	57%
Trichomonas test (NAAT) CPT 87661 RL-A-TVAG AMD 2005506	$17.12	$40.00	$20.00–$90.42	81% below	57%
Trichomonas test (NAAT) CPT 87661 RL-A-VPAN TMA 3002581C	$17.66	$41.25	$20.63–$90.42	80% below	57%
Trichomonas test (NAAT) CPT 87661 RL-A-LBCORP VAG 180021C	$18.04	$42.14	$21.07–$90.42	80% below	57%
Trichomonas test (NAAT) CPT 87661 AP IA NA AMP PRB TRICHVAG	$47.08	$110.00	$28.07–$110.00	47% below	57%
Trichomonas test (NAAT) inpatient CPT 87661 RL-A-TVAG AMD 2005506	$17.12	$40.00	$25.20–$39.20	—	57%
Trichomonas test (NAAT) inpatient CPT 87661 RL-A-VPAN TMA 3002581C	$17.66	$41.25	$25.99–$40.43	—	57%
Trichomonas test (NAAT) inpatient CPT 87661 RL-A-LBCORP VAG 180021C	$18.04	$42.14	$26.55–$41.30	—	57%
Trichomonas test (NAAT) inpatient CPT 87661 AP IA NA AMP PRB TRICHVAG	$73.62	$172.00	$108.36–$168.56	—	57%
Trichomonas test (NAAT) inpatient CPT 87661 IA TRICHOMON VAG AMP PRB	$89.88	$210.00	$132.30–$205.80	—	57%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$5.57	$13.00	$4.52–$13.00	91% below	57%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$175.91	$411.00	$258.93–$402.78	—	57%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W MICRO	$5.14	$12.00	$3.17–$12.00	94% below	57%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W MICRO	$169.92	$397.00	$250.11–$389.06	—	57%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO	$3.00	$7.00	$2.25–$7.00	95% below	57%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO	$97.16	$227.00	$143.01–$222.46	—	57%
Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY UR	$4.28	$10.00	$3.08–$10.00	84% below	57%
Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W/O MICRO NONL	$31.25	$73.00	$3.08–$71.54	13% above	57%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO W/O MICRO NONL	$31.25	$73.00	$45.99–$71.54	—	57%
Urinalysis without microscope exam, manual inpatient CPT 81002 SPECIFIC GRAVITY UR	$62.49	$146.00	$91.98–$143.08	—	57%
Urine culture for bacteria, with colony count CPT 87086 RL-A-MC U 60131	$13.23	$30.91	$8.07–$30.91	90% below	57%
Urine culture for bacteria, with colony count inpatient CPT 87086 RL-A-MC U 60131	$13.23	$30.91	$19.48–$30.30	—	57%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL	$12.42	$29.00	$4.02–$29.00	86% below	57%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL NONL	$109.57	$256.00	$4.02–$250.88	27% above	57%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL NONL	$109.57	$256.00	$161.28–$250.88	—	57%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL	$114.28	$267.00	$168.21–$261.66	—	57%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$19.26	$45.00	$15.08–$45.00	69% below	57%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$105.72	$247.00	$155.61–$242.06	—	57%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 RL-A-MAYO-HDNVITD2425D A	$32.10	$75.00	$29.60–$76.27	50% below	57%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$38.10	$89.00	$29.60–$89.00	40% below	57%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 RL-A-MAYO-HDNVITD2425D A	$32.10	$75.00	$47.25–$73.50	—	57%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$110.00	$257.00	$161.91–$251.86	—	57%
Zinc blood test CPT 84630 RL-A-ZINC WB 2009373	$7.80	$18.22	$9.11–$29.33	44% below	57%
Zinc blood test CPT 84630 RL-A-ZN RBC 3003758	$19.69	$46.00	$11.39–$46.00	41% above	57%
Zinc blood test inpatient CPT 84630 RL-A-ZINC WB 2009373	$7.80	$18.22	$11.48–$17.86	—	57%
Zinc blood test inpatient CPT 84630 RL-A-ZN RBC 3003758	$19.69	$46.00	$28.98–$45.08	—	57%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG PREG QN	$24.40	$57.00	$15.05–$57.00	82% below	57%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG PREG QN	$59.50	$139.00	$87.57–$136.22	—	57%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Botox injections for chronic migraine both sides CPT 64615 CHEMODENE MSC FAC CERV BI	$494.77	$1,156.00	$119.19–$7,160.00	—	57%
