McKenzie County Healthcare System
McKenzie County Healthcare System in Watford City, ND publishes cash prices for 371 common procedures listed here, from its own machine-readable price file updated May 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the North Dakota median for 245 of 331 procedures and below it for 74. By typical cash price it ranks #20 of 22 North Dakota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
709 4th Ave NE, Watford City, ND 58854 Collected Sep 27, 2026 Source price file (701) 842-3000
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 351302 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 RAD EXAM ANKLE MIN 3 VWS | $140.40 | $216.00 | $103.68–$211.68 | 16% below | 35% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 RAD EXAM ANKLE MIN 3 VWS | $140.40 | $216.00 | $190.08–$211.68 | — | 35% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RAD EXAM ESOPHAGUS | $358.15 | $551.00 | $264.48–$539.98 | 5% below | 35% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RAD EXAM ESOPHAGUS | $358.15 | $551.00 | $484.88–$539.98 | — | 35% |
| Breast ultrasound, complete, one breast one side CPT 76641 US UNILATERAL BREAST COMPLETE | $383.50 | $590.00 | $283.20–$578.20 | 12% above | 35% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US UNILATERAL BREAST COMPLETE | $383.50 | $590.00 | $519.20–$578.20 | — | 35% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US UNILATERAL BREAST LIMITED | $297.70 | $458.00 | $219.84–$448.84 | 14% above | 35% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US UNILATERAL BREAST LIMITED | $297.70 | $458.00 | $403.04–$448.84 | — | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WCONT +WO IF PERF | $2,404.35 | $3,699.00 | $1,775.52–$3,625.02 | 12% above | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WCONT +WO IF PERF | $2,404.35 | $3,699.00 | $3,255.12–$3,625.02 | — | 35% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS WO CONTRAST | $1,075.10 | $1,654.00 | $793.92–$1,620.92 | 19% below | 35% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS WO CONTRAST | $1,075.10 | $1,654.00 | $1,455.52–$1,620.92 | — | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W CONTRAST | $2,312.05 | $3,557.00 | $1,707.36–$3,485.86 | 5% below | 35% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W CONTRAST | $2,312.05 | $3,557.00 | $3,130.16–$3,485.86 | — | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS WO THEN W CONT | $2,613.00 | $4,020.00 | $1,929.60–$3,939.60 | 9% below | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELVIS WO THEN W CONT | $2,613.00 | $4,020.00 | $3,537.60–$3,939.60 | — | 35% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST | $1,816.75 | $2,795.00 | $1,341.60–$2,739.10 | 15% above | 35% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST | $1,816.75 | $2,795.00 | $2,459.60–$2,739.10 | — | 35% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST | $1,300.00 | $2,000.00 | $960.00–$1,960.00 | 17% above | 35% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST | $1,300.00 | $2,000.00 | $1,760.00–$1,960.00 | — | 35% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CONT | $1,108.90 | $1,706.00 | $818.88–$1,671.88 | 4% above | 35% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CONT | $1,108.90 | $1,706.00 | $1,501.28–$1,671.88 | — | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST | $692.90 | $1,066.00 | $511.68–$1,044.68 | 27% below | 35% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST | $692.90 | $1,066.00 | $938.08–$1,044.68 | — | 35% |
| CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST | $1,427.40 | $2,196.00 | $1,054.08–$2,152.08 | 12% above | 35% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST | $1,427.40 | $2,196.00 | $1,932.48–$2,152.08 | — | 35% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD WO THEN W CONTRAST | $1,644.50 | $2,530.00 | $1,214.40–$2,479.40 | 14% above | 35% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO THEN W CONTRAST | $1,644.50 | $2,530.00 | $2,226.40–$2,479.40 | — | 35% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CONT | $1,420.90 | $2,186.00 | $1,049.28–$2,142.28 | 11% above | 35% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CONT | $1,420.90 | $2,186.00 | $1,923.68–$2,142.28 | — | 35% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CONTRAST | $1,327.95 | $2,043.00 | $980.64–$2,002.14 | 1% above | 35% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CONTRAST | $1,327.95 | $2,043.00 | $1,797.84–$2,002.14 | — | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $1,823.90 | $2,806.00 | $1,346.88–$2,749.88 | 16% above | 35% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST | $1,823.90 | $2,806.00 | $2,469.28–$2,749.88 | — | 35% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUP CAROTID BILAT | $975.00 | $1,500.00 | $720.00–$1,470.00 | — | 35% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUP CAROTID BILAT | $975.00 | $1,500.00 | $1,320.00–$1,470.00 | — | 35% |
| Chest X-ray, 2 views CPT 71046 RAD EXAM CHEST 2 VWS | $162.50 | $250.00 | $120.00–$245.00 | 3% above | 35% |
| Chest X-ray, 2 views inpatient CPT 71046 RAD EXAM CHEST 2 VWS | $162.50 | $250.00 | $220.00–$245.00 | — | 35% |
| Chest X-ray, single view CPT 71045 RAD EXAM CHEST SINGLE VW | $132.60 | $204.00 | $97.92–$199.92 | at median | 35% |
| Chest X-ray, single view inpatient CPT 71045 RAD EXAM CHEST SINGLE VW | $132.60 | $204.00 | $179.52–$199.92 | — | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM | $495.30 | $762.00 | $365.76–$746.76 | 23% above | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEUM | $495.30 | $762.00 | $670.56–$746.76 | — | 35% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY DEXA AXIAL SKELET | $148.85 | $229.00 | $109.92–$224.42 | 44% below | 35% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY DEXA AXIAL SKELET | $148.85 | $229.00 | $201.52–$224.42 | — | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DIAGNOSTIC WO CONTRAST | $1,366.95 | $2,103.00 | $1,009.44–$2,060.94 | 17% above | 35% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DIAGNOSTIC WO CONTRAST | $1,366.95 | $2,103.00 | $1,850.64–$2,060.94 | — | 35% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DIAGNOSTIC WITH CONTRAST | $1,645.15 | $2,531.00 | $1,214.88–$2,480.38 | 16% above | 35% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DIAGNOSTIC WITH CONTRAST | $1,645.15 | $2,531.00 | $2,227.28–$2,480.38 | — | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX BILAT INCL CAD | $651.95 | $1,003.00 | $481.44–$982.94 | — | 35% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX BILAT INCL CAD | $651.95 | $1,003.00 | $882.64–$982.94 | — | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX UNILAT INCL CAD | $509.60 | $784.00 | $376.32–$768.32 | 33% above | 35% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX UNILAT INCL CAD | $509.60 | $784.00 | $689.92–$768.32 | — | 35% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX ART LOWER EXT CMPL BILAT | $1,179.75 | $1,815.00 | $871.20–$1,778.70 | — | 35% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX ART LOWER EXT CMPL BILAT | $1,179.75 | $1,815.00 | $1,597.20–$1,778.70 | — | 35% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS EXT CMPL BILAT | $1,041.30 | $1,602.00 | $768.96–$1,569.96 | — | 35% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX VENOUS EXT CMPL BILAT | $1,041.30 | $1,602.00 | $1,409.76–$1,569.96 | — | 35% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO (2D) COMPLETE W DOPPLER & COLOR | $748.80 | $1,152.00 | $552.96–$1,128.96 | 9% below | 35% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO (2D) COMPLETE W DOPPLER & COLOR | $748.80 | $1,152.00 | $1,013.76–$1,128.96 | — | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG CPAP BIPAP 4+ PARAMETERS | $2,398.50 | $3,690.00 | $1,771.20–$3,616.20 | 4% above | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG CPAP BIPAP 4+ PARAMETERS | $2,398.50 | $3,690.00 | $3,247.20–$3,616.20 | — | 35% |
| Knee X-ray, 3 views CPT 73562 RAD EXAM KNEE 3 VWS | $156.00 | $240.00 | $115.20–$235.20 | 22% below | 35% |
| Knee X-ray, 3 views inpatient CPT 73562 RAD EXAM KNEE 3 VWS | $156.00 | $240.00 | $211.20–$235.20 | — | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED | $388.70 | $598.00 | $287.04–$586.04 | 3% above | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED | $388.70 | $598.00 | $526.24–$586.04 | — | 35% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LW DOSE LUNG CA SCR NO CONTRAST | $905.45 | $1,393.00 | $668.64–$1,365.14 | 38% above | 35% |
| 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 | $905.45 | $1,393.00 | $1,225.84–$1,365.14 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JT WO CONTRAST | $1,708.85 | $2,629.00 | $1,261.92–$2,576.42 | 12% below | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JT WO CONTRAST | $1,708.85 | $2,629.00 | $2,313.52–$2,576.42 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JT WO THEN W CONT | $3,191.50 | $4,910.00 | $2,356.80–$4,811.80 | 11% above | 35% |
| 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 | $3,191.50 | $4,910.00 | $4,320.80–$4,811.80 | — | 35% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST | $2,414.10 | $3,714.00 | $1,782.72–$3,639.72 | 26% above | 35% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST | $2,414.10 | $3,714.00 | $3,268.32–$3,639.72 | — | 35% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO THEN W CONT | $3,487.90 | $5,366.00 | $2,575.68–$5,258.68 | 8% above | 35% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO THEN W CONT | $3,487.90 | $5,366.00 | $4,722.08–$5,258.68 | — | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $1,586.65 | $2,441.00 | $1,171.68–$2,392.18 | 3% below | 35% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST | $1,586.65 | $2,441.00 | $2,148.08–$2,392.18 | — | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO THEN W CONT | $3,338.40 | $5,136.00 | $2,465.28–$5,033.28 | 17% above | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO THEN W CONT | $3,338.40 | $5,136.00 | $4,519.68–$5,033.28 | — | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE WO CONTRAST | $1,508.00 | $2,320.00 | $1,113.60–$2,273.60 | 18% below | 35% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE WO CONTRAST | $1,508.00 | $2,320.00 | $2,041.60–$2,273.60 | — | 35% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE WO THEN W CONT | $3,352.05 | $5,157.00 | $2,475.36–$5,053.86 | 2% above | 35% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SPINE WO THEN W CONT | $3,352.05 | $5,157.00 | $4,538.16–$5,053.86 | — | 35% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE WO CONTRAST | $2,400.45 | $3,693.00 | $1,772.64–$3,619.14 | 22% above | 35% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SPINE WO CONTRAST | $2,400.45 | $3,693.00 | $3,249.84–$3,619.14 | — | 35% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE WO THEN W CONT | $3,233.75 | $4,975.00 | $2,388.00–$4,875.50 | 5% above | 35% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE WO THEN W CONT | $3,233.75 | $4,975.00 | $4,378.00–$4,875.50 | — | 35% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE WO CONTRAST | $2,237.95 | $3,443.00 | $1,652.64–$3,374.14 | 20% above | 35% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SPINE WO CONTRAST | $2,237.95 | $3,443.00 | $3,029.84–$3,374.14 | — | 35% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO THEN W CONT | $3,378.70 | $5,198.00 | $2,495.04–$5,094.04 | 10% above | 35% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO THEN W CONT | $3,378.70 | $5,198.00 | $4,574.24–$5,094.04 | — | 35% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST | $2,453.75 | $3,775.00 | $1,812.00–$3,699.50 | 20% above | 35% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST | $2,453.75 | $3,775.00 | $3,322.00–$3,699.50 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JT WO CONTRAST | $1,708.85 | $2,629.00 | $1,261.92–$2,576.42 | 12% below | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JT WO CONTRAST | $1,708.85 | $2,629.00 | $2,313.52–$2,576.42 | — | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL SPECT MULT STDY | $1,102.40 | $1,696.00 | $814.08–$1,662.08 | 43% below | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL SPECT MULT STDY | $1,102.40 | $1,696.00 | $1,492.48–$1,662.08 | — | 35% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT SKULL BASE TO MID THIGH | $4,092.40 | $6,296.00 | $3,022.08–$6,170.08 | 9% above | 35% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT SKULL BASE TO MID THIGH | $4,092.40 | $6,296.00 | $5,540.48–$6,170.08 | — | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED | $148.85 | $229.00 | $109.92–$224.42 | 53% below | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED | $148.85 | $229.00 | $201.52–$224.42 | — | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $453.05 | $697.00 | $334.56–$683.06 | 16% above | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE | $453.05 | $697.00 | $613.36–$683.06 | — | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PG UTR 2-3TRI SGL 1ST | $516.75 | $795.00 | $381.60–$779.10 | 13% above | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PG UTR 2-3TRI SGL 1ST | $516.75 | $795.00 | $699.60–$779.10 | — | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG UTER 1ST TRI SGL | $441.35 | $679.00 | $325.92–$665.42 | 17% above | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG UTER 1ST TRI SGL | $441.35 | $679.00 | $597.52–$665.42 | — | 35% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB REAL TIME LTD | $347.75 | $535.00 | $256.80–$524.30 | 25% above | 35% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB REAL TIME LTD | $347.75 | $535.00 | $470.80–$524.30 | — | 35% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $538.20 | $828.00 | $397.44–$811.44 | — | 35% |
| Screening mammogram, both breasts one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $538.20 | $828.00 | $397.44–$811.44 | 56% above | 35% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $538.20 | $828.00 | $728.64–$811.44 | — | 35% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $538.20 | $828.00 | $728.64–$811.44 | — | 35% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 RAD EXAM SHOULDER COMPL MIN 2 VWS | $142.35 | $219.00 | $105.12–$214.62 | 17% below | 35% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 RAD EXAM SHOULDER COMPL MIN 2 VWS | $142.35 | $219.00 | $192.72–$214.62 | — | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG 4+ PARAMETERS | $3,960.45 | $6,093.00 | $2,924.64–$5,971.14 | 77% above | 35% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 4+ PARAMETERS | $3,960.45 | $6,093.00 | $5,361.84–$5,971.14 | — | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $454.35 | $699.00 | $335.52–$685.02 | at median | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $454.35 | $699.00 | $615.12–$685.02 | — | 35% |
| Transvaginal ultrasound during pregnancy CPT 76817 US PG UTR TRANSVAG | $333.45 | $513.00 | $246.24–$502.74 | 13% above | 35% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PG UTR TRANSVAG | $333.45 | $513.00 | $451.44–$502.74 | — | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE | $507.00 | $780.00 | $374.40–$764.40 | at median | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE | $507.00 | $780.00 | $686.40–$764.40 | — | 35% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $460.85 | $709.00 | $340.32–$694.82 | 20% above | 35% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $460.85 | $709.00 | $623.92–$694.82 | — | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD NECK | $653.90 | $1,006.00 | $482.88–$985.88 | 45% above | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD NECK | $653.90 | $1,006.00 | $885.28–$985.88 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS EXT LTD UNILAT | $864.50 | $1,330.00 | $638.40–$1,303.40 | 54% above | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX VENOUS EXT LTD UNILAT | $864.50 | $1,330.00 | $1,170.40–$1,303.40 | — | 35% |
| Wrist X-ray, complete, 3 or more views CPT 73110 RAD EXAM WRIST COMPL MIN 3 VWS | $158.60 | $244.00 | $117.12–$239.12 | 15% below | 35% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 RAD EXAM WRIST COMPL MIN 3 VWS | $158.60 | $244.00 | $214.72–$239.12 | — | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 RAD EXAM HIP UNILAT W PELV WHEN PERF 2 OR 3 VWS | $177.45 | $273.00 | $131.04–$267.54 | 8% below | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RAD EXAM HIP UNILAT W PELV WHEN PERF 2 OR 3 VWS | $177.45 | $273.00 | $240.24–$267.54 | — | 35% |
| X-ray of the abdomen, 1 view CPT 74018 RAD EXAM ABDOMEN 1 VW | $111.15 | $171.00 | $82.08–$167.58 | 3% below | 35% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RAD EXAM ABDOMEN 1 VW | $111.15 | $171.00 | $150.48–$167.58 | — | 35% |
| X-ray of the ankle, 2 views CPT 73600 RAD EXAM ANKLE 2 VWS | $121.55 | $187.00 | $89.76–$183.26 | 19% below | 35% |
| X-ray of the ankle, 2 views inpatient CPT 73600 RAD EXAM ANKLE 2 VWS | $121.55 | $187.00 | $164.56–$183.26 | — | 35% |
| X-ray of the finger(s), 2 or more views CPT 73140 RAD EXAM FINGER(S) MIN 2 VWS | $151.45 | $233.00 | $111.84–$228.34 | 5% below | 35% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 RAD EXAM FINGER(S) MIN 2 VWS | $151.45 | $233.00 | $205.04–$228.34 | — | 35% |
| X-ray of the foot, 2 views CPT 73620 RAD EXAM FOOT 2 VWS | $114.40 | $176.00 | $84.48–$172.48 | 28% below | 35% |
| X-ray of the foot, 2 views inpatient CPT 73620 RAD EXAM FOOT 2 VWS | $114.40 | $176.00 | $154.88–$172.48 | — | 35% |
| X-ray of the foot, complete, 3 or more views CPT 73630 RAD EXAM FOOT MIN 3 VWS | $133.90 | $206.00 | $98.88–$201.88 | 19% below | 35% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 RAD EXAM FOOT MIN 3 VWS | $133.90 | $206.00 | $181.28–$201.88 | — | 35% |
| X-ray of the hand, 3 or more views CPT 73130 RAD EXAM HAND MIN 3 VWS | $138.45 | $213.00 | $102.24–$208.74 | 28% below | 35% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 RAD EXAM HAND MIN 3 VWS | $138.45 | $213.00 | $187.44–$208.74 | — | 35% |
| X-ray of the knee, 1 or 2 views CPT 73560 RAD EXAM KNEE 1 OR 2 VWS | $270.40 | $416.00 | $199.68–$407.68 | 45% above | 35% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 RAD EXAM KNEE 1 OR 2 VWS | $270.40 | $416.00 | $366.08–$407.68 | — | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 RAD EXAM SPINE LUMB 2 OR 3 VWS | $173.55 | $267.00 | $128.16–$261.66 | 1% above | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 RAD EXAM SPINE LUMB 2 OR 3 VWS | $173.55 | $267.00 | $234.96–$261.66 | — | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS | $232.70 | $358.00 | $171.84–$350.84 | at median | 35% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS | $232.70 | $358.00 | $315.04–$350.84 | — | 35% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 RAD EXAM SPINE THOR 2 VWS | $162.50 | $250.00 | $120.00–$245.00 | 13% above | 35% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 RAD EXAM SPINE THOR 2 VWS | $162.50 | $250.00 | $220.00–$245.00 | — | 35% |
