Windom Area Hospital
Windom Area Hospital in Windom, MN publishes cash prices for 319 common procedures listed here, from its own machine-readable price file updated Feb 3, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Minnesota median for 161 of 285 procedures and above it for 119. By typical cash price it ranks #36 of 79 Minnesota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
2150 Hospital Drive, Windom, MN 56101 Collected Sep 27, 2026 Source price file (507) 831-2400
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 241332 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 RAD EXAM ANKLE MIN 3 VWS | $228.48 | $336.00 | $127.65–$319.20 | 4% above | 32% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 RAD EXAM ANKLE MIN 3 VWS | $228.48 | $336.00 | $127.65–$314.50 | — | 32% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 LIMITED BILAT PHYSIOLOGIC STUDIES EXT ART 1-2 LVLS | $179.52 | $264.00 | $100.29–$250.80 | — | 32% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 PF 93922 ANKLE BRACHI INDX BIL | $163.88 | $241.00 | $79.86–$147.74 | 56% below | 32% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 UNILAT PHYSIOLOGIC STUDIES EXT ART 1-2 LVLS 52 MOD | $179.52 | $264.00 | $100.29–$250.80 | 52% below | 32% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 UNILAT PHYSIOLOGIC STUDIES EXT ART 3+ LVLS | $1,071.00 | $1,575.00 | $598.34–$1,496.25 | 189% above | 32% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 LIMITED BILAT PHYSIOLOGIC STUDIES EXT ART 1-2 LVLS | $53.06 | $78.02 | $29.64–$73.03 | — | 32% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 PF 93922 ANKLE BRACHI INDX BIL | $163.88 | $241.00 | $79.86–$147.74 | — | 32% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 UNILAT PHYSIOLOGIC STUDIES EXT ART 3+ LVLS | $80.37 | $118.18 | $44.90–$110.62 | — | 32% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 UNILAT PHYSIOLOGIC STUDIES EXT ART 1-2 LVLS 52 MOD | $179.52 | $264.00 | $100.29–$247.10 | — | 32% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RAD EXAM ESOPHAGUS | $475.32 | $699.00 | $265.55–$664.05 | 63% above | 32% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RAD EXAM ESOPHAGUS | $475.32 | $699.00 | $265.55–$654.26 | — | 32% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE AND OR JNT IMG WHOLE BODY | $189.85 | $279.18 | $106.06–$265.22 | 84% below | 32% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE AND OR JNT IMG WHOLE BODY | $189.85 | $279.18 | $106.06–$261.31 | — | 32% |
| Breast ultrasound, complete, one breast one side CPT 76641 US UNILATERAL BREAST COMPLETE | $686.12 | $1,009.00 | $383.32–$958.55 | 82% above | 32% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US UNILATERAL BREAST COMPLETE | $686.12 | $1,009.00 | $383.32–$944.42 | — | 32% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US UNILATERAL BREAST LIMITED | $612.68 | $901.00 | $342.29–$855.95 | 95% above | 32% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US UNILATERAL BREAST LIMITED | $612.68 | $901.00 | $342.29–$843.34 | — | 32% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS WO CONTRAST | $3,408.16 | $5,012.00 | $1,904.06–$4,761.40 | 79% above | 32% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS WO CONTRAST | $3,408.16 | $5,012.00 | $1,904.06–$4,691.23 | — | 32% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W CONTRAST | $3,906.60 | $5,745.00 | $2,182.53–$5,457.75 | 59% above | 32% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W CONTRAST | $3,906.60 | $5,745.00 | $2,182.53–$5,377.32 | — | 32% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS WO THEN W CONT | $4,041.92 | $5,944.00 | $2,258.13–$5,646.80 | 57% above | 32% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST | $1,704.08 | $2,506.00 | $952.03–$2,380.70 | 45% above | 32% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST | $1,704.08 | $2,506.00 | $952.03–$2,345.62 | — | 32% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CONT | $1,493.28 | $2,196.00 | $834.26–$2,086.20 | 20% above | 32% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST | $1,493.28 | $2,196.00 | $834.26–$2,086.20 | 19% above | 32% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CONT | $1,704.08 | $2,506.00 | $952.03–$2,380.70 | 25% above | 32% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CONTRAST | $1,704.08 | $2,506.00 | $952.03–$2,345.62 | — | 32% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUP CAROTID BILAT | $1,336.20 | $1,965.00 | $746.50–$1,866.75 | — | 32% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUP CAROTID BILAT | $115.26 | $169.50 | $64.39–$158.65 | — | 32% |
| Chest X-ray, 2 views CPT 71046 RAD EXAM CHEST 2 VWS | $242.76 | $357.00 | $135.62–$339.15 | 5% above | 32% |
| Chest X-ray, 2 views inpatient CPT 71046 RAD EXAM CHEST 2 VWS | $242.76 | $357.00 | $135.62–$334.15 | — | 32% |
| Chest X-ray, single view CPT 71045 RAD EXAM CHEST SINGLE VW | $146.20 | $215.00 | $81.68–$204.25 | 18% below | 32% |
| Chest X-ray, single view inpatient CPT 71045 RAD EXAM CHEST SINGLE VW | $146.20 | $215.00 | $81.68–$201.24 | — | 32% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM | $816.00 | $1,200.00 | $455.88–$1,140.00 | 57% above | 32% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY DEXA AXIAL SKELET | $648.72 | $954.00 | $362.42–$892.94 | — | 32% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PG UTR TRNSABD SG | $686.12 | $1,009.00 | $383.32–$958.55 | 51% above | 32% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PG UTR TRNSABD SG | $686.12 | $1,009.00 | $383.32–$944.42 | — | 32% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DIAGNOSTIC WO CONTRAST | $1,704.08 | $2,506.00 | $952.03–$2,345.62 | — | 32% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DIAGNOSTIC WITH CONTRAST | $2,203.20 | $3,240.00 | $1,230.88–$3,078.00 | 47% above | 32% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DIAGNOSTIC WITH CONTRAST | $2,203.20 | $3,240.00 | $1,230.88–$3,032.64 | — | 32% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX BILAT INCL CAD | $924.80 | $1,360.00 | $516.66–$1,292.00 | — | 32% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX BILAT INCL CAD | $924.80 | $1,360.00 | $516.66–$1,272.96 | — | 32% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX UNILAT INCL CAD | $747.32 | $1,099.00 | $417.51–$1,044.05 | 140% above | 32% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX UNILAT INCL CAD | $747.32 | $1,099.00 | $417.51–$1,028.66 | — | 32% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX ART LOWER EXT CMPL BILAT | $932.28 | $1,371.00 | $520.84–$1,302.45 | — | 32% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX ART LOWER EXT CMPL BILAT | $155.94 | $229.32 | $87.12–$214.64 | — | 32% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS EXT CMPL BILAT | $114.27 | $168.04 | $63.84–$159.64 | — | 32% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX VENOUS EXT CMPL BILAT | $114.27 | $168.04 | $63.84–$157.29 | — | 32% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO (2D) COMPLETE W DOPPLER & COLOR | $1,415.08 | $2,081.00 | $790.57–$1,947.82 | — | 32% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY IMG INCL GALLBLADDER | $1,164.16 | $1,712.00 | $650.39–$1,626.40 | 13% below | 32% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY IMG INCL GALLBLADDER | $1,164.16 | $1,712.00 | $650.39–$1,602.43 | — | 32% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 UNATTENDED SLEEP STUDY 95806 | $612.68 | $901.00 | $342.29–$855.95 | at median | 32% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 UNATTENDED SLEEP STUDY 95806 | $612.68 | $901.00 | $342.29–$843.34 | — | 32% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CONTRACTED PSG CPAP TITRATION | $1,746.24 | $2,568.00 | $975.58–$2,439.60 | 50% below | 32% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY SPLT NGHT 95811 | $2,946.44 | $4,333.00 | $1,646.11–$4,116.35 | 15% below | 32% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CONTRACTED PSG CPAP TITRATION | $1,746.24 | $2,568.00 | $975.58–$2,403.65 | — | 32% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY SPLT NGHT 95811 | $2,946.44 | $4,333.00 | $1,646.11–$4,055.69 | — | 32% |
| Knee X-ray, 3 views CPT 73562 RAD EXAM KNEE 3 VWS | $299.88 | $441.00 | $167.54–$418.95 | 29% above | 32% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED | $724.20 | $1,065.00 | $404.59–$996.84 | — | 32% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LW DOSE LUNG CA SCR NO CONTRAST | $578.00 | $850.00 | $322.92–$807.50 | at median | 32% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LW DOSE LUNG CA SCR NO CONTRAST | $578.00 | $850.00 | $322.92–$795.60 | — | 32% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JT WO CONTRAST | $2,451.40 | $3,605.00 | $1,369.54–$3,424.75 | 38% above | 32% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JT WO THEN W CONT | $253.61 | $372.95 | $141.68–$354.30 | 90% below | 32% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JT WO THEN W CONT | $253.61 | $372.95 | $141.68–$349.08 | — | 32% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST | $2,451.40 | $3,605.00 | $1,369.54–$3,374.28 | — | 32% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST | $2,451.40 | $3,605.00 | $1,369.54–$3,374.28 | — | 32% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO THEN W CONT | $3,234.76 | $4,757.00 | $1,807.18–$4,452.55 | — | 32% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE WO CONTRAST | $2,451.40 | $3,605.00 | $1,369.54–$3,424.75 | 15% above | 32% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SPINE WO CONTRAST | $2,451.40 | $3,605.00 | $1,369.54–$3,374.28 | — | 32% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE WO CONTRAST | $2,451.40 | $3,605.00 | $1,369.54–$3,424.75 | 16% above | 32% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SPINE WO CONTRAST | $2,451.40 | $3,605.00 | $1,369.54–$3,374.28 | — | 32% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST | $2,451.40 | $3,605.00 | $1,369.54–$3,374.28 | — | 32% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JT WO CONTRAST | $2,451.40 | $3,605.00 | $1,369.54–$3,424.75 | 16% above | 32% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JT WO CONTRAST | $2,451.40 | $3,605.00 | $1,369.54–$3,374.28 | — | 32% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT SKULL BASE TO MID THIGH | $4,760.00 | $7,000.00 | $2,659.30–$6,650.00 | 86% above | 32% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT SKULL BASE TO MID THIGH | $4,760.00 | $7,000.00 | $2,659.30–$6,552.00 | — | 32% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED | $418.88 | $616.00 | $234.02–$585.20 | 37% above | 32% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE | $630.36 | $927.00 | $352.17–$867.67 | — | 32% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PG UTR 2-3TRI SGL 1ST | $64.69 | $95.12 | $36.14–$90.36 | 86% below | 32% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PG UTR 2-3TRI SGL 1ST | $686.12 | $1,009.00 | $383.32–$944.42 | — | 32% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG UTER 1ST TRI SGL | $51.82 | $76.20 | $28.95–$72.39 | 88% below | 32% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG UTER 1ST TRI SGL | $51.82 | $76.20 | $28.95–$71.32 | — | 32% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB REAL TIME LTD | $565.76 | $832.00 | $316.08–$778.75 | — | 32% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $447.44 | $658.00 | $249.97–$625.10 | — | 32% |
| Screening mammogram, both breasts one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $447.44 | $658.00 | $249.97–$625.10 | 32% above | 32% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $447.44 | $658.00 | $249.97–$615.89 | — | 32% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $447.44 | $658.00 | $249.97–$615.89 | — | 32% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG 4+ PARAMETERS | $2,774.40 | $4,080.00 | $1,549.99–$3,876.00 | 10% below | 32% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 4+ PARAMETERS | $2,774.40 | $4,080.00 | $1,549.99–$3,818.88 | — | 32% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 RAD SWALLOWING FUNC W CINERAD OR VIDEORAD | $71.37 | $104.95 | $39.87–$99.70 | 76% below | 32% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RAD SWALLOWING FUNC W CINERAD OR VIDEORAD | $289.68 | $426.00 | $161.84–$398.74 | — | 32% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $807.16 | $1,187.00 | $450.94–$1,127.65 | 108% above | 32% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $61.47 | $90.39 | $34.34–$84.61 | — | 32% |
| Transvaginal ultrasound during pregnancy CPT 76817 US PG UTR TRANSVAG | $41.67 | $61.27 | $23.28–$58.21 | 88% below | 32% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PG UTR TRANSVAG | $41.67 | $61.27 | $23.28–$57.35 | — | 32% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE | $839.12 | $1,234.00 | $468.80–$1,155.02 | — | 32% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $633.08 | $931.00 | $353.69–$884.45 | 38% above | 32% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $633.08 | $931.00 | $353.69–$871.42 | — | 32% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD NECK | $720.12 | $1,059.00 | $402.31–$1,006.05 | 58% above | 32% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD NECK | $62.21 | $91.48 | $34.75–$85.63 | — | 32% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS EXT LTD UNILAT | $69.14 | $101.67 | $38.62–$96.59 | 87% below | 32% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX VENOUS EXT LTD UNILAT | $896.24 | $1,318.00 | $500.71–$1,233.65 | — | 32% |
| Wrist X-ray, complete, 3 or more views CPT 73110 RAD EXAM WRIST COMPL MIN 3 VWS | $228.48 | $336.00 | $127.65–$319.20 | 4% above | 32% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 RAD EXAM WRIST COMPL MIN 3 VWS | $228.48 | $336.00 | $127.65–$314.50 | — | 32% |
| X-ray of the abdomen, 1 view CPT 74018 RAD EXAM ABDOMEN 1 VW | $274.72 | $404.00 | $153.48–$383.80 | 30% above | 32% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RAD EXAM ABDOMEN 1 VW | $274.72 | $404.00 | $153.48–$378.14 | — | 32% |
| X-ray of the ankle, 2 views inpatient CPT 73600 RAD EXAM ANKLE 2 VWS | $191.08 | $281.00 | $106.75–$263.02 | — | 32% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 RAD EXAM FINGER(S) MIN 2 VWS | $126.48 | $186.00 | $70.66–$174.10 | — | 32% |
| X-ray of the foot, 2 views CPT 73620 RAD EXAM FOOT 2 VWS | $191.08 | $281.00 | $106.75–$266.95 | 15% above | 32% |
| X-ray of the foot, 2 views inpatient CPT 73620 RAD EXAM FOOT 2 VWS | $191.08 | $281.00 | $106.75–$263.02 | — | 32% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 RAD EXAM FOOT MIN 3 VWS | $228.48 | $336.00 | $127.65–$314.50 | — | 32% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 RAD EXAM HAND MIN 3 VWS | $228.48 | $336.00 | $127.65–$314.50 | — | 32% |