Botox injections for chronic migraine inpatient both sides CPT 64615 CHEMODENE MSC FAC CERV BI	$494.77	$1,156.00	$728.28–$1,132.88	—	57%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRST STERO PRC 1ST UNI	$4,998.19	$11,678.00	$632.17–$11,561.22	18% above	57%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BRST STERO PRC 1ST UNI	$4,998.19	$11,678.00	$7,357.14–$11,444.44	—	57%
Cardiac catheterization with coronary angiogram CPT 93458 LT HRT CTH COR ANG VNTRCU	$9,329.12	$21,797.00	$1,090.16–$31,887.00	28% below	57%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LT HRT CTH COR ANG VNTRCU	$9,329.12	$21,797.00	$13,732.11–$21,361.06	—	57%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELCTIVE EXT	$1,575.47	$3,681.00	$175.66–$7,160.00	12% below	57%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELCTIVE EXT	$1,575.47	$3,681.00	$2,319.03–$3,607.38	—	57%
Catheter ablation for atrial fibrillation CPT 93656 EP AFIB ABL PV ISOL 3DMAP	$30,782.62	$71,922.00	$1,010.36–$71,922.00	1% above	57%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP AFIB ABL PV ISOL 3DMAP	$30,782.62	$71,922.00	$45,310.86–$70,483.56	—	57%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$437.85	$1,023.00	$511.50–$8,439.00	76% below	57%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION	$437.85	$1,023.00	$644.49–$1,002.54	—	57%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ EPI/SUBAR C/T W IMAG	$1,000.67	$2,338.00	$223.38–$7,160.00	48% below	57%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ EPI/SUBAR C/T W IMAG	$1,000.67	$2,338.00	$1,472.94–$2,291.24	—	57%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET JT/NRV L/S SNG INJ	$1,005.38	$2,349.00	$165.76–$7,160.00	51% below	57%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET JT/NRV L/S SNG INJ	$1,005.38	$2,349.00	$1,479.87–$2,302.02	—	57%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTERO NS/CON INTRO	$524.73	$1,226.00	$212.81–$7,160.00	13% above	57%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTERO NS/CON INTRO	$524.73	$1,226.00	$772.38–$1,201.48	—	57%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE	$323.57	$756.00	$48.70–$9,715.00	31% below	57%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D ABSCESS SIMPLE	$323.57	$756.00	$476.28–$740.88	—	57%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHTH/LIG	$404.04	$944.00	$52.54–$7,160.00	39% below	57%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHTH/LIG	$404.04	$944.00	$594.72–$925.12	—	57%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTH ASP MJR JT WO US UNI	$434.42	$1,015.00	$52.54–$12,466.00	40% below	57%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCEN ASP MAJOR JT WO	$752.00	$1,757.00	$52.54–$12,466.00	4% above	57%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTH ASP MJR JT WO US UNI	$434.42	$1,015.00	$639.45–$994.70	—	57%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCEN ASP MAJOR JT WO	$752.00	$1,757.00	$1,106.91–$1,721.86	—	57%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCEN ASP INTER JT WO	$451.97	$1,056.00	$43.57–$9,715.00	20% below	57%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCEN ASP INTER JT WO	$451.97	$1,056.00	$665.28–$1,034.88	—	57%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCEN ASP SMALL JT WO	$451.97	$1,056.00	$37.17–$7,160.00	27% below	57%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCEN ASP SMALL JT WO	$451.97	$1,056.00	$665.28–$1,034.88	—	57%
Left heart catheterization, diagnostic CPT 93452 LT HRT CTH VENTRICULGRPHY	$6,476.50	$15,132.00	$875.40–$22,864.00	35% below	57%