| X-ray of the nasal bones, 3 or more views CPT 70160 RAD EXAM NASAL BONES COMPL MIN 3 VWS | $146.90 | $226.00 | $108.48–$221.48 | 1% below | 35% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 RAD EXAM NASAL BONES COMPL MIN 3 VWS | $146.90 | $226.00 | $198.88–$221.48 | — | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 RAD EXAM SPINE CERV 2 OR 3 VWS | $156.65 | $241.00 | $115.68–$236.18 | at median | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 RAD EXAM SPINE CERV 2 OR 3 VWS | $156.65 | $241.00 | $212.08–$236.18 | — | 35% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 RAD EXAM PELVIS 1 OR 2 VWS | $148.85 | $229.00 | $109.92–$224.42 | at median | 35% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 RAD EXAM PELVIS 1 OR 2 VWS | $148.85 | $229.00 | $201.52–$224.42 | — | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 RAD EXAM SACRUM COCCYX MIN 2 VWS | $133.90 | $206.00 | $98.88–$201.88 | 8% below | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 RAD EXAM SACRUM COCCYX MIN 2 VWS | $133.90 | $206.00 | $181.28–$201.88 | — | 35% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALANINE AMINO ALT SGPT 84460 | $52.00 | $80.00 | $10.60–$78.40 | 28% above | 35% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALANINE AMINO ALT SGPT 84460 | $52.00 | $80.00 | $70.40–$78.40 | — | 35% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST 84450 | $50.70 | $78.00 | $10.36–$76.44 | 14% above | 35% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST 84450 | $50.70 | $78.00 | $68.64–$76.44 | — | 35% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $259.35 | $399.00 | $95.26–$391.02 | 19% above | 35% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL 80074 | $289.90 | $446.00 | $95.26–$437.08 | 33% above | 35% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $259.35 | $399.00 | $351.12–$391.02 | — | 35% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL 80074 | $289.90 | $446.00 | $392.48–$437.08 | — | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG AVOCADO SO | $27.30 | $42.00 | $10.44–$41.16 | 90% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG MUSTARD FOOD SO | $27.30 | $42.00 | $10.44–$41.16 | 90% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG BROCCOLI SO | $27.30 | $42.00 | $10.44–$41.16 | 90% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG KIWI SO 86003.924 | $27.30 | $42.00 | $10.44–$41.16 | 90% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RESPIRATORY PANEL REGION 9 (KS, ND, NE, SD) | $31.85 | $49.00 | $10.44–$48.02 | 121% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALERGEN SPEC IGE QNT SO 86003 | $31.85 | $49.00 | $10.44–$48.02 | 121% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN ALLERGY PANEL 86003.138 | $31.85 | $49.00 | $10.44–$48.02 | 121% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH 86003 | $31.85 | $49.00 | $10.44–$48.02 | 121% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OTHER 86003 | $31.85 | $49.00 | $10.44–$48.02 | 121% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG CASHEW NUT | $31.85 | $49.00 | $10.44–$48.02 | 121% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ON PANEL 86003 | $31.85 | $49.00 | $10.44–$48.02 | 121% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG MACADAMIA NUT SO 86003.926 | $38.35 | $59.00 | $10.44–$57.82 | 166% above | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG BROCCOLI SO | $27.30 | $42.00 | $36.96–$41.16 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG AVOCADO SO | $27.30 | $42.00 | $36.96–$41.16 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG MUSTARD FOOD SO | $27.30 | $42.00 | $36.96–$41.16 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG KIWI SO 86003.924 | $27.30 | $42.00 | $36.96–$41.16 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN ALLERGY PANEL 86003.138 | $31.85 | $49.00 | $43.12–$48.02 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RESPIRATORY PANEL REGION 9 (KS, ND, NE, SD) | $31.85 | $49.00 | $43.12–$48.02 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALERGEN SPEC IGE QNT SO 86003 | $31.85 | $49.00 | $43.12–$48.02 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN OTHER 86003 | $31.85 | $49.00 | $43.12–$48.02 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH 86003 | $31.85 | $49.00 | $43.12–$48.02 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG CASHEW NUT | $31.85 | $49.00 | $43.12–$48.02 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ON PANEL 86003 | $31.85 | $49.00 | $43.12–$48.02 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG MACADAMIA NUT SO 86003.926 | $38.35 | $59.00 | $51.92–$57.82 | — | 35% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITR PEP AB(CCP) 86200 | $168.35 | $259.00 | $25.90–$253.82 | 196% above | 35% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITR PEP AB(CCP) 86200 | $168.35 | $259.00 | $227.92–$253.82 | — | 35% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CONNECT TISSUE ANTINUCLEAR AB 86038.007 | $113.75 | $175.00 | $24.18–$171.50 | 100% above | 35% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY SCRE86038 | $157.30 | $242.00 | $24.18–$237.16 | 177% above | 35% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CONNECT TISSUE ANTINUCLEAR AB 86038.007 | $113.75 | $175.00 | $154.00–$171.50 | — | 35% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY SCRE86038 | $157.30 | $242.00 | $212.96–$237.16 | — | 35% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE 83880 | $329.55 | $507.00 | $78.52–$496.86 | 55% above | 35% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PRO B-TYPE NATRIURETIC PEPTIDE 83880.900 | $329.55 | $507.00 | $78.52–$496.86 | 55% above | 35% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PRO B-TYPE NATRIURETIC PEPTIDE 83880.900 | $329.55 | $507.00 | $446.16–$496.86 | — | 35% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE 83880 | $329.55 | $507.00 | $446.16–$496.86 | — | 35% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL 80048 | $50.70 | $78.00 | $16.92–$76.44 | 32% below | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL 80048 | $50.70 | $78.00 | $68.64–$76.44 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH LEVEL IV 88305 | $112.45 | $173.00 | $83.04–$169.54 | at median | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PROSTATE BIOPSY 88305 | $112.45 | $173.00 | $83.04–$169.54 | at median | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH LVL IV DERM88305 | $228.15 | $351.00 | $168.48–$343.98 | 102% above | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PROSTATE BIOPSY 88305 | $112.45 | $173.00 | $152.24–$169.54 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH LEVEL IV 88305 | $112.45 | $173.00 | $152.24–$169.54 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH LVL IV DERM88305 | $228.15 | $351.00 | $308.88–$343.98 | — | 35% |
| Blood culture for bacteria CPT 87040 CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES 87040 | $133.90 | $206.00 | $20.64–$201.88 | 77% above | 35% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES 87040 | $133.90 | $206.00 | $181.28–$201.88 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE 36415 | $14.95 | $23.00 | $9.09–$22.54 | 13% below | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ED 36415 LEGAL COLLECTION | $14.95 | $23.00 | $9.09–$22.54 | 13% below | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ED 36415 LEGAL COLLECTION | $14.95 | $23.00 | $20.24–$22.54 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE 36415 | $14.95 | $23.00 | $20.24–$22.54 | — | 35% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD (EXCEPT REAGENT STRIP) 82947 | $38.35 | $59.00 | $7.86–$57.82 | 49% above | 35% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD (EXCEPT REAGENT STRIP) 82947 | $38.35 | $59.00 | $51.92–$57.82 | — | 35% |
| Blood lead test CPT 83655 LEAD | $56.55 | $87.00 | $24.22–$85.26 | 91% above | 35% |
| Blood lead test CPT 83655 LEAD 83655 | $74.10 | $114.00 | $24.22–$111.72 | 150% above | 35% |
| Blood lead test CPT 83655 LEAD BLOOD 83655.900 | $76.05 | $117.00 | $24.22–$114.66 | 157% above | 35% |
| Blood lead test CPT 83655 HEAVY METAL SCREEN LEAD 83655.902 | $76.05 | $117.00 | $24.22–$114.66 | 157% above | 35% |
| Blood lead test CPT 83655 LEAD BLOOD VENOUS 83655.904 | $76.05 | $117.00 | $24.22–$114.66 | 157% above | 35% |
| Blood lead test inpatient CPT 83655 LEAD | $56.55 | $87.00 | $76.56–$85.26 | — | 35% |
| Blood lead test inpatient CPT 83655 LEAD 83655 | $74.10 | $114.00 | $100.32–$111.72 | — | 35% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD 83655.900 | $76.05 | $117.00 | $102.96–$114.66 | — | 35% |
| Blood lead test inpatient CPT 83655 HEAVY METAL SCREEN LEAD 83655.902 | $76.05 | $117.00 | $102.96–$114.66 | — | 35% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD VENOUS 83655.904 | $76.05 | $117.00 | $102.96–$114.66 | — | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL 84703 | $94.25 | $145.00 | $15.04–$142.10 | 39% above | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL 84703 | $94.25 | $145.00 | $127.60–$142.10 | — | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO 86900 | $155.35 | $239.00 | $5.98–$234.22 | 296% above | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC ABO 86900 | $155.35 | $239.00 | $210.32–$234.22 | — | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN QUANT 86140 | $70.20 | $108.00 | $10.36–$105.84 | 183% above | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN QUANT 86140 | $70.20 | $108.00 | $95.04–$105.84 | — | 35% |
| C. difficile toxin gene test (stool PCR) CPT 87493 INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE 87493 | $267.15 | $411.00 | $74.54–$402.78 | 45% above | 35% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE 87493 | $267.15 | $411.00 | $361.68–$402.78 | — | 35% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9PANCREATIC CANCER86301 | $269.10 | $414.00 | $41.62–$405.72 | 165% above | 35% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9PANCREATIC CANCER86301 | $269.10 | $414.00 | $364.32–$405.72 | — | 35% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 86304 | $269.10 | $414.00 | $41.62–$405.72 | 155% above | 35% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 86304 | $269.10 | $414.00 | $364.32–$405.72 | — | 35% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CDMR SARS-COV-2 COVID-19 AMP PRB 87635 | $75.40 | $116.00 | $55.68–$113.68 | 37% below | 35% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CDMR SARS-COV-2 COVID-19 AMP PRB 87635 | $75.40 | $116.00 | $102.08–$113.68 | — | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS OCULAR PERITONEAL NAA 87491.900 | $203.45 | $313.00 | $70.18–$306.74 | 78% above | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 INFECT AGNT NUCLEIC ACID DNA RNA CHLAMYDIA TRACH AMPLIF PROBE 87491 | $213.85 | $329.00 | $70.18–$322.42 | 87% above | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA NUCLEIC ACID DETECTION 87491.901 | $213.85 | $329.00 | $70.18–$322.42 | 87% above | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH OTHER THAN OCULAR PERITONEAL 87491.902 | $213.85 | $329.00 | $70.18–$322.42 | 87% above | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS OCULAR PERITONEAL NAA 87491.900 | $203.45 | $313.00 | $275.44–$306.74 | — | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA NUCLEIC ACID DETECTION 87491.901 | $213.85 | $329.00 | $289.52–$322.42 | — | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH OTHER THAN OCULAR PERITONEAL 87491.902 | $213.85 | $329.00 | $289.52–$322.42 | — | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 INFECT AGNT NUCLEIC ACID DNA RNA CHLAMYDIA TRACH AMPLIF PROBE 87491 | $213.85 | $329.00 | $289.52–$322.42 | — | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL 80061 | $81.90 | $126.00 | $26.78–$123.48 | 20% above | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL 80061 | $81.90 | $126.00 | $110.88–$123.48 | — | 35% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC 85025 | $47.45 | $73.00 | $15.54–$71.54 | 18% below | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC 85025 | $47.45 | $73.00 | $64.24–$71.54 | — | 35% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT COMPLETE AUTOMATED 85027 | $65.00 | $100.00 | $12.94–$98.00 | 43% above | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD COUNT COMPLETE AUTOMATED 85027 | $65.00 | $100.00 | $88.00–$98.00 | — | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL 80053 | $64.35 | $99.00 | $21.12–$97.02 | 32% below | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL 80053 | $64.35 | $99.00 | $87.12–$97.02 | — | 35% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION PRODUCTS D-DIMER QUANT 85379 | $65.65 | $101.00 | $20.36–$98.98 | 12% below | 35% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION PRODUCTS D-DIMER QUANT 85379 | $65.65 | $101.00 | $88.88–$98.98 | — | 35% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE 82627 | $141.70 | $218.00 | $44.46–$213.64 | 49% above | 35% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE 82627 | $141.70 | $218.00 | $191.84–$213.64 | — | 35% |
| Estradiol blood test CPT 82670 ESTRADIOL 82670.900 | $152.75 | $235.00 | $55.88–$230.30 | 91% above | 35% |
| Estradiol blood test CPT 82670 ESTRODIOL ULTRASENS 82670 | $170.30 | $262.00 | $55.88–$256.76 | 113% above | 35% |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL 82670 | $180.70 | $278.00 | $55.88–$272.44 | 126% above | 35% |
| Estradiol blood test CPT 82670 ESTRADIOL (TANNERS) | $192.40 | $296.00 | $55.88–$290.08 | 140% above | 35% |
| Estradiol blood test CPT 82670 ESTRADIOL (E2) SERUM | $362.70 | $558.00 | $55.88–$546.84 | 353% above | 35% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL 82670.900 | $152.75 | $235.00 | $206.80–$230.30 | — | 35% |
| Estradiol blood test inpatient CPT 82670 ESTRODIOL ULTRASENS 82670 | $170.30 | $262.00 | $230.56–$256.76 | — | 35% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL 82670 | $180.70 | $278.00 | $244.64–$272.44 | — | 35% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL (TANNERS) | $192.40 | $296.00 | $260.48–$290.08 | — | 35% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL (E2) SERUM | $362.70 | $558.00 | $491.04–$546.84 | — | 35% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN FOLLICLE STIMULATING HORMONE (FSH) 83001 | $118.30 | $182.00 | $37.16–$178.36 | 21% above | 35% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH W TANNER STAGES 83001.900 | $130.65 | $201.00 | $37.16–$196.98 | 34% above | 35% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN FOLLICLE STIMULATING HORMONE (FSH) 83001 | $118.30 | $182.00 | $160.16–$178.36 | — | 35% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH W TANNER STAGES 83001.900 | $130.65 | $201.00 | $176.88–$196.98 | — | 35% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN 83993 | $195.65 | $301.00 | $39.26–$294.98 | 66% above | 35% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN 83993 | $195.65 | $301.00 | $264.88–$294.98 | — | 35% |
| Ferritin blood test (iron stores) CPT 82728 THALASSEMIA & HEMOGLOBINOPATHY EV FERRITIN 82728.900 | $68.90 | $106.00 | $27.26–$103.88 | 3% below | 35% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN 82728 | $133.25 | $205.00 | $27.26–$200.90 | 87% above | 35% |
| Ferritin blood test (iron stores) inpatient CPT 82728 THALASSEMIA & HEMOGLOBINOPATHY EV FERRITIN 82728.900 | $68.90 | $106.00 | $93.28–$103.88 | — | 35% |
| Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN 82728 | $133.25 | $205.00 | $180.40–$200.90 | — | 35% |
| Folate (folic acid) blood test CPT 82746 FOLATE 82746 | $191.75 | $295.00 | $29.40–$289.10 | 132% above | 35% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE 82746 | $191.75 | $295.00 | $259.60–$289.10 | — | 35% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE 84481 | $155.35 | $239.00 | $33.88–$234.22 | 81% above | 35% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE 84481 | $155.35 | $239.00 | $210.32–$234.22 | — | 35% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE 84439 | $78.65 | $121.00 | $18.04–$118.58 | 125% above | 35% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE 84439 | $78.65 | $121.00 | $106.48–$118.58 | — | 35% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE MEASURED 84402.901 | $329.55 | $507.00 | $50.94–$496.86 | 449% above | 35% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE 84402.900 | $329.55 | $507.00 | $50.94–$496.86 | 449% above | 35% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE MEASURED 84402.901 | $329.55 | $507.00 | $446.16–$496.86 | — | 35% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE 84402.900 | $329.55 | $507.00 | $446.16–$496.86 | — | 35% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $341.25 | $525.00 | $67.66–$514.50 | 48% above | 35% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $341.25 | $525.00 | $462.00–$514.50 | — | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE 82950 | $55.25 | $85.00 | $9.50–$83.30 | 41% above | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOSE DOSE 82950 | $55.25 | $85.00 | $74.80–$83.30 | — | 35% |
| Glucose tolerance test, 3 samples CPT 82951 GLUC TOL 3 SPEC & DOSE 82951 | $125.45 | $193.00 | $25.74–$189.14 | 32% above | 35% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUC TOL 3 SPEC & DOSE 82951 | $125.45 | $193.00 | $169.84–$189.14 | — | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHEA OTHER THAN OCULAR PERITONEAL 87591.902 | $213.85 | $329.00 | $70.18–$322.42 | 148% above | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 INFECT AGNT NUCLEIC ACID DNA RNA NEISSERIA GONORRHOEAE AMPLIF PROBE 87591 | $213.85 | $329.00 | $70.18–$322.42 | 148% above | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE NUCLEIC ACID DETECT 87591.901 | $213.85 | $329.00 | $70.18–$322.42 | 148% above | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHEA OTHER THAN OCULAR PERITONEAL 87591.902 | $213.85 | $329.00 | $289.52–$322.42 | — | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 INFECT AGNT NUCLEIC ACID DNA RNA NEISSERIA GONORRHOEAE AMPLIF PROBE 87591 | $213.85 | $329.00 | $289.52–$322.42 | — | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE NUCLEIC ACID DETECT 87591.901 | $213.85 | $329.00 | $289.52–$322.42 | — | 35% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGG 86677 | $145.60 | $224.00 | $33.70–$219.52 | 72% above | 35% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGG 86677 | $145.60 | $224.00 | $197.12–$219.52 | — | 35% |
| H. pylori stool antigen test CPT 87338 H PYLORI AG STOOL 87338 | $156.65 | $241.00 | $28.76–$236.18 | 60% above | 35% |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI AG STOOL 87338 | $156.65 | $241.00 | $212.08–$236.18 | — | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA DETECTION QUANTIFICATION 87536.900 | $396.50 | $610.00 | $170.20–$597.80 | 88% above | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA PCR QNT 87536 | $1,099.15 | $1,691.00 | $170.20–$1,657.18 | 420% above | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA DETECTION QUANTIFICATION 87536.900 | $396.50 | $610.00 | $536.80–$597.80 | — | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA PCR QNT 87536 | $1,099.15 | $1,691.00 | $1,488.08–$1,657.18 | — | 35% |
