Hospital

Mark Twain Medical Center

Mark Twain Medical Center in San Andreas, CA publishes cash prices for 332 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 282 of 328 procedures and above it for 46. By typical cash price it ranks #12 of 168 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

768 Mountain Ranch Rd, San Andreas, CA 95249 Collected Sep 27, 2026 Source price file (209) 754-3521

Critical access hospital (rural, 25 beds or fewer) No emergency department CMS star rating 3 of 5 CCN 051332 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 DOP ART EXT 1-2 LVL BI	$531.47	$798.00	$59.79–$782.04	—	33%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US DOP ART EXT 1-2 LVL BI	$747.92	$1,123.00	$59.79–$1,100.54	—	33%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 DOP ART EXT 1-2 LVL BI	$531.47	$798.00	$431.96–$782.04	—	33%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US DOP ART EXT 1-2 LVL BI	$1,698.30	$2,550.00	$1,380.32–$2,499.00	—	33%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPH SCOUT CHST W CON	$429.57	$645.00	$54.64–$632.10	19% below	33%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPH SCOUT CHST W CON	$1,284.72	$1,929.00	$1,044.17–$1,890.42	—	33%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT WHOLE BODY	$2,101.23	$3,155.00	$202.29–$3,091.90	1% below	33%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT WHOLE BODY	$3,908.09	$5,868.00	$3,176.35–$5,750.64	—	33%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CON	$1,864.80	$2,800.00	$270.91–$2,744.00	40% below	33%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W CON	$8,476.19	$12,727.00	$6,889.13–$12,472.46	—	33%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT/COR ART 3D W	$1,644.36	$2,469.00	$312.13–$2,419.62	34% below	33%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT/COR ART 3D W	$7,634.36	$11,463.00	$6,204.93–$11,233.74	—	33%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CON	$797.87	$1,198.00	$174.31–$1,174.04	72% below	33%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CON	$3,770.23	$5,661.00	$3,064.30–$5,547.78	—	33%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CON	$1,595.07	$2,395.00	$281.80–$2,347.10	60% below	33%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CON	$7,250.08	$10,886.00	$5,892.60–$10,668.28	—	33%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WWO CON	$2,102.57	$3,157.00	$319.24–$3,093.86	53% below	33%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WWO CON	$9,570.42	$14,370.00	$7,778.49–$14,082.60	—	33%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON	$1,414.59	$2,124.00	$299.45–$2,081.52	37% below	33%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON	$6,462.87	$9,704.00	$5,252.78–$9,509.92	—	33%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON	$943.06	$1,416.00	$188.16–$1,387.68	50% below	33%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON	$4,340.99	$6,518.00	$3,528.20–$6,387.64	—	33%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CON	$1,057.61	$1,588.00	$176.93–$1,556.24	52% below	33%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CON	$4,808.52	$7,220.00	$3,908.19–$7,075.60	—	33%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CON	$755.91	$1,135.00	$145.26–$1,112.30	67% below	33%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CON	$3,435.90	$5,159.00	$2,792.57–$5,055.82	—	33%
CT scan of the head with contrast CPT 70460 CT HEAD W CON	$996.34	$1,496.00	$204.88–$1,466.08	63% below	33%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CON	$4,500.83	$6,758.00	$3,658.11–$6,622.84	—	33%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO AND W CON	$1,202.80	$1,806.00	$241.04–$1,769.88	57% below	33%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO AND W CON	$5,531.13	$8,305.00	$4,495.50–$8,138.90	—	33%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON	$985.02	$1,479.00	$178.35–$1,449.42	65% below	33%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON	$4,476.86	$6,722.00	$3,638.62–$6,587.56	—	33%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON	$991.68	$1,489.00	$179.29–$1,459.22	66% below	33%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON	$4,506.16	$6,766.00	$3,662.44–$6,630.68	—	33%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON	$1,168.83	$1,755.00	$293.26–$1,719.90	54% below	33%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON	$5,302.70	$7,962.00	$4,309.84–$7,802.76	—	33%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DPLX EXTRACRAN CMP BIL	$309.69	$465.00	$120.30–$455.70	74% below	33%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DPLX EXTRACRAN CMP BIL	$309.69	$465.00	$251.71–$455.70	—	33%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$115.89	$174.00	$27.47–$170.52	70% below	33%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$460.88	$692.00	$374.58–$678.16	—	33%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$85.25	$128.00	$17.65–$125.44	75% below	33%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW	$341.00	$512.00	$277.15–$501.76	—	33%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPL	$164.51	$247.00	$63.90–$242.06	81% below	33%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPL	$164.51	$247.00	$133.71–$242.06	—	33%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY(DXA)AXAL	$528.14	$793.00	$34.27–$777.14	12% above	33%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY(DXA)AXAL	$1,341.99	$2,015.00	$1,090.72–$1,974.70	—	33%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 PF BONE DENSITY(DXA)APEND	$19.32	$29.00	$7.51–$28.42	93% below	33%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY(DXA)APEND	$116.55	$175.00	$25.10–$171.50	56% below	33%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 PF BONE DENSITY(DXA)APEND	$19.32	$29.00	$15.70–$28.42	—	33%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENSITY(DXA)APEND	$295.71	$444.00	$240.34–$435.12	—	33%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG+DETL SNGL1ST GEST	$434.90	$653.00	$158.68–$639.94	47% below	33%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG+DETL SNGL1ST GEST	$1,464.54	$2,199.00	$1,190.32–$2,155.02	—	33%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CON	$955.05	$1,434.00	$182.63–$1,405.32	48% below	33%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CON	$4,437.56	$6,663.00	$3,606.69–$6,529.74	—	33%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CON	$1,235.43	$1,855.00	$230.85–$1,817.90	47% below	33%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CON	$5,617.05	$8,434.00	$4,565.33–$8,265.32	—	33%
Diagnostic mammogram, both breasts CPT 77066 MA MAMMO DIAG W CAD BIL	$269.73	$405.00	$104.78–$396.90	34% below	33%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA MAMMO DIAG W CAD BIL	$283.05	$425.00	$230.06–$416.50	—	33%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX ART LOW EXT BIL	$1,186.15	$1,781.00	$111.16–$1,745.38	23% above	33%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUPLEX ART LOW EXT BIL	$4,237.10	$6,362.00	$3,443.76–$6,234.76	—	33%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VENOUS EXT BIL	$1,170.17	$1,757.00	$193.06–$1,721.86	4% above	33%
Duplex ultrasound of the leg veins, both legs CPT 93970 US V DPLX VENOUS EXT BIL	$4,227.11	$6,347.00	$193.06–$6,220.06	274% above	33%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DUPLEX VENOUS EXT BIL	$4,227.11	$6,347.00	$3,435.64–$6,220.06	—	33%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W DOPPLER COMPLETE	$1,403.27	$2,107.00	$239.76–$2,064.86	42% below	33%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$1,509.16	$2,266.00	$239.76–$2,220.68	38% below	33%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE	$1,509.16	$2,266.00	$1,226.59–$2,220.68	—	33%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W DOPPLER COMPLETE	$1,962.04	$2,946.00	$1,594.67–$2,887.08	—	33%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM	$1,792.21	$2,691.00	$291.01–$2,637.18	17% above	33%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM	$2,311.69	$3,471.00	$1,878.86–$3,401.58	—	33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN WO CON LTD	$409.59	$615.00	$87.13–$602.70	51% below	33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN WO CON LTD	$1,575.76	$2,366.00	$1,280.72–$2,318.68	—	33%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREEN LOW DOSE	$561.44	$843.00	$131.79–$826.14	41% above	33%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREEN LOW DOSE	$561.44	$843.00	$456.32–$826.14	—	33%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CON	$1,673.00	$2,512.00	$273.91–$2,461.76	37% below	33%
MRI of the abdomen without contrast CPT 74181 MR CHOLANGIO MRCP WO CON	$1,775.56	$2,666.00	$273.91–$2,612.68	33% below	33%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CON	$5,816.18	$8,733.00	$4,727.18–$8,558.34	—	33%
MRI of the abdomen without contrast inpatient CPT 74181 MR CHOLANGIO MRCP WO CON	$6,201.80	$9,312.00	$5,040.59–$9,125.76	—	33%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WO AND W CON	$2,573.43	$3,864.00	$333.52–$3,786.72	41% below	33%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR CHOLANGI MRCP WO W CON	$2,727.94	$4,096.00	$333.52–$4,014.08	38% below	33%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WO AND W CON	$8,929.73	$13,408.00	$7,257.76–$13,139.84	—	33%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR CHOLANGI MRCP WO W CON	$9,470.52	$14,220.00	$7,697.29–$13,935.60	—	33%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON	$1,976.03	$2,967.00	$272.77–$2,907.66	24% below	33%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON	$7,599.73	$11,411.00	$6,176.78–$11,182.78	—	33%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WO AND W CON	$2,432.24	$3,652.00	$446.18–$3,578.96	35% below	33%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WO AND W CON	$9,499.16	$14,263.00	$7,720.57–$13,977.74	—	33%
MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO CON	$1,673.00	$2,512.00	$266.80–$2,461.76	34% below	33%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE WO CON	$6,473.52	$9,720.00	$5,261.44–$9,525.60	—	33%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPINE WO AND W CON	$2,392.28	$3,592.00	$447.95–$3,520.16	39% below	33%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPINE WO AND W CON	$9,233.43	$13,864.00	$7,504.59–$13,586.72	—	33%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE WO CON	$1,679.66	$2,522.00	$265.87–$2,471.56	30% below	33%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPINE WO CON	$5,828.84	$8,752.00	$4,737.46–$8,576.96	—	33%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPINE WO AND W CON	$2,410.92	$3,620.00	$449.31–$3,547.60	40% below	33%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPINE WO AND W CON	$8,387.61	$12,594.00	$6,817.14–$12,342.12	—	33%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO CON	$1,674.33	$2,514.00	$266.30–$2,463.72	34% below	33%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE WO CON	$5,826.17	$8,748.00	$4,735.30–$8,573.04	—	33%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WO AND W CON	$2,562.77	$3,848.00	$332.91–$3,771.04	25% below	33%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WO AND W CON	$8,919.08	$13,392.00	$7,249.09–$13,124.16	—	33%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CON	$1,948.05	$2,925.00	$226.34–$2,866.50	9% below	33%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CON	$6,791.87	$10,198.00	$5,520.18–$9,994.04	—	33%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCAR SPECT WALL MULT	$3,728.94	$5,599.00	$348.12–$5,487.02	1% above	33%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCAR SPECT WALL MULT	$7,914.75	$11,884.00	$6,432.81–$11,646.32	—	33%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W CT SKULL MID THIGH	$6,414.92	$9,632.00	$2,127.01–$9,439.36	8% above	33%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W CT SKULL MID THIGH	$6,414.92	$9,632.00	$5,213.81–$9,439.36	—	33%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LTD F/U	$443.56	$666.00	$60.49–$652.68	15% below	33%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LTD F/U	$1,710.29	$2,568.00	$1,390.06–$2,516.64	—	33%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 RHC US PELVIS COMPLETE	$71.93	$108.00	$27.94–$105.84	92% below	33%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB COMP	$521.48	$783.00	$97.04–$767.34	45% below	33%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 RHC US PELVIS COMPLETE	$71.93	$108.00	$58.47–$105.84	—	33%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB COMP	$2,013.32	$3,023.00	$1,636.35–$2,962.54	—	33%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG=>14WK SNG 1ST GES	$494.18	$742.00	$135.29–$727.16	32% below	33%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG=>14WK SNG 1ST GES	$1,902.10	$2,856.00	$1,545.96–$2,798.88	—	33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG<14WK SNGL1ST GEST	$374.30	$562.00	$78.42–$550.76	46% below	33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG<14WK SNGL1ST GEST	$1,497.84	$2,249.00	$1,217.39–$2,204.02	—	33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1 OR >FETUSES LTD	$321.68	$483.00	$90.30–$473.34	36% below	33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1 OR >FETUSES LTD	$1,158.18	$1,739.00	$941.33–$1,704.22	—	33%
Screening mammogram, both breasts CPT 77067 MA MAMMO SCREEN W CAD BIL	$259.74	$390.00	$100.90–$382.20	at median	33%
Screening mammogram, both breasts inpatient CPT 77067 MA MAMMO SCREEN W CAD BIL	$259.74	$390.00	$211.11–$382.20	—	33%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWL FNC/CN/VD/SCT WCON	$697.97	$1,048.00	$74.46–$1,027.04	20% above	33%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWL FNC/CN/VD/SCT WCON	$1,367.30	$2,053.00	$1,111.29–$2,011.94	—	33%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$500.84	$752.00	$97.04–$736.96	11% below	33%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$1,928.07	$2,895.00	$1,567.07–$2,837.10	—	33%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL	$360.31	$541.00	$82.17–$530.18	38% below	33%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL	$1,287.38	$1,933.00	$1,046.34–$1,894.34	—	33%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE WO CON	$519.48	$780.00	$119.34–$764.40	48% below	33%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE WO CON	$2,016.65	$3,028.00	$1,639.06–$2,967.44	—	33%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$458.21	$688.00	$85.75–$674.24	49% below	33%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$1,762.24	$2,646.00	$1,432.28–$2,593.08	—	33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISS HEAD NECK	$511.49	$768.00	$85.69–$752.64	38% below	33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISS HEAD NECK	$1,779.56	$2,672.00	$1,446.36–$2,618.56	—	33%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SCOUT ABD W CON	$527.48	$792.00	$146.35–$776.16	13% below	33%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI/SCOUT ABD W CON	$1,581.09	$2,374.00	$1,285.05–$2,326.52	—	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX VENOUS EXT UNI	$787.88	$1,183.00	$97.03–$1,159.34	7% below	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUPLEX VENOUS EXT UNI	$2,388.28	$3,586.00	$1,941.11–$3,514.28	—	33%
X-ray of the abdomen, 1 view CPT 74018 IR ABDOMEN 1 VIEW	$87.25	$131.00	$24.60–$128.38	71% below	33%