| X-ray of the knee, 1 or 2 views CPT 73560 RAD EXAM KNEE 1 OR 2 VWS | $246.84 | $363.00 | $137.90–$344.85 | 31% above | 32% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS | $432.48 | $636.00 | $241.62–$595.30 | — | 32% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 RAD EXAM NASAL BONES COMPL MIN 3 VWS | $228.48 | $336.00 | $127.65–$314.50 | — | 32% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 RAD EXAM SPINE CERV 2 OR 3 VWS | $399.84 | $588.00 | $223.38–$558.60 | 61% above | 32% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 RAD EXAM SPINE CERV 2 OR 3 VWS | $399.84 | $588.00 | $223.38–$550.37 | — | 32% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 RAD EXAM PELVIS 1 OR 2 VWS | $246.84 | $363.00 | $137.90–$339.77 | — | 32% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 RAD EXAM SACRUM COCCYX MIN 2 VWS | $252.96 | $372.00 | $141.32–$353.40 | 11% above | 32% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALANINE AMINO ALT SGPT 84460 | $10.20 | $15.00 | $5.70–$14.04 | — | 32% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL 80074 | $297.16 | $437.00 | $166.02–$415.15 | 27% above | 32% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL 80074 | $297.16 | $437.00 | $166.02–$409.03 | — | 32% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ON PANEL 86003 | $19.72 | $29.00 | $11.02–$27.55 | 30% above | 32% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALERGEN SPEC IGE QNT SO 86003 | $39.44 | $58.00 | $22.03–$55.10 | 159% above | 32% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH 86003 | $39.44 | $58.00 | $22.03–$55.10 | 159% above | 32% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ON PANEL 86003 | $19.72 | $29.00 | $11.02–$27.14 | — | 32% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH 86003 | $39.44 | $58.00 | $22.03–$54.29 | — | 32% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALERGEN SPEC IGE QNT SO 86003 | $39.44 | $58.00 | $22.03–$54.29 | — | 32% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITR PEP AB(CCP) 86200 | $167.28 | $246.00 | $93.46–$233.70 | 300% above | 32% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITR PEP AB(CCP) 86200 | $167.28 | $246.00 | $93.46–$230.26 | — | 32% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY SCRE86038 | $8.23 | $12.09 | $4.59–$11.49 | 82% below | 32% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY SCRE86038 | $127.16 | $187.00 | $71.04–$175.03 | — | 32% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE 83880 | $41.48 | $61.00 | $23.17–$57.95 | 69% below | 32% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PRO B-TYPE NATRIURETIC PEPTIDE 83880.900 | $171.36 | $252.00 | $95.73–$239.40 | 27% above | 32% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE 83880 | $41.48 | $61.00 | $23.17–$57.10 | — | 32% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PRO B-TYPE NATRIURETIC PEPTIDE 83880.900 | $171.36 | $252.00 | $95.73–$235.87 | — | 32% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL 80048 | $9.52 | $14.00 | $5.32–$13.30 | 89% below | 32% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL 80048 | $87.72 | $129.00 | $49.01–$120.74 | — | 32% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH LEVEL IV 88305 | $40.12 | $59.00 | $22.41–$56.05 | 62% below | 32% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PROSTATE BIOPSY 88305.05 | $46.24 | $68.00 | $25.83–$64.60 | 56% below | 32% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH LEVEL IV 88305 | $40.12 | $59.00 | $22.41–$55.22 | — | 32% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PROSTATE BIOPSY 88305.05 | $46.24 | $68.00 | $25.83–$63.65 | — | 32% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES 87040 | $178.16 | $262.00 | $99.53–$245.23 | — | 32% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE 36415 | $8.16 | $12.00 | $4.56–$11.40 | 61% below | 32% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE 36415 | $24.48 | $36.00 | $13.68–$33.70 | — | 32% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD (EXCEPT REAGENT STRIP) 82947 | $10.20 | $15.00 | $5.70–$14.04 | — | 32% |
| Blood lead test CPT 83655 LEAD BLOOD VENOUS 83655.904 | $12.92 | $19.00 | $7.22–$18.05 | 59% below | 32% |
| Blood lead test CPT 83655 LEAD BLOOD 83655.900 | $42.16 | $62.00 | $23.55–$58.90 | 35% above | 32% |
| Blood lead test CPT 83655 LEAD 83655 | $119.00 | $175.00 | $66.48–$166.25 | 281% above | 32% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD VENOUS 83655.904 | $12.92 | $19.00 | $7.22–$17.78 | — | 32% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD 83655.900 | $42.16 | $62.00 | $23.55–$58.03 | — | 32% |
| Blood lead test inpatient CPT 83655 LEAD 83655 | $119.00 | $175.00 | $66.48–$163.80 | — | 32% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL 84703 | $103.36 | $152.00 | $57.74–$144.40 | 49% above | 32% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL 84703 | $103.36 | $152.00 | $57.74–$142.27 | — | 32% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN QUANT 86140 | $80.24 | $118.00 | $44.83–$112.10 | 47% above | 32% |
| C. difficile toxin gene test (stool PCR) CPT 87493 INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE 87493 | $25.35 | $37.27 | $14.16–$35.41 | 81% below | 32% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE 87493 | $159.80 | $235.00 | $89.28–$219.96 | — | 32% |
| CA 19-9 blood test (tumor marker) CPT 86301 CDMR CA 19-9PANCREATIC CANCER86301 | $182.24 | $268.00 | $101.81–$254.60 | 79% above | 32% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CDMR CA 19-9PANCREATIC CANCER86301 | $182.24 | $268.00 | $101.81–$250.85 | — | 32% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CDMR CA 125 86304 | $14.16 | $20.81 | $7.91–$19.77 | 86% below | 32% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CDMR CA 125 86304 | $14.16 | $20.81 | $7.91–$19.48 | — | 32% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CDMR SARS-COV-2 COVID-19 AMP PRB 87635 | $54.40 | $80.00 | $30.39–$76.00 | 55% below | 32% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CDMR SARS-COV-2 COVID-19 AMP PRB 87635 | $102.00 | $150.00 | $56.99–$140.40 | — | 32% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 INFECT AGNT NUCLEIC ACID DNA RNA CHLAMYDIA TRACH AMPLIF PROBE 87491 | $66.64 | $98.00 | $37.23–$93.10 | 29% below | 32% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS OCULAR PERITONEAL NAA 87491.900 | $91.12 | $134.00 | $50.91–$127.30 | 3% below | 32% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA NUCLEIC ACID DETECTION 87491.901 | $91.12 | $134.00 | $50.91–$127.30 | 3% below | 32% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 INFECT AGNT NUCLEIC ACID DNA RNA CHLAMYDIA TRACH AMPLIF PROBE 87491 | $66.64 | $98.00 | $37.23–$91.73 | — | 32% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA NUCLEIC ACID DETECTION 87491.901 | $91.12 | $134.00 | $50.91–$125.42 | — | 32% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS OCULAR PERITONEAL NAA 87491.900 | $91.12 | $134.00 | $50.91–$125.42 | — | 32% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL 80061 | $58.48 | $86.00 | $32.67–$81.70 | 37% below | 32% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL 80061 | $58.48 | $86.00 | $32.67–$80.50 | — | 32% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC 85025 | $13.60 | $20.00 | $7.60–$18.72 | — | 32% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL 80053 | $16.32 | $24.00 | $9.12–$22.80 | 83% below | 32% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION PRODUCTS D-DIMER QUANT 85379 | $47.60 | $70.00 | $26.59–$66.50 | 52% below | 32% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE 82627 | $229.16 | $337.00 | $128.03–$320.15 | 297% above | 32% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE 82627 | $229.16 | $337.00 | $128.03–$315.43 | — | 32% |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL 82670 | $99.28 | $146.00 | $55.47–$138.70 | 50% above | 32% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL 82670 | $99.28 | $146.00 | $55.47–$136.66 | — | 32% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN FOLLICLE STIMULATING HORMONE (FSH) 83001 | $106.76 | $157.00 | $59.64–$149.15 | 51% above | 32% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN FOLLICLE STIMULATING HORMONE (FSH) 83001 | $106.76 | $157.00 | $59.64–$146.95 | — | 32% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN 83993 | $187.68 | $276.00 | $104.85–$262.20 | 123% above | 32% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN 83993 | $187.68 | $276.00 | $104.85–$258.34 | — | 32% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN 82728 | $9.27 | $13.63 | $5.18–$12.95 | 90% below | 32% |
| Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN 82728 | $9.27 | $13.63 | $5.18–$12.76 | — | 32% |
| Folate (folic acid) blood test CPT 82746 FOLATE 82746 | $10.00 | $14.70 | $5.58–$13.97 | 87% below | 32% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE 82746 | $10.00 | $14.70 | $5.58–$13.76 | — | 32% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE 84481 | $73.44 | $108.00 | $41.03–$102.60 | 28% below | 32% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE 84481 | $73.44 | $108.00 | $41.03–$101.09 | — | 32% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE MEASURED 84402.901 | $120.36 | $177.00 | $67.24–$168.15 | 93% above | 32% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE MEASURED 84402.901 | $120.36 | $177.00 | $67.24–$165.67 | — | 32% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $299.20 | $440.00 | $167.16–$418.00 | 21% above | 32% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $299.20 | $440.00 | $167.16–$411.84 | — | 32% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE 82950 | $57.80 | $85.00 | $32.29–$80.75 | 37% above | 32% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOSE DOSE 82950 | $57.80 | $85.00 | $32.29–$79.56 | — | 32% |
| Glucose tolerance test, 3 samples CPT 82951 GLUC TOL 3 SPEC & DOSE 82951 | $338.64 | $498.00 | $189.19–$473.10 | 253% above | 32% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUC TOL 3 SPEC & DOSE 82951 | $338.64 | $498.00 | $189.19–$466.13 | — | 32% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 INFECT AGNT NUCLEIC ACID DNA RNA NEISSERIA GONORRHOEAE AMPLIF PROBE 87591 | $59.16 | $87.00 | $33.05–$82.65 | 30% below | 32% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE OCULAR PERITONEAL NAA 87591.900 | $76.16 | $112.00 | $42.55–$106.40 | 10% below | 32% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE NUCLEIC ACID DETECT 87591.901 | $91.12 | $134.00 | $50.91–$127.30 | 8% above | 32% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 INFECT AGNT NUCLEIC ACID DNA RNA NEISSERIA GONORRHOEAE AMPLIF PROBE 87591 | $59.16 | $87.00 | $33.05–$81.43 | — | 32% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE OCULAR PERITONEAL NAA 87591.900 | $76.16 | $112.00 | $42.55–$104.83 | — | 32% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE NUCLEIC ACID DETECT 87591.901 | $91.12 | $134.00 | $50.91–$125.42 | — | 32% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGM | $300.56 | $442.00 | $167.92–$419.90 | 156% above | 32% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGG 86677 | $314.84 | $463.00 | $175.89–$439.85 | 168% above | 32% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGG 86677 | $11.46 | $16.85 | $6.40–$15.77 | — | 32% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGM | $300.56 | $442.00 | $167.92–$413.71 | — | 32% |
| H. pylori stool antigen test CPT 87338 H PYLORI AG STOOL 87338 | $76.84 | $113.00 | $42.93–$107.35 | 29% below | 32% |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI AG STOOL 87338 | $76.84 | $113.00 | $42.93–$105.77 | — | 32% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA PCR QNT 87536 | $378.76 | $557.00 | $211.60–$529.15 | 230% above | 32% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA PCR QNT 87536 | $378.76 | $557.00 | $211.60–$521.35 | — | 32% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 & 2 RAPID 86703 | $55.76 | $82.00 | $31.15–$77.90 | 16% below | 32% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 & 2 RAPID 86703 | $55.76 | $82.00 | $31.15–$76.75 | — | 32% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG WHIV-1 & HIV-2 AB 87389/G0475 | $622.88 | $916.00 | $347.99–$870.20 | 885% above | 32% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG WHIV-1 & HIV-2 AB 87389/G0475 | $622.88 | $916.00 | $347.99–$857.38 | — | 32% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 INFECT AGNT DNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES 87624 | $152.32 | $224.00 | $85.10–$212.80 | 18% above | 32% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 INFECT AGNT DNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES 87624 | $152.32 | $224.00 | $85.10–$209.66 | — | 32% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C 83036 | $15.64 | $23.00 | $8.74–$21.85 | 73% below | 32% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C 83036 | $58.48 | $86.00 | $32.67–$80.50 | — | 32% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBSAB) 86706 | $41.48 | $61.00 | $23.17–$57.95 | 37% below | 32% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBSAB) 86706 | $41.48 | $61.00 | $23.17–$57.10 | — | 32% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 INFECT AGNT ATGN DETECT IA HEPATITIS B SURFACE ANTIGEN 87340 | $42.84 | $63.00 | $23.93–$59.85 | 20% below | 32% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 INFECT AGNT ATGN DETECT IA HEPATITIS B SURFACE ANTIGEN 87340 | $42.84 | $63.00 | $23.93–$58.97 | — | 32% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY 86803 | $110.84 | $163.00 | $61.92–$154.85 | 39% above | 32% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY 86803 | $20.40 | $30.00 | $11.40–$28.08 | — | 32% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 INFECT AGNT DETECT NUC ACID HEP C QUANT 87522 | $163.88 | $241.00 | $91.56–$228.95 | 32% above | 32% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 INFECT AGNT DETECT NUC ACID HEP C QUANT 87522 | $163.88 | $241.00 | $91.56–$225.58 | — | 32% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLX VIR1 IGG 86695 | $82.28 | $121.00 | $45.97–$114.95 | 78% above | 32% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPES 1 AND 2 | $91.80 | $135.00 | $51.29–$128.25 | 98% above | 32% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLX VIR1 IGG 86695 | $82.28 | $121.00 | $45.97–$113.26 | — | 32% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPES 1 AND 2 | $91.80 | $135.00 | $51.29–$126.36 | — | 32% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SMPLX VIR 2 IGG 86696 | $82.28 | $121.00 | $45.97–$114.95 | 43% above | 32% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SMPLX VIR 2 IGG 86696 | $82.28 | $121.00 | $45.97–$113.26 | — | 32% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HISEN 86141 | $104.04 | $153.00 | $58.12–$145.35 | 47% above | 32% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HISEN 86141 | $104.04 | $153.00 | $58.12–$143.21 | — | 32% |
| Homocysteine blood test CPT 83090 CDMR HOMOCYSTINE 83090 | $333.88 | $491.00 | $186.53–$466.45 | 272% above | 32% |
| Homocysteine blood test inpatient CPT 83090 CDMR HOMOCYSTINE 83090 | $333.88 | $491.00 | $186.53–$459.58 | — | 32% |
| Insulin blood test CPT 83525 INSULIN LEVEL 83525 | $201.28 | $296.00 | $112.45–$281.20 | 267% above | 32% |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL 83525 | $201.28 | $296.00 | $112.45–$277.06 | — | 32% |
| Iron blood test (serum iron) CPT 83540 IRON QUANT TISSUE SO 83540.900 | $34.00 | $50.00 | $19.00–$47.50 | 34% below | 32% |
| Iron blood test (serum iron) CPT 83540 IRON 83540 | $103.36 | $152.00 | $57.74–$144.40 | 101% above | 32% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON QUANT TISSUE SO 83540.900 | $34.00 | $50.00 | $19.00–$46.80 | — | 32% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON 83540 | $103.36 | $152.00 | $57.74–$142.27 | — | 32% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY 83550 | $50.32 | $74.00 | $28.11–$69.26 | — | 32% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL 80069 | $16.32 | $24.00 | $9.12–$22.46 | — | 32% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN LUTEINIZING HORMONE (LH) 83002 | $212.84 | $313.00 | $118.91–$297.35 | 162% above | 32% |
| LH (luteinizing hormone) test inpatient CPT 83002 GONADOTROPIN LUTEINIZING HORMONE (LH) 83002 | $212.84 | $313.00 | $118.91–$292.97 | — | 32% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE 83690 | $134.64 | $198.00 | $75.22–$188.10 | 128% above | 32% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE 83690 | $16.32 | $24.00 | $9.12–$22.46 | — | 32% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL 80076 | $16.32 | $24.00 | $9.12–$22.46 | — | 32% |
| Lyme disease antibody test CPT 86618 LYME CNS INFECTION IGG SCREEN 86618.007 | $56.44 | $83.00 | $31.53–$78.85 | 13% below | 32% |
| Lyme disease antibody test CPT 86618 LYMES IGG IGM 86618 | $103.36 | $152.00 | $57.74–$144.40 | 60% above | 32% |
| Lyme disease antibody test CPT 86618 LYMES TOTAL 86618 | $130.56 | $192.00 | $72.94–$182.40 | 102% above | 32% |
| Lyme disease antibody test inpatient CPT 86618 LYME CNS INFECTION IGG SCREEN 86618.007 | $56.44 | $83.00 | $31.53–$77.69 | — | 32% |
| Lyme disease antibody test inpatient CPT 86618 LYMES IGG IGM 86618 | $103.36 | $152.00 | $57.74–$142.27 | — | 32% |
| Lyme disease antibody test inpatient CPT 86618 LYMES TOTAL 86618 | $130.56 | $192.00 | $72.94–$179.71 | — | 32% |
| Magnesium blood test CPT 83735 MAGNESIUM 83735 | $15.81 | $23.24 | $8.83–$22.08 | 49% below | 32% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM 83735 | $43.52 | $64.00 | $24.31–$59.90 | — | 32% |
| Measles (rubeola) antibody test CPT 86765 ANTIBODY RUBEOLA 86765 | $242.76 | $357.00 | $135.62–$339.15 | 565% above | 32% |
| Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY RUBEOLA 86765 | $242.76 | $357.00 | $135.62–$334.15 | — | 32% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOSCREEN 86308 | $87.72 | $129.00 | $49.01–$122.55 | 71% above | 32% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSCREEN 86308 | $87.72 | $129.00 | $49.01–$120.74 | — | 32% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE 84154 | $175.44 | $258.00 | $98.01–$245.10 | 388% above | 32% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE 84154 | $175.44 | $258.00 | $98.01–$241.49 | — | 32% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CDMR ASSAY OF PSA TOTAL 84153 | $12.51 | $18.39 | $6.99–$17.47 | 85% below | 32% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CDMR ASSAY OF PSA TOTAL 84153 | $16.32 | $24.00 | $9.12–$22.46 | — | 32% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTO CERV THN AUTO 88175 | $48.96 | $72.00 | $27.35–$68.40 | 43% below | 32% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTO CERV THN AUTO 88175 | $48.96 | $72.00 | $27.35–$67.39 | — | 32% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTO CERV THN MAN 88142 | $27.20 | $40.00 | $15.20–$38.00 | 65% below | 32% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTO CERV THN MAN 88142 | $27.20 | $40.00 | $15.20–$37.44 | — | 32% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT 83970 | $28.08 | $41.28 | $15.68–$39.22 | 76% below | 32% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT 83970 | $28.08 | $41.28 | $15.68–$38.64 | — | 32% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $110.84 | $163.00 | $61.92–$154.85 | 88% above | 32% |
| Progesterone blood test CPT 84144 PROGESTERONE 84144 | $74.12 | $109.00 | $41.41–$103.55 | 8% below | 32% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE 84144 | $74.12 | $109.00 | $41.41–$102.02 | — | 32% |
| Prolactin blood test CPT 84146 MACROPROLACTIN 84146.900 | $108.80 | $160.00 | $60.78–$152.00 | 67% above | 32% |
| Prolactin blood test CPT 84146 PROLACTIN 84146 | $234.60 | $345.00 | $131.07–$327.75 | 259% above | 32% |
| Prolactin blood test inpatient CPT 84146 MACROPROLACTIN 84146.900 | $108.80 | $160.00 | $60.78–$149.76 | — | 32% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN 84146 | $234.60 | $345.00 | $131.07–$322.92 | — | 32% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME 85610 | $90.44 | $133.00 | $50.53–$124.49 | — | 32% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A B DIRECT 87804 | $93.84 | $138.00 | $52.43–$131.10 | 68% above | 32% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A B DIRECT 87804 | $93.84 | $138.00 | $52.43–$129.17 | — | 32% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RPD GROUP A STREP SCREEN 87880 | $93.16 | $137.00 | $52.05–$130.15 | 74% above | 32% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RPD GROUP A STREP SCREEN 87880 | $93.16 | $137.00 | $52.05–$128.23 | — | 32% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT 86431 | $61.20 | $90.00 | $34.19–$85.50 | 26% above | 32% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR PANEL SERUM 86431.900 | $104.72 | $154.00 | $58.50–$146.30 | 116% above | 32% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT 86431 | $61.20 | $90.00 | $34.19–$84.24 | — | 32% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR PANEL SERUM 86431.900 | $104.72 | $154.00 | $58.50–$144.14 | — | 32% |
| Rubella antibody test (immunity check) CPT 86762 ANTIBODY RUBELLA 86762 | $61.20 | $90.00 | $34.19–$85.50 | 29% above | 32% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM AB 86762.903 | $77.52 | $114.00 | $43.31–$108.30 | 64% above | 32% |
| Rubella antibody test (immunity check) inpatient CPT 86762 ANTIBODY RUBELLA 86762 | $61.20 | $90.00 | $34.19–$84.24 | — | 32% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM AB 86762.903 | $77.52 | $114.00 | $43.31–$106.70 | — | 32% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE RBC AUTOMATED 85652 | $74.80 | $110.00 | $41.79–$104.50 | 97% above | 32% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE RBC AUTOMATED 85652 | $74.80 | $110.00 | $41.79–$102.96 | — | 32% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES 87177 | $6.06 | $8.90 | $3.38–$8.46 | 83% below | 32% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES 87177 | $130.56 | $192.00 | $72.94–$179.71 | — | 32% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER 82270 | $2.98 | $4.38 | $1.66–$4.16 | 92% below | 32% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER 82270 | $53.72 | $79.00 | $30.01–$73.94 | — | 32% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 CDMR OCCULT BLOOD CRC SCREEN (FIT IMMUNOCHEMICAL) G0328 82274.006 | $40.80 | $60.00 | $22.79–$57.00 | 29% below | 32% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 CDMR BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 82274 | $68.00 | $100.00 | $37.99–$95.00 | 18% above | 32% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 CDMR OCCULT BLOOD CRC SCREEN (FIT IMMUNOCHEMICAL) G0328 82274.006 | $40.80 | $60.00 | $22.79–$56.16 | — | 32% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 CDMR BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 82274 | $68.00 | $100.00 | $37.99–$93.60 | — | 32% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL 86592 | $16.32 | $24.00 | $9.12–$22.80 | 45% below | 32% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS SEROLOGY VDRL CSF 86592.901 | $28.56 | $42.00 | $15.96–$39.90 | 3% below | 32% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL 86592 | $16.32 | $24.00 | $9.12–$22.46 | — | 32% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS SEROLOGY VDRL CSF 86592.901 | $28.56 | $42.00 | $15.96–$39.31 | — | 32% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL MEDIATED IMMUNITY 86480 | $233.92 | $344.00 | $130.69–$326.80 | 90% above | 32% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL MEDIATED IMMUNITY 86480 | $233.92 | $344.00 | $130.69–$321.98 | — | 32% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL 84403.900 | $32.64 | $48.00 | $18.24–$45.60 | 48% below | 32% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL MEASURED 84403.902 | $120.36 | $177.00 | $67.24–$168.15 | 92% above | 32% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TESTOSTERONE TOTAL 84403 | $128.52 | $189.00 | $71.80–$179.55 | 105% above | 32% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL 84403.900 | $32.64 | $48.00 | $18.24–$44.93 | — | 32% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL MEASURED 84403.902 | $120.36 | $177.00 | $67.24–$165.67 | — | 32% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TESTOSTERONE TOTAL 84403 | $128.52 | $189.00 | $71.80–$176.90 | — | 32% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTITHYROID AB ANTI TPO 86376 | $52.36 | $77.00 | $29.25–$73.15 | 1% below | 32% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB | $53.72 | $79.00 | $30.01–$75.05 | 2% above | 32% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOME T1 AB SERUM 86376.900 | $70.72 | $104.00 | $39.51–$98.80 | 34% above | 32% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTITHYROID AB ANTI TPO 86376 | $52.36 | $77.00 | $29.25–$72.07 | — | 32% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROPEROXIDASE AB | $53.72 | $79.00 | $30.01–$73.94 | — | 32% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOME T1 AB SERUM 86376.900 | $70.72 | $104.00 | $39.51–$97.34 | — | 32% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) 84443 | $11.43 | $16.80 | $6.38–$15.96 | 88% below | 32% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH) 84443 | $11.43 | $16.80 | $6.38–$15.72 | — | 32% |
| Uric acid blood test inpatient CPT 84550 ASSAY OF BLOOD/URIC ACID 84550 | $10.20 | $15.00 | $5.70–$14.04 | — | 32% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE 81001 | $80.92 | $119.00 | $45.21–$113.05 | 63% above | 32% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE AUTO NO MICRO SGL ANALYT | $41.48 | $61.00 | $23.17–$57.10 | — | 32% |
| Urinalysis without microscope exam, manual CPT 81002 CLINITEST DIPSTICK TABLET81002 | $38.08 | $56.00 | $21.27–$53.20 | 72% above | 32% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CLINITEST DIPSTICK TABLET81002 | $38.08 | $56.00 | $21.27–$52.42 | — | 32% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST 81025 | $24.48 | $36.00 | $13.68–$34.20 | 37% below | 32% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST 81025 | $24.48 | $36.00 | $13.68–$33.70 | — | 32% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN VITAMIN B-12 82607 | $10.26 | $15.08 | $5.73–$14.33 | 88% below | 32% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN VITAMIN B-12 82607 | $89.76 | $132.00 | $50.15–$123.55 | — | 32% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CDMR VITAMIN D 25 HYDROXY 82306 | $20.13 | $29.60 | $11.25–$28.12 | 79% below | 32% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL (25-OH VITAMIN D-3) 82306.900 | $150.96 | $222.00 | $84.34–$210.90 | 55% above | 32% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CDMR VITAMIN D 25 HYDROXY 82306 | $42.16 | $62.00 | $23.55–$58.03 | — | 32% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL (25-OH VITAMIN D-3) 82306.900 | $150.96 | $222.00 | $84.34–$207.79 | — | 32% |
| Zinc blood test CPT 84630 ZINC 84630.900 | $82.28 | $121.00 | $45.97–$114.95 | 174% above | 32% |
| Zinc blood test inpatient CPT 84630 ZINC 84630.900 | $82.28 | $121.00 | $45.97–$113.26 | — | 32% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC HCG QUANTITATIVE 84702 | $187.00 | $275.00 | $104.47–$261.25 | 103% above | 32% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHORIONIC HCG QUANTITATIVE 84702 | $187.00 | $275.00 | $104.47–$257.40 | — | 32% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 PF 29827 ARTHROSCOPY SHOULDER WROTATOR CUFF RPR | $2,516.00 | $3,700.00 | $992.88–$1,836.83 | 2% below | 32% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 PF 29827 ARTHROSCOPY SHOULDER WROTATOR CUFF RPR | $2,516.00 | $3,700.00 | $992.88–$1,836.83 | — | 32% |
| Botox injections for chronic migraine CPT 64615 ANES 64615 CHEMODENERV MUSC MIGRAINE | $74.80 | $110.00 | $49.50–$197.47 | 88% below | 32% |
| Botox injections for chronic migraine CPT 64615 SURG 64615 CHEMODENERV MUSC MIGRAINE | $163.20 | $240.00 | $91.18–$228.00 | 73% below | 32% |
| Botox injections for chronic migraine inpatient CPT 64615 ANES 64615 CHEMODENERV MUSC MIGRAINE | $74.80 | $110.00 | $49.50–$197.47 | — | 32% |
| Botox injections for chronic migraine inpatient CPT 64615 SURG 64615 CHEMODENERV MUSC MIGRAINE | $163.20 | $240.00 | $91.18–$224.64 | — | 32% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 MD 92960 CARDIOVER ELECTIVE EXTERNAL | $401.20 | $590.00 | $101.06–$265.50 | 61% below | 32% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,106.36 | $1,627.00 | $618.10–$1,545.65 | 8% above | 32% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED 92960 CARDIOVERSION | $1,363.40 | $2,005.00 | $761.70–$1,904.75 | 33% above | 32% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 MD 92960 CARDIOVER ELECTIVE EXTERNAL | $401.20 | $590.00 | $101.06–$265.50 | — | 32% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $1,106.36 | $1,627.00 | $618.10–$1,522.87 | — | 32% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED 92960 CARDIOVERSION | $1,363.40 | $2,005.00 | $761.70–$1,876.68 | — | 32% |
| Cataract surgery with lens implant CPT 66984 SURG 66984 EXTRACAP CATARCT RMVL INSERT IO LENS PROSTH W/O ECP | $4,165.68 | $6,126.00 | $2,327.27–$5,819.70 | 28% above | 32% |
| Cataract surgery with lens implant inpatient CPT 66984 SURG 66984 EXTRACAP CATARCT RMVL INSERT IO LENS PROSTH W/O ECP | $4,165.68 | $6,126.00 | $2,327.27–$5,733.94 | — | 32% |
| Cervical biopsy CPT 57500 PF 57500 BX EXC CERVIX LOCAL | $226.44 | $333.00 | $69.60–$149.85 | 47% below | 32% |
| Cervical biopsy CPT 57500 SURG 57500 BX EXC CERVIX LESN WWO FULGURATION (SEP PROC) | $1,555.84 | $2,288.00 | $869.21–$2,173.60 | 262% above | 32% |
| Cervical biopsy inpatient CPT 57500 PF 57500 BX EXC CERVIX LOCAL | $226.44 | $333.00 | $69.60–$149.85 | — | 32% |
| Cervical biopsy inpatient CPT 57500 SURG 57500 BX EXC CERVIX LESN WWO FULGURATION (SEP PROC) | $1,555.84 | $2,288.00 | $869.21–$2,141.57 | — | 32% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 PF 59510 ROUTINE OB CARE WANT | $4,194.92 | $6,169.00 | $2,360.28–$4,366.52 | 15% above | 32% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PF 59510 ROUTINE OB CARE WANT | $4,194.92 | $6,169.00 | $2,360.28–$4,366.52 | — | 32% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PF 54150 CIRC WCLAMP OTH DVC | $340.00 | $500.00 | $87.99–$225.00 | 39% above | 32% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 PF 54150 CIRC WCLAMP OTH DVC | $340.00 | $500.00 | $87.99–$225.00 | — | 32% |
| Colonoscopy with polyp removal CPT 45385 PF 45385 COLONOSC W POLYPECT | $1,022.72 | $1,504.00 | $232.17–$4,502.00 | 18% below | 32% |
| Colonoscopy with polyp removal CPT 45385 COLON WREM TUMOR SNARE | $2,426.24 | $3,568.00 | $1,355.48–$3,389.60 | 95% above | 32% |
| Colonoscopy with polyp removal inpatient CPT 45385 PF 45385 COLONOSC W POLYPECT | $1,022.72 | $1,504.00 | $232.17–$4,502.00 | — | 32% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLON WREM TUMOR SNARE | $2,426.24 | $3,568.00 | $1,355.48–$3,339.65 | — | 32% |
| Colonoscopy with tissue sample CPT 45380 PF 45380 COLONOSCOPY W BX | $964.92 | $1,419.00 | $183.70–$4,502.00 | 23% below | 32% |
| Colonoscopy with tissue sample CPT 45380 COLON WBX | $2,444.60 | $3,595.00 | $1,365.74–$3,415.25 | 95% above | 32% |
| Colonoscopy with tissue sample inpatient CPT 45380 PF 45380 COLONOSCOPY W BX | $964.92 | $1,419.00 | $183.70–$4,502.00 | — | 32% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLON WBX | $2,444.60 | $3,595.00 | $1,365.74–$3,364.92 | — | 32% |
| Colonoscopy, diagnostic CPT 45378 PF 45378 COLONOSCOPY FLEXIBLE | $706.52 | $1,039.00 | $168.97–$3,487.00 | 42% below | 32% |
| Colonoscopy, diagnostic inpatient CPT 45378 PF 45378 COLONOSCOPY FLEXIBLE | $706.52 | $1,039.00 | $168.97–$3,487.00 | — | 32% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 PF 57460 COLPOSCOPY BX LOP CER | $282.20 | $415.00 | $145.70–$269.55 | 61% below | 32% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 PF 57460 COLPOSCOPY BX LOP CER | $282.20 | $415.00 | $145.70–$269.55 | — | 32% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 SURG 57454 COLPOSCOPY CERVIX W BX AND ENDOCERVICAL CURRETAGE | $53.04 | $78.00 | $29.63–$74.10 | 90% below | 32% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 PF 57454 COLPOSC BX&CURETTAGE | $212.16 | $312.00 | $122.25–$226.16 | 61% below | 32% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 SURG 57454 COLPOSCOPY CERVIX W BX AND ENDOCERVICAL CURRETAGE | $53.04 | $78.00 | $29.63–$73.01 | — | 32% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 PF 57454 COLPOSC BX&CURETTAGE | $212.16 | $312.00 | $122.25–$226.16 | — | 32% |
| Complex cataract surgery with lens implant CPT 66982 SURG 66982 RMVL ECCR IOL INSRT CMPLX | $6,064.92 | $8,919.00 | $3,388.33–$8,473.05 | 123% above | 32% |
| Complex cataract surgery with lens implant inpatient CPT 66982 SURG 66982 RMVL ECCR IOL INSRT CMPLX | $6,064.92 | $8,919.00 | $3,388.33–$8,348.18 | — | 32% |
| Cystoscopy with ureteral stent placement CPT 52332 PF 52332 CYSTOSCOPY AND TREATME | $782.00 | $1,150.00 | $143.35–$517.50 | 77% below | 32% |