| HIV-1 and HIV-2 antibody test CPT 86703 ANTI-HIV-2 EIA 86703.900 | $65.00 | $100.00 | $27.42–$98.00 | 14% below | 35% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 & 2 RAPID 86703 | $130.00 | $200.00 | $27.42–$196.00 | 72% above | 35% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 ANTI-HIV-2 EIA 86703.900 | $65.00 | $100.00 | $88.00–$98.00 | — | 35% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 & 2 RAPID 86703 | $130.00 | $200.00 | $176.00–$196.00 | — | 35% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG WHIV-1 & HIV-2 AB 87389/G0475 | $239.85 | $369.00 | $48.16–$361.62 | 131% above | 35% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG WHIV-1 & HIV-2 AB 87389/G0475 | $239.85 | $369.00 | $324.72–$361.62 | — | 35% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV MRNA E6E7 VAGINAL REFLEX HPV 16/18/45 87624.901 | $230.10 | $354.00 | $70.18–$346.92 | 138% above | 35% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 INFECT AGNT DNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES 87624 | $268.45 | $413.00 | $70.18–$404.74 | 177% above | 35% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 INFECT AGNT DNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES | $268.45 | $413.00 | $70.18–$404.74 | 177% above | 35% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV MRNA E6E7 VAGINAL REFLEX HPV 16/18/45 87624.901 | $230.10 | $354.00 | $311.52–$346.92 | — | 35% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 INFECT AGNT DNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES 87624 | $268.45 | $413.00 | $363.44–$404.74 | — | 35% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 INFECT AGNT DNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES | $268.45 | $413.00 | $363.44–$404.74 | — | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C 83036 | $59.15 | $91.00 | $19.42–$89.18 | 15% below | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C 83036 | $59.15 | $91.00 | $80.08–$89.18 | — | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBSAB) 86706 | $138.45 | $213.00 | $21.48–$208.74 | 304% above | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBSAB) 86706 | $138.45 | $213.00 | $187.44–$208.74 | — | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 ALINITY HBSAG 87340.900 | $48.75 | $75.00 | $20.66–$73.50 | 3% below | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 INFECT AGNT ATGN DETECT IA HEPATITIS B SURFACE ANTIGEN 87340 | $62.40 | $96.00 | $20.66–$94.08 | 24% above | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $62.40 | $96.00 | $20.66–$94.08 | 24% above | 35% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 ALINITY HBSAG 87340.900 | $48.75 | $75.00 | $66.00–$73.50 | — | 35% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG | $62.40 | $96.00 | $84.48–$94.08 | — | 35% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 INFECT AGNT ATGN DETECT IA HEPATITIS B SURFACE ANTIGEN 87340 | $62.40 | $96.00 | $84.48–$94.08 | — | 35% |
| Hepatitis C antibody blood test (screening) CPT 86803 ALINITY ANTI HCV 86803.900 | $66.30 | $102.00 | $28.54–$99.96 | 48% above | 35% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY 86803 | $87.10 | $134.00 | $28.54–$131.32 | 94% above | 35% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 ALINITY ANTI HCV 86803.900 | $66.30 | $102.00 | $89.76–$99.96 | — | 35% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY 86803 | $87.10 | $134.00 | $117.92–$131.32 | — | 35% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 INFECT AGNT DETECT NUC ACID HEP C QUANT 87522 | $555.10 | $854.00 | $85.68–$836.92 | 328% above | 35% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 INFECT AGNT DETECT NUC ACID HEP C QUANT 87522 | $555.10 | $854.00 | $751.52–$836.92 | — | 35% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLX VIR1 IGG 86695 | $80.60 | $124.00 | $26.38–$121.52 | 142% above | 35% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLX VIR1 IGG 86695 | $80.60 | $124.00 | $109.12–$121.52 | — | 35% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SMPLX VIR 2 IGG 86696 | $117.65 | $181.00 | $38.70–$177.38 | 145% above | 35% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SMPLX VIR 2 IGG 86696 | $117.65 | $181.00 | $159.28–$177.38 | — | 35% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HISEN 86141 | $168.35 | $259.00 | $25.90–$253.82 | 146% above | 35% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HISEN 86141 | $168.35 | $259.00 | $227.92–$253.82 | — | 35% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE 83090 | $219.05 | $337.00 | $35.84–$330.26 | 270% above | 35% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE 83090 | $219.05 | $337.00 | $296.56–$330.26 | — | 35% |
| Insulin blood test CPT 83525 INSULIN LEVEL 83525 | $148.20 | $228.00 | $22.86–$223.44 | 157% above | 35% |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL 83525 | $148.20 | $228.00 | $200.64–$223.44 | — | 35% |
| Iron blood test (serum iron) CPT 83540 IRON 83540 | $61.75 | $95.00 | $12.94–$93.10 | 93% above | 35% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON 83540 | $61.75 | $95.00 | $83.60–$93.10 | — | 35% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY 83550 | $84.50 | $130.00 | $17.48–$127.40 | 82% above | 35% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY 83550 | $84.50 | $130.00 | $114.40–$127.40 | — | 35% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL 80069 | $111.15 | $171.00 | $17.36–$167.58 | 66% above | 35% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL 80069 | $111.15 | $171.00 | $150.48–$167.58 | — | 35% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN LUTEINIZING HORMONE (LH) 83002 | $117.65 | $181.00 | $37.04–$177.38 | 19% above | 35% |
| LH (luteinizing hormone) test inpatient CPT 83002 GONADOTROPIN LUTEINIZING HORMONE (LH) 83002 | $117.65 | $181.00 | $159.28–$177.38 | — | 35% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE 83690 | $75.40 | $116.00 | $13.78–$113.68 | 49% above | 35% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE 83690 | $75.40 | $116.00 | $102.08–$113.68 | — | 35% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL 80076 | $86.45 | $133.00 | $16.34–$130.34 | 20% above | 35% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL 80076 | $86.45 | $133.00 | $117.04–$130.34 | — | 35% |
| Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY SERUM 86618.901 | $79.30 | $122.00 | $34.06–$119.56 | 98% above | 35% |
| Lyme disease antibody test CPT 86618 LYMES IGG IGM 86618 | $110.50 | $170.00 | $34.06–$166.60 | 176% above | 35% |
| Lyme disease antibody test CPT 86618 LYMES TOTAL 86618 | $110.50 | $170.00 | $34.06–$166.60 | 176% above | 35% |
| Lyme disease antibody test CPT 86618 LYME DISEASE SERO CSF | $110.50 | $170.00 | $34.06–$166.60 | 176% above | 35% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE SEROLOGY SERUM 86618.901 | $79.30 | $122.00 | $107.36–$119.56 | — | 35% |
| Lyme disease antibody test inpatient CPT 86618 LYMES IGG IGM 86618 | $110.50 | $170.00 | $149.60–$166.60 | — | 35% |
| Lyme disease antibody test inpatient CPT 86618 LYMES TOTAL 86618 | $110.50 | $170.00 | $149.60–$166.60 | — | 35% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE SERO CSF | $110.50 | $170.00 | $149.60–$166.60 | — | 35% |
| Magnesium blood test CPT 83735 MAGNESIUM FECES 83735.901 | $36.40 | $56.00 | $13.40–$54.88 | 78% above | 35% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC SO 83735.900 | $41.60 | $64.00 | $13.40–$62.72 | 104% above | 35% |
| Magnesium blood test CPT 83735 MAGNESIUM 83735 | $65.00 | $100.00 | $13.40–$98.00 | 219% above | 35% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM FECES 83735.901 | $36.40 | $56.00 | $49.28–$54.88 | — | 35% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC SO 83735.900 | $41.60 | $64.00 | $56.32–$62.72 | — | 35% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM 83735 | $65.00 | $100.00 | $88.00–$98.00 | — | 35% |
| Measles (rubeola) antibody test CPT 86765 ANTIBODY RUBEOLA 86765 | $167.05 | $257.00 | $25.76–$251.86 | 203% above | 35% |
| Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY RUBEOLA 86765 | $167.05 | $257.00 | $226.16–$251.86 | — | 35% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOSCREEN 86308 | $33.80 | $52.00 | $10.36–$50.96 | 11% below | 35% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSCREEN 86308 | $33.80 | $52.00 | $45.76–$50.96 | — | 35% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL 80055 | $499.85 | $769.00 | $95.62–$753.62 | 65% above | 35% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL 80055 | $499.85 | $769.00 | $676.72–$753.62 | — | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE 84154 | $237.90 | $366.00 | $36.78–$358.68 | 289% above | 35% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE 84154 | $237.90 | $366.00 | $322.08–$358.68 | — | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL 84153 | $111.80 | $172.00 | $36.78–$168.56 | 73% above | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL 84153 | $111.80 | $172.00 | $151.36–$168.56 | — | 35% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTO CERV THN AUTO 88175 | $161.85 | $249.00 | $53.22–$244.02 | 34% above | 35% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTO CERV THN AUTO 88175 | $161.85 | $249.00 | $219.12–$244.02 | — | 35% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTO CERV THN MAN 88142 | $131.30 | $202.00 | $40.52–$197.96 | 45% above | 35% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTO CERV THN MAN 88142 | $131.30 | $202.00 | $177.76–$197.96 | — | 35% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT 83970 | $531.70 | $818.00 | $82.56–$801.64 | 156% above | 35% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT 83970 | $531.70 | $818.00 | $719.84–$801.64 | — | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAG PANEL PTT 85730.900 | $35.10 | $54.00 | $12.02–$52.92 | 11% above | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $44.20 | $68.00 | $12.02–$66.64 | 40% above | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAG PANEL PTT 85730.900 | $35.10 | $54.00 | $47.52–$52.92 | — | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $44.20 | $68.00 | $59.84–$66.64 | — | 35% |
| Progesterone blood test CPT 84144 PROGESTERONE 84144 | $270.40 | $416.00 | $41.72–$407.68 | 147% above | 35% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE 84144 | $270.40 | $416.00 | $366.08–$407.68 | — | 35% |
| Prolactin blood test CPT 84146 PROLACTIN 84146 | $122.85 | $189.00 | $38.76–$185.22 | 152% above | 35% |
| Prolactin blood test CPT 84146 MACROPROLACTIN 84146 | $134.55 | $207.00 | $38.76–$202.86 | 176% above | 35% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN 84146 | $122.85 | $189.00 | $166.32–$185.22 | — | 35% |
| Prolactin blood test inpatient CPT 84146 MACROPROLACTIN 84146 | $134.55 | $207.00 | $182.16–$202.86 | — | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS ANTICOAG PANEL PT 85610.900 | $24.70 | $38.00 | $8.58–$37.24 | 24% above | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME 85610 | $26.00 | $40.00 | $8.58–$39.20 | 30% above | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LUPUS ANTICOAG PANEL PT 85610.900 | $24.70 | $38.00 | $33.44–$37.24 | — | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME 85610 | $26.00 | $40.00 | $35.20–$39.20 | — | 35% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCR PRESUMP DIRECT OPTICAL OBS 80305 | $76.70 | $118.00 | $25.20–$115.64 | 2% above | 35% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCR PRESUMP DIRECT OPTICAL OBS 80305 | $76.70 | $118.00 | $103.84–$115.64 | — | 35% |
| Rapid flu test (influenza antigen) CPT 87804 INFECTIOUS AGENT IMMUNOASSAY DIRECT OBSERVATION INFLUENZA | $116.35 | $179.00 | $33.10–$175.42 | 39% above | 35% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A B DIRECT 87804 | $116.35 | $179.00 | $33.10–$175.42 | 39% above | 35% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFECTIOUS AGENT IMMUNOASSAY DIRECT OBSERVATION INFLUENZA | $116.35 | $179.00 | $157.52–$175.42 | — | 35% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A B DIRECT 87804 | $116.35 | $179.00 | $157.52–$175.42 | — | 35% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RPD GROUP A STREP SCREEN 87880 | $116.35 | $179.00 | $33.06–$175.42 | 42% above | 35% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 INFECTIOUS AGENT IMMUNOASSAY DIRECT OBSERVATION STREPOCOCCUS GROUP A | $116.35 | $179.00 | $33.06–$175.42 | 42% above | 35% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RPD GROUP A STREP SCREEN 87880 | $116.35 | $179.00 | $157.52–$175.42 | — | 35% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 INFECTIOUS AGENT IMMUNOASSAY DIRECT OBSERVATION STREPOCOCCUS GROUP A | $116.35 | $179.00 | $157.52–$175.42 | — | 35% |
| Rheumatoid factor (RF) test CPT 86431 RA FACTOR QUANT 86431 | $40.95 | $63.00 | $11.34–$61.74 | 14% above | 35% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR PANEL SERUM 86431.900 | $53.30 | $82.00 | $11.34–$80.36 | 48% above | 35% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR QUANT 86431 | $40.95 | $63.00 | $55.44–$61.74 | — | 35% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR PANEL SERUM 86431.900 | $53.30 | $82.00 | $72.16–$80.36 | — | 35% |
| Rubella antibody test (immunity check) CPT 86762 ANTIBODY RUBELLA 86762 | $92.95 | $143.00 | $28.78–$140.14 | 108% above | 35% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM AB 86762.903 | $92.95 | $143.00 | $28.78–$140.14 | 108% above | 35% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM AB 86762.903 | $92.95 | $143.00 | $125.84–$140.14 | — | 35% |
| Rubella antibody test (immunity check) inpatient CPT 86762 ANTIBODY RUBELLA 86762 | $92.95 | $143.00 | $125.84–$140.14 | — | 35% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE RBC AUTOMATED 85652 | $33.80 | $52.00 | $5.40–$50.96 | 23% above | 35% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE RBC AUTOMATED 85652 | $33.80 | $52.00 | $45.76–$50.96 | — | 35% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES 87177 | $115.05 | $177.00 | $17.80–$173.46 | 137% above | 35% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES 87177 | $115.05 | $177.00 | $155.76–$173.46 | — | 35% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD CRC SCREEN (FIT IMMUNOCHEMICAL) G0328 82274.006 | $148.20 | $228.00 | $31.84–$223.44 | 157% above | 35% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 CDMR BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 82274 | $155.35 | $239.00 | $31.84–$234.22 | 170% above | 35% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD CRC SCREEN (FIT IMMUNOCHEMICAL) G0328 82274.006 | $148.20 | $228.00 | $200.64–$223.44 | — | 35% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 CDMR BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 82274 | $155.35 | $239.00 | $210.32–$234.22 | — | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS SEROLOGY RPR 86592.900 | $29.25 | $45.00 | $8.54–$44.10 | 26% above | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL 86592 | $55.90 | $86.00 | $8.54–$84.28 | 140% above | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS SEROLOGY RPR 86592.900 | $29.25 | $45.00 | $39.60–$44.10 | — | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL 86592 | $55.90 | $86.00 | $75.68–$84.28 | — | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON 86480.900 | $452.40 | $696.00 | $123.96–$682.08 | 305% above | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL MEDIATED IMMUNITY 86480 | $800.80 | $1,232.00 | $123.96–$1,207.36 | 618% above | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON 86480.900 | $452.40 | $696.00 | $612.48–$682.08 | — | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL MEDIATED IMMUNITY 86480 | $800.80 | $1,232.00 | $1,084.16–$1,207.36 | — | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL 84403.900 | $157.30 | $242.00 | $51.62–$237.16 | 159% above | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL MEASURED 84403.902 | $157.30 | $242.00 | $51.62–$237.16 | 159% above | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL 84403.901 | $157.30 | $242.00 | $51.62–$237.16 | 159% above | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TESTOSTERONE TOTAL 84403 | $157.30 | $242.00 | $51.62–$237.16 | 159% above | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL 84403.900 | $157.30 | $242.00 | $212.96–$237.16 | — | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TESTOSTERONE TOTAL 84403 | $157.30 | $242.00 | $212.96–$237.16 | — | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL 84403.901 | $157.30 | $242.00 | $212.96–$237.16 | — | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL MEASURED 84403.902 | $157.30 | $242.00 | $212.96–$237.16 | — | 35% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOME T1 AB SERUM 86376.900 | $145.60 | $224.00 | $29.10–$219.52 | 164% above | 35% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTITHYROID AB ANTI TPO 86376 | $189.80 | $292.00 | $29.10–$286.16 | 244% above | 35% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOME T1 AB SERUM 86376.900 | $145.60 | $224.00 | $197.12–$219.52 | — | 35% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTITHYROID AB ANTI TPO 86376 | $189.80 | $292.00 | $256.96–$286.16 | — | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) 84443 | $102.05 | $157.00 | $33.60–$153.86 | 16% above | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH) 84443 | $102.05 | $157.00 | $138.16–$153.86 | — | 35% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS BY NUCLEIC ACID DETECTION 87661 | $274.30 | $422.00 | $70.18–$413.56 | 314% above | 35% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS BY NUCLEIC ACID DETECTION 87661 | $274.30 | $422.00 | $371.36–$413.56 | — | 35% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID 84550 | $45.50 | $70.00 | $9.04–$68.60 | 23% above | 35% |
| Uric acid blood test inpatient CPT 84550 ASSAY OF BLOOD/URIC ACID 84550 | $45.50 | $70.00 | $61.60–$68.60 | — | 35% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE 81001 | $38.35 | $59.00 | $6.34–$57.82 | 7% above | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE 81001 | $38.35 | $59.00 | $51.92–$57.82 | — | 35% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIP STICK TABLET REAGENT AUTOMATED WO MICROSCOPY | $13.65 | $21.00 | $4.50–$20.58 | 21% below | 35% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS-DIPSTICK ONLY 81003 | $21.45 | $33.00 | $4.50–$32.34 | 24% above | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS DIP STICK TABLET REAGENT AUTOMATED WO MICROSCOPY | $13.65 | $21.00 | $18.48–$20.58 | — | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS-DIPSTICK ONLY 81003 | $21.45 | $33.00 | $29.04–$32.34 | — | 35% |
| Urinalysis without microscope exam, manual CPT 81002 CLINITEST DIPSTICK TABLET81002 | $21.45 | $33.00 | $6.96–$32.34 | 19% above | 35% |
| Urinalysis without microscope exam, manual CPT 81002 NC UA 81002 | $25.35 | $39.00 | $6.96–$38.22 | 41% above | 35% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIP STICK TABLET REAGENT NON-AUTOMATED WO MICROSCOPY | $42.25 | $65.00 | $6.96–$63.70 | 135% above | 35% |