X-ray of the abdomen, 1 view inpatient CPT 74018 IR ABDOMEN 1 VIEW	$316.35	$475.00	$257.12–$465.50	—	33%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2 OR 3 VW	$198.47	$298.00	$43.45–$292.04	57% below	33%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2 OR 3 VW	$660.68	$992.00	$536.97–$972.16	—	33%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+ VIEWS	$263.74	$396.00	$62.90–$388.08	55% below	33%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+ VIEWS	$879.12	$1,320.00	$714.52–$1,293.60	—	33%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS	$147.19	$221.00	$40.22–$216.58	59% below	33%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS	$458.88	$689.00	$372.96–$675.22	—	33%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+ VIEWS	$122.55	$184.00	$35.56–$180.32	68% below	33%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3+ VIEWS	$423.58	$636.00	$344.27–$623.28	—	33%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3 VW	$167.17	$251.00	$37.27–$245.98	61% below	33%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 IR CERVICAL SPINE 2-3 VW	$186.48	$280.00	$37.27–$274.40	57% below	33%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3 VW	$581.42	$873.00	$472.56–$855.54	—	33%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 IR CERVICAL SPINE 2-3 VW	$622.71	$935.00	$506.12–$916.30	—	33%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$116.55	$175.00	$31.01–$171.50	68% below	33%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS	$388.95	$584.00	$316.12–$572.32	—	33%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ VWS	$127.88	$192.00	$35.89–$188.16	70% below	33%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ VWS	$388.28	$583.00	$315.58–$571.34	—	33%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$8.83	$13.25	$5.30–$12.99	80% below	33%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-FIBRO V 2005661B	$11.33	$17.00	$5.30–$16.66	74% below	33%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-FIBRO NAFL 2012521B	$20.52	$30.80	$5.30–$30.19	52% below	33%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT	$56.61	$85.00	$5.30–$83.30	31% above	33%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$8.83	$13.25	$7.18–$12.99	—	33%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-FIBRO V 2005661B	$11.33	$17.00	$9.21–$16.66	—	33%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-FIBRO NAFL 2012521B	$20.52	$30.80	$16.68–$30.19	—	33%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT	$56.61	$85.00	$46.02–$83.30	—	33%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$8.63	$12.95	$5.18–$12.70	80% below	33%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-FIBRO V 2005661A	$11.33	$17.00	$5.18–$16.66	74% below	33%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-FIBRO NAFL 2012521A	$20.52	$30.80	$5.18–$30.19	53% below	33%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT	$57.95	$87.00	$5.18–$85.26	31% above	33%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$8.63	$12.95	$7.01–$12.70	—	33%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-FIBRO V 2005661A	$11.33	$17.00	$9.21–$16.66	—	33%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-FIBRO NAFL 2012521A	$20.52	$30.80	$16.68–$30.19	—	33%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT	$57.95	$87.00	$47.10–$85.26	—	33%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$79.31	$119.08	$47.63–$116.70	68% below	33%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$79.31	$119.08	$64.46–$116.70	—	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ASPNIG IGE 92598	$2.94	$4.40	$2.71–$4.40	65% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-REG14PANEL 3001724A	$2.98	$4.46	$2.74–$4.46	64% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-WEST ENV 2006399A	$3.00	$4.49	$2.76–$4.49	64% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-FOOD ADULT 50486B	$3.02	$4.53	$2.79–$4.53	64% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-WEST PAN 55129A	$3.02	$4.52	$2.78–$4.52	64% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-LATEX FOOD 55245A	$3.04	$4.55	$2.80–$4.55	63% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-FOOD ENV 55307A	$3.05	$4.57	$2.81–$4.57	63% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ENVIRO 10 55305A	$3.14	$4.70	$2.89–$4.70	62% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-EPI PAN 55120A	$3.33	$4.99	$3.07–$4.99	60% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-HYPEREXT 3001561A	$3.76	$5.64	$3.47–$5.64	55% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-PEANUT COM 2007211A	$7.61	$11.42	$5.22–$11.20	9% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN IGE QN SQ EA	$8.70	$13.05	$5.22–$12.79	5% above	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ABPA 2004243B	$14.38	$21.58	$5.22–$21.15	73% above	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-BEE PAN 55105	$14.66	$22.00	$5.22–$21.56	76% above	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-TURMERIC 2010742	$16.01	$24.03	$5.22–$23.55	92% above	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-STACHPAN 3004553B	$19.41	$29.13	$5.22–$28.55	133% above	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ASPNIG IGE 92598	$2.94	$4.40	$2.39–$4.32	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-REG14PANEL 3001724A	$2.98	$4.46	$2.42–$4.38	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-WEST ENV 2006399A	$3.00	$4.49	$2.44–$4.41	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-WEST PAN 55129A	$3.02	$4.52	$2.45–$4.43	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-FOOD ADULT 50486B	$3.02	$4.53	$2.46–$4.44	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-LATEX FOOD 55245A	$3.04	$4.55	$2.47–$4.46	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-FOOD ENV 55307A	$3.05	$4.57	$2.48–$4.48	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ENVIRO 10 55305A	$3.14	$4.70	$2.55–$4.61	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-EPI PAN 55120A	$3.33	$4.99	$2.71–$4.90	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-HYPEREXT 3001561A	$3.76	$5.64	$3.06–$5.53	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-PEANUT COM 2007211A	$7.61	$11.42	$6.19–$11.20	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN IGE QN SQ EA	$8.70	$13.05	$7.07–$12.79	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ABPA 2004243B	$14.38	$21.58	$11.69–$21.15	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-BEE PAN 55105	$14.66	$22.00	$11.91–$21.56	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-TURMERIC 2010742	$16.01	$24.03	$13.01–$23.55	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-STACHPAN 3004553B	$19.41	$29.13	$15.77–$28.55	—	33%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-ILD PANEL2 3018869E	$16.65	$25.00	$7.10–$24.50	18% below	33%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$21.57	$32.38	$7.10–$31.74	6% above	33%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-ILD PANEL2 3018869E	$16.65	$25.00	$13.54–$24.50	—	33%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$21.57	$32.38	$17.53–$31.74	—	33%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB SCR	$11.99	$18.00	$11.05–$17.64	66% below	33%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB SCR	$11.99	$18.00	$9.75–$17.64	—	33%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL-A-PRO BNP 50083	$23.31	$35.00	$21.49–$35.00	87% below	33%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$323.01	$485.00	$30.15–$475.30	83% above	33%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 RL-A-PRO BNP 50083	$23.31	$35.00	$18.95–$34.30	—	33%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$323.01	$485.00	$262.54–$475.30	—	33%
Basic metabolic panel (blood test) CPT 80048 BMP	$14.09	$21.15	$8.46–$20.73	93% below	33%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$149.85	$225.00	$8.46–$220.50	22% below	33%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP	$14.09	$21.15	$11.45–$20.73	—	33%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$203.13	$305.00	$165.10–$298.90	—	33%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS MICRO LEVEL IV	$25.09	$37.66	$9.75–$37.66	84% below	33%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS MICRO LEVEL IV	$25.09	$37.66	$20.39–$36.91	—	33%
Blood culture for bacteria CPT 87040 CULT BLOOD	$133.87	$201.00	$10.32–$196.98	44% below	33%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD	$273.73	$411.00	$222.48–$402.78	—	33%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE OP	$6.00	$9.00	$5.53–$9.00	75% below	33%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 RHC VENIPUNCTURE NON LAB	$15.99	$24.00	$9.09–$23.52	34% below	33%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE IP/ER	$65.94	$99.00	$9.09–$97.02	171% above	33%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE NON LAB	$71.27	$107.00	$9.09–$104.86	193% above	33%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE OP	$6.00	$9.00	$4.88–$8.82	—	33%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 RHC VENIPUNCTURE NON LAB	$15.99	$24.00	$13.00–$23.52	—	33%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE NON LAB	$71.27	$107.00	$57.92–$104.86	—	33%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE IP/ER	$75.93	$114.00	$61.71–$111.72	—	33%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$6.55	$9.83	$3.93–$9.64	83% below	33%
Blood glucose (sugar) test CPT 82947 RL-A-FIBRO NAFL 2012521D	$20.52	$30.80	$3.93–$30.19	45% below	33%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD	$6.55	$9.83	$5.33–$9.64	—	33%
Blood glucose (sugar) test inpatient CPT 82947 RL-A-FIBRO NAFL 2012521D	$20.52	$30.80	$16.68–$30.19	—	33%
Blood lead test CPT 83655 RL-A-HY MET B 99470B	$5.67	$8.50	$5.22–$8.50	60% below	33%
Blood lead test CPT 83655 RL-A-LEAD U 25060	$6.87	$10.31	$6.33–$10.31	52% below	33%
Blood lead test CPT 83655 LEAD URINE/BLOOD	$20.17	$30.28	$12.11–$29.68	42% above	33%
Blood lead test CPT 83655 RHC LEAD NONL	$20.65	$31.00	$12.11–$30.38	45% above	33%
Blood lead test inpatient CPT 83655 RL-A-HY MET B 99470B	$5.67	$8.50	$4.61–$8.33	—	33%
Blood lead test inpatient CPT 83655 RL-A-LEAD U 25060	$6.87	$10.31	$5.59–$10.11	—	33%
Blood lead test inpatient CPT 83655 LEAD URINE/BLOOD	$20.17	$30.28	$16.40–$29.68	—	33%
Blood lead test inpatient CPT 83655 RHC LEAD NONL	$20.65	$31.00	$16.79–$30.38	—	33%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL SERUM	$187.15	$281.00	$7.52–$275.38	22% above	33%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL SERUM	$187.15	$281.00	$152.11–$275.38	—	33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-BS-ABO RH	$20.20	$30.32	$2.99–$29.72	74% below	33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-BS-ABO GROUP	$24.23	$36.38	$2.99–$35.66	68% below	33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$27.98	$42.00	$2.99–$41.16	64% below	33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-BS-ABO DISCREPANCY	$35.25	$52.92	$2.99–$51.87	54% below	33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$147.86	$222.00	$2.99–$217.56	93% above	33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-BS-ABO RH	$20.20	$30.32	$16.42–$29.72	—	33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-BS-ABO GROUP	$24.23	$36.38	$19.70–$35.66	—	33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$27.98	$42.00	$22.74–$41.16	—	33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-BS-ABO DISCREPANCY	$35.25	$52.92	$28.65–$51.87	—	33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$147.86	$222.00	$120.17–$217.56	—	33%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$84.59	$127.00	$5.18–$124.46	81% above	33%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$84.59	$127.00	$68.75–$124.46	—	33%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOS DIFF TOXIN AMP PROBE	$62.06	$93.18	$28.64–$91.32	59% below	33%
C. difficile toxin gene test (stool PCR) CPT 87493 RL-A-CDIFF PCR 2002838	$62.61	$94.00	$28.64–$92.12	59% below	33%
C. difficile toxin gene test (stool PCR) CPT 87493 IA CLOS DIFF TOXN AMP PRB	$271.73	$408.00	$28.64–$399.84	78% above	33%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOS DIFF TOXIN AMP PROBE	$62.06	$93.18	$50.44–$91.32	—	33%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 RL-A-CDIFF PCR 2002838	$62.61	$94.00	$50.89–$92.12	—	33%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 IA CLOS DIFF TOXN AMP PRB	$271.73	$408.00	$220.86–$399.84	—	33%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNO TUMOR AG CA 19-9	$34.66	$52.03	$18.50–$50.99	30% below	33%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNO TUMOR AG CA 19-9	$34.66	$52.03	$28.17–$50.99	—	33%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNO TUMOR AG CA 125	$34.66	$52.03	$18.50–$50.99	64% below	33%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNO TUMOR AG CA 125	$34.66	$52.03	$28.17–$50.99	—	33%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL-A-COVID19NAA 3002638	$49.82	$74.80	$45.92–$73.31	29% below	33%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 CVD-19 PRB TCH	$102.57	$154.00	$51.31–$150.92	47% above	33%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL-A-COVID19NAA 3002638	$49.82	$74.80	$40.49–$73.31	—	33%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 CVD-19 PRB TCH	$102.57	$154.00	$83.37–$150.92	—	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH AMP PROBE	$58.43	$87.73	$35.09–$85.98	7% above	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IA CHLAMYD TRACH AMP PRB	$131.21	$197.00	$35.09–$193.06	140% above	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH AMP PROBE	$58.43	$87.73	$47.49–$85.98	—	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 IA CHLAMYD TRACH AMP PRB	$127.21	$191.00	$103.39–$187.18	—	33%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-NMRLIPFIT 2013716B	$9.38	$14.08	$8.65–$14.08	91% below	33%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$22.30	$33.48	$13.39–$32.82	78% below	33%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-AD LIP PL 92145D	$40.05	$60.13	$13.39–$58.93	61% below	33%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-METBOL RSK PNL 39447	$40.88	$61.38	$13.39–$60.16	60% below	33%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-NMRLIPFIT 2013716B	$9.38	$14.08	$7.63–$13.80	—	33%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$22.30	$33.48	$18.13–$32.82	—	33%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-AD LIP PL 92145D	$40.05	$60.13	$32.55–$58.93	—	33%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-METBOL RSK PNL 39447	$40.88	$61.38	$33.23–$60.16	—	33%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF	$99.24	$149.00	$7.77–$146.02	10% below	33%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF	$99.24	$149.00	$80.66–$146.02	—	33%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO WO DIFF	$10.78	$16.18	$6.47–$15.86	86% below	33%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF	$73.26	$110.00	$6.47–$107.80	4% below	33%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO WO DIFF	$10.78	$16.18	$8.76–$15.86	—	33%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF	$73.26	$110.00	$59.55–$107.80	—	33%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$17.59	$26.40	$10.56–$25.88	93% below	33%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL	$17.59	$26.40	$14.30–$25.88	—	33%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QN	$215.12	$323.00	$10.18–$316.54	80% above	33%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QN	$215.12	$323.00	$174.84–$316.54	—	33%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$37.02	$55.58	$22.23–$54.47	52% below	33%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$37.02	$55.58	$30.09–$54.47	—	33%
Estradiol blood test CPT 82670 RL-A-ESDIOL TMS 93247	$18.65	$28.00	$17.19–$28.00	70% below	33%
Estradiol blood test CPT 82670 ESTRADIOL	$46.53	$69.85	$27.94–$68.46	26% below	33%
Estradiol blood test inpatient CPT 82670 RL-A-ESDIOL TMS 93247	$18.65	$28.00	$15.16–$27.44	—	33%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$46.53	$69.85	$37.81–$68.46	—	33%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE (FSH)	$30.94	$46.45	$18.58–$45.53	65% below	33%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE	$119.88	$180.00	$18.58–$176.40	36% above	33%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMONE (FSH)	$30.94	$46.45	$25.15–$45.53	—	33%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMONE	$119.88	$180.00	$97.44–$176.40	—	33%
