Hospital Washington-Arlington-Alexandria, DC-VA-MD-WV

MedStar Georgetown Hospital

MedStar Georgetown Hospital in Northwest Washington, DC publishes cash prices for 304 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.

3800 Reservoir Rd. NorthWest Washington, DC, 20007 Collected Sep 27, 2026 Source price file (202) 784-3000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 090004 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3 VIEWS	$420.32	$646.65	$90.46–$581.98	35%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE 3 VIEWS	$420.32	$646.65	$226.33–$581.98	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 NON INV SINGLE LVL BILAT	$379.21	$583.40	$163.35–$732.44	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 NONINVAS PHYS ST SGL LVL BI	$379.21	$583.40	$163.35–$732.44	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDEX	$379.21	$583.40	$163.35–$732.44	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 NON INV SINGLE LVL BILAT	$379.21	$583.40	$204.19–$525.06	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 NONINVAS PHYS ST SGL LVL BI	$379.21	$583.40	$204.19–$525.06	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE BRACHIAL INDEX	$379.21	$583.40	$204.19–$525.06	35%
Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM ESOPH W SCT CHEST	$479.63	$737.89	$206.61–$664.10	35%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BARIUM ESOPH W SCT CHEST	$479.63	$737.89	$258.26–$664.10	35%
Bone scan, whole body (nuclear medicine) CPT 78306 SCANNING BONE BODY PROFILE	$1,570.71	$2,416.48	$676.61–$2,174.83	35%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 SCANNING BONE BODY PROFILE	$1,570.71	$2,416.48	$845.77–$2,174.83	35%
Breast ultrasound, complete, one breast CPT 76641 GRANT ULTRASOUND BRST COMP UNI	$546.92	$841.41	$235.59–$757.27	35%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BRST COMPLETE UNI	$546.92	$841.41	$235.59–$757.27	35%
Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASOUND BRST COMPLETE UNI	$546.92	$841.41	$294.49–$757.27	35%
Breast ultrasound, complete, one breast inpatient CPT 76641 GRANT ULTRASOUND BRST COMP UNI	$546.92	$841.41	$294.49–$757.27	35%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BRST LIMITED UNI	$457.40	$703.69	$197.03–$633.32	35%
Breast ultrasound, limited (one breast or one area) CPT 76642 GRANT ULTRASOUND BRST LMTD UNI	$457.40	$703.69	$197.03–$633.32	35%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 GRANT ULTRASOUND BRST LMTD UNI	$457.40	$703.69	$246.29–$633.32	35%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BRST LIMITED UNI	$457.40	$703.69	$246.29–$633.32	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST NON COR	$2,736.62	$4,210.19	$1,178.85–$3,789.17	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 BC CT ANGIOGRAPHY CHEST NONCOR	$2,736.62	$4,210.19	$1,178.85–$3,789.17	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 BC IR CT ANGIO CHEST NONCOR	$2,736.62	$4,210.19	$1,178.85–$3,789.17	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 BC CT ANGIO PULMONARY	$2,736.62	$4,210.19	$1,178.85–$3,789.17	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 IR CT ANG CHEST WO	$2,736.62	$4,210.19	$1,178.85–$3,789.17	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 BC IR CT ANGIO CHEST NONCOR	$2,736.62	$4,210.19	$1,473.57–$3,789.17	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 BC CT ANGIOGRAPHY CHEST NONCOR	$2,736.62	$4,210.19	$1,473.57–$3,789.17	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST NON COR	$2,736.62	$4,210.19	$1,473.57–$3,789.17	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 IR CT ANG CHEST WO	$2,736.62	$4,210.19	$1,473.57–$3,789.17	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 BC CT ANGIO PULMONARY	$2,736.62	$4,210.19	$1,473.57–$3,789.17	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HEART CORONARY ART 3D	$1,604.96	$2,469.17	$691.37–$2,898.92	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HEART CORONARY ART 3D	$1,604.96	$2,469.17	$864.21–$2,222.25	35%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART CALCIUM SCORING WO C	$438.29	$674.29	$188.80–$691.58	35%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART CALCIUM SCORING WO C	$438.29	$674.29	$236.00–$606.86	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 BC CT ABD PELVIS WO CONTRAST	$2,768.81	$4,259.70	$1,086.66–$3,833.73	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 BC NM PET CT ABD PEL WO CONT	$2,768.81	$4,259.70	$1,086.66–$3,833.73	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS WO CONTRAST	$2,768.81	$4,259.70	$1,086.66–$3,833.73	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 IR CT ABDOMEN PELVIS WO CONTRA	$2,768.81	$4,259.70	$1,086.66–$3,833.73	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CONTRAST	$2,768.81	$4,259.70	$1,086.66–$3,833.73	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 BC IR CT ABD PELVIS WO CON	$2,768.81	$4,259.70	$1,086.66–$3,833.73	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 IR CT ABDOMEN PELVIS WO CONTRA	$2,768.81	$4,259.70	$1,490.89–$3,833.73	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 BC CT ABD PELVIS WO CONTRAST	$2,768.81	$4,259.70	$1,490.89–$3,833.73	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CONTRAST	$2,768.81	$4,259.70	$1,490.89–$3,833.73	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 BC IR CT ABD PELVIS WO CON	$2,768.81	$4,259.70	$1,490.89–$3,833.73	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD AND PELVIS WO CONTRAST	$2,768.81	$4,259.70	$1,490.89–$3,833.73	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 BC NM PET CT ABD PEL WO CONT	$2,768.81	$4,259.70	$1,490.89–$3,833.73	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 IR CT ABD AND PELV WITH CONTRAST	$5,171.22	$7,955.72	$2,108.38–$7,160.15	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 BC IR CT ABD PELVIS W CONTRAST	$5,171.22	$7,955.72	$2,108.38–$7,160.15	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELV WITH CONTRAST	$5,171.22	$7,955.72	$2,108.38–$7,160.15	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 BC CT ABD PELVIS W CONTRAST	$5,171.22	$7,955.72	$2,108.38–$7,160.15	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 BC NM PET CT ABD PEL W CONT	$5,171.22	$7,955.72	$2,108.38–$7,160.15	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 IR CT ABD AND PELV WITH CONTRAST	$5,171.22	$7,955.72	$2,784.50–$7,160.15	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 BC IR CT ABD PELVIS W CONTRAST	$5,171.22	$7,955.72	$2,784.50–$7,160.15	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD AND PELV WITH CONTRAST	$5,171.22	$7,955.72	$2,784.50–$7,160.15	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 BC CT ABD PELVIS W CONTRAST	$5,171.22	$7,955.72	$2,784.50–$7,160.15	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 BC NM PET CT ABD PEL W CONT	$5,171.22	$7,955.72	$2,784.50–$7,160.15	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 NM CT ABDOMEN PELVIS WO W CONT	$5,171.22	$7,955.72	$2,227.60–$7,160.15	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 BC NM CT ABDOMEN PELV WO W CON	$5,331.51	$8,202.33	$2,296.65–$7,382.10	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 BC IR CT ABD PELVIS WO W CON	$5,331.51	$8,202.33	$2,296.65–$7,382.10	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WO W CONT	$5,331.51	$8,202.33	$2,296.65–$7,382.10	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 BC CT ABD PELVIS WO W CONT	$5,331.51	$8,202.33	$2,296.65–$7,382.10	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 IR CT ABDOMEN PELVIS WO W CONT	$5,331.51	$8,202.33	$2,296.65–$7,382.10	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 NM CT ABDOMEN PELVIS WO W CONT	$5,171.22	$7,955.72	$2,784.50–$7,160.15	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 BC IR CT ABD PELVIS WO W CON	$5,331.51	$8,202.33	$2,870.82–$7,382.10	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 IR CT ABDOMEN PELVIS WO W CONT	$5,331.51	$8,202.33	$2,870.82–$7,382.10	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 BC NM CT ABDOMEN PELV WO W CON	$5,331.51	$8,202.33	$2,870.82–$7,382.10	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 BC CT ABD PELVIS WO W CONT	$5,331.51	$8,202.33	$2,870.82–$7,382.10	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WO W CONT	$5,331.51	$8,202.33	$2,870.82–$7,382.10	35%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$2,542.44	$3,911.44	$1,095.20–$3,520.30	35%
CT scan of the abdomen with contrast CPT 74160 BC IR CT ABDOMEN W CONTRAST	$2,542.44	$3,911.44	$1,095.20–$3,520.30	35%
CT scan of the abdomen with contrast CPT 74160 BC CT ABDOMEN W CONTRAST	$2,542.44	$3,911.44	$1,095.20–$3,520.30	35%
CT scan of the abdomen with contrast CPT 74160 IR CT ABDOMEN W CONTRAST	$2,542.44	$3,911.44	$1,095.20–$3,520.30	35%
CT scan of the abdomen with contrast inpatient CPT 74160 BC IR CT ABDOMEN W CONTRAST	$2,542.44	$3,911.44	$1,369.00–$3,520.30	35%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST	$2,542.44	$3,911.44	$1,369.00–$3,520.30	35%
CT scan of the abdomen with contrast inpatient CPT 74160 BC CT ABDOMEN W CONTRAST	$2,542.44	$3,911.44	$1,369.00–$3,520.30	35%
CT scan of the abdomen with contrast inpatient CPT 74160 IR CT ABDOMEN W CONTRAST	$2,542.44	$3,911.44	$1,369.00–$3,520.30	35%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST	$1,804.53	$2,776.20	$777.34–$2,498.58	35%
CT scan of the abdomen without contrast CPT 74150 BC IR CT ABDOMEN WO CONTRAST	$1,804.53	$2,776.20	$777.34–$2,498.58	35%
CT scan of the abdomen without contrast CPT 74150 BC CT ABDOMEN WO CONTRAST	$1,804.53	$2,776.20	$777.34–$2,498.58	35%
CT scan of the abdomen without contrast CPT 74150 IR CT ABDOMEN WO CONTRAST	$1,804.53	$2,776.20	$777.34–$2,498.58	35%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST	$1,804.53	$2,776.20	$971.67–$2,498.58	35%
CT scan of the abdomen without contrast inpatient CPT 74150 BC CT ABDOMEN WO CONTRAST	$1,804.53	$2,776.20	$971.67–$2,498.58	35%
CT scan of the abdomen without contrast inpatient CPT 74150 BC IR CT ABDOMEN WO CONTRAST	$1,804.53	$2,776.20	$971.67–$2,498.58	35%
CT scan of the abdomen without contrast inpatient CPT 74150 IR CT ABDOMEN WO CONTRAST	$1,804.53	$2,776.20	$971.67–$2,498.58	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 BC CT MAXILLOFACIAL WO CONT	$1,698.74	$2,613.44	$731.76–$2,352.10	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CONTRAST	$1,698.74	$2,613.44	$731.76–$2,352.10	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 IR SINUSES COMPLETE DRY	$1,698.74	$2,613.44	$731.76–$2,352.10	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 IR SINUSES COMPLETE DRY	$1,698.74	$2,613.44	$914.70–$2,352.10	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CONTRAST	$1,698.74	$2,613.44	$914.70–$2,352.10	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 BC CT MAXILLOFACIAL WO CONT	$1,698.74	$2,613.44	$914.70–$2,352.10	35%
CT scan of the head or brain, no contrast dye CPT 70450 BC CT HEAD OR BRAIN WO CONT	$1,643.56	$2,528.55	$701.78–$2,275.70	35%
CT scan of the head or brain, no contrast dye CPT 70450 IR CT HEAD OR BRAIN WO CON	$1,643.56	$2,528.55	$701.78–$2,275.70	35%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN WO CONTRAST	$1,643.56	$2,528.55	$701.78–$2,275.70	35%
CT scan of the head or brain, no contrast dye CPT 70450 CT OR BRAIN WITHOUT CONTRAST	$1,643.56	$2,528.55	$701.78–$2,275.70	35%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WITHOUT CONTRAST	$1,643.56	$2,528.55	$701.78–$2,275.70	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN WO CONTRAST	$1,643.56	$2,528.55	$884.99–$2,275.70	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT OR BRAIN WITHOUT CONTRAST	$1,643.56	$2,528.55	$884.99–$2,275.70	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 BC CT HEAD OR BRAIN WO CONT	$1,643.56	$2,528.55	$884.99–$2,275.70	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WITHOUT CONTRAST	$1,643.56	$2,528.55	$884.99–$2,275.70	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 IR CT HEAD OR BRAIN WO CON	$1,643.56	$2,528.55	$884.99–$2,275.70	35%
CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST	$2,186.28	$3,363.50	$937.26–$3,027.15	35%
CT scan of the head with contrast CPT 70460 IR CT HEAD W CONTRAST	$2,186.28	$3,363.50	$937.26–$3,027.15	35%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST	$2,186.28	$3,363.50	$937.26–$3,027.15	35%
CT scan of the head with contrast CPT 70460 BC CT HEAD OR BRAIN W CONTRAST	$2,186.28	$3,363.50	$937.26–$3,027.15	35%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST	$2,186.28	$3,363.50	$1,177.22–$3,027.15	35%
CT scan of the head with contrast inpatient CPT 70460 IR CT HEAD W CONTRAST	$2,186.28	$3,363.50	$1,177.22–$3,027.15	35%
CT scan of the head with contrast inpatient CPT 70460 BC CT HEAD OR BRAIN W CONTRAST	$2,186.28	$3,363.50	$1,177.22–$3,027.15	35%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST	$2,186.28	$3,363.50	$1,177.22–$3,027.15	35%
CT scan of the head without and with contrast CPT 70470 BC CT HEAD OR BRAIN WO W CONT	$2,621.44	$4,032.98	$1,129.23–$3,629.68	35%
CT scan of the head without and with contrast CPT 70470 IR CT HEAD WO W CONTRAST	$2,621.44	$4,032.98	$1,129.23–$3,629.68	35%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO W CONTRAST	$2,621.44	$4,032.98	$1,129.23–$3,629.68	35%
CT scan of the head without and with contrast inpatient CPT 70470 BC CT HEAD OR BRAIN WO W CONT	$2,621.44	$4,032.98	$1,411.54–$3,629.68	35%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO W CONTRAST	$2,621.44	$4,032.98	$1,411.54–$3,629.68	35%
CT scan of the head without and with contrast inpatient CPT 70470 IR CT HEAD WO W CONTRAST	$2,621.44	$4,032.98	$1,411.54–$3,629.68	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO CONTRAST	$1,787.55	$2,750.07	$770.02–$2,475.06	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT OR LUMBAR SPINE WO CONTRAST	$1,787.55	$2,750.07	$770.02–$2,475.06	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 IR CT SPINE LUMBAR WO CONTRAST	$1,787.55	$2,750.07	$770.02–$2,475.06	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 BC CT SPINE LUMBAR WO CONTRAST	$1,787.55	$2,750.07	$770.02–$2,475.06	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 BC CT SPINE LUMBAR WO CONTRAST	$1,787.55	$2,750.07	$962.52–$2,475.06	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 IR CT SPINE LUMBAR WO CONTRAST	$1,787.55	$2,750.07	$962.52–$2,475.06	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO CONTRAST	$1,787.55	$2,750.07	$962.52–$2,475.06	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT OR LUMBAR SPINE WO CONTRAST	$1,787.55	$2,750.07	$962.52–$2,475.06	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 BC CT SPINE CERVICAL WO CONT	$1,711.90	$2,633.69	$737.43–$2,370.32	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT OR CERVICAL SPINE W O CONT	$1,711.90	$2,633.69	$737.43–$2,370.32	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 IR CT SPINE CERVICAL WO CON	$1,711.90	$2,633.69	$737.43–$2,370.32	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO CONTRAST	$1,711.90	$2,633.69	$737.43–$2,370.32	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 IR CT SPINE CERVICAL WO CON	$1,711.90	$2,633.69	$921.79–$2,370.32	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO CONTRAST	$1,711.90	$2,633.69	$921.79–$2,370.32	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT OR CERVICAL SPINE W O CONT	$1,711.90	$2,633.69	$921.79–$2,370.32	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 BC CT SPINE CERVICAL WO CONT	$1,711.90	$2,633.69	$921.79–$2,370.32	35%
CT scan of the pelvis, with contrast dye CPT 72193 IR CT PELVIS W CONTRAST	$2,159.08	$3,321.66	$930.06–$2,989.49	35%
CT scan of the pelvis, with contrast dye CPT 72193 BC CT PELVIS W CONTRAST	$2,159.08	$3,321.66	$930.06–$2,989.49	35%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$2,159.08	$3,321.66	$930.06–$2,989.49	35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$2,159.08	$3,321.66	$1,162.58–$2,989.49	35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 IR CT PELVIS W CONTRAST	$2,159.08	$3,321.66	$1,162.58–$2,989.49	35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 BC CT PELVIS W CONTRAST	$2,159.08	$3,321.66	$1,162.58–$2,989.49	35%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DOPP EXTRACRAN ARTS COMP	$1,396.72	$2,148.80	$601.66–$1,933.92	35%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DOPP EXTRACRAN ARTS COMP	$1,396.72	$2,148.80	$752.08–$1,933.92	35%
Chest X-ray, 2 views CPT 71046 BC CHEST 2 VIEWS	$442.83	$681.28	$190.76–$613.15	35%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS	$442.83	$681.28	$190.76–$613.15	35%