| Urinalysis without microscope exam, manual CPT 81002 OB UA DIPSTK NONAU W/O MICRO 81002 | $42.25 | $65.00 | $6.96–$63.70 | 135% above | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CLINITEST DIPSTICK TABLET81002 | $21.45 | $33.00 | $29.04–$32.34 | — | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 NC UA 81002 | $25.35 | $39.00 | $34.32–$38.22 | — | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 OB UA DIPSTK NONAU W/O MICRO 81002 | $42.25 | $65.00 | $57.20–$63.70 | — | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIP STICK TABLET REAGENT NON-AUTOMATED WO MICROSCOPY | $42.25 | $65.00 | $57.20–$63.70 | — | 35% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE 87086 | $105.30 | $162.00 | $16.14–$158.76 | 64% above | 35% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE 87086 | $105.30 | $162.00 | $142.56–$158.76 | — | 35% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST 81025 | $61.10 | $94.00 | $17.22–$92.12 | 9% above | 35% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $61.10 | $94.00 | $17.22–$92.12 | 9% above | 35% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $61.10 | $94.00 | $82.72–$92.12 | — | 35% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST 81025 | $61.10 | $94.00 | $82.72–$92.12 | — | 35% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN VITAMIN B-12 82607 | $195.65 | $301.00 | $30.16–$294.98 | 144% above | 35% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN VITAMIN B-12 82607 | $195.65 | $301.00 | $264.88–$294.98 | — | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL (25-OH VITAMIN D-3) 82306.900 | $170.30 | $262.00 | $59.20–$256.76 | 76% above | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY 82306 | $191.75 | $295.00 | $59.20–$289.10 | 98% above | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL (25-OH VITAMIN D-3) 82306.900 | $170.30 | $262.00 | $230.56–$256.76 | — | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY 82306 | $191.75 | $295.00 | $259.60–$289.10 | — | 35% |
| Zinc blood test CPT 84630 ZINC 84630.900 | $148.20 | $228.00 | $22.78–$223.44 | 461% above | 35% |
| Zinc blood test inpatient CPT 84630 ZINC 84630.900 | $148.20 | $228.00 | $200.64–$223.44 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE SERUM 84702.900 | $92.95 | $143.00 | $30.10–$140.14 | 28% above | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC HCG QUANTITATIVE 84702 | $194.35 | $299.00 | $30.10–$293.02 | 167% above | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANTITATIVE SERUM 84702.900 | $92.95 | $143.00 | $125.84–$140.14 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHORIONIC HCG QUANTITATIVE 84702 | $194.35 | $299.00 | $263.12–$293.02 | — | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 SURG 42830 ADENOIDECTOMY PRIMARY | $4,895.80 | $7,532.00 | $3,615.36–$7,381.36 | — | 35% |
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 SURG 42830 ADENOIDECTOMY PRIMARY | $4,895.80 | $7,532.00 | $6,628.16–$7,381.36 | — | 35% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 SURG 44960 APPENDEC RPTD APPENDIX ABSC/PRITONITIS | $12,970.75 | $19,955.00 | $9,578.40–$19,555.90 | — | 35% |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 SURG 44960 APPENDEC RPTD APPENDIX ABSC/PRITONITIS | $12,970.75 | $19,955.00 | $17,560.40–$19,555.90 | — | 35% |
| Appendectomy, open surgery CPT 44950 SURG 44950 APPENDECTOMY | $5,118.10 | $7,874.00 | $3,779.52–$7,716.52 | — | 35% |
| Appendectomy, open surgery inpatient CPT 44950 SURG 44950 APPENDECTOMY | $5,118.10 | $7,874.00 | $6,929.12–$7,716.52 | — | 35% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 SURG 29888 ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIG RPR AUGMENTAT RECON | $12,319.45 | $18,953.00 | $9,097.44–$18,573.94 | — | 35% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 SURG 29888 ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIG RPR AUGMENTAT RECON | $12,319.45 | $18,953.00 | $16,678.64–$18,573.94 | — | 35% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SURG 29827 ARTHROSCOPY SHLDR SURGICAL WROTATOR CUFF RPR | $12,319.45 | $18,953.00 | $9,097.44–$18,573.94 | — | 35% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 SURG 29827 ARTHROSCOPY SHLDR SURGICAL WROTATOR CUFF RPR | $12,319.45 | $18,953.00 | $16,678.64–$18,573.94 | — | 35% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 SURG 31295 NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS | $9,432.15 | $14,511.00 | $6,965.28–$14,220.78 | 32% above | 35% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 ED 31295 NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS | $11,824.80 | $18,192.00 | $8,732.16–$17,828.16 | 66% above | 35% |
| Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 SURG 31295 NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS | $9,432.15 | $14,511.00 | $12,769.68–$14,220.78 | — | 35% |
| Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 ED 31295 NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS | $11,824.80 | $18,192.00 | $16,008.96–$17,828.16 | — | 35% |
| Botox injections for chronic migraine CPT 64615 SURG 64615 CHEMODENERV MUSC MIGRAINE | $493.35 | $759.00 | $364.32–$743.82 | 73% above | 35% |
| Botox injections for chronic migraine inpatient CPT 64615 SURG 64615 CHEMODENERV MUSC MIGRAINE | $493.35 | $759.00 | $667.92–$743.82 | — | 35% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ED 27786 CLSD TX ANKLE FX WO MANIP | $366.60 | $564.00 | $270.72–$552.72 | 5% below | 35% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 SURG 27786 CLOSED TREAT DISTAL FIBULAR FX (LAT MALLEOLUS) WO MANIP | $471.90 | $726.00 | $348.48–$711.48 | 22% above | 35% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 ED 27786 CLSD TX ANKLE FX WO MANIP | $366.60 | $564.00 | $496.32–$552.72 | — | 35% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 SURG 27786 CLOSED TREAT DISTAL FIBULAR FX (LAT MALLEOLUS) WO MANIP | $471.90 | $726.00 | $638.88–$711.48 | — | 35% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 SURG 28470 CLOSED TREAT METATARSAL FX WO MANIP EACH | $471.90 | $726.00 | $348.48–$711.48 | 18% above | 35% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 SURG 28470 CLOSED TREAT METATARSAL FX WO MANIP EACH | $471.90 | $726.00 | $638.88–$711.48 | — | 35% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 SURG 28296 CORRECT HALLUX VALGUS W BUNION SESAMOID DIST METATAR OSTEO | $5,813.60 | $8,944.00 | $4,293.12–$8,765.12 | — | 35% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 SURG 28296 CORRECT HALLUX VALGUS W BUNION SESAMOID DIST METATAR OSTEO | $5,813.60 | $8,944.00 | $7,870.72–$8,765.12 | — | 35% |
| Bunion correction with removal of part of the big toe joint CPT 28292 SURG 28292 CORRECT HALLUX VALGUS W BUNION SESAMOID PROX PHAL BASE | $5,813.60 | $8,944.00 | $4,293.12–$8,765.12 | 74% above | 35% |
| Bunion correction with removal of part of the big toe joint inpatient CPT 28292 SURG 28292 CORRECT HALLUX VALGUS W BUNION SESAMOID PROX PHAL BASE | $5,813.60 | $8,944.00 | $7,870.72–$8,765.12 | — | 35% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 SURG 92960 CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $516.75 | $795.00 | $381.60–$779.10 | 49% below | 35% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $516.75 | $795.00 | $381.60–$779.10 | 49% below | 35% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED 92960 CARDIOVERSION | $923.65 | $1,421.00 | $682.08–$1,392.58 | 9% below | 35% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $516.75 | $795.00 | $699.60–$779.10 | — | 35% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 SURG 92960 CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $516.75 | $795.00 | $699.60–$779.10 | — | 35% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED 92960 CARDIOVERSION | $923.65 | $1,421.00 | $1,250.48–$1,392.58 | — | 35% |
| Carpal tunnel release, open surgery CPT 64721 SURG 64721 CARPAL TUNNEL RELEASE | $4,164.55 | $6,407.00 | $3,075.36–$6,278.86 | 50% above | 35% |
| Carpal tunnel release, open surgery inpatient CPT 64721 SURG 64721 CARPAL TUNNEL RELEASE | $4,164.55 | $6,407.00 | $5,638.16–$6,278.86 | — | 35% |
| Cervical biopsy CPT 57500 SURG 57500 BX CERVIX SINGLE/MULT/EXCISION OF LESION | $1,255.80 | $1,932.00 | $927.36–$1,893.36 | 60% above | 35% |
| Cervical biopsy inpatient CPT 57500 SURG 57500 BX CERVIX SINGLE/MULT/EXCISION OF LESION | $1,255.80 | $1,932.00 | $1,700.16–$1,893.36 | — | 35% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 SURG 54161 CIRC EXC OTHR THN CLAMP DORSL SLIT EXCPT NWBRN | $3,299.40 | $5,076.00 | $2,436.48–$4,974.48 | 57% above | 35% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 SURG 54161 CIRC EXC OTHR THN CLAMP DORSL SLIT EXCPT NWBRN | $3,299.40 | $5,076.00 | $4,466.88–$4,974.48 | — | 35% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 TX RM 54150 CIRCUMCISION W REGIONL BLOCK | $780.00 | $1,200.00 | $576.00–$1,176.00 | 13% below | 35% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 SURG 54150 CIRCUMCISION W REGIONL BLOCK | $780.00 | $1,200.00 | $576.00–$1,176.00 | 13% below | 35% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 SURG 54150 CIRCUMCISION W REGIONL BLOCK | $780.00 | $1,200.00 | $1,056.00–$1,176.00 | — | 35% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 TX RM 54150 CIRCUMCISION W REGIONL BLOCK | $780.00 | $1,200.00 | $1,056.00–$1,176.00 | — | 35% |
| Circumcision, surgical, older than a newborn CPT 54160 TX RM 54160 CIRCUMCISION NEONATE | $882.05 | $1,357.00 | $651.36–$1,329.86 | 29% above | 35% |
| Circumcision, surgical, older than a newborn CPT 54160 SURG 54160 CIRCUMCISION NEONATE | $920.40 | $1,416.00 | $679.68–$1,387.68 | 34% above | 35% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 TX RM 54160 CIRCUMCISION NEONATE | $882.05 | $1,357.00 | $1,194.16–$1,329.86 | — | 35% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 SURG 54160 CIRCUMCISION NEONATE | $920.40 | $1,416.00 | $1,246.08–$1,387.68 | — | 35% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ED 25600 CLSD TX DISTAL RADIAL FX | $445.25 | $685.00 | $328.80–$671.30 | 2% above | 35% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 SURG 25600 CLOSED TREAT DISTAL RADIAL FX EPIPHYSEAL SEPARATION WO MANIP | $471.90 | $726.00 | $348.48–$711.48 | 8% above | 35% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 ED 25600 CLSD TX DISTAL RADIAL FX | $445.25 | $685.00 | $602.80–$671.30 | — | 35% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 SURG 25600 CLOSED TREAT DISTAL RADIAL FX EPIPHYSEAL SEPARATION WO MANIP | $471.90 | $726.00 | $638.88–$711.48 | — | 35% |
| Colonoscopy with polyp removal CPT 45385 COLON WREM TUMOR SNARE | $2,065.70 | $3,178.00 | $1,525.44–$3,114.44 | 5% above | 35% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLON WREM TUMOR SNARE | $2,065.70 | $3,178.00 | $2,796.64–$3,114.44 | — | 35% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE WBX SNGL MULTIPLE | $795.60 | $1,224.00 | $587.52–$1,199.52 | at median | 35% |
| Colonoscopy with tissue sample CPT 45380 COLON WBX | $2,065.70 | $3,178.00 | $1,525.44–$3,114.44 | 160% above | 35% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE WBX SNGL MULTIPLE | $795.60 | $1,224.00 | $1,077.12–$1,199.52 | — | 35% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLON WBX | $2,065.70 | $3,178.00 | $2,796.64–$3,114.44 | — | 35% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE DX WWO SPECIMENS COLO | $659.10 | $1,014.00 | $486.72–$993.72 | at median | 35% |
| Colonoscopy, diagnostic CPT 45378 SURG 45378 COLONOSCOPY FLEXIBLE | $1,580.80 | $2,432.00 | $1,167.36–$2,383.36 | 140% above | 35% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE DX WWO SPECIMENS COLO | $659.10 | $1,014.00 | $892.32–$993.72 | — | 35% |
| Colonoscopy, diagnostic inpatient CPT 45378 SURG 45378 COLONOSCOPY FLEXIBLE | $1,580.80 | $2,432.00 | $2,140.16–$2,383.36 | — | 35% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 SURG 57460 COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | $4,553.90 | $7,006.00 | $3,362.88–$6,865.88 | 39% above | 35% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 SURG 57460 COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | $4,553.90 | $7,006.00 | $6,165.28–$6,865.88 | — | 35% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 SURG 57454 COLPOSCOPY CERVIX W BX AND ENDOCERVICAL CURRETAGE | $536.25 | $825.00 | $396.00–$808.50 | 85% above | 35% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCPY CERVIX WUPR ADJ VAGINA WBIOPSY CERVIX & ENDOCERVIC CURETT | $612.95 | $943.00 | $452.64–$924.14 | 111% above | 35% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 SURG 57454 COLPOSCOPY CERVIX W BX AND ENDOCERVICAL CURRETAGE | $536.25 | $825.00 | $726.00–$808.50 | — | 35% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCPY CERVIX WUPR ADJ VAGINA WBIOPSY CERVIX & ENDOCERVIC CURETT | $612.95 | $943.00 | $829.84–$924.14 | — | 35% |
| Cystoscopy with ureteral stent placement CPT 52332 SURG 52332 CYSTOSCOPY W INSERT URETERAL STENT | $5,728.45 | $8,813.00 | $4,230.24–$8,636.74 | 62% above | 35% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 SURG 52332 CYSTOSCOPY W INSERT URETERAL STENT | $5,728.45 | $8,813.00 | $7,755.44–$8,636.74 | — | 35% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY (SEP PROC) | $562.90 | $866.00 | $415.68–$848.68 | 35% below | 35% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 SURG 52000 CYSTOURETHROSCOPY | $1,086.80 | $1,672.00 | $802.56–$1,638.56 | 25% above | 35% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY (SEP PROC) | $562.90 | $866.00 | $762.08–$848.68 | — | 35% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 SURG 52000 CYSTOURETHROSCOPY | $1,086.80 | $1,672.00 | $1,471.36–$1,638.56 | — | 35% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 SURG 58120 D&C DIAGNOSTIC/THERAPEUTIC NON-OB | $4,827.55 | $7,427.00 | $3,564.96–$7,278.46 | 48% above | 35% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION & CURETTAGE DX & OR THERAPEUTIC (NONOBSTETRICAL) | $5,456.10 | $8,394.00 | $4,029.12–$8,226.12 | 67% above | 35% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 SURG 58120 D&C DIAGNOSTIC/THERAPEUTIC NON-OB | $4,827.55 | $7,427.00 | $6,535.76–$7,278.46 | — | 35% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION & CURETTAGE DX & OR THERAPEUTIC (NONOBSTETRICAL) | $5,456.10 | $8,394.00 | $7,386.72–$8,226.12 | — | 35% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 SURG 17000 CRYOTHERAPY X 1 LESION | $267.15 | $411.00 | $197.28–$402.78 | 82% above | 35% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALIG LESNS EXCPT SKIN TAGS CUTANEOUS VASC PROLIFERAT LESN | $345.80 | $532.00 | $255.36–$521.36 | 135% above | 35% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 SURG 17000 CRYOTHERAPY X 1 LESION | $267.15 | $411.00 | $361.68–$402.78 | — | 35% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALIG LESNS EXCPT SKIN TAGS CUTANEOUS VASC PROLIFERAT LESN | $345.80 | $532.00 | $468.16–$521.36 | — | 35% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 SURG 69436 TYMPANOSTOMY GENERAL ANESTHESIA | $2,684.50 | $4,130.00 | $1,982.40–$4,047.40 | 77% above | 35% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 SURG 69436 TYMPANOSTOMY GENERAL ANESTHESIA | $2,684.50 | $4,130.00 | $3,634.40–$4,047.40 | — | 35% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 SURG 69433 TYMPANOSTOMY W/LOCAL ANES | $1,095.25 | $1,685.00 | $808.80–$1,651.30 | 47% above | 35% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 SURG 69433 TYMPANOSTOMY W/LOCAL ANES | $1,095.25 | $1,685.00 | $1,482.80–$1,651.30 | — | 35% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 ED 69209 RMVL IMPACTED CERUMEN IRRIGATION LAVAGE UNI | $110.50 | $170.00 | $81.60–$166.60 | 58% above | 35% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 PF 69209 RMVL IMPACTED CERUMEN IRR LAVAGE UNILATERAL | $36.40 | $56.00 | $26.88–$54.88 | 48% below | 35% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL | $110.50 | $170.00 | $81.60–$166.60 | 58% above | 35% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 TX RM 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $110.50 | $170.00 | $81.60–$166.60 | 58% above | 35% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 SURG 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $146.25 | $225.00 | $108.00–$220.50 | 108% above | 35% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 ED 69209 RMVL IMPACTED CERUMEN IRRIGATION LAVAGE UNI | $110.50 | $170.00 | $149.60–$166.60 | — | 35% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 PF 69209 RMVL IMPACTED CERUMEN IRR LAVAGE UNILATERAL | $36.40 | $56.00 | $49.28–$54.88 | — | 35% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL | $110.50 | $170.00 | $149.60–$166.60 | — | 35% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 TX RM 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $110.50 | $170.00 | $149.60–$166.60 | — | 35% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 SURG 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $146.25 | $225.00 | $198.00–$220.50 | — | 35% |
| Earwax removal with instruments, one ear CPT 69210 TX RM 69210 REMOVAL IMPACTED CERUMEN EAR WAX | $110.50 | $170.00 | $81.60–$166.60 | 22% above | 35% |
| Earwax removal with instruments, one ear CPT 69210 ED 69210 REMV IMPACTED EAR WAX INSTRUMENT UNI | $122.85 | $189.00 | $90.72–$185.22 | 35% above | 35% |
| Earwax removal with instruments, one ear one side CPT 69210 REMVL IMPACTED CERUMEN (SEP PROC) UNILATERAL | $144.95 | $223.00 | $107.04–$218.54 | 59% above | 35% |
| Earwax removal with instruments, one ear one side CPT 69210 SURG 69210 REMVL IMPACTED CERUMEN (SEP PROC) UNILATERAL | $146.25 | $225.00 | $108.00–$220.50 | 61% above | 35% |
| Earwax removal with instruments, one ear inpatient CPT 69210 TX RM 69210 REMOVAL IMPACTED CERUMEN EAR WAX | $110.50 | $170.00 | $149.60–$166.60 | — | 35% |
| Earwax removal with instruments, one ear inpatient CPT 69210 ED 69210 REMV IMPACTED EAR WAX INSTRUMENT UNI | $122.85 | $189.00 | $166.32–$185.22 | — | 35% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 REMVL IMPACTED CERUMEN (SEP PROC) UNILATERAL | $144.95 | $223.00 | $196.24–$218.54 | — | 35% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 SURG 69210 REMVL IMPACTED CERUMEN (SEP PROC) UNILATERAL | $146.25 | $225.00 | $198.00–$220.50 | — | 35% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 SURG 58100 ENDOMETR BX W/WO ENDOCERVIX BX W/O DILAT | $295.10 | $454.00 | $217.92–$444.92 | 42% above | 35% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX WWO ENDOCERVICAL BX WO DILATION ANY METH (SEP PROC) | $333.45 | $513.00 | $246.24–$502.74 | 61% above | 35% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 SURG 58100 ENDOMETR BX W/WO ENDOCERVIX BX W/O DILAT | $295.10 | $454.00 | $399.52–$444.92 | — | 35% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BX WWO ENDOCERVICAL BX WO DILATION ANY METH (SEP PROC) | $333.45 | $513.00 | $451.44–$502.74 | — | 35% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 SURG 31256 NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY | $5,989.10 | $9,214.00 | $4,422.72–$9,029.72 | — | 35% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 SURG 31256 NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY | $5,989.10 | $9,214.00 | $8,108.32–$9,029.72 | — | 35% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 SURG 31267 NASAL SINUS ENDO MAX ANTROST W/RMVL TISS MAX SINUS | $11,260.60 | $17,324.00 | $8,315.52–$16,977.52 | — | 35% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 SURG 31267 NASAL SINUS ENDO MAX ANTROST W/RMVL TISS MAX SINUS | $11,260.60 | $17,324.00 | $15,245.12–$16,977.52 | — | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 SURG 62321 INJ IL NDL CATH CERV THOR W GUID | $1,197.30 | $1,842.00 | $884.16–$1,805.16 | 4% above | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 SURG 62321 INJ IL NDL CATH CERV THOR W GUID | $1,197.30 | $1,842.00 | $1,620.96–$1,805.16 | — | 35% |
| 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 | $1,555.45 | $2,393.00 | $1,148.64–$2,345.14 | 20% above | 35% |