Fecal calprotectin (stool inflammation test) CPT 83993 RL-A-CALPRO FEC 3002859	$26.64	$40.00	$17.45–$39.20	63% below	33%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL-A-CALPRO FEC 3002859	$26.64	$40.00	$21.66–$39.20	—	33%
Ferritin blood test (iron stores) CPT 82728 RL-A-FIBRO NAFL 2012521C	$20.52	$30.80	$13.63–$30.19	75% below	33%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$22.70	$34.08	$13.63–$33.40	73% below	33%
Ferritin blood test (iron stores) inpatient CPT 82728 RL-A-FIBRO NAFL 2012521C	$20.52	$30.80	$16.68–$30.19	—	33%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$22.70	$34.08	$18.45–$33.40	—	33%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$24.48	$36.75	$14.70–$36.02	72% below	33%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$24.48	$36.75	$19.90–$36.02	—	33%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE (T-3) FREE	$28.21	$42.35	$16.94–$41.51	56% below	33%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE FREE	$96.57	$145.00	$16.94–$142.10	52% above	33%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE (T-3) FREE	$28.21	$42.35	$22.93–$41.51	—	33%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE FREE	$96.57	$145.00	$78.49–$142.10	—	33%
Free T4 (free thyroxine) thyroid blood test CPT 84439 RL-A-FT4 ED-TMS 93244	$14.66	$22.00	$9.02–$21.56	78% below	33%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (T-4) FREE	$15.02	$22.55	$9.02–$22.10	78% below	33%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$128.54	$193.00	$9.02–$189.14	89% above	33%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 RL-A-FT4 ED-TMS 93244	$14.66	$22.00	$11.91–$21.56	—	33%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE (T-4) FREE	$15.02	$22.55	$12.21–$22.10	—	33%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$128.54	$193.00	$104.48–$189.14	—	33%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$42.42	$63.68	$25.47–$62.41	2% above	33%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$42.42	$63.68	$34.47–$62.41	—	33%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$362.31	$544.00	$140.74–$533.12	30% above	33%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$362.31	$544.00	$294.47–$533.12	—	33%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE	$7.92	$11.88	$4.75–$11.65	82% below	33%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR PP	$47.29	$71.00	$4.75–$69.58	7% above	33%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE	$7.92	$11.88	$6.44–$11.65	—	33%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR PP	$47.29	$71.00	$38.44–$69.58	—	33%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 1ST 3 SPEC	$21.44	$32.18	$12.87–$31.54	82% below	33%
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPEC	$42.63	$64.00	$12.87–$62.72	64% below	33%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 1ST 3 SPEC	$21.44	$32.18	$17.42–$31.54	—	33%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1ST 3 SPEC	$42.63	$64.00	$34.65–$62.72	—	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NA PROBE N GONORR AMP	$58.43	$87.73	$35.09–$85.98	10% above	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 IA NEISSERIA GONO AMP PRB	$131.21	$197.00	$35.09–$193.06	146% above	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NA PROBE N GONORR AMP	$58.43	$87.73	$47.49–$85.98	—	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 IA NEISSERIA GONO AMP PRB	$127.21	$191.00	$103.39–$187.18	—	33%
H. pylori antibody blood test CPT 86677 H PYLORI AB	$28.06	$42.13	$16.85–$41.29	75% below	33%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB	$28.06	$42.13	$22.81–$41.29	—	33%
H. pylori stool antigen test CPT 87338 RL-A-PYLORI AG 65147	$11.33	$17.00	$10.44–$16.66	85% below	33%
H. pylori stool antigen test CPT 87338 EIA QL H PYLOR AG STL	$23.95	$35.95	$12.79–$35.24	68% below	33%
H. pylori stool antigen test inpatient CPT 87338 RL-A-PYLORI AG 65147	$11.33	$17.00	$9.21–$16.66	—	33%
H. pylori stool antigen test inpatient CPT 87338 EIA QL H PYLOR AG STL	$23.95	$35.95	$19.46–$35.24	—	33%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL-A-HIV QNT 3000867	$39.96	$60.00	$36.83–$60.00	53% below	33%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 NA PROBE HIV-1 QN	$141.70	$212.75	$85.10–$208.50	67% above	33%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RL-A-HIV QNT 3000867	$39.96	$60.00	$32.48–$58.80	—	33%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 NA PROBE HIV-1 QN	$141.70	$212.75	$115.17–$208.50	—	33%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 HIV 2 AB SGL ASSAY	$22.84	$34.28	$13.71–$33.60	45% below	33%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 HIV-2 AB SINGLE	$92.58	$139.00	$13.71–$136.22	122% above	33%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 HIV 2 AB SGL ASSAY	$22.84	$34.28	$18.56–$33.60	—	33%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 HIV-2 AB SINGLE	$92.58	$139.00	$75.25–$136.22	—	33%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB COMBO	$40.10	$60.20	$20.26–$59.00	34% below	33%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 IA HIV1 AG W HIV1 HIV2 AB	$122.55	$184.00	$20.26–$180.32	103% above	33%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AG/AB COMBO	$40.10	$60.20	$32.59–$59.00	—	33%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 IA HIV1 AG W HIV1 HIV2 AB	$122.55	$184.00	$99.60–$180.32	—	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCATED A1C	$16.18	$24.28	$9.71–$23.80	75% below	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RHC HEMOGLOBIN A1C NONL	$37.97	$57.00	$9.71–$55.86	41% below	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL-A-METBOL RSK PNL 39447	$40.89	$61.39	$9.71–$60.17	37% below	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL-A-CARDIOIQ HBG A1C	$53.51	$80.34	$9.71–$78.74	17% below	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$109.23	$164.00	$9.71–$160.72	69% above	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCATED A1C	$16.18	$24.28	$13.15–$23.80	—	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 RHC HEMOGLOBIN A1C NONL	$37.97	$57.00	$30.86–$55.86	—	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 RL-A-METBOL RSK PNL 39447	$40.89	$61.39	$33.24–$60.17	—	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 RL-A-CARDIOIQ HBG A1C	$53.51	$80.34	$43.49–$78.74	—	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$109.23	$164.00	$88.78–$160.72	—	33%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB	$17.89	$26.85	$10.74–$26.32	54% below	33%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB	$80.59	$121.00	$10.74–$118.58	109% above	33%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB	$17.89	$26.85	$14.54–$26.32	—	33%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB	$69.27	$104.00	$56.30–$101.92	—	33%
Hepatitis B surface antigen (HBsAg) test CPT 87340 EIA QL HEPATITIS B AG	$17.21	$25.83	$10.33–$25.32	72% below	33%
Hepatitis B surface antigen (HBsAg) test CPT 87340 IA HEP B SURFACE AG QL	$82.59	$124.00	$10.33–$121.52	33% above	33%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 EIA QL HEPATITIS B AG	$17.21	$25.83	$13.99–$25.32	—	33%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 IA HEP B SURFACE AG QL	$87.92	$132.00	$71.46–$129.36	—	33%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$23.77	$35.68	$14.27–$34.97	54% below	33%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$23.77	$35.68	$19.32–$34.97	—	33%
Hepatitis C viral load (HCV RNA) test CPT 87522 RL-A-HCVQT GR 3000576	$25.77	$38.68	$23.75–$38.68	67% below	33%
Hepatitis C viral load (HCV RNA) test CPT 87522 NA PROBE HEP C QN	$71.33	$107.10	$42.84–$104.96	9% below	33%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 RL-A-HCVQT GR 3000576	$25.77	$38.68	$20.94–$37.91	—	33%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 NA PROBE HEP C QN	$71.33	$107.10	$57.98–$104.96	—	33%
Herpes blood test, HSV-1 antibody CPT 86695 RL-A-HERP I S 50292	$9.00	$13.50	$8.29–$13.50	52% below	33%
Herpes blood test, HSV-1 antibody CPT 86695 RL-A-HERPICSF 50379	$14.73	$22.11	$13.19–$21.67	22% below	33%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I AB	$21.97	$32.98	$13.19–$32.33	17% above	33%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES TYPE I AB IGG	$158.51	$238.00	$13.19–$233.24	743% above	33%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-HERP I S 50292	$9.00	$13.50	$7.31–$13.23	—	33%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-HERPICSF 50379	$14.73	$22.11	$11.97–$21.67	—	33%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX I AB	$21.97	$32.98	$17.86–$32.33	—	33%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES TYPE I AB IGG	$153.18	$230.00	$124.50–$225.40	—	33%
Herpes blood test, HSV-2 antibody CPT 86696 RL-A-HERP II S 50294	$9.00	$13.50	$8.29–$13.50	66% below	33%
Herpes blood test, HSV-2 antibody CPT 86696 RL-A-HERPIICSF 50359	$14.73	$22.11	$13.58–$21.67	45% below	33%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX II AB IGG	$32.23	$48.38	$17.20–$47.42	21% above	33%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES TYPE II AB IGG	$59.94	$90.00	$17.20–$88.20	125% above	33%
Herpes blood test, HSV-2 antibody CPT 86696 RL-A-HSV2 INHIB 2012135	$95.74	$143.75	$17.20–$140.88	259% above	33%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-HERP II S 50294	$9.00	$13.50	$7.31–$13.23	—	33%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-HERPIICSF 50359	$14.73	$22.11	$11.97–$21.67	—	33%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX II AB IGG	$32.23	$48.38	$26.19–$47.42	—	33%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES TYPE II AB IGG	$59.94	$90.00	$48.72–$88.20	—	33%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-HSV2 INHIB 2012135	$95.74	$143.75	$77.82–$140.88	—	33%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HIGH SENS	$21.57	$32.38	$11.06–$31.74	54% below	33%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY	$112.56	$169.00	$11.06–$165.62	141% above	33%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HIGH SENS	$21.57	$32.38	$17.53–$31.74	—	33%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY	$112.56	$169.00	$91.48–$165.62	—	33%
Homocysteine blood test CPT 83090 HOMOCYSTINE/HOMOCYSTEINE	$29.84	$44.80	$14.99–$43.91	28% below	33%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE/HOMOCYSTEINE	$29.84	$44.80	$24.26–$43.91	—	33%
Insulin blood test CPT 83525 INSULIN TOTAL	$19.04	$28.58	$11.43–$28.01	43% below	33%
Insulin blood test CPT 83525 RL-A-METBOL RSK PNL 39447	$40.89	$61.39	$11.43–$60.17	22% above	33%
Insulin blood test CPT 83525 RL-A-CARDIOIQ IN RE A	$49.95	$75.00	$11.43–$73.50	50% above	33%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$19.04	$28.58	$15.48–$28.01	—	33%
Insulin blood test inpatient CPT 83525 RL-A-METBOL RSK PNL 39447	$40.89	$61.39	$33.24–$60.17	—	33%
Insulin blood test inpatient CPT 83525 RL-A-CARDIOIQ IN RE A	$49.95	$75.00	$40.60–$73.50	—	33%
Iron blood test (serum iron) CPT 83540 IRON	$10.78	$16.18	$6.47–$15.86	76% below	33%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$10.78	$16.18	$8.76–$15.86	—	33%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$136.53	$205.00	$8.68–$200.90	3% below	33%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$151.19	$227.00	$122.88–$222.46	—	33%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH)	$30.84	$46.30	$18.52–$45.38	61% below	33%
LH (luteinizing hormone) test CPT 83002 RL-A-LH PEDIA 2007567	$36.63	$55.00	$18.52–$53.90	54% below	33%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$111.23	$167.00	$18.52–$163.66	39% above	33%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH)	$30.84	$46.30	$25.07–$45.38	—	33%
LH (luteinizing hormone) test inpatient CPT 83002 RL-A-LH PEDIA 2007567	$36.63	$55.00	$29.78–$53.90	—	33%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$107.23	$161.00	$87.15–$157.78	—	33%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$11.48	$17.23	$6.89–$16.89	85% below	33%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$11.48	$17.23	$9.33–$16.89	—	33%
Liver function blood test panel CPT 80076 HEPATIC PANEL	$13.61	$20.43	$8.17–$20.03	90% below	33%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$144.53	$217.00	$8.17–$212.66	8% above	33%
Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL	$13.61	$20.43	$11.06–$20.03	—	33%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$197.81	$297.00	$160.77–$291.06	—	33%
Lyme disease antibody test CPT 86618 RL -Q - LYME ANTBODIES	$10.57	$15.86	$9.74–$15.86	56% below	33%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$28.36	$42.58	$17.03–$41.73	18% above	33%
Lyme disease antibody test CPT 86618 RL-A-LYME MTTT 3006053	$32.31	$48.51	$17.03–$47.54	35% above	33%
Lyme disease antibody test CPT 86618 RL-A-LYME STTTC 3016760	$33.30	$50.00	$17.03–$49.00	39% above	33%
Lyme disease antibody test inpatient CPT 86618 RL -Q - LYME ANTBODIES	$10.57	$15.86	$8.59–$15.55	—	33%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$28.36	$42.58	$23.05–$41.73	—	33%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME MTTT 3006053	$32.31	$48.51	$26.26–$47.54	—	33%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME STTTC 3016760	$33.30	$50.00	$27.07–$49.00	—	33%
Magnesium blood test CPT 83735 MAGNESIUM	$11.16	$16.75	$6.70–$16.42	81% below	33%
Magnesium blood test CPT 83735 RL-A-MG RBC 92079	$15.99	$24.00	$6.70–$23.52	72% below	33%
Magnesium blood test CPT 83735 MAGNESIUM UR	$102.57	$154.00	$6.70–$150.92	77% above	33%
Magnesium blood test CPT 83735 MAGNESIUM UR 24HR	$133.87	$201.00	$6.70–$196.98	131% above	33%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$11.16	$16.75	$9.07–$16.42	—	33%
Magnesium blood test inpatient CPT 83735 RL-A-MG RBC 92079	$15.99	$24.00	$13.00–$23.52	—	33%
Magnesium blood test inpatient CPT 83735 MAGNESIUM UR	$102.57	$154.00	$83.37–$150.92	—	33%
Magnesium blood test inpatient CPT 83735 MAGNESIUM UR 24HR	$125.88	$189.00	$102.31–$185.22	—	33%
Measles (rubeola) antibody test CPT 86765 RL-A-MEASLES M 99597	$8.04	$12.06	$7.41–$12.06	61% below	33%
Measles (rubeola) antibody test CPT 86765 RL-A-MEASLGCSF 54440	$9.90	$14.85	$9.12–$14.85	53% below	33%
Measles (rubeola) antibody test CPT 86765 RL-A-MEASLMCSF 54441	$12.24	$18.37	$11.28–$18.01	41% below	33%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$21.45	$32.20	$12.88–$31.56	3% above	33%
Measles (rubeola) antibody test inpatient CPT 86765 RL-A-MEASLES M 99597	$8.04	$12.06	$6.53–$11.82	—	33%
Measles (rubeola) antibody test inpatient CPT 86765 RL-A-MEASLGCSF 54440	$9.90	$14.85	$8.04–$14.56	—	33%
Measles (rubeola) antibody test inpatient CPT 86765 RL-A-MEASLMCSF 54441	$12.24	$18.37	$9.95–$18.01	—	33%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$21.45	$32.20	$17.43–$31.56	—	33%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCR NONL	$167.17	$251.00	$5.18–$245.98	80% above	33%
Mono test (heterophile antibody, Monospot) CPT 86308 RHC HETEROPH AB SCR NONL	$173.83	$261.00	$5.18–$255.78	87% above	33%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCR NONL	$167.17	$251.00	$135.87–$245.98	—	33%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 RHC HETEROPH AB SCR NONL	$173.83	$261.00	$141.28–$255.78	—	33%
Obstetric blood test panel CPT 80055 RHC PRENT PNL W HBSAGNONL	$139.86	$210.00	$47.81–$205.80	44% below	33%
Obstetric blood test panel inpatient CPT 80055 RHC PRENT PNL W HBSAGNONL	$139.86	$210.00	$113.68–$205.80	—	33%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC AG FREE	$30.63	$45.98	$18.39–$45.07	12% below	33%
PSA (prostate-specific antigen) blood test, free CPT 84154 RL-A-REFLEX PSA 3000517A	$94.91	$142.50	$18.39–$139.65	174% above	33%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$106.56	$160.00	$18.39–$156.80	207% above	33%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC AG FREE	$30.63	$45.98	$24.89–$45.07	—	33%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 RL-A-REFLEX PSA 3000517A	$94.91	$142.50	$77.14–$139.65	—	33%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$106.56	$160.00	$86.61–$156.80	—	33%
