Hospital Atlantic City-Hammonton, NJ

Shore Memorial Hospital

Shore Memorial Hospital in Somers Point, NJ publishes cash prices for 459 common procedures listed here, from its own machine-readable price file updated Aug 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New Jersey median for 204 of 458 procedures and above it for 138. By typical cash price it ranks #30 of 55 New Jersey hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

100 Medical Center Way, Somers Point, NJ 08244 Collected Sep 22, 2026 Source price file Check a bill from this hospital (609) 653-3500

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 310047 · CMS hospital register NPI 1629070149

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Shore Memorial Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

Why New Jersey prices look low: under state law (P.L.2008, c.60), a hospital may not charge an uninsured New Jersey resident whose family income is below 500% of the federal poverty level more than 115% of what Medicare pays for the same service. If that is you, ask the hospital's billing office to apply this limit; a separate physician fee may still apply. Other states' laws.

Scans and imaging

ProcedureCash priceList priceInsurers payvs New JerseyOff list
Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST $226.94 — $286.82 67% below —
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O CON.THEN W $226.94 $4,753.00 $679.68 67% below 95%
Abdominal X-ray, 2 views CPT 74019 XRAY,ABDOMEN 2 VIEWS $135.26 $635.00 $116.97–$552.82 10% above 79%
Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS $135.26 — $34.27 10% above —
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XRAY,ANKEL 3 VIEWS BILAT $112.60 $1,000.00 $96.68–$460.17 — 89%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE $112.60 — $35.20 4% below —
Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY,ANKLE 3 VIEWS-LEFT $112.60 $600.00 $85.80–$360.00 4% below 81%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY,ANKLE 3 VIEWS-RIGHT $112.60 $600.00 $85.80–$360.00 4% below 81%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 VAS,PVR-SINGLE LEVEL (ABI)-BI. $172.14 $922.00 $131.85–$553.20 — 81%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VAS,DIGITAL PVR-LOWER $172.14 $922.00 $135.91–$703.54 2% below 81%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VAS,UPR/L XTREM ART 2 LEVLES $172.14 $922.00 $131.85–$553.20 2% below 81%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VAS,DIGITAL PVR-UPPER $172.14 $922.00 $135.91–$703.54 2% below 81%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VAS,PVR-SINGLE LEVEL (ABI)-UNI $172.14 $922.00 $131.85–$553.20 2% below 81%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS $172.14 — $92.51 2% below —
Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT UPPER EXTREM W/O CONT BI $135.26 $5,000.00 $715.00 — 97%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE $135.26 — $181.87 71% below —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREM. W/O CONT. LT $135.26 $3,087.00 $116.97–$552.82 71% below 96%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREM.W/O CONT RT $135.26 $3,087.00 $441.44 71% below 96%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST $226.94 — $96.11 8% above —
Barium swallow (esophagus X-ray with contrast) CPT 74220 XRAY,ESOPHAGRAM $226.94 $921.00 $131.70–$552.60 8% above 75%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY $517.24 — $264.08 2% below —
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN-TOTAL BODY $517.24 $2,853.00 $407.98 2% below 82%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST COMPLETE BI $135.26 $1,581.00 $226.08–$948.60 — 91%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE $135.26 — $111.37 5% below —
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LT $135.26 $1,371.00 $196.05–$822.60 5% below 90%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RT $135.26 $1,371.00 $196.05–$822.60 5% below 90%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST LIMITED BI $112.60 $1,313.00 $187.76–$787.80 — 91%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED $112.60 — $91.44 19% below —
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LT $112.60 $1,103.00 $157.73–$661.80 19% below 90%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RT $112.60 $1,103.00 $157.73–$661.80 19% below 90%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST $451.38 — $514.95 30% below —
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA-ABD&PELVIS,W/CONT&NO $451.38 $7,641.00 $1,092.66 30% below 94%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD $226.94 — $390.81 58% below —
CT angiography (CTA) of the head CPT 70496 CTA HEAD,W/O W/CONT.+SEC. $226.94 $4,457.00 $195.48–$927.49 58% below 95%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK $226.94 — $390.43 66% below —
CT angiography (CTA) of the neck CPT 70498 CTA NECK,W/O,W/CONT,+SEC. $226.94 $4,435.00 $195.48–$927.49 66% below 95%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST,W/O,W CONT.+SEC $226.94 $4,668.00 $195.48–$927.49 70% below 95%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST $226.94 — $386.10 70% below —
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE $451.38 — $195.48–$1,844.79 5% below —
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE $451.38 — $347.21 5% below —
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST $112.60 — $96.68–$460.17 14% above —
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST $112.60 — $50.22 14% above —
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST $308.71 — $221.82 51% below —
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS;W/O CON $308.71 $6,164.00 $881.45 51% below 95%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS;W/CONT $451.38 $7,182.00 $1,027.03 40% below 94%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST $451.38 — $334.60 40% below —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR $451.38 — $392.51–$1,844.79 52% below —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR $451.38 — $389.90 52% below —
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST $226.94 — $248.11 60% below —
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST $226.94 $4,053.00 $195.48–$927.49 60% below 94%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST $135.26 — $158.46 69% below —
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST $135.26 — $116.97–$552.82 69% below —
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLA FACIAL,W/O CON $135.26 $3,083.00 $116.97–$552.82 73% below 96%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE $135.26 — $188.15 73% below —
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE $135.26 — $127.22 67% below —
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST $135.26 $3,104.00 $116.97–$552.82 67% below 96%
CT scan of the head with contrast CPT 70460 CT HEAD WITH CONT. $226.94 $3,611.00 $195.48–$927.49 53% below 94%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE $226.94 — $174.00 53% below —
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE $226.94 — $195.48–$927.49 63% below —
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE $226.94 — $209.31 63% below —
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE $226.94 — $243.63 56% below —
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST $226.94 $3,821.00 $195.48–$927.49 56% below 94%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY $308.71 — $198.91 — —
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DUPLEX SCAN $308.71 $1,964.00 $280.85–$1,178.40 4% below 84%
Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+ $226.94 — $298.85 71% below —
Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO CONTRAST $226.94 $4,548.00 $195.48–$927.49 71% below 95%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS $112.60 — $31.31 at median —
Chest X-ray, 2 views CPT 71046 XRAY,CHEST 2 VIEWS $112.60 $525.00 $75.08–$315.00 at median 79%
Chest X-ray, single view CPT 71045 XRAY,CHEST 1 VIEW $112.60 $375.00 $53.63–$225.00 8% above 70%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW $112.60 — $20.22 8% above —
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE $112.60 — $30.38 4% below —
Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY,CLAVICLE-RIGHT $112.60 $520.00 $96.68–$460.17 4% below 78%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY,CLAVICLE-LEFT $112.60 $520.00 $96.68–$460.17 4% below 78%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMPL $135.26 $1,050.00 $150.15–$630.00 35% below 87%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP $135.26 — $137.67 35% below —
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA-AXIAL (BONE DENSITY) $135.26 $953.00 $116.97–$552.82 5% below 86%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL $135.26 — $50.77 5% below —
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA-APP(F-ARM,WRIST) $112.60 $953.00 $96.68–$460.17 8% above 88%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR $112.60 — $28.31 8% above —
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS $308.71 $2,983.00 $426.57–$1,789.80 at median 90%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 PN US DETAILED SNGLE FETUS $308.71 $2,983.00 $426.57–$1,789.80 at median 90%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS $308.71 — $188.54 at median —
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST $135.26 $3,297.00 $116.97–$552.82 74% below 96%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- $135.26 — $181.84 74% below —
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST $226.94 $3,977.00 $195.48–$927.49 63% below 94%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ $226.94 — $247.46 63% below —
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 LWR.ARTERIAL IMAG.-BILAT. $308.71 $1,888.00 $269.98–$1,132.80 — 84%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY $308.71 — $239.41 2% above —
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VEIN MAPPING - BILATERAL $308.71 $1,971.00 $281.85–$1,182.60 — 84%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS IMAGING-BILAT. $308.71 $1,971.00 $281.85–$1,182.60 — 84%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY $308.71 — $195.14 4% below —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE $706.97 — $253.25 3% below —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D,M-MODE,W/DOP&COLR $706.97 $4,593.00 $586.94–$2,889.35 3% below 85%
Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW $112.60 — $29.67 1% above —
Elbow X-ray, 2 views one side CPT 73070 XRAY,ELBOW 2 VIEWS-RIGHT $112.60 $501.00 $96.68–$460.17 1% above 78%