Chest X-ray, 2 views inpatient CPT 71046 BC CHEST 2 VIEWS	$442.83	$681.28	$238.45–$613.15	35%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS	$442.83	$681.28	$238.45–$613.15	35%
Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW	$442.83	$681.28	$190.76–$613.15	35%
Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE VIEW	$442.83	$681.28	$238.45–$613.15	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$677.50	$1,042.31	$291.85–$938.08	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 BC ECHO RETROPERITONEAL COMP.	$677.50	$1,042.31	$291.85–$938.08	35%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE	$677.50	$1,042.31	$364.81–$938.08	35%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 BC ECHO RETROPERITONEAL COMP.	$677.50	$1,042.31	$364.81–$938.08	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BC DXA BONE DENSITY AXIAL	$248.92	$382.95	$107.23–$344.66	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA HIP SPN PELV	$248.92	$382.95	$107.23–$344.66	35%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA HIP SPN PELV	$248.92	$382.95	$134.03–$344.66	35%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BC DXA BONE DENSITY AXIAL	$248.92	$382.95	$134.03–$344.66	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA RAD WRST HEEL	$183.99	$283.06	$79.26–$254.75	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BC DXA BONE DENSITY PERIPHERAL	$183.99	$283.06	$79.26–$254.75	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BC DXA BONE DENSITY PERIPHERAL	$183.99	$283.06	$99.07–$254.75	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA RAD WRST HEEL	$183.99	$283.06	$99.07–$254.75	35%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB W FETAL ANATOMY SINGLE	$1,064.80	$1,638.16	$458.68–$1,474.34	35%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB W FETAL ANATOMY SINGLE	$1,064.80	$1,638.16	$573.36–$1,474.34	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 BC IR CT CHEST WO CON DIAG	$2,060.95	$3,170.69	$810.65–$2,853.62	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 BC NM PET CT CHEST WO CONT	$2,060.95	$3,170.69	$810.65–$2,853.62	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WITHOUT CONTRAST DIAG	$2,060.95	$3,170.69	$810.65–$2,853.62	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 BC CT CHEST WO CONTRAST DIAG	$2,060.95	$3,170.69	$810.65–$2,853.62	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST DIAG	$2,060.95	$3,170.69	$810.65–$2,853.62	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 IR CT CHEST WO CONTRAST DIAG	$2,060.95	$3,170.69	$810.65–$2,853.62	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 BC CT CHEST WO CONTRAST DIAG	$2,060.95	$3,170.69	$1,109.74–$2,853.62	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 BC IR CT CHEST WO CON DIAG	$2,060.95	$3,170.69	$1,109.74–$2,853.62	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 IR CT CHEST WO CONTRAST DIAG	$2,060.95	$3,170.69	$1,109.74–$2,853.62	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 BC NM PET CT CHEST WO CONT	$2,060.95	$3,170.69	$1,109.74–$2,853.62	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WITHOUT CONTRAST DIAG	$2,060.95	$3,170.69	$1,109.74–$2,853.62	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST DIAG	$2,060.95	$3,170.69	$1,109.74–$2,853.62	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 IR CT CHEST ENHANCED DIAG	$2,606.10	$4,009.38	$1,122.63–$3,608.44	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 BC IR CT CHEST W CONTRAST DIAG	$2,606.10	$4,009.38	$1,122.63–$3,608.44	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST ENHANCED DIAG	$2,606.10	$4,009.38	$1,122.63–$3,608.44	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 BC CT CHEST W CONTRAST DIAG	$2,606.10	$4,009.38	$1,122.63–$3,608.44	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH CONTRAST DIAG	$2,606.10	$4,009.38	$1,122.63–$3,608.44	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 BC NM PET CT CHEST W CONT	$2,606.10	$4,009.38	$1,122.63–$3,608.44	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 BC CT CHEST W CONTRAST DIAG	$2,606.10	$4,009.38	$1,403.28–$3,608.44	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH CONTRAST DIAG	$2,606.10	$4,009.38	$1,403.28–$3,608.44	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 BC IR CT CHEST W CONTRAST DIAG	$2,606.10	$4,009.38	$1,403.28–$3,608.44	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST ENHANCED DIAG	$2,606.10	$4,009.38	$1,403.28–$3,608.44	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 IR CT CHEST ENHANCED DIAG	$2,606.10	$4,009.38	$1,403.28–$3,608.44	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 BC NM PET CT CHEST W CONT	$2,606.10	$4,009.38	$1,403.28–$3,608.44	35%
Diagnostic mammogram, both breasts both sides CPT 77066 GRANT MAMMOGRAPHY BILAT	$526.91	$810.63	$121.61–$1,154.76	35%
Diagnostic mammogram, both breasts both sides CPT 77066 BC DIGITAL 4V DIAG MAMMO BILAT	$526.91	$810.63	$121.61–$1,154.76	35%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL DIAG MAMMO BILAT	$526.91	$810.63	$121.61–$1,154.76	35%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 GRANT MAMMOGRAPHY BILAT	$526.91	$810.63	$283.72–$729.57	35%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BC DIGITAL 4V DIAG MAMMO BILAT	$526.91	$810.63	$283.72–$729.57	35%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIGITAL DIAG MAMMO BILAT	$526.91	$810.63	$283.72–$729.57	35%
Diagnostic mammogram, one breast one side CPT 77065 GRANT MAMMO UNILAT	$411.91	$633.71	$94.79–$902.73	35%
Diagnostic mammogram, one breast one side CPT 77065 DIGITAL DIAG MAMMO UNILAT	$411.91	$633.71	$94.79–$902.73	35%
Diagnostic mammogram, one breast inpatient one side CPT 77065 GRANT MAMMO UNILAT	$411.91	$633.71	$221.80–$570.34	35%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIGITAL DIAG MAMMO UNILAT	$411.91	$633.71	$221.80–$570.34	35%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX SCAN LOWER EXT ARTERIAL	$812.20	$1,249.54	$349.87–$2,115.39	35%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX SCAN LOWER EXT ARTERIAL	$812.20	$1,249.54	$437.34–$1,124.59	35%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEN DUPLEX UPR LWR BILAT	$1,594.01	$2,452.33	$686.65–$2,207.10	35%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VEN DUPLEX UPR LWR BILAT	$1,594.01	$2,452.33	$858.32–$2,207.10	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TTE 2D W DOPP CF	$2,912.36	$4,480.55	$1,085.15–$4,032.50	35%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO TTE 2D W DOPP CF	$2,912.36	$4,480.55	$1,568.19–$4,032.50	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBIL SCAN W GB	$1,865.33	$2,869.74	$803.53–$2,943.37	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBIL SCAN W GB	$1,865.33	$2,869.74	$1,004.41–$2,582.77	35%
Knee X-ray, 3 views CPT 73562 KNEE 3 VWS	$323.14	$497.14	$100.60–$447.43	35%
Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VWS	$323.14	$497.14	$174.00–$447.43	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ABD LIMITED	$623.20	$958.77	$268.46–$862.89	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULRTASOUND ABD LIMITED	$623.20	$958.77	$268.46–$862.89	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED	$623.20	$958.77	$268.46–$862.89	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LIMITED	$623.20	$958.77	$335.57–$862.89	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND ABD LIMITED	$623.20	$958.77	$335.57–$862.89	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULRTASOUND ABD LIMITED	$623.20	$958.77	$335.57–$862.89	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING	$1,525.91	$2,347.55	$270.21–$2,112.80	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREENING	$1,525.91	$2,347.55	$821.64–$2,112.80	35%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST W O W INCL CAD BIL	$2,808.04	$4,320.06	$1,209.62–$3,888.05	35%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI BREAST W O W INCL CAD BIL	$2,808.04	$4,320.06	$1,512.02–$3,888.05	35%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT WO CONT	$1,908.78	$2,936.58	$822.24–$2,642.92	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JOINT WO CONT	$1,908.78	$2,936.58	$1,027.80–$2,642.92	35%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JOINT WO W CONT	$2,786.93	$4,287.58	$1,200.52–$3,858.82	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JOINT WO W CONT	$2,786.93	$4,287.58	$1,500.65–$3,858.82	35%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST	$2,218.66	$3,413.33	$955.73–$3,072.00	35%
MRI of the abdomen without contrast CPT 74181 BC MRI ABDOMEN WO CONT	$2,218.66	$3,413.33	$955.73–$3,072.00	35%
MRI of the abdomen without contrast inpatient CPT 74181 BC MRI ABDOMEN WO CONT	$2,218.66	$3,413.33	$1,194.67–$3,072.00	35%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST	$2,218.66	$3,413.33	$1,194.67–$3,072.00	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO W CONTRAST	$3,845.00	$5,915.39	$1,656.31–$5,323.85	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 BC MRI ABDOMEN WO W CONT	$3,845.00	$5,915.39	$1,656.31–$5,323.85	35%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO W CONTRAST	$3,845.00	$5,915.39	$2,070.39–$5,323.85	35%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 BC MRI ABDOMEN WO W CONT	$3,845.00	$5,915.39	$2,070.39–$5,323.85	35%
MRI of the brain, no contrast dye CPT 70551 BC MRI BRAIN WO CONTRAST	$2,109.25	$3,245.00	$908.60–$2,920.50	35%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST	$2,109.25	$3,245.00	$908.60–$2,920.50	35%
MRI of the brain, no contrast dye inpatient CPT 70551 BC MRI BRAIN WO CONTRAST	$2,109.25	$3,245.00	$1,135.75–$2,920.50	35%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST	$2,109.25	$3,245.00	$1,135.75–$2,920.50	35%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO W CONTRAST	$3,577.98	$5,504.59	$1,541.29–$4,954.13	35%
MRI of the brain, with and without contrast dye CPT 70553 BC MRI BRAIN WO W CONTRAST	$3,577.98	$5,504.59	$1,541.29–$4,954.13	35%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO W CONTRAST	$3,577.98	$5,504.59	$1,926.61–$4,954.13	35%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BC MRI BRAIN WO W CONTRAST	$3,577.98	$5,504.59	$1,926.61–$4,954.13	35%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CONTRAST	$1,795.66	$2,762.56	$773.52–$2,486.30	35%
MRI of the lower back, no contrast dye CPT 72148 BC MRI SPINE LUMBAR WO CONT	$1,795.66	$2,762.56	$773.52–$2,486.30	35%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CONTRAST	$1,795.66	$2,762.56	$966.90–$2,486.30	35%
MRI of the lower back, no contrast dye inpatient CPT 72148 BC MRI SPINE LUMBAR WO CONT	$1,795.66	$2,762.56	$966.90–$2,486.30	35%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR WO W CONTRAST	$3,052.11	$4,695.56	$1,314.76–$4,226.00	35%
MRI of the lower back, without and then with contrast dye CPT 72158 BC MRI SPINE LUMBAR WO W CON	$3,052.11	$4,695.56	$1,314.76–$4,226.00	35%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 BC MRI SPINE LUMBAR WO W CON	$3,052.11	$4,695.56	$1,643.45–$4,226.00	35%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR WO W CONTRAST	$3,052.11	$4,695.56	$1,643.45–$4,226.00	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO CONTRAST	$1,776.94	$2,733.76	$765.45–$2,460.38	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 BC MRI SPINE THORACIC WO CONT	$1,776.94	$2,733.76	$765.45–$2,460.38	35%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 BC MRI SPINE THORACIC WO CONT	$1,776.94	$2,733.76	$956.82–$2,460.38	35%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC WO CONTRAST	$1,776.94	$2,733.76	$956.82–$2,460.38	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 BC MRI SPINE CERVICAL WO W CON	$2,994.20	$4,606.46	$1,289.81–$4,145.81	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL WO W CONT	$2,994.20	$4,606.46	$1,289.81–$4,145.81	35%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 BC MRI SPINE CERVICAL WO W CON	$2,994.20	$4,606.46	$1,612.26–$4,145.81	35%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERVICAL WO W CONT	$2,994.20	$4,606.46	$1,612.26–$4,145.81	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL WO CONTRAST	$1,768.73	$2,721.13	$761.92–$2,449.02	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 BC MRI SPINE CERVICAL WO CONT	$1,768.73	$2,721.13	$761.92–$2,449.02	35%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 BC MRI SPINE CERVICAL WO CONT	$1,768.73	$2,721.13	$952.40–$2,449.02	35%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL WO CONTRAST	$1,768.73	$2,721.13	$952.40–$2,449.02	35%
MRI of the pelvis without and with contrast CPT 72197 BC MRI PELVIS WO W CONT	$3,288.73	$5,059.59	$1,416.69–$4,553.63	35%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO W CONTRAST	$3,288.73	$5,059.59	$1,416.69–$4,553.63	35%
MRI of the pelvis without and with contrast inpatient CPT 72197 BC MRI PELVIS WO W CONT	$3,288.73	$5,059.59	$1,770.86–$4,553.63	35%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO W CONTRAST	$3,288.73	$5,059.59	$1,770.86–$4,553.63	35%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W O CONTRAST	$1,782.33	$2,742.04	$767.77–$2,895.31	35%
MRI of the pelvis, no contrast dye CPT 72195 BC MRI PELVIS WO CONT	$1,782.33	$2,742.04	$767.77–$2,895.31	35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 BC MRI PELVIS WO CONT	$1,782.33	$2,742.04	$959.71–$2,467.84	35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W O CONTRAST	$1,782.33	$2,742.04	$959.71–$2,467.84	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT WO CONT	$1,841.65	$2,833.30	$793.32–$2,549.97	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JOINT WO CONT	$1,841.65	$2,833.30	$991.65–$2,549.97	35%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARDIAC PERFUS IMG SPECT MULTI	$5,561.50	$8,556.15	$1,928.35–$7,700.54	35%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CARDIAC PERFUS IMG SPECT MULTI	$5,561.50	$8,556.15	$2,994.65–$7,700.54	35%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT EYES TO THIGHS	$5,840.75	$8,985.77	$2,516.02–$8,514.02	35%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT EYES TO THIGHS	$5,840.75	$8,985.77	$3,145.02–$8,087.19	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 BC ECHOGRAPHY PELVIC NONOB LTD	$332.61	$511.70	$143.28–$460.53	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ECHOGRAPHY PELVIC F U NON OB	$332.61	$511.70	$143.28–$460.53	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ECHOGRAPHY PELVIC F U NON OB	$332.61	$511.70	$179.09–$460.53	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 BC ECHOGRAPHY PELVIC NONOB LTD	$332.61	$511.70	$179.09–$460.53	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 BC ECHOGRAPHY PELVIC NON OB	$782.26	$1,203.47	$336.97–$1,083.12	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ECHOGRAPHY PELVIC NON OB	$782.26	$1,203.47	$336.97–$1,083.12	35%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 BC ECHOGRAPHY PELVIC NON OB	$782.26	$1,203.47	$421.21–$1,083.12	35%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ECHOGRAPHY PELVIC NON OB	$782.26	$1,203.47	$421.21–$1,083.12	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPL SINGLE AFTER1STTRI	$668.56	$1,028.55	$287.99–$925.70	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 BC ECHOGRAPHY PREGNANCY COMP	$668.56	$1,028.55	$287.99–$925.70	35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMPL SINGLE AFTER1STTRI	$668.56	$1,028.55	$359.99–$925.70	35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 BC ECHOGRAPHY PREGNANCY COMP	$668.56	$1,028.55	$359.99–$925.70	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB COMPL SINGLE 1ST TRI	$541.48	$833.05	$233.25–$749.74	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 BC FET AND MAT EVAL 1ST TRI LESS THAN 14 WKS	$541.48	$833.05	$233.25–$749.74	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB COMPL SINGLE 1ST TRI	$541.48	$833.05	$291.57–$749.74	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 BC FET AND MAT EVAL 1ST TRI LESS THAN 14 WKS	$541.48	$833.05	$291.57–$749.74	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB ULTRASOUND L AND D LIMITED	$490.82	$755.10	$211.43–$679.59	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 BC ECHOGRAPHY PREGNANCY LTD	$490.82	$755.10	$211.43–$679.59	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US O.B. LIMITED	$490.82	$755.10	$211.43–$679.59	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 BC ECHOGRAPHY PREGNANCY LTD	$490.82	$755.10	$264.28–$679.59	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US O.B. LIMITED	$490.82	$755.10	$264.28–$679.59	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB ULTRASOUND L AND D LIMITED	$490.82	$755.10	$264.28–$679.59	35%