| Cystoscopy with ureteral stent placement CPT 52332 SURG 52332 CYSTOSCOPY W INSERT URETERAL STENT | $4,556.00 | $6,700.00 | $2,545.33–$6,365.00 | 35% above | 32% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 PF 52332 CYSTOSCOPY AND TREATME | $782.00 | $1,150.00 | $143.35–$517.50 | — | 32% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 SURG 52332 CYSTOSCOPY W INSERT URETERAL STENT | $4,556.00 | $6,700.00 | $2,545.33–$6,271.20 | — | 32% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 PF 52000 CYSTOURETHROSCOPY | $183.60 | $270.00 | $73.78–$136.49 | 75% below | 32% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 TX RM 52000 CYSTOURETHROSCOPY | $463.08 | $681.00 | $258.71–$646.95 | 38% below | 32% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 PF 52000 CYSTOURETHROSCOPY | $183.60 | $270.00 | $73.78–$136.49 | — | 32% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 TX RM 52000 CYSTOURETHROSCOPY | $463.08 | $681.00 | $258.71–$637.42 | — | 32% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 ED 58120 D&C DIAGNOSTIC/THERAPEUTIC NON-OB | $466.48 | $686.00 | $260.61–$651.70 | 68% below | 32% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 PF 58120 D & C DX THERAPEUTIC | $492.32 | $724.00 | $216.77–$401.02 | 66% below | 32% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 SURG 58120 D&C DIAGNOSTIC/THERAPEUTIC NON-OB | $4,453.32 | $6,549.00 | $2,487.97–$6,221.55 | 208% above | 32% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 ED 58120 D&C DIAGNOSTIC/THERAPEUTIC NON-OB | $466.48 | $686.00 | $260.61–$642.10 | — | 32% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 PF 58120 D & C DX THERAPEUTIC | $492.32 | $724.00 | $216.77–$401.02 | — | 32% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 SURG 58120 D&C DIAGNOSTIC/THERAPEUTIC NON-OB | $4,453.32 | $6,549.00 | $2,487.97–$6,129.86 | — | 32% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 TX RM 17000 DESTRUCT PREMALG LESN 1ST | $22.44 | $33.00 | $12.54–$31.35 | 88% below | 32% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PF 17000 DEST PREMAL 1ST LSN | $89.76 | $132.00 | $53.37–$98.73 | 50% below | 32% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 TX RM 17000 DESTRUCT PREMALG LESN 1ST | $22.44 | $33.00 | $12.54–$30.89 | — | 32% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PF 17000 DEST PREMAL 1ST LSN | $89.76 | $132.00 | $53.37–$98.73 | — | 32% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TX RM 69433 TYMPANOSTOMY W/LOCAL ANES | $639.20 | $940.00 | $357.11–$893.00 | 50% above | 32% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 TX RM 69433 TYMPANOSTOMY W/LOCAL ANES | $639.20 | $940.00 | $357.11–$879.84 | — | 32% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 ED 69209 RMVL IMPACTED CERUMEN IRRIGATION LAVAGE UNI | $98.60 | $145.00 | $55.09–$137.75 | 27% above | 32% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 TX RM 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $94.52 | $139.00 | $52.81–$132.05 | 22% above | 32% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 MD 69209 RMVL IMPACTED CERUMEN IRR LAVAGE UNILATERAL | $283.56 | $417.00 | $15.35–$187.65 | 266% above | 32% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 ED 69209 RMVL IMPACTED CERUMEN IRRIGATION LAVAGE UNI | $98.60 | $145.00 | $55.09–$135.72 | — | 32% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 TX RM 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $94.52 | $139.00 | $52.81–$130.10 | — | 32% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 MD 69209 RMVL IMPACTED CERUMEN IRR LAVAGE UNILATERAL | $283.56 | $417.00 | $15.35–$187.65 | — | 32% |
| Earwax removal with instruments, one ear CPT 69210 ED 69210 REMV IMPACTED EAR WAX INSTRUMENT UNI | $19.72 | $29.00 | $11.02–$27.55 | 84% below | 32% |
| Earwax removal with instruments, one ear CPT 69210 TX RM 69210 REMOVAL IMPACTED CERUMEN EAR WAX | $94.52 | $139.00 | $52.81–$132.05 | 23% below | 32% |
| Earwax removal with instruments, one ear CPT 69210 MD 69210 RMVL CERUMEN-SEP PROC | $283.56 | $417.00 | $29.69–$187.65 | 130% above | 32% |
| Earwax removal with instruments, one ear CPT 69210 PF 69210 RMVL IMPACTED CERUM W INSTRUMENT | $283.56 | $417.00 | $29.69–$187.65 | 130% above | 32% |
| Earwax removal with instruments, one ear inpatient CPT 69210 ED 69210 REMV IMPACTED EAR WAX INSTRUMENT UNI | $19.72 | $29.00 | $11.02–$27.14 | — | 32% |
| Earwax removal with instruments, one ear inpatient CPT 69210 TX RM 69210 REMOVAL IMPACTED CERUMEN EAR WAX | $94.52 | $139.00 | $52.81–$130.10 | — | 32% |
| Earwax removal with instruments, one ear inpatient CPT 69210 MD 69210 RMVL CERUMEN-SEP PROC | $283.56 | $417.00 | $29.69–$187.65 | — | 32% |
| Earwax removal with instruments, one ear inpatient CPT 69210 PF 69210 RMVL IMPACTED CERUM W INSTRUMENT | $283.56 | $417.00 | $29.69–$187.65 | — | 32% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 TX RM 58100 BIOPSY ENDOMETRIAL SAMPLING W/O DILATATION | $42.16 | $62.00 | $23.55–$58.90 | 83% below | 32% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 PF 58100 ENDOMETRIAL SAMPLING | $170.68 | $251.00 | $56.99–$112.95 | 31% below | 32% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 MD 58100 ENDOMETRIAL BX | $298.52 | $439.00 | $56.99–$197.55 | 21% above | 32% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 TX RM 58100 BIOPSY ENDOMETRIAL SAMPLING W/O DILATATION | $42.16 | $62.00 | $23.55–$58.03 | — | 32% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 PF 58100 ENDOMETRIAL SAMPLING | $170.68 | $251.00 | $56.99–$112.95 | — | 32% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 MD 58100 ENDOMETRIAL BX | $298.52 | $439.00 | $56.99–$197.55 | — | 32% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 ANES 62321 INJ IL NDL CATH CERV THOR W GUID | $739.16 | $1,087.00 | $100.63–$489.15 | 25% below | 32% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 SURG 62321 INJ IL NDL CATH CERV THOR W GUID | $1,897.88 | $2,791.00 | $1,060.30–$2,651.45 | 92% above | 32% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 ANES 62321 INJ IL NDL CATH CERV THOR W GUID | $739.16 | $1,087.00 | $100.63–$489.15 | — | 32% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 SURG 62321 INJ IL NDL CATH CERV THOR W GUID | $1,897.88 | $2,791.00 | $1,060.30–$2,612.38 | — | 32% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 ANES 64493 INJ FACET JNT LUM SAC 1LV | $1,545.64 | $2,273.00 | $85.53–$1,022.85 | 11% above | 32% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 SURG 64493 INJ DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $2,645.88 | $3,891.00 | $1,478.19–$3,696.45 | 91% above | 32% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 ANES 64493 INJ FACET JNT LUM SAC 1LV | $1,545.64 | $2,273.00 | $85.53–$1,022.85 | — | 32% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 SURG 64493 INJ DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $2,645.88 | $3,891.00 | $1,478.19–$3,641.98 | — | 32% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 PF 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $1,944.80 | $2,860.00 | $302.54–$1,287.00 | 27% above | 32% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 PF 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $1,944.80 | $2,860.00 | $302.54–$1,287.00 | — | 32% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 PF 45330 SIGMOIDOSCOPY FLEXIBL | $408.00 | $600.00 | $52.97–$270.00 | 52% below | 32% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 PF 45330 SIGMOIDOSCOPY FLEXIBL | $408.00 | $600.00 | $52.97–$270.00 | — | 32% |
| Gallbladder removal, laparoscopic CPT 47562 PF 47562 LAP CHOLECYSTECTOMY | $1,555.84 | $2,288.00 | $595.18–$1,101.08 | 6% below | 32% |
| Gallbladder removal, laparoscopic CPT 47562 SURG 47562 LAP CHOLECYSTECTOMY | $10,416.24 | $15,318.00 | $5,819.31–$14,552.10 | 530% above | 32% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 PF 47562 LAP CHOLECYSTECTOMY | $1,555.84 | $2,288.00 | $595.18–$1,101.08 | — | 32% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 SURG 47562 LAP CHOLECYSTECTOMY | $10,416.24 | $15,318.00 | $5,819.31–$14,337.65 | — | 32% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 PF 47563 LAP CHOLECYSTECT CHOL | $1,626.56 | $2,392.00 | $646.06–$1,195.21 | 19% below | 32% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 SURG 47563 LAP CHOLECYSTECTOMY W/CHOLANGIOGRAPHY | $4,844.32 | $7,124.00 | $2,706.41–$6,767.80 | 142% above | 32% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 PF 47563 LAP CHOLECYSTECT CHOL | $1,626.56 | $2,392.00 | $646.06–$1,195.21 | — | 32% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 SURG 47563 LAP CHOLECYSTECTOMY W/CHOLANGIOGRAPHY | $4,844.32 | $7,124.00 | $2,706.41–$6,668.06 | — | 32% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 PF 47600 COLECYSTECTOMY | $2,135.20 | $3,140.00 | $959.02–$1,774.19 | 24% above | 32% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 SURG 47600 CHOLECYSTECOMY | $10,151.04 | $14,928.00 | $5,671.15–$14,181.60 | 491% above | 32% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 PF 47600 COLECYSTECTOMY | $2,135.20 | $3,140.00 | $959.02–$1,774.19 | — | 32% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 SURG 47600 CHOLECYSTECOMY | $10,151.04 | $14,928.00 | $5,671.15–$13,972.61 | — | 32% |
| Hysterectomy through an abdominal incision (total) CPT 58150 PF 58150 TOTAL HYSTERECT ABD | $2,618.00 | $3,850.00 | $935.86–$1,732.50 | 20% above | 32% |
| Hysterectomy through an abdominal incision (total) CPT 58150 SURG 58150 TOTAL ABD HYSTERECT W/WO RMVL TUBE OVARY | $19,652.00 | $28,900.00 | $10,979.11–$27,455.00 | 797% above | 32% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 PF 58150 TOTAL HYSTERECT ABD | $2,618.00 | $3,850.00 | $935.86–$1,732.50 | — | 32% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 SURG 58150 TOTAL ABD HYSTERECT W/WO RMVL TUBE OVARY | $19,652.00 | $28,900.00 | $10,979.11–$27,050.40 | — | 32% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 TX RM 58340 CATH & INTRO SALINE INFUS SONOHYSTEROGRAPHY HYSTEROSA | $89.08 | $131.00 | $49.77–$124.45 | 71% below | 32% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 PF 58340 CATHIZATION & INTRODUCTION SALINE INFUSION | $356.32 | $524.00 | $53.79–$235.80 | 18% above | 32% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SURG 58340 HYSTERO INJ CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI | $511.36 | $752.00 | $285.68–$714.40 | 69% above | 32% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 TX RM 58340 CATH & INTRO SALINE INFUS SONOHYSTEROGRAPHY HYSTEROSA | $89.08 | $131.00 | $49.77–$122.62 | — | 32% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 PF 58340 CATHIZATION & INTRODUCTION SALINE INFUSION | $356.32 | $524.00 | $53.79–$235.80 | — | 32% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 SURG 58340 HYSTERO INJ CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI | $511.36 | $752.00 | $285.68–$703.87 | — | 32% |
| Hysteroscopy with endometrial ablation CPT 58563 PF 58563 HYSTEROSCOPY WABLAT | $2,788.00 | $4,100.00 | $223.05–$1,845.00 | 17% below | 32% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 PF 58563 HYSTEROSCOPY WABLAT | $2,788.00 | $4,100.00 | $223.05–$1,845.00 | — | 32% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 PF 58558 HYSTEROSCOPY WBIOPSY | $1,775.48 | $2,611.00 | $210.07–$1,174.95 | 20% below | 32% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 SURG 58558 HYSTEROSCOPY W/BX & OR POLYP W/WO D&C | $6,170.32 | $9,074.00 | $3,447.21–$8,620.30 | 180% above | 32% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 PF 58558 HYSTEROSCOPY WBIOPSY | $1,775.48 | $2,611.00 | $210.07–$1,174.95 | — | 32% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 SURG 58558 HYSTEROSCOPY W/BX & OR POLYP W/WO D&C | $6,170.32 | $9,074.00 | $3,447.21–$8,493.26 | — | 32% |
| IUD insertion (the device itself billed separately) CPT 58300 TX RM 58300 INSERT INTRAUTERINE DEVICE | $39.44 | $58.00 | $22.03–$55.10 | 84% below | 32% |
| IUD insertion (the device itself billed separately) CPT 58300 PF 58300 INSRT INTRAUTER DEVIC | $157.76 | $232.00 | $86.77–$104.40 | 38% below | 32% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 TX RM 58300 INSERT INTRAUTERINE DEVICE | $39.44 | $58.00 | $22.03–$54.29 | — | 32% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 PF 58300 INSRT INTRAUTER DEVIC | $157.76 | $232.00 | $86.77–$104.40 | — | 32% |
| Incision and drainage of a simple or single skin abscess CPT 10060 PF 10060 I&D ABSCESS SIMP | $281.52 | $414.00 | $103.39–$191.27 | 2% below | 32% |
| Incision and drainage of a simple or single skin abscess CPT 10060 MD 10060 I & D ABSCESS SMPL SNGL | $298.52 | $439.00 | $103.39–$197.55 | 4% above | 32% |
| Incision and drainage of a simple or single skin abscess CPT 10060 TX RM 10060 I&D ABSCESS SIMPLE | $299.20 | $440.00 | $167.16–$418.00 | 4% above | 32% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ED 10060 I&D SKIN ABSCESS SMPL | $424.32 | $624.00 | $237.06–$592.80 | 47% above | 32% |
| Incision and drainage of a simple or single skin abscess CPT 10060 SURG 10060 INCISION & DRAINAGE ABSCESS SMPL SNGL | $646.00 | $950.00 | $360.91–$902.50 | 124% above | 32% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PF 10060 I&D ABSCESS SIMP | $281.52 | $414.00 | $103.39–$191.27 | — | 32% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 MD 10060 I & D ABSCESS SMPL SNGL | $298.52 | $439.00 | $103.39–$197.55 | — | 32% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 TX RM 10060 I&D ABSCESS SIMPLE | $299.20 | $440.00 | $167.16–$411.84 | — | 32% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ED 10060 I&D SKIN ABSCESS SMPL | $424.32 | $624.00 | $237.06–$584.06 | — | 32% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 SURG 10060 INCISION & DRAINAGE ABSCESS SMPL SNGL | $646.00 | $950.00 | $360.91–$889.20 | — | 32% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PF 49505 RPR INGUINAL HERNIA>5 | $1,156.00 | $1,700.00 | $475.39–$879.47 | 34% below | 32% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PF 49505 RPR INGUINAL HERNIA>5 | $1,156.00 | $1,700.00 | $475.39–$879.47 | — | 32% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TX RM 20550 INJ SINGLE TENDON LIGAMENT | $136.00 | $200.00 | $75.98–$190.00 | 63% below | 32% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PF 20550 INJ SGL TEND SHEATH | $167.28 | $246.00 | $35.84–$110.70 | 55% below | 32% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 MD 20550 INJ(S)SNGL TEND SHTH LIGMNT | $298.52 | $439.00 | $35.84–$197.55 | 19% below | 32% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TX RM 20550 INJ SINGLE TENDON LIGAMENT | $136.00 | $200.00 | $75.98–$187.20 | — | 32% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PF 20550 INJ SGL TEND SHEATH | $167.28 | $246.00 | $35.84–$110.70 | — | 32% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 MD 20550 INJ(S)SNGL TEND SHTH LIGMNT | $298.52 | $439.00 | $35.84–$197.55 | — | 32% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TX RM 20610 ARTHROCENT ASP INJ JOINT BURSA MAJOR WO US GUID | $163.20 | $240.00 | $91.18–$228.00 | 55% below | 32% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MD 20610 ARTHRO ASP INJ MAJOR JOINT BURSA WO US GUID | $298.52 | $439.00 | $41.40–$197.55 | 18% below | 32% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ANES 20610 ARTHRO ASPIR&/INJ MAJOR JT/BURSA W/O US | $435.20 | $640.00 | $41.40–$288.00 | 20% above | 32% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ED 20610 ASP INJ JOINT BURSA MAJOR WO US GUID | $537.88 | $791.00 | $300.50–$751.45 | 48% above | 32% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PF 20610 ARTHROC ASP INJ MAJOR JOINT BURSA WO US GUID | $652.80 | $960.00 | $41.40–$432.00 | 80% above | 32% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SURG 20610 ARTHROCENTESIS ASP INJ MJR JNT BURSA WO US GUID | $785.40 | $1,155.00 | $438.78–$1,097.25 | 116% above | 32% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TX RM 20610 ARTHROCENT ASP INJ JOINT BURSA MAJOR WO US GUID | $163.20 | $240.00 | $91.18–$224.64 | — | 32% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MD 20610 ARTHRO ASP INJ MAJOR JOINT BURSA WO US GUID | $298.52 | $439.00 | $41.40–$197.55 | — | 32% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ANES 20610 ARTHRO ASPIR&/INJ MAJOR JT/BURSA W/O US | $435.20 | $640.00 | $41.40–$288.00 | — | 32% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ED 20610 ASP INJ JOINT BURSA MAJOR WO US GUID | $537.88 | $791.00 | $300.50–$740.38 | — | 32% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PF 20610 ARTHROC ASP INJ MAJOR JOINT BURSA WO US GUID | $652.80 | $960.00 | $41.40–$432.00 | — | 32% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 SURG 20610 ARTHROCENTESIS ASP INJ MJR JNT BURSA WO US GUID | $785.40 | $1,155.00 | $438.78–$1,081.08 | — | 32% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 PF 11981 INSERT DRUG DELIVERY IMPLANT | $68.00 | $100.00 | $45.00–$105.12 | 75% below | 32% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 PF 11981 INSERT DRUG DELIVERY IMPLANT | $68.00 | $100.00 | $45.00–$105.12 | — | 32% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 TX RM 20605 ARTHRO ASP INJ JOINT BURSA INTERMED WO US GUID | $142.80 | $210.00 | $79.78–$199.50 | 53% below | 32% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ANES 20605 ARTHROC ASP INJ JOINT BURSA INTERMED WO US GUID | $164.56 | $242.00 | $34.04–$108.90 | 46% below | 32% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 SURG 20605 ARTHROCENTESIS ASP INJ INTRM JNT BURSA WO US GUID | $233.24 | $343.00 | $130.31–$325.85 | 24% below | 32% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 MD 20605 ARTHROCENT ASP INJ INTERMED JOINT BURSA WO US GUID | $298.52 | $439.00 | $34.04–$197.55 | 2% below | 32% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PF 20605 ARTHROC ASP INJ INTERMED