| 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 | $1,555.45 | $2,393.00 | $2,105.84–$2,345.14 | — | 35% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 SURG 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $4,037.80 | $6,212.00 | $2,981.76–$6,087.76 | 318% above | 35% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 SURG 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $4,037.80 | $6,212.00 | $5,466.56–$6,087.76 | — | 35% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 SURG 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $2,411.50 | $3,710.00 | $1,780.80–$3,635.80 | 317% above | 35% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 SURG 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $2,411.50 | $3,710.00 | $3,264.80–$3,635.80 | — | 35% |
| Gallbladder removal, laparoscopic CPT 47562 SURG 47562 LAP CHOLECYSTECTOMY | $10,079.55 | $15,507.00 | $7,443.36–$15,196.86 | 788% above | 35% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 SURG 47562 LAP CHOLECYSTECTOMY | $10,079.55 | $15,507.00 | $13,646.16–$15,196.86 | — | 35% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 SURG 47563 LAP CHOLECYSTECTOMY W/CHOLANGIOGRAPHY | $10,845.25 | $16,685.00 | $8,008.80–$16,351.30 | — | 35% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 SURG 47563 LAP CHOLECYSTECTOMY W/CHOLANGIOGRAPHY | $10,845.25 | $16,685.00 | $14,682.80–$16,351.30 | — | 35% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 SURG 47600 CHOLECYSTECOMY | $9,191.00 | $14,140.00 | $6,787.20–$13,857.20 | — | 35% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 SURG 47600 CHOLECYSTECOMY | $9,191.00 | $14,140.00 | $12,443.20–$13,857.20 | — | 35% |
| Hammertoe correction surgery CPT 28285 SURG 28285 CORRECTION HAMMERTOE | $5,813.60 | $8,944.00 | $4,293.12–$8,765.12 | 74% above | 35% |
| Hammertoe correction surgery inpatient CPT 28285 SURG 28285 CORRECTION HAMMERTOE | $5,813.60 | $8,944.00 | $7,870.72–$8,765.12 | — | 35% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 SURG 46221 LIGATION OF HEMORRHOID(S) | $1,420.90 | $2,186.00 | $1,049.28–$2,142.28 | 22% above | 35% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 SURG 46221 LIGATION OF HEMORRHOID(S) | $1,420.90 | $2,186.00 | $1,923.68–$2,142.28 | — | 35% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 SURG 46255 HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP | $3,927.30 | $6,042.00 | $2,900.16–$5,921.16 | 324% above | 35% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 SURG 46255 HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP | $3,927.30 | $6,042.00 | $5,316.96–$5,921.16 | — | 35% |
| Hysterectomy through an abdominal incision (total) CPT 58150 SURG 58150 TOTAL ABD HYSTERECT W/WO RMVL TUBE OVARY | $3,351.40 | $5,156.00 | $2,474.88–$5,052.88 | — | 35% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 SURG 58150 TOTAL ABD HYSTERECT W/WO RMVL TUBE OVARY | $3,351.40 | $5,156.00 | $4,537.28–$5,052.88 | — | 35% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SURG 58340 HYSTERO INJ CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI | $344.50 | $530.00 | $254.40–$519.40 | 6% above | 35% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 SURG 58340 HYSTERO INJ CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI | $344.50 | $530.00 | $466.40–$519.40 | — | 35% |
| Hysteroscopy with endometrial ablation CPT 58563 SURG 58563 HYSTEROSCOPY ENDOMETRIAL ABLATION | $8,114.60 | $12,484.00 | $5,992.32–$12,234.32 | — | 35% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 SURG 58563 HYSTEROSCOPY ENDOMETRIAL ABLATION | $8,114.60 | $12,484.00 | $10,985.92–$12,234.32 | — | 35% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 SURG 58558 HYSTEROSCOPY W/BX & OR POLYP W/WO D&C | $4,827.55 | $7,427.00 | $3,564.96–$7,278.46 | 48% above | 35% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 SURG 58558 HYSTEROSCOPY W/BX & OR POLYP W/WO D&C | $4,827.55 | $7,427.00 | $6,535.76–$7,278.46 | — | 35% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $202.80 | $312.00 | $149.76–$305.76 | 24% above | 35% |
| IUD insertion (the device itself billed separately) CPT 58300 SURG 58300 INSERTION INTRAUTERINE DEVICE | $255.45 | $393.00 | $188.64–$385.14 | 57% above | 35% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE | $202.80 | $312.00 | $274.56–$305.76 | — | 35% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 SURG 58300 INSERTION INTRAUTERINE DEVICE | $255.45 | $393.00 | $345.84–$385.14 | — | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE ABSCESS SMPL SNGL | $330.20 | $508.00 | $243.84–$497.84 | 31% above | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ED 10060 I&D SKIN ABSCESS SMPL | $332.15 | $511.00 | $245.28–$500.78 | 31% above | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 TX RM 10060 I&D ABSCESS SIMPLE | $332.15 | $511.00 | $245.28–$500.78 | 31% above | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 SURG 10060 INCISION & DRAINAGE ABSCESS SMPL SNGL | $347.75 | $535.00 | $256.80–$524.30 | 37% above | 35% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE ABSCESS SMPL SNGL | $330.20 | $508.00 | $447.04–$497.84 | — | 35% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ED 10060 I&D SKIN ABSCESS SMPL | $332.15 | $511.00 | $449.68–$500.78 | — | 35% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 TX RM 10060 I&D ABSCESS SIMPLE | $332.15 | $511.00 | $449.68–$500.78 | — | 35% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 SURG 10060 INCISION & DRAINAGE ABSCESS SMPL SNGL | $347.75 | $535.00 | $470.80–$524.30 | — | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 SURG 49505 RPR INITIAL INGUINAL HERNIA >5YRS REDUCIBLE | $6,390.80 | $9,832.00 | $4,719.36–$9,635.36 | 341% above | 35% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 SURG 49505 RPR INITIAL INGUINAL HERNIA >5YRS REDUCIBLE | $6,390.80 | $9,832.00 | $8,652.16–$9,635.36 | — | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ(S) SNGL TENDON SHEATH LIG APONEUROSIS | $213.85 | $329.00 | $157.92–$322.42 | 15% above | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 SURG 20550 INJ SINGLE TENDON SHEATH/LIGAMENT APONEUROSIS | $537.55 | $827.00 | $396.96–$810.46 | 188% above | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ(S) SNGL TENDON SHEATH LIG APONEUROSIS | $213.85 | $329.00 | $289.52–$322.42 | — | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 SURG 20550 INJ SINGLE TENDON SHEATH/LIGAMENT APONEUROSIS | $537.55 | $827.00 | $727.76–$810.46 | — | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT ASP INJ MAJOR JOINT BURSA WO US GUID | $168.35 | $259.00 | $124.32–$253.82 | 33% below | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SURG 20610 INJ MAJOR JOINT BURSA WO US GUID | $520.00 | $800.00 | $384.00–$784.00 | 107% above | 35% |
| 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 | $520.00 | $800.00 | $384.00–$784.00 | 107% above | 35% |
| 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 | $520.00 | $800.00 | $384.00–$784.00 | 107% above | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENT ASP INJ MAJOR JOINT BURSA WO US GUID | $168.35 | $259.00 | $227.92–$253.82 | — | 35% |
| 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 | $520.00 | $800.00 | $704.00–$784.00 | — | 35% |
| 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 | $520.00 | $800.00 | $704.00–$784.00 | — | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 SURG 20610 INJ MAJOR JOINT BURSA WO US GUID | $520.00 | $800.00 | $704.00–$784.00 | — | 35% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 SURG 11981 INSERTION DRUG DELIVERY IMPLANT | $192.40 | $296.00 | $142.08–$290.08 | at median | 35% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG DELIVERY IMPLANT | $244.40 | $376.00 | $180.48–$368.48 | 27% above | 35% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 SURG 11981 INSERTION DRUG DELIVERY IMPLANT | $192.40 | $296.00 | $260.48–$290.08 | — | 35% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG DELIVERY IMPLANT | $244.40 | $376.00 | $330.88–$368.48 | — | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ED 20605 ASP INJ JOINT BURSA INTERMED WO US GUID | $537.55 | $827.00 | $396.96–$810.46 | 77% above | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT ASP INJ INTMDTE JOINT BURSA WO US GUID | $537.55 | $827.00 | $396.96–$810.46 | 77% above | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 SURG 20605 ARTHROCENTESIS ASP INJ INTRM JNT BURSA WO US GUID | $537.55 | $827.00 | $396.96–$810.46 | 77% above | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT ASP INJ INTMDTE JOINT BURSA WO US GUID | $537.55 | $827.00 | $727.76–$810.46 | — | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ED 20605 ASP INJ JOINT BURSA INTERMED WO US GUID | $537.55 | $827.00 | $727.76–$810.46 | — | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 SURG 20605 ARTHROCENTESIS ASP INJ INTRM JNT BURSA WO US GUID | $537.55 | $827.00 | $727.76–$810.46 | — | 35% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASP INJ SMALL JOINT BURSA WO US GUID | $268.45 | $413.00 | $198.24–$404.74 | at median | 35% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 SURG 20600 ARTHROCENTESIS ASP INJ SM JNT BURSA WO US GUID | $537.55 | $827.00 | $396.96–$810.46 | 100% above | 35% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASP INJ SMALL JOINT BURSA WO US GUID | $268.45 | $413.00 | $363.44–$404.74 | — | 35% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SURG 20600 ARTHROCENTESIS ASP INJ SM JNT BURSA WO US GUID | $537.55 | $827.00 | $727.76–$810.46 | — | 35% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 SURG 29882 ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL | $5,813.60 | $8,944.00 | $4,293.12–$8,765.12 | — | 35% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 SURG 29882 ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL | $5,813.60 | $8,944.00 | $7,870.72–$8,765.12 | — | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 SURG 29881 ARTHROSCOPY KNEE W MENISCECTOMY DEB SHAV SAME OR SEP COMP | $5,813.60 | $8,944.00 | $4,293.12–$8,765.12 | — | 35% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 SURG 29881 ARTHROSCOPY KNEE W MENISCECTOMY DEB SHAV SAME OR SEP COMP | $5,813.60 | $8,944.00 | $7,870.72–$8,765.12 | — | 35% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 SURG 29880 ARTHROSCOPY KNEE SURGICAL WMENISCECTOMY MEDIAL & LAT WSHAVING | $5,813.60 | $8,944.00 | $4,293.12–$8,765.12 | — | 35% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 SURG 29880 ARTHROSCOPY KNEE SURGICAL WMENISCECTOMY MEDIAL & LAT WSHAVING | $5,813.60 | $8,944.00 | $7,870.72–$8,765.12 | — | 35% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 SURG 29877 ARTHROSCPY KNEE SURGICAL DEBRIDEMENT SHAV ARTICULAR CARTILAGE( | $5,813.60 | $8,944.00 | $4,293.12–$8,765.12 | — | 35% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 SURG 29877 ARTHROSCPY KNEE SURGICAL DEBRIDEMENT SHAV ARTICULAR CARTILAGE( | $5,813.60 | $8,944.00 | $7,870.72–$8,765.12 | — | 35% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 SURG 44970 LAP SURGICAL APPENDECTOMY | $10,079.55 | $15,507.00 | $7,443.36–$15,196.86 | 912% above | 35% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 SURG 44970 LAP SURGICAL APPENDECTOMY | $10,079.55 | $15,507.00 | $13,646.16–$15,196.86 | — | 35% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 SURG 43280 LAPS SURG ESOPG/GSTR FUNDOPLASTY | $15,191.15 | $23,371.00 | $11,218.08–$22,903.58 | — | 35% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 SURG 43280 LAPS SURG ESOPG/GSTR FUNDOPLASTY | $15,191.15 | $23,371.00 | $20,566.48–$22,903.58 | — | 35% |
| 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 | $17,645.55 | $27,147.00 | $13,030.56–$26,604.06 | — | 35% |
| 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 | $17,645.55 | $27,147.00 | $23,889.36–$26,604.06 | — | 35% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 SURG 58661 LAPAROSCOPY W REMOVAL ADNEXAL STRUCTURES | $9,311.90 | $14,326.00 | $6,876.48–$14,039.48 | 724% above | 35% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 SURG 58661 LAPAROSCOPY W REMOVAL ADNEXAL STRUCTURES | $9,311.90 | $14,326.00 | $12,606.88–$14,039.48 | — | 35% |
| 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 < | $636.35 | $979.00 | $469.92–$959.42 | 51% above | 35% |
| 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 < | $639.60 | $984.00 | $472.32–$964.32 | 51% above | 35% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE WNDS SCALP AXILLAE TRUNK EXTREM 2.5 CM < | $666.90 | $1,026.00 | $492.48–$1,005.48 | 58% above | 35% |
| 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 < | $636.35 | $979.00 | $861.52–$959.42 | — | 35% |
| 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 < | $639.60 | $984.00 | $865.92–$964.32 | — | 35% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE WNDS SCALP AXILLAE TRUNK EXTREM 2.5 CM < | $666.90 | $1,026.00 | $902.88–$1,005.48 | — | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 SURG 62323 INJ IL NDL CATH LUMB SACR W GUID | $1,401.40 | $2,156.00 | $1,034.88–$2,112.88 | 51% above | 35% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 SURG 62323 INJ IL NDL CATH LUMB SACR W GUID | $1,401.40 | $2,156.00 | $1,897.28–$2,112.88 | — | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ INTERLAMINAR LMBR/SAC WITHOUT IMAGING GUIDANCE | $1,354.60 | $2,084.00 | $1,000.32–$2,042.32 | 48% above | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 SURG 62322 INJ IL NDL CATH LUMB SACR WO GUID | $1,401.40 | $2,156.00 | $1,034.88–$2,112.88 | 53% above | 35% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ INTERLAMINAR LMBR/SAC WITHOUT IMAGING GUIDANCE | $1,354.60 | $2,084.00 | $1,833.92–$2,042.32 | — | 35% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 SURG 62322 INJ IL NDL CATH LUMB SACR WO GUID | $1,401.40 | $2,156.00 | $1,897.28–$2,112.88 | — | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL | $1,555.45 | $2,393.00 | $1,148.64–$2,345.14 | 70% above | 35% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL | $1,555.45 | $2,393.00 | $2,105.84–$2,345.14 | — | 35% |
| Mastectomy (total removal of the breast) CPT 19303 SURG 19303 MASTECTOMY SIMPLE COMPLETE | $10,342.15 | $15,911.00 | $7,637.28–$15,592.78 | — | 35% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 SURG 19303 MASTECTOMY SIMPLE COMPLETE | $10,342.15 | $15,911.00 | $14,001.68–$15,592.78 | — | 35% |
| Miscarriage treatment with D&C, first trimester CPT 59820 SURG 59820 TX MISSED ABORTION FIRST TRIMESTER SURGICAL | $5,317.00 | $8,180.00 | $3,926.40–$8,016.40 | — | 35% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 SURG 59820 TX MISSED ABORTION FIRST TRIMESTER SURGICAL | $5,317.00 | $8,180.00 | $7,198.40–$8,016.40 | — | 35% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENGN SKN LESN INC MARGIN NO SKN TAG TRNK ARM LEG EXC DIA 0.5 CM < | $349.05 | $537.00 | $257.76–$526.26 | 34% below | 35% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 SURG 11400 EXC LESN BGN TRUNK ARM <0.5CM | $1,179.10 | $1,814.00 | $870.72–$1,777.72 | 123% above | 35% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BENGN SKN LESN INC MARGIN NO SKN TAG TRNK ARM LEG EXC DIA 0.5 CM < | $349.05 | $537.00 | $472.56–$526.26 | — | 35% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 SURG 11400 EXC LESN BGN TRUNK ARM <0.5CM | $1,179.10 | $1,814.00 | $1,596.32–$1,777.72 | — | 35% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BENIGN SKIN LESN INCL MARGINS FACE EXC DIAM 0.5 CM < | $628.55 | $967.00 | $464.16–$947.66 | 54% above | 35% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 TX RM 11440 EXC BNGN LSN FACE EAR NOSE LIP MUC MEM <0.5CM | $1,169.35 | $1,799.00 | $863.52–$1,763.02 | 186% above | 35% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 SURG 11440 EXC BENIGN SKIN LESN INCL MARGINS FACE EXC DIAM 0.5 CM < | $1,179.10 | $1,814.00 | $870.72–$1,777.72 | 188% above | 35% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BENIGN SKIN LESN INCL MARGINS FACE EXC DIAM 0.5 CM < | $628.55 | $967.00 | $850.96–$947.66 | — | 35% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 TX RM 11440 EXC BNGN LSN FACE EAR NOSE LIP MUC MEM <0.5CM | $1,169.35 | $1,799.00 | $1,583.12–$1,763.02 | — | 35% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 SURG 11440 EXC BENIGN SKIN LESN INCL MARGINS FACE EXC DIAM 0.5 CM < | $1,179.10 | $1,814.00 | $1,596.32–$1,777.72 | — | 35% |
| Nail removal (partial or complete), one nail CPT 11730 ED 11730 REMV OF NAIL PLATE | $347.75 | $535.00 | $256.80–$524.30 | 44% above | 35% |
| Nail removal (partial or complete), one nail CPT 11730 SURG 11730 AVULSION NAIL PLATE PARTIAL COMP SMPL SNGL | $347.75 | $535.00 | $256.80–$524.30 | 44% above | 35% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PARTIAL COMP SMPL SNGL | $347.75 | $535.00 | $256.80–$524.30 | 44% above | 35% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 SURG 11730 AVULSION NAIL PLATE PARTIAL COMP SMPL SNGL | $347.75 | $535.00 | $470.80–$524.30 | — | 35% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE PARTIAL COMP SMPL SNGL | $347.75 | $535.00 | $470.80–$524.30 | — | 35% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 ED 11730 REMV OF NAIL PLATE | $347.75 | $535.00 | $470.80–$524.30 | — | 35% |
| Occipital nerve block (injection for headaches) CPT 64405 SURG 64405 GR OCCIPITAL NERVE BLOCK | $493.35 | $759.00 | $364.32–$743.82 | 63% above | 35% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 SURG 64405 GR OCCIPITAL NERVE BLOCK | $493.35 | $759.00 | $667.92–$743.82 | — | 35% |
| Paracentesis with imaging guidance CPT 49083 SURG 49083 ABD PARACENTESIS W IMAGING | $1,555.45 | $2,393.00 | $1,148.64–$2,345.14 | 77% above | 35% |
| Paracentesis with imaging guidance inpatient CPT 49083 SURG 49083 ABD PARACENTESIS W IMAGING | $1,555.45 | $2,393.00 | $2,105.84–$2,345.14 | — | 35% |
| Partial knee replacement (one compartment) CPT 27446 SURG 27446 ARTHROPLASTY KNEE FEM CONDYLE AND PLATEAU MED OR LAT COMP | $23,193.30 | $35,682.00 | $17,127.36–$34,968.36 | — | 35% |
| Partial knee replacement (one compartment) inpatient CPT 27446 SURG 27446 ARTHROPLASTY KNEE FEM CONDYLE AND PLATEAU MED OR LAT COMP | $23,193.30 | $35,682.00 | $31,400.16–$34,968.36 | — | 35% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL NAIL MATRIX PERM REMVL | $430.95 | $663.00 | $318.24–$649.74 | 5% above | 35% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 ED 11750 REMV OF NAIL BED | $599.95 | $923.00 | $443.04–$904.54 | 46% above | 35% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 SURG 11750 EXC NAIL NAIL MATRIX PERM REMVL | $599.95 | $923.00 | $443.04–$904.54 | 46% above | 35% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 TX RM 11750 REMOVE NAIL BED PERMANENT | $599.95 | $923.00 | $443.04–$904.54 | 46% above | 35% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL NAIL MATRIX PERM REMVL | $430.95 | $663.00 | $583.44–$649.74 | — | 35% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 TX RM 11750 REMOVE NAIL BED PERMANENT | $599.95 | $923.00 | $812.24–$904.54 | — | 35% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ED 11750 REMV OF NAIL BED | $599.95 | $923.00 | $812.24–$904.54 | — | 35% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 SURG 11750 EXC NAIL NAIL MATRIX PERM REMVL | $599.95 | $923.00 | $812.24–$904.54 | — | 35% |
| Prostate biopsy CPT 55700 SURG 55700 BX PROSTATE NEEDLE PUNCH | $3,299.40 | $5,076.00 | $2,436.48–$4,974.48 | 125% above | 35% |