Screening mammogram, both breasts both sides CPT 77067 BC GRANT MAMMO SCREENING BILAT	$490.27	$754.26	$100.30–$953.81	35%
Screening mammogram, both breasts both sides CPT 77067 BC DIGITAL 4V SCRN MAMMO BILAT	$490.27	$754.26	$100.30–$953.81	35%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL 4V SCRN MAMMO BILAT	$490.27	$754.26	$100.30–$953.81	35%
Screening mammogram, both breasts inpatient both sides CPT 77067 BC DIGITAL 4V SCRN MAMMO BILAT	$490.27	$754.26	$263.99–$678.83	35%
Screening mammogram, both breasts inpatient both sides CPT 77067 BC GRANT MAMMO SCREENING BILAT	$490.27	$754.26	$263.99–$678.83	35%
Screening mammogram, both breasts inpatient both sides CPT 77067 DIGITAL 4V SCRN MAMMO BILAT	$490.27	$754.26	$263.99–$678.83	35%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMPLETE	$318.97	$490.73	$83.94–$441.66	35%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER COMPLETE	$318.97	$490.73	$171.76–$441.66	35%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLW FUNCT W CINE VID CON	$772.81	$1,188.94	$256.02–$1,070.05	35%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLW FUNCT W CINE VID CON	$772.81	$1,188.94	$416.13–$1,070.05	35%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON OB	$694.86	$1,069.01	$299.32–$962.11	35%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US NON OB	$694.86	$1,069.01	$374.15–$962.11	35%
Transvaginal ultrasound during pregnancy CPT 76817 ULTSND OB UTS TRANSVAG	$831.56	$1,279.32	$260.79–$1,151.39	35%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$831.56	$1,279.32	$260.79–$1,151.39	35%
Transvaginal ultrasound during pregnancy CPT 76817 BC TV PREG UTERUS W IMAGDOC	$831.56	$1,279.32	$260.79–$1,151.39	35%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$831.56	$1,279.32	$447.76–$1,151.39	35%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 ULTSND OB UTS TRANSVAG	$831.56	$1,279.32	$447.76–$1,151.39	35%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 BC TV PREG UTERUS W IMAGDOC	$831.56	$1,279.32	$447.76–$1,151.39	35%
Ultrasound of the abdomen, complete CPT 76700 BC ECHOGRAPHY ABDOMEN COMP.	$645.91	$993.71	$278.24–$894.34	35%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE	$645.91	$993.71	$278.24–$894.34	35%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE	$645.91	$993.71	$347.80–$894.34	35%
Ultrasound of the abdomen, complete inpatient CPT 76700 BC ECHOGRAPHY ABDOMEN COMP.	$645.91	$993.71	$347.80–$894.34	35%
Ultrasound of the scrotum and testicles CPT 76870 BC ECHOGRAPHY SCROTAL	$395.47	$608.42	$170.36–$547.58	35%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$395.47	$608.42	$170.36–$547.58	35%
Ultrasound of the scrotum and testicles inpatient CPT 76870 BC ECHOGRAPHY SCROTAL	$395.47	$608.42	$212.95–$547.58	35%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$395.47	$608.42	$212.95–$547.58	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 IR US EXAM OF HEAD AND NECK	$623.16	$958.70	$268.44–$862.83	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ECHO SOFT TISSUEHEAD AND NEC	$623.16	$958.70	$268.44–$862.83	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ECHO SOFT TISSUEHEAD AND NEC	$623.16	$958.70	$335.55–$862.83	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 IR US EXAM OF HEAD AND NECK	$623.16	$958.70	$335.55–$862.83	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI TRAC W SCT W CONT	$969.20	$1,491.08	$296.70–$1,341.97	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 BC XR UPPER GI SNGL CON W SBFT	$969.20	$1,491.08	$296.70–$1,341.97	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 BC XR UPPER GI SNGL CON W SBFT	$969.20	$1,491.08	$521.88–$1,341.97	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 GI TRAC W SCT W CONT	$969.20	$1,491.08	$521.88–$1,341.97	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXTR VENOUS LTD OR UNI	$994.36	$1,529.79	$428.34–$1,376.81	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX EXTR VENOUS LTD OR UNI	$994.36	$1,529.79	$535.43–$1,376.81	35%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3VWS	$478.55	$736.23	$102.60–$662.61	35%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST 3VWS	$478.55	$736.23	$257.68–$662.61	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP 2 3 VIEWS	$181.27	$278.88	$78.09–$289.69	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP 2 3 VIEWS	$181.27	$278.88	$97.61–$250.99	35%
X-ray of the abdomen, 1 view CPT 74018 BC ABDOMEN SINGLE VIEW	$412.02	$633.87	$154.71–$570.48	35%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN SINGLE VIEW	$412.02	$633.87	$154.71–$570.48	35%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN SINGLE VIEW	$412.02	$633.87	$221.85–$570.48	35%
X-ray of the abdomen, 1 view inpatient CPT 74018 BC ABDOMEN SINGLE VIEW	$412.02	$633.87	$221.85–$570.48	35%
X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS	$342.19	$526.45	$76.83–$473.81	35%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS	$342.19	$526.45	$184.26–$473.81	35%
X-ray of the finger(s), 2 or more views CPT 73140 FINGERS MIN 2 VWS	$325.17	$500.26	$88.94–$450.23	35%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGERS MIN 2 VWS	$325.17	$500.26	$175.09–$450.23	35%
X-ray of the foot, 2 views CPT 73620 FOOT 2 VWS	$501.54	$771.60	$73.80–$694.44	35%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VWS	$501.54	$771.60	$270.06–$694.44	35%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VWS	$565.35	$869.77	$88.94–$782.79	35%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT 3 VWS	$565.35	$869.77	$304.42–$782.79	35%
X-ray of the hand, 3 or more views CPT 73130 HAND MINIMUM OF 3 VIEWS	$467.43	$719.13	$90.46–$647.22	35%
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND MINIMUM OF 3 VIEWS	$467.43	$719.13	$251.70–$647.22	35%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1 OR 2 VWS	$287.90	$442.93	$79.87–$398.64	35%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 1 OR 2 VWS	$287.90	$442.93	$155.03–$398.64	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR AP AND LAT	$400.96	$616.86	$112.75–$555.17	35%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR AP AND LAT	$400.96	$616.86	$215.90–$555.17	35%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR W OBL	$629.12	$967.87	$157.73–$871.08	35%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR W OBL	$629.12	$967.87	$338.75–$871.08	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 BC SPINE THORACIC 2 VIEW	$248.92	$382.95	$93.05–$344.66	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEW	$248.92	$382.95	$93.05–$344.66	35%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2 VIEW	$248.92	$382.95	$134.03–$344.66	35%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 BC SPINE THORACIC 2 VIEW	$248.92	$382.95	$134.03–$344.66	35%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES	$263.78	$405.81	$95.01–$365.23	35%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES	$263.78	$405.81	$142.03–$365.23	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 BC SPINE CERVICAL 3 OR LESS VW	$341.74	$525.75	$105.16–$473.18	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 3 VWS OR LES	$341.74	$525.75	$105.16–$473.18	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 BC SPINE CERVICAL 3 VWS OR LES	$341.74	$525.75	$105.16–$473.18	35%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 BC SPINE CERVICAL 3 OR LESS VW	$341.74	$525.75	$184.01–$473.18	35%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 3 VWS OR LES	$341.74	$525.75	$184.01–$473.18	35%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 BC SPINE CERVICAL 3 VWS OR LES	$341.74	$525.75	$184.01–$473.18	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VWS	$335.60	$516.31	$70.76–$464.68	35%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VWS	$335.60	$516.31	$180.71–$464.68	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX	$205.54	$316.21	$85.46–$284.59	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX	$205.54	$316.21	$110.67–$284.59	35%

Lab tests

Procedure	Cash price	List price	Insurers pay	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANS ALAN AMINO ALT SGPT	$43.03	$66.20	$5.30–$59.58	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALANINE AMINO	$43.03	$66.20	$5.30–$59.58	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALANINE AMINO	$43.03	$66.20	$23.17–$59.58	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANS ALAN AMINO ALT SGPT	$43.03	$66.20	$23.17–$59.58	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE ASPARTAT AST	$58.73	$90.35	$5.18–$81.32	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANS ASPAR AMINO AST SGOT	$58.73	$90.35	$5.18–$81.32	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANS ASPAR AMINO AST SGOT	$58.73	$90.35	$31.62–$81.32	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE ASPARTAT AST	$58.73	$90.35	$31.62–$81.32	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$470.50	$723.85	$47.63–$651.46	35%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$470.50	$723.85	$253.35–$651.46	35%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SINGLE ALLERGIN	$69.32	$106.64	$5.22–$95.98	35%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$69.32	$106.64	$5.22–$95.98	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE	$69.32	$106.64	$37.32–$95.98	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE SINGLE ALLERGIN	$69.32	$106.64	$37.32–$95.98	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$144.59	$222.45	$12.95–$200.20	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$144.59	$222.45	$77.86–$200.20	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR ANTIBODIES	$155.12	$238.64	$12.09–$214.78	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES ANA	$155.12	$238.64	$12.09–$214.78	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI NUCLEAR ANTIBODIES	$155.12	$238.64	$83.52–$214.78	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES ANA	$155.12	$238.64	$83.52–$214.78	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATURIURETIC PEPTIDE	$317.32	$488.18	$39.26–$439.36	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIUERTIC PEPTIDE	$317.32	$488.18	$39.26–$439.36	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATRIUERTIC PEPTIDE	$317.32	$488.18	$170.86–$439.36	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATURIURETIC PEPTIDE	$317.32	$488.18	$170.86–$439.36	35%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL CA TOT	$220.21	$338.79	$8.46–$304.91	35%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL CA TOT	$220.21	$338.79	$118.58–$304.91	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATHLEVEL IV COMPLEX	$370.83	$570.50	$159.74–$513.45	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEV IV SURG PATH GROSS EXAM	$370.83	$570.50	$159.74–$513.45	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATHLEVEL IV	$442.35	$680.54	$190.55–$612.49	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PROSTATE BX	$724.72	$1,114.95	$290.78–$1,003.46	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATHLEVEL IV COMPLEX	$370.83	$570.50	$199.67–$513.45	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEV IV SURG PATH GROSS EXAM	$370.83	$570.50	$199.67–$513.45	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATHLEVEL IV	$442.35	$680.54	$238.19–$612.49	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PROSTATE BX	$724.72	$1,114.95	$390.23–$1,003.46	35%
Blood culture for bacteria CPT 87040 CULT BACTERIAL DEF BLOOD	$86.17	$132.57	$10.32–$119.31	35%
Blood culture for bacteria inpatient CPT 87040 CULT BACTERIAL DEF BLOOD	$86.17	$132.57	$46.40–$119.31	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BMH VENIPUNCTURE	$24.95	$38.39	$9.34–$34.55	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$24.95	$38.39	$9.34–$34.55	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECT VENIPUNCTURE	$24.95	$38.39	$9.34–$34.55	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECT VENIPUNCTURE	$24.95	$38.39	$13.44–$34.55	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$24.95	$38.39	$13.44–$34.55	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BMH VENIPUNCTURE	$24.95	$38.39	$13.44–$34.55	35%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE POC	$50.64	$77.91	$3.93–$70.12	35%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE	$50.64	$77.91	$3.93–$70.12	35%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE POC	$50.64	$77.91	$27.27–$70.12	35%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE	$50.64	$77.91	$27.27–$70.12	35%
Blood lead test CPT 83655 LEAD	$131.68	$202.59	$12.11–$182.33	35%
Blood lead test inpatient CPT 83655 LEAD	$131.68	$202.59	$70.91–$182.33	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADO CHORION HCGQUAL	$80.75	$124.23	$7.52–$111.81	35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADO CHORION HCGQUAL	$80.75	$124.23	$43.48–$111.81	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$230.54	$354.67	$33.19–$319.20	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$230.54	$354.67	$124.13–$319.20	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$104.16	$160.24	$5.18–$144.22	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$104.16	$160.24	$56.08–$144.22	35%
C. difficile toxin gene test (stool PCR) CPT 87493 INF AGT DET BY NUC ACID C.DIFF	$328.41	$505.24	$37.27–$454.72	35%
C. difficile toxin gene test (stool PCR) CPT 87493 INF AGT NUC ACID C DIFF TOX	$328.41	$505.24	$37.27–$454.72	35%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 INF AGT NUC ACID C DIFF TOX	$328.41	$505.24	$176.83–$454.72	35%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 INF AGT DET BY NUC ACID C.DIFF	$328.41	$505.24	$176.83–$454.72	35%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR QNT CA19 9	$226.32	$348.18	$20.81–$313.36	35%
CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG QNT CA19 9	$226.32	$348.18	$20.81–$313.36	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 TUMOR AG QNT CA19 9	$226.32	$348.18	$121.86–$313.36	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR QNT CA19 9	$226.32	$348.18	$121.86–$313.36	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNO TUMOR AG QUANT CA125	$252.62	$388.64	$20.81–$349.78	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR ANTIGEN QUANT CA125	$252.62	$388.64	$20.81–$349.78	35%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR ANTIGEN QUANT CA125	$252.62	$388.64	$136.02–$349.78	35%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNO TUMOR AG QUANT CA125	$252.62	$388.64	$136.02–$349.78	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV 2 COVID 19 AMP PRB	$43.78	$67.35	$18.86–$391.65	35%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV 2 COVID 19 AMP PRB	$43.78	$67.35	$23.57–$60.61	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 INFEC AGNT BY NUC ACID CHLAM	$381.66	$587.17	$35.09–$528.45	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS	$381.66	$587.17	$35.09–$528.45	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS	$381.66	$587.17	$205.51–$528.45	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 INFEC AGNT BY NUC ACID CHLAM	$381.66	$587.17	$205.51–$528.45	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPIP PANEL	$94.74	$145.75	$13.39–$150.01	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$94.74	$145.75	$13.39–$150.01	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$94.74	$145.75	$51.01–$131.18	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPIP PANEL	$94.74	$145.75	$51.01–$131.18	35%
Complete blood count (CBC) with differential CPT 85025 HEM AND PLATE CT AUTO AND AUTO CBC	$149.95	$230.69	$7.77–$207.62	35%
Complete blood count (CBC) with differential inpatient CPT 85025 HEM AND PLATE CT AUTO AND AUTO CBC	$149.95	$230.69	$80.74–$207.62	35%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM AND PLT COUNT S	$100.83	$155.12	$6.47–$139.61	35%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM AND PLT COUNT S	$100.83	$155.12	$54.29–$139.61	35%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$293.62	$451.73	$10.56–$406.56	35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$293.62	$451.73	$158.11–$406.56	35%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE	$185.74	$285.75	$10.18–$257.18	35%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIVE	$185.74	$285.75	$100.01–$257.18	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS	$213.45	$328.38	$22.23–$295.54	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEASULFATE	$213.45	$328.38	$22.23–$295.54	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEASULFATE	$213.45	$328.38	$114.93–$295.54	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS	$213.45	$328.38	$114.93–$295.54	35%