JNT BURSA WO US GUID | $571.20 | $840.00 | $34.04–$378.00 | 87% above | 32% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 TX RM 20605 ARTHRO ASP INJ JOINT BURSA INTERMED WO US GUID | $142.80 | $210.00 | $79.78–$196.56 | — | 32% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ANES 20605 ARTHROC ASP INJ JOINT BURSA INTERMED WO US GUID | $164.56 | $242.00 | $34.04–$108.90 | — | 32% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 SURG 20605 ARTHROCENTESIS ASP INJ INTRM JNT BURSA WO US GUID | $233.24 | $343.00 | $130.31–$321.05 | — | 32% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 MD 20605 ARTHROCENT ASP INJ INTERMED JOINT BURSA WO US GUID | $298.52 | $439.00 | $34.04–$197.55 | — | 32% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PF 20605 ARTHROC ASP INJ INTERMED JNT BURSA WO US GUID | $571.20 | $840.00 | $34.04–$378.00 | — | 32% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ANES 20600 ARTHROC ASP INJ SMALL JOINT BURSE WO US GUID | $108.80 | $160.00 | $33.07–$72.00 | 66% below | 32% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 TX RM 20600 DRAIN INJ JOINT BURSA WO US | $197.20 | $290.00 | $110.17–$275.50 | 39% below | 32% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 MD 20600 ARTHRO ASP INJ SMALL JOINT BURSA WO US GUID | $298.52 | $439.00 | $33.07–$197.55 | 8% below | 32% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ED 20600 ASP INJ JOINT BURSA SMALL WO US GUID | $408.00 | $600.00 | $227.94–$570.00 | 26% above | 32% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 SURG 20600 ARTHROCENTESIS ASP INJ SM JNT BURSA WO US GUID | $588.20 | $865.00 | $328.61–$821.75 | 82% above | 32% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 PF 20600 ARTHROC ASP INJ SMALL JOINT BURSA WO US GUID | $761.60 | $1,120.00 | $33.07–$504.00 | 135% above | 32% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ANES 20600 ARTHROC ASP INJ SMALL JOINT BURSE WO US GUID | $108.80 | $160.00 | $33.07–$72.00 | — | 32% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 TX RM 20600 DRAIN INJ JOINT BURSA WO US | $197.20 | $290.00 | $110.17–$271.44 | — | 32% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 MD 20600 ARTHRO ASP INJ SMALL JOINT BURSA WO US GUID | $298.52 | $439.00 | $33.07–$197.55 | — | 32% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ED 20600 ASP INJ JOINT BURSA SMALL WO US GUID | $408.00 | $600.00 | $227.94–$561.60 | — | 32% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SURG 20600 ARTHROCENTESIS ASP INJ SM JNT BURSA WO US GUID | $588.20 | $865.00 | $328.61–$809.64 | — | 32% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PF 20600 ARTHROC ASP INJ SMALL JOINT BURSA WO US GUID | $761.60 | $1,120.00 | $33.07–$504.00 | — | 32% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 SURG 29882 ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL | $5,355.68 | $7,876.00 | $2,992.09–$7,482.20 | 121% above | 32% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 SURG 29882 ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL | $5,355.68 | $7,876.00 | $2,992.09–$7,371.94 | — | 32% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 PF 44970 LAP APPENDECTOMY | $1,320.56 | $1,942.00 | $544.59–$1,007.49 | 1% above | 32% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 SURG 44970 LAP SURGICAL APPENDECTOMY | $9,430.92 | $13,869.00 | $5,268.83–$13,175.55 | 619% above | 32% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 PF 44970 LAP APPENDECTOMY | $1,320.56 | $1,942.00 | $544.59–$1,007.49 | — | 32% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 SURG 44970 LAP SURGICAL APPENDECTOMY | $9,430.92 | $13,869.00 | $5,268.83–$12,981.38 | — | 32% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 PF 58570 LAPAROSCOPY TOTAL HYST | $1,897.20 | $2,790.00 | $744.89–$1,378.05 | 36% above | 32% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 SURG 58570 TLH UTERUS 250 G OR LESS | $13,295.36 | $19,552.00 | $7,427.80–$18,574.40 | 851% above | 32% |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 PF 58570 LAPAROSCOPY TOTAL HYST | $1,897.20 | $2,790.00 | $744.89–$1,378.05 | — | 32% |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 SURG 58570 TLH UTERUS 250 G OR LESS | $13,295.36 | $19,552.00 | $7,427.80–$18,300.67 | — | 32% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 PF 58571 LAPAR RMV TUB OV<250G | $2,368.44 | $3,483.00 | $837.26–$1,567.35 | 19% above | 32% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 SURG 58571 LAP TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | $14,743.08 | $21,681.00 | $8,236.61–$20,596.95 | 641% above | 32% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 PF 58571 LAPAR RMV TUB OV<250G | $2,368.44 | $3,483.00 | $837.26–$1,567.35 | — | 32% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 SURG 58571 LAP TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | $14,743.08 | $21,681.00 | $8,236.61–$20,293.42 | — | 32% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 PF 49650 LAP RPR HERNIA INIT | $1,284.52 | $1,889.00 | $395.88–$850.05 | 8% above | 32% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 PF 49650 LAP RPR HERNIA INIT | $1,284.52 | $1,889.00 | $395.88–$850.05 | — | 32% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 PF 49651 LAPSCOPY REC ING HERNI | $1,292.00 | $1,900.00 | $515.10–$952.94 | 9% below | 32% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 PF 49651 LAPSCOPY REC ING HERNI | $1,292.00 | $1,900.00 | $515.10–$952.94 | — | 32% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 PF 58661 LAP OOPHORECTOMY | $1,557.88 | $2,291.00 | $597.53–$1,105.43 | 9% below | 32% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 SURG 58661 LAPAROSCOPY W REMOVAL ADNEXAL STRUCTURES | $10,296.56 | $15,142.00 | $5,752.45–$14,384.90 | 499% above | 32% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 PF 58661 LAP OOPHORECTOMY | $1,557.88 | $2,291.00 | $597.53–$1,105.43 | — | 32% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 SURG 58661 LAPAROSCOPY W REMOVAL ADNEXAL STRUCTURES | $10,296.56 | $15,142.00 | $5,752.45–$14,172.91 | — | 32% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 TX RM 12031 REPAIR LAC INTERMED SCALP AXIL TRUNK <2.5CM | $77.52 | $114.00 | $43.31–$108.30 | 83% below | 32% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PF 12031 RPR INT SCLP <2.5CM | $311.44 | $458.00 | $144.27–$266.90 | 31% below | 32% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED 12031 LYR CLSR OF WND 2.5CM OR < | $312.80 | $460.00 | $174.75–$437.00 | 31% below | 32% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 MD 12031 LYR CLSR S A T EXT 2.5 CM < | $331.84 | $488.00 | $144.27–$266.90 | 27% below | 32% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 SURG 12031 LAYER CLOSURE WNDS SCALP AXILLAE TRUNK EXTREM 2.5 CM < | $3,937.20 | $5,790.00 | $2,199.62–$5,500.50 | 769% above | 32% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 TX RM 12031 REPAIR LAC INTERMED SCALP AXIL TRUNK <2.5CM | $77.52 | $114.00 | $43.31–$106.70 | — | 32% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 PF 12031 RPR INT SCLP <2.5CM | $311.44 | $458.00 | $144.27–$266.90 | — | 32% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ED 12031 LYR CLSR OF WND 2.5CM OR < | $312.80 | $460.00 | $174.75–$430.56 | — | 32% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 MD 12031 LYR CLSR S A T EXT 2.5 CM < | $331.84 | $488.00 | $144.27–$266.90 | — | 32% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 SURG 12031 LAYER CLOSURE WNDS SCALP AXILLAE TRUNK EXTREM 2.5 CM < | $3,937.20 | $5,790.00 | $2,199.62–$5,419.44 | — | 32% |
| Lower-back epidural injection, with imaging guidance CPT 62323 ANES 62323 INJ IL NDL CATH LUMB SACR W GUID | $975.12 | $1,434.00 | $93.03–$645.30 | 3% above | 32% |
| Lower-back epidural injection, with imaging guidance CPT 62323 SURG 62323 INJ IL NDL CATH LUMB SACR W GUID | $1,755.08 | $2,581.00 | $980.52–$2,451.95 | 85% above | 32% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 ANES 62323 INJ IL NDL CATH LUMB SACR W GUID | $975.12 | $1,434.00 | $93.03–$645.30 | — | 32% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 SURG 62323 INJ IL NDL CATH LUMB SACR W GUID | $1,755.08 | $2,581.00 | $980.52–$2,415.82 | — | 32% |
| Lower-back epidural injection, without imaging guidance CPT 62322 ANES 62322 INJ IL NDL CATH LUMB SACR WO GUID | $626.28 | $921.00 | $72.58–$414.45 | 35% below | 32% |
| Lower-back epidural injection, without imaging guidance CPT 62322 SURG 62322 INJ IL NDL CATH LUMB SACR WO GUID | $1,897.20 | $2,790.00 | $1,059.92–$2,650.50 | 97% above | 32% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 ANES 62322 INJ IL NDL CATH LUMB SACR WO GUID | $626.28 | $921.00 | $72.58–$414.45 | — | 32% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 SURG 62322 INJ IL NDL CATH LUMB SACR WO GUID | $1,897.20 | $2,790.00 | $1,059.92–$2,611.44 | — | 32% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 ANES 64483 INJ LUMB SACRAL SNGL LVL | $1,440.24 | $2,118.00 | $105.12–$953.10 | 12% above | 32% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL | $1,514.36 | $2,227.00 | $846.04–$2,115.65 | 18% above | 32% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 ANES 64483 INJ LUMB SACRAL SNGL LVL | $1,440.24 | $2,118.00 | $105.12–$953.10 | — | 32% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL | $1,514.36 | $2,227.00 | $846.04–$2,084.47 | — | 32% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PF 11400 EXC BGN TRNK<0.5CM | $170.00 | $250.00 | $81.43–$150.65 | 58% below | 32% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 PF 11400 EXC BGN TRNK<0.5CM | $170.00 | $250.00 | $81.43–$150.65 | — | 32% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 PF 11440 EXC BGN LSN FCE<0.5CM | $197.88 | $291.00 | $104.42–$193.18 | 62% below | 32% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 PF 11440 EXC BGN LSN FCE<0.5CM | $197.88 | $291.00 | $104.42–$193.18 | — | 32% |
| Nail removal (partial or complete), one nail CPT 11730 ED 11730 REMV OF NAIL PLATE | $166.60 | $245.00 | $93.08–$232.75 | 40% below | 32% |
| Nail removal (partial or complete), one nail CPT 11730 MD 11730 REMOVAL OF NAIL PLATE | $223.04 | $328.00 | $50.65–$147.60 | 20% below | 32% |
| Nail removal (partial or complete), one nail CPT 11730 PF 11730 AVULSON NAIL PLT SGL | $281.52 | $414.00 | $50.65–$186.30 | 1% above | 32% |
| Nail removal (partial or complete), one nail CPT 11730 TX RM 11730 REMOV NAIL PLATE PART COMP SGL | $299.20 | $440.00 | $167.16–$418.00 | 7% above | 32% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 ED 11730 REMV OF NAIL PLATE | $166.60 | $245.00 | $93.08–$229.32 | — | 32% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 MD 11730 REMOVAL OF NAIL PLATE | $223.04 | $328.00 | $50.65–$147.60 | — | 32% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 PF 11730 AVULSON NAIL PLT SGL | $281.52 | $414.00 | $50.65–$186.30 | — | 32% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 TX RM 11730 REMOV NAIL PLATE PART COMP SGL | $299.20 | $440.00 | $167.16–$411.84 | — | 32% |
| Occipital nerve block (injection for headaches) CPT 64405 ANES 64405 OCCIPITAL NERVE INJECTION | $257.04 | $378.00 | $46.80–$170.10 | 57% below | 32% |
| Occipital nerve block (injection for headaches) CPT 64405 SURG 64405 GR OCCIPITAL NERVE BLOCK | $765.00 | $1,125.00 | $427.39–$1,068.75 | 27% above | 32% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 ANES 64405 OCCIPITAL NERVE INJECTION | $257.04 | $378.00 | $46.80–$170.10 | — | 32% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 SURG 64405 GR OCCIPITAL NERVE BLOCK | $765.00 | $1,125.00 | $427.39–$1,053.00 | — | 32% |
| Paracentesis with imaging guidance CPT 49083 SURG 49083 ABD PARACENTESIS W IMAGING | $1,234.20 | $1,815.00 | $689.52–$1,724.25 | 41% above | 32% |
| Paracentesis with imaging guidance inpatient CPT 49083 SURG 49083 ABD PARACENTESIS W IMAGING | $1,234.20 | $1,815.00 | $689.52–$1,698.84 | — | 32% |
| Partial knee replacement (one compartment) CPT 27446 ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT | $8,792.40 | $12,930.00 | $4,912.11–$12,283.50 | 157% above | 32% |
| Partial knee replacement (one compartment) inpatient CPT 27446 ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT | $8,792.40 | $12,930.00 | $4,912.11–$12,102.48 | — | 32% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PF 11750 EXC NAIL & MATRIX | $513.40 | $755.00 | $97.46–$339.75 | 2% above | 32% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 TX RM 11750 REMOVE NAIL BED PERMANENT | $531.08 | $781.00 | $296.70–$741.95 | 6% above | 32% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 MD 11750 EXC NAIL MATRIX PERM RMVL | $533.12 | $784.00 | $97.46–$352.80 | 6% above | 32% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PF 11750 EXC NAIL & MATRIX | $513.40 | $755.00 | $97.46–$339.75 | — | 32% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 TX RM 11750 REMOVE NAIL BED PERMANENT | $531.08 | $781.00 | $296.70–$731.02 | — | 32% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 MD 11750 EXC NAIL MATRIX PERM RMVL | $533.12 | $784.00 | $97.46–$352.80 | — | 32% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 ANES 64635 DESTROY LUMB SAC FACET JNT | $1,212.44 | $1,783.00 | $181.82–$802.35 | 42% below | 32% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 SURG 64635 DESTROY NROLYTC AGNT PARVERTEB FACET SNGL LMBR/SACRAL | $2,683.96 | $3,947.00 | $1,499.47–$3,749.65 | 28% above | 32% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 ANES 64635 DESTROY LUMB SAC FACET JNT | $1,212.44 | $1,783.00 | $181.82–$802.35 | — | 32% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 SURG 64635 DESTROY NROLYTC AGNT PARVERTEB FACET SNGL LMBR/SACRAL | $2,683.96 | $3,947.00 | $1,499.47–$3,694.39 | — | 32% |
| Removal of a foreign object under the skin, simple CPT 10120 PF 10120 INC & RMVL FB SQ SMPL | $272.00 | $400.00 | $101.59–$187.94 | 32% below | 32% |
| Removal of a foreign object under the skin, simple CPT 10120 MD 10120 INC&RMVL FB SQ TISSUES SMPL | $418.88 | $616.00 | $101.59–$277.20 | 5% above | 32% |
| Removal of a foreign object under the skin, simple CPT 10120 ED 10120 INC&REMV FB SMPL | $444.72 | $654.00 | $248.45–$621.30 | 11% above | 32% |
| Removal of a foreign object under the skin, simple CPT 10120 TX RM 10120 INCISION RMV FB SUBQ SMP | $531.08 | $781.00 | $296.70–$741.95 | 33% above | 32% |
| Removal of a foreign object under the skin, simple CPT 10120 SURG 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $593.64 | $873.00 | $331.65–$829.35 | 48% above | 32% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 PF 10120 INC & RMVL FB SQ SMPL | $272.00 | $400.00 | $101.59–$187.94 | — | 32% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 MD 10120 INC&RMVL FB SQ TISSUES SMPL | $418.88 | $616.00 | $101.59–$277.20 | — | 32% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 ED 10120 INC&REMV FB SMPL | $444.72 | $654.00 | $248.45–$612.14 | — | 32% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 TX RM 10120 INCISION RMV FB SUBQ SMP | $531.08 | $781.00 | $296.70–$731.02 | — | 32% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 SURG 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $593.64 | $873.00 | $331.65–$817.13 | — | 32% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 PF G0121 COLON CANC SCR NON-HR | $777.92 | $1,144.00 | $169.07–$3,051.00 | 29% below | 32% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREEN COLON WO HI RISK | $2,822.00 | $4,150.00 | $1,576.59–$3,942.50 | 158% above | 32% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 PF G0121 COLON CANC SCR NON-HR | $777.92 | $1,144.00 | $169.07–$3,051.00 | — | 32% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 SCREEN COLON WO HI RISK | $2,822.00 | $4,150.00 | $1,576.59–$3,884.40 | — | 32% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PF G0105 COLON CANCER SCR HIGH | $1,449.76 | $2,132.00 | $168.97–$3,051.00 | 23% above | 32% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 PF G0105 COLON CANCER SCR HIGH | $1,449.76 | $2,132.00 | $168.97–$3,051.00 | — | 32% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 PF 50590 LITHOTRIPSY EXTRACORP | $1,428.00 | $2,100.00 | $536.59–$992.69 | 66% below | 32% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 PF 50590 LITHOTRIPSY EXTRACORP | $1,428.00 | $2,100.00 | $536.59–$992.69 | — | 32% |
| Short arm cast (elbow to hand) CPT 29075 TX RM 29075 APPLICATION OF FOREARM CAST | $108.80 | $160.00 | $60.78–$152.00 | 54% below | 32% |