PSA (prostate-specific antigen) blood test, total CPT 84153 RL-A-PSA ULTRA 98581	$11.57	$17.36	$10.66–$17.36	75% below	33%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$30.63	$45.98	$18.39–$45.07	35% below	33%
PSA (prostate-specific antigen) blood test, total CPT 84153 RL-A-PROST INDX 3000134	$49.29	$74.00	$18.39–$72.52	5% above	33%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$127.21	$191.00	$18.39–$187.18	172% above	33%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 RL-A-PSA ULTRA 98581	$11.57	$17.36	$9.40–$17.02	—	33%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL	$30.63	$45.98	$24.89–$45.07	—	33%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 RL-A-PROST INDX 3000134	$49.29	$74.00	$40.06–$72.52	—	33%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$127.21	$191.00	$103.39–$187.18	—	33%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$68.74	$103.20	$41.28–$101.14	34% below	33%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$68.74	$103.20	$55.87–$101.14	—	33%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-PTT 30235	$6.47	$9.71	$5.96–$9.52	83% below	33%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-RFLX INPTT1 2003272A	$6.47	$9.70	$5.96–$9.51	83% below	33%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-ANTI PHOS 3017157C	$6.53	$9.80	$6.01–$9.61	83% below	33%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-PTT INHIB 2003266	$7.24	$10.87	$6.01–$10.66	81% below	33%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLAS TIME (PTT)	$10.01	$15.03	$6.01–$14.73	73% below	33%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-RF BILL PTTT 3017033	$20.52	$30.80	$6.01–$30.19	46% below	33%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO TIME	$79.26	$119.00	$6.01–$116.62	110% above	33%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-PTT 30235	$6.47	$9.71	$5.26–$9.52	—	33%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-RFLX INPTT1 2003272A	$6.47	$9.70	$5.26–$9.51	—	33%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-ANTI PHOS 3017157C	$6.53	$9.80	$5.31–$9.61	—	33%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-PTT INHIB 2003266	$7.24	$10.87	$5.89–$10.66	—	33%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLAS TIME (PTT)	$10.01	$15.03	$8.14–$14.73	—	33%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-RF BILL PTTT 3017033	$20.52	$30.80	$16.68–$30.19	—	33%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO TIME	$109.89	$165.00	$89.32–$161.70	—	33%
Progesterone blood test CPT 84144 RL-A-PGSN 2008509	$15.99	$24.00	$14.74–$24.00	71% below	33%
Progesterone blood test CPT 84144 PROGESTERONE	$34.74	$52.15	$20.86–$51.11	37% below	33%
Progesterone blood test inpatient CPT 84144 RL-A-PGSN 2008509	$15.99	$24.00	$13.00–$23.52	—	33%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$34.74	$52.15	$28.23–$51.11	—	33%
Prolactin blood test CPT 84146 PROLACTIN	$32.27	$48.45	$19.38–$47.49	64% below	33%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$32.27	$48.45	$26.23–$47.49	—	33%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-LUPUS RFLX 3017009A	$4.45	$6.67	$4.10–$6.54	91% below	33%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-ANTI PHOS 3017157A	$6.53	$9.80	$4.29–$9.61	86% below	33%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$83.25	$125.00	$4.29–$122.50	75% above	33%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-LUPUS RFLX 3017009A	$4.45	$6.67	$3.62–$6.54	—	33%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-ANTI PHOS 3017157A	$6.53	$9.80	$5.31–$9.61	—	33%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$83.25	$125.00	$67.67–$122.50	—	33%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA OPTIC NONL	$91.25	$137.00	$8.85–$134.26	21% above	33%
Rapid flu test (influenza antigen) CPT 87804 RHC INFLUZA IA OPTIC NONL	$94.58	$142.00	$8.85–$139.16	25% above	33%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA OPTIC NONL	$91.25	$137.00	$74.16–$134.26	—	33%
Rapid flu test (influenza antigen) inpatient CPT 87804 RHC INFLUZA IA OPTIC NONL	$94.58	$142.00	$76.87–$139.16	—	33%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RHC STRP A IMMUNO OPTNONL	$17.32	$26.00	$10.03–$25.48	84% below	33%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RHC STRP A IMMUNO OPTNONL	$17.32	$26.00	$14.08–$25.48	—	33%
Rheumatoid factor (RF) test CPT 86431 RL-A-ILD PANEL2 3018869D	$16.65	$25.00	$5.67–$24.50	28% above	33%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QN	$64.61	$97.00	$5.67–$95.06	397% above	33%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-ILD PANEL2 3018869D	$16.65	$25.00	$13.54–$24.50	—	33%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QN	$64.61	$97.00	$52.51–$95.06	—	33%
Rubella antibody test (immunity check) CPT 86762 RL-A-RUBEIGM 50551	$6.00	$9.00	$5.53–$9.00	85% below	33%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$23.97	$35.98	$14.39–$35.27	40% below	33%
Rubella antibody test (immunity check) inpatient CPT 86762 RL-A-RUBEIGM 50551	$6.00	$9.00	$4.88–$8.82	—	33%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$23.97	$35.98	$19.48–$35.27	—	33%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE RBC AUTO	$115.22	$173.00	$2.70–$169.54	155% above	33%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE RBC AUTO	$115.22	$173.00	$93.65–$169.54	—	33%
Stool ova and parasites exam CPT 87177 RL-A-OP FEC 3001662A	$8.00	$12.00	$7.37–$11.76	55% below	33%
Stool ova and parasites exam CPT 87177 SMEAR OVA PARASITE	$14.82	$22.25	$8.90–$21.81	17% below	33%
Stool ova and parasites exam CPT 87177 RL-A-OP BF/U 3001663A	$19.57	$29.37	$8.90–$28.79	9% above	33%
Stool ova and parasites exam CPT 87177 O P CONCENTRATE ID	$65.94	$99.00	$8.90–$97.02	268% above	33%
Stool ova and parasites exam inpatient CPT 87177 RL-A-OP FEC 3001662A	$8.00	$12.00	$6.50–$11.76	—	33%
Stool ova and parasites exam inpatient CPT 87177 SMEAR OVA PARASITE	$14.82	$22.25	$12.05–$21.81	—	33%
Stool ova and parasites exam inpatient CPT 87177 RL-A-OP BF/U 3001663A	$19.57	$29.37	$15.90–$28.79	—	33%
Stool ova and parasites exam inpatient CPT 87177 O P CONCENTRATE ID	$65.94	$99.00	$53.59–$97.02	—	33%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD FEC QL 3 SPEC	$56.61	$85.00	$4.19–$83.30	45% above	33%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD FEC QL 3 SPEC	$56.61	$85.00	$46.02–$83.30	—	33%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL	$26.51	$39.80	$14.14–$39.01	26% below	33%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL BLOOD ASSAY QL	$90.58	$136.00	$14.14–$133.28	152% above	33%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY TEST FOR BLOOD FECAL	$26.51	$39.80	$21.55–$39.01	—	33%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL BLOOD ASSAY QL	$90.58	$136.00	$73.62–$133.28	—	33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL-A-VDRL CSF 50206	$4.00	$6.00	$3.69–$5.88	73% below	33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL-A-VDRL SERU 93093	$4.71	$7.07	$4.27–$6.93	68% below	33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS VDRL RPR QL	$7.12	$10.68	$4.27–$10.47	52% below	33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL-A-VDRL CSF 50206	$4.00	$6.00	$3.25–$5.88	—	33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL-A-VDRL SERU 93093	$4.71	$7.07	$3.83–$6.93	—	33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS VDRL RPR QL	$7.12	$10.68	$5.79–$10.47	—	33%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL-A-QFT 4 3017562	$19.98	$30.00	$18.42–$30.00	72% below	33%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD IN TUBE	$103.20	$154.95	$43.39–$151.86	46% above	33%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 RL-A-QFT 4 3017562	$19.98	$30.00	$16.24–$29.40	—	33%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD IN TUBE	$103.20	$154.95	$83.88–$151.86	—	33%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$42.98	$64.53	$25.81–$63.24	7% above	33%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$42.98	$64.53	$34.94–$63.24	—	33%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-LIVER PAN 3002479B	$7.01	$10.52	$6.46–$10.52	69% below	33%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-LKM1 IGG 55241	$9.33	$14.00	$8.60–$14.00	59% below	33%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-UIAT 2005415D	$17.15	$25.74	$14.55–$25.23	25% below	33%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY	$24.23	$36.38	$14.55–$35.66	6% above	33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-LIVER PAN 3002479B	$7.01	$10.52	$5.70–$10.31	—	33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-LKM1 IGG 55241	$9.33	$14.00	$7.58–$13.72	—	33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-UIAT 2005415D	$17.15	$25.74	$13.94–$25.23	—	33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY	$24.23	$36.38	$19.70–$35.66	—	33%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL-A-UIAT 2005415C	$17.15	$25.74	$15.80–$25.23	79% below	33%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$27.98	$42.00	$16.80–$41.16	67% below	33%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE	$139.20	$209.00	$16.80–$204.82	66% above	33%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 RL-A-UIAT 2005415C	$17.15	$25.74	$13.94–$25.23	—	33%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$27.98	$42.00	$22.74–$41.16	—	33%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE	$139.20	$209.00	$113.14–$204.82	—	33%
Trichomonas test (NAAT) CPT 87661 RL-A-TVAG AMD 2005506	$26.64	$40.00	$24.56–$39.20	70% below	33%
Trichomonas test (NAAT) CPT 87661 RL-A-VPAN TMA 3002581C	$27.48	$41.25	$25.32–$40.43	69% below	33%
Trichomonas test (NAAT) inpatient CPT 87661 RL-A-TVAG AMD 2005506	$26.64	$40.00	$21.66–$39.20	—	33%
Trichomonas test (NAAT) inpatient CPT 87661 RL-A-VPAN TMA 3002581C	$27.48	$41.25	$22.33–$40.43	—	33%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$56.61	$85.00	$4.52–$83.30	8% below	33%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$67.94	$102.00	$55.22–$99.96	—	33%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W MICRO	$59.94	$90.00	$3.17–$88.20	28% below	33%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W MICRO	$59.94	$90.00	$48.72–$88.20	—	33%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO	$25.98	$39.00	$2.25–$38.22	54% below	33%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO W/O MICRO NONL	$45.29	$68.00	$2.25–$66.64	19% below	33%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO	$25.98	$39.00	$21.12–$38.22	—	33%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO W/O MICRO NONL	$45.29	$68.00	$36.81–$66.64	—	33%
Urinalysis without microscope exam, manual CPT 81002 RHC UA NOAUT WO MICRONONL	$9.33	$14.00	$3.08–$13.72	66% below	33%
Urinalysis without microscope exam, manual inpatient CPT 81002 RHC UA NOAUT WO MICRONONL	$9.33	$14.00	$7.58–$13.72	—	33%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE W COLONY COUNT	$13.44	$20.18	$8.07–$19.78	90% below	33%
Urine culture for bacteria, with colony count CPT 87086 CULT UR W COLONY CNT	$38.63	$58.00	$8.07–$56.84	72% below	33%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE W COLONY COUNT	$13.44	$20.18	$10.93–$19.78	—	33%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT UR W COLONY CNT	$38.63	$58.00	$31.40–$56.84	—	33%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISUAL	$14.34	$21.53	$4.02–$21.10	83% below	33%
Urine pregnancy test, read by color change CPT 81025 RHC PREG UA VISUAL NONL	$23.98	$36.00	$4.02–$35.28	72% below	33%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL	$74.60	$112.00	$4.02–$109.76	13% below	33%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY VISUAL	$14.34	$21.53	$11.66–$21.10	—	33%
Urine pregnancy test, read by color change inpatient CPT 81025 RHC PREG UA VISUAL NONL	$23.98	$36.00	$19.49–$35.28	—	33%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL	$74.60	$112.00	$60.63–$109.76	—	33%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$25.11	$37.70	$15.08–$36.95	59% below	33%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$25.11	$37.70	$20.41–$36.95	—	33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 RL-A-VITD2D3TMS 2002348	$13.32	$20.00	$12.28–$20.00	79% below	33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 25-OH	$49.29	$74.00	$29.60–$72.52	23% below	33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$177.16	$266.00	$29.60–$260.68	177% above	33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 RL-A-VITD2D3TMS 2002348	$13.32	$20.00	$10.83–$19.60	—	33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D-3 25-OH	$49.29	$74.00	$40.06–$72.52	—	33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$150.52	$226.00	$122.34–$221.48	—	33%
Zinc blood test CPT 84630 RL-A-ZINC U 20462	$7.92	$11.89	$7.30–$11.89	43% below	33%
Zinc blood test CPT 84630 RL-A-ZINC WB 2009373	$12.14	$18.22	$11.19–$17.86	13% below	33%
Zinc blood test CPT 84630 RL-A-ZN RBC 3003758	$30.64	$46.00	$11.39–$45.08	120% above	33%
Zinc blood test inpatient CPT 84630 RL-A-ZINC U 20462	$7.92	$11.89	$6.44–$11.66	—	33%
Zinc blood test inpatient CPT 84630 RL-A-ZINC WB 2009373	$12.14	$18.22	$9.87–$17.86	—	33%
Zinc blood test inpatient CPT 84630 RL-A-ZN RBC 3003758	$30.64	$46.00	$24.90–$45.08	—	33%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG PREG QN	$338.33	$508.00	$15.05–$497.84	143% above	33%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG PREG QN	$338.33	$508.00	$274.99–$497.84	—	33%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 PF APPENDECT RUPT W ABSC	$1,562.44	$2,346.00	$580.60–$2,299.08	27% below	33%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 PF APPENDECT RUPT W ABSC	$1,562.44	$2,346.00	$1,269.89–$2,299.08	—	33%
Appendectomy, open surgery CPT 44950 PF APPENDECTOMY	$1,130.21	$1,697.00	$439.02–$1,663.06	81% below	33%
Appendectomy, open surgery inpatient CPT 44950 PF APPENDECTOMY	$1,130.21	$1,697.00	$918.59–$1,663.06	—	33%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 PF ARTHRO CRUC LIG REP RT	$1,718.28	$2,580.00	$667.45–$2,528.40	81% below	33%
Arthroscopic ACL reconstruction or repair of the knee inpatient one side CPT 29888 PF ARTHRO CRUC LIG REP RT	$1,718.28	$2,580.00	$1,396.56–$2,528.40	—	33%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 PF ARTHRO SHLD ROT CUF LT	$1,866.80	$2,803.00	$566.83–$2,746.94	70% below	33%
Arthroscopic rotator cuff repair of the shoulder inpatient one side CPT 29827 PF ARTHRO SHLD ROT CUF LT	$1,866.80	$2,803.00	$1,517.27–$2,746.94	—	33%
Botox injections for chronic migraine both sides CPT 64615 PF CHEMOD MSC FAC CERV BI	$283.72	$426.00	$110.21–$417.48	—	33%
Botox injections for chronic migraine both sides CPT 64615 CHEMODENE MSC FAC CERV BI	$1,688.98	$2,536.00	$119.19–$2,485.28	—	33%
Botox injections for chronic migraine inpatient both sides CPT 64615 PF CHEMOD MSC FAC CERV BI	$283.72	$426.00	$230.60–$417.48	—	33%
Botox injections for chronic migraine inpatient both sides CPT 64615 CHEMODENE MSC FAC CERV BI	$1,688.98	$2,536.00	$1,372.74–$2,485.28	—	33%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 PF TX FX ANKLE DIST CLSD	$376.96	$566.00	$146.43–$554.68	30% below	33%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 RHC TX FIB DIST FX CLOSED	$490.18	$736.00	$190.41–$721.28	8% below	33%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 PF TX FX ANKLE DIST CLSD	$376.96	$566.00	$306.38–$554.68	—	33%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 RHC TX FIB DIST FX CLOSED	$490.18	$736.00	$398.40–$721.28	—	33%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 RHC TX METATARSAL FX CLSD	$270.40	$406.00	$105.04–$397.88	50% below	33%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PF TX FX METATARSA CLOSED	$363.64	$546.00	$141.26–$535.08	32% below	33%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 RHC TX METATARSAL FX CLSD	$270.40	$406.00	$219.77–$397.88	—	33%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 PF TX FX METATARSA CLOSED	$363.64	$546.00	$295.55–$535.08	—	33%
Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 PF COR BUN DIS MET OST LT	$902.43	$1,355.00	$350.54–$1,327.90	78% below	33%
Bunion correction with a bone cut near the head of the first metatarsal inpatient one side CPT 28296 PF COR BUN DIS MET OST LT	$902.43	$1,355.00	$733.47–$1,327.90	—	33%
Bunion correction with removal of part of the big toe joint both sides CPT 28292 PF CORR BUNION RES PRX BI	$1,066.94	$1,602.00	$338.78–$1,569.96	—	33%
Bunion correction with removal of part of the big toe joint inpatient both sides CPT 28292 PF CORR BUNION RES PRX BI	$1,066.94	$1,602.00	$867.17–$1,569.96	—	33%
Cardioversion, elective (restoring heart rhythm) CPT 92960 PF CARDIOVERS ELCTIVE EXT	$217.12	$326.00	$84.34–$319.48	88% below	33%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELCTIVE EXT	$889.78	$1,336.00	$175.66–$1,309.28	50% below	33%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PF CARDIOVERS ELCTIVE EXT	$217.12	$326.00	$176.47–$319.48	—	33%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELCTIVE EXT	$889.78	$1,336.00	$723.18–$1,309.28	—	33%
Carpal tunnel release, open surgery one side CPT 64721 PF NEUROP CARP TUN NRV LT	$742.59	$1,115.00	$288.46–$1,092.70	79% below	33%
Carpal tunnel release, open surgery inpatient one side CPT 64721 PF NEUROP CARP TUN NRV LT	$742.59	$1,115.00	$603.55–$1,092.70	—	33%
Cervical biopsy CPT 57500 RHC BIOPSY CERVIX	$133.87	$201.00	$46.52–$196.98	93% below	33%
Cervical biopsy CPT 57500 PF BIOPSY CERVIX	$133.87	$201.00	$46.52–$196.98	93% below	33%
Cervical biopsy inpatient CPT 57500 PF BIOPSY CERVIX	$133.87	$201.00	$108.81–$196.98	—	33%
Cervical biopsy inpatient CPT 57500 RHC BIOPSY CERVIX	$133.87	$201.00	$108.81–$196.98	—	33%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PF CIRCUMCISION >28 DAYS	$358.98	$539.00	$139.44–$528.22	90% below	33%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 PF CIRCUMCISION >28 DAYS	$358.98	$539.00	$291.77–$528.22	—	33%
Closed treatment of a wrist (distal radius) fracture, no resetting both sides CPT 25600 PF TX DIS RAD FX WO CL BI	$525.48	$789.00	$180.60–$773.22	—	33%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 RHC TX DIS RAD FX WO CLSD	$525.48	$789.00	$180.60–$773.22	9% below	33%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient both sides CPT 25600 PF TX DIS RAD FX WO CL BI	$525.48	$789.00	$427.09–$773.22	—	33%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 RHC TX DIS RAD FX WO CLSD	$525.48	$789.00	$427.09–$773.22	—	33%
Colonoscopy with polyp removal CPT 45385 PF COLONOSCOPY SNARE TUMR	$606.06	$910.00	$235.42–$891.80	74% below	33%
Colonoscopy with polyp removal inpatient CPT 45385 PF COLONOSCOPY SNARE TUMR	$606.06	$910.00	$492.59–$891.80	—	33%
Colonoscopy with tissue sample CPT 45380 PF COLONOSCOPY W BIOPSY	$512.16	$769.00	$198.95–$753.62	75% below	33%
Colonoscopy with tissue sample inpatient CPT 45380 PF COLONOSCOPY W BIOPSY	$512.16	$769.00	$416.26–$753.62	—	33%
Colonoscopy, diagnostic CPT 45378 PF COLONOSCOPY DIAGNOSTIC	$426.91	$641.00	$165.83–$628.18	79% below	33%
Colonoscopy, diagnostic inpatient CPT 45378 PF COLONOSCOPY DIAGNOSTIC	$426.91	$641.00	$346.98–$628.18	—	33%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 PF COLPOSCOPY CERVIX W BX	$238.43	$358.00	$92.62–$350.84	75% below	33%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 RHC COLPOS CERVX BX CURET	$269.07	$404.00	$98.85–$395.92	72% below	33%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 PF COLPOSCOPY CERVIX W BX	$238.43	$358.00	$193.79–$350.84	—	33%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 RHC COLPOS CERVX BX CURET	$269.07	$404.00	$218.69–$395.92	—	33%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$196.47	$295.00	$76.32–$289.10	88% below	33%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 PF CYSTOURETHROSCOPY	$223.78	$336.00	$86.93–$329.28	86% below	33%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY	$196.47	$295.00	$159.69–$289.10	—	33%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 PF CYSTOURETHROSCOPY	$223.78	$336.00	$181.88–$329.28	—	33%
D&C (dilation and curettage), not related to pregnancy CPT 58120 PF DILATCURRETTAGE NONOB	$384.29	$577.00	$149.27–$565.46	91% below	33%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 PF DILATCURRETTAGE NONOB	$384.29	$577.00	$312.34–$565.46	—	33%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 RHC LES PREMAL DEST 1ST	$85.92	$129.00	$33.38–$126.42	77% below	33%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PF LESN PREMALIG DSTR 1ST	$91.91	$138.00	$35.71–$135.24	75% below	33%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 RHC LES PREMAL DEST 1ST	$85.92	$129.00	$69.83–$126.42	—	33%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PF LESN PREMALIG DSTR 1ST	$91.91	$138.00	$74.70–$135.24	—	33%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 RHC TYMPANSTOM L/TOP ANES	$386.95	$581.00	$68.78–$569.38	62% below	33%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 RHC TYMPANSTOM L/TOP ANES	$386.95	$581.00	$314.50–$569.38	—	33%
Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 RHC IRRIG CERUM IMPACT BI	$69.93	$105.00	$13.24–$102.90	—	33%
Earwax removal by irrigation (rinsing), one ear CPT 69209 IRRIG/LAVG CERUMEN IMPACT	$120.55	$181.00	$13.24–$177.38	32% below	33%
Earwax removal by irrigation (rinsing), one ear inpatient both sides CPT 69209 RHC IRRIG CERUM IMPACT BI	$69.93	$105.00	$56.84–$102.90	—	33%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 IRRIG/LAVG CERUMEN IMPACT	$121.22	$182.00	$98.52–$178.36	—	33%
Earwax removal with instruments, one ear CPT 69210 RHC REMOVE CERUMEN IMPACT	$67.94	$102.00	$26.39–$99.96	61% below	33%
Earwax removal with instruments, one ear inpatient CPT 69210 RHC REMOVE CERUMEN IMPACT	$67.94	$102.00	$55.22–$99.96	—	33%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 PF ENDOMTRL BX WO CRV DIL	$154.52	$232.00	$47.09–$227.36	72% below	33%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 RHC BX ENDOMETRIAL WO DIL	$187.15	$281.00	$47.09–$275.38	66% below	33%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 PF ENDOMTRL BX WO CRV DIL	$154.52	$232.00	$125.59–$227.36	—	33%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 RHC BX ENDOMETRIAL WO DIL	$187.15	$281.00	$152.11–$275.38	—	33%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 PF INJ EPI/SUB C/T W IMAG	$219.12	$329.00	$85.12–$322.42	89% below	33%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ EPI/SUBAR C/T W IMAG	$2,164.50	$3,250.00	$223.38–$3,185.00	13% above	33%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 PF INJ EPI/SUB C/T W IMAG	$219.12	$329.00	$178.09–$322.42	—	33%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ EPI/SUBAR C/T W IMAG	$2,164.50	$3,250.00	$1,759.23–$3,185.00	—	33%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET JT/NRV L/S SNG INJ	$1,665.00	$2,500.00	$165.76–$2,450.00	19% below	33%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 PF FAC JT/NRV L/S SNG RT	$183.82	$276.00	$71.41–$270.48	91% below	33%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 PF FAC JT/NRV L/S SNG LT	$193.81	$291.00	$75.29–$285.18	91% below	33%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET JT/NRV L/S SNG INJ	$1,665.00	$2,500.00	$1,353.25–$2,450.00	—	33%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 PF FAC JT/NRV L/S SNG RT	$183.82	$276.00	$149.40–$270.48	—	33%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 PF FAC JT/NRV L/S SNG LT	$193.81	$291.00	$157.52–$285.18	—	33%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 PF RP AA HRN IN RED 3-10	$950.39	$1,427.00	$369.17–$1,398.46	87% below	33%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 PF RP AA HRN IN RED 3-10	$950.39	$1,427.00	$772.44–$1,398.46	—	33%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 PF RPR AA HRN IN RED >10	$1,277.39	$1,918.00	$496.19–$1,879.64	83% below	33%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 PF RPR AA HRN IN RED >10	$1,277.39	$1,918.00	$1,038.22–$1,879.64	—	33%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 PF RPR AA HRN INI RED <3	$568.77	$854.00	$220.93–$836.92	88% below	33%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 PF RPR AA HRN INI RED <3	$568.77	$854.00	$462.28–$836.92	—	33%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 PF SIGMOID FLEX DIAGNOST	$124.55	$187.00	$48.38–$183.26	93% below	33%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 PF SIGMOID FLEX DIAGNOST	$124.55	$187.00	$101.23–$183.26	—	33%
Gallbladder removal, laparoscopic CPT 47562 PF CHOLECYSTECTOMY LAPRO	$1,149.52	$1,726.00	$446.52–$1,691.48	91% below	33%
Gallbladder removal, laparoscopic inpatient CPT 47562 PF CHOLECYSTECTOMY LAPRO	$1,149.52	$1,726.00	$934.29–$1,691.48	—	33%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 PF CHOLE W CHOLANGIOG LAP	$1,246.76	$1,872.00	$484.29–$1,834.56	85% below	33%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 PF CHOLE W CHOLANGIOG LAP	$1,246.76	$1,872.00	$1,013.32–$1,834.56	—	33%
Gallbladder removal, open surgery through a larger incision CPT 47600 PF CHOLECYSTECTOMY	$1,880.12	$2,823.00	$661.76–$2,766.54	11% below	33%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 PF CHOLECYSTECTOMY	$1,880.12	$2,823.00	$1,528.09–$2,766.54	—	33%
Hammertoe correction surgery one side CPT 28285 PF CORRECTION HAMERTOE LT	$654.68	$983.00	$232.41–$963.34	84% below	33%
Hammertoe correction surgery inpatient one side CPT 28285 PF CORRECTION HAMERTOE LT	$654.68	$983.00	$532.10–$963.34	—	33%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOID LIGTN RB INT	$227.11	$341.00	$88.22–$334.18	88% below	33%
Hemorrhoid banding (rubber band ligation) CPT 46221 PF HEMORRHOD LIGTN RB INT	$352.32	$529.00	$88.44–$518.42	81% below	33%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOID LIGTN RB INT	$227.11	$341.00	$184.59–$334.18	—	33%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 PF HEMORRHOD LIGTN RB INT	$352.32	$529.00	$286.35–$518.42	—	33%
Hemorrhoidectomy (internal and external), one area CPT 46255 PF HEMORRH INT/EXT GRP 1	$641.36	$963.00	$249.13–$943.74	86% below	33%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 PF HEMORRH INT/EXT GRP 1	$641.36	$963.00	$521.28–$943.74	—	33%
Hip replacement after an earlier hip surgery (conversion to total hip) one side CPT 27132 PF CONV ARTHRO TOT HIP LT	$2,907.76	$4,366.00	$1,129.49–$4,278.68	45% below	33%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient one side CPT 27132 PF CONV ARTHRO TOT HIP LT	$2,907.76	$4,366.00	$2,363.32–$4,278.68	—	33%
Hysteroscopy with endometrial ablation CPT 58563 PF HYSTERSCP W/ENDO ABLAT	$598.07	$898.00	$232.32–$898.00	91% below	33%
Hysteroscopy with endometrial ablation inpatient CPT 58563 PF HYSTERSCP W/ENDO ABLAT	$598.07	$898.00	$486.09–$880.04	—	33%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 PF HYSTEROSCOPY BX ENDOM	$467.54	$702.00	$181.61–$687.96	93% below	33%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 PF HYSTEROSCOPY BX ENDOM	$467.54	$702.00	$380.00–$687.96	—	33%
IUD insertion (the device itself billed separately) CPT 58300 RHC INSERT UTERIN DEV INT	$275.73	$414.00	$107.11–$405.72	53% below	33%
IUD insertion (the device itself billed separately) CPT 58300 PF INS UTERINE DEVICE INT	$291.71	$438.00	$113.32–$429.24	50% below	33%
IUD insertion (the device itself billed separately) CPT 58300 INSERT UTERINE DEVICE INT	$306.36	$460.00	$119.01–$450.80	48% below	33%
IUD insertion (the device itself billed separately) inpatient CPT 58300 RHC INSERT UTERIN DEV INT	$275.73	$414.00	$224.10–$405.72	—	33%
IUD insertion (the device itself billed separately) inpatient CPT 58300 PF INS UTERINE DEVICE INT	$291.71	$438.00	$237.09–$429.24	—	33%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT UTERINE DEVICE INT	$306.36	$460.00	$249.00–$450.80	—	33%
Incision and drainage of a simple or single skin abscess CPT 10060 PF I AND D ABSCESS SIMPLE	$171.17	$257.00	$48.70–$251.86	63% below	33%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE	$179.16	$269.00	$48.70–$263.62	62% below	33%
Incision and drainage of a simple or single skin abscess CPT 10060 RHC I D ABSCESS SIMPLE	$179.16	$269.00	$48.70–$263.62	62% below	33%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PF I AND D ABSCESS SIMPLE	$171.17	$257.00	$139.12–$251.86	—	33%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 RHC I D ABSCESS SIMPLE	$179.16	$269.00	$145.61–$263.62	—	33%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D ABSCESS SIMPLE	$179.16	$269.00	$145.61–$263.62	—	33%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PF RPR INI INGUNL HERN >5	$907.10	$1,362.00	$352.35–$1,334.76	87% below	33%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PF RPR INI INGUNL HERN >5	$907.10	$1,362.00	$737.26–$1,334.76	—	33%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PF INJ TENDON SHTH/LIG	$56.61	$85.00	$21.99–$83.30	91% below	33%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 RHC INJ TENDON SHTH/LIG	$173.83	$261.00	$52.54–$255.78	74% below	33%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHTH/LIG	$586.08	$880.00	$52.54–$862.40	11% below	33%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PF INJ TENDON SHTH/LIG	$56.61	$85.00	$46.02–$83.30	—	33%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 RHC INJ TENDON SHTH/LIG	$173.83	$261.00	$141.28–$255.78	—	33%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHTH/LIG	$586.08	$880.00	$476.35–$862.40	—	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PF ARTH ASP MAJ JT WO BIL	$159.18	$239.00	$52.54–$234.22	78% below	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 RHC ARTHR ASP MAJOR JT WO	$173.83	$261.00	$52.54–$255.78	76% below	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCEN ASP MAJOR JT WO	$421.58	$633.00	$52.54–$620.34	42% below	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTH ASP MJR JT WO US UNI	$1,052.28	$1,580.00	$52.54–$1,548.40	45% above	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 PF ARTH ASP MAJ JT WO RT	$79.92	$120.00	$31.05–$117.60	89% below	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PF ARTH ASP MAJ JT WO BIL	$159.18	$239.00	$129.38–$234.22	—	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 RHC ARTHR ASP MAJOR JT WO	$173.83	$261.00	$141.28–$255.78	—	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCEN ASP MAJOR JT WO	$350.99	$527.00	$285.27–$516.46	—	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTH ASP MJR JT WO US UNI	$1,062.27	$1,595.00	$863.38–$1,563.10	—	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 PF ARTH ASP MAJ JT WO RT	$79.92	$120.00	$64.96–$117.60	—	33%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 RHC INS NONBI DRG DEL IMP	$210.46	$316.00	$81.75–$309.68	25% below	33%