Estradiol blood test CPT 82670 ESTRADIO 17 BETA	$268.30	$412.77	$27.94–$371.49	35%
Estradiol blood test CPT 82670 ESTRADIOL	$268.30	$412.77	$27.94–$371.49	35%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$268.30	$412.77	$144.47–$371.49	35%
Estradiol blood test inpatient CPT 82670 ESTRADIO 17 BETA	$268.30	$412.77	$144.47–$371.49	35%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN FSH	$155.19	$238.76	$18.58–$214.88	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN FSH	$155.19	$238.76	$83.57–$214.88	35%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$249.10	$383.23	$19.63–$344.91	35%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$249.10	$383.23	$134.13–$344.91	35%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$211.71	$325.70	$13.63–$293.13	35%
Ferritin blood test (iron stores) CPT 82728 FERRETIN	$211.71	$325.70	$13.63–$293.13	35%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRETIN	$211.71	$325.70	$113.99–$293.13	35%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$211.71	$325.70	$113.99–$293.13	35%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$119.53	$183.89	$14.70–$165.50	35%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$119.53	$183.89	$64.36–$165.50	35%
Free T3 thyroid hormone test CPT 84481 T 3 FREE	$167.38	$257.51	$16.94–$231.76	35%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3 FREE	$167.38	$257.51	$16.94–$231.76	35%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE T3 FREE	$167.38	$257.51	$90.13–$231.76	35%
Free T3 thyroid hormone test inpatient CPT 84481 T 3 FREE	$167.38	$257.51	$90.13–$231.76	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$102.29	$157.37	$9.02–$141.63	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$102.29	$157.37	$9.02–$141.63	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$102.29	$157.37	$55.08–$141.63	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$102.29	$157.37	$55.08–$141.63	35%
Free testosterone test CPT 84402 TESTOSTERONE UR FREE	$238.06	$366.24	$25.47–$329.62	35%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$238.06	$366.24	$25.47–$329.62	35%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$238.06	$366.24	$128.18–$329.62	35%
Free testosterone test inpatient CPT 84402 TESTOSTERONE UR FREE	$238.06	$366.24	$128.18–$329.62	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE	$52.71	$81.09	$4.75–$72.98	35%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOSE DOSE	$52.71	$81.09	$28.38–$72.98	35%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST	$104.67	$161.03	$12.87–$144.93	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST	$104.67	$161.03	$56.36–$144.93	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE DNA PCR	$293.06	$450.86	$35.09–$405.77	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE AMP PR	$293.06	$450.86	$35.09–$405.77	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE AMP PR	$293.06	$450.86	$157.80–$405.77	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE DNA PCR	$293.06	$450.86	$157.80–$405.77	35%
H. pylori antibody blood test CPT 86677 ANTIBODY HELICOBACTER PYLORI	$152.02	$233.87	$16.85–$210.48	35%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYL IGA	$152.02	$233.87	$16.85–$210.48	35%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYL IGA	$152.02	$233.87	$81.85–$210.48	35%
H. pylori antibody blood test inpatient CPT 86677 ANTIBODY HELICOBACTER PYLORI	$152.02	$233.87	$81.85–$210.48	35%
H. pylori stool antigen test CPT 87338 INF AGT AG DET IMMUNO H.PYLORI	$140.62	$216.34	$14.38–$194.71	35%
H. pylori stool antigen test CPT 87338 INFEC AGNT H. PYLORI	$140.62	$216.34	$14.38–$194.71	35%
H. pylori stool antigen test inpatient CPT 87338 INF AGT AG DET IMMUNO H.PYLORI	$140.62	$216.34	$75.72–$194.71	35%
H. pylori stool antigen test inpatient CPT 87338 INFEC AGNT H. PYLORI	$140.62	$216.34	$75.72–$194.71	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA PCR QUANT	$833.51	$1,282.32	$85.10–$1,154.09	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA PCR QUANT	$833.51	$1,282.32	$448.81–$1,154.09	35%
HIV-1 and HIV-2 antibody test CPT 86703 AB HIV 1 HIV 2 SNGL ASSY	$140.79	$216.60	$13.71–$194.94	35%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 AND HIV 2 SINGLE RESULT	$140.79	$216.60	$13.71–$194.94	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 AB HIV 1 HIV 2 SNGL ASSY	$140.79	$216.60	$75.81–$194.94	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 AND HIV 2 SINGLE RESULT	$140.79	$216.60	$75.81–$194.94	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 INF AGT AG EIA MULTI HIV 1 2	$229.98	$353.81	$24.08–$318.43	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 INF AGT AG EIA MULTI HIV 1 2	$229.98	$353.81	$123.83–$318.43	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES	$273.03	$420.05	$35.09–$378.04	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 INF AGT NUC ACD HPV HIGH RISK	$273.03	$420.05	$35.09–$378.04	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 INF AGT NUC ACD HPV HIGH RISK	$273.03	$420.05	$147.02–$378.04	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES	$273.03	$420.05	$147.02–$378.04	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C B	$93.29	$143.52	$9.71–$129.17	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATE A1C	$124.03	$190.82	$9.71–$171.74	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$127.38	$195.97	$9.71–$176.37	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C B	$93.29	$143.52	$50.23–$129.17	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATE A1C	$124.03	$190.82	$66.79–$171.74	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$127.38	$195.97	$68.59–$176.37	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB HBSAB	$181.17	$278.72	$10.74–$250.85	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF AB HBSAB	$181.17	$278.72	$97.55–$250.85	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF AGHBSAG	$112.31	$172.79	$10.33–$155.51	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF AGHBSAG	$112.31	$172.79	$60.48–$155.51	35%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$175.50	$270.00	$14.27–$243.00	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$175.50	$270.00	$94.50–$243.00	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$411.26	$632.71	$42.84–$569.44	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT	$411.26	$632.71	$221.45–$569.44	35%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I	$126.57	$194.73	$13.19–$175.26	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX I	$126.57	$194.73	$68.16–$175.26	35%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$185.83	$285.89	$19.35–$257.30	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$185.83	$285.89	$100.06–$257.30	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HIGH SENS	$121.10	$186.31	$12.95–$167.68	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HIGH SENS	$121.10	$186.31	$65.21–$167.68	35%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$297.01	$456.94	$17.92–$411.25	35%
Homocysteine blood test CPT 83090 HOMOCYSTEINE PLASMA	$297.01	$456.94	$17.92–$411.25	35%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$297.01	$456.94	$159.93–$411.25	35%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE PLASMA	$297.01	$456.94	$159.93–$411.25	35%
Insulin blood test CPT 83525 INSULIN	$109.75	$168.85	$11.43–$151.96	35%
Insulin blood test inpatient CPT 83525 INSULIN	$109.75	$168.85	$59.10–$151.96	35%
Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE	$96.38	$148.27	$6.47–$133.44	35%
Iron blood test (serum iron) CPT 83540 IRON	$96.38	$148.27	$6.47–$133.44	35%
Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE	$96.38	$148.27	$51.89–$133.44	35%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$96.38	$148.27	$51.89–$133.44	35%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING	$103.73	$159.58	$8.74–$143.62	35%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING	$103.73	$159.58	$55.85–$143.62	35%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$95.52	$146.96	$8.68–$132.26	35%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$95.52	$146.96	$51.44–$132.26	35%
LH (luteinizing hormone) test CPT 83002 GONADATROPIN LH	$154.61	$237.86	$18.52–$214.07	35%
LH (luteinizing hormone) test inpatient CPT 83002 GONADATROPIN LH	$154.61	$237.86	$83.25–$214.07	35%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$74.93	$115.28	$6.89–$103.75	35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$74.93	$115.28	$40.35–$103.75	35%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$231.73	$356.50	$8.17–$320.85	35%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$231.73	$356.50	$124.77–$320.85	35%
Lyme disease antibody test CPT 86618 ATBY BORRELIA	$244.98	$376.89	$17.03–$339.20	35%
Lyme disease antibody test CPT 86618 LYME DISEASEIGM ANTIBODY	$244.98	$376.89	$17.03–$339.20	35%
Lyme disease antibody test inpatient CPT 86618 ATBY BORRELIA	$244.98	$376.89	$131.91–$339.20	35%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASEIGM ANTIBODY	$244.98	$376.89	$131.91–$339.20	35%
Magnesium blood test CPT 83735 MAGNESIUM	$72.88	$112.13	$6.70–$100.92	35%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$72.88	$112.13	$39.25–$100.92	35%
Measles (rubeola) antibody test CPT 86765 ANTIBODY RUBEOLA	$113.03	$173.89	$12.88–$156.50	35%
Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY RUBEOLA	$113.03	$173.89	$60.86–$156.50	35%
Mono test (heterophile antibody, Monospot) CPT 86308 IMMUNE COMPLEX ASSAY	$53.33	$82.05	$5.18–$73.84	35%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES SCRNG	$53.33	$82.05	$5.18–$73.84	35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 IMMUNE COMPLEX ASSAY	$53.33	$82.05	$28.72–$73.84	35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES SCRNG	$53.33	$82.05	$28.72–$73.84	35%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$436.44	$671.45	$47.81–$671.52	35%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$436.44	$671.45	$235.01–$604.31	35%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$171.91	$264.47	$18.39–$238.02	35%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$171.91	$264.47	$92.56–$238.02	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TEST MCR SCREEN TOTAL	$149.49	$229.98	$18.39–$206.98	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN PSA	$149.49	$229.98	$18.39–$206.98	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA UROCOR TOTAL	$149.49	$229.98	$18.39–$206.98	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN PSA	$149.49	$229.98	$80.49–$206.98	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TEST MCR SCREEN TOTAL	$149.49	$229.98	$80.49–$206.98	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA UROCOR TOTAL	$149.49	$229.98	$80.49–$206.98	35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 SCRN THINPREP PAP	$194.56	$299.33	$20.26–$269.40	35%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 SCRN THINPREP PAP	$194.56	$299.33	$104.77–$269.40	35%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE PTH	$448.84	$690.53	$41.28–$621.48	35%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$448.84	$690.53	$41.28–$621.48	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE PTH	$448.84	$690.53	$241.69–$621.48	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$448.84	$690.53	$241.69–$621.48	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME	$71.97	$110.73	$6.01–$99.66	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL PTT PLASMA OR WHOLE BL	$71.97	$110.73	$6.01–$99.66	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL PTT PLASMA OR WHOLE BL	$71.97	$110.73	$38.76–$99.66	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME	$71.97	$110.73	$38.76–$99.66	35%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FET CHROM ANEUPL13 18 21	$3,288.80	$5,059.69	$759.05–$4,553.72	35%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FET CHROM ANEUPL13 18 22	$3,288.80	$5,059.69	$759.05–$4,553.72	35%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FET CHROM ANEUPL13 18 21	$3,288.80	$5,059.69	$1,770.89–$4,553.72	35%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FET CHROM ANEUPL13 18 22	$3,288.80	$5,059.69	$1,770.89–$4,553.72	35%
Progesterone blood test CPT 84144 PROGESTERONE	$211.80	$325.85	$20.86–$293.27	35%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$211.80	$325.85	$114.05–$293.27	35%
Prolactin blood test CPT 84146 PROLACTIN	$82.67	$127.19	$19.38–$215.93	35%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$82.67	$127.19	$44.52–$114.47	35%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$38.94	$59.90	$4.29–$53.91	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$38.94	$59.90	$20.96–$53.91	35%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A B. RAPID ID	$100.18	$154.13	$16.55–$138.72	35%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A B. RAPID ID	$100.18	$154.13	$53.95–$138.72	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP. GR A IMMUNO W OPTICAL	$100.18	$154.13	$16.53–$138.72	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 INF AGT AG STREP GROUP A	$100.18	$154.13	$16.53–$138.72	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 INF AGT AG STREP GROUP A	$100.18	$154.13	$53.95–$138.72	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP. GR A IMMUNO W OPTICAL	$100.18	$154.13	$53.95–$138.72	35%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$47.39	$72.91	$5.67–$65.62	35%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QNT	$47.39	$72.91	$5.67–$65.62	35%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$47.39	$72.91	$25.52–$65.62	35%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QNT	$47.39	$72.91	$25.52–$65.62	35%
Rubella antibody test (immunity check) CPT 86762 ANTIBODY RUBELLA	$156.56	$240.86	$14.39–$216.77	35%
Rubella antibody test (immunity check) inpatient CPT 86762 ANTIBODY RUBELLA	$156.56	$240.86	$84.30–$216.77	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE RBC AUTOMATED	$25.42	$39.10	$2.70–$35.19	35%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE RBC AUTOMATED	$25.42	$39.10	$13.69–$35.19	35%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE	$106.28	$163.50	$12.31–$147.15	35%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS VOL CT MOT DIF	$106.28	$163.50	$12.31–$147.15	35%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS VOL CT MOT DIF	$106.28	$163.50	$57.22–$147.15	35%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS COMPLETE	$106.28	$163.50	$57.22–$147.15	35%
Stool ova and parasites exam CPT 87177 OVA PARASITE DIR SMR ID	$74.28	$114.28	$8.90–$102.85	35%
Stool ova and parasites exam inpatient CPT 87177 OVA PARASITE DIR SMR ID	$74.28	$114.28	$40.00–$102.85	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SINGLE SPEC	$31.69	$48.76	$4.38–$43.88	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCLT QL STOOL SINGLE	$61.37	$94.41	$4.38–$84.97	35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL SINGLE SPEC	$31.69	$48.76	$17.07–$43.88	35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLD OCCLT QL STOOL SINGLE	$61.37	$94.41	$33.04–$84.97	35%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCC BLD IMMUNOASSAY 1 3	$148.66	$228.70	$15.92–$205.83	35%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLOOD OCC BLD IMMUNOASSAY 1 3	$148.66	$228.70	$80.04–$205.83	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUALITATIVE	$48.46	$74.56	$4.27–$67.10	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUALITATIVE	$48.46	$74.56	$26.10–$67.10	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB MSURMENT GMMA INT AG	$710.67	$1,093.34	$61.98–$984.01	35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB MSURMENT GMMA INT AG	$710.67	$1,093.34	$382.67–$984.01	35%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$255.21	$392.63	$25.81–$353.37	35%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTER PLASMA TOT	$255.21	$392.63	$25.81–$353.37	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTER PLASMA TOT	$255.21	$392.63	$137.42–$353.37	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$255.21	$392.63	$137.42–$353.37	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY THYROID	$158.23	$243.43	$14.55–$219.09	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY THYROID	$158.23	$243.43	$85.20–$219.09	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$182.73	$281.12	$16.80–$253.01	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE TSH	$182.73	$281.12	$16.80–$253.01	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE TSH	$182.73	$281.12	$98.39–$253.01	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$182.73	$281.12	$98.39–$253.01	35%