| Short arm cast (elbow to hand) CPT 29075 MD 29075 APP CAST ELBOW TO FINGER | $327.76 | $482.00 | $59.61–$216.90 | 39% above | 32% |
| Short arm cast (elbow to hand) CPT 29075 PF 29075 APPL CAST ARM SHORT | $435.20 | $640.00 | $59.61–$288.00 | 84% above | 32% |
| Short arm cast (elbow to hand) inpatient CPT 29075 TX RM 29075 APPLICATION OF FOREARM CAST | $108.80 | $160.00 | $60.78–$149.76 | — | 32% |
| Short arm cast (elbow to hand) inpatient CPT 29075 MD 29075 APP CAST ELBOW TO FINGER | $327.76 | $482.00 | $59.61–$216.90 | — | 32% |
| Short arm cast (elbow to hand) inpatient CPT 29075 PF 29075 APPL CAST ARM SHORT | $435.20 | $640.00 | $59.61–$288.00 | — | 32% |
| Short arm splint (forearm and hand) CPT 29125 TX RM 29125 APPLY FOREARM SPLIT STATIC | $95.20 | $140.00 | $53.19–$133.00 | 52% below | 32% |
| Short arm splint (forearm and hand) CPT 29125 ED 29125 APPL SPLINT FOREARM | $261.80 | $385.00 | $146.26–$365.75 | 32% above | 32% |
| Short arm splint (forearm and hand) CPT 29125 MD 29125 APP SHT ARM SPLINT FOR-HAN | $283.56 | $417.00 | $38.50–$187.65 | 43% above | 32% |
| Short arm splint (forearm and hand) CPT 29125 PF 29125 APPL SPNT ARM STATIC | $380.80 | $560.00 | $38.50–$252.00 | 92% above | 32% |
| Short arm splint (forearm and hand) inpatient CPT 29125 TX RM 29125 APPLY FOREARM SPLIT STATIC | $95.20 | $140.00 | $53.19–$131.04 | — | 32% |
| Short arm splint (forearm and hand) inpatient CPT 29125 ED 29125 APPL SPLINT FOREARM | $261.80 | $385.00 | $146.26–$360.36 | — | 32% |
| Short arm splint (forearm and hand) inpatient CPT 29125 MD 29125 APP SHT ARM SPLINT FOR-HAN | $283.56 | $417.00 | $38.50–$187.65 | — | 32% |
| Short arm splint (forearm and hand) inpatient CPT 29125 PF 29125 APPL SPNT ARM STATIC | $380.80 | $560.00 | $38.50–$252.00 | — | 32% |
| Short leg cast (below the knee) CPT 29405 TX RM 29405 APPL CAST SHORT LEG | $111.52 | $164.00 | $62.30–$155.80 | 59% below | 32% |
| Short leg cast (below the knee) CPT 29405 MD 29405 APPL SHRT LEG CAST BELOW KN | $327.76 | $482.00 | $55.65–$216.90 | 20% above | 32% |
| Short leg cast (below the knee) CPT 29405 PF 29405 APPLY SHORT LEG CAST | $446.08 | $656.00 | $55.65–$295.20 | 64% above | 32% |
| Short leg cast (below the knee) inpatient CPT 29405 TX RM 29405 APPL CAST SHORT LEG | $111.52 | $164.00 | $62.30–$153.50 | — | 32% |
| Short leg cast (below the knee) inpatient CPT 29405 MD 29405 APPL SHRT LEG CAST BELOW KN | $327.76 | $482.00 | $55.65–$216.90 | — | 32% |
| Short leg cast (below the knee) inpatient CPT 29405 PF 29405 APPLY SHORT LEG CAST | $446.08 | $656.00 | $55.65–$295.20 | — | 32% |
| Short leg splint (calf to foot) CPT 29515 MD 29515 APPL SHT LEG SPLINT-CALF FT | $283.56 | $417.00 | $46.99–$187.65 | 27% above | 32% |
| Short leg splint (calf to foot) CPT 29515 ED 29515 APPL SPLINT SHORT LEG | $287.64 | $423.00 | $160.70–$401.85 | 29% above | 32% |
| Short leg splint (calf to foot) inpatient CPT 29515 MD 29515 APPL SHT LEG SPLINT-CALF FT | $283.56 | $417.00 | $46.99–$187.65 | — | 32% |
| Short leg splint (calf to foot) inpatient CPT 29515 ED 29515 APPL SPLINT SHORT LEG | $287.64 | $423.00 | $160.70–$395.93 | — | 32% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 PF 29824 CLVILCTOMY DSTL SCOPE | $2,074.00 | $3,050.00 | $639.86–$1,372.50 | 3% below | 32% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 PF 29824 CLVILCTOMY DSTL SCOPE | $2,074.00 | $3,050.00 | $639.86–$1,372.50 | — | 32% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PF 29826 DEC SUBACR SPC SCOPE | $986.00 | $1,450.00 | $154.49–$652.50 | 10% below | 32% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SURG 29826 ARTHRO SHLDR DECOMP SUBACR SPC W PART ACROMIOPLSTY | $6,868.00 | $10,100.00 | $3,836.99–$9,595.00 | 525% above | 32% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 PF 29826 DEC SUBACR SPC SCOPE | $986.00 | $1,450.00 | $154.49–$652.50 | — | 32% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SURG 29826 ARTHRO SHLDR DECOMP SUBACR SPC W PART ACROMIOPLSTY | $6,868.00 | $10,100.00 | $3,836.99–$9,453.60 | — | 32% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 MD 12001 SMPL RPR S N A G T 2.5 CM < | $221.68 | $326.00 | $40.00–$146.70 | 18% below | 32% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED 12001 RPR SUPERFCL WND 2.5CM OR< | $312.80 | $460.00 | $174.75–$437.00 | 16% above | 32% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 MD 12001 SMPL RPR S N A G T 2.5 CM < | $221.68 | $326.00 | $40.00–$146.70 | — | 32% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ED 12001 RPR SUPERFCL WND 2.5CM OR< | $312.80 | $460.00 | $174.75–$430.56 | — | 32% |
| Skin biopsy, punch, one lesion CPT 11104 TX RM 11104 PUNCH BX SKIN SINGLE LESION | $129.20 | $190.00 | $72.18–$180.50 | 55% below | 32% |
| Skin biopsy, punch, one lesion CPT 11104 SURG 11104 PUNCH BIOPSY SKIN SINGLE LESION | $500.48 | $736.00 | $279.61–$699.20 | 74% above | 32% |
| Skin biopsy, punch, one lesion CPT 11104 PF 11104 PUNCH BX SKIN SINGLE LESION | $517.48 | $761.00 | $43.40–$342.45 | 79% above | 32% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 TX RM 11104 PUNCH BX SKIN SINGLE LESION | $129.20 | $190.00 | $72.18–$177.84 | — | 32% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 SURG 11104 PUNCH BIOPSY SKIN SINGLE LESION | $500.48 | $736.00 | $279.61–$688.90 | — | 32% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PF 11104 PUNCH BX SKIN SINGLE LESION | $517.48 | $761.00 | $43.40–$342.45 | — | 32% |
| Skin tag removal, up to 15 tags CPT 11200 TX RM 11200 REMOVE SKIN TAG UP TO 15 | $27.20 | $40.00 | $15.20–$38.00 | 86% below | 32% |
| Skin tag removal, up to 15 tags CPT 11200 PF 11200 REM SKIN TAGS TO 15 | $107.44 | $158.00 | $71.10–$138.21 | 45% below | 32% |
| Skin tag removal, up to 15 tags CPT 11200 SURG 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 | $191.76 | $282.00 | $107.13–$267.90 | 2% below | 32% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 TX RM 11200 REMOVE SKIN TAG UP TO 15 | $27.20 | $40.00 | $15.20–$37.44 | — | 32% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 PF 11200 REM SKIN TAGS TO 15 | $107.44 | $158.00 | $71.10–$138.21 | — | 32% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 SURG 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 | $191.76 | $282.00 | $107.13–$263.95 | — | 32% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 MD 62270 SPINAL PUNCTURE LUMBAR DX | $633.08 | $931.00 | $56.44–$418.95 | 13% below | 32% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ANES 62270 LUMBAR PUNCTURE | $671.84 | $988.00 | $56.44–$444.60 | 7% below | 32% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SURG 62270 SPINAL PUNCTURE LUMBAR DIAG | $671.84 | $988.00 | $375.34–$938.60 | 7% below | 32% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ED 62270 SPINAL TAP LUMBAR DIAG | $671.84 | $988.00 | $375.34–$938.60 | 7% below | 32% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 MD 62270 SPINAL PUNCTURE LUMBAR DX | $633.08 | $931.00 | $56.44–$418.95 | — | 32% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SURG 62270 SPINAL PUNCTURE LUMBAR DIAG | $671.84 | $988.00 | $375.34–$924.77 | — | 32% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ANES 62270 LUMBAR PUNCTURE | $671.84 | $988.00 | $56.44–$444.60 | — | 32% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ED 62270 SPINAL TAP LUMBAR DIAG | $671.84 | $988.00 | $375.34–$924.77 | — | 32% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED 12002 RPR SUPERFCL WND 2.6-7.5CM | $312.80 | $460.00 | $174.75–$437.00 | 2% above | 32% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 MD 12002 SMPL RPR S N A G T2.6-7.5CM | $375.36 | $552.00 | $52.27–$248.40 | 22% above | 32% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ED 12002 RPR SUPERFCL WND 2.6-7.5CM | $312.80 | $460.00 | $174.75–$430.56 | — | 32% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 MD 12002 SMPL RPR S N A G T2.6-7.5CM | $375.36 | $552.00 | $52.27–$248.40 | — | 32% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 MD 12011 RPR SMPL FCE <2.5CM | $273.36 | $402.00 | $49.58–$180.90 | at median | 32% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED 12011 RPR SUPERFCL WND 2.5CM OR< | $312.80 | $460.00 | $174.75–$437.00 | 14% above | 32% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 MD 12011 RPR SMPL FCE <2.5CM | $273.36 | $402.00 | $49.58–$180.90 | — | 32% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ED 12011 RPR SUPERFCL WND 2.5CM OR< | $312.80 | $460.00 | $174.75–$430.56 | — | 32% |
| TURP (transurethral resection of the prostate) CPT 52601 PF 52601 TURP | $1,972.00 | $2,900.00 | $676.84–$1,305.00 | 39% below | 32% |
| TURP (transurethral resection of the prostate) CPT 52601 SURG 52601 TURP INCL CTRL POST OP BLEED | $10,404.00 | $15,300.00 | $5,812.47–$14,535.00 | 221% above | 32% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 PF 52601 TURP | $1,972.00 | $2,900.00 | $676.84–$1,305.00 | — | 32% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 SURG 52601 TURP INCL CTRL POST OP BLEED | $10,404.00 | $15,300.00 | $5,812.47–$14,320.80 | — | 32% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TX RM 11102 TANGENTIAL BX SKIN SINGLE LESION | $95.20 | $140.00 | $53.19–$133.00 | 61% below | 32% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 SURG 11102 TANGENTIAL BX SKIN SINGLE LESION | $370.60 | $545.00 | $207.05–$517.75 | 51% above | 32% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 PF 11102 TANGENTIAL BX SKIN SINGLE LESION | $401.20 | $590.00 | $35.19–$265.50 | 64% above | 32% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TX RM 11102 TANGENTIAL BX SKIN SINGLE LESION | $95.20 | $140.00 | $53.19–$131.04 | — | 32% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 SURG 11102 TANGENTIAL BX SKIN SINGLE LESION | $370.60 | $545.00 | $207.05–$510.12 | — | 32% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 PF 11102 TANGENTIAL BX SKIN SINGLE LESION | $401.20 | $590.00 | $35.19–$265.50 | — | 32% |
| Thoracentesis with imaging guidance CPT 32555 SURG 32555 THORACENTESIS W IMAGING | $1,234.20 | $1,815.00 | $689.52–$1,724.25 | 38% above | 32% |
| Thoracentesis with imaging guidance CPT 32555 ED 32555 THORACENTESIS W IMAGING | $1,442.96 | $2,122.00 | $806.15–$2,015.90 | 61% above | 32% |
| Thoracentesis with imaging guidance inpatient CPT 32555 SURG 32555 THORACENTESIS W IMAGING | $1,234.20 | $1,815.00 | $689.52–$1,698.84 | — | 32% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ED 32555 THORACENTESIS W IMAGING | $1,442.96 | $2,122.00 | $806.15–$1,986.19 | — | 32% |
| Total hip replacement CPT 27130 PF 27130 ARTHROPL HIP TTL | $3,740.00 | $5,500.00 | $1,181.31–$2,475.00 | 4% below | 32% |
| Total hip replacement CPT 27130 TOTAL HIP ARTHOPLASTY | $9,469.00 | $13,925.00 | $5,290.11–$13,228.75 | 143% above | 32% |
| Total hip replacement inpatient CPT 27130 PF 27130 ARTHROPL HIP TTL | $3,740.00 | $5,500.00 | $1,181.31–$2,475.00 | — | 32% |
| Total hip replacement inpatient CPT 27130 TOTAL HIP ARTHOPLASTY | $9,469.00 | $13,925.00 | $5,290.11–$13,033.80 | — | 32% |
| Total knee replacement CPT 27447 PF 27447 ARTHROPL KNE TIB FEM | $3,740.00 | $5,500.00 | $1,179.89–$2,475.00 | at median | 32% |
| Total knee replacement CPT 27447 ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $9,469.00 | $13,925.00 | $5,290.11–$13,228.75 | 153% above | 32% |
| Total knee replacement inpatient CPT 27447 PF 27447 ARTHROPL KNE TIB FEM | $3,740.00 | $5,500.00 | $1,179.89–$2,475.00 | — | 32% |
| Total knee replacement inpatient CPT 27447 ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $9,469.00 | $13,925.00 | $5,290.11–$13,033.80 | — | 32% |
| Total shoulder replacement CPT 23472 PF 23472 SHOULD ARTHOPLAS W GLE | $4,088.16 | $6,012.00 | $1,330.53–$2,705.40 | at median | 32% |
| Total shoulder replacement CPT 23472 SURG 23472 RECONSTRUCT SHOULDER JOINT | $10,749.44 | $15,808.00 | $6,005.46–$15,017.60 | 163% above | 32% |
| Total shoulder replacement inpatient CPT 23472 PF 23472 SHOULD ARTHOPLAS W GLE | $4,088.16 | $6,012.00 | $1,330.53–$2,705.40 | — | 32% |
| Total shoulder replacement inpatient CPT 23472 SURG 23472 RECONSTRUCT SHOULDER JOINT | $10,749.44 | $15,808.00 | $6,005.46–$14,796.29 | — | 32% |
| Trigger point injections, 1 or 2 muscles CPT 20552 PF 20552 INJ TRIGR PT1-2MUSCLE | $136.00 | $200.00 | $33.96–$90.00 | 56% below | 32% |
| Trigger point injections, 1 or 2 muscles CPT 20552 MD 20552 INJ TRIGGER PT(S)1-2MUSCLES | $313.48 | $461.00 | $33.96–$207.45 | 1% above | 32% |
| Trigger point injections, 1 or 2 muscles CPT 20552 ED 20552 INJ 1-2 MUSC GRPS | $428.40 | $630.00 | $239.34–$598.50 | 38% above | 32% |
| Trigger point injections, 1 or 2 muscles CPT 20552 SURG 20552 INJ SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $559.64 | $823.00 | $312.66–$781.85 | 81% above | 32% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PF 20552 INJ TRIGR PT1-2MUSCLE | $136.00 | $200.00 | $33.96–$90.00 | — | 32% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 MD 20552 INJ TRIGGER PT(S)1-2MUSCLES | $313.48 | $461.00 | $33.96–$207.45 | — | 32% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ED 20552 INJ 1-2 MUSC GRPS | $428.40 | $630.00 | $239.34–$589.68 | — | 32% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 SURG 20552 INJ SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $559.64 | $823.00 | $312.66–$770.33 | — | 32% |
| Upper endoscopy (EGD) with biopsy CPT 43239 PF 43239 EGD W BIOPSY | $743.24 | $1,093.00 | $127.20–$3,458.00 | 30% below | 32% |
| Upper endoscopy (EGD) with biopsy CPT 43239 ED 43239 UPPER GI BX | $2,011.44 | $2,958.00 | $1,123.74–$2,810.10 | 91% above | 32% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PF 43239 EGD W BIOPSY | $743.24 | $1,093.00 | $127.20–$3,458.00 | — | 32% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 ED 43239 UPPER GI BX | $2,011.44 | $2,958.00 | $1,123.74–$2,768.69 | — | 32% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 PF 43236 EGD W SUBMUCOS INJ | $666.40 | $980.00 | $127.20–$441.00 | 48% below | 32% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 PF 43236 EGD W SUBMUCOS INJ | $666.40 | $980.00 | $127.20–$441.00 | — | 32% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 PF 43251 OPERATIVE UPPER GI ENDO | $918.00 | $1,350.00 | $179.41–$607.50 | 48% below | 32% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 PF 43251 OPERATIVE UPPER GI ENDO | $918.00 | $1,350.00 | $179.41–$607.50 | — | 32% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PF 43235 EGD | $547.40 | $805.00 | $112.99–$3,458.00 | 43% below | 32% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PF 43235 EGD | $547.40 | $805.00 | $112.99–$3,458.00 | — | 32% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 PF 52356 CYSTO URETER PYELOSCOPY W LITHO INSERT STENT | $2,192.32 | $3,224.00 | $379.25–$1,450.80 | 1% above | 32% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 SURG 52356 CYSTO/URETERO W LITHOTRIPSY W STENT INSERTION | $8,160.00 | $12,000.00 | $4,558.80–$11,400.00 | 278% above | 32% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 PF 52356 CYSTO URETER PYELOSCOPY W LITHO INSERT STENT | $2,192.32 | $3,224.00 | $379.25–$1,450.80 | — | 32% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 SURG 52356 CYSTO/URETERO W LITHOTRIPSY W STENT INSERTION | $8,160.00 | $12,000.00 | $4,558.80–$11,232.00 | — | 32% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 PF 59400 DEL VAG ANT PP CARE | $4,067.76 | $5,982.00 | $2,148.52–$3,974.76 | 31% above | 32% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PF 59400 DEL VAG ANT PP CARE | $4,067.76 | $5,982.00 | $2,148.52–$3,974.76 | — | 32% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 TX RM 55250 VASECTOMY UNI/BILATERAL INCL POSTOP SEMEN EXAM | $1,054.00 | $1,550.00 | $588.85–$1,472.50 | — | 32% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 PF 55250 VASECT WPOSTOP SEME | $742.56 | $1,092.00 | $219.65–$491.40 | 52% below | 32% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 TX RM 55250 VASECTOMY UNI/BILATERAL INCL POSTOP SEMEN EXAM | $1,054.00 | $1,550.00 | $588.85–$1,450.80 | — | 32% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 PF 55250 VASECT WPOSTOP SEME | $742.56 | $1,092.00 | $219.65–$491.40 | — | 32% |
| Vein ablation, radiofrequency, first vein CPT 36475 SURG 36475 ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN | $8,751.60 | $12,870.00 | $4,889.31–$12,226.50 | 130% above | 32% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 SURG 36475 ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN | $8,751.60 | $12,870.00 | $4,889.31–$12,046.32 | — | 32% |