Elbow X-ray, 2 views one side CPT 73070 XRAY,ELBOW 2 VIEWS-LEFT $112.60 $501.00 $96.68–$460.17 1% above 78%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW $112.60 — $35.20 4% below —
Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY,ELBOW 3 VIEWS-LEFT $112.60 $632.00 $96.68–$460.17 4% below 82%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY,ELBOW 3 VIEWS-RIGHT $112.60 $632.00 $96.68–$460.17 4% below 82%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE $135.26 — $195.09 68% below —
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT,SELLA,OR P.F.W/O $135.26 $3,231.00 $116.97–$552.82 68% below 96%
Facial bones X-ray, complete, 3 or more views CPT 70150 XRAY,FACIAL BONES 3 VIEWS $135.26 $784.00 $116.97–$552.82 3% below 83%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES $135.26 — $44.59 3% below —
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM $112.60 — $29.26 4% below —
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY,FOREARM-LEFT $112.60 $568.00 $96.68–$460.17 4% below 80%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY,FOREARM-RIGHT $112.60 $568.00 $96.68–$460.17 4% below 80%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING $517.24 — $349.93 1% above —
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY IMAGING $517.24 $2,271.00 $324.75 1% above 77%
Hand X-ray, 2 views CPT 73120 X-RAY EXAM OF HAND $135.26 — $28.89 at median —
Hand X-ray, 2 views one side CPT 73120 XRAY,HAND 2 VIEWS-LEFT $135.26 $515.00 $73.65–$309.00 at median 74%
Hand X-ray, 2 views one side CPT 73120 XRAY,HAND 2 VIEWS-RIGHT $135.26 $515.00 $73.65–$309.00 at median 74%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL $112.60 — $29.64 2% below —
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY,HEEL CALCANEUS-LEFT $112.60 $482.00 $96.68–$460.17 2% below 77%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY,HEEL CALCANEUS-RIGHT $112.60 $482.00 $96.68–$460.17 2% below 77%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT $279.37 — $165.04 25% below —
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY,NO TECHN. $279.37 $2,000.00 $166.19–$1,753.00 25% below 86%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMN;SL.ST.W/CPAP,BI $1,111.07 $5,970.00 $966.14–$4,540.88 18% below 81%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM $1,111.07 — $628.44 18% below —
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 $112.60 — $39.23 4% below —
Knee X-ray, 3 views one side CPT 73562 XRAY,KNEE 3 VIEWS-LEFT $112.60 $645.00 $92.24–$387.00 4% below 83%
Knee X-ray, 3 views one side CPT 73562 XRAY,KNEE 3 VIEWS-RIGHT $112.60 $645.00 $92.24–$387.00 4% below 83%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE $135.26 — $45.44 5% below —
Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY,PATELLA & KNEE-RIGHT $135.26 $774.00 $110.68–$464.40 5% below 83%
Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY,PATELLA & KNEE-LEFT $135.26 $774.00 $110.68–$464.40 5% below 83%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT LOWER EXTREM.W/O CONT BI $135.26 $5,100.00 $729.30 — 97%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE $135.26 — $181.87 70% below —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM. W/O CONT. LT $135.26 $3,111.00 $116.97–$552.82 70% below 96%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM.W/O CON RT $135.26 $3,111.00 $444.87 70% below 96%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN $135.26 — $112.45 17% below —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED $135.26 $1,275.00 $182.33–$765.00 17% below 89%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR $135.26 — $35.92 1% below —
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LIMITED JOINT $135.26 $972.00 $116.97–$552.82 1% below 86%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- $135.26 — $155.12 5% below —
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING $135.26 $1,050.00 $150.15 5% below 87%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG $112.60 — $28.86 4% below —
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY,TIBIA & FIBULA-RIGHT $112.60 $594.00 $84.94–$356.40 4% below 81%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY,TIBIA & FIBULA-LEFT $112.60 $594.00 $84.94–$356.40 4% below 81%
MR angiography (MRA) of the head without contrast CPT 70544 MRV,HEAD W/O CONTRAST $308.71 $4,098.00 $260.70–$1,261.69 56% below 92%
MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE $308.71 — $425.00 56% below —
MR angiography (MRA) of the head without contrast CPT 70544 MRA,HEAD W/O CONTRAST $308.71 $4,098.00 $260.70–$1,261.69 56% below 92%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE $308.71 — $425.00 26% below —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI,ANK/KN-LE,JNT,W/O-RT $308.71 $4,281.00 $260.70–$1,261.69 26% below 93%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI,ANK/KN-LE,JNT,W/O-LT $308.71 $4,281.00 $612.18 26% below 93%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE $451.38 — $425.00 37% below —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI,ANK/KN-LE,JT,W/O,W-RT $451.38 $5,720.00 $392.51–$1,844.79 37% below 92%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI,ANK/KN-LE,JT,W/O,W-LT $451.38 $5,720.00 $817.96 37% below 92%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST $308.71 — $425.00 52% below —
MRI of the abdomen without contrast CPT 74181 MRI,ABDOMEN,W/O CONTRAST $308.71 $4,347.00 $260.70–$1,261.69 52% below 93%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI,ABDOMEN,W/O,W/ CONT. $451.38 $5,923.00 $392.51–$1,844.79 52% below 92%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR $451.38 — $425.00 52% below —
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE $308.71 — $425.00 54% below —
MRI of the brain, no contrast dye CPT 70551 MRI,BRAIN W/O CONTRAST $308.71 $4,361.00 $623.62 54% below 93%
MRI of the brain, with and without contrast dye CPT 70553 MRI,BRAIN W/O, W/ CONTRAST $451.38 $6,199.00 $886.46 56% below 93%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE $451.38 — $425.00 56% below —
MRI of the lower back, no contrast dye CPT 72148 MRI,LUMBAR W/O CONTRAST $308.71 $4,471.00 $260.70–$1,261.69 48% below 93%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE $308.71 — $425.00 48% below —
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE $451.38 — $425.00 55% below —
MRI of the lower back, without and then with contrast dye CPT 72158 MRI,LUMBAR W/O W/CONTRAST $451.38 $6,286.00 $392.51–$1,844.79 55% below 93%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE $308.71 — $425.00 50% below —
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI,THORACIC W/O CONTRAST $308.71 $4,402.00 $260.70–$1,261.69 50% below 93%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI,CERVICAL W/O W/ CONT. $451.38 $6,319.00 $392.51–$1,844.79 55% below 93%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE $451.38 — $425.00 55% below —
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE $308.71 — $425.00 46% below —
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI,CERVICAL,W/O CONTRAST $308.71 $4,515.00 $260.70–$1,261.69 46% below 93%
MRI of the pelvis without and with contrast CPT 72197 MRI,PELVIS W/O W/CONTRAST $451.38 $5,843.00 $392.51–$1,844.79 57% below 92%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE $451.38 — $425.00 57% below —
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE $308.71 — $425.00 53% below —
MRI of the pelvis, no contrast dye CPT 72195 MRI,PELVIS W/O CONTRAST $308.71 $4,130.00 $260.70–$1,261.69 53% below 93%
MRI of the pelvis, no contrast dye CPT 72195 MRI,PROSTATE W/O CONTRAST $308.71 $4,130.00 $260.70–$1,261.69 53% below 93%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE $308.71 — $425.00 26% below —
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI,ELB/WR-UE,JNT,W/O LT $308.71 $4,120.00 $260.70–$1,261.69 26% below 93%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI,ELB/WR-UE,JNT,W/O RT $308.71 $4,120.00 $260.70–$1,261.69 26% below 93%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS $135.26 — $50.73 22% below —
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XRAY,CERVICAL SPINE 4 VIEWS $135.26 $940.00 $116.97–$552.82 22% below 86%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISS.NECK W/CONT. $226.94 $3,770.00 $195.48–$927.49 62% below 94%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE $226.94 — $253.33 62% below —
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE $135.26 — $195.09 73% below —
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISS.NECK W/O CON $135.26 $3,204.00 $116.97–$552.82 73% below 96%
Neck soft tissue X-ray CPT 70360 XRAY,NECK SOFT TISSUES $112.60 $537.00 $96.68–$460.17 at median 79%
Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK $112.60 — $30.35 at median —
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT $1,675.06 — $500.98 9% above —
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 SPECT.MYOCARD,PERF.,MULT. $1,675.06 $4,838.00 $691.83 9% above 65%
OCT scan of the retina (optical coherence tomography) CPT 92134 CPTRZ OPH DX IMG PST SGM RTA $76.33 — $65.08–$311.94 5% above —
OCT scan of the retina (optical coherence tomography) CPT 92134 CPTRZ OPH DX IMG PST SGM RTA $76.33 — $48.74 5% above —
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-CT SKULL BS-MID THIGH $1,850.11 $6,715.00 $960.25–$4,029.00 at median 72%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH $1,850.11 — $1,000.00 at median —
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST $135.26 $3,326.00 $116.97–$552.82 68% below 96%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE $135.26 — $155.11 68% below —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED $135.26 — $55.34 1% above —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LMTD(BLADDER) $135.26 $1,173.00 $116.97–$552.82 1% above 88%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC $135.26 $1,741.00 $248.96–$1,044.60 43% below 92%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE $135.26 — $128.53 43% below —
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PN US PELVIC(NON-OB);COMP. $135.26 $1,660.00 $116.97–$552.82 43% below 92%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PN US > 14 WKS SNGL FETUS $135.26 $2,889.00 $413.13–$1,733.40 28% below 95%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US > 14 WKS SNGL FETUS $135.26 $2,889.00 $413.13–$1,733.40 28% below 95%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS $135.26 — $150.64 28% below —
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS $135.26 — $129.75 5% below —