Left heart catheterization, diagnostic inpatient CPT 93452 LT HRT CTH VENTRICULGRPHY	$6,476.50	$15,132.00	$9,533.16–$14,829.36	—	57%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPI/SUBAR L/S W IMAG	$986.97	$2,306.00	$220.03–$7,160.00	41% below	57%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPI/SUBAR L/S W IMAG	$986.97	$2,306.00	$1,452.78–$2,259.88	—	57%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ EPI/SUBAR L/S WO IMAG	$1,314.82	$3,072.00	$138.50–$7,160.00	20% below	57%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ EPI/SUBAR L/S WO IMAG	$1,314.82	$3,072.00	$1,935.36–$3,010.56	—	57%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 ANES/STE EPI L/S SNGL INJ	$1,400.42	$3,272.00	$164.49–$7,160.00	28% below	57%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 ANES/STE EPI L/S SNGL INJ	$1,456.49	$3,403.00	$2,143.89–$3,334.94	—	57%
Occipital nerve block (injection for headaches) CPT 64405 INJS GRTR OCCP NRV AA/ST	$1,591.74	$3,719.00	$72.20–$7,160.00	93% above	57%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJS GRTR OCCP NRV AA/ST	$1,591.74	$3,719.00	$2,342.97–$3,644.62	—	57%
Pacemaker implant (dual chamber) CPT 33208 PACEMAKER INS/REPL A/V	$16,040.16	$37,477.00	$854.44–$37,102.23	10% above	57%
Pacemaker implant (dual chamber) inpatient CPT 33208 PACEMAKER INS/REPL A/V	$16,040.16	$37,477.00	$23,610.51–$36,727.46	—	57%
Paracentesis with imaging guidance CPT 49083 PARACENTSIS ABD W IMAGING	$1,197.55	$2,798.00	$103.10–$9,715.00	33% below	57%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTSIS ABD W IMAGING	$1,197.55	$2,798.00	$1,762.74–$2,742.04	—	57%
Prostate biopsy CPT 55700 BIOPSY PROSTATE NDL/PUNCH	$1,948.69	$4,553.00	$100.40–$9,715.00	25% below	57%
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NDL/PUNCH	$1,948.69	$4,553.00	$2,868.39–$4,461.94	—	57%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 FACET JT NRV L/S DEST SNG	$2,073.66	$4,845.00	$224.16–$9,965.00	37% below	57%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 FACET JT NRV L/S DEST SNG	$2,073.66	$4,845.00	$3,052.35–$4,748.10	—	57%
Removal of a foreign object under the skin, simple CPT 10120 I AND R FB SUBQ SIMPLE	$639.44	$1,494.00	$59.38–$7,160.00	15% below	57%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I AND R FB SUBQ SIMPLE	$639.44	$1,494.00	$941.22–$1,464.12	—	57%
Short arm splint (forearm and hand) CPT 29125 OT APP SPLNT SHRT ARM STC	$135.25	$316.00	$60.67–$7,160.00	67% below	57%
Short arm splint (forearm and hand) inpatient CPT 29125 OT APP SPLNT SHRT ARM STC	$135.25	$316.00	$199.08–$309.68	—	57%
Skin biopsy, punch, one lesion CPT 11104 BX SKIN PUNCH SNG LESION	$1,110.24	$2,594.00	$89.65–$8,719.00	54% above	57%
Skin biopsy, punch, one lesion inpatient CPT 11104 BX SKIN PUNCH SNG LESION	$1,110.24	$2,594.00	$1,634.22–$2,542.12	—	57%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBAR DX	$787.52	$1,840.00	$93.99–$7,160.00	36% below	57%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBER DX	$1,010.08	$2,360.00	$93.99–$7,160.00	17% below	57%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCTURE SPINAL LUMBAR DX	$787.52	$1,840.00	$1,159.20–$1,803.20	—	57%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCTURE SPINAL LUMBER DX	$1,010.08	$2,360.00	$1,486.80–$2,312.80	—	57%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKN TANGENTIAL SNG LES	$1,110.24	$2,594.00	$71.48–$8,719.00	101% above	57%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKN TANGENTIAL SNG LES	$1,110.24	$2,594.00	$1,634.22–$2,542.12	—	57%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMG UNI	$1,257.04	$2,937.00	$105.95–$7,160.00	38% below	57%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING	$2,178.52	$5,090.00	$105.95–$7,160.00	7% above	57%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMG UNI	$1,257.04	$2,937.00	$1,850.31–$2,878.26	—	57%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING	$2,178.52	$5,090.00	$3,206.70–$4,988.20	—	57%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT 1-2 MUSCL	$370.65	$866.00	$52.49–$7,160.00	41% below	57%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PT 1-2 MUSCL	$370.65	$866.00	$545.58–$848.68	—	57%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST US PERC 1ST UNI	$4,119.08	$9,624.00	$613.92–$9,715.00	33% above	57%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST US PERC 1ST	$4,430.66	$10,352.00	$613.92–$10,248.48	43% above	57%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST US PERC 1ST UNI	$4,119.08	$9,624.00	$6,063.12–$9,431.52	—	57%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST US PERC 1ST	$4,430.66	$10,352.00	$6,521.76–$10,144.96	—	57%