Insertion of a drug-delivery implant, such as the arm birth control implant one side CPT 11981 PF INS NONBI DRUG IMP RT	$101.90	$153.00	$39.59–$153.00	64% below	33%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 RHC INS NONBI DRG DEL IMP	$210.46	$316.00	$171.06–$309.68	—	33%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient one side CPT 11981 PF INS NONBI DRUG IMP RT	$101.90	$153.00	$82.82–$149.94	—	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PF ARTHRC ASP INT JT WO	$69.93	$105.00	$27.17–$102.90	88% below	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PF ARTHRC ASP INT JT WORT	$72.60	$109.00	$28.20–$106.82	87% below	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PF ARTHRC ASP INT JT WOBI	$145.19	$218.00	$43.57–$213.64	74% below	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 RHC ARTHRO ASP INT JT WO	$183.15	$275.00	$43.57–$269.50	68% below	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCEN ASP INTER JT WO	$811.86	$1,219.00	$43.57–$1,194.62	43% above	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PF ARTHRC ASP INT JT WO	$69.93	$105.00	$56.84–$102.90	—	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PF ARTHRC ASP INT JT WORT	$72.60	$109.00	$59.01–$106.82	—	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PF ARTHRC ASP INT JT WOBI	$145.19	$218.00	$118.01–$213.64	—	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 RHC ARTHRO ASP INT JT WO	$183.15	$275.00	$148.86–$269.50	—	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCEN ASP INTER JT WO	$861.14	$1,293.00	$699.91–$1,267.14	—	33%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PF ARTHROC ASP SMAL JT WO	$63.27	$95.00	$24.58–$93.10	90% below	33%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 RHC ARTHRO ASP SMAL JT WO	$173.83	$261.00	$37.17–$255.78	72% below	33%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCEN ASP SMALL JT WO	$676.66	$1,016.00	$37.17–$995.68	9% above	33%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PF ARTHROC ASP SMAL JT WO	$63.27	$95.00	$51.43–$93.10	—	33%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 RHC ARTHRO ASP SMAL JT WO	$173.83	$261.00	$141.28–$255.78	—	33%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCEN ASP SMALL JT WO	$676.66	$1,016.00	$549.97–$995.68	—	33%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 PF ARTHRO MENISCU M/L LT	$1,218.12	$1,829.00	$473.17–$1,792.42	71% below	33%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient one side CPT 29882 PF ARTHRO MENISCU M/L LT	$1,218.12	$1,829.00	$990.04–$1,792.42	—	33%
Knee arthroscopy with meniscus trim one side CPT 29881 PF ARTHRO MENISCEC M/L LT	$946.39	$1,421.00	$367.62–$1,392.58	82% below	33%
Knee arthroscopy with meniscus trim inpatient one side CPT 29881 PF ARTHRO MENISCEC M/L LT	$946.39	$1,421.00	$769.19–$1,392.58	—	33%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 PF ARTHRO MENISCEC M L LT	$983.02	$1,476.00	$381.85–$1,446.48	77% below	33%
Knee arthroscopy with removal of both torn meniscus parts inpatient one side CPT 29880 PF ARTHRO MENISCEC M L LT	$983.02	$1,476.00	$798.96–$1,446.48	—	33%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 PF ARTHRO CHONDROPLAST LT	$1,085.58	$1,630.00	$421.69–$1,597.40	79% below	33%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient one side CPT 29877 PF ARTHRO CHONDROPLAST LT	$1,085.58	$1,630.00	$882.32–$1,597.40	—	33%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 PF LAPRO APPENDECTOMY	$1,056.28	$1,586.00	$313.58–$1,554.28	87% below	33%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 PF LAPRO APPENDECTOMY	$1,056.28	$1,586.00	$858.51–$1,554.28	—	33%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 PF LAP ESOPHAG FUNDOPLAST	$1,936.07	$2,907.00	$752.05–$2,848.86	83% below	33%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 PF LAP ESOPHAG FUNDOPLAST	$1,936.07	$2,907.00	$1,573.56–$2,848.86	—	33%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 PF LAP HYST TOTAL <=250GM	$1,400.60	$2,103.00	$544.05–$2,060.94	92% below	33%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 PF LAP HYST TOTAL <=250GM	$1,400.60	$2,103.00	$1,138.36–$2,060.94	—	33%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 PF LAP HYST<=250G REM TBE	$1,575.76	$2,366.00	$612.09–$2,318.68	86% below	33%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 PF LAP HYST<=250G REM TBE	$1,575.76	$2,366.00	$1,280.72–$2,318.68	—	33%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 PF RPR ING HERN INI LAPRO	$747.92	$1,123.00	$290.53–$1,100.54	95% below	33%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 PF RPR ING HERN INI LAPRO	$747.92	$1,123.00	$607.88–$1,100.54	—	33%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 PF RPR ING HRN RECURR LAP	$999.67	$1,501.00	$388.31–$1,470.98	82% below	33%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 PF RPR ING HRN REC LAP RT	$961.04	$1,443.00	$373.31–$1,414.14	83% below	33%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 PF RPR ING HRN RECURR LAP	$999.67	$1,501.00	$812.50–$1,470.98	—	33%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient one side CPT 49651 PF RPR ING HRN REC LAP RT	$961.04	$1,443.00	$781.10–$1,414.14	—	33%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 PF LAP W REM ADNEXL STRCT	$1,134.87	$1,704.00	$440.83–$1,669.92	87% below	33%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 PF LAP W REM ADNEXL STRCT	$1,134.87	$1,704.00	$922.38–$1,669.92	—	33%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RHC RPR SCLP/TRK INT<=2.5	$101.90	$153.00	$39.59–$149.94	88% below	33%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PF RPR SCLP/TRK INT <=2.5	$271.73	$408.00	$96.98–$399.84	69% below	33%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR SCALP/TRUNK INT <=2.5	$677.99	$1,018.00	$96.98–$997.64	22% below	33%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RHC RPR SCLP/TRK INT<=2.5	$101.90	$153.00	$82.82–$149.94	—	33%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 PF RPR SCLP/TRK INT <=2.5	$271.73	$408.00	$220.86–$399.84	—	33%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR SCALP/TRUNK INT <=2.5	$677.99	$1,018.00	$551.05–$997.64	—	33%
Lower-back epidural injection, with imaging guidance CPT 62323 PF INJ EPI/SUBAR L/S WIMG	$202.47	$304.00	$78.65–$297.92	88% below	33%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPI/SUBAR L/S W IMAG	$2,609.39	$3,918.00	$220.03–$3,839.64	57% above	33%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PF INJ EPI/SUBAR L/S WIMG	$202.47	$304.00	$164.56–$297.92	—	33%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPI/SUBAR L/S W IMAG	$2,170.50	$3,259.00	$1,764.10–$3,193.82	—	33%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ EPI/SUBAR L/S WO IMAG	$2,609.39	$3,918.00	$138.50–$3,839.64	58% above	33%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ EPI/SUBAR L/S WO IMAG	$2,170.50	$3,259.00	$1,764.10–$3,193.82	—	33%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PF AN/STE EPI L/S SN INRT	$227.11	$341.00	$88.22–$334.18	88% below	33%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PF AN/STE EPI L/S SN INLT	$227.78	$342.00	$88.48–$335.16	88% below	33%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PF AN/STE EPI L/S SN INBI	$394.94	$593.00	$153.41–$581.14	80% below	33%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 ANES/STE EPI L/S SNGL INJ	$1,625.71	$2,441.00	$164.49–$2,392.18	16% below	33%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PF AN/STE EPI L/S SN INRT	$227.11	$341.00	$184.59–$334.18	—	33%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PF AN/STE EPI L/S SN INLT	$227.78	$342.00	$185.13–$335.16	—	33%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PF AN/STE EPI L/S SN INBI	$394.94	$593.00	$321.00–$581.14	—	33%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 ANES/STE EPI L/S SNGL INJ	$1,547.79	$2,324.00	$1,257.99–$2,277.52	—	33%
Lumpectomy (partial mastectomy) CPT 19301 PF MASTECTOMY PARTIAL	$1,134.87	$1,704.00	$333.58–$1,669.92	83% below	33%
Lumpectomy (partial mastectomy) inpatient CPT 19301 PF MASTECTOMY PARTIAL	$1,134.87	$1,704.00	$922.38–$1,669.92	—	33%
Mastectomy (total removal of the breast) CPT 19303 PF MASTECTOMY SMPL CMP	$1,755.58	$2,636.00	$681.94–$2,583.28	79% below	33%
Mastectomy (total removal of the breast) inpatient CPT 19303 PF MASTECTOMY SMPL CMP	$1,755.58	$2,636.00	$1,426.87–$2,583.28	—	33%
Miscarriage treatment with D&C, first trimester CPT 59820 PF CARE MISCARRIAGE TRI 1	$638.70	$959.00	$241.91–$939.82	86% below	33%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 PF CARE MISCARRIAGE TRI 1	$638.70	$959.00	$519.11–$939.82	—	33%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PF EXC BEN LES T/A/L<=0.5	$148.52	$223.00	$57.70–$218.54	89% below	33%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BEN LES T/A/L <0.5CM	$282.39	$424.00	$66.65–$415.52	79% below	33%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 RHC EX BEN LES T/A/L <0.5	$282.39	$424.00	$66.65–$415.52	79% below	33%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 PF EXC BEN LES T/A/L<=0.5	$148.52	$223.00	$120.71–$218.54	—	33%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 RHC EX BEN LES T/A/L <0.5	$282.39	$424.00	$229.52–$415.52	—	33%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BEN LES T/A/L <0.5CM	$282.39	$424.00	$229.52–$415.52	—	33%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 PF EXC BEN LES F/E/NL<=.5	$190.48	$286.00	$73.91–$280.28	87% below	33%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 RHC EX BEN LES F/E/N<=0.5	$269.73	$405.00	$73.91–$396.90	82% below	33%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BEN LES F/E/NL <=0.5	$282.39	$424.00	$73.91–$415.52	81% below	33%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 PF EXC BEN LES F/E/NL<=.5	$190.48	$286.00	$154.82–$280.28	—	33%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 RHC EX BEN LES F/E/N<=0.5	$269.73	$405.00	$219.23–$396.90	—	33%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BEN LES F/E/NL <=0.5	$282.39	$424.00	$229.52–$415.52	—	33%
Nail removal (partial or complete), one nail CPT 11730 PF AVULSN NAIL PLAT SNGL	$67.94	$102.00	$26.39–$99.96	85% below	33%
Nail removal (partial or complete), one nail CPT 11730 RHC AVUL NAIL PLAT SINGLE	$71.93	$108.00	$27.94–$105.84	84% below	33%
Nail removal (partial or complete), one nail inpatient CPT 11730 PF AVULSN NAIL PLAT SNGL	$67.94	$102.00	$55.22–$99.96	—	33%
Nail removal (partial or complete), one nail inpatient CPT 11730 RHC AVUL NAIL PLAT SINGLE	$71.93	$108.00	$58.47–$105.84	—	33%
Occipital nerve block (injection for headaches) CPT 64405 PF INJ GRTR OCC NRV AA/ST	$91.25	$137.00	$35.45–$134.26	89% below	33%
Occipital nerve block (injection for headaches) inpatient CPT 64405 PF INJ GRTR OCC NRV AA/ST	$91.25	$137.00	$74.16–$134.26	—	33%
Paracentesis with imaging guidance CPT 49083 PF PARACENTSIS ABD W IMAG	$193.81	$291.00	$75.29–$285.18	89% below	33%
Paracentesis with imaging guidance CPT 49083 PARACENTSIS ABD W IMAGING	$957.05	$1,437.00	$103.10–$1,408.26	46% below	33%
Paracentesis with imaging guidance inpatient CPT 49083 PF PARACENTSIS ABD W IMAG	$193.81	$291.00	$157.52–$285.18	—	33%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTSIS ABD W IMAGING	$1,631.70	$2,450.00	$1,326.19–$2,401.00	—	33%
Partial knee replacement (one compartment) one side CPT 27446 PF ARTHRO KNEE C P M/L LT	$1,918.08	$2,880.00	$745.06–$2,822.40	90% below	33%
Partial knee replacement (one compartment) inpatient one side CPT 27446 PF ARTHRO KNEE C P M/L LT	$1,918.08	$2,880.00	$1,558.95–$2,822.40	—	33%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PF EXC NAIL AND MATRIX	$259.08	$389.00	$96.98–$381.22	79% below	33%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 RHC EXC NAILAND MATRIX	$259.08	$389.00	$96.98–$381.22	79% below	33%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PF EXC NAIL AND MATRIX	$259.08	$389.00	$210.57–$381.22	—	33%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 RHC EXC NAILAND MATRIX	$259.08	$389.00	$210.57–$381.22	—	33%
Prostate biopsy CPT 55700 PF BX PROSTATE NDL/PUNCH	$237.77	$357.00	$92.36–$349.86	91% below	33%
Prostate biopsy CPT 55700 BIOPSY PROSTATE NDL/PUNCH	$1,435.90	$2,156.00	$100.40–$2,112.88	45% below	33%
Prostate biopsy inpatient CPT 55700 PF BX PROSTATE NDL/PUNCH	$237.77	$357.00	$193.25–$349.86	—	33%
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NDL/PUNCH	$3,282.72	$4,929.00	$2,668.07–$4,830.42	—	33%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 PF FAC JT NRV L/S DES BIL	$786.55	$1,181.00	$224.16–$1,157.38	76% below	33%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 FACET JT NRV L/S DEST SGL	$3,300.70	$4,956.00	$224.16–$4,856.88	at median	33%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 PF FAC JT NRV L/S DES RT	$393.61	$591.00	$152.90–$579.18	88% below	33%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 PF FAC JT NRV L/S DES BIL	$786.55	$1,181.00	$639.28–$1,157.38	—	33%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 FACET JT NRV L/S DEST SGL	$3,300.70	$4,956.00	$2,682.69–$4,856.88	—	33%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 PF FAC JT NRV L/S DES RT	$393.61	$591.00	$319.91–$579.18	—	33%
Removal of a breast lump, open surgery CPT 19120 PF EXC LES BRST OPN 1/>RT	$725.28	$1,089.00	$281.73–$1,067.22	86% below	33%
Removal of a breast lump, open surgery CPT 19120 RHC EXC LES BRST OPN 1OR>	$1,357.31	$2,038.00	$302.26–$1,997.24	73% below	33%
Removal of a breast lump, open surgery inpatient CPT 19120 PF EXC LES BRST OPN 1/>RT	$725.28	$1,089.00	$589.48–$1,067.22	—	33%
Removal of a breast lump, open surgery inpatient CPT 19120 RHC EXC LES BRST OPN 1OR>	$1,357.31	$2,038.00	$1,103.17–$1,997.24	—	33%
Removal of a foreign object under the skin, simple CPT 10120 I AND R FB SUBQ SIMPLE	$172.50	$259.00	$59.38–$253.82	77% below	33%
Removal of a foreign object under the skin, simple CPT 10120 RHC I R FB SUBQ SIMPLE	$172.50	$259.00	$59.38–$253.82	77% below	33%
Removal of a foreign object under the skin, simple CPT 10120 PF I AND R FB SUBQ SIMPLE	$183.82	$276.00	$59.38–$270.48	76% below	33%
Removal of a foreign object under the skin, simple inpatient CPT 10120 RHC I R FB SUBQ SIMPLE	$172.50	$259.00	$140.20–$253.82	—	33%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I AND R FB SUBQ SIMPLE	$172.50	$259.00	$140.20–$253.82	—	33%
Removal of a foreign object under the skin, simple inpatient CPT 10120 PF I AND R FB SUBQ SIMPLE	$183.82	$276.00	$149.40–$270.48	—	33%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PF THYRD LOBECTMY TOT UNI	$1,248.75	$1,875.00	$485.07–$1,837.50	82% below	33%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 PF THYRD LOBECTMY TOT UNI	$1,248.75	$1,875.00	$1,014.94–$1,837.50	—	33%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 PF CA SCRN CLNSCPY NH RSK	$380.96	$572.00	$147.98–$560.56	78% below	33%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 PF CA SCRN CLNSCPY NH RSK	$380.96	$572.00	$309.63–$560.56	—	33%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PF CA SCRN CLNSCPY H RSK	$380.96	$572.00	$147.98–$560.56	79% below	33%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 PF CA SCRN CLNSCPY H RSK	$380.96	$572.00	$309.63–$560.56	—	33%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 PF LITHOTRIPSY ESWL UNI	$1,034.30	$1,553.00	$401.77–$1,521.94	84% below	33%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 PF LITHOTRIPSY ESWL UNI	$1,034.30	$1,553.00	$840.64–$1,521.94	—	33%
Short arm cast (elbow to hand) CPT 29075 RHC APPLY CAST SHORT ARM	$172.50	$259.00	$67.01–$253.82	65% below	33%
Short arm cast (elbow to hand) inpatient CPT 29075 RHC APPLY CAST SHORT ARM	$172.50	$259.00	$140.20–$253.82	—	33%
Short arm splint (forearm and hand) CPT 29125 RHC APP SPLNT SHRT ARM ST	$93.91	$141.00	$36.48–$138.18	77% below	33%
Short arm splint (forearm and hand) CPT 29125 OT APP SPLNT SHRT ARM STC	$170.50	$256.00	$60.67–$250.88	58% below	33%
Short arm splint (forearm and hand) inpatient CPT 29125 RHC APP SPLNT SHRT ARM ST	$93.91	$141.00	$76.33–$138.18	—	33%
Short arm splint (forearm and hand) inpatient CPT 29125 OT APP SPLNT SHRT ARM STC	$170.50	$256.00	$138.58–$250.88	—	33%
Short leg splint (calf to foot) CPT 29515 RHC APPL LEG SHORT SPLINT	$129.21	$194.00	$50.19–$190.12	74% below	33%