Trichomonas test (NAAT) CPT 87661 INF AGT NUC AC T.VAG AMP	$158.16	$243.32	$35.09–$365.25	35%
Trichomonas test (NAAT) inpatient CPT 87661 INF AGT NUC AC T.VAG AMP	$158.16	$243.32	$85.16–$218.99	35%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$83.36	$128.24	$4.52–$115.42	35%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$83.36	$128.24	$44.88–$115.42	35%
Urinalysis with microscope exam, automated CPT 81001 URINE DIP TABLET AUTO MICRO	$34.37	$52.87	$3.17–$47.58	35%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINE DIP TABLET AUTO MICRO	$34.37	$52.87	$18.50–$47.58	35%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED WO MICRO	$24.40	$37.54	$2.25–$33.79	35%
Urinalysis without microscope exam, automated CPT 81003 URINE DIP TAB AUTO NONMICRO	$24.40	$37.54	$2.25–$33.79	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTOMATED WO MICRO	$24.40	$37.54	$13.14–$33.79	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE DIP TAB AUTO NONMICRO	$24.40	$37.54	$13.14–$33.79	35%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W O SCOPE	$33.74	$51.91	$3.48–$46.72	35%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W O SCOPE	$33.74	$51.91	$18.17–$46.72	35%
Urine culture for bacteria, with colony count CPT 87086 CULT BACT URINE QUANT COLONY	$87.23	$134.20	$8.07–$120.78	35%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT BACT URINE QUANT COLONY	$87.23	$134.20	$46.97–$120.78	35%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE	$70.61	$108.63	$8.61–$97.77	35%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$70.61	$108.63	$8.61–$97.77	35%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$70.61	$108.63	$38.02–$97.77	35%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE	$70.61	$108.63	$38.02–$97.77	35%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN VITAMIN B 12	$122.54	$188.53	$15.08–$169.68	35%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN VITAMIN B 12	$122.54	$188.53	$65.99–$169.68	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 DYDROXY	$240.64	$370.21	$29.60–$333.19	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25 HYDROXY	$240.64	$370.21	$29.60–$333.19	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 DYDROXY	$240.64	$370.21	$129.57–$333.19	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25 HYDROXY	$240.64	$370.21	$129.57–$333.19	35%
Zinc blood test CPT 84630 ZINC	$109.34	$168.22	$11.39–$151.40	35%
Zinc blood test inpatient CPT 84630 ZINC	$109.34	$168.22	$58.88–$151.40	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADO CHORION HCGQUANT	$278.97	$429.18	$15.05–$386.26	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROP CHORION QUANT	$278.97	$429.18	$15.05–$386.26	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROP CHORION QUANT	$278.97	$429.18	$150.21–$386.26	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADO CHORION HCGQUANT	$278.97	$429.18	$150.21–$386.26	35%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRST 1ST LESION STRTCTC	$3,022.71	$4,650.33	$1,302.09–$10,143.00	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BRST 1ST LESION STRTCTC	$3,022.71	$4,650.33	$1,627.62–$4,185.30	35%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREAT ANKLE FRACTURE	$477.61	$734.78	$205.74–$661.30	35%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TREAT ANKLE FRACTURE	$477.61	$734.78	$257.17–$661.30	35%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 METATARSAL FX WO MANIPULATION	$516.15	$794.07	$222.34–$714.66	35%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 METATARSAL FX WO MANIPULATION	$516.15	$794.07	$277.92–$714.66	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$1,786.08	$2,747.82	$509.77–$2,473.04	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$1,786.08	$2,747.82	$509.77–$13,422.00	35%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$1,786.08	$2,747.82	$961.74–$2,473.04	35%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$1,786.08	$2,747.82	$961.74–$2,473.04	35%
Carpal tunnel release, open surgery CPT 64721 NEUR AND OR TRANSPO MED NERV	$3,287.77	$5,058.10	$558.00–$8,849.00	35%
Carpal tunnel release, open surgery inpatient CPT 64721 NEUR AND OR TRANSPO MED NERV	$3,287.77	$5,058.10	$1,770.34–$4,552.29	35%
Cervical biopsy CPT 57500 GYN BIOP CERVIX	$1,877.43	$2,888.35	$297.00–$6,474.00	35%
Cervical biopsy inpatient CPT 57500 GYN BIOP CERVIX	$1,877.43	$2,888.35	$1,010.92–$2,599.52	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRC CLAMP DEVICE W BLOCK NB	$3,459.72	$5,322.64	$1,490.34–$4,790.38	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRC CLAMP DEVICE W BLOCK NB	$3,459.72	$5,322.64	$1,862.92–$4,790.38	35%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TX FX RADIUS ULNA CLSD W O MAN	$447.62	$688.64	$192.82–$619.78	35%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TX FX RADIUS ULNA CLSD W O MAN	$447.62	$688.64	$241.02–$619.78	35%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 GYN LEEP PROCEDURE	$7,564.05	$11,637.00	$1,067.00–$25,901.00	35%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 GYN LEEP PROCEDURE	$7,564.05	$11,637.00	$4,072.95–$10,473.30	35%
Colposcopy with cervical biopsy and scraping of the cervical canal both sides CPT 57454 GYN CLPSCPY W CER BI	$1,156.38	$1,779.05	$297.00–$6,474.00	35%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient both sides CPT 57454 GYN CLPSCPY W CER BI	$1,156.38	$1,779.05	$622.67–$1,601.14	35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$2,735.47	$4,208.41	$1,178.35–$3,787.57	35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 GYN CYSTOURETHOSCOPY	$2,735.47	$4,208.41	$416.00–$6,474.00	35%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY	$2,735.47	$4,208.41	$1,472.94–$3,787.57	35%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 GYN CYSTOURETHOSCOPY	$2,735.47	$4,208.41	$1,472.94–$3,787.57	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 GYN CONDYLOMA TRT CE 1ST LESN	$380.17	$584.88	$163.77–$3,175.00	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 WOUND CAUTERY 1ST LESION	$380.17	$584.88	$163.77–$3,175.00	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 WOUND CAUTERY 1ST LESION	$380.17	$584.88	$204.71–$526.39	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 GYN CONDYLOMA TRT CE 1ST LESN	$380.17	$584.88	$204.71–$526.39	35%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACT CERUMEN IRR UNI	$187.73	$288.82	$80.87–$3,175.00	35%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACT CERUMEN IRR UNI	$187.73	$288.82	$101.09–$259.94	35%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACT CERUMEN INST UNI	$218.16	$335.63	$93.98–$3,175.00	35%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACT CERUMEN INST UNI	$218.16	$335.63	$117.47–$302.07	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 GYN BIOP ENDOMETRIUM	$633.22	$974.18	$272.77–$3,175.00	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 GYN BIOP ENDOMETRIUM	$633.22	$974.18	$340.96–$876.76	35%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CT INJ CRV THRC	$1,458.46	$2,243.79	$628.26–$6,474.00	35%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR ESI CERV THOR W IMAGING	$1,458.46	$2,243.79	$628.26–$6,474.00	35%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR ESI CERV THOR W IMAGING	$1,458.46	$2,243.79	$785.33–$2,019.41	35%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CT INJ CRV THRC	$1,458.46	$2,243.79	$785.33–$2,019.41	35%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION INTRAVITREAL PHARM	$2,029.78	$3,122.74	$874.37–$2,810.47	35%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INJECTION INTRAVITREAL PHARM	$2,029.78	$3,122.74	$1,092.96–$2,810.47	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L S 1 LEV	$2,745.64	$4,224.06	$1,067.00–$6,474.00	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 CT INJ PVF LUMBSAC SINGLE LVL	$2,745.64	$4,224.06	$1,067.00–$6,474.00	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L S 1 LEV	$2,745.64	$4,224.06	$1,478.42–$3,801.65	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 CT INJ PVF LUMBSAC SINGLE LVL	$2,745.64	$4,224.06	$1,478.42–$3,801.65	35%
Hemorrhoid banding (rubber band ligation) CPT 46221 BANDING OF HEMORRHOIDS INTERNL	$1,481.31	$2,278.94	$638.10–$2,051.05	35%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 BANDING OF HEMORRHOIDS INTERNL	$1,481.31	$2,278.94	$797.63–$2,051.05	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ SONOHYSTER HYSTEROSALPI	$503.28	$774.27	$216.80–$3,175.00	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HSG INJ IC	$503.28	$774.27	$216.80–$3,175.00	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HSG INJ IC	$503.28	$774.27	$270.99–$696.84	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ SONOHYSTER HYSTEROSALPI	$503.28	$774.27	$270.99–$696.84	35%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$408.30	$628.16	$175.88–$565.34	35%
IUD insertion (the device itself billed separately) CPT 58300 GYN IUD INSERTION	$408.30	$628.16	$175.88–$3,175.00	35%
IUD insertion (the device itself billed separately) inpatient CPT 58300 GYN IUD INSERTION	$408.30	$628.16	$219.86–$565.34	35%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE	$408.30	$628.16	$219.86–$565.34	35%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE ABSCESS SINGLE SIMPLE	$380.17	$584.88	$163.77–$526.39	35%
Incision and drainage of a simple or single skin abscess CPT 10060 ABCESS DRAINAGE SUBQ	$380.17	$584.88	$163.77–$3,175.00	35%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE OR SINGLE	$380.17	$584.88	$163.77–$3,175.00	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ABCESS DRAINAGE SUBQ	$380.17	$584.88	$204.71–$526.39	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D ABSCESS SIMPLE OR SINGLE	$380.17	$584.88	$204.71–$526.39	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE ABSCESS SINGLE SIMPLE	$380.17	$584.88	$204.71–$526.39	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SNGL TENDON LIGAMENT	$900.09	$1,384.76	$297.00–$6,474.00	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH LIGAMENT	$900.09	$1,384.76	$387.73–$1,246.28	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SGL TENDON SHEATH LIG	$900.09	$1,384.76	$297.00–$6,474.00	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 IR CT INJ SNGL TENDON LIGAMENT	$900.09	$1,384.76	$297.00–$6,474.00	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 IR CT INJ SNGL TENDON LIGAMENT	$900.09	$1,384.76	$484.67–$1,246.28	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SGL TENDON SHEATH LIG	$900.09	$1,384.76	$484.67–$1,246.28	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SNGL TENDON LIGAMENT	$900.09	$1,384.76	$484.67–$1,246.28	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH LIGAMENT	$900.09	$1,384.76	$484.67–$1,246.28	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT ARTHROCENT SHOU HIP KNEE	$681.55	$1,048.54	$293.59–$6,474.00	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT SHOU HIP KNEE	$681.55	$1,048.54	$293.59–$6,474.00	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT BURSA INJECTION	$681.55	$1,048.54	$293.59–$6,474.00	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN INJ JNT BURSA MAJ WO ULT	$681.55	$1,048.54	$293.59–$6,474.00	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT BURSA INJECTION	$681.55	$1,048.54	$366.99–$943.69	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN INJ JNT BURSA MAJ WO ULT	$681.55	$1,048.54	$366.99–$943.69	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENT SHOU HIP KNEE	$681.55	$1,048.54	$366.99–$943.69	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CT ARTHROCENT SHOU HIP KNEE	$681.55	$1,048.54	$366.99–$943.69	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN INJ JNT BURSA INT WO ULT	$649.10	$998.61	$279.61–$6,474.00	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT TMJ WR AN EL	$649.10	$998.61	$279.61–$6,474.00	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CT STERNOCLAVCULAR JNT ASPIRAT	$649.10	$998.61	$279.61–$6,474.00	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT TMJ WR AN EL	$649.10	$998.61	$349.51–$898.75	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 CT STERNOCLAVCULAR JNT ASPIRAT	$649.10	$998.61	$349.51–$898.75	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN INJ JNT BURSA INT WO ULT	$649.10	$998.61	$349.51–$898.75	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN INJ JNT BURSA SM W O ULT	$933.09	$1,435.52	$297.00–$6,474.00	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN INJ JNT BURSA SM W O ULT	$933.09	$1,435.52	$502.43–$1,291.97	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S A T EXT 2.5 CM LESS THAN	$764.39	$1,175.98	$329.27–$1,058.38	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR S A T EXT 2.5 CM LESS THAN	$764.39	$1,175.98	$411.59–$1,058.38	35%
Lower-back epidural injection, with imaging guidance CPT 62323 IR ESI LUMB SACR WITH IMAGING	$1,458.46	$2,243.79	$628.26–$6,474.00	35%
Lower-back epidural injection, with imaging guidance CPT 62323 CT INJ LUMBAR SAC	$1,458.46	$2,243.79	$628.26–$6,474.00	35%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ LMBR SAC	$1,458.46	$2,243.79	$628.26–$6,474.00	35%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LMBR SAC	$1,458.46	$2,243.79	$785.33–$2,019.41	35%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CT INJ LUMBAR SAC	$1,458.46	$2,243.79	$785.33–$2,019.41	35%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR ESI LUMB SACR WITH IMAGING	$1,458.46	$2,243.79	$785.33–$2,019.41	35%
Lower-back epidural injection, without imaging guidance CPT 62322 IR ESI LUMB SACR W O IMAGING	$1,431.17	$2,201.80	$616.50–$6,474.00	35%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 IR ESI LUMB SACR W O IMAGING	$1,431.17	$2,201.80	$770.63–$1,981.62	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMIN EPIDUR L S SINGLE	$1,480.92	$2,278.34	$416.00–$6,474.00	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NERV INJ LUMB SACRAL SING LV	$1,480.92	$2,278.34	$416.00–$6,474.00	35%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMIN EPIDUR L S SINGLE	$1,480.92	$2,278.34	$797.42–$2,050.51	35%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NERV INJ LUMB SACRAL SING LV	$1,480.92	$2,278.34	$797.42–$2,050.51	35%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$4,695.69	$7,224.14	$2,022.76–$6,501.73	35%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE OF MISCARRIAGE	$4,695.69	$7,224.14	$2,528.45–$6,501.73	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENIGN LESIONW MARGIN LESS THAN .5CM	$1,460.72	$2,247.26	$629.23–$6,474.00	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BENIGN LESIONW MARGIN LESS THAN .5CM	$1,460.72	$2,247.26	$786.54–$2,022.53	35%
Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLATE PART COMP SNG	$676.25	$1,040.38	$291.31–$3,175.00	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL PLATE PART COMP SNG	$676.25	$1,040.38	$364.13–$936.34	35%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH STER OCCIPITAL	$893.85	$1,375.16	$385.04–$1,237.64	35%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH STER OCCIPITAL	$893.85	$1,375.16	$481.31–$1,237.64	35%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W CT GUIDANCE	$2,246.65	$3,456.38	$967.79–$6,474.00	35%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W IMAGING	$2,246.65	$3,456.38	$967.79–$6,474.00	35%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W US GUIDANCE	$2,246.65	$3,456.38	$967.79–$6,474.00	35%
Paracentesis with imaging guidance CPT 49083 IR PARACENTESIS W CT GUIDANCE	$2,246.65	$3,456.38	$967.79–$6,474.00	35%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W IMG GUID	$2,875.07	$4,423.19	$1,238.49–$6,474.00	35%
Paracentesis with imaging guidance inpatient CPT 49083 IR PARACENTESIS W CT GUIDANCE	$2,246.65	$3,456.38	$1,209.73–$3,110.74	35%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W IMAGING	$2,246.65	$3,456.38	$1,209.73–$3,110.74	35%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W US GUIDANCE	$2,246.65	$3,456.38	$1,209.73–$3,110.74	35%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W CT GUIDANCE	$2,246.65	$3,456.38	$1,209.73–$3,110.74	35%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W IMG GUID	$2,875.07	$4,423.19	$1,548.12–$3,980.87	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL MATRIX PART CMP	$1,651.33	$2,540.51	$711.34–$2,286.46	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL MATRIXECTOMY	$1,651.33	$2,540.51	$297.00–$6,474.00	35%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL MATRIXECTOMY	$1,651.33	$2,540.51	$889.18–$2,286.46	35%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL MATRIX PART CMP	$1,651.33	$2,540.51	$889.18–$2,286.46	35%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 CT DSTR BY AGT LUMB SAC 1ST	$3,585.26	$5,515.79	$1,067.00–$14,245.00	35%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DSTR BY AGENT LUMB SAC 1ST	$3,585.26	$5,515.79	$1,067.00–$14,245.00	35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DSTR BY AGENT LUMB SAC 1ST	$3,585.26	$5,515.79	$1,930.53–$4,964.21	35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 CT DSTR BY AGT LUMB SAC 1ST	$3,585.26	$5,515.79	$1,930.53–$4,964.21	35%