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PN US < 14 WKS SINGLE FETUS $135.26 $2,431.00 $347.63–$1,458.60 5% below 94%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS $135.26 $2,431.00 $347.63–$1,458.60 5% below 94%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS (S) $135.26 $1,743.00 $249.25–$1,045.80 25% below 92%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) $135.26 — $92.89 25% below —
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PN US LIMITED FETUS (S) $135.26 $1,743.00 $116.97–$552.82 25% below 92%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB_ED ULTRASOUND $135.26 $1,743.00 $249.25–$1,045.80 25% below 92%
Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS $112.60 — $34.28 1% above —
Rib X-ray, one side, 2 views one side CPT 71100 XRAY,RIBS UNILAT 2 VIEWS LEFT $112.60 $618.00 $96.68–$460.17 1% above 82%
Rib X-ray, one side, 2 views one side CPT 71100 XRAY,RIBS UNILAT 2 VIEWS RIGHT $112.60 $618.00 $96.68–$460.17 1% above 82%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY,RIBS/CHEST UNILAT RIGHT $135.26 $822.00 $116.97–$552.82 1% above 84%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY,RIBS/CHEST UNILAT LEFT $135.26 $822.00 $116.97–$552.82 1% above 84%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST $135.26 — $41.57 1% above —
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER $112.60 — $32.52 4% below —
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY,SHOULDER 2 VIEWS-LEFT $112.60 $628.00 $96.68–$460.17 4% below 82%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY,SHOULDER 2 VIEWS-RIGHT $112.60 $628.00 $96.68–$460.17 4% below 82%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES $112.60 — $40.52 at median —
Sinus X-ray, complete, 3 or more views CPT 70220 XRAY,SINUS PARANSL 3 VIEWS $112.60 $738.00 $96.68–$460.17 at median 85%
Skull X-ray, fewer than 4 views CPT 70250 XRAY,SKULL < 4 VIEWS $135.26 $595.00 $116.97–$552.82 12% above 77%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL $135.26 — $39.07 12% above —
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMN;SLEEP ST-4+ PAR. $1,111.07 $5,970.00 $966.14–$4,540.88 15% below 81%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM $1,111.07 — $599.00 15% below —
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO 2D,MMODE,W/O&W/STRES $706.97 $3,560.00 $586.94–$2,889.35 1% above 80%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE $706.97 — $310.42 1% above —
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ $226.94 — $95.87 at median —
Swallow study (modified barium swallow, video X-ray) CPT 74230 XRAY,SWALLOWING FUNCTION TEST $226.94 $1,073.00 $153.44–$643.80 at median 79%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/> $112.60 — $33.29 at median —
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY,FEMUR 2 VIEWS LT $112.60 $840.00 $96.68–$460.17 at median 87%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY,FEMUR 2 VIEWS RT $112.60 $840.00 $96.68–$460.17 at median 87%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W/O CON $135.26 $3,557.00 $116.97–$552.82 72% below 96%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE $135.26 — $181.16 72% below —
Toe X-ray, 2 or more views CPT 73660 XRAY,TOE(S) < 2 VIEWS $112.60 $460.00 $65.78–$276.00 1% above 76%
Toe X-ray, 2 or more views CPT 73660 XRAY,TOE(S) 2+VIEWS $112.60 $460.00 $96.68–$460.17 1% above 76%
Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S) $112.60 — $31.98 1% above —
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB $135.26 — $130.77 39% below —
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB $135.26 $1,497.00 $214.07–$898.20 39% below 91%
Transvaginal pelvic ultrasound CPT 76830 PN US TRANSVAGINAL $135.26 $1,497.00 $116.97–$552.82 39% below 91%
Transvaginal ultrasound during pregnancy CPT 76817 PN US PREG-TRANSVAGINAL $135.26 $1,497.00 $116.97–$552.82 5% below 91%
Transvaginal ultrasound during pregnancy CPT 76817 OB_ED US OBS TRANSVAGINAL $135.26 $1,490.00 $213.07–$894.00 5% below 91%
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB $135.26 $1,490.00 $213.07–$894.00 5% below 91%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC $135.26 — $104.45 5% below —
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE $135.26 — $146.01 39% below —
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN $135.26 $1,340.00 $191.62–$804.00 39% below 90%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTAL $135.26 $2,511.00 $116.97–$552.82 28% below 95%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM $135.26 — $75.70 28% below —
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK $135.26 — $126.74 42% below —
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID OR PARATHYROID $135.26 $1,611.00 $230.37–$966.60 42% below 92%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XRAY,UPPER GI DELAY W/O KUB $226.94 $1,500.00 $195.48–$927.49 2% below 85%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST $226.94 — $119.93 2% below —
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS $112.60 — $30.35 4% below —
Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY,HUMERUS-LEFT $112.60 $568.00 $96.68–$460.17 4% below 80%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY,HUMERUS-RIGHT $112.60 $568.00 $96.68–$460.17 4% below 80%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY $135.26 — $118.40 32% below —
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VEN.IMAG.-FOLLOW-UP EVAL. $135.26 $1,359.00 $194.34–$815.40 32% below 90%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX EX VEINS UNIL/LMTD $135.26 $1,359.00 $194.34–$815.40 32% below 90%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEIN MAPPING - UNILATERAL $135.26 $1,359.00 $194.34–$815.40 32% below 90%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS IMAGING-UNILAT. $135.26 $1,359.00 $194.34–$815.40 32% below 90%
Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST $112.60 — $32.96 1% above —
Wrist X-ray, 2 views one side CPT 73100 XRAY,WRIST 2 VIEWS-RIGHT $112.60 $486.00 $69.50–$291.60 1% above 77%
Wrist X-ray, 2 views one side CPT 73100 XRAY,WRIST 2 VIEWS-LEFT $112.60 $486.00 $69.50–$291.60 1% above 77%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST $112.60 — $39.68 4% below —
Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY,WRIST 3 VIEWS-RIGHT $112.60 $605.00 $86.52–$363.00 4% below 81%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY,WRIST 3 VIEWS-LEFT $112.60 $605.00 $86.52–$363.00 4% below 81%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS $112.60 — $42.47 at median —
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY,HIP & PELVIS 2-3 VIEWS LT $112.60 $1,155.00 $165.17–$693.00 at median 90%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY,HIP & PELVIS 2-3 VIEWS RT $112.60 $1,155.00 $96.68–$460.17 at median 90%
X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW $112.60 — $28.08 1% above —
X-ray of the abdomen, 1 view CPT 74018 XRAY,ABDOMEN 1 VIEW $112.60 $495.00 $70.79–$297.00 1% above 77%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE $112.60 — $30.01 at median —
X-ray of the ankle, 2 views one side CPT 73600 XRAY,ANKLE 2 VIEWS-RIGHT $112.60 $504.00 $72.07–$302.40 at median 78%
X-ray of the ankle, 2 views one side CPT 73600 XRAY,ANKLE 2 VIEWS-LEFT $112.60 $504.00 $72.07–$302.40 at median 78%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) $112.60 — $34.96 1% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY,FINGER(S)-RIGHT $112.60 $460.00 $65.78–$276.00 1% above 76%
X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY,FINGER(S)-LEFT $112.60 $460.00 $65.78–$276.00 1% above 76%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT $112.60 — $28.52 3% below —
X-ray of the foot, 2 views one side CPT 73620 XRAY,FOOT 2 VIEWS-RIGHT $112.60 $527.00 $96.68–$460.17 3% below 79%
X-ray of the foot, 2 views one side CPT 73620 XRAY,FOOT 2 VIEWS-LEFT $112.60 $527.00 $96.68–$460.17 3% below 79%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT $112.60 — $32.96 4% below —
X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY,FOOT <3 VIEWS-LEFT $112.60 $585.00 $96.68–$460.17 4% below 81%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY,FOOT <3 VIEWS-RIGHT $112.60 $585.00 $96.68–$460.17 4% below 81%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND $112.60 — $34.45 4% below —
X-ray of the hand, 3 or more views one side CPT 73130 XRAY,HAND 3 VIEWS-LEFT $112.60 $612.00 $87.52–$367.20 4% below 82%
X-ray of the hand, 3 or more views one side CPT 73130 XRAY,HAND 3 VIEWS-RIGHT $112.60 $612.00 $87.52–$367.20 4% below 82%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 $112.60 — $32.18 4% below —
X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY,KNEE 1 OR 2 VIEWS-RIGHT $112.60 $522.00 $74.65–$313.20 4% below 78%
X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY,KNEE 1 OR 2 VIEWS-LEFT $112.60 $522.00 $74.65–$313.20 4% below 78%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY,LUMBAR 2 OR 3 VIEWS $135.26 $700.00 $116.97–$552.82 4% above 81%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS $135.26 — $37.60 4% above —
X-ray of the lower back, 4 or more views CPT 72110 XRAY,LUMBAR COMPLETE 5 VIEWS $135.26 $1,030.00 $116.97–$552.82 16% below 87%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS $135.26 — $51.47 16% below —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS $135.26 — $35.03 1% above —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY,THORACIC 2 VIEWS $135.26 $669.00 $116.97–$552.82 1% above 80%
X-ray of the nasal bones, 3 or more views CPT 70160 XRAY,NASAL BONES $112.60 $623.00 $89.09–$373.80 1% below 82%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES $112.60 — $35.57 1% below —
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY,CERVICAL SPINE 2-3 VIEWS $112.60 $662.00 $96.68–$460.17 4% below 83%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW $112.60 — $37.60 4% below —
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS $135.26 — $30.31 9% above —
X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY,PELVIS 1 OR 2 VIEWS $135.26 $525.00 $116.97–$552.82 9% above 74%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE $112.60 — $30.35 4% below —
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY,SACRUM & COCCYX $112.60 $630.00 $96.68–$460.17 4% below 82%

Lab tests

ProcedureCash priceList priceInsurers payvs New JerseyOff list
ACTH blood test CPT 82024 ASSAY OF ACTH $44.41 — $38.62–$181.51 at median —
ACTH blood test CPT 82024 ASSAY OF ACTH $44.41 — $34.59 at median —
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) $6.10 — $4.74 at median —
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) $6.10 — $5.30–$24.91 at median —
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) $5.96 — $5.18–$24.35 at median —
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) $5.96 — $4.63 at median —