| Wart removal, up to 14 warts CPT 17110 TX RM 17110 DESTRUCT BENIGN LESN 1-14 | $34.00 | $50.00 | $19.00–$47.50 | 83% below | 32% |
| Wart removal, up to 14 warts CPT 17110 PF 17110 DEST BENIGN LSN<15 | $136.00 | $200.00 | $67.32–$124.54 | 31% below | 32% |
| Wart removal, up to 14 warts inpatient CPT 17110 TX RM 17110 DESTRUCT BENIGN LESN 1-14 | $34.00 | $50.00 | $19.00–$46.80 | — | 32% |
| Wart removal, up to 14 warts inpatient CPT 17110 PF 17110 DEST BENIGN LSN<15 | $136.00 | $200.00 | $67.32–$124.54 | — | 32% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PF 11042 DEBR SKIN SUBQ TISSUE | $513.40 | $755.00 | $56.48–$339.75 | 15% above | 32% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 TX RM 11042 DEBR SKIN SUBQ TISSUE | $531.08 | $781.00 | $296.70–$741.95 | 19% above | 32% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 SURG 11042 DEBRIDEMENT SKIN & SUBQ TISSUE | $537.88 | $791.00 | $300.50–$751.45 | 20% above | 32% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PF 11042 DEBR SKIN SUBQ TISSUE | $513.40 | $755.00 | $56.48–$339.75 | — | 32% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 TX RM 11042 DEBR SKIN SUBQ TISSUE | $531.08 | $781.00 | $296.70–$731.02 | — | 32% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 SURG 11042 DEBRIDEMENT SKIN & SUBQ TISSUE | $537.88 | $791.00 | $300.50–$740.38 | — | 32% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 SURG 25607 OPEN TX DSTL RAD EXT ART FX OR EPIPHYSEAL SEP INT FIX | $9,305.80 | $13,685.00 | $5,198.93–$13,000.75 | 290% above | 32% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 SURG 25607 OPEN TX DSTL RAD EXT ART FX OR EPIPHYSEAL SEP INT FIX | $9,305.80 | $13,685.00 | $5,198.93–$12,809.16 | — | 32% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD | $715.36 | $1,052.00 | $399.65–$999.40 | at median | 32% |
| Blood transfusion (giving blood or blood components) CPT 36430 ED 36430 TRANSFUSION BLOOD | $715.36 | $1,052.00 | $399.65–$999.40 | at median | 32% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED 36430 TRANSFUSION BLOOD | $715.36 | $1,052.00 | $399.65–$984.67 | — | 32% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD | $715.36 | $1,052.00 | $399.65–$984.67 | — | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ED 94640 NON OR PRES'D INHALATION TX | $104.04 | $153.00 | $58.12–$145.35 | 11% below | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB INITIAL TX | $104.04 | $153.00 | $58.12–$145.35 | 11% below | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INHALER | $153.00 | $225.00 | $85.48–$213.75 | 31% above | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQ TX | $153.00 | $225.00 | $85.48–$213.75 | 31% above | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB SUBSEQ TX | $153.00 | $225.00 | $85.48–$213.75 | 31% above | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL TX | $153.00 | $225.00 | $85.48–$213.75 | 31% above | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DIAGNOSTIC SPUTUM | $153.00 | $225.00 | $85.48–$213.75 | 31% above | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB INITIAL TX | $104.04 | $153.00 | $58.12–$143.21 | — | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ED 94640 NON OR PRES'D INHALATION TX | $104.04 | $153.00 | $58.12–$143.21 | — | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB SUBSEQ TX | $153.00 | $225.00 | $85.48–$210.60 | — | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INHALER | $153.00 | $225.00 | $85.48–$210.60 | — | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSEQ TX | $153.00 | $225.00 | $85.48–$210.60 | — | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DIAGNOSTIC SPUTUM | $153.00 | $225.00 | $85.48–$210.60 | — | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL TX | $153.00 | $225.00 | $85.48–$210.60 | — | 32% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION 1ST HR | $110.16 | $162.00 | $61.54–$153.90 | 78% below | 32% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION 1ST HR | $110.16 | $162.00 | $61.54–$151.63 | — | 32% |
| Critical care, first 30 to 74 minutes CPT 99291 MD 99291 CRIT CARE E&M 30-74 MIN | $591.60 | $870.00 | $196.91–$391.50 | 62% below | 32% |
| Critical care, first 30 to 74 minutes CPT 99291 ED 99291 CRITICAL CARE E&M 30-74 MIN | $1,026.80 | $1,510.00 | $573.65–$1,434.50 | 33% below | 32% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 MD 99291 CRIT CARE E&M 30-74 MIN | $591.60 | $870.00 | $196.91–$391.50 | — | 32% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ED 99291 CRITICAL CARE E&M 30-74 MIN | $1,026.80 | $1,510.00 | $573.65–$1,413.36 | — | 32% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG STANDARD | $878.56 | $1,292.00 | $490.83–$1,227.40 | 66% above | 32% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG STANDARD | $878.56 | $1,292.00 | $490.83–$1,209.31 | — | 32% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG TRACING WO INTERP | $307.36 | $452.00 | $171.71–$429.40 | 78% above | 32% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACING ONLY | $307.36 | $452.00 | $171.71–$429.40 | 78% above | 32% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 18 LEAD | $307.36 | $452.00 | $171.71–$429.40 | 78% above | 32% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 18 LEAD | $307.36 | $452.00 | $171.71–$423.07 | — | 32% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACING ONLY | $307.36 | $452.00 | $171.71–$423.07 | — | 32% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED 99281 EMER CASE LEVEL I | $60.52 | $89.00 | $33.81–$84.55 | 69% below | 32% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 MD 99281 EMERGENCY DEPT VISIT LVL I | $189.04 | $278.00 | $10.37–$125.10 | 2% below | 32% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED 99281 EMER CASE LEVEL I | $60.52 | $89.00 | $33.81–$83.30 | — | 32% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 MD 99281 EMERGENCY DEPT VISIT LVL I | $189.04 | $278.00 | $10.37–$125.10 | — | 32% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED 99282 EMER CASE LEVEL II | $217.60 | $320.00 | $121.57–$304.00 | 12% below | 32% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 MD 99282 EMERGENCY DEPT VISIT LVL II | $282.88 | $416.00 | $38.35–$187.20 | 14% above | 32% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED 99282 EMER CASE LEVEL II | $217.60 | $320.00 | $121.57–$299.52 | — | 32% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 MD 99282 EMERGENCY DEPT VISIT LVL II | $282.88 | $416.00 | $38.35–$187.20 | — | 32% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED 99283 EMER CASE LEVEL III | $329.12 | $484.00 | $183.87–$459.80 | 17% below | 32% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MD 99283 EMERGENCY DEPT VISIT LVL III | $376.04 | $553.00 | $64.91–$248.85 | 5% below | 32% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED 99283 EMER CASE LEVEL III | $329.12 | $484.00 | $183.87–$453.02 | — | 32% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MD 99283 EMERGENCY DEPT VISIT LVL III | $376.04 | $553.00 | $64.91–$248.85 | — | 32% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED 99284 EMER CASE LEVEL IV | $467.16 | $687.00 | $260.99–$652.65 | 27% below | 32% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 MD 99284 EMERGENCY DEPT VISIT LVL IV | $470.56 | $692.00 | $110.34–$311.40 | 26% below | 32% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED 99284 EMER CASE LEVEL IV | $467.16 | $687.00 | $260.99–$643.03 | — | 32% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 MD 99284 EMERGENCY DEPT VISIT LVL IV | $470.56 | $692.00 | $110.34–$311.40 | — | 32% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 MD 99285 EMERGENCY DEPT VISIT LVL V | $565.08 | $831.00 | $159.75–$373.95 | 40% below | 32% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED 99285 EMER CASE LEVEL V | $722.84 | $1,063.00 | $403.83–$1,009.85 | 24% below | 32% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 MD 99285 EMERGENCY DEPT VISIT LVL V | $565.08 | $831.00 | $159.75–$373.95 | — | 32% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED 99285 EMER CASE LEVEL V | $722.84 | $1,063.00 | $403.83–$994.97 | — | 32% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST TRACING | $856.12 | $1,259.00 | $478.29–$1,196.05 | 19% above | 32% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST TRACING | $856.12 | $1,259.00 | $478.29–$1,178.42 | — | 32% |
| Family therapy with the patient, 50 minutes CPT 90847 PSYCH THERAPY FAMILY WPATIENT | $35.36 | $52.00 | $19.75–$49.40 | 82% below | 32% |
| Family therapy with the patient, 50 minutes CPT 90847 PF 90847 FAMILY THERAPY | $82.28 | $121.00 | $54.45–$187.74 | 58% below | 32% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PSYCH THERAPY FAMILY WPATIENT | $35.36 | $52.00 | $19.75–$48.67 | — | 32% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PF 90847 FAMILY THERAPY | $82.28 | $121.00 | $54.45–$187.74 | — | 32% |
| Family therapy without the patient, 50 minutes CPT 90846 PSYCH THERAPY FAMILY WO PATIENT | $35.36 | $52.00 | $19.75–$49.40 | 81% below | 32% |
| Family therapy without the patient, 50 minutes CPT 90846 PF 90846 FAMILY THERAPY PT NOT | $82.28 | $121.00 | $54.45–$179.93 | 55% below | 32% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PSYCH THERAPY FAMILY WO PATIENT | $35.36 | $52.00 | $19.75–$48.67 | — | 32% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PF 90846 FAMILY THERAPY PT NOT | $82.28 | $121.00 | $54.45–$179.93 | — | 32% |
| Group psychotherapy session CPT 90853 PF 90853 PSYCHOTHERAPY GROUP | $31.28 | $46.00 | $20.70–$44.16 | 60% below | 32% |
| Group psychotherapy session inpatient CPT 90853 PF 90853 PSYCHOTHERAPY GROUP | $31.28 | $46.00 | $20.70–$44.16 | — | 32% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INITIAL 31-60MINS | $73.44 | $108.00 | $41.03–$102.60 | 73% below | 32% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED 96360 IV INFUS THERAPY HYDRATION FLUIDS INITIAL 31 MIN-1HR | $73.44 | $108.00 | $41.03–$102.60 | 73% below | 32% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED 96360 IV INFUS THERAPY HYDRATION FLUIDS INITIAL 31 MIN-1HR | $73.44 | $108.00 | $41.03–$101.09 | — | 32% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION TX PROP DX 1HR 1V | $73.44 | $108.00 | $41.03–$102.60 | 78% below | 32% |
| IV infusion of a medicine, first hour CPT 96365 ED 96365 IV INFUS THER PROPH DIAG INITIAL UP TO 1HR | $73.44 | $108.00 | $41.03–$102.60 | 78% below | 32% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION TX PROP DX 1HR 1V | $73.44 | $108.00 | $41.03–$101.09 | — | 32% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ED 96365 IV INFUS THER PROPH DIAG INITIAL UP TO 1HR | $73.44 | $108.00 | $41.03–$101.09 | — | 32% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED 96372 THER PROPH DIAG INJECTION SQ IM | $19.72 | $29.00 | $11.02–$27.55 | 74% below | 32% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SC IM INJECTION | $19.72 | $29.00 | $11.02–$27.55 | 74% below | 32% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 TX RM 96372 THER PROPH DIAG INJ SQ IM | $100.64 | $148.00 | $56.23–$140.60 | 30% above | 32% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED 96372 THER PROPH DIAG INJECTION SQ IM | $19.72 | $29.00 | $11.02–$27.14 | — | 32% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SC IM INJECTION | $19.72 | $29.00 | $11.02–$27.14 | — | 32% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TX RM 96372 THER PROPH DIAG INJ SQ IM | $100.64 | $148.00 | $56.23–$138.53 | — | 32% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL | $76.84 | $113.00 | $42.93–$107.35 | 70% below | 32% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PF 90791 PSYCHIATRIC DIAG | $159.12 | $234.00 | $105.30–$261.04 | 38% below | 32% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL | $76.84 | $113.00 | $42.93–$105.77 | — | 32% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PF 90791 PSYCHIATRIC DIAG | $159.12 | $234.00 | $105.30–$261.04 | — | 32% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CONDUCTION TEST 7-8 STUDIES | $1,179.12 | $1,734.00 | $658.75–$1,647.30 | 175% above | 32% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CONDUCTION TEST 7-8 STUDIES | $1,179.12 | $1,734.00 | $658.75–$1,623.02 | — | 32% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE ED EA 15MIN 97112 | $114.24 | $168.00 | $63.82–$159.60 | 58% above | 32% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC RE ED EA 15MIN 97112 | $114.24 | $168.00 | $63.82–$157.25 | — | 32% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 | $29.92 | $44.00 | $19.80–$140.93 | 74% below | 32% |
| New patient office visit, about 30 minutes CPT 99203 PF 99203 OFFICE OP VISIT NEW PT LEVEL III | $199.92 | $294.00 | $76.18–$140.93 | 71% above | 32% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 | $216.92 | $319.00 | $121.19–$303.05 | 86% above | 32% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3 | $29.92 | $44.00 | $19.80–$140.93 | — | 32% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PF 99203 OFFICE OP VISIT NEW PT LEVEL III | $199.92 | $294.00 | $76.18–$140.93 | — | 32% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3 | $216.92 | $319.00 | $121.19–$298.58 | — | 32% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 | $42.16 | $62.00 | $27.90–$230.44 | 75% below | 32% |
| New patient office visit, about 45 minutes CPT 99204 PF 99204 OFFICE OP VISIT NEW PT LEVEL IV | $170.00 | $250.00 | $112.50–$230.44 | 1% below | 32% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 | $280.84 | $413.00 | $156.90–$392.35 | 64% above | 32% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4 | $42.16 | $62.00 | $27.90–$230.44 | — | 32% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PF 99204 OFFICE OP VISIT NEW PT LEVEL IV | $170.00 | $250.00 | $112.50–$230.44 | — | 32% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4 | $280.84 | $413.00 | $156.90–$386.57 | — | 32% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5 | $54.40 | $80.00 | $36.00–$313.08 | 77% below | 32% |
| New patient office visit, about 60 minutes CPT 99205 PF 99205 OFFICE OP VISIT NEW PT LEVEL V | $217.60 | $320.00 | $144.00–$313.08 | 7% below | 32% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5 | $375.36 | $552.00 | $209.70–$524.40 | 60% above | 32% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LEVEL 5 | $54.40 | $80.00 | $36.00–$313.08 | — | 32% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PF 99205 OFFICE OP VISIT NEW PT LEVEL V | $217.60 | $320.00 | $144.00–$313.08 | — | 32% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LEVEL 5 | $375.36 | $552.00 | $209.70–$516.67 | — | 32% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEVEL 2 | $22.44 | $33.00 | $14.85–$81.44 | 71% below | 32% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEVEL 2 | $170.00 | $250.00 | $94.98–$237.50 | 123% above | 32% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PF 99202 OFFICE OP VISIT NEW PT LEVEL II | $182.24 | $268.00 | $44.02–$120.60 | 139% above | 32% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LEVEL 2 | $22.44 | $33.00 | $14.85–$81.44 | — | 32% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LEVEL 2 | $170.00 | $250.00 | $94.98–$234.00 | — | 32% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PF 99202 OFFICE OP VISIT NEW PT LEVEL II | $182.24 | $268.00 | $44.02–$120.60 | — | 32% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL INDIVIDUAL15 MIN | $42.84 | $63.00 | $23.93–$59.85 | 31% below | 32% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL INDIVIDUAL15 MIN | $42.84 | $63.00 | $23.93–$58.97 | — | 32% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY 97165 | $142.80 | $210.00 | $79.78–$199.50 | 16% below | 32% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 97165 | $142.80 | $210.00 | $79.78–$196.56 | — | 32% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY 97163 | $197.20 | $290.00 | $110.17–$275.50 | 2% below | 32% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY 97163 | $197.20 | $290.00 | $110.17–$271.44 | — | 32% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY 97161 | $142.80 | $210.00 | $79.78–$199.50 | 15% below | 32% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 97161 | $142.80 | $210.00 | $79.78–$196.56 | — | 32% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEXITY 97162 | $170.00 | $250.00 | $94.98–$237.50 | 8% below | 32% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MODERATE COMPLEXITY 97162 | $170.00 | $250.00 | $94.98–$234.00 | — | 32% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15 MIN 97140 | $122.40 | $180.00 | $68.38–$171.00 | 48% above | 32% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15 MIN 97140 | $122.40 | $180.00 | $68.38–$168.48 | — | 32% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISE EA 15 MIN 97110 | $104.72 | $154.00 | $58.50–$146.30 | 16% above | 32% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISE EA 15 MIN 97110 | $104.72 | $154.00 | $58.50–$144.14 | — | 32% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PF 99385 FAC PREVENT MED NEW18-39Y | $51.68 | $76.00 | $28.87–$72.20 | 68% below | 32% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PF 99385 PREVENT MED NEW18-39Y | $208.08 | $306.00 | $137.70–$163.23 | 28% above | 32% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PF 99385 FAC PREVENT MED NEW18-39Y | $51.68 | $76.00 | $28.87–$71.14 | — | 32% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PF 99385 PREVENT MED NEW18-39Y | $208.08 | $306.00 | $137.70–$163.23 | — | 32% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PF 99386 FAC PREVENT MED NEW40-64Y | $59.84 | $88.00 | $33.43–$83.60 | 73% below | 32% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PF 99386 PREVENT MED NEW40-64Y | $240.72 | $354.00 | $159.30–$197.93 | 9% above | 32% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PF 99386 FAC PREVENT MED NEW40-64Y | $59.84 | $88.00 | $33.43–$82.37 | — | 32% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PF 99386 PREVENT MED NEW40-64Y | $240.72 | $354.00 | $159.30–$197.93 | — | 32% |