| Prostate biopsy inpatient CPT 55700 SURG 55700 BX PROSTATE NEEDLE PUNCH | $3,299.40 | $5,076.00 | $4,466.88–$4,974.48 | — | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 SURG 64635 DESTROY NROLYTC AGNT PARVERTEB FACET SNGL LMBR/SACRAL | $3,315.65 | $5,101.00 | $2,448.48–$4,998.98 | 76% above | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 SURG 64635 DESTROY NROLYTC AGNT PARVERTEB FACET SNGL LMBR/SACRAL | $3,315.65 | $5,101.00 | $4,488.88–$4,998.98 | — | 35% |
| Removal of a breast lump, open surgery CPT 19120 EXC BREAST LESN(S) OPEN MALE FEMALE 1 OR MORE | $1,554.15 | $2,391.00 | $1,147.68–$2,343.18 | 34% above | 35% |
| Removal of a breast lump, open surgery CPT 19120 SURG 19120 EXC CYST LESION OF BREAST OPEN | $5,810.35 | $8,939.00 | $4,290.72–$8,760.22 | 401% above | 35% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXC BREAST LESN(S) OPEN MALE FEMALE 1 OR MORE | $1,554.15 | $2,391.00 | $2,104.08–$2,343.18 | — | 35% |
| Removal of a breast lump, open surgery inpatient CPT 19120 SURG 19120 EXC CYST LESION OF BREAST OPEN | $5,810.35 | $8,939.00 | $7,866.32–$8,760.22 | — | 35% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMVL FB SUBQ TISSUES SMPL | $428.35 | $659.00 | $316.32–$645.82 | 4% above | 35% |
| Removal of a foreign object under the skin, simple CPT 10120 ED 10120 INC&REMV FB SMPL | $636.35 | $979.00 | $469.92–$959.42 | 55% above | 35% |
| Removal of a foreign object under the skin, simple CPT 10120 SURG 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $639.60 | $984.00 | $472.32–$964.32 | 56% above | 35% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMVL FB SUBQ TISSUES SMPL | $428.35 | $659.00 | $579.92–$645.82 | — | 35% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 ED 10120 INC&REMV FB SMPL | $636.35 | $979.00 | $861.52–$959.42 | — | 35% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 SURG 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $639.60 | $984.00 | $865.92–$964.32 | — | 35% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $1,564.55 | $2,407.00 | $1,155.36–$2,358.86 | 9% below | 35% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREEN COLON WO HI RISK | $1,580.80 | $2,432.00 | $1,167.36–$2,383.36 | 8% below | 35% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $1,564.55 | $2,407.00 | $2,118.16–$2,358.86 | — | 35% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 SCREEN COLON WO HI RISK | $1,580.80 | $2,432.00 | $2,140.16–$2,383.36 | — | 35% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN HI RISK IND | $1,564.55 | $2,407.00 | $1,155.36–$2,358.86 | 10% below | 35% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREEN COLON WHI RISK | $1,580.80 | $2,432.00 | $1,167.36–$2,383.36 | 9% below | 35% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCRN HI RISK IND | $1,564.55 | $2,407.00 | $2,118.16–$2,358.86 | — | 35% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 SCREEN COLON WHI RISK | $1,580.80 | $2,432.00 | $2,140.16–$2,383.36 | — | 35% |
| Septoplasty to straighten the nasal septum CPT 30520 SURG 30520 SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF | $5,560.10 | $8,554.00 | $4,105.92–$8,382.92 | — | 35% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 SURG 30520 SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF | $5,560.10 | $8,554.00 | $7,527.52–$8,382.92 | — | 35% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 SURG 50590 LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE | $9,815.00 | $15,100.00 | $7,248.00–$14,798.00 | 56% above | 35% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 SURG 50590 LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE | $9,815.00 | $15,100.00 | $13,288.00–$14,798.00 | — | 35% |
| Short arm cast (elbow to hand) CPT 29075 APPLN CAST ELBOW TO FINGER (SHORT ARM) | $428.35 | $659.00 | $316.32–$645.82 | 58% above | 35% |
| Short arm cast (elbow to hand) CPT 29075 TX RM 29075 APPLICATION OF FOREARM CAST | $428.35 | $659.00 | $316.32–$645.82 | 58% above | 35% |
| Short arm cast (elbow to hand) CPT 29075 SURG 29075 APPLN CAST ELBOW TO FINGER (SHORT ARM) | $428.35 | $659.00 | $316.32–$645.82 | 58% above | 35% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLN CAST ELBOW TO FINGER (SHORT ARM) | $428.35 | $659.00 | $579.92–$645.82 | — | 35% |
| Short arm cast (elbow to hand) inpatient CPT 29075 SURG 29075 APPLN CAST ELBOW TO FINGER (SHORT ARM) | $428.35 | $659.00 | $579.92–$645.82 | — | 35% |
| Short arm cast (elbow to hand) inpatient CPT 29075 TX RM 29075 APPLICATION OF FOREARM CAST | $428.35 | $659.00 | $579.92–$645.82 | — | 35% |
| Short arm splint (forearm and hand) CPT 29125 APPLN SHORT ARM SPLINT (FOREARM TO HAND) STATIC | $195.65 | $301.00 | $144.48–$294.98 | 18% above | 35% |
| Short arm splint (forearm and hand) CPT 29125 SURG 29125 APPLN SHORT ARM SPLINT (FOREARM TO HAND) STATIC | $230.75 | $355.00 | $170.40–$347.90 | 39% above | 35% |
| Short arm splint (forearm and hand) CPT 29125 ED 29125 APPL SPLINT FOREARM | $235.95 | $363.00 | $174.24–$355.74 | 42% above | 35% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLN SHORT ARM SPLINT (FOREARM TO HAND) STATIC | $195.65 | $301.00 | $264.88–$294.98 | — | 35% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SURG 29125 APPLN SHORT ARM SPLINT (FOREARM TO HAND) STATIC | $230.75 | $355.00 | $312.40–$347.90 | — | 35% |
| Short arm splint (forearm and hand) inpatient CPT 29125 ED 29125 APPL SPLINT FOREARM | $235.95 | $363.00 | $319.44–$355.74 | — | 35% |
| Short leg cast (below the knee) CPT 29405 APPLN SHORT LEG CAST (BELOW KNEE TO TOES) | $390.65 | $601.00 | $288.48–$588.98 | 43% above | 35% |
| Short leg cast (below the knee) CPT 29405 SURG 29405 APPLN SHORT LEG CAST (BELOW KNEE TO TOES) | $428.35 | $659.00 | $316.32–$645.82 | 57% above | 35% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLN SHORT LEG CAST (BELOW KNEE TO TOES) | $390.65 | $601.00 | $528.88–$588.98 | — | 35% |
| Short leg cast (below the knee) inpatient CPT 29405 SURG 29405 APPLN SHORT LEG CAST (BELOW KNEE TO TOES) | $428.35 | $659.00 | $579.92–$645.82 | — | 35% |
| Short leg splint (calf to foot) CPT 29515 APPLN SHORT LEG SPLINT (CALF TO FOOT) | $202.15 | $311.00 | $149.28–$304.78 | 11% above | 35% |
| Short leg splint (calf to foot) CPT 29515 ED 29515 APPL SPLINT SHORT LEG | $266.50 | $410.00 | $196.80–$401.80 | 46% above | 35% |
| Short leg splint (calf to foot) CPT 29515 SURG 29515 APPLN SHORT LEG SPLINT (CALF TO FOOT) | $297.70 | $458.00 | $219.84–$448.84 | 63% above | 35% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLN SHORT LEG SPLINT (CALF TO FOOT) | $202.15 | $311.00 | $273.68–$304.78 | — | 35% |
| Short leg splint (calf to foot) inpatient CPT 29515 ED 29515 APPL SPLINT SHORT LEG | $266.50 | $410.00 | $360.80–$401.80 | — | 35% |
| Short leg splint (calf to foot) inpatient CPT 29515 SURG 29515 APPLN SHORT LEG SPLINT (CALF TO FOOT) | $297.70 | $458.00 | $403.04–$448.84 | — | 35% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SURG 29824 ARTHROSCOPY SHLDR SURGICAL DISTL CLAVICULECTOMY WARTICULAR SURFA | $5,813.60 | $8,944.00 | $4,293.12–$8,765.12 | — | 35% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 SURG 29824 ARTHROSCOPY SHLDR SURGICAL DISTL CLAVICULECTOMY WARTICULAR SURFA | $5,813.60 | $8,944.00 | $7,870.72–$8,765.12 | — | 35% |
| 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 | $5,197.40 | $7,996.00 | $3,838.08–$7,836.08 | — | 35% |
| 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 | $5,197.40 | $7,996.00 | $7,036.48–$7,836.08 | — | 35% |
| 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< | $330.85 | $509.00 | $244.32–$498.82 | 55% above | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SURG 12001 SMPL RPR SUPERL WNDS SCALP NECK AXILLAE GENITAL TRNK EXTREM 2.5 | $347.75 | $535.00 | $256.80–$524.30 | 63% above | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL RPR SUPERL WNDS SCALP NECK AXILLAE GENITALIA TRNK EXTREM 2.5 CM < | $417.95 | $643.00 | $308.64–$630.14 | 96% above | 35% |
| 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< | $330.85 | $509.00 | $447.92–$498.82 | — | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SURG 12001 SMPL RPR SUPERL WNDS SCALP NECK AXILLAE GENITAL TRNK EXTREM 2.5 | $347.75 | $535.00 | $470.80–$524.30 | — | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL RPR SUPERL WNDS SCALP NECK AXILLAE GENITALIA TRNK EXTREM 2.5 CM < | $417.95 | $643.00 | $565.84–$630.14 | — | 35% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION | $327.60 | $504.00 | $241.92–$493.92 | 9% above | 35% |
| Skin biopsy, punch, one lesion CPT 11104 SURG 11104 PUNCH BIOPSY SKIN SINGLE LESION | $636.35 | $979.00 | $469.92–$959.42 | 112% above | 35% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION | $327.60 | $504.00 | $443.52–$493.92 | — | 35% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 SURG 11104 PUNCH BIOPSY SKIN SINGLE LESION | $636.35 | $979.00 | $861.52–$959.42 | — | 35% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 SURG 11600 EXC MALIG LESN INCL MARGINS TRUNK ARMS LEGS EXC DIAM 0.5 CM < | $1,144.65 | $1,761.00 | $845.28–$1,725.78 | 93% above | 35% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 TX RM 11600 EXC MAL LSN TRUNK EXTREM <0.5CM | $1,144.65 | $1,761.00 | $845.28–$1,725.78 | 93% above | 35% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 TX RM 11600 EXC MAL LSN TRUNK EXTREM <0.5CM | $1,144.65 | $1,761.00 | $1,549.68–$1,725.78 | — | 35% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 SURG 11600 EXC MALIG LESN INCL MARGINS TRUNK ARMS LEGS EXC DIAM 0.5 CM < | $1,144.65 | $1,761.00 | $1,549.68–$1,725.78 | — | 35% |
| Skin tag removal, up to 15 tags CPT 11200 REMVL SKIN TAGS MULT FIBROCUTANEOUS TAGS ANY AREA UP TO & INCL 15 LESN | $232.70 | $358.00 | $171.84–$350.84 | 14% above | 35% |
| Skin tag removal, up to 15 tags CPT 11200 ED 11200 SKIN TAG RMV <16 | $268.45 | $413.00 | $198.24–$404.74 | 32% above | 35% |
| Skin tag removal, up to 15 tags CPT 11200 SURG 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 | $347.75 | $535.00 | $256.80–$524.30 | 70% above | 35% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMVL SKIN TAGS MULT FIBROCUTANEOUS TAGS ANY AREA UP TO & INCL 15 LESN | $232.70 | $358.00 | $315.04–$350.84 | — | 35% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 ED 11200 SKIN TAG RMV <16 | $268.45 | $413.00 | $363.44–$404.74 | — | 35% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 SURG 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 | $347.75 | $535.00 | $470.80–$524.30 | — | 35% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ANES FAC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $1,095.25 | $1,685.00 | $808.80–$1,651.30 | 26% above | 35% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ED 62270 SPINAL TAP LUMBAR DIAG | $1,436.50 | $2,210.00 | $1,060.80–$2,165.80 | 66% above | 35% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 TX RM 62270 LUMBAR PUNCTURE DIAGNOSTIC | $1,436.50 | $2,210.00 | $1,060.80–$2,165.80 | 66% above | 35% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 L&D DIAGNOSTIC LUMBAR PUNCTURE | $1,495.00 | $2,300.00 | $1,104.00–$2,254.00 | 72% above | 35% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ANES FAC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $1,095.25 | $1,685.00 | $1,482.80–$1,651.30 | — | 35% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 TX RM 62270 LUMBAR PUNCTURE DIAGNOSTIC | $1,436.50 | $2,210.00 | $1,944.80–$2,165.80 | — | 35% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ED 62270 SPINAL TAP LUMBAR DIAG | $1,436.50 | $2,210.00 | $1,944.80–$2,165.80 | — | 35% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 L&D DIAGNOSTIC LUMBAR PUNCTURE | $1,495.00 | $2,300.00 | $2,024.00–$2,254.00 | — | 35% |
| 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 | $330.85 | $509.00 | $244.32–$498.82 | 56% above | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SURG 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $347.75 | $535.00 | $256.80–$524.30 | 64% above | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL RPR SUPERL WNDS SCALP NECK AXILLAE GENITAL TRNK EXTREM 2.6-7.5 CM | $446.55 | $687.00 | $329.76–$673.26 | 111% above | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ED 12002 RPR SUPERFCL WND 2.6-7.5CM | $330.85 | $509.00 | $447.92–$498.82 | — | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SURG 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $347.75 | $535.00 | $470.80–$524.30 | — | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL RPR SUPERL WNDS SCALP NECK AXILLAE GENITAL TRNK EXTREM 2.6-7.5 CM | $446.55 | $687.00 | $604.56–$673.26 | — | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMPL RPR SUPERL WNDS FACEUS MEMBRANES 2.5 CM < | $345.80 | $532.00 | $255.36–$521.36 | 37% above | 35% |
| 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< | $345.80 | $532.00 | $255.36–$521.36 | 37% above | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SURG 12011 SMPL RPR SUPERL WNDS FACEUS MEMBRANES 2.5 CM < | $345.80 | $532.00 | $255.36–$521.36 | 37% above | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SURG 12011 SMPL RPR SUPERL WNDS FACEUS MEMBRANES 2.5 CM < | $345.80 | $532.00 | $468.16–$521.36 | — | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMPL RPR SUPERL WNDS FACEUS MEMBRANES 2.5 CM < | $345.80 | $532.00 | $468.16–$521.36 | — | 35% |
| 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< | $345.80 | $532.00 | $468.16–$521.36 | — | 35% |
| TURP (transurethral resection of the prostate) CPT 52601 SURG 52601 TURP INCL CTRL POST OP BLEED | $8,217.95 | $12,643.00 | $6,068.64–$12,390.14 | 104% above | 35% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 SURG 52601 TURP INCL CTRL POST OP BLEED | $8,217.95 | $12,643.00 | $11,125.84–$12,390.14 | — | 35% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN; SINGLE LESION | $327.60 | $504.00 | $241.92–$493.92 | 64% above | 35% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 SURG 11102 TANGENTIAL BX SKIN SINGLE LESION | $365.30 | $562.00 | $269.76–$550.76 | 83% above | 35% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY OF SKIN; SINGLE LESION | $327.60 | $504.00 | $443.52–$493.92 | — | 35% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 SURG 11102 TANGENTIAL BX SKIN SINGLE LESION | $365.30 | $562.00 | $494.56–$550.76 | — | 35% |
| Thoracentesis with imaging guidance CPT 32555 SURG 32555 THORACENTESIS W IMAGING | $988.65 | $1,521.00 | $730.08–$1,490.58 | 55% above | 35% |
| Thoracentesis with imaging guidance inpatient CPT 32555 SURG 32555 THORACENTESIS W IMAGING | $988.65 | $1,521.00 | $1,338.48–$1,490.58 | — | 35% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 SURG 42821 TONSILLECTOMY & ADENOIDECTOMY AGE 12/> | $4,895.80 | $7,532.00 | $3,615.36–$7,381.36 | — | 35% |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 SURG 42821 TONSILLECTOMY & ADENOIDECTOMY AGE 12/> | $4,895.80 | $7,532.00 | $6,628.16–$7,381.36 | — | 35% |
| Tonsil and adenoid removal, child under 12 CPT 42820 SURG 42820 TONSILLECTOMY & ADENOIDECTOMY <12YRS | $9,101.30 | $14,002.00 | $6,720.96–$13,721.96 | — | 35% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 SURG 42820 TONSILLECTOMY & ADENOIDECTOMY <12YRS | $9,101.30 | $14,002.00 | $12,321.76–$13,721.96 | — | 35% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 SURG 42826 TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> | $5,879.25 | $9,045.00 | $4,341.60–$8,864.10 | — | 35% |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 SURG 42826 TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> | $5,879.25 | $9,045.00 | $7,959.60–$8,864.10 | — | 35% |
| Total hip replacement CPT 27130 SURG 27130 ARTHROPLASTY ACETABULAR PROXIMAL FEMOR PROSTHETIC REPLACE WWO A | $32,830.20 | $50,508.00 | $24,243.84–$49,497.84 | — | 35% |
| Total hip replacement inpatient CPT 27130 SURG 27130 ARTHROPLASTY ACETABULAR PROXIMAL FEMOR PROSTHETIC REPLACE WWO A | $32,830.20 | $50,508.00 | $44,447.04–$49,497.84 | — | 35% |
| Total knee replacement CPT 27447 SURG 27447 ARTHROPLASTY KNEE CONDYLE & PLATEAU MED & LAT COMPARTMENTS WWO | $30,643.60 | $47,144.00 | $22,629.12–$46,201.12 | — | 35% |
| Total knee replacement inpatient CPT 27447 SURG 27447 ARTHROPLASTY KNEE CONDYLE & PLATEAU MED & LAT COMPARTMENTS WWO | $30,643.60 | $47,144.00 | $41,486.72–$46,201.12 | — | 35% |
| Total shoulder replacement CPT 23472 SURG 23472 RECONSTRUCT SHOULDER JOINT | $23,865.40 | $36,716.00 | $17,623.68–$35,981.68 | — | 35% |
| Total shoulder replacement inpatient CPT 23472 SURG 23472 RECONSTRUCT SHOULDER JOINT | $23,865.40 | $36,716.00 | $32,310.08–$35,981.68 | — | 35% |
| Trigger finger release surgery CPT 26055 SURG 26055 TENDON SHEATH INCISION | $2,966.60 | $4,564.00 | $2,190.72–$4,472.72 | 6% above | 35% |
| Trigger finger release surgery inpatient CPT 26055 SURG 26055 TENDON SHEATH INCISION | $2,966.60 | $4,564.00 | $4,016.32–$4,472.72 | — | 35% |
| Trigger point injections, 1 or 2 muscles CPT 20552 SURG 20552 INJ SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $463.45 | $713.00 | $342.24–$698.74 | 53% above | 35% |
| Trigger point injections, 1 or 2 muscles CPT 20552 ED 20552 INJ 1-2 MUSC GRPS | $463.45 | $713.00 | $342.24–$698.74 | 53% above | 35% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ(S) SNGL MULTIPLE TRIGGER POINT(S) 1-2 MUSCLES | $463.45 | $713.00 | $342.24–$698.74 | 53% above | 35% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 SURG 20552 INJ SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $463.45 | $713.00 | $627.44–$698.74 | — | 35% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ(S) SNGL MULTIPLE TRIGGER POINT(S) 1-2 MUSCLES | $463.45 | $713.00 | $627.44–$698.74 | — | 35% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ED 20552 INJ 1-2 MUSC GRPS | $463.45 | $713.00 | $627.44–$698.74 | — | 35% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 SURG 58670 LAPAROSCOPY FULGURATION OVIDUCTS | $9,311.90 | $14,326.00 | $6,876.48–$14,039.48 | — | 35% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 SURG 58670 LAPAROSCOPY FULGURATION OVIDUCTS | $9,311.90 | $14,326.00 | $12,606.88–$14,039.48 | — | 35% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 SURG 19083 BX BREAST W DVC US GUIDE 1ST LSN | $2,216.50 | $3,410.00 | $1,636.80–$3,341.80 | at median | 35% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 SURG 19083 BX BREAST W DVC US GUIDE 1ST LSN | $2,216.50 | $3,410.00 | $3,000.80–$3,341.80 | — | 35% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD WBALLOON DIL | $2,907.45 | $4,473.00 | $2,147.04–$4,383.54 | 21% above | 35% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD WBALLOON DIL | $2,907.45 | $4,473.00 | $3,936.24–$4,383.54 | — | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY WBX SNGL MULTIPLE | $536.90 | $826.00 | $396.48–$809.48 | 53% below | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD WBIOP SING MULT | $1,640.60 | $2,524.00 | $1,211.52–$2,473.52 | 45% above | 35% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY WBX SNGL MULTIPLE | $536.90 | $826.00 | $726.88–$809.48 | — | 35% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD WBIOP SING MULT | $1,640.60 | $2,524.00 | $2,221.12–$2,473.52 | — | 35% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 SURG 43251 EGD REMOVAL TUMOR POLYP OTHER LESION SNARE | $3,237.00 | $4,980.00 | $2,390.40–$4,880.40 | 35% above | 35% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 SURG 43251 EGD REMOVAL TUMOR POLYP OTHER LESION SNARE | $3,237.00 | $4,980.00 | $4,382.40–$4,880.40 | — | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPR GI ENDOSCOPY DX WWO SPECIMEN COLLECTION BRUSH WASH(SEP PROC) | $1,578.20 | $2,428.00 | $1,165.44–$2,379.44 | 8% above | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAG | $1,640.60 | $2,524.00 | $1,211.52–$2,473.52 | 12% above | 35% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPR GI ENDOSCOPY DX WWO SPECIMEN COLLECTION BRUSH WASH(SEP PROC) | $1,578.20 | $2,428.00 | $2,136.64–$2,379.44 | — | 35% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAG | $1,640.60 | $2,524.00 | $2,221.12–$2,473.52 | — | 35% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 SURG 52353 CYSTO W/URETEROSCOPY W/LITHOTRIPSY | $7,752.55 | $11,927.00 | $5,724.96–$11,688.46 | 1129% above | 35% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 SURG 52353 CYSTO W/URETEROSCOPY W/LITHOTRIPSY | $7,752.55 | $11,927.00 | $10,495.76–$11,688.46 | — | 35% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 SURG 52356 CYSTO/URETERO W LITHOTRIPSY W STENT INSERTION | $8,217.95 | $12,643.00 | $6,068.64–$12,390.14 | 141% above | 35% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 SURG 52356 CYSTO/URETERO W LITHOTRIPSY W STENT INSERTION | $8,217.95 | $12,643.00 | $11,125.84–$12,390.14 | — | 35% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VBAC | $7,285.20 | $11,208.00 | $5,379.84–$10,983.84 | — | 35% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VBAC | $7,285.20 | $11,208.00 | $9,863.04–$10,983.84 | — | 35% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 SURG 55250 VASECTOMY UNI/BILATERAL INCL POSTOP SEMEN EXAM | $3,299.40 | $5,076.00 | $2,436.48–$4,974.48 | — | 35% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 SURG 55250 VASECTOMY UNI/BILATERAL INCL POSTOP SEMEN EXAM | $3,299.40 | $5,076.00 | $4,466.88–$4,974.48 | — | 35% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESIONS 1 TO 14 | $327.60 | $504.00 | $241.92–$493.92 | 61% above | 35% |