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL $54.77 — $47.63–$223.86 at median —
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL $54.77 — $42.65 at median —
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN $5.69 — $4.95–$23.27 at median —
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN $5.69 — $4.43 at median —
Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE $46.86 — $36.49 at median —
Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE $46.86 — $40.75–$191.53 at median —
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE $5.96 — $4.63 at median —
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE $5.96 — $5.18–$24.35 at median —
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA $6.00 — $5.22–$24.53 at median —
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA $6.00 — $4.67 at median —
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM $19.29 — $15.02 at median —
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM $19.29 — $16.77–$78.82 at median —
Ammonia blood test CPT 82140 ASSAY OF AMMONIA $16.76 — $14.57–$68.48 at median —
Ammonia blood test CPT 82140 ASSAY OF AMMONIA $16.76 — $13.05 at median —
Amylase blood test CPT 82150 ASSAY OF AMYLASE $7.45 — $5.80 at median —
Amylase blood test CPT 82150 ASSAY OF AMYLASE $7.45 — $6.48–$30.46 at median —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY $14.89 — $12.95–$60.87 at median —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY $14.89 — $11.59 at median —
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES $13.90 — $12.09–$56.82 5% above —
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES $13.90 — $10.82 5% above —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE $45.15 — $30.39 at median —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE $45.15 — $39.26–$184.52 at median —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC $9.91 — $8.62–$40.51 at median —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC $9.91 — $7.71 at median —
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PNL TOTAL CA $9.73 — $8.46–$39.76 at median —
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PNL TOTAL CA $9.73 — $7.57 at median —
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL $5.77 — $4.49 at median —
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL $5.77 — $5.02–$23.59 at median —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST $67.42 — $50.31 31% below —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST $67.42 — $57.65–$275.56 31% below —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE $10.74 — $2.94 11% above —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE $10.74 — $8.83–$43.90 11% above —
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT $4.52 — $3.93–$18.47 at median —
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT $4.52 — $3.52 at median —
Blood lead test CPT 83655 ASSAY OF LEAD $13.93 — $12.11–$56.92 at median —
Blood lead test CPT 83655 ASSAY OF LEAD $13.93 — $10.84 at median —
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY $8.65 — $7.52–$35.34 at median —
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY $8.65 — $6.73 at median —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO $172.14 — $135.91–$703.54 21% above —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO $172.14 — $2.67 21% above —
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN $4.54 — $3.54 at median —
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN $4.54 — $3.95–$18.57 at median —
C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE $23.93 — $18.63 at median —
C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE $23.93 — $20.81–$97.81 at median —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $5.96 — $4.63 at median —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $5.96 — $5.18–$24.35 at median —
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE $42.86 — $37.27–$175.17 at median —
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE $42.86 — $31.42 at median —
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 $23.93 — $18.63 at median —
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 $23.93 — $20.81–$97.81 at median —
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 $23.93 — $18.63 at median —
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 $23.93 — $20.81–$97.81 at median —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB $59.01 — $51.31–$241.16 5% above —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB $59.01 — $51.31 5% above —
Calcium blood test, total CPT 82310 ASSAY OF CALCIUM $5.93 — $5.16–$24.25 at median —
Calcium blood test, total CPT 82310 ASSAY OF CALCIUM $5.93 — $4.62 at median —
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN $21.80 — $16.99 at median —
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN $21.80 — $18.96–$89.11 at median —
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY $14.81 — $11.54 at median —
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY $14.81 — $12.88–$60.54 at median —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE $40.35 — $35.09–$164.92 at median —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE $40.35 — $31.42 at median —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $15.40 — $11.99 at median —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $15.40 — $13.39–$62.93 at median —
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC $8.94 — $6.96 at median —
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC $8.94 — $7.77–$36.52 at median —
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED $7.44 — $5.80 at median —
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED $7.44 — $6.47–$30.41 at median —
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL $12.14 — $8.56 at median —
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL $12.14 — $10.56–$49.63 at median —
Cortisol blood test, total CPT 82533 TOTAL CORTISOL $18.75 — $16.30–$76.61 at median —
Cortisol blood test, total CPT 82533 TOTAL CORTISOL $18.75 — $14.60 at median —
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK) $7.49 — $5.83 at median —
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK) $7.49 — $6.51–$30.60 at median —
Creatinine blood test CPT 82565 ASSAY OF CREATININE $5.89 — $5.12–$24.06 at median —
Creatinine blood test CPT 82565 ASSAY OF CREATININE $5.89 — $4.59 at median —
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY $16.55 — $14.39–$67.63 5% above —
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY $16.55 — $12.89 5% above —
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT $11.71 — $10.18–$47.85 at median —
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT $11.71 — $5.66 at median —
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE $25.56 — $19.91 2% above —
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE $25.56 — $22.23–$104.48 2% above —
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR $71.46 — $62.14–$292.06 at median —
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR $71.46 — $52.38 at median —
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL $8.06 — $7.01–$32.95 at median —
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL $8.06 — $4.73 at median —
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA $20.86 — $18.14–$85.26 1% above —
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA $20.86 — $16.24 1% above —
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL $32.13 — $25.02 at median —
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL $32.13 — $27.94–$131.32 at median —
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) $21.37 — $16.64 at median —
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) $21.37 — $18.58–$87.33 at median —
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL $22.57 — $19.63–$92.26 at median —
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL $22.57 — $17.58 at median —
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN $15.67 — $13.63–$64.06 at median —
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN $15.67 — $12.20 at median —
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY $11.18 — $7.60 at median —
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY $11.18 — $9.72–$45.68 at median —
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM $16.91 — $14.70–$69.09 at median —
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM $16.91 — $13.17 at median —
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) $19.48 — $16.94–$79.62 at median —
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) $19.48 — $15.17 at median —
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE $10.37 — $8.07 at median —
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE $10.37 — $9.02–$42.39 at median —
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE $29.29 — $25.47–$119.71 5% above —
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE $29.29 — $22.80 5% above —
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT $8.28 — $6.42 at median —
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT $8.28 — $7.20–$33.84 at median —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST $5.46 — $4.25 at median —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST $5.46 — $4.75–$22.33 at median —
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) $14.80 — $12.87–$60.49 at median —
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) $14.80 — $11.52 at median —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB $40.35 — $31.42 at median —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB $40.35 — $35.09–$164.92 at median —
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY $19.38 — $12.99 at median —
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY $19.38 — $16.85–$79.20 at median —
H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA $16.54 — $12.88 5% above —
H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA $16.54 — $14.38–$67.59 5% above —
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ $97.87 — $76.19 at median —
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ $97.87 — $85.10–$399.97 at median —
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY $15.77 — $13.71–$64.44 at median —
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY $15.77 — $12.27 at median —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA $27.69 — $21.57 at median —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA $27.69 — $24.08–$113.18 at median —
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT $40.35 — $31.34 5% above —