| Preventive checkup, new patient aged 65 or older CPT 99387 PF 99387 FAC PREVENT MED NEW>65YR | $65.28 | $96.00 | $36.47–$91.20 | 75% below | 32% |
| Preventive checkup, new patient aged 65 or older CPT 99387 PF 99387 PREVENT MED NEW>65YR | $261.80 | $385.00 | $173.25–$212.58 | at median | 32% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PF 99387 FAC PREVENT MED NEW>65YR | $65.28 | $96.00 | $36.47–$89.86 | — | 32% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PF 99387 PREVENT MED NEW>65YR | $261.80 | $385.00 | $173.25–$212.58 | — | 32% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PF 99395 FAC PREVENT MED EST18-39Y | $46.92 | $69.00 | $26.21–$65.55 | 64% below | 32% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PF 99395 PREVENT MED EST18-39Y | $187.68 | $276.00 | $124.20–$149.20 | 44% above | 32% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PF 99395 FAC PREVENT MED EST18-39Y | $46.92 | $69.00 | $26.21–$64.58 | — | 32% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PF 99395 PREVENT MED EST18-39Y | $187.68 | $276.00 | $124.20–$149.20 | — | 32% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PF 99396 FAC PREVENT MED EST40-64Y | $50.32 | $74.00 | $28.11–$70.30 | 65% below | 32% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PF 99396 PREVENT MED EST40-64Y | $199.24 | $293.00 | $131.85–$162.04 | 37% above | 32% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PF 99396 FAC PREVENT MED EST40-64Y | $50.32 | $74.00 | $28.11–$69.26 | — | 32% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PF 99396 PREVENT MED EST40-64Y | $199.24 | $293.00 | $131.85–$162.04 | — | 32% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PF 99397 FAC PREVENT MED EST >65YR | $53.72 | $79.00 | $30.01–$75.05 | 75% below | 32% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PF 99397 PREVENT MED EST >65YR | $214.20 | $315.00 | $141.75–$170.48 | at median | 32% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PF 99397 FAC PREVENT MED EST >65YR | $53.72 | $79.00 | $30.01–$73.94 | — | 32% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PF 99397 PREVENT MED EST >65YR | $214.20 | $315.00 | $141.75–$170.48 | — | 32% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCH THERAPY CRISIS 1ST 60 MINS | $57.12 | $84.00 | $31.91–$79.80 | 76% below | 32% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PF 90839 PSYTX CRISIS INITIAL 60 MIN | $133.96 | $197.00 | $88.65–$237.73 | 43% below | 32% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCH THERAPY CRISIS 1ST 60 MINS | $57.12 | $84.00 | $31.91–$78.62 | — | 32% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PF 90839 PSYTX CRISIS INITIAL 60 MIN | $133.96 | $197.00 | $88.65–$237.73 | — | 32% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES | $35.36 | $52.00 | $19.75–$49.40 | 69% below | 32% |
| Psychotherapy session, 30 minutes CPT 90832 PF 90832 PSYCHOTHERAPY W/PATIENT 16-37 MINUTES | $82.28 | $121.00 | $54.45–$126.13 | 28% below | 32% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES | $35.36 | $52.00 | $19.75–$48.67 | — | 32% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PF 90832 PSYCHOTHERAPY W/PATIENT 16-37 MINUTES | $82.28 | $121.00 | $54.45–$126.13 | — | 32% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY W/PATIENT 38-52 MINUTES | $43.52 | $64.00 | $24.31–$60.80 | 71% below | 32% |
| Psychotherapy session, 45 minutes CPT 90834 PF 90834 PSYCHOTHERAPY W/PATIENT 38-52 MINUTES | $103.36 | $152.00 | $68.40–$166.52 | 31% below | 32% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY W/PATIENT 38-52 MINUTES | $43.52 | $64.00 | $24.31–$59.90 | — | 32% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PF 90834 PSYCHOTHERAPY W/PATIENT 38-52 MINUTES | $103.36 | $152.00 | $68.40–$166.52 | — | 32% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY W/PATIENT 53+ MINUTES | $53.04 | $78.00 | $29.63–$74.10 | 71% below | 32% |
| Psychotherapy session, 60 minutes CPT 90837 PF 90837 PSYCHOTHERAPY W/PATIENT 53+ MINUTES | $123.76 | $182.00 | $81.90–$246.25 | 32% below | 32% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY W/PATIENT 53+ MINUTES | $53.04 | $78.00 | $29.63–$73.01 | — | 32% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PF 90837 PSYCHOTHERAPY W/PATIENT 53+ MINUTES | $123.76 | $182.00 | $81.90–$246.25 | — | 32% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO CONSULT 3-10 MIN | $48.96 | $72.00 | $27.35–$68.40 | 48% above | 32% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO CONSULT 3-10 MIN | $48.96 | $72.00 | $27.35–$67.39 | — | 32% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB LEVEL 5 | $40.80 | $60.00 | $27.00–$249.84 | 76% below | 32% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PF 99215 OFFICE OP VISIT EST PT LEVEL V | $163.88 | $241.00 | $108.45–$249.84 | 3% below | 32% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB LEVEL 5 | $354.28 | $521.00 | $197.93–$494.95 | 109% above | 32% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB LEVEL 5 | $40.80 | $60.00 | $27.00–$249.84 | — | 32% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PF 99215 OFFICE OP VISIT EST PT LEVEL V | $163.88 | $241.00 | $108.45–$249.84 | — | 32% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB LEVEL 5 | $354.28 | $521.00 | $197.93–$487.66 | — | 32% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB LEVEL 3 | $25.84 | $38.00 | $17.10–$114.55 | 73% below | 32% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 TX RM 99213 TREATMENT RM LEVEL III | $148.24 | $218.00 | $82.82–$207.10 | 57% above | 32% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PF 99213 OFFICE OP VISIT EST PT LEVEL III | $178.84 | $263.00 | $61.92–$118.35 | 90% above | 32% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB LEVEL 3 | $195.84 | $288.00 | $109.41–$273.60 | 108% above | 32% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB LEVEL 3 | $25.84 | $38.00 | $17.10–$114.55 | — | 32% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TX RM 99213 TREATMENT RM LEVEL III | $148.24 | $218.00 | $82.82–$204.05 | — | 32% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PF 99213 OFFICE OP VISIT EST PT LEVEL III | $178.84 | $263.00 | $61.92–$118.35 | — | 32% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB LEVEL 3 | $195.84 | $288.00 | $109.41–$269.57 | — | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB LEVEL 4 | $36.04 | $53.00 | $23.85–$168.50 | 70% below | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB LEVEL 4 | $259.76 | $382.00 | $145.12–$362.90 | 116% above | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PF 99214 OFFICE OP VISIT EST PT LEVEL IV | $269.96 | $397.00 | $91.08–$178.65 | 124% above | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB LEVEL 4 | $36.04 | $53.00 | $23.85–$168.50 | — | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB LEVEL 4 | $259.76 | $382.00 | $145.12–$357.55 | — | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PF 99214 OFFICE OP VISIT EST PT LEVEL IV | $269.96 | $397.00 | $91.08–$178.65 | — | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB LEVEL 2 | $19.04 | $28.00 | $12.60–$61.18 | 77% below | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 MD 99212 EVL MNG EST PT DAILY CARE LVL 2 | $109.48 | $161.00 | $33.07–$72.45 | 34% above | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PF 99212 OFFICE OP VISIT EST PT LEVEL II | $131.92 | $194.00 | $33.07–$87.30 | 62% above | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB LEVEL 2 | $148.24 | $218.00 | $82.82–$207.10 | 82% above | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TX RM 99212 TREATMENT RM LEVEL II | $148.24 | $218.00 | $82.82–$207.10 | 82% above | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB LEVEL 2 | $19.04 | $28.00 | $12.60–$61.18 | — | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 MD 99212 EVL MNG EST PT DAILY CARE LVL 2 | $109.48 | $161.00 | $33.07–$72.45 | — | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PF 99212 OFFICE OP VISIT EST PT LEVEL II | $131.92 | $194.00 | $33.07–$87.30 | — | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB LEVEL 2 | $148.24 | $218.00 | $82.82–$204.05 | — | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TX RM 99212 TREATMENT RM LEVEL II | $148.24 | $218.00 | $82.82–$204.05 | — | 32% |
| Speech and language evaluation CPT 92523 SPEECH EVAL LANG COMP EXPRESSION 92523 | $310.76 | $457.00 | $173.61–$434.15 | 3% below | 32% |
| Speech and language evaluation inpatient CPT 92523 SPEECH EVAL LANG COMP EXPRESSION 92523 | $310.76 | $457.00 | $173.61–$427.75 | — | 32% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY TX 92507 | $248.88 | $366.00 | $139.04–$347.70 | 18% above | 32% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY TX 92507 | $248.88 | $366.00 | $139.04–$342.58 | — | 32% |
| Spirometry (breathing test) inpatient CPT 94010 PFT SCREEN SPIROMETRY (NO BD) | $159.12 | $234.00 | $88.90–$219.02 | — | 32% |
| Spirometry before and after a bronchodilator CPT 94060 PFT SCREEN SPIROMETRY (WITH BD) | $271.32 | $399.00 | $151.58–$379.05 | 7% below | 32% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT SCREEN SPIROMETRY (WITH BD) | $271.32 | $399.00 | $151.58–$373.46 | — | 32% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIVITIES EA15 MIN 97530 | $117.64 | $173.00 | $65.72–$164.35 | 52% above | 32% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTIVITIES EA15 MIN 97530 | $117.64 | $173.00 | $65.72–$161.93 | — | 32% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $159.80 | $235.00 | $89.28–$223.25 | 24% below | 32% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 MD 99195 PHLEBOTOMYTHERAPEU(SEP PROC | $166.60 | $245.00 | $88.25–$163.26 | 21% below | 32% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY | $159.80 | $235.00 | $89.28–$219.96 | — | 32% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 MD 99195 PHLEBOTOMYTHERAPEU(SEP PROC | $166.60 | $245.00 | $88.25–$163.26 | — | 32% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $20.94 | $30.79 | $11.70–$29.25 | 6% below | 32% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 CDMR PF 90656 FLU VACC TRIVALENT SPLT PF 0.5 ML DOSAGE IM | $21.76 | $32.00 | $12.16–$30.40 | 2% below | 32% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $20.94 | $30.79 | $11.70–$28.82 | — | 32% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 CDMR PF 90656 FLU VACC TRIVALENT SPLT PF 0.5 ML DOSAGE IM | $21.76 | $32.00 | $12.16–$29.95 | — | 32% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJ SUSY | $123.40 | $181.46 | $68.94–$172.39 | 10% above | 32% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJ SUSY | $123.40 | $181.46 | $68.94–$169.85 | — | 32% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $48.62 | $71.49 | $27.16–$67.92 | 35% below | 32% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $48.62 | $71.49 | $27.16–$66.91 | — | 32% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC INJ SOLR | $106.11 | $156.04 | $59.28–$148.24 | 15% below | 32% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC INJ SOLR | $106.12 | $156.05 | $59.28–$146.06 | — | 32% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ SOLN | $74.97 | $110.25 | $41.88–$104.74 | 43% below | 32% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ SOSY | $122.89 | $180.72 | $68.66–$171.68 | 7% below | 32% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ SOLN | $74.97 | $110.25 | $41.88–$103.19 | — | 32% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ SOSY | $125.37 | $184.36 | $70.04–$172.56 | — | 32% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $722.49 | $1,062.48 | $403.64–$1,009.36 | 38% above | 32% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $722.49 | $1,062.48 | $403.64–$994.48 | — | 32% |
| Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR | $567.51 | $834.57 | $317.05–$792.84 | 3% above | 32% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR | $583.61 | $858.25 | $326.05–$815.34 | 6% above | 32% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR | $567.51 | $834.57 | $317.05–$781.16 | — | 32% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR | $583.61 | $858.25 | $326.05–$803.32 | — | 32% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR | $277.72 | $408.40 | $155.15–$387.98 | 21% above | 32% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR | $277.72 | $408.40 | $155.15–$382.26 | — | 32% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PF 90715 TDAP VACC >7 YR IM | $69.36 | $102.00 | $38.75–$96.90 | 12% below | 32% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP | $74.85 | $110.07 | $41.82–$104.57 | 5% below | 32% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PF 90715 TDAP VACC >7 YR IM | $69.36 | $102.00 | $38.75–$95.47 | — | 32% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP | $75.60 | $111.17 | $42.23–$104.06 | — | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMOCOCCAL VACCINE | $19.72 | $29.00 | $11.02–$27.55 | 52% below | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE | $19.72 | $29.00 | $11.02–$27.55 | 52% below | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED 90471 IMMUNE ADMIN 1 VACCINE | $19.72 | $29.00 | $11.02–$27.55 | 52% below | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INFLUENZA VIR VAC | $19.72 | $29.00 | $11.02–$27.55 | 52% below | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN 1 VACCINE | $19.72 | $29.00 | $11.02–$27.55 | 52% below | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMOCOCCAL VAC | $19.72 | $29.00 | $11.02–$27.55 | 52% below | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMOCOCCAL VAC | $19.72 | $29.00 | $11.02–$27.14 | — | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMOCOCCAL VACCINE | $19.72 | $29.00 | $11.02–$27.14 | — | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INFLUENZA VIR VAC | $19.72 | $29.00 | $11.02–$27.14 | — | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEPATITIS B VACCINE | $19.72 | $29.00 | $11.02–$27.14 | — | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED 90471 IMMUNE ADMIN 1 VACCINE | $19.72 | $29.00 | $11.02–$27.14 | — | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN 1 VACCINE | $19.72 | $29.00 | $11.02–$27.14 | — | 32% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED 90472 IMMUN ADMIN EA ADDL VACCINE | $19.72 | $29.00 | $11.02–$27.55 | 22% below | 32% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN EA ADDL VACCINE | $19.72 | $29.00 | $11.02–$27.55 | 22% below | 32% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ED 90472 IMMUN ADMIN EA ADDL VACCINE | $19.72 | $29.00 | $11.02–$27.14 | — | 32% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN EA ADDL VACCINE | $19.72 | $29.00 | $11.02–$27.14 | — | 32% |
Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/8089/237159870_windom-area-hospital_standardcharges.csv