Removal of a breast lump, open surgery CPT 19120 EXC CYST FIBROADENOMA OTH TUM	$5,600.00	$8,615.38	$637.00–$10,143.00	35%
Removal of a breast lump, open surgery inpatient CPT 19120 EXC CYST FIBROADENOMA OTH TUM	$5,600.00	$8,615.38	$3,015.38–$7,753.84	35%
Removal of a foreign object under the skin, simple CPT 10120 FOREIGN BODY REMOVAL SIMPLE	$764.39	$1,175.98	$329.27–$1,058.38	35%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FOREIGN BODY REMOVAL SIMPLE	$764.39	$1,175.98	$411.59–$1,058.38	35%
Short arm cast (elbow to hand) CPT 29075 OT CAST APPL SHRT ARM EL FINGR	$860.98	$1,324.58	$297.00–$1,192.12	35%
Short arm cast (elbow to hand) CPT 29075 APPLIC SHORT ARM CAST	$860.98	$1,324.58	$297.00–$1,192.12	35%
Short arm cast (elbow to hand) CPT 29075 APPL CAST SHORT ARM EL FINGER	$860.98	$1,324.58	$370.88–$1,192.12	35%
Short arm cast (elbow to hand) CPT 29075 PT CAST APPL SHRT ARM EL FINGR	$860.98	$1,324.58	$297.00–$1,192.12	35%
Short arm cast (elbow to hand) inpatient CPT 29075 APPL CAST SHORT ARM EL FINGER	$860.98	$1,324.58	$463.60–$1,192.12	35%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLIC SHORT ARM CAST	$860.98	$1,324.58	$463.60–$1,192.12	35%
Short arm cast (elbow to hand) inpatient CPT 29075 PT CAST APPL SHRT ARM EL FINGR	$860.98	$1,324.58	$463.60–$1,192.12	35%
Short arm cast (elbow to hand) inpatient CPT 29075 OT CAST APPL SHRT ARM EL FINGR	$860.98	$1,324.58	$463.60–$1,192.12	35%
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT STATIC	$219.57	$337.80	$94.58–$304.02	35%
Short arm splint (forearm and hand) CPT 29125 APPLIC SHORT ARM SPLINT	$219.57	$337.80	$94.58–$356.00	35%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT STATIC	$219.57	$337.80	$118.23–$304.02	35%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLIC SHORT ARM SPLINT	$219.57	$337.80	$118.23–$304.02	35%
Short leg cast (below the knee) CPT 29405 PT CAST APP SHRT LEG KNEE TOES	$559.42	$860.64	$240.98–$774.58	35%
Short leg cast (below the knee) CPT 29405 APP SHRT LEG CAST BLW KNEE TOE	$559.42	$860.64	$240.98–$774.58	35%
Short leg cast (below the knee) CPT 29405 SHORT LEG CAST BLW KNEE TOES	$559.42	$860.64	$240.98–$774.58	35%
Short leg cast (below the knee) CPT 29405 OT CAST APPL SHRT LEG KNEE TOE	$559.42	$860.64	$240.98–$774.58	35%
Short leg cast (below the knee) inpatient CPT 29405 SHORT LEG CAST BLW KNEE TOES	$559.42	$860.64	$301.22–$774.58	35%
Short leg cast (below the knee) inpatient CPT 29405 OT CAST APPL SHRT LEG KNEE TOE	$559.42	$860.64	$301.22–$774.58	35%
Short leg cast (below the knee) inpatient CPT 29405 APP SHRT LEG CAST BLW KNEE TOE	$559.42	$860.64	$301.22–$774.58	35%
Short leg cast (below the knee) inpatient CPT 29405 PT CAST APP SHRT LEG KNEE TOES	$559.42	$860.64	$301.22–$774.58	35%
Short leg splint (calf to foot) CPT 29515 PT APL SHORT LEG SPLNT CALF FT	$559.79	$861.21	$241.14–$775.09	35%
Short leg splint (calf to foot) CPT 29515 APPL SHORT LEG SPLINT CALF FT	$559.79	$861.21	$241.14–$775.09	35%
Short leg splint (calf to foot) CPT 29515 OT APL SHORT LEG SPLNT CALF FT	$559.79	$861.21	$241.14–$775.09	35%
Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT CALF FOOT	$559.79	$861.21	$241.14–$775.09	35%
Short leg splint (calf to foot) inpatient CPT 29515 OT APL SHORT LEG SPLNT CALF FT	$559.79	$861.21	$301.42–$775.09	35%
Short leg splint (calf to foot) inpatient CPT 29515 APPL SHORT LEG SPLINT CALF FT	$559.79	$861.21	$301.42–$775.09	35%
Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT CALF FOOT	$559.79	$861.21	$301.42–$775.09	35%
Short leg splint (calf to foot) inpatient CPT 29515 PT APL SHORT LEG SPLNT CALF FT	$559.79	$861.21	$301.42–$775.09	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMP REP LESS THANEQUALS 2.5CM S N A G T E	$380.17	$584.88	$163.77–$526.39	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMP REP LESS THANEQUALS 2.5CM S N A G T E	$380.17	$584.88	$204.71–$526.39	35%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LES	$764.39	$1,175.98	$329.27–$1,058.38	35%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LES	$764.39	$1,175.98	$411.59–$1,058.38	35%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS UP 15	$380.17	$584.88	$163.77–$3,175.00	35%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS LESS THAN EQUALS 15	$380.17	$584.88	$163.77–$3,175.00	35%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS LESS THAN EQUALS 15	$380.17	$584.88	$204.71–$526.39	35%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS UP 15	$380.17	$584.88	$204.71–$526.39	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOST	$1,324.95	$2,038.38	$570.75–$6,474.00	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP DIAGNOSTIC	$1,324.95	$2,038.38	$570.75–$6,474.00	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 XR LUMBAR PUNC DIAG WO FLUORO	$1,324.95	$2,038.38	$570.75–$1,834.54	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HEM LUMBAR PUNCTURE	$1,324.95	$2,038.38	$570.75–$6,474.00	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PEDS LUMBAR PUNCTURE	$1,324.95	$2,038.38	$570.75–$6,474.00	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 BMT LUMBAR PUNCTURE	$1,324.95	$2,038.38	$570.75–$6,474.00	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCT LUMBAR DIAG	$1,324.95	$2,038.38	$570.75–$1,834.54	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PEDS LUMBAR PUNCTURE	$1,324.95	$2,038.38	$713.43–$1,834.54	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL FLUID TAP DIAGNOSTIC	$1,324.95	$2,038.38	$713.43–$1,834.54	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 XR LUMBAR PUNC DIAG WO FLUORO	$1,324.95	$2,038.38	$713.43–$1,834.54	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 BMT LUMBAR PUNCTURE	$1,324.95	$2,038.38	$713.43–$1,834.54	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOST	$1,324.95	$2,038.38	$713.43–$1,834.54	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCT LUMBAR DIAG	$1,324.95	$2,038.38	$713.43–$1,834.54	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HEM LUMBAR PUNCTURE	$1,324.95	$2,038.38	$713.43–$1,834.54	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMP REP2.6CM 7.5CM S N A G T E	$380.17	$584.88	$163.77–$526.39	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMP REP2.6CM 7.5CM S N A G T E	$380.17	$584.88	$204.71–$526.39	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMP REP LESS THANEQUALS 2.5 F E E N L M	$380.17	$584.88	$163.77–$526.39	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMP REP LESS THANEQUALS 2.5 F E E N L M	$380.17	$584.88	$204.71–$526.39	35%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$678.22	$1,043.42	$292.16–$3,175.00	35%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES	$678.22	$1,043.42	$365.20–$939.08	35%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W IMAGING	$1,628.95	$2,506.07	$701.70–$6,474.00	35%
Thoracentesis with imaging guidance CPT 32555 THORACENT W IMAGE GUIDE	$1,628.95	$2,506.07	$701.70–$6,474.00	35%
Thoracentesis with imaging guidance CPT 32555 IR CT THORACENTESIS IMG GUIDED	$1,628.95	$2,506.07	$701.70–$6,474.00	35%
Thoracentesis with imaging guidance CPT 32555 CT THORACEN W IMG GUIDE	$1,628.95	$2,506.07	$701.70–$6,474.00	35%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W US GUIDANCE	$1,628.95	$2,506.07	$701.70–$6,474.00	35%
Thoracentesis with imaging guidance inpatient CPT 32555 IR CT THORACENTESIS IMG GUIDED	$1,628.95	$2,506.07	$877.12–$2,255.46	35%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENT W IMAGE GUIDE	$1,628.95	$2,506.07	$877.12–$2,255.46	35%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W IMAGING	$1,628.95	$2,506.07	$877.12–$2,255.46	35%
Thoracentesis with imaging guidance inpatient CPT 32555 CT THORACEN W IMG GUIDE	$1,628.95	$2,506.07	$877.12–$2,255.46	35%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W US GUIDANCE	$1,628.95	$2,506.07	$877.12–$2,255.46	35%
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION	$4,250.23	$6,538.81	$558.00–$8,849.00	35%
Trigger finger release surgery inpatient CPT 26055 TENDON SHEATH INCISION	$4,250.23	$6,538.81	$2,288.58–$5,884.93	35%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJ 1 2 MUSCLE GRP	$626.16	$963.32	$269.73–$6,474.00	35%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1 2 MUSCL	$626.16	$963.32	$269.73–$866.99	35%
Trigger point injections, 1 or 2 muscles CPT 20552 IR TRIGGER PT INJ 1 OR 2 MUSC	$626.16	$963.32	$269.73–$6,474.00	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 IR TRIGGER PT INJ 1 OR 2 MUSC	$626.16	$963.32	$337.16–$866.99	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1 2 MUSCL	$626.16	$963.32	$337.16–$866.99	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER PT INJ 1 2 MUSCLE GRP	$626.16	$963.32	$337.16–$866.99	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BRST 1ST LESION US IMAG	$3,022.71	$4,650.33	$1,302.09–$10,143.00	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 IR BIOPSY BREAST 1ST LESION	$3,022.71	$4,650.33	$1,302.09–$10,143.00	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BIOPSY BREAST 1ST LESION	$3,022.71	$4,650.33	$1,302.09–$10,143.00	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BIOPSY BREAST 1ST LESION	$3,022.71	$4,650.33	$1,627.62–$4,185.30	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 IR BIOPSY BREAST 1ST LESION	$3,022.71	$4,650.33	$1,627.62–$4,185.30	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BRST 1ST LESION US IMAG	$3,022.71	$4,650.33	$1,627.62–$4,185.30	35%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE MULTIPLE	$1,635.79	$2,516.60	$704.65–$2,264.94	35%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SINGLE MULTIPLE	$1,635.79	$2,516.60	$880.81–$2,264.94	35%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI DIAGNOSTIC BRUSH WASH	$1,463.49	$2,251.52	$416.00–$6,474.00	35%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPR GI DIAGNOSTIC BRUSH WASH	$1,463.49	$2,251.52	$788.03–$2,026.37	35%
Vein ablation, radiofrequency, first vein CPT 36475 PERC ENDOVEN RF ABL 1ST VEIN	$9,360.71	$14,401.09	$2,401.00–$25,901.00	35%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 PERC ENDOVEN RF ABL 1ST VEIN	$9,360.71	$14,401.09	$5,040.38–$12,960.98	35%
Wart removal, up to 14 warts CPT 17110 DESTRUCT LESION 1 14	$895.36	$1,377.47	$385.69–$1,239.72	35%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESION UPTO 14	$895.36	$1,377.47	$297.00–$3,175.00	35%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT LESION 1 14	$895.36	$1,377.47	$482.11–$1,239.72	35%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESION UPTO 14	$895.36	$1,377.47	$482.11–$1,239.72	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBCUT TISS LESS THAN EQUALS 20 SQ CM	$1,650.51	$2,539.25	$710.99–$8,849.00	35%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBCUT TISS LESS THAN EQUALS 20 SQ CM	$1,650.51	$2,539.25	$888.74–$2,285.33	35%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSIONS	$1,223.16	$1,881.79	$526.90–$1,693.61	35%
Blood transfusion (giving blood or blood components) CPT 36430 PED BLOOD TRANSFUSIO	$1,223.16	$1,881.79	$526.90–$1,693.61	35%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PLATELET TRANSFUSION	$1,223.16	$1,881.79	$526.90–$1,693.61	35%
Blood transfusion (giving blood or blood components) CPT 36430 PLATELET TRANSFUSION	$1,223.16	$1,881.79	$526.90–$1,693.61	35%
Blood transfusion (giving blood or blood components) CPT 36430 PEDS PLATELET TRANSFUSION	$1,223.16	$1,881.79	$526.90–$1,693.61	35%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD BLD COMPONENTS	$1,223.16	$1,881.79	$526.90–$1,693.61	35%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSED BL BL PRODUCTS	$1,223.16	$1,881.79	$526.90–$1,693.61	35%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD BLD COMPON	$1,223.16	$1,881.79	$526.90–$1,693.61	35%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$1,223.16	$1,881.79	$526.90–$1,693.61	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD BLD COMPON	$1,223.16	$1,881.79	$658.63–$1,693.61	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD PLATELET TRANSFUSION	$1,223.16	$1,881.79	$658.63–$1,693.61	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSIONS	$1,223.16	$1,881.79	$658.63–$1,693.61	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD BLD COMPONENTS	$1,223.16	$1,881.79	$658.63–$1,693.61	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 PLATELET TRANSFUSION	$1,223.16	$1,881.79	$658.63–$1,693.61	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 PED BLOOD TRANSFUSIO	$1,223.16	$1,881.79	$658.63–$1,693.61	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 PEDS PLATELET TRANSFUSION	$1,223.16	$1,881.79	$658.63–$1,693.61	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$1,223.16	$1,881.79	$658.63–$1,693.61	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSED BL BL PRODUCTS	$1,223.16	$1,881.79	$658.63–$1,693.61	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPAG THERAPY PER TX	$381.03	$586.20	$55.45–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TX VENT	$381.03	$586.20	$55.45–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 VIBRATING MESH NEBULIZER	$381.03	$586.20	$55.45–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT	$381.03	$586.20	$55.45–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DPI ADMIN SUBSEQ	$381.03	$586.20	$55.45–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB TREATMENT	$381.03	$586.20	$55.45–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DPI ADMIN INITIAL	$381.03	$586.20	$55.45–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HIGH FLOW AEROSOL SUB	$381.03	$586.20	$55.45–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HIGH FLOW AEROSOL INIT	$381.03	$586.20	$55.45–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL INHALATION SUB	$381.03	$586.20	$55.45–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL INHALATION INIT	$381.03	$586.20	$55.45–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB TREATMENT VENT	$381.03	$586.20	$55.45–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPAG THERAPY VENT	$381.03	$586.20	$55.45–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DPI ADMIN INITIAL	$381.03	$586.20	$205.17–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HIGH FLOW AEROSOL SUB	$381.03	$586.20	$205.17–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPAG THERAPY VENT	$381.03	$586.20	$205.17–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TX VENT	$381.03	$586.20	$205.17–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPAG THERAPY PER TX	$381.03	$586.20	$205.17–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB TREATMENT VENT	$381.03	$586.20	$205.17–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HIGH FLOW AEROSOL INIT	$381.03	$586.20	$205.17–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB TREATMENT	$381.03	$586.20	$205.17–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DPI ADMIN SUBSEQ	$381.03	$586.20	$205.17–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL INHALATION INIT	$381.03	$586.20	$205.17–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TREATMENT	$381.03	$586.20	$205.17–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 VIBRATING MESH NEBULIZER	$381.03	$586.20	$205.17–$527.58	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL INHALATION SUB	$381.03	$586.20	$205.17–$527.58	35%
Chemotherapy IV infusion, first hour CPT 96413 IV CHEMO INFUSION INIT HR	$1,192.18	$1,834.13	$513.56–$1,650.72	35%
Chemotherapy IV infusion, first hour CPT 96413 RESEARCH IV CHEMO INF INIT HR	$1,192.18	$1,834.13	$513.56–$1,650.72	35%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV CHEMO INFUSION INIT HR	$1,192.18	$1,834.13	$641.95–$1,650.72	35%
Chemotherapy IV infusion, first hour inpatient CPT 96413 RESEARCH IV CHEMO INF INIT HR	$1,192.18	$1,834.13	$641.95–$1,650.72	35%
Critical care, first 30 to 74 minutes CPT 99291 CRIT EM VISIT LVL 6	$2,282.36	$3,511.32	$983.17–$3,160.19	35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRIT EM VISIT LVL 6	$2,282.36	$3,511.32	$1,228.96–$3,160.19	35%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE DROWSY	$1,055.34	$1,623.60	$454.61–$1,461.24	35%