Vein ablation, radiofrequency, first vein CPT 36475 EXTRM VEIN ABLAT RF 1ST	$3,298.17	$7,706.00	$2,282.45–$14,008.00	43% below	57%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 EXTRM VEIN ABLAT RF 1ST	$3,298.17	$7,706.00	$4,854.78–$7,551.88	—	57%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SUBQ TISS 1ST 20SQCM	$613.76	$1,434.00	$119.19–$9,715.00	10% below	57%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBR SUBQ TISS 1ST 20SQCM	$613.76	$1,434.00	$903.42–$1,405.32	—	57%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/BLD COMP	$1,691.03	$3,951.00	$473.39–$7,391.00	94% above	57%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLD/BLD COMP	$1,691.03	$3,951.00	$2,489.13–$3,871.98	—	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BLAND AERO TX INIT EA DAY	$151.09	$353.00	$18.30–$7,391.00	51% below	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX INITIAL EA DAY	$312.87	$731.00	$18.30–$7,391.00	1% above	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BLAND AERO TX INIT EA DAY	$151.09	$353.00	$222.39–$345.94	—	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX INITIAL EA DAY	$312.87	$731.00	$460.53–$716.38	—	57%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INIT 1ST HR	$736.16	$1,720.00	$32.81–$11,311.00	16% below	57%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF INIT 1ST HR	$736.16	$1,720.00	$1,083.60–$1,685.60	—	57%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74MIN	$2,890.72	$6,754.00	$190.30–$20,457.00	42% below	57%
Critical care, first 30 to 74 minutes CPT 99291 TRAUMA COMPREHENSIVE	$3,031.10	$7,082.00	$190.30–$20,457.00	39% below	57%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30-74MIN	$2,890.72	$6,754.00	$3,917.32–$6,618.92	—	57%
Critical care, first 30 to 74 minutes inpatient CPT 99291 TRAUMA COMPREHENSIVE	$3,031.10	$7,082.00	$4,107.56–$6,940.36	—	57%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$632.59	$1,478.00	$86.73–$7,044.00	29% below	57%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$632.59	$1,478.00	$931.14–$1,448.44	—	57%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD TRACING ONLY	$433.57	$1,013.00	$18.82–$7,044.00	28% above	57%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD TRACING ONLY	$433.57	$1,013.00	$638.19–$992.74	—	57%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1	$324.86	$759.00	$21.77–$9,548.00	16% below	57%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1	$324.86	$759.00	$440.22–$743.82	—	57%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2	$463.10	$1,082.00	$34.97–$9,548.00	38% below	57%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2	$463.10	$1,082.00	$627.56–$1,060.36	—	57%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3	$758.42	$1,772.00	$63.97–$20,457.00	37% below	57%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3	$758.42	$1,772.00	$1,027.76–$1,736.56	—	57%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4	$985.26	$2,302.00	$98.04–$20,457.00	50% below	57%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 TRAUMA LIMITED	$1,131.21	$2,643.00	$98.04–$20,457.00	42% below	57%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4	$985.26	$2,302.00	$1,335.16–$2,255.96	—	57%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 TRAUMA LIMITED	$1,131.21	$2,643.00	$1,532.94–$2,590.14	—	57%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5	