| Wart removal, up to 14 warts CPT 17110 SURG 17110 DESTRUCTION BENIGN LESIONS 1 TO 14 | $330.85 | $509.00 | $244.32–$498.82 | 62% above | 35% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION BENIGN LESIONS 1 TO 14 | $327.60 | $504.00 | $443.52–$493.92 | — | 35% |
| Wart removal, up to 14 warts inpatient CPT 17110 SURG 17110 DESTRUCTION BENIGN LESIONS 1 TO 14 | $330.85 | $509.00 | $447.92–$498.82 | — | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUBQ TISSUE | $582.40 | $896.00 | $430.08–$878.08 | 42% above | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ED 11042 DEBR SKN SUBQ TISS 20 CM < | $636.35 | $979.00 | $469.92–$959.42 | 55% above | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 SURG 11042 DEBRIDEMENT SKIN & SUBQ TISSUE | $636.35 | $979.00 | $469.92–$959.42 | 55% above | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN & SUBQ TISSUE | $582.40 | $896.00 | $788.48–$878.08 | — | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ED 11042 DEBR SKN SUBQ TISS 20 CM < | $636.35 | $979.00 | $861.52–$959.42 | — | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 SURG 11042 DEBRIDEMENT SKIN & SUBQ TISSUE | $636.35 | $979.00 | $861.52–$959.42 | — | 35% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 SURG 25607 OPEN TX DSTL RAD EXT ART FX OR EPIPHYSEAL SEP INT FIX | $12,319.45 | $18,953.00 | $9,097.44–$18,573.94 | — | 35% |
| 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 | $12,319.45 | $18,953.00 | $16,678.64–$18,573.94 | — | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 ED 36430 TRANSFUSION BLOOD | $834.60 | $1,284.00 | $616.32–$1,258.32 | 12% above | 35% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD | $834.60 | $1,284.00 | $616.32–$1,258.32 | 12% above | 35% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED 36430 TRANSFUSION BLOOD | $834.60 | $1,284.00 | $1,129.92–$1,258.32 | — | 35% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD | $834.60 | $1,284.00 | $1,129.92–$1,258.32 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL TX | $46.15 | $71.00 | $34.08–$69.58 | 64% below | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSURIZED NONPRESSURIZED INHALATION RX AIRWAY OBSTRUCTION DX SPUTUM | $102.05 | $157.00 | $75.36–$153.86 | 20% below | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB SUBSEQ TX | $257.40 | $396.00 | $190.08–$388.08 | 101% above | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PF 94640 NEBULIZER TREATMENT | $257.40 | $396.00 | $190.08–$388.08 | 101% above | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB INITIAL TX | $257.40 | $396.00 | $190.08–$388.08 | 101% above | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DIAGNOSTIC SPUTUM | $257.40 | $396.00 | $190.08–$388.08 | 101% above | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQ TX | $257.40 | $396.00 | $190.08–$388.08 | 101% above | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL TX | $46.15 | $71.00 | $62.48–$69.58 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRESSURIZED NONPRESSURIZED INHALATION RX AIRWAY OBSTRUCTION DX SPUTUM | $102.05 | $157.00 | $138.16–$153.86 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PF 94640 NEBULIZER TREATMENT | $257.40 | $396.00 | $348.48–$388.08 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB INITIAL TX | $257.40 | $396.00 | $348.48–$388.08 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB SUBSEQ TX | $257.40 | $396.00 | $348.48–$388.08 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSEQ TX | $257.40 | $396.00 | $348.48–$388.08 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DIAGNOSTIC SPUTUM | $257.40 | $396.00 | $348.48–$388.08 | — | 35% |
| Chemotherapy IV infusion, first hour CPT 96413 PF 96413 CHEMO IV INF UP TO 1H | $310.05 | $477.00 | $228.96–$467.46 | 56% below | 35% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION 1ST HR | $698.75 | $1,075.00 | $516.00–$1,053.50 | at median | 35% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 PF 96413 CHEMO IV INF UP TO 1H | $310.05 | $477.00 | $419.76–$467.46 | — | 35% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION 1ST HR | $698.75 | $1,075.00 | $946.00–$1,053.50 | — | 35% |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE E&M 30-74 MIN | $772.20 | $1,188.00 | $570.24–$1,164.24 | 12% below | 35% |
| Critical care, first 30 to 74 minutes CPT 99291 ED 99291 CRITICAL CARE E&M 30-74 MIN | $1,907.10 | $2,934.00 | $1,408.32–$2,875.32 | 118% above | 35% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRIT CARE E&M 30-74 MIN | $772.20 | $1,188.00 | $1,045.44–$1,164.24 | — | 35% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ED 99291 CRITICAL CARE E&M 30-74 MIN | $1,907.10 | $2,934.00 | $2,581.92–$2,875.32 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM ROUTINE WAT LEAST 12 LEADS TRACING ONLY WO INTERP | $39.00 | $60.00 | $28.80–$58.80 | 68% below | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG TRACING WO INTERP | $76.05 | $117.00 | $56.16–$114.66 | 37% below | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM ROUTINE WAT LEAST 12 LEADS TRACING ONLY WO INTERP | $39.00 | $60.00 | $52.80–$58.80 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG TRACING WO INTERP | $76.05 | $117.00 | $102.96–$114.66 | — | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED 99281 EMER CASE LEVEL I | $289.25 | $445.00 | $213.60–$436.10 | 232% above | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 JAIL CLEARANCE CORPORATE | $423.15 | $651.00 | $312.48–$637.98 | 386% above | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED 99281 EMER CASE LEVEL I | $289.25 | $445.00 | $391.60–$436.10 | — | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 JAIL CLEARANCE CORPORATE | $423.15 | $651.00 | $572.88–$637.98 | — | 35% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED 99282 EMER CASE LEVEL II | $321.75 | $495.00 | $237.60–$485.10 | 144% above | 35% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED 99282 EMER CASE LEVEL II | $321.75 | $495.00 | $435.60–$485.10 | — | 35% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED 99283 EMER CASE LEVEL III | $490.10 | $754.00 | $361.92–$738.92 | 156% above | 35% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED 99283 EMER CASE LEVEL III | $490.10 | $754.00 | $663.52–$738.92 | — | 35% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED 99284 EMER CASE LEVEL IV | $863.20 | $1,328.00 | $637.44–$1,301.44 | 164% above | 35% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED 99284 EMER CASE LEVEL IV | $863.20 | $1,328.00 | $1,168.64–$1,301.44 | — | 35% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED 99285 EMER CASE LEVEL V | $1,296.75 | $1,995.00 | $957.60–$1,955.10 | 174% above | 35% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED 99285 EMER CASE LEVEL V | $1,296.75 | $1,995.00 | $1,755.60–$1,955.10 | — | 35% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 ECG MONITR UP TO 48 HOURS CONTINUOUS RHYTHM WRECORDING ANALYSIS WRPT | $243.10 | $374.00 | $179.52–$366.52 | — | 35% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 ECG MONITR UP TO 48 HOURS CONTINUOUS RHYTHM WRECORDING ANALYSIS WRPT | $243.10 | $374.00 | $329.12–$366.52 | — | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $273.00 | $420.00 | $201.60–$411.60 | 15% below | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED 96360 IV INFUS THERAPY HYDRATION FLUIDS INITIAL 31 MIN-1HR | $457.60 | $704.00 | $337.92–$689.92 | 42% above | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INITIAL 31-60MINS | $457.60 | $704.00 | $337.92–$689.92 | 42% above | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT | $273.00 | $420.00 | $369.60–$411.60 | — | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRAT INITIAL 31-60MINS | $457.60 | $704.00 | $619.52–$689.92 | — | 35% |
| 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 | $457.60 | $704.00 | $619.52–$689.92 | — | 35% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX PROPH DX INIT TO 1HR | $457.60 | $704.00 | $337.92–$689.92 | 17% above | 35% |
| IV infusion of a medicine, first hour CPT 96365 ED 96365 IV INFUS THER PROPH DIAG INITIAL UP TO 1HR | $457.60 | $704.00 | $337.92–$689.92 | 17% above | 35% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION TX PROP DX 1HR 1V | $457.60 | $704.00 | $337.92–$689.92 | 17% above | 35% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX PROPH DX INIT TO 1HR | $457.60 | $704.00 | $619.52–$689.92 | — | 35% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ED 96365 IV INFUS THER PROPH DIAG INITIAL UP TO 1HR | $457.60 | $704.00 | $619.52–$689.92 | — | 35% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION TX PROP DX 1HR 1V | $457.60 | $704.00 | $619.52–$689.92 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SC IM INJECTION | $84.50 | $130.00 | $62.40–$127.40 | 141% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PF 96372 THER PRO DX INJ SQ IM | $140.40 | $216.00 | $103.68–$211.68 | 300% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED 96372 THER PROPH DIAG INJECTION SQ IM | $146.90 | $226.00 | $108.48–$221.48 | 319% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER PROPHY DIAG INJ SC IM | $146.90 | $226.00 | $108.48–$221.48 | 319% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ IM THERAP RAD | $146.90 | $226.00 | $108.48–$221.48 | 319% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SC IM INJECTION | $84.50 | $130.00 | $114.40–$127.40 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PF 96372 THER PRO DX INJ SQ IM | $140.40 | $216.00 | $190.08–$211.68 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ IM THERAP RAD | $146.90 | $226.00 | $198.88–$221.48 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER PROPHY DIAG INJ SC IM | $146.90 | $226.00 | $198.88–$221.48 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED 96372 THER PROPH DIAG INJECTION SQ IM | $146.90 | $226.00 | $198.88–$221.48 | — | 35% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CONDUCTION TEST 7-8 STUDIES | $268.45 | $413.00 | $198.24–$404.74 | at median | 35% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 PF 95910 NERVE CONDUCTION STUDY 7-8 | $406.25 | $625.00 | $300.00–$612.50 | 51% above | 35% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CONDUCTION TEST 7-8 STUDIES | $268.45 | $413.00 | $363.44–$404.74 | — | 35% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 PF 95910 NERVE CONDUCTION STUDY 7-8 | $406.25 | $625.00 | $550.00–$612.50 | — | 35% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE ED EA 15MIN 97112 | $139.10 | $214.00 | $102.72–$209.72 | 25% above | 35% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC RE ED EA 15MIN 97112 | $139.10 | $214.00 | $188.32–$209.72 | — | 35% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE OP VISIT NEW PT LEVEL III | $300.30 | $462.00 | $221.76–$452.76 | 56% above | 35% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE OP VISIT NEW PT LEVEL III | $300.30 | $462.00 | $406.56–$452.76 | — | 35% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE OP VISIT NEW PT LEVEL IV | $449.80 | $692.00 | $332.16–$678.16 | 69% above | 35% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE OP VISIT NEW PT LEVEL IV | $449.80 | $692.00 | $608.96–$678.16 | — | 35% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE OP VISIT NEW PT LEVEL V | $715.65 | $1,101.00 | $528.48–$1,078.98 | 117% above | 35% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE OP VISIT NEW PT LEVEL V | $715.65 | $1,101.00 | $968.88–$1,078.98 | — | 35% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OP VISIT NEW PT LEVEL II | $195.65 | $301.00 | $144.48–$294.98 | 42% above | 35% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE OP VISIT NEW PT LEVEL II | $195.65 | $301.00 | $264.88–$294.98 | — | 35% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL INDIVIDUAL15 MIN | $149.50 | $230.00 | $110.40–$225.40 | 61% above | 35% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL INDIVIDUAL15 MIN | $149.50 | $230.00 | $202.40–$225.40 | — | 35% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY 97165 | $390.00 | $600.00 | $288.00–$588.00 | 50% above | 35% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 97165 | $390.00 | $600.00 | $528.00–$588.00 | — | 35% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY 97163 | $482.30 | $742.00 | $356.16–$727.16 | 61% above | 35% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY 97163 | $482.30 | $742.00 | $652.96–$727.16 | — | 35% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY 97161 | $403.00 | $620.00 | $297.60–$607.60 | 54% above | 35% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 97161 | $403.00 | $620.00 | $545.60–$607.60 | — | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEXITY 97162 | $427.05 | $657.00 | $315.36–$643.86 | 55% above | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MODERATE COMPLEXITY 97162 | $427.05 | $657.00 | $578.16–$643.86 | — | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15 MIN 97140 | $111.15 | $171.00 | $82.08–$167.58 | 8% above | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15 MIN 97140 | $111.15 | $171.00 | $150.48–$167.58 | — | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PF 97110 THERAPEUTIC EXERCISES | $83.85 | $129.00 | $61.92–$126.42 | 21% below | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISE EA 15 MIN 97110 | $122.85 | $189.00 | $90.72–$185.22 | 16% above | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PF 97110 THERAPEUTIC EXERCISES | $83.85 | $129.00 | $113.52–$126.42 | — | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISE EA 15 MIN 97110 | $122.85 | $189.00 | $166.32–$185.22 | — | 35% |
| Preventive checkup, new patient aged 18–39 CPT 99385 FAA FLIGHT PX NEW PT 18-39YR | $148.20 | $228.00 | $109.44–$223.44 | 15% above | 35% |
| Preventive checkup, new patient aged 18–39 CPT 99385 SPORTS, CAMP, OTHER SPECIAL PX NEW PT 18-39YR | $264.55 | $407.00 | $195.36–$398.86 | 106% above | 35% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV MED E&M NEW 18-39 Y O | $401.05 | $617.00 | $296.16–$604.66 | 212% above | 35% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 FAA FLIGHT PX NEW PT 18-39YR | $148.20 | $228.00 | $200.64–$223.44 | — | 35% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 SPORTS, CAMP, OTHER SPECIAL PX NEW PT 18-39YR | $264.55 | $407.00 | $358.16–$398.86 | — | 35% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV MED E&M NEW 18-39 Y O | $401.05 | $617.00 | $542.96–$604.66 | — | 35% |
| Preventive checkup, new patient aged 40–64 CPT 99386 FAA FLIGHT PX NEW PT 40-64YR | $148.20 | $228.00 | $109.44–$223.44 | 6% above | 35% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV MED E&M NEW 40-64 Y O | $431.60 | $664.00 | $318.72–$650.72 | 208% above | 35% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 FAA FLIGHT PX NEW PT 40-64YR | $148.20 | $228.00 | $200.64–$223.44 | — | 35% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV MED E&M NEW 40-64 Y O | $431.60 | $664.00 | $584.32–$650.72 | — | 35% |
| Preventive checkup, new patient aged 65 or older CPT 99387 FAA FLIGHT PX NEW PT 65+ YR | $148.20 | $228.00 | $109.44–$223.44 | at median | 35% |