Short leg splint (calf to foot) inpatient CPT 29515 RHC APPL LEG SHORT SPLINT	$129.21	$194.00	$105.02–$190.12	—	33%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 PF ARTHRO CLAVICULECT LT	$1,180.16	$1,772.00	$458.42–$1,736.56	72% below	33%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient one side CPT 29824 PF ARTHRO CLAVICULECT LT	$1,180.16	$1,772.00	$959.19–$1,736.56	—	33%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 PF ARTHRO SHLD DECOMPR LT	$304.37	$457.00	$118.23–$457.00	93% below	33%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient one side CPT 29826 PF ARTHRO SHLD DECOMPR LT	$304.37	$457.00	$247.38–$447.86	—	33%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PF LR SMPL TRK/NK <=2.5CM	$77.26	$116.00	$30.01–$113.68	83% below	33%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RHC RPR TRK/NK SMP<=2.5CM	$93.24	$140.00	$36.22–$137.20	79% below	33%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PF LR SMPL TRK/NK <=2.5CM	$77.26	$116.00	$62.80–$113.68	—	33%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RHC RPR TRK/NK SMP<=2.5CM	$93.24	$140.00	$75.79–$137.20	—	33%
Skin biopsy, punch, one lesion CPT 11104 PF BX SKIN PUNCH SNG LES	$89.25	$134.00	$34.67–$131.32	88% below	33%
Skin biopsy, punch, one lesion CPT 11104 BX SKIN PUNCH SNG LESION	$93.24	$140.00	$36.22–$137.20	87% below	33%
Skin biopsy, punch, one lesion inpatient CPT 11104 PF BX SKIN PUNCH SNG LES	$89.25	$134.00	$72.54–$131.32	—	33%
Skin biopsy, punch, one lesion inpatient CPT 11104 BX SKIN PUNCH SNG LESION	$93.24	$140.00	$75.79–$137.20	—	33%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 PF EXC MAL LES T/A/L <=.5	$217.79	$327.00	$79.47–$320.46	89% below	33%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 RHC EX MAL LES T/A/L<=0.5	$269.73	$405.00	$79.47–$396.90	86% below	33%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MAL LES T/A/L <=0.5CM	$282.39	$424.00	$79.47–$415.52	86% below	33%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 PF EXC MAL LES T/A/L <=.5	$217.79	$327.00	$177.01–$320.46	—	33%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 RHC EX MAL LES T/A/L<=0.5	$269.73	$405.00	$219.23–$396.90	—	33%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC MAL LES T/A/L <=0.5CM	$282.39	$424.00	$229.52–$415.52	—	33%
Skin tag removal, up to 15 tags CPT 11200 RHC REMOVE SKIN TAGS <=15	$101.90	$153.00	$36.32–$149.94	74% below	33%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS <=15	$106.56	$160.00	$36.32–$156.80	73% below	33%
Skin tag removal, up to 15 tags CPT 11200 PF REMOVE SKIN TAGS <=15	$134.54	$202.00	$36.32–$197.96	66% below	33%
Skin tag removal, up to 15 tags inpatient CPT 11200 RHC REMOVE SKIN TAGS <=15	$101.90	$153.00	$82.82–$149.94	—	33%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAGS <=15	$106.56	$160.00	$86.61–$156.80	—	33%
Skin tag removal, up to 15 tags inpatient CPT 11200 PF REMOVE SKIN TAGS <=15	$134.54	$202.00	$109.35–$197.96	—	33%
Spinal tap (lumbar puncture), diagnostic CPT 62270 RHC LUMBAR PUNC DIAGNOSTC	$146.52	$220.00	$56.92–$215.60	88% below	33%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PF PUNCT SPINAL LUMB DX	$627.38	$942.00	$93.99–$923.16	49% below	33%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBAR DX	$699.30	$1,050.00	$93.99–$1,029.00	43% below	33%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 RHC LUMBAR PUNC DIAGNOSTC	$146.52	$220.00	$119.09–$215.60	—	33%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PF PUNCT SPINAL LUMB DX	$627.38	$942.00	$509.91–$923.16	—	33%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCTURE SPINAL LUMBAR DX	$665.34	$999.00	$540.76–$979.02	—	33%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RHC RPR TRK/NK SMP2.6-7.5	$122.55	$184.00	$47.61–$180.32	82% below	33%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RHC RPR TRK/NK SMP2.6-7.5	$122.55	$184.00	$99.60–$180.32	—	33%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RHC RPR FACE/EAR SMP<=2.5	$110.56	$166.00	$42.95–$162.68	83% below	33%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RHC RPR FACE/EAR SMP<=2.5	$110.56	$166.00	$89.86–$162.68	—	33%
TURP (transurethral resection of the prostate) CPT 52601 PF RESEC PROST TRAN COMP	$1,537.13	$2,308.00	$597.08–$2,261.84	86% below	33%
TURP (transurethral resection of the prostate) inpatient CPT 52601 PF RESEC PROST TRAN COMP	$1,537.13	$2,308.00	$1,249.33–$2,261.84	—	33%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 PF BX SKN TANGENT SNG LES	$71.27	$107.00	$27.69–$104.86	87% below	33%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKN TANGENTIAL SNG LES	$74.60	$112.00	$28.98–$109.76	86% below	33%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 PF BX SKN TANGENT SNG LES	$71.27	$107.00	$57.92–$104.86	—	33%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKN TANGENTIAL SNG LES	$74.60	$112.00	$60.63–$109.76	—	33%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMG UNI	$2,882.45	$4,328.00	$105.95–$4,241.44	42% above	33%
Thoracentesis with imaging guidance one side CPT 32555 PF THORACENTSIS W IMAG LT	$177.16	$266.00	$68.82–$260.68	91% below	33%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMG UNI	$2,882.45	$4,328.00	$2,342.75–$4,241.44	—	33%
Thoracentesis with imaging guidance inpatient one side CPT 32555 PF THORACENTSIS W IMAG LT	$177.16	$266.00	$143.99–$260.68	—	33%
Total hip replacement one side CPT 27130 PF ARTHRO TOTAL HIP LT	$2,500.17	$3,754.00	$971.16–$3,678.92	73% below	33%
Total hip replacement inpatient one side CPT 27130 PF ARTHRO TOTAL HIP LT	$2,500.17	$3,754.00	$2,032.05–$3,678.92	—	33%
Total knee replacement one side CPT 27447 PF ARTHRO TOTAL KNEE LT	$2,670.00	$4,009.00	$1,037.13–$3,928.82	90% below	33%
Total knee replacement inpatient one side CPT 27447 PF ARTHRO TOTAL KNEE LT	$2,670.00	$4,009.00	$2,170.08–$3,928.82	—	33%
Total shoulder replacement both sides CPT 23472 PF ARTHR GHJ TOT SHLD BI	$2,603.40	$3,909.00	$1,011.26–$3,830.82	—	33%
Total shoulder replacement inpatient both sides CPT 23472 PF ARTHR GHJ TOT SHLD BI	$2,603.40	$3,909.00	$2,115.95–$3,830.82	—	33%
Trigger finger release surgery CPT 26055 PF INCISION TENDON SHEATH	$540.13	$811.00	$209.81–$794.78	82% below	33%
Trigger finger release surgery inpatient CPT 26055 PF INCISION TENDON SHEATH	$540.13	$811.00	$439.00–$794.78	—	33%
Trigger point injections, 1 or 2 muscles CPT 20552 PF INJ TRIGGR PT 1-2 MSCL	$67.94	$102.00	$26.39–$99.96	89% below	33%
Trigger point injections, 1 or 2 muscles CPT 20552 RHC INJ MSCL TRIGGR PT1-2	$157.85	$237.00	$52.49–$232.26	75% below	33%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT 1-2 MUSCL	$295.04	$443.00	$52.49–$434.14	53% below	33%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PF INJ TRIGGR PT 1-2 MSCL	$67.94	$102.00	$55.22–$99.96	—	33%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 RHC INJ MSCL TRIGGR PT1-2	$157.85	$237.00	$128.29–$232.26	—	33%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PT 1-2 MUSCL	$280.39	$421.00	$227.89–$412.58	—	33%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 PF BX BREAST US PERC 1ST	$251.09	$377.00	$97.53–$377.00	92% below	33%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST US PERC 1ST UNI	$1,507.83	$2,264.00	$585.70–$2,218.72	51% below	33%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 PF BX BREAST US PERC 1ST	$251.09	$377.00	$204.08–$369.46	—	33%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST US PERC 1ST UNI	$2,835.83	$4,258.00	$2,304.86–$4,172.84	—	33%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 PF EGD W BLN DILAT <30MM	$344.33	$517.00	$133.75–$506.66	86% below	33%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 PF EGD W BLN DILAT <30MM	$344.33	$517.00	$279.86–$506.66	—	33%
Upper endoscopy (EGD) with biopsy CPT 43239 PF UPPER GI ENDOSCOP BX	$710.63	$1,067.00	$268.73–$1,045.66	60% below	33%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PF UPPER GI ENDOSCOP BX	$710.63	$1,067.00	$577.57–$1,045.66	—	33%
Upper endoscopy (EGD) with injection into the lining CPT 43236 PF EGD W/SUBMUCOSAL INJ	$262.41	$394.00	$101.93–$386.12	86% below	33%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 PF EGD W/SUBMUCOSAL INJ	$262.41	$394.00	$213.28–$386.12	—	33%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 PF EGD SNARE TUMOR/POLYP	$430.91	$647.00	$167.38–$634.06	87% below	33%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 PF EGD SNARE TUMOR/POLYP	$430.91	$647.00	$350.23–$634.06	—	33%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 PF EGD W G WIRE AND DILAT	$373.63	$561.00	$145.14–$549.78	78% below	33%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 PF EGD W G WIRE AND DILAT	$373.63	$561.00	$303.67–$549.78	—	33%
Upper endoscopy (EGD), diagnostic CPT 43235 PF UPPER GI ENDOSCOP DIAG	$616.05	$925.00	$239.30–$906.50	67% below	33%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PF UPPER GI ENDOSCOP DIAG	$616.05	$925.00	$500.71–$906.50	—	33%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 PF EGD TRANSMUR DRN CYST	$733.94	$1,102.00	$285.09–$1,079.96	90% below	33%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 PF EGD TRANSMUR DRN CYST	$733.94	$1,102.00	$596.52–$1,079.96	—	33%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 PF CYSTO URETER/PYE LITHO	$754.58	$1,133.00	$293.11–$1,110.34	94% below	33%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 PF CYSTO URETER/PYE LITHO	$754.58	$1,133.00	$613.30–$1,110.34	—	33%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 PF VASECTOMY UNI OR BIL	$420.25	$631.00	$163.24–$618.38	84% below	33%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 RHC VASECTOMY UNI OR BIL	$1,442.56	$2,166.00	$299.06–$2,122.68	44% below	33%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 PF VASECTOMY UNI OR BIL	$420.25	$631.00	$341.57–$618.38	—	33%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 RHC VASECTOMY UNI OR BIL	$1,442.56	$2,166.00	$1,172.46–$2,122.68	—	33%
Wart removal, up to 14 warts CPT 17110 RHC LES BENIGN DESTR 1-14	$87.92	$132.00	$34.15–$129.36	75% below	33%
Wart removal, up to 14 warts CPT 17110 LESION BENIGN DESTR 1-14	$87.92	$132.00	$34.15–$129.36	75% below	33%
Wart removal, up to 14 warts CPT 17110 PF LESN WRT/MILIA DES<=14	$121.22	$182.00	$47.09–$178.36	66% below	33%
Wart removal, up to 14 warts inpatient CPT 17110 LESION BENIGN DESTR 1-14	$87.92	$132.00	$71.46–$129.36	—	33%
Wart removal, up to 14 warts inpatient CPT 17110 RHC LES BENIGN DESTR 1-14	$87.92	$132.00	$71.46–$129.36	—	33%
Wart removal, up to 14 warts inpatient CPT 17110 PF LESN WRT/MILIA DES<=14	$121.22	$182.00	$98.52–$178.36	—	33%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PF DEBR SUBQ TISS 1ST 20	$81.92	$123.00	$31.83–$120.54	88% below	33%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 RHC DEBR SUBQ TISS 1ST 20	$261.74	$393.00	$101.67–$385.14	62% below	33%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PF DEBR SUBQ TISS 1ST 20	$81.92	$123.00	$66.58–$120.54	—	33%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 RHC DEBR SUBQ TISS 1ST 20	$261.74	$393.00	$212.74–$385.14	—	33%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 PF TX FX RAD EXTR ART LT	$1,274.73	$1,914.00	$495.16–$1,875.72	74% below	33%
Wrist fracture surgery (plate and screws), distal radius inpatient one side CPT 25607 PF TX FX RAD EXTR ART LT	$1,274.73	$1,914.00	$1,036.05–$1,875.72	—	33%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/BLD COMP	$1,328.01	$1,994.00	$515.85–$1,954.12	52% above	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLD/BLD COMP	$1,328.01	$1,994.00	$1,079.36–$1,954.12	—	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RHC TX INHAL INIT EA DAY	$257.08	$386.00	$20.84–$378.28	17% below	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX INIT W VENT/DAY	$259.74	$390.00	$20.84–$382.20	16% below	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX INIT W VENT/DAY	$251.75	$378.00	$204.62–$370.44	—	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RHC TX INHAL INIT EA DAY	$257.08	$386.00	$208.95–$378.28	—	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX INITIAL EA DAY	$259.74	$390.00	$211.11–$382.20	—	33%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INIT 1ST HR	$1,154.85	$1,734.00	$32.81–$1,699.32	32% above	33%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF INIT 1ST HR	$1,154.85	$1,734.00	$938.62–$1,699.32	—	33%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 RHC EVAL AUDIO THRES COMP	$68.60	$103.00	$26.65–$100.94	88% below	33%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 RHC EVAL AUDIO THRES COMP	$68.60	$103.00	$55.76–$100.94	—	33%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74MIN	$3,850.15	$5,781.00	$216.64–$5,665.38	22% below	33%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30-74MIN	$3,850.15	$5,781.00	$3,129.26–$5,665.38	—	33%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$616.05	$925.00	$86.73–$906.50	31% below	33%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$616.05	$925.00	$500.71–$906.50	—	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RHC ECG 12 LD TRACE ONLY	$248.42	$373.00	$18.82–$365.54	27% below	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD TRACING ONLY	$263.74	$396.00	$18.82–$388.08	22% below	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 RHC ECG 12 LD TRACE ONLY	$248.42	$373.00	$201.91–$365.54	—	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD TRACING ONLY	$263.74	$396.00	$214.36–$388.08	—	33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PF ER LEVEL 1	$41.30	$62.00	$16.04–$60.76	89% below	33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1	$262.41	$394.00	$21.77–$386.12	32% below	33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 PF ER LEVEL 1	$41.30	$62.00	$33.57–$60.76	—	33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1	$262.41	$394.00	$213.28–$386.12	—	33%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PF ER LEVEL 2	$81.26	$122.00	$31.57–$119.56	89% below	33%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2	$458.88	$689.00	$34.97–$675.22	39% below	33%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 PF ER LEVEL 2	$81.26	$122.00	$66.04–$119.56	—	33%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2	$458.88	$689.00	$372.96–$675.22	—	33%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PF ER LEVEL 3	$120.55	$181.00	$46.83–$177.38	90% below	33%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3	$746.59	$1,121.00	$63.97–$1,098.58	38% below	33%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 PF ER LEVEL 3	$120.55	$181.00	$97.98–$177.38	—	33%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3	$746.59	$1,121.00	$606.80–$1,098.58	—	33%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PF ER LEVEL 4	$237.10	$356.00	$92.10–$348.88	88% below	33%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4	$1,310.03	$1,967.00	$98.04–$1,927.66	33% below	33%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 PF ER LEVEL 4	$237.10	$356.00	$192.71–$348.88	—	33%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4	$1,310.03	$1,967.00	$1,064.74–$1,927.66	—	33%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PF ER LEVEL 5	$357.65	$537.00	$138.93–$526.26	89% below	33%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5	$1,886.78	$2,833.00	$155.03–$2,776.34	43% below	33%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PF ER LEVEL 5	$357.65	$537.00	$290.68–$526.26	—	33%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5	$1,886.78	$2,833.00	$1,533.51–$2,776.34	—	33%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM CARDIOVAS STRES TEST	$476.86	$716.00	$60.24–$701.68	61% below	33%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVAS STR TEST WO RX	$874.46	$1,313.00	$60.24–$1,286.74	28% below	33%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVAS STR TEST W RX	$946.39	$1,421.00	$60.24–$1,392.58	22% below	33%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CARDIOVAS STRES TEST	$476.86	$716.00	$387.58–$701.68	—	33%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVAS STR TEST WO RX	$874.46	$1,313.00	$710.73–$1,286.74	—	33%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVAS STR TEST W RX	$946.39	$1,421.00	$769.19–$1,392.58	—	33%