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT $40.35 — $35.09–$164.92 5% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C $11.17 — $9.71–$45.64 at median —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C $11.17 — $8.69 at median —
Hemoglobin blood test CPT 85018 HEMOGLOBIN $2.73 — $2.37–$11.14 33% below —
Hemoglobin blood test CPT 85018 HEMOGLOBIN $2.73 — $2.12 33% below —
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL $13.86 — $10.79 5% above —
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL $13.86 — $12.05–$56.64 5% above —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY $12.35 — $10.74–$50.48 at median —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY $12.35 — $9.61 at median —
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA $11.88 — $9.25 at median —
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA $11.88 — $10.33–$48.55 at median —
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST $16.41 — $14.27–$67.07 at median —
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST $16.41 — $12.78 at median —
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ $49.27 — $42.84–$201.35 at median —
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ $49.27 — $38.35 at median —
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST $15.17 — $13.19–$61.99 at median —
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST $15.17 — $11.81 at median —
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST $22.25 — $19.35–$90.95 at median —
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST $22.25 — $17.33 at median —
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS $14.89 — $11.59 at median —
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS $14.89 — $12.95–$60.87 at median —
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE $20.61 — $15.10 at median —
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE $20.61 — $17.92–$84.22 at median —
Insulin blood test CPT 83525 ASSAY OF INSULIN $13.14 — $10.23 at median —
Insulin blood test CPT 83525 ASSAY OF INSULIN $13.14 — $11.43–$53.72 at median —
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON $7.44 — $6.47–$30.41 at median —
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON $7.44 — $5.80 at median —
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST $10.05 — $8.74–$41.08 at median —
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST $10.05 — $7.83 at median —
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $9.98 — $8.68–$40.80 66% below —
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $9.98 — $7.78 66% below —
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) $21.30 — $18.52–$87.04 5% above —
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) $21.30 — $16.58 5% above —
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID $13.31 — $11.57–$54.38 at median —
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID $13.31 — $9.56 at median —
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME $6.95 — $5.40 at median —
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME $6.95 — $6.04–$28.39 at median —
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE $7.92 — $6.17 at median —
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE $7.92 — $6.89–$32.38 at median —
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $9.40 — $7.31 63% below —
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $9.40 — $8.17–$38.40 63% below —
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY $19.58 — $17.03–$80.04 at median —
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY $19.58 — $15.25 at median —
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM $7.71 — $6.00 at median —
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM $7.71 — $6.70–$31.49 at median —
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY $14.81 — $8.66 at median —
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY $14.81 — $12.88–$60.54 at median —
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN $5.96 — $5.18–$24.35 49% below —
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN $5.96 — $4.63 49% below —
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY $15.01 — $11.68 at median —
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY $15.01 — $13.05–$61.34 at median —
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL $54.98 — $46.06 5% above —
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL $54.98 — $47.81–$224.71 5% above —
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE $21.15 — $16.47 at median —
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE $21.15 — $18.39–$86.43 at median —
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL $21.15 — $18.39–$86.43 at median —
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL $21.15 — $16.47 at median —
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO $30.60 — $26.61–$125.07 5% above —
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO $30.60 — $22.95 5% above —
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER $23.30 — $18.14 at median —
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER $23.30 — $20.26–$95.22 at median —
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE $47.47 — $36.96 at median —
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE $47.47 — $41.28–$194.02 at median —
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL $6.91 — $5.38 at median —
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL $6.91 — $6.01–$28.25 at median —
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS $5.45 — $4.24 at median —
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS $5.45 — $4.74–$22.28 at median —
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM $5.47 — $4.76–$22.37 at median —
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM $5.47 — $4.12 at median —
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY $872.91 — $500.00 5% above —
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY $872.91 — $759.05–$3,567.54 5% above —
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE $23.99 — $18.68 at median —
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE $23.99 — $20.86–$98.04 at median —
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN $22.29 — $19.38–$91.09 at median —
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN $22.29 — $17.35 at median —
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $4.93 — $3.52 at median —
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $4.93 — $4.29–$20.16 at median —
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS $14.49 — $12.60–$59.22 at median —
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS $14.49 — $9.82 at median —
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC $19.03 — $16.55–$77.79 5% above —
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC $19.03 — $9.86 5% above —
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC $19.01 — $9.86 5% above —
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC $19.01 — $16.53–$77.69 5% above —
Renin blood test CPT 84244 ASSAY OF RENIN $25.29 — $21.99–$103.35 2% above —
Renin blood test CPT 84244 ASSAY OF RENIN $25.29 — $19.70 2% above —
Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D) $48.33 — $42.02–$197.51 5% above —
Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D) $48.33 — $2.67 5% above —
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT $6.52 — $5.67–$26.65 at median —
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT $6.52 — $5.08 at median —
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY $16.55 — $12.89 at median —
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY $16.55 — $14.39–$67.63 at median —
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT $14.16 — $10.79 5% above —
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT $14.16 — $12.31–$57.86 5% above —
Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM $5.53 — $3.91 5% above —
Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM $5.53 — $4.81–$22.61 5% above —
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS $10.24 — $7.97 at median —
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS $10.24 — $8.90–$41.83 at median —
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES $5.04 — $4.38–$20.59 at median —
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES $5.04 — $2.91 at median —
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL $18.31 — $14.24 at median —
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL $18.31 — $15.92–$74.82 at median —
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM $15.23 — $11.85 at median —
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM $15.23 — $13.24–$62.23 at median —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL $4.91 — $3.82 at median —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL $4.91 — $4.27–$20.07 at median —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE $71.28 — $61.98–$291.31 5% above —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE $71.28 — $55.50 5% above —
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE $29.68 — $23.11 at median —
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE $29.68 — $25.81–$121.31 at median —
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH $16.73 — $14.55–$68.39 4% above —
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH $16.73 — $13.03 4% above —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE $19.32 — $16.80–$78.96 at median —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE $19.32 — $15.05 at median —
Total IgE blood test CPT 82785 ASSAY OF IGE $18.93 — $16.46–$77.36 at median —
Total IgE blood test CPT 82785 ASSAY OF IGE $18.93 — $14.75 at median —
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL $5.00 — $3.89 at median —
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL $5.00 — $4.35–$20.45 at median —
Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE $7.90 — $6.15 at median —
Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE $7.90 — $6.87–$32.29 at median —
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3) $16.31 — $14.18–$66.65 at median —
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3) $16.31 — $12.69 at median —
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN $14.67 — $11.43 at median —
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN $14.67 — $12.76–$59.97 at median —
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF $40.35 — $35.09–$164.92 at median —
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF $40.35 — $31.42 at median —
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES $6.60 — $5.15 at median —
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES $6.60 — $5.74–$26.98 at median —