EEG (brain wave test), awake and drowsy, routine CPT 95816 AWAKE DROWSY EEG PORTABLE	$1,055.34	$1,623.60	$454.61–$1,461.24	35%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE DROWSY	$1,055.34	$1,623.60	$568.26–$1,461.24	35%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 AWAKE DROWSY EEG PORTABLE	$1,055.34	$1,623.60	$568.26–$1,461.24	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG TRACING	$225.35	$346.69	$49.40–$312.02	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$225.35	$346.69	$49.40–$312.02	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$225.35	$346.69	$121.34–$312.02	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG TRACING	$225.35	$346.69	$121.34–$312.02	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EM SCREENING LVL 1	$461.42	$709.87	$122.00–$918.00	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EM SCREENING LVL 1	$461.42	$709.87	$248.45–$638.88	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 MINOR EM VISIT LVL 2	$738.27	$1,135.80	$219.00–$1,398.00	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 MINOR EM VISIT LVL 2	$738.27	$1,135.80	$397.53–$1,022.22	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MINOR EM VISIT LVL 3	$1,134.76	$1,745.79	$488.82–$2,458.00	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MINOR EM VISIT LVL 3	$1,134.76	$1,745.79	$611.03–$1,571.21	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 REG EM VISIT LVL 4	$1,775.88	$2,732.12	$764.99–$4,682.00	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 REG EM VISIT LVL 4	$1,775.88	$2,732.12	$956.24–$2,458.91	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EXT EM VISIT LVL 5	$2,645.21	$4,069.55	$1,139.47–$6,671.00	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EXT EM VISIT LVL 5	$2,645.21	$4,069.55	$1,424.34–$3,662.60	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST	$1,590.25	$2,446.54	$246.82–$2,201.89	35%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST	$1,590.25	$2,446.54	$856.29–$2,201.89	35%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY COUNSELING	$522.50	$803.85	$225.08–$723.46	35%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY COUNSELING	$522.50	$803.85	$281.35–$723.46	35%
Group psychotherapy session CPT 90853 GRP PSYCHOTHERAPY	$526.83	$810.51	$226.94–$729.46	35%
Group psychotherapy session inpatient CPT 90853 GRP PSYCHOTHERAPY	$526.83	$810.51	$283.68–$729.46	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION 31MIN 1H	$405.76	$624.24	$174.79–$561.82	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATE INFUSION IST HR GREATER THAN 30M	$405.76	$624.24	$174.79–$561.82	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 BMH IV HYDRATE INF IST HR GREATER THAN 30M	$405.76	$624.24	$174.79–$561.82	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION 31MIN 1H	$405.76	$624.24	$218.48–$561.82	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATE INFUSION IST HR GREATER THAN 30M	$405.76	$624.24	$218.48–$561.82	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 BMH IV HYDRATE INF IST HR GREATER THAN 30M	$405.76	$624.24	$218.48–$561.82	35%
IV infusion of a medicine, first hour CPT 96365 IV NON CHEMO INF INIT HR W SED	$743.78	$1,144.27	$320.40–$1,029.84	35%
IV infusion of a medicine, first hour CPT 96365 IV NON CHEMO INFUSION INIT HR	$743.78	$1,144.27	$320.40–$1,029.84	35%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL HOUR	$743.78	$1,144.27	$320.40–$1,029.84	35%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL HOUR	$743.78	$1,144.27	$400.49–$1,029.84	35%
IV infusion of a medicine, first hour inpatient CPT 96365 IV NON CHEMO INFUSION INIT HR	$743.78	$1,144.27	$400.49–$1,029.84	35%
IV infusion of a medicine, first hour inpatient CPT 96365 IV NON CHEMO INF INIT HR W SED	$743.78	$1,144.27	$400.49–$1,029.84	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTIONS SUBQ IM	$150.57	$231.65	$64.86–$208.48	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NM THYROTROPIN INJECTION	$150.57	$231.65	$64.86–$208.48	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ NON CHEMO SC IM	$150.57	$231.65	$64.86–$208.48	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SC IM	$150.57	$231.65	$64.86–$208.48	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTIONS SUBQ IM	$150.57	$231.65	$64.86–$208.48	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 RESEARCH INJ NON CHEMO SC IM	$150.57	$231.65	$64.86–$208.48	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 BMH INJ NON CHEMO SC IM	$150.57	$231.65	$64.86–$208.48	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTIONS SUBQ IM	$150.57	$231.65	$81.08–$208.48	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTIONS SUBQ IM	$150.57	$231.65	$81.08–$208.48	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RESEARCH INJ NON CHEMO SC IM	$150.57	$231.65	$81.08–$208.48	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SC IM	$150.57	$231.65	$81.08–$208.48	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 BMH INJ NON CHEMO SC IM	$150.57	$231.65	$81.08–$208.48	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NM THYROTROPIN INJECTION	$150.57	$231.65	$81.08–$208.48	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ NON CHEMO SC IM	$150.57	$231.65	$81.08–$208.48	35%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCT STUDIES 7 TO 8	$542.58	$834.74	$233.73–$751.27	35%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCT STUDIES 7 TO 8	$542.58	$834.74	$292.16–$751.27	35%
Neuromuscular re-education, 15 minutes CPT 97112 SP NEURO RE ED 15 MIN	$170.61	$262.48	$36.01–$236.23	35%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEURO RE ED BAL 15MIN	$170.61	$262.48	$36.01–$236.23	35%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEURO RE ED BAL 15MIN	$170.61	$262.48	$36.01–$236.23	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEURO RE ED BAL 15MIN	$170.61	$262.48	$91.87–$236.23	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 SP NEURO RE ED 15 MIN	$170.61	$262.48	$91.87–$236.23	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEURO RE ED BAL 15MIN	$170.61	$262.48	$91.87–$236.23	35%
New patient office visit, about 30 minutes CPT 99203 LVL3 NEW PT VISIT	$190.13	$292.50	$81.90–$263.25	35%
New patient office visit, about 30 minutes CPT 99203 CLINIC NEW LVL 3	$190.13	$292.50	$81.90–$263.25	35%
New patient office visit, about 30 minutes CPT 99203 GYN NEW PT VISIT LVL 3	$211.58	$325.50	$91.14–$292.95	35%
New patient office visit, about 30 minutes CPT 99203 NEW PT L3 DETAIL H AND P LOW CMPLX	$211.58	$325.50	$91.14–$292.95	35%
New patient office visit, about 30 minutes CPT 99203 HEM NEW PT VISIT LVL 3	$211.58	$325.50	$91.14–$292.95	35%
New patient office visit, about 30 minutes CPT 99203 BMH NEW PT VISIT LVL 3	$211.58	$325.50	$91.14–$292.95	35%
New patient office visit, about 30 minutes CPT 99203 VISIT NEW LVL 3	$211.58	$325.50	$91.14–$292.95	35%
New patient office visit, about 30 minutes CPT 99203 BMT NEW PT VISIT LVL 3	$211.58	$325.50	$91.14–$292.95	35%
New patient office visit, about 30 minutes CPT 99203 PEDS NEW PT VISIT LVL 3	$211.58	$325.50	$91.14–$292.95	35%
New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC NEW LVL 3	$190.13	$292.50	$102.38–$263.25	35%
New patient office visit, about 30 minutes inpatient CPT 99203 LVL3 NEW PT VISIT	$190.13	$292.50	$102.38–$263.25	35%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT NEW LVL 3	$211.58	$325.50	$113.92–$292.95	35%
New patient office visit, about 30 minutes inpatient CPT 99203 BMH NEW PT VISIT LVL 3	$211.58	$325.50	$113.92–$292.95	35%
New patient office visit, about 30 minutes inpatient CPT 99203 PEDS NEW PT VISIT LVL 3	$211.58	$325.50	$113.92–$292.95	35%
New patient office visit, about 30 minutes inpatient CPT 99203 HEM NEW PT VISIT LVL 3	$211.58	$325.50	$113.92–$292.95	35%
New patient office visit, about 30 minutes inpatient CPT 99203 GYN NEW PT VISIT LVL 3	$211.58	$325.50	$113.92–$292.95	35%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT L3 DETAIL H AND P LOW CMPLX	$211.58	$325.50	$113.92–$292.95	35%
New patient office visit, about 30 minutes inpatient CPT 99203 BMT NEW PT VISIT LVL 3	$211.58	$325.50	$113.92–$292.95	35%
New patient office visit, about 45 minutes CPT 99204 HEM NEW PT VISIT LVL 4	$253.51	$390.02	$98.00–$351.02	35%
New patient office visit, about 45 minutes CPT 99204 NEW PT L4 COMP H AND P MOD CMPLX	$253.51	$390.02	$98.00–$351.02	35%
New patient office visit, about 45 minutes CPT 99204 LVL4 NEW PT VSIT	$253.51	$390.02	$98.00–$351.02	35%
New patient office visit, about 45 minutes CPT 99204 CLINIC NEW LVL 4	$253.51	$390.02	$98.00–$351.02	35%
New patient office visit, about 45 minutes CPT 99204 VISIT NEW LVL 4	$253.51	$390.02	$98.00–$351.02	35%
New patient office visit, about 45 minutes CPT 99204 GYN NEW PT VISIT LVL 4	$253.51	$390.02	$98.00–$351.02	35%
New patient office visit, about 45 minutes CPT 99204 PEDS NEW PT VISIT LVL 4	$253.51	$390.02	$98.00–$351.02	35%
New patient office visit, about 45 minutes CPT 99204 BMT NEW PT VISIT LVL 4	$253.51	$390.02	$98.00–$351.02	35%
New patient office visit, about 45 minutes CPT 99204 BMH NEW PT VISIT LVL 4	$253.51	$390.02	$98.00–$351.02	35%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT NEW LVL 4	$253.51	$390.02	$136.51–$351.02	35%
New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC NEW LVL 4	$253.51	$390.02	$136.51–$351.02	35%
New patient office visit, about 45 minutes inpatient CPT 99204 LVL4 NEW PT VSIT	$253.51	$390.02	$136.51–$351.02	35%
New patient office visit, about 45 minutes inpatient CPT 99204 BMT NEW PT VISIT LVL 4	$253.51	$390.02	$136.51–$351.02	35%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT L4 COMP H AND P MOD CMPLX	$253.51	$390.02	$136.51–$351.02	35%
New patient office visit, about 45 minutes inpatient CPT 99204 BMH NEW PT VISIT LVL 4	$253.51	$390.02	$136.51–$351.02	35%
New patient office visit, about 45 minutes inpatient CPT 99204 HEM NEW PT VISIT LVL 4	$253.51	$390.02	$136.51–$351.02	35%
New patient office visit, about 45 minutes inpatient CPT 99204 PEDS NEW PT VISIT LVL 4	$253.51	$390.02	$136.51–$351.02	35%
New patient office visit, about 45 minutes inpatient CPT 99204 GYN NEW PT VISIT LVL 4	$253.51	$390.02	$136.51–$351.02	35%
New patient office visit, about 60 minutes CPT 99205 VISIT NEW LVL 5	$301.63	$464.04	$98.00–$417.64	35%
New patient office visit, about 60 minutes CPT 99205 NEW PT L5 COMP H AND P HIGH CMPLX	$301.63	$464.04	$98.00–$417.64	35%
New patient office visit, about 60 minutes CPT 99205 CLINIC NEW LVL 5	$301.63	$464.04	$98.00–$417.64	35%
New patient office visit, about 60 minutes CPT 99205 LVL5 NEW PT VISIT	$301.63	$464.04	$98.00–$417.64	35%
New patient office visit, about 60 minutes CPT 99205 BMH NEW PT VISIT LVL 5	$301.63	$464.04	$98.00–$417.64	35%
New patient office visit, about 60 minutes CPT 99205 BMT NEW PT VISIT LVL 5	$301.63	$464.04	$98.00–$417.64	35%
New patient office visit, about 60 minutes CPT 99205 PEDS NEW PT VISIT LVL 5	$301.63	$464.04	$98.00–$417.64	35%
New patient office visit, about 60 minutes CPT 99205 HEM NEW PT VISIT LVL 5	$301.63	$464.04	$98.00–$417.64	35%
New patient office visit, about 60 minutes CPT 99205 GYN NEW PT VISIT LVL 5	$301.63	$464.04	$98.00–$417.64	35%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT NEW LVL 5	$301.63	$464.04	$162.41–$417.64	35%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT L5 COMP H AND P HIGH CMPLX	$301.63	$464.04	$162.41–$417.64	35%
New patient office visit, about 60 minutes inpatient CPT 99205 LVL5 NEW PT VISIT	$301.63	$464.04	$162.41–$417.64	35%
New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC NEW LVL 5	$301.63	$464.04	$162.41–$417.64	35%
New patient office visit, about 60 minutes inpatient CPT 99205 GYN NEW PT VISIT LVL 5	$301.63	$464.04	$162.41–$417.64	35%
New patient office visit, about 60 minutes inpatient CPT 99205 HEM NEW PT VISIT LVL 5	$301.63	$464.04	$162.41–$417.64	35%
New patient office visit, about 60 minutes inpatient CPT 99205 PEDS NEW PT VISIT LVL 5	$301.63	$464.04	$162.41–$417.64	35%
New patient office visit, about 60 minutes inpatient CPT 99205 BMT NEW PT VISIT LVL 5	$301.63	$464.04	$162.41–$417.64	35%
New patient office visit, about 60 minutes inpatient CPT 99205 BMH NEW PT VISIT LVL 5	$301.63	$464.04	$162.41–$417.64	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT L2 EXP PROB FOC H AND P SF	$190.13	$292.50	$81.90–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC NEW LVL 2	$190.13	$292.50	$81.90–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HEM NEW PT VISIT LVL 2	$190.13	$292.50	$81.90–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 GYN NEW PT VISIT LVL 2	$190.13	$292.50	$81.90–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 BMT NEW PT VISIT LVL 2	$190.13	$292.50	$81.90–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT VISIT LVL 2	$190.13	$292.50	$81.90–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 BMH NEW PT VISIT LVL 2	$190.13	$292.50	$81.90–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PEDS NEW PT VISIT LVL 2	$190.13	$292.50	$81.90–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 LVL2 NEW PT VISIT	$190.13	$292.50	$81.90–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HEM NEW PT VISIT LVL 2	$190.13	$292.50	$102.38–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT L2 EXP PROB FOC H AND P SF	$190.13	$292.50	$102.38–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PEDS NEW PT VISIT LVL 2	$190.13	$292.50	$102.38–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 LVL2 NEW PT VISIT	$190.13	$292.50	$102.38–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CLINIC NEW LVL 2	$190.13	$292.50	$102.38–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT VISIT LVL 2	$190.13	$292.50	$102.38–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 BMT NEW PT VISIT LVL 2	$190.13	$292.50	$102.38–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 GYN NEW PT VISIT LVL 2	$190.13	$292.50	$102.38–$263.25	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 BMH NEW PT VISIT LVL 2	$190.13	$292.50	$102.38–$263.25	35%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX	$493.83	$759.74	$110.59–$683.77	35%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX	$493.83	$759.74	$265.91–$683.77	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX	$493.83	$759.74	$107.65–$683.77	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX	$493.83	$759.74	$265.91–$683.77	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX	$493.83	$759.74	$107.65–$683.77	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX	$493.83	$759.74	$265.91–$683.77	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX	$493.83	$759.74	$107.65–$683.77	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX	$493.83	$759.74	$265.91–$683.77	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THER EA 15 MIN	$155.84	$239.75	$30.50–$215.78	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THER EA 15 MIN	$155.84	$239.75	$30.50–$215.78	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THER EA 15 MIN	$155.84	$239.75	$83.91–$215.78	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THER EA 15 MIN	$155.84	$239.75	$83.91–$215.78	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX EA 15 MIN	$142.01	$218.48	$31.96–$202.32	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER EX EA 15 MIN	$142.01	$218.48	$31.96–$202.32	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SP THERAPUTIC EXERCISE 15MIN	$142.01	$218.48	$31.96–$202.32	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THER EX EA 15 MIN	$142.01	$218.48	$76.47–$196.63	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THER EX EA 15 MIN	$142.01	$218.48	$76.47–$196.63	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SP THERAPUTIC EXERCISE 15MIN	$142.01	$218.48	$76.47–$196.63	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 BMH EST PT VISIT LVL 5	$256.34	$394.37	$98.00–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 BM EST PT VISIT LVL 5	$256.34	$394.37	$98.00–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PEDS EST PT VISIT LVL 5	$256.34	$394.37	$98.00–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PAL. VISIT EST LVL 5	$256.34	$394.37	$98.00–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HEM EST PT VISIT LVL 5	$256.34	$394.37	$98.00–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 GYN EST PT VISIT LVL 5	$256.34	$394.37	$98.00–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PT VISIT LVL 5	$256.34	$394.37	$98.00–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC EST LVL 5	$256.34	$394.37	$98.00–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 LVL5 EST PT VISIT	