| Preventive checkup, new patient aged 65 or older CPT 99387 PREV MED E&M NEW 65 AND OVER | $472.55 | $727.00 | $348.96–$712.46 | 219% above | 35% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 FAA FLIGHT PX NEW PT 65+ YR | $148.20 | $228.00 | $200.64–$223.44 | — | 35% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PREV MED E&M NEW 65 AND OVER | $472.55 | $727.00 | $639.76–$712.46 | — | 35% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 FAA FLIGHT PX EST PT 18-39YR | $148.20 | $228.00 | $109.44–$223.44 | 20% above | 35% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 SPORTS, CAMP, OTHER SPECIAL PX EST PT 18-39YR | $239.85 | $369.00 | $177.12–$361.62 | 94% above | 35% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV MED E&M EST 18-39 Y O | $333.45 | $513.00 | $246.24–$502.74 | 170% above | 35% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 FAA FLIGHT PX EST PT 18-39YR | $148.20 | $228.00 | $200.64–$223.44 | — | 35% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 SPORTS, CAMP, OTHER SPECIAL PX EST PT 18-39YR | $239.85 | $369.00 | $324.72–$361.62 | — | 35% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREV MED E&M EST 18-39 Y O | $333.45 | $513.00 | $451.44–$502.74 | — | 35% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 FAA FLIGHT PX EST PT 40-64YR | $148.20 | $228.00 | $109.44–$223.44 | 16% above | 35% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 SPORTS, CAMP, OTHER SPECIAL PX EST PT 40-64YR | $262.60 | $404.00 | $193.92–$395.92 | 105% above | 35% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV MED E&M EST 40-64 Y O | $369.85 | $569.00 | $273.12–$557.62 | 189% above | 35% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 FAA FLIGHT PX EST PT 40-64YR | $148.20 | $228.00 | $200.64–$223.44 | — | 35% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 SPORTS, CAMP, OTHER SPECIAL PX EST PT 40-64YR | $262.60 | $404.00 | $355.52–$395.92 | — | 35% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV MED E&M EST 40-64 Y O | $369.85 | $569.00 | $500.72–$557.62 | — | 35% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 FAA FLIGHT PX EST PT 65+ YR | $148.20 | $228.00 | $109.44–$223.44 | 13% above | 35% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PREV MED E&M EST 65 AND OVER | $401.05 | $617.00 | $296.16–$604.66 | 206% above | 35% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 FAA FLIGHT PX EST PT 65+ YR | $148.20 | $228.00 | $200.64–$223.44 | — | 35% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PREV MED E&M EST 65 AND OVER | $401.05 | $617.00 | $542.96–$604.66 | — | 35% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL WMED SRVCS | $91.65 | $141.00 | $67.68–$138.18 | 44% below | 35% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL WMED SRVCS | $91.65 | $141.00 | $124.08–$138.18 | — | 35% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $61.75 | $95.00 | $45.60–$93.10 | 63% below | 35% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $61.75 | $95.00 | $83.60–$93.10 | — | 35% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY W/PATIENT 16-37 MINUTES | $33.15 | $51.00 | $24.48–$49.98 | 89% below | 35% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY W/PATIENT 16-37 MINUTES | $33.15 | $51.00 | $44.88–$49.98 | — | 35% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY W/PATIENT 38-52 MINUTES | $44.20 | $68.00 | $32.64–$66.64 | 89% below | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY W/PATIENT 38-52 MINUTES | $44.20 | $68.00 | $59.84–$66.64 | — | 35% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY W/PATIENT 53+ MINUTES | $65.65 | $101.00 | $48.48–$98.98 | 83% below | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY W/PATIENT 53+ MINUTES | $65.65 | $101.00 | $88.88–$98.98 | — | 35% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $61.75 | $95.00 | $45.60–$93.10 | 72% above | 35% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $40.95 | $63.00 | $55.44–$61.74 | — | 35% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE OP VISIT EST PT LEVEL V | $587.60 | $904.00 | $433.92–$885.92 | 92% above | 35% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE OP VISIT EST PT LEVEL V | $587.60 | $904.00 | $795.52–$885.92 | — | 35% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OP VISIT EST PT LEVEL III | $246.35 | $379.00 | $181.92–$371.42 | 63% above | 35% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE OP VISIT EST PT LEVEL III | $246.35 | $379.00 | $333.52–$371.42 | — | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE OP VISIT EST PT LEVEL IV | $347.10 | $534.00 | $256.32–$523.32 | 81% above | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE OP VISIT EST PT LEVEL IV | $347.10 | $534.00 | $469.92–$523.32 | — | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SPORTS PHYSICAL | $17.55 | $27.00 | $12.96–$26.46 | 68% below | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE OP VISIT EST PT LEVEL II | $153.40 | $236.00 | $113.28–$231.28 | 183% above | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 SPORTS PHYSICAL | $17.55 | $27.00 | $23.76–$26.46 | — | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE OP VISIT EST PT LEVEL II | $153.40 | $236.00 | $207.68–$231.28 | — | 35% |
| Speech and language evaluation CPT 92523 SPEECH EVAL LANG COMP EXPRESSION 92523 | $929.50 | $1,430.00 | $686.40–$1,401.40 | 92% above | 35% |
| Speech and language evaluation inpatient CPT 92523 SPEECH EVAL LANG COMP EXPRESSION 92523 | $929.50 | $1,430.00 | $1,258.40–$1,401.40 | — | 35% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY TX 92507 | $182.65 | $281.00 | $134.88–$275.38 | 23% below | 35% |
| Speech therapy session, individual CPT 92507 PF 92507 TX SPEECH LANG VOICE COM AUDITORY DISORDER IND | $182.65 | $281.00 | $134.88–$275.38 | 23% below | 35% |
| Speech therapy session, individual inpatient CPT 92507 PF 92507 TX SPEECH LANG VOICE COM AUDITORY DISORDER IND | $182.65 | $281.00 | $247.28–$275.38 | — | 35% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY TX 92507 | $182.65 | $281.00 | $247.28–$275.38 | — | 35% |
| Spirometry (breathing test) CPT 94010 PFT SCREEN SPIROMETRY (NO BD) | $191.75 | $295.00 | $141.60–$289.10 | 19% above | 35% |
| Spirometry (breathing test) inpatient CPT 94010 PFT SCREEN SPIROMETRY (NO BD) | $191.75 | $295.00 | $259.60–$289.10 | — | 35% |
| Spirometry before and after a bronchodilator CPT 94060 PFT SCREEN SPIROMETRY (WITH BD) | $363.35 | $559.00 | $268.32–$547.82 | 14% above | 35% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT SCREEN SPIROMETRY (WITH BD) | $363.35 | $559.00 | $491.92–$547.82 | — | 35% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIVITIES EA15 MIN 97530 | $159.25 | $245.00 | $117.60–$240.10 | 38% above | 35% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTIVITIES EA15 MIN 97530 | $159.25 | $245.00 | $215.60–$240.10 | — | 35% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $429.00 | $660.00 | $316.80–$646.80 | 62% above | 35% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY | $429.00 | $660.00 | $580.80–$646.80 | — | 35% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs North Dakota | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 CDMR PF 91322 SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE | $128.05 | $197.00 | $94.56–$193.06 | 16% below | 35% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 CDMR PF 91322 SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE | $128.05 | $197.00 | $173.36–$193.06 | — | 35% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 CDMR SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE | $224.25 | $345.00 | $165.60–$338.10 | 20% above | 35% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 CDMR SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE | $224.25 | $345.00 | $303.60–$338.10 | — | 35% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Virus Vac Live For Inj 1350 PFU/0.5ML | $178.14 | $274.05 | $131.54–$268.57 | 9% above | 35% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE SUBQ USE | $221.65 | $341.00 | $163.68–$334.18 | 36% above | 35% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella Virus Vac Live For Inj 1350 PFU/0.5ML | $178.14 | $274.05 | $241.16–$268.57 | — | 35% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE SUBQ USE | $221.65 | $341.00 | $300.08–$334.18 | — | 35% |
| 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 | $16.25 | $25.00 | $12.00–$24.50 | 52% below | 35% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 CDMR INFLUENZA VACCINE TRIVALENT PRESER FREE 0.5 ML DOSAGE IM | $16.25 | $25.00 | $12.00–$24.50 | 52% below | 35% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 CDMR INFLUENZA VACCINE TRIVALENT PRESER FREE 0.5 ML DOSAGE IM | $16.25 | $25.00 | $22.00–$24.50 | — | 35% |
| 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 | $16.25 | $25.00 | $22.00–$24.50 | — | 35% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS 6 11 16 18 31 33 45 52 58 NONAVALENT 3 DOSE IM | $403.00 | $620.00 | $297.60–$607.60 | 28% above | 35% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 PF 90651 HPV VIRUS VACCINE 9 VAL IM | $403.00 | $620.00 | $297.60–$607.60 | 28% above | 35% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS 6,11,16,18,31,33,45,52,58,NONAVALENT,3 DOSE,IM | $403.00 | $620.00 | $297.60–$607.60 | 28% above | 35% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 PF 90651 HPV VIRUS VACCINE 9 VAL IM | $403.00 | $620.00 | $545.60–$607.60 | — | 35% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS 6 11 16 18 31 33 45 52 58 NONAVALENT 3 DOSE IM | $403.00 | $620.00 | $545.60–$607.60 | — | 35% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS 6,11,16,18,31,33,45,52,58,NONAVALENT,3 DOSE,IM | $403.00 | $620.00 | $545.60–$607.60 | — | 35% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE ADULT DOSAGE IM USE | $99.45 | $153.00 | $73.44–$149.94 | 72% above | 35% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Vaccine Inj Susp 50 Unit/ML | $102.56 | $157.78 | $75.73–$154.62 | 78% above | 35% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE ADULT DOSAGE IM USE | $99.45 | $153.00 | $134.64–$149.94 | — | 35% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A Vaccine Inj Susp 50 Unit/ML | $102.56 | $157.78 | $138.85–$154.62 | — | 35% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine (Recombinant) Susp Pref Syr 10 MCG/ML | $73.15 | $112.53 | $54.01–$110.28 | 9% below | 35% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML | $103.47 | $159.17 | $76.40–$155.99 | 29% above | 35% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE ADULT DOSAGE IM USE | $136.50 | $210.00 | $100.80–$205.80 | 71% above | 35% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine (Recombinant) Susp Pref Syr 10 MCG/ML | $73.15 | $112.53 | $99.03–$110.28 | — | 35% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML | $103.47 | $159.17 | $140.07–$155.99 | — | 35% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE ADULT DOSAGE IM USE | $136.50 | $210.00 | $184.80–$205.80 | — | 35% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 CDMR FLU VACC PRSV FREE INC ANTIG | $90.35 | $139.00 | $66.72–$136.22 | 16% above | 35% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 CDMR PF 90662 INFLU VACC PF ANTIGEN | $100.10 | $154.00 | $73.92–$150.92 | 28% above | 35% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 CDMR FLU VACC PRSV FREE INC ANTIG | $90.35 | $139.00 | $122.32–$136.22 | — | 35% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 CDMR PF 90662 INFLU VACC PF ANTIGEN | $100.10 | $154.00 | $135.52–$150.92 | — | 35% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 PF 90707 MMR VIRUS VAC LIVE SQ | $91.65 | $141.00 | $67.68–$138.18 | 32% below | 35% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles-Mumps-Rubella Virus Vaccines For Inj Soln | $101.44 | $156.05 | $74.90–$152.93 | 25% below | 35% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS AND RUBELLA VIRUS VACCINE (MMR) LIVE SUB-Q USE | $128.70 | $198.00 | $95.04–$194.04 | 5% below | 35% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 PF 90707 MMR VIRUS VAC LIVE SQ | $91.65 | $141.00 | $124.08–$138.18 | — | 35% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles-Mumps-Rubella Virus Vaccines For Inj Soln | $101.44 | $156.05 | $137.32–$152.93 | — | 35% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MUMPS AND RUBELLA VIRUS VACCINE (MMR) LIVE SUB-Q USE | $128.70 | $198.00 | $174.24–$194.04 | — | 35% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 EPSDT MENINGOCOCCAL CONJUGATE, 4-VALENT,IM | $227.50 | $350.00 | $168.00–$343.00 | 28% above | 35% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJUGATE VACCINE SEROGROUPS A C Y & W-135(4-VALENT) IM | $227.50 | $350.00 | $168.00–$343.00 | 28% above | 35% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL CONJUGATE VACCINE SEROGROUPS A C Y & W-135(4-VALENT) IM | $227.50 | $350.00 | $308.00–$343.00 | — | 35% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 EPSDT MENINGOCOCCAL CONJUGATE, 4-VALENT,IM | $227.50 | $350.00 | $308.00–$343.00 | — | 35% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 PF 90620 MENINGOCOCCAL RECOMB PROTEIN OMV SEROGRP B 2 DOSE IM | $172.25 | $265.00 | $127.20–$259.70 | 27% below | 35% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 EPSDT MENINGOCOCCAL RECOMB PROTEIN OMV SEROGRP B 2 DOSE IM | $319.80 | $492.00 | $236.16–$482.16 | 35% above | 35% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 PF 90620 MENINGOCOCCAL RECOMB PROTEIN OMV SEROGRP B 2 DOSE IM | $172.25 | $265.00 | $233.20–$259.70 | — | 35% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 EPSDT MENINGOCOCCAL RECOMB PROTEIN OMV SEROGRP B 2 DOSE IM | $319.80 | $492.00 | $432.96–$482.16 | — | 35% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE FOR INTRAMUSCULAR USE | $287.95 | $443.00 | $212.64–$434.14 | 18% below | 35% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML | $336.54 | $517.75 | $248.52–$507.40 | 4% below | 35% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PCV20 VACCINE FOR INTRAMUSCULAR USE | $287.95 | $443.00 | $389.84–$434.14 | — | 35% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal 20-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML | $336.54 | $517.75 | $455.62–$507.40 | — | 35% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL POLYSACCHARIDE VACCINE 23-VALENT ADULT IMMUNOSUPPRESSED P | $106.60 | $164.00 | $78.72–$160.72 | 29% below | 35% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine Polyvalent Soln Pref Syr 25 MCG/0.5ML | $248.17 | $381.80 | $183.26–$374.16 | 64% above | 35% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL POLYSACCHARIDE VACCINE 23-VALENT ADULT IMMUNOSUPPRESSED P | $106.60 | $164.00 | $144.32–$160.72 | — | 35% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vaccine Polyvalent Soln Pref Syr 25 MCG/0.5ML | $248.17 | $381.80 | $335.98–$374.16 | — | 35% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 PF 90380 RSV MONOC ANTB SEASN .5ML IM | $493.35 | $759.00 | $364.32–$743.82 | 45% below | 35% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Nirsevimab-alip IM Soln Prefilled Syringe 50 MG/0.5ML | $852.95 | $1,312.23 | $629.87–$1,285.99 | 5% below | 35% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 PF 90380 RSV MONOC ANTB SEASN .5ML IM | $493.35 | $759.00 | $667.92–$743.82 | — | 35% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Nirsevimab-alip IM Soln Prefilled Syringe 50 MG/0.5ML | $852.95 | $1,312.23 | $1,154.76–$1,285.99 | — | 35% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV Pre-Fusion F A&B Vac Recomb For IM Soln 120 MCG/0.5ML | $707.52 | $1,088.49 | $522.48–$1,066.72 | 22% above | 35% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 PF 90678 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $1,482.65 | $2,281.00 | $1,094.88–$2,235.38 | 156% above | 35% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV Pre-Fusion F A&B Vac Recomb For IM Soln 120 MCG/0.5ML | $707.52 | $1,088.49 | $957.87–$1,066.72 | — | 35% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 PF 90678 RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $1,482.65 | $2,281.00 | $2,007.28–$2,235.38 | — | 35% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 PF 90679 RSV VACC PREF RECOMB ADJT INTRAMUSCULAR | $193.05 | $297.00 | $142.56–$291.06 | — | 35% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 PF 90679 RSV VACC PREF RECOMB ADJT INTRAMUSCULAR | $193.05 | $297.00 | $261.36–$291.06 | — | 35% |
| Rabies vaccine, one dose CPT 90675 PF 90675 RABIES VACC IM VL 1ML | $701.35 | $1,079.00 | $517.92–$1,057.42 | 9% above | 35% |
| Rabies vaccine, one dose CPT 90675 Rabies Virus Vaccine, HDC For Inj Susp | $793.13 | $1,220.20 | $585.70–$1,195.80 | 23% above | 35% |
| Rabies vaccine, one dose inpatient CPT 90675 PF 90675 RABIES VACC IM VL 1ML | $701.35 | $1,079.00 | $949.52–$1,057.42 | — | 35% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Virus Vaccine, HDC For Inj Susp | $793.13 | $1,220.20 | $1,073.78–$1,195.80 | — | 35% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACCINE HZV, RECOMBINANT, SUBUNIT, ADJUVANTED, INTRAMUSCULAR | $55.25 | $85.00 | $40.80–$83.30 | 66% below | 35% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VACCINE HZV, RECOMBINANT, SUBUNIT, ADJUVANTED, INTRAMUSCULAR | $55.25 | $85.00 | $74.80–$83.30 | — | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 PF 90714.EPS EPSDT TD TOX ABSORBED PRESRV FREE | $50.05 | $77.00 | $36.96–$75.46 | 10% below | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU | $65.30 | $100.45 | $48.22–$98.44 | 17% above | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD TOXOIDS ABSORBED PRESERVATIVE FREE | $69.55 | $107.00 | $51.36–$104.86 | 25% above | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 PF 90714.EPS EPSDT TD TOX ABSORBED PRESRV FREE | $50.05 | $77.00 | $67.76–$75.46 | — | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU | $65.30 | $100.45 | $88.40–$98.44 | — | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD TOXOIDS ABSORBED PRESERVATIVE FREE | $69.55 | $107.00 | $94.16–$104.86 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PF 90715 TDAP VACC >7 YR IM | $71.50 | $110.00 | $52.80–$107.80 | 3% above | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet-Diph-Acell Pertuss Ad Pref Syr 5-2.5-18.5 LF-MCG/0.5ML | $74.29 | $114.28 | $54.85–$111.99 | 7% above | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML | $92.62 | $142.49 | $68.40–$139.64 | 33% above | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 7 YRS OR OLDER IM | $100.10 | $154.00 | $73.92–$150.92 | 44% above | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PF 90715 TDAP VACC >7 YR IM | $71.50 | $110.00 | $96.80–$107.80 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet-Diph-Acell Pertuss Ad Pref Syr 5-2.5-18.5 LF-MCG/0.5ML | $74.29 | $114.28 | $100.57–$111.99 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML | $92.62 | $142.49 | $125.39–$139.64 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 7 YRS OR OLDER IM | $100.10 | $154.00 | $135.52–$150.92 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMMUN CORPORATE PRICING | $19.50 | $30.00 | $14.40–$29.40 | 13% below | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION 1 SNGL COMBINATION VACCINE TOXOID | $57.85 | $89.00 | $42.72–$87.22 | 157% above | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE | $61.10 | $94.00 | $45.12–$92.12 | 172% above | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED 90471 IMMUNE ADMIN 1 VACCINE | $84.50 | $130.00 | $62.40–$127.40 | 276% above | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN 1 VACCINE | $84.50 | $130.00 | $62.40–$127.40 | 276% above | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PF 90471 IMMUN ADM 1 VACC IM | $84.50 | $130.00 | $62.40–$127.40 | 276% above | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INFLUENZA VIR VAC | $84.50 | $130.00 | $62.40–$127.40 | 276% above | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMOCOCCAL VAC | $84.50 | $130.00 | $62.40–$127.40 | 276% above | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN IMMUN CORPORATE PRICING | $19.50 | $30.00 | $26.40–$29.40 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION 1 SNGL COMBINATION VACCINE TOXOID | $57.85 | $89.00 | $78.32–$87.22 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEPATITIS B VACCINE | $61.10 | $94.00 | $82.72–$92.12 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED 90471 IMMUNE ADMIN 1 VACCINE | $84.50 | $130.00 | $114.40–$127.40 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INFLUENZA VIR VAC | $84.50 | $130.00 | $114.40–$127.40 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PF 90471 IMMUN ADM 1 VACC IM | $84.50 | $130.00 | $114.40–$127.40 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMOCOCCAL VAC | $84.50 | $130.00 | $114.40–$127.40 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN 1 VACCINE | $84.50 | $130.00 | $114.40–$127.40 | — | 35% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMINISTRATION EACH ADDL SNGL COMBINATION VACCINE TOXOID | $31.85 | $49.00 | $23.52–$48.02 | 9% above | 35% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN EA ADDL VACCINE | $46.80 | $72.00 | $34.56–$70.56 | 60% above | 35% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED 90472 IMMUN ADMIN EA ADDL VACCINE | $46.80 | $72.00 | $34.56–$70.56 | 60% above | 35% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMINISTRATION EACH ADDL SNGL COMBINATION VACCINE TOXOID | $31.85 | $49.00 | $43.12–$48.02 | — | 35% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ED 90472 IMMUN ADMIN EA ADDL VACCINE | $46.80 | $72.00 | $63.36–$70.56 | — | 35% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN EA ADDL VACCINE | $46.80 | $72.00 | $63.36–$70.56 | — | 35% |