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT $14.34 — $7.80 at median —
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT $14.34 — $12.47–$58.61 at median —
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID $5.20 — $4.04 at median —
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID $5.20 — $4.52–$21.24 at median —
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE $4.62 — $2.84 5% above —
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE $4.62 — $4.02–$18.89 5% above —
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE $2.59 — $2.01 49% below —
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE $2.59 — $2.25–$10.58 49% below —
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE $4.00 — $2.29 4% above —
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE $4.00 — $3.48–$16.36 4% above —
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT $9.28 — $7.23 at median —
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT $9.28 — $8.07–$37.93 at median —
Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE $6.65 — $5.18 at median —
Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE $6.65 — $5.78–$27.17 at median —
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST $9.90 — $8.61–$40.47 at median —
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST $9.90 — $5.66 at median —
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 $17.34 — $13.49 at median —
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 $17.34 — $15.08–$70.88 at median —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY $34.04 — $29.60–$139.12 at median —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY $34.04 — $26.51 at median —
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY $44.28 — $34.48 at median —
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY $44.28 — $38.50–$180.95 at median —
Zinc blood test CPT 84630 ASSAY OF ZINC $13.10 — $11.39–$53.53 at median —
Zinc blood test CPT 84630 ASSAY OF ZINC $13.10 — $10.19 at median —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST $17.31 — $13.48 at median —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST $17.31 — $15.05–$70.74 at median —

Surgery and procedures

ProcedureCash priceList priceInsurers payvs New JerseyOff list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS $4,289.65 — $212.10 1% below —
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS $4,289.65 — $3,425.43–$17,531.61 1% below —
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL $16,611.10 — $10,890.00–$67,888.86 17% above —
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL $16,611.10 — $1,763.83 17% above —
Appendectomy, open surgery CPT 44950 APPENDECTOMY $8,376.04 — $6,179.00–$34,232.51 21% above —
Appendectomy, open surgery CPT 44950 APPENDECTOMY $8,376.04 — $631.84 21% above —
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRS AID ACL RPR/AGMNTJ $9,388.33 — $1,019.77 20% above —
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRS AID ACL RPR/AGMNTJ $9,388.33 — $7,611.39–$38,369.68 20% above —
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR $9,388.33 — $1,107.83 20% above —
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR $9,388.33 — $7,611.39–$38,369.68 20% above —
Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS $9,131.17 — $6,179.00–$37,318.70 50% above —
Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS $9,131.17 — $164.03 50% above —
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE $397.14 — $315.12–$1,623.11 79% below —
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE $397.14 — $129.41 79% below —
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion both sides CPT 19081 BX BREAST 1ST LESION STRTCT BI $2,136.89 $6,500.00 $929.50–$3,900.00 — 67%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC $2,136.89 — $159.68 28% below —
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LESION STRTCT LT $2,136.89 $6,500.00 $929.50–$3,900.00 28% below 67%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LESION STRTCT RT $2,136.89 $6,500.00 $929.50–$3,900.00 28% below 67%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE $319.15 — $297.34 75% below —
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE $319.15 — $250.90–$1,304.34 75% below —
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLTX METATARSAL FX WO MNP EA $319.15 — $215.31 11% below —
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL.TRT.METATARSAL FX.;W/O $319.15 $889.00 $127.13–$533.40 11% below 64%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO $4,233.42 — $536.73 9% below —
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO $4,233.42 — $3,443.75–$17,301.81 9% below —
Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS $4,233.42 — $622.24 9% below —
Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS $4,233.42 — $3,443.75–$17,301.81 9% below —
Cardiac catheterization with coronary angiogram CPT 93458 LT.HRT.CATH.W/COR.ANGIO $4,194.52 $19,615.00 $2,804.95–$11,769.00 1% above 79%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO $4,194.52 — $1,195.95 1% above —
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED,CARDIOVERSION $855.15 $4,170.00 $596.31–$2,502.00 3% above 79%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXTNL $855.15 $4,170.00 $692.43–$3,575.00 3% above 79%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CC,CARDIOVERSION $855.15 $4,170.00 $596.31–$2,502.00 3% above 79%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EN,CARDIOVERSION $855.15 $4,170.00 $596.31–$2,502.00 3% above 79%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT $855.15 — $130.59 3% above —
Carpal tunnel release, open surgery CPT 64721 EN,MEDIAN NERVE AT CARP TUNNEL $2,526.50 $8,267.00 $2,054.20–$10,325.69 3% below 69%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY $2,526.50 — $438.26 3% below —
Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP $2,985.94 — $619.81 2% below —
Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP $2,985.94 — $2,479.33–$14,839.00 2% below —
Catheter ablation for atrial fibrillation CPT 93656 COMPRE EP EVAL ABLTJ ATR FIB $33,818.01 — $1,216.30 25% above —
Catheter ablation for atrial fibrillation CPT 93656 COMPRE EP EVAL ABLTJ ATR FIB $33,818.01 — $25,268.66–$138,212.75 25% above —
Cervical biopsy CPT 57500 BIOPSY OF CERVIX $1,191.69 — $78.91 5% below —
Cervical biopsy CPT 57500 BIOPSY OF CERVIX $1,191.69 — $855.30–$4,870.37 5% below —
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER $2,704.61 — $2,167.02–$11,053.61 29% below —
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER $2,704.61 — $212.14 29% below —
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION, NBN $2,704.61 $1,822.00 $260.55–$1,093.20 38% below -48%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK $2,704.61 — $105.88 38% below —
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE $902.19 — $154.76 72% below —
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE $902.19 — $726.78–$3,687.19 72% below —
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL.TRT.DIST.RAD.FX;NO MAN $319.15 $818.00 $116.97–$490.80 84% below 61%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO $319.15 — $322.14 84% below —
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US $1,548.25 — $290.67 38% below —
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US $1,548.25 — $1,255.51–$6,327.65 38% below —
Colonoscopy with polyp removal CPT 45385 EN,COLONO-POLYP.-SNARE $1,548.25 $3,823.00 $546.69–$2,293.80 25% below 60%
Colonoscopy with polyp removal CPT 45385 ED,COLONO-POLYP-SNARE $1,548.25 $3,823.00 $546.69–$2,293.80 25% below 60%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL $1,548.25 — $303.43 25% below —
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BX $1,548.25 $3,823.00 $546.69–$2,293.80 3% below 60%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY $1,548.25 — $255.51 3% below —
Colonoscopy with tissue sample CPT 45380 EN,COLONO-W/BIOPSY $1,548.25 $3,823.00 $546.69–$2,293.80 3% below 60%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY $1,203.21 — $214.04 1% below —
Colonoscopy, diagnostic CPT 45378 EN,COLONO-DIAG.W/O BRUSHINGS $1,203.21 $2,909.00 $415.99–$1,745.40 1% below 59%
Colonoscopy, diagnostic CPT 45378 ER,COLON-DIAG W/O BRUSHING $1,203.21 $2,909.00 $415.99–$1,745.40 1% below 59%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP $4,188.30 — $169.44 1% below —
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP $4,188.30 — $3,326.21–$17,117.39 1% below —
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE $394.27 — $341.31–$1,611.36 24% below —
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE $394.27 — $141.03 24% below —
Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP $2,985.94 — $2,479.33–$14,839.00 13% below —
Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP $2,985.94 — $769.97 13% below —
Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES $14,936.25 — $609.74 11% above —
Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES $14,936.25 — $11,704.41–$61,043.80 11% above —
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT $4,560.74 — $167.72 1% below —
Cystoscopy with ureteral stent placement CPT 52332 CYSTO W/ INSERT STENT $4,560.74 $4,121.00 $3,709.01–$18,639.53 1% below -11%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 EN,CYSTOURETHOSCOPY $902.19 $3,700.00 $726.78–$4,299.00 9% above 76%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY $902.19 $2,822.00 $726.78–$3,687.19 9% above 68%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY $902.19 — $136.12 9% above —
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE $4,188.30 — $226.12 1% below —
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE $4,188.30 — $3,326.21–$17,117.39 1% below —
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION $259.59 — $46.68 39% below —
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HB,DESTRUCT PREMALG 1ST LESION $259.59 $800.00 $213.00–$3,575.00 39% below 68%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING $2,007.49 — $160.90 54% below —
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING $2,007.49 — $1,622.53–$9,936.00 54% below —
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING $697.80 — $133.70 82% below —
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING $697.80 — $585.38–$2,851.88 82% below —
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI $76.33 — $13.07 79% below —
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM EAR IMPACTED EAR WAX UNI $76.33 $263.00 $37.61–$157.80 79% below 71%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI $76.33 — $32.40 73% below —