$1,448.36	$3,384.00	$155.03–$20,457.00	56% below	57%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5	$1,448.36	$3,384.00	$1,962.72–$3,316.32	—	57%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVAS STR TEST WO RX	$785.81	$1,836.00	$60.24–$7,044.00	35% below	57%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVAS STR TEST WO RX	$905.65	$2,116.00	$1,333.08–$2,073.68	—	57%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CARDIOVAS STRES TEST	$995.10	$2,325.00	$1,464.75–$2,278.50	—	57%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRA INIT 31-60MN	$306.45	$716.00	$63.71–$1,453.00	32% below	57%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRA INIT 31-60MN	$306.45	$716.00	$451.08–$701.68	—	57%
IV infusion of a medicine, first hour CPT 96365 INF TX/DX/PRO INIT 1ST HR	$469.09	$1,096.00	$71.83–$1,453.00	2% below	57%
IV infusion of a medicine, first hour inpatient CPT 96365 INF TX/DX/PRO INIT 1ST HR	$469.09	$1,096.00	$690.48–$1,074.08	—	57%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/DX/PROPH SUBQ/IM	$143.38	$335.00	$21.52–$1,619.00	8% below	57%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/DX/PROPH SUBQ/IM	$143.38	$335.00	$211.05–$328.30	—	57%
New patient office visit, about 30 minutes CPT 99203 VISIT LOW 30MN NW PT	$143.38	$335.00	$82.05–$335.00	20% below	57%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT LOW 30MN NW PT	$143.38	$335.00	$211.05–$328.30	—	57%
New patient office visit, about 45 minutes CPT 99204 VISIT MDT 45MN NW PT	$194.32	$454.00	$98.83–$454.00	18% below	57%
New patient office visit, about 45 minutes CPT 99204 FETAL DEMISE <23WK NEW PT	$1,043.90	$2,439.00	$98.83–$7,044.00	341% above	57%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT MDT 45MN NW PT	$194.32	$454.00	$286.02–$444.92	—	57%
New patient office visit, about 45 minutes inpatient CPT 99204 FETAL DEMISE <23WK NEW PT	$1,043.90	$2,439.00	$1,536.57–$2,390.22	—	57%
New patient office visit, about 60 minutes CPT 99205 VISIT HIGH 60MN NW PT	$242.68	$567.00	$118.62–$567.00	15% below	57%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT HIGH 60MN NW PT	$242.68	$567.00	$357.21–$555.66	—	57%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT	$130.54	$305.00	$49.20–$305.00	2% below	57%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT/FETAL MONITR NEW	$145.10	$339.00	$49.20–$7,044.00	9% above	57%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT	$130.54	$305.00	$192.15–$298.90	—	57%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB VISIT/FETAL MONITR NEW	$145.10	$339.00	$213.57–$332.22	—	57%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT NUTRITION INITL EA15	$72.76	$170.00	$30.35–$7,391.00	27% below	57%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT NUTRITION INITL EA15	$72.76	$170.00	$107.10–$166.60	—	57%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO COUNSELING 3-10MN	$33.39	$78.00	$10.41–$7,391.00	39% below	57%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO COUNSELING 3-10MN	$33.39	$78.00	$49.14–$76.44	—	57%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT HIGH 40MN EST PT	$205.44	$480.00	$82.05–$480.00	6% below	57%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT HIGH 40MN EST PT	$205.44	$480.00	$302.40–$470.40	—	57%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LOW 20MN EST PT	$150.23	$351.00	$34.43–$351.00	4% above	57%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT LOW 20MN EST PT	$150.23	$351.00	$221.13–$343.98	—	57%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT MDT 30MN EST PT	$163.07	$381.00	$53.79–$381.00	7% below	57%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FETAL DEMISE <23WK EST PT	$1,129.07	$2,638.00	$53.79–$7,044.00	545% above	57%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT MDT 30MN EST PT	$163.07	$381.00	$240.03–$373.38	—	57%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FETAL DEMISE <23WK EST PT	$1,129.07	$2,638.00	$1,661.94–$2,585.24	—	57%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT STFD 10MN EST PT	$130.54	$305.00	$16.37–$305.00	16% above	57%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT STFD 10MN EST PT	$130.54	$305.00	$192.15–$298.90	—	57%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$357.38	$835.00	$28.23–$826.65	11% above	57%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$357.38	$835.00	$526.05–$818.30	—	57%