Family therapy without the patient, 50 minutes CPT 90846 PF FAM PSYCH WO PT 50 MIN	$176.49	$265.00	$68.56–$259.70	48% below	33%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PF FAM PSYCH WO PT 50 MIN	$176.49	$265.00	$143.45–$259.70	—	33%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRA INIT 31-60MN	$577.43	$867.00	$63.71–$849.66	27% above	33%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRA INIT 31-60MN	$415.59	$624.00	$337.78–$611.52	—	33%
IV infusion of a medicine, first hour CPT 96365 INF TX/DX/PRO INIT 1ST HR	$692.64	$1,040.00	$71.83–$1,019.20	45% above	33%
IV infusion of a medicine, first hour inpatient CPT 96365 INF TX/DX/PRO INIT 1ST HR	$415.59	$624.00	$337.78–$611.52	—	33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 RHC INJ TX/DX/PROP SUB/IM	$33.97	$51.00	$13.20–$49.98	78% below	33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PF INJ TX/DX/PROPH SUB/IM	$37.97	$57.00	$14.75–$55.86	76% below	33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/DX/PROPH SUBQ/IM	$132.54	$199.00	$21.52–$195.02	15% below	33%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RHC INJ TX/DX/PROP SUB/IM	$33.97	$51.00	$27.61–$49.98	—	33%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PF INJ TX/DX/PROPH SUB/IM	$37.97	$57.00	$30.86–$55.86	—	33%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/DX/PROPH SUBQ/IM	$101.90	$153.00	$82.82–$149.94	—	33%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 RHC PSYCH DX EVALUATION	$230.44	$346.00	$89.52–$339.08	28% below	33%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 RHC PSYCH DX EVALUATION	$230.44	$346.00	$187.29–$339.08	—	33%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 PF NERVE CONDUCT 7-8 STUD	$172.50	$259.00	$67.01–$253.82	84% below	33%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCT 7-8 STUDIES	$190.48	$286.00	$73.99–$280.28	82% below	33%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 PF NERVE CONDUCT 7-8 STUD	$172.50	$259.00	$140.20–$253.82	—	33%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCT 7-8 STUDIES	$190.48	$286.00	$154.82–$280.28	—	33%
New patient office visit, about 30 minutes CPT 99203 RHC VISIT LOW 30MN NW PT	$102.57	$154.00	$39.84–$150.92	43% below	33%
New patient office visit, about 30 minutes CPT 99203 PF VISIT LOW 30MN NW PT	$165.84	$249.00	$64.42–$244.02	8% below	33%
New patient office visit, about 30 minutes CPT 99203 VISIT LOW 30MN NW PT	$175.16	$263.00	$68.04–$257.74	2% below	33%
New patient office visit, about 30 minutes inpatient CPT 99203 RHC VISIT LOW 30MN NW PT	$102.57	$154.00	$83.37–$150.92	—	33%
New patient office visit, about 30 minutes inpatient CPT 99203 PF VISIT LOW 30MN NW PT	$165.84	$249.00	$134.79–$244.02	—	33%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT LOW 30MN NW PT	$175.16	$263.00	$142.37–$257.74	—	33%
New patient office visit, about 45 minutes CPT 99204 RHC VISIT MDT 45MN NW PT	$151.19	$227.00	$58.73–$222.46	36% below	33%
New patient office visit, about 45 minutes CPT 99204 PF VISIT MDT 45MN NW PT	$253.08	$380.00	$98.31–$372.40	7% above	33%
New patient office visit, about 45 minutes CPT 99204 VISIT MDT 45MN NW PT	$291.05	$437.00	$113.06–$428.26	23% above	33%
New patient office visit, about 45 minutes inpatient CPT 99204 RHC VISIT MDT 45MN NW PT	$151.19	$227.00	$122.88–$222.46	—	33%
New patient office visit, about 45 minutes inpatient CPT 99204 PF VISIT MDT 45MN NW PT	$253.08	$380.00	$205.70–$372.40	—	33%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT MDT 45MN NW PT	$291.05	$437.00	$236.55–$428.26	—	33%
New patient office visit, about 60 minutes CPT 99205 RHC VISIT HIGH 60MN NW PT	$199.80	$300.00	$77.61–$294.00	30% below	33%
New patient office visit, about 60 minutes CPT 99205 PF VISIT HIGH 60MN NW PT	$314.36	$472.00	$122.11–$462.56	10% above	33%
New patient office visit, about 60 minutes CPT 99205 VISIT HIGH 60MN NW PT	$402.27	$604.00	$147.33–$591.92	41% above	33%
New patient office visit, about 60 minutes inpatient CPT 99205 RHC VISIT HIGH 60MN NW PT	$199.80	$300.00	$162.39–$294.00	—	33%
New patient office visit, about 60 minutes inpatient CPT 99205 PF VISIT HIGH 60MN NW PT	$314.36	$472.00	$255.50–$462.56	—	33%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT HIGH 60MN NW PT	$402.27	$604.00	$326.95–$591.92	—	33%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT	$59.28	$89.00	$23.03–$87.22	55% below	33%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 RHC VISIT STFD 15MN NW PT	$94.58	$142.00	$36.74–$139.16	29% below	33%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PF VISIT STFD 15MIN NW PT	$115.89	$174.00	$45.02–$170.52	13% below	33%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT	$59.28	$89.00	$48.18–$87.22	—	33%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 RHC VISIT STFD 15MN NW PT	$94.58	$142.00	$76.87–$139.16	—	33%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PF VISIT STFD 15MIN NW PT	$115.89	$174.00	$94.19–$170.52	—	33%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 PF MNT NUTRITION INI EA15	$23.98	$36.00	$9.32–$35.28	76% below	33%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 RHC MNT NUTR IND INI EA15	$123.21	$185.00	$30.35–$181.30	24% above	33%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 PF MNT NUTRITION INI EA15	$23.98	$36.00	$19.49–$35.28	—	33%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 RHC MNT NUTR IND INI EA15	$123.21	$185.00	$100.15–$181.30	—	33%
Psychotherapy session, 30 minutes CPT 90832 RHC PSYCHOTH PT 16-37M GT	$149.85	$225.00	$58.21–$220.50	50% below	33%
Psychotherapy session, 30 minutes CPT 90832 RHC PSYCHOTH PT 16-37 MIN	$165.84	$249.00	$60.67–$244.02	45% below	33%
Psychotherapy session, 30 minutes inpatient CPT 90832 RHC PSYCHOTH PT 16-37M GT	$149.85	$225.00	$121.80–$220.50	—	33%
Psychotherapy session, 30 minutes inpatient CPT 90832 RHC PSYCHOTH PT 16-37 MIN	$165.84	$249.00	$134.79–$244.02	—	33%
Psychotherapy session, 45 minutes CPT 90834 RHC PSYCHOTH PAT 38-52 MN	$220.45	$331.00	$77.07–$324.38	31% below	33%
Psychotherapy session, 45 minutes inpatient CPT 90834 RHC PSYCHOTH PAT 38-52 MN	$220.45	$331.00	$179.18–$324.38	—	33%
Psychotherapy session, 60 minutes CPT 90837 RHC PSYCHOTH PAT >53 MIN	$352.32	$529.00	$112.48–$518.42	3% above	33%
Psychotherapy session, 60 minutes inpatient CPT 90837 RHC PSYCHOTH PAT >53 MIN	$352.32	$529.00	$286.35–$518.42	—	33%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO COUNSELING 3-10MN	$64.61	$97.00	$10.41–$95.06	17% above	33%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 RHC COUNSL SMOK/TOBAC3-10	$67.94	$102.00	$10.41–$99.96	23% above	33%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO COUNSELING 3-10MN	$64.61	$97.00	$52.51–$95.06	—	33%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 RHC COUNSL SMOK/TOBAC3-10	$67.94	$102.00	$55.22–$99.96	—	33%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 RHC VISIT HIGH 40MN EST	$185.15	$278.00	$71.92–$272.44	15% below	33%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PF VISIT HIGH 40MN EST PT	$221.78	$333.00	$86.15–$326.34	1% above	33%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT HIGH 40MN EST PT	$317.69	$477.00	$101.90–$467.46	45% above	33%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 RHC VISIT HIGH 40MN EST	$185.15	$278.00	$150.49–$272.44	—	33%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PF VISIT HIGH 40MN EST PT	$221.78	$333.00	$180.26–$326.34	—	33%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT HIGH 40MN EST PT	$317.69	$477.00	$258.21–$467.46	—	33%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHC VISIT LOW 20MN EST PT	$93.24	$140.00	$36.22–$137.20	35% below	33%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PF VISIT LOW 20MN EST PT	$111.89	$168.00	$42.76–$164.64	22% below	33%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LOW 20MN EST PT	$138.53	$208.00	$42.76–$203.84	4% below	33%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RHC VISIT LOW 20MN EST PT	$93.24	$140.00	$75.79–$137.20	—	33%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PF VISIT LOW 20MN EST PT	$111.89	$168.00	$90.94–$164.64	—	33%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT LOW 20MN EST PT	$138.53	$208.00	$112.60–$203.84	—	33%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHC VISIT MDT 30MN EST PT	$143.19	$215.00	$55.63–$210.70	18% below	33%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PF VISIT MDT 30MN EST PT	$165.17	$248.00	$64.16–$243.04	6% below	33%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT MDT 30MN EST PT	$212.46	$319.00	$66.81–$312.62	21% above	33%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 RHC VISIT MDT 30MN EST PT	$143.19	$215.00	$116.38–$210.70	—	33%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PF VISIT MDT 30MN EST PT	$165.17	$248.00	$134.25–$243.04	—	33%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT MDT 30MN EST PT	$212.46	$319.00	$172.68–$312.62	—	33%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RHC VST STFD 10MN EST PT	$21.32	$32.00	$8.28–$32.00	81% below	33%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT STFD 10MN EST PT	$31.97	$48.00	$12.42–$47.04	72% below	33%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PF VISIT STFD 10MN EST PT	$68.60	$103.00	$26.65–$100.94	39% below	33%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RHC VST STFD 10MN EST PT	$21.32	$32.00	$17.33–$31.36	—	33%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT STFD 10MN EST PT	$31.97	$48.00	$25.99–$47.04	—	33%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PF VISIT STFD 10MN EST PT	$68.60	$103.00	$55.76–$100.94	—	33%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF OFF/OUTPT CNSL LOW	$209.79	$315.00	$81.50–$308.70	15% above	33%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF OFF/OUTPT CNSL LOW	$209.79	$315.00	$170.51–$308.70	—	33%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF OFF/OUTPT CONSULT MOD	$319.02	$479.00	$123.92–$469.42	35% above	33%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF OFF/OUTPT CONSULT MOD	$319.02	$479.00	$259.29–$469.42	—	33%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$154.52	$232.00	$28.23–$227.36	52% below	33%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$154.52	$232.00	$125.59–$227.36	—	33%
Spirometry before and after a bronchodilator CPT 94060 BRNCHSPASM EVAL PRE/POST	$546.79	$821.00	$51.67–$804.58	29% below	33%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRNCHSPASM EVAL PRE/POST	$546.79	$821.00	$444.41–$804.58	—	33%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT	$305.70	$459.00	$18.82–$449.82	2% above	33%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT	$305.70	$459.00	$248.46–$449.82	—	33%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACPF1350U/0.5	$594.76	$893.03	$231.03–$875.17	90% above	33%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACPF1350U/0.5	$594.76	$893.03	$483.40–$875.17	—	33%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC PF TR SV 0.5MLPFS	$23.31	$35.00	$9.06–$34.30	31% below	33%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC PF TR SV 0.5MLPFS	$23.31	$35.00	$18.95–$34.30	—	33%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV VACC 9-VAL 0.5ML IM	$1,001.41	$1,503.61	$388.99–$1,473.54	160% above	33%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV VACC 9-VAL 0.5ML IM	$1,001.41	$1,503.61	$813.91–$1,473.54	—	33%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A-B VACC PF 20MCG INJ	$427.28	$641.56	$165.98–$628.73	176% above	33%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A-B VACC PF 20MCG INJ	$427.28	$641.56	$347.28–$628.73	—	33%
Hepatitis A vaccine, adult dose CPT 90632 HEPAT A VACC 1440U 1ML IN	$238.23	$357.70	$92.54–$350.55	71% above	33%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPAT A VACC 1440U 1ML IN	$238.23	$357.70	$193.63–$350.55	—	33%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACC 10MCG/1ML INJ	$17.32	$26.00	$6.73–$25.48	80% below	33%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPAT B VACC 20MCG 1ML IN	$202.66	$304.29	$78.72–$298.21	140% above	33%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACC 10MCG/1ML INJ	$17.32	$26.00	$14.08–$25.48	—	33%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPAT B VACC 20MCG 1ML IN	$202.66	$304.29	$164.72–$298.21	—	33%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC PF SV HD .5MLPFS	$73.26	$110.00	$28.46–$107.80	42% below	33%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC PF SV HD .5MLPFS	$73.26	$110.00	$59.55–$107.80	—	33%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC	$303.34	$455.46	$117.83–$446.36	159% above	33%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC	$303.34	$455.46	$246.55–$446.36	—	33%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC ACYW PF0.5MLIM	$482.99	$725.20	$187.61–$710.70	85% above	33%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC ACYW PF0.5MLIM	$482.99	$725.20	$392.56–$710.70	—	33%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOC B OMV 0.5MLVACC	$582.52	$874.65	$226.28–$857.16	103% above	33%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOC B OMV 0.5MLVACC	$582.52	$874.65	$473.45–$857.16	—	33%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOC VACC 23 VALENT	$382.08	$573.69	$148.42–$562.22	136% above	33%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOC VACC 23 VALENT	$382.08	$573.69	$310.54–$562.22	—	33%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSV VACC ADJ 120MCG/0.5ML	$959.44	$1,440.60	$372.69–$1,411.79	180% above	33%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RSV VACC ADJ 120MCG/0.5ML	$959.44	$1,440.60	$779.80–$1,411.79	—	33%
Rabies vaccine, one dose CPT 90675 RABIES VACC 2.5IU/ML 1ML	$1,415.70	$2,125.67	$549.92–$2,083.16	100% above	33%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC 2.5IU/ML 1ML	$1,415.70	$2,125.67	$1,150.63–$2,083.16	—	33%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOM ADJ0.5ML	$703.30	$1,056.00	$273.19–$1,034.88	224% above	33%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOM ADJ0.5ML	$703.30	$1,056.00	$571.62–$1,034.88	—	33%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP PF 0.5ML>=7YR SYR	$126.66	$190.17	$49.20–$186.37	60% above	33%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP PF 0.5ML>=7YR SYR	$126.66	$190.17	$102.94–$186.37	—	33%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 0.5ML >=7YR IM	$151.75	$227.85	$58.95–$223.30	80% above	33%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 0.5ML >=7YR IM	$151.75	$227.85	$123.34–$223.30	—	33%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RHC ADMIN HEP B VACCINE	$17.99	$27.00	$6.99–$26.46	82% below	33%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RHC ADMIN OTH IMM VAC ONE	$19.98	$30.00	$7.77–$29.40	80% below	33%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INFLUENZA VACCINE	$65.27	$98.00	$25.36–$96.04	35% below	33%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OTHER IMMUN VAC ONE	$101.90	$153.00	$39.59–$149.94	1% above	33%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 RHC ADMIN HEP B VACCINE	$17.99	$27.00	$14.62–$26.46	—	33%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 RHC ADMIN OTH IMM VAC ONE	$19.98	$30.00	$16.24–$29.40	—	33%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INFLUENZA VACCINE	$65.27	$98.00	$53.05–$96.04	—	33%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN OTHER IMMUN VAC ONE	$101.90	$153.00	$82.82–$149.94	—	33%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 RHC ADMIN OTH IMM VAC ADD	$19.98	$30.00	$7.77–$29.40	70% below	33%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN OTHER IMMUN VAC ADD	$127.88	$192.00	$49.68–$188.16	89% above	33%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 RHC ADMIN OTH IMM VAC ADD	$19.98	$30.00	$16.24–$29.40	—	33%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN OTHER IMMUN VAC ADD	$127.88	$192.00	$103.93–$188.16	—	33%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/dhcva/cacv/finance/price-transparency/680127677-1508968819_mark-twain-medical-center_standardcharges.json