$256.34	$394.37	$98.00–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT L5 COMP H AND P HIGH CMPLX	$256.34	$394.37	$98.00–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 GYN EST PT VISIT LVL 5	$256.34	$394.37	$138.03–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT L5 COMP H AND P HIGH CMPLX	$256.34	$394.37	$138.03–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 BM EST PT VISIT LVL 5	$256.34	$394.37	$138.03–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PT VISIT LVL 5	$256.34	$394.37	$138.03–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PEDS EST PT VISIT LVL 5	$256.34	$394.37	$138.03–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LVL5 EST PT VISIT	$256.34	$394.37	$138.03–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PAL. VISIT EST LVL 5	$256.34	$394.37	$138.03–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC EST LVL 5	$256.34	$394.37	$138.03–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HEM EST PT VISIT LVL 5	$256.34	$394.37	$138.03–$354.93	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 BMH EST PT VISIT LVL 5	$256.34	$394.37	$138.03–$354.93	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HEM EST PT VISIT LVL 3	$184.69	$284.14	$79.56–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 GYN EST PT VISIT LVL 3	$184.69	$284.14	$79.56–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ASSESSMENT COMPREHENSIVE	$184.69	$284.14	$79.56–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PT VISIT LVL 3	$184.69	$284.14	$79.56–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC EST LVL 3	$184.69	$284.14	$79.56–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 LVL3 EST PT VISIT	$184.69	$284.14	$79.56–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT L3 EXP P F H AND P LO CMPLX	$184.69	$284.14	$79.56–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 BMH EST PT VISIT LVL 3	$184.69	$284.14	$79.56–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PAL. VISIT EST LVL 3	$184.69	$284.14	$79.56–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 BM EST PT VISIT LVL 3	$184.69	$284.14	$79.56–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PEDS EST PT VISIT LVL 3	$184.69	$284.14	$79.56–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 GYN EST PT VISIT LVL 3	$184.69	$284.14	$99.45–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PT VISIT LVL 3	$184.69	$284.14	$99.45–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HEM EST PT VISIT LVL 3	$184.69	$284.14	$99.45–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ASSESSMENT COMPREHENSIVE	$184.69	$284.14	$99.45–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 BM EST PT VISIT LVL 3	$184.69	$284.14	$99.45–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PEDS EST PT VISIT LVL 3	$184.69	$284.14	$99.45–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PAL. VISIT EST LVL 3	$184.69	$284.14	$99.45–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 BMH EST PT VISIT LVL 3	$184.69	$284.14	$99.45–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT L3 EXP P F H AND P LO CMPLX	$184.69	$284.14	$99.45–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LVL3 EST PT VISIT	$184.69	$284.14	$99.45–$255.73	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC EST LVL 3	$184.69	$284.14	$99.45–$255.73	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PT VISIT LVL 4	$225.45	$346.85	$97.12–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC EST LVL 4	$225.45	$346.85	$97.12–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT L4 DETAIL H AND P MOD CMPLX	$225.45	$346.85	$97.12–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LVL4 EST PT VISIT	$225.45	$346.85	$97.12–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 BMH EST PT VISIT LVL 4	$225.45	$346.85	$97.12–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 BM EST PT VISIT LVL 4	$225.45	$346.85	$97.12–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PEDS EST PT VISIT LVL 4	$225.45	$346.85	$97.12–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAL. VISIT EST LVL 4	$225.45	$346.85	$97.12–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HEM EST PT VISIT LVL 4	$225.45	$346.85	$97.12–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 GYN EST PT VISIT LVL 4	$225.45	$346.85	$97.12–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HEM EST PT VISIT LVL 4	$225.45	$346.85	$121.40–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PAL. VISIT EST LVL 4	$225.45	$346.85	$121.40–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PEDS EST PT VISIT LVL 4	$225.45	$346.85	$121.40–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 BM EST PT VISIT LVL 4	$225.45	$346.85	$121.40–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 BMH EST PT VISIT LVL 4	$225.45	$346.85	$121.40–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC EST LVL 4	$225.45	$346.85	$121.40–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LVL4 EST PT VISIT	$225.45	$346.85	$121.40–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT L4 DETAIL H AND P MOD CMPLX	$225.45	$346.85	$121.40–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 GYN EST PT VISIT LVL 4	$225.45	$346.85	$121.40–$312.17	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PT VISIT LVL 4	$225.45	$346.85	$121.40–$312.17	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 BMH EST PT VISIT LVL 2	$148.25	$228.07	$63.86–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 BM EST PT VISIT LVL 2	$148.25	$228.07	$63.86–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PEDS EST PT VISIT LVL 2	$148.25	$228.07	$63.86–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PAL. VISIT EST LVL 2	$148.25	$228.07	$63.86–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HEM EST PT VISIT LVL 2	$148.25	$228.07	$63.86–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 GYN EST PT VISIT LVL 2	$148.25	$228.07	$63.86–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PT VISIT LVL 2	$148.25	$228.07	$63.86–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC EST LVL 2	$148.25	$228.07	$63.86–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LVL2 EST PT VISIT	$148.25	$228.07	$63.86–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT L2 PROB FOC HP LO CMPLX	$148.25	$228.07	$63.86–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 BM EST PT VISIT LVL 2	$148.25	$228.07	$79.82–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT L2 PROB FOC HP LO CMPLX	$148.25	$228.07	$79.82–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LVL2 EST PT VISIT	$148.25	$228.07	$79.82–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC EST LVL 2	$148.25	$228.07	$79.82–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PT VISIT LVL 2	$148.25	$228.07	$79.82–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 GYN EST PT VISIT LVL 2	$148.25	$228.07	$79.82–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HEM EST PT VISIT LVL 2	$148.25	$228.07	$79.82–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PAL. VISIT EST LVL 2	$148.25	$228.07	$79.82–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 BMH EST PT VISIT LVL 2	$148.25	$228.07	$79.82–$205.26	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PEDS EST PT VISIT LVL 2	$148.25	$228.07	$79.82–$205.26	35%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$494.79	$761.22	$213.14–$685.10	35%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN	$494.79	$761.22	$266.43–$685.10	35%
Speech therapy session, individual CPT 92507 SP COMM COG LANG TX	$337.82	$519.72	$83.77–$467.75	35%
Speech therapy session, individual inpatient CPT 92507 SP COMM COG LANG TX	$337.82	$519.72	$181.90–$467.75	35%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$422.29	$649.67	$133.23–$584.70	35%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$422.29	$649.67	$227.38–$584.70	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 SP THER ACT EA 15 MIN	$178.57	$274.73	$38.58–$247.26	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THER ACT EA 15 MIN	$178.57	$274.73	$38.58–$247.26	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THER ACT EA 15 MIN	$178.57	$274.73	$38.58–$247.26	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 SP THER ACT EA 15 MIN	$178.57	$274.73	$96.16–$247.26	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THER ACT EA 15 MIN	$178.57	$274.73	$96.16–$247.26	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THER ACT EA 15 MIN	$178.57	$274.73	$96.16–$247.26	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOT	$225.88	$347.50	$97.30–$312.75	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$225.88	$347.50	$97.30–$312.75	35%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOT	$225.88	$347.50	$121.62–$312.75	35%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$225.88	$347.50	$121.62–$312.75	35%

Vaccines

Procedure	Cash price	List price	Insurers pay	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID 2025 26 12Y AND SPIKEVAX	$213.85	$329.00	$78.96–$425.48	35%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID 2024 25 12 AND MODERNA VAC	$290.34	$446.67	$107.20–$425.48	35%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID 2025 26 12Y AND SPIKEVAX	$213.85	$329.00	$115.15–$296.10	35%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID 2024 25 12 AND MODERNA VAC	$290.34	$446.67	$156.33–$402.00	35%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VAC INJ EA	$449.10	$690.92	$193.46–$621.83	35%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VAC INJ EA	$449.10	$690.92	$241.82–$621.83	35%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 MC INFLUTRIPFL 0.5ML FLULAVAL	$60.60	$93.23	$22.38–$83.91	35%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 MC INFLUTRIPFL 0.5ML FLULAVAL	$60.60	$93.23	$32.63–$83.91	35%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMN PAPILLOMAVIR 9 VAC 0.5ML	$649.71	$999.55	$279.87–$899.60	35%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMN PAPILLOMAVIR 9 VAC 0.5ML	$649.71	$999.55	$349.84–$899.60	35%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX 20 MCG 720UNIT ML EA	$280.77	$431.95	$120.95–$388.76	35%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 TWINRIX 20 MCG 720UNIT ML EA	$280.77	$431.95	$151.18–$388.76	35%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A 50 UNITS VACC	$137.68	$211.82	$59.31–$191.31	35%
Hepatitis A vaccine, adult dose CPT 90632 HEP A ADULT VAC 1440UNIT ML PF	$240.37	$369.80	$103.54–$332.82	35%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A 50 UNITS VACC	$137.68	$211.82	$74.14–$190.64	35%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A ADULT VAC 1440UNIT ML PF	$240.37	$369.80	$129.43–$332.82	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 MC HEP B VAC 5MCG 0.5ML PED	$63.43	$97.58	$23.42–$185.23	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 MC HEPB VACRECOMB 10MCG ML 1ML	$91.71	$141.09	$33.86–$185.23	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 MC HEPB VAC RECOM 20MCG ML 1ML	$243.29	$374.29	$68.47–$336.86	35%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 MC HEP B VAC 5MCG 0.5ML PED	$63.43	$97.58	$34.15–$87.82	35%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 MC HEPB VACRECOMB 10MCG ML 1ML	$91.71	$141.09	$49.38–$126.98	35%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 MC HEPB VAC RECOM 20MCG ML 1ML	$243.29	$374.29	$131.00–$336.86	35%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 MC INFLUTRIPFL 0.5ML FLUZONHD	$157.97	$243.03	$58.33–$219.77	35%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 MC INFLUTRIPFL 0.5ML FLUZONHD	$157.97	$243.03	$85.06–$218.73	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M M R II VIRUS VAC INJ 1 EA	$299.64	$460.98	$129.07–$414.88	35%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M M R II VIRUS VAC INJ 1 EA	$299.64	$460.98	$161.34–$414.88	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO A C Y W 135 VACC	$495.88	$762.89	$213.61–$686.60	35%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO A C Y W 135 VACC	$495.88	$762.89	$267.01–$686.60	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCCA GRPBVAC 0.5MLINJ	$453.35	$697.46	$195.29–$627.71	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCCA GRPBVAC 0.5MLINJ	$453.35	$697.46	$244.11–$627.71	35%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 MC PNEUMOCOC 20 VAL VACC 0.5ML	$524.86	$807.48	$193.80–$823.58	35%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 MC PNEUMOCOC 20 VAL VACC 0.5ML	$524.86	$807.48	$282.62–$726.73	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 MC PNEUMOCOCCAL23 VAL VAC0.5ML	$262.38	$403.66	$96.88–$363.29	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 MC PNEUMOCOCCAL23 VAL VAC0.5ML	$262.38	$403.66	$141.28–$363.29	35%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB ALIP 50MG 0.5ML INJ	$980.57	$1,508.57	$422.40–$1,357.71	35%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB ALIP 50MG 0.5ML INJ	$980.57	$1,508.57	$528.00–$1,357.71	35%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACCINE 120MCG 0.5ML INJ	$565.54	$870.06	$243.62–$783.05	35%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACCINE 120MCG 0.5ML INJ	$565.54	$870.06	$304.52–$783.05	35%
Rabies vaccine, one dose CPT 90675 RABIES PUR CHCKEMBR 2.5 IU VAC	$757.76	$1,165.79	$326.42–$1,049.21	35%
Rabies vaccine, one dose CPT 90675 RABIES 2.5 INTUNITS VACCINE	$834.95	$1,284.54	$359.67–$1,156.09	35%
Rabies vaccine, one dose inpatient CPT 90675 RABIES PUR CHCKEMBR 2.5 IU VAC	$757.76	$1,165.79	$408.03–$1,049.21	35%
Rabies vaccine, one dose inpatient CPT 90675 RABIES 2.5 INTUNITS VACCINE	$834.95	$1,284.54	$449.59–$1,156.09	35%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICEL ZOS50MCG 0.5MLSHINGRIX	$340.07	$523.19	$146.49–$470.87	35%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICEL ZOS50MCG 0.5MLSHINGRIX	$340.07	$523.19	$183.12–$470.87	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIP TOX 2 2U 0.5ML INJ	$81.50	$125.38	$35.11–$112.84	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIP TOX ADLT 0.5ML INJ	$210.19	$323.37	$90.54–$291.03	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIP TOX 2 2U 0.5ML INJ	$81.50	$125.38	$43.88–$112.84	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIP TOX ADLT 0.5ML INJ	$210.19	$323.37	$113.18–$291.03	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL 0.5ML INJ	$111.07	$170.88	$47.85–$153.79	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TIP LOK INJ 0.5ML	$155.75	$239.61	$67.09–$215.65	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL 0.5ML INJ	$111.07	$170.88	$59.81–$153.79	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TIP LOK INJ 0.5ML	$155.75	$239.61	$83.86–$215.65	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 BC ADMIN HEPATITIS B VACCINE	$136.18	$209.50	$58.66–$188.55	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE 1ST	$136.18	$209.50	$58.66–$188.55	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION INITIAL	$136.18	$209.50	$58.66–$188.55	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 BC PNEUMOCOCCAL ADMIN	$136.18	$209.50	$58.66–$188.55	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 BC INFLUENZA ADMIN	$136.18	$209.50	$58.66–$188.55	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN INITIAL	$136.18	$209.50	$58.66–$188.55	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 BC PNEUMOCOCCAL ADMIN	$136.18	$209.50	$73.32–$188.55	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 BC ADMIN HEPATITIS B VACCINE	$136.18	$209.50	$73.32–$188.55	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINE 1ST	$136.18	$209.50	$73.32–$188.55	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 BC INFLUENZA ADMIN	$136.18	$209.50	$73.32–$188.55	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN INITIAL	$136.18	$209.50	$73.32–$188.55	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION INITIAL	$136.18	$209.50	$73.32–$188.55	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADD L V	$67.13	$103.28	$28.92–$92.95	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN VACCINE ADDL	$67.13	$103.28	$28.92–$92.95	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJ VACCINE EA ADDL INJ	$67.13	$103.28	$28.92–$92.95	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 INJ VACCINE EA ADDL INJ	$67.13	$103.28	$36.15–$92.95	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN VACCINE ADDL	$67.13	$103.28	$36.15–$92.95	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EA ADD L V	$67.13	$103.28	$36.15–$92.95	35%

Source file: https://www.medstarhealth.org/-/media/project/mho/medstar/billing-and-insurance/2026/522218584_medstar_georgetown_university_hospital_standardcharges.csv