Spirometry before and after a bronchodilator CPT 94060 BRNCHSPASM EVAL PRE/POST	$636.44	$1,487.00	$51.67–$1,472.13	17% below	57%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRNCHSPASM EVAL PRE/POST	$636.44	$1,487.00	$936.81–$1,457.26	—	57%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT	$154.94	$362.00	$18.82–$14,472.00	48% below	57%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT	$154.94	$362.00	$228.06–$354.76	—	57%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VAC 0.5ML INJ	$895.38	$2,092.00	$146.18–$2,050.16	186% above	57%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VAC 0.5ML INJ	$895.38	$2,092.00	$1,317.96–$2,050.16	—	57%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC PF TR SV 0.5MLPFS	$101.01	$236.00	$19.98–$231.28	201% above	57%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC PF TR SV 0.5MLPFS	$101.01	$236.00	$37.76–$231.28	—	57%
Hepatitis A vaccine, adult dose CPT 90632 HEPAT A VACC 1440U 1ML IN	$378.36	$884.00	$67.37–$866.32	171% above	57%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPAT A VACC 1440U 1ML IN	$378.36	$884.00	$556.92–$866.32	—	57%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC	$402.32	$940.00	$84.71–$921.20	244% above	57%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC	$402.32	$940.00	$592.20–$921.20	—	57%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC ACYW PF0.5MLIM	$758.85	$1,773.00	$139.82–$1,737.54	190% above	57%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC ACYW PF0.5MLIM	$1,317.82	$3,079.00	$1,939.77–$3,017.42	—	57%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NRSVMAB-ALIP 50/0.5ML INJ	$2,542.32	$5,940.00	$2,673.00–$5,940.00	163% above	57%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NRSVMAB-ALIP 50/0.5ML INJ	$2,542.32	$5,940.00	$3,742.20–$5,821.20	—	57%
Rabies vaccine, one dose CPT 90675 RABIES VACC 2.5IU/ML 1ML	$1,946.98	$4,549.00	$331.07–$4,458.02	176% above	57%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC 2.5IU/ML 1ML	$2,185.37	$5,106.00	$3,216.78–$5,003.88	—	57%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP PFVACC 0.5ML>=7YR	$139.96	$327.00	$32.20–$320.46	76% above	57%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP PF 0.5ML>=7YR SYR	$184.47	$431.00	$32.20–$422.38	132% above	57%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP PFVACC 0.5ML>=7YR	$139.96	$327.00	$206.01–$320.46	—	57%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP PF 0.5ML>=7YR SYR	$184.47	$431.00	$271.53–$422.38	—	57%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 0.5ML >=7YR IM	$228.56	$534.00	$40.11–$523.32	172% above	57%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 0.5ML >=7YR IM	$228.56	$534.00	$336.42–$523.32	—	57%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEP B VACCINE	$98.87	$231.00	$4.46–$228.69	2% below	57%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEP B VACCINE	$98.87	$231.00	$145.53–$226.38	—	57%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN OTHER IMMUN VAC ADD	$98.87	$231.00	$115.50–$228.69	46% above	57%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN OTHER IMMUN VAC ADD	$98.87	$231.00	$145.53–$226.38	—	57%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/dhcco/cacc/finance/price-transparency/941196203-1760510937_dignity-health-marian-regional-medical-center_standardcharges.json?target=%22_blank%22