Earwax removal with instruments, one ear CPT 69210 REM.IMPACTED EAR WAX INS $76.33 $525.00 $75.08–$315.00 73% below 85%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING $261.58 — $91.30 3% below —
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX, W/O DILATION $261.58 $1,600.00 $228.80–$960.00 3% below 84%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT $9,131.17 — $6,179.00–$37,318.70 45% above —
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT $9,131.17 — $391.30 45% above —
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL $9,131.17 — $493.80 45% above —
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL $9,131.17 — $6,179.00–$37,318.70 45% above —
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS $4,823.86 — $3,984.23–$19,714.89 16% below —
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS $4,823.86 — $193.79 16% below —
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS $9,131.17 — $4,878.00–$37,318.70 39% above —
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS $9,131.17 — $310.54 39% above —
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC $913.29 — $112.52 3% below —
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC $913.29 — $735.75–$3,732.58 3% below —
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG $427.36 — $96.31 81% below —
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG $427.36 — $360.32–$4,299.00 81% below —
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV $1,144.36 — $969.75–$4,676.95 60% below —
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV $1,144.36 — $94.34 60% below —
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC $8,376.04 — $3,680.83–$34,232.51 23% above —
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC $8,376.04 — $557.79 23% above —
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC $8,376.04 — $3,680.83–$34,232.51 21% above —
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC $8,376.04 — $749.32 21% above —
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC $4,632.44 — $3,680.83–$18,932.58 at median —
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC $4,632.44 — $333.44 at median —
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY $1,203.21 — $63.05 1% below —
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 EN,FLXSIGM-DIAG.W/O BRUSHING $1,203.21 $2,909.00 $415.99–$1,745.40 1% below 59%
Gallbladder removal, laparoscopic CPT 47562 ED,LAP;CHOLECYSTECTOMY $7,821.90 $14,145.00 $2,022.74–$8,487.00 21% above 45%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY $7,821.90 — $647.75 21% above —
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH $7,821.90 — $6,138.83–$31,967.77 21% above —
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH $7,821.90 — $703.53 21% above —
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE $4,233.42 — $389.37 1% above —
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE $4,233.42 — $3,443.75–$17,301.81 1% above —
Hemorrhoid banding (rubber band ligation) CPT 46221 EN,LIGATION OF HEMORROID(S) $1,203.21 $3,616.00 $972.38–$4,917.46 52% below 67%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) $1,203.21 — $192.01 52% below —
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP $3,591.24 — $2,987.28–$14,677.24 1% below —
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP $3,591.24 — $351.35 1% below —
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY $16,611.10 — $1,728.90 186% above —
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY $16,611.10 — $12,191.00–$67,888.86 186% above —
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION $6,472.33 — $354.44 18% above —
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION $6,472.33 — $5,291.87–$26,452.14 18% above —
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY $4,188.30 — $276.00 5% above —
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY $4,188.30 — $3,326.21–$17,117.39 5% above —
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE $259.59 — $84.96 25% below —
Incision and drainage of a simple or single skin abscess CPT 10060 HB,DRAIN ABSCESS $259.59 $865.00 $123.70–$519.00 25% below 70%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAIN SKIN ABSCESS SINGLE $259.59 $865.00 $213.00–$1,060.92 25% below 70%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR $4,632.44 — $513.09 3% below —
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR $4,632.44 — $3,680.83–$18,932.58 3% below —
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT $397.14 — $315.12–$4,299.00 54% below —
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT $397.14 — $42.44 54% below —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN INJ JOINT BURSA $397.14 $992.00 $315.12–$4,299.00 63% below 60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US $397.14 — $47.18 63% below —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT DRAIN INJ JOINT BURSA $397.14 $992.00 $315.12–$4,299.00 63% below 60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OBSERVE,DRAIN/INJ BURSA/JOINT $397.14 $992.00 $141.86–$595.20 63% below 60%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT $172.14 — $135.91–$1,935.00 at median —
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT $172.14 — $71.26 at median —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO/ASP/INJ;IM.JT,CYST $397.14 $753.00 $315.12–$1,623.11 54% below 47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US $397.14 — $38.13 54% below —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB,ASPIR/INJ-INTM.JT/BURS $397.14 $1,575.00 $315.12–$4,299.00 54% below 75%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHRO/ASP/INJ;SM.JT,CYST $397.14 $753.00 $315.12–$1,623.11 46% below 47%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB,ASPIR/INJ-SM.JNT/BURSA $397.14 $1,575.00 $315.12–$4,299.00 46% below 75%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US $397.14 — $36.32 46% below —
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHRS KNE SRG MNISC RPR M/L $4,233.42 — $722.88 3% below —
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHRS KNE SRG MNISC RPR M/L $4,233.42 — $3,443.75–$17,301.81 3% below —
Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SRG MNISECTMY M/L $4,233.42 — $3,443.75–$17,301.81 3% below —
Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SRG MNISECTMY M/L $4,233.42 — $560.70 3% below —
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHRS KNE SRG MNISECTMY M&L $4,233.42 — $582.84 5% below —
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHRS KNE SRG MNISECTMY M&L $4,233.42 — $3,443.75–$17,301.81 5% below —
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRS KNEE SURG DBRDMT/SHVG $4,233.42 — $643.95 1% below —
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRS KNEE SURG DBRDMT/SHVG $4,233.42 — $3,443.75–$17,301.81 1% below —
Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 LAP PLACE GASTR ADJ DEVICE $13,753.23 — $1,101.39 19% above —
Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 LAP PLACE GASTR ADJ DEVICE $13,753.23 — $10,951.74–$56,208.83 19% above —
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY $7,821.90 — $6,138.83–$31,967.77 21% above —
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY $7,821.90 — $591.70 21% above —
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY $13,753.23 — $1,065.69 20% above —
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY $13,753.23 — $10,951.74–$56,208.83 20% above —
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS $13,753.23 — $962.81 20% above —
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS $13,753.23 — $10,890.00–$56,208.83 20% above —
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS $13,753.23 — $1,078.44 19% above —
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS $13,753.23 — $10,890.00–$56,208.83 19% above —
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT $7,821.90 — $6,138.83–$31,967.77 24% above —
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT $7,821.90 — $423.15 24% above —
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR $7,821.90 — $6,138.83–$31,967.77 24% above —
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR $7,821.90 — $550.06 24% above —
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS $4,988.34 — $946.91 8% above —
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS $4,988.34 — $4,074.57–$20,387.11 8% above —
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA $7,821.90 — $6,138.83–$31,967.77 23% above —
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA $7,821.90 — $666.65 23% above —
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY $711.60 — $301.22 at median —
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY $711.60 — $618.43–$2,908.30 at median —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAY.CLOS.WND-SCLP-2.5CM,< $525.96 $2,468.00 $424.23–$2,149.59 63% below 79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 EN,REP.INT.WND.SCLP-2.5CM $525.96 $2,468.00 $352.92–$1,480.80 63% below 79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< $525.96 — $135.18 63% below —
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY $4,194.52 — $978.64 18% above —
Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATHETERIZ. $4,194.52 $16,882.00 $2,414.13–$10,129.20 18% above 75%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC $913.29 — $102.58 62% below —
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC $913.29 — $735.75–$3,732.58 62% below —
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC $1,144.36 — $969.75–$4,676.95 42% below —
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC $1,144.36 — $89.87 42% below —
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 $1,144.36 — $116.06 62% below —
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 $1,144.36 — $969.75–$4,676.95 62% below —
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 LAMOT DCMPRN NRV RT 1 LMBR $9,388.33 — $998.68 68% above —
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 LAMOT DCMPRN NRV RT 1 LMBR $9,388.33 — $7,611.39–$38,369.68 68% above —
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR $35,106.88 — $12,191.00–$143,480.30 74% above —
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR $35,106.88 — $1,897.91 74% above —
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 ARTHRD PST TQ 1NTRSPC LUM $35,106.88 — $12,191.00–$143,480.30 74% above —
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 ARTHRD PST TQ 1NTRSPC LUM $35,106.88 — $1,597.06 74% above —
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR $9,388.33 — $7,611.39–$38,369.68 19% above —
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR $9,388.33 — $1,133.82 19% above —
Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR $22,685.82 — $1,641.90 11% above —
Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR $22,685.82 — $10,890.00–$92,715.98 11% above —
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY $5,065.92 — $4,055.40–$20,704.18 1% below —
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY $5,065.92 — $568.90 1% below —
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE $8,591.27 — $880.54 17% above —
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE $8,591.27 — $6,179.00–$35,112.13 17% above —
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE $4,188.30 — $3,326.21–$17,117.39 4% above —
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE $4,188.30 — $307.14 4% above —
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G $956.24 — $668.20–$3,908.09 43% below —
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G $956.24 — $330.04 43% below —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< $916.20 — $70.58 30% below —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< $916.20 — $748.55–$3,744.49 30% below —
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< $916.20 — $92.26 3% below —
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< $916.20 — $748.55–$3,744.49 3% below —
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE 1 $259.59 — $45.02 15% below —
Nail removal (partial or complete), one nail CPT 11730 AVULSION,NAILPLATE,SIMPLE $259.59 $390.00 $213.00–$1,060.92 15% below 33%
Nail removal (partial or complete), one nail CPT 11730 HB,REMOVE NAIL PLATE $259.59 $1,121.00 $160.30–$672.60 15% below 77%
Occipital nerve block (injection for headaches) CPT 64405 INJ,OCCIPITAL NERVE $397.14 $2,889.00 $315.12–$1,623.11 70% below 86%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV $397.14 — $64.48 70% below —
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT $13,523.13 — $11,360.87–$55,268.45 17% above —
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT $13,523.13 — $565.68 17% above —
Paracentesis with imaging guidance CPT 49083 ABD PARACENT W/IMAGE $1,173.49 $2,646.00 $964.43–$4,795.99 3% below 56%
Paracentesis with imaging guidance CPT 49083 US ABD PARACENTESIS W/IMAGING $1,173.49 $2,646.00 $964.43–$4,795.99 3% below 56%
Paracentesis with imaging guidance CPT 49083 ABD.PARACENTESIS;CT GUID. $1,173.49 $2,646.00 $378.38–$1,587.60 3% below 56%
Paracentesis with imaging guidance CPT 49083 ABD.PARACENTESIS W/IMAGES $1,173.49 $2,646.00 $378.38–$1,587.60 3% below 56%
Paracentesis with imaging guidance CPT 49083 EN,ABD.PARACENTESIS;GUIDED $1,173.49 $1,621.00 $231.80–$972.60 3% below 28%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING $1,173.49 — $108.36 3% below —
Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT $16,611.10 — $1,197.07 163% above —
Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT $16,611.10 — $12,191.00–$67,888.86 163% above —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB,REMOVAL OF NAIL BED $525.96 $1,680.00 $240.24–$1,008.00 8% below 69%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL&NAIL MATRIX $525.96 — $156.14 8% below —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC.NAIL,PART/COMPL,PERM. $525.96 $1,486.00 $424.23–$2,149.59 8% below 65%
Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD $13,753.23 — $1,863.17 19% above —
Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD $13,753.23 — $10,951.74–$56,208.83 19% above —
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT $2,526.50 — $2,054.20–$10,325.69 34% below —
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT $2,526.50 — $231.41 34% below —
Removal of a breast lump, open surgery CPT 19120 EN,REMOVAL BREAST LESION +1 $5,065.92 $6,825.00 $975.98–$4,095.00 1% below 26%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION $5,065.92 — $361.59 1% below —
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL $525.96 — $91.75 3% below —
Removal of a foreign object under the skin, simple CPT 10120 HB,REMOVAL FOREIGN BODY SIMPLE $525.96 $2,769.00 $395.97–$1,661.40 3% below 81%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY $525.96 $1,094.00 $424.23–$2,149.59 3% below 52%
Removal of a foreign object under the skin, simple CPT 10120 SR-REMOVAL OF FOREIGN BODY $525.96 $1,094.00 $156.44–$656.40 3% below 52%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID $7,821.90 — $6,112.00–$31,967.77 21% above —
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID $7,821.90 — $719.95 21% above —
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 C/R SCR.COLONOSC-NOT H/R $1,203.21 $3,570.00 $510.51–$2,142.00 9% above 66%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind $1,203.21 — $234.90 9% above —
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind $1,203.21 — $234.90 12% above —
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 C/R SCR.COLONOSC-HIGHRISK $1,203.21 $2,909.00 $415.99–$1,745.40 12% above 59%
Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM $4,289.65 — $619.61 1% below —
Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM $4,289.65 — $3,425.43–$17,531.61 1% below —
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE $4,560.74 — $611.07 4% above —
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 OR,LITHOTRIPSY (ESWL) $4,560.74 $13,125.00 $2,451.00–$18,639.53 4% above 65%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 EN,LITHOTRIPSY(ESWL) $4,560.74 $16,800.00 $2,402.40–$10,080.00 4% above 73%
Short arm cast (elbow to hand) CPT 29075 APPLY CAST-SHORT ARM $361.87 $449.00 $64.21–$269.40 59% below 19%
Short arm cast (elbow to hand) CPT 29075 APPL CST ELBW FNGR SHORT ARM $361.87 — $64.69 59% below —
Short arm splint (forearm and hand) both sides CPT 29125 APPLY SPLINT-STAT.SH.ARM BILAT $172.14 $1,050.00 $150.15–$630.00 — 84%
Short arm splint (forearm and hand) CPT 29125 APPL SHORT ARM SPLINT STATIC $172.14 — $41.03 78% below —
Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT-STAT.SH.ARM $172.14 $837.00 $119.69–$502.20 78% below 79%
Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST $361.87 — $61.97 45% below —
Short leg cast (below the knee) CPT 29405 APPLY CAST-SHORT LEG $361.87 $417.00 $285.73–$1,478.97 45% below 13%
Short leg splint (calf to foot) both sides CPT 29515 APPLY SPLINT LOWER LEG BILAT $210.25 $1,155.00 $165.17–$693.00 — 82%
Short leg splint (calf to foot) CPT 29515 APPLY SPLINT-LOWER LEG $210.25 $847.00 $167.64–$859.28 67% below 75%
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT $210.25 — $51.59 67% below —
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC $4,233.42 — $3,443.75–$17,301.81 9% below —
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC $4,233.42 — $699.81 9% below —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SIMPLE WOUND < 2.5 CM $259.59 $811.00 $213.00–$1,060.92 38% below 68%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< $259.59 — $39.38 38% below —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 OBQ,WOUND REP <2.5CM $259.59 $811.00 $213.00–$3,575.00 38% below 68%
Skin biopsy, punch, one lesion CPT 11104 HB,PUNCH BX SKIN SNGL LESION $525.96 $1,000.00 $143.00–$600.00 2% below 47%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION $525.96 — $43.85 2% below —
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/< $916.20 — $105.70 8% below —
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/< $916.20 — $748.55–$4,299.00 8% below —
Skin tag removal, up to 15 tags CPT 11200 REM.SKIN TAGS,</= 15 LES. $259.59 $524.00 $213.00–$1,060.92 47% below 50%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 $259.59 — $64.94 47% below —
Spinal tap (lumbar puncture), diagnostic CPT 62270 XRAY,SPINAL PUNCTURE W/FLUORO $913.29 $1,612.00 $230.52–$967.20 3% below 43%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCT.LUMBAR,DIAG. $913.29 $1,174.00 $167.88–$704.40 3% below 22%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR $913.29 — $80.69 3% below —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REP.SMP.WND-2.6-7.5 $259.59 $811.00 $213.00–$1,060.92 50% below 68%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM $259.59 — $51.79 50% below —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< $259.59 — $49.06 74% below —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REP.SMP.WND-FACE-2.5CM,< $259.59 $813.00 $213.00–$1,060.92 74% below 68%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) $6,937.27 — $907.99 23% above —
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) $6,937.27 — $5,505.12–$28,352.31 23% above —
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HB,TANGNTL BX SKIN LESION $525.96 $835.00 $119.41–$501.00 3% below 37%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES $525.96 — $34.95 3% below —
Thoracentesis with imaging guidance CPT 32555 CT THORACENT.W/IMAGING GUID. $811.63 $3,950.00 $668.36–$3,575.00 54% below 79%
Thoracentesis with imaging guidance CPT 32555 THORACENT.W/IMAGING GUID. $811.63 $3,950.00 $564.85–$2,370.00 54% below 79%
Thoracentesis with imaging guidance CPT 32555 EN,THORACENTES W/IMAGING $811.63 $3,950.00 $668.36–$3,575.00 54% below 79%
Thoracentesis with imaging guidance CPT 32555 ED,THORACENTES W/IMAG. $811.63 $3,950.00 $668.36–$3,317.08 54% below 79%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING $811.63 — $110.33 54% below —
Thoracentesis with imaging guidance CPT 32555 US THORACENT.W/IMAGING GUID. $811.63 $3,950.00 $564.85–$2,370.00 54% below 79%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS $4,289.65 — $3,425.43–$17,531.61 3% above —
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS $4,289.65 — $305.55 3% above —
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS $7,659.27 — $4,878.00–$31,303.10 17% above —
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS $7,659.27 — $293.95 17% above —
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS $4,289.65 — $255.55 1% below —
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS $4,289.65 — $3,425.43–$17,531.61 1% below —
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS $7,659.27 — $266.37 17% above —
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS $7,659.27 — $4,878.00–$31,303.10 17% above —
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY $16,611.10 — $12,191.00–$67,888.86 163% above —
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY $16,611.10 — $1,399.65 163% above —
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY $16,611.10 — $1,398.91 163% above —
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY $16,611.10 — $12,191.00–$67,888.86 163% above —
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT $22,685.82 — $12,191.00–$92,715.98 259% above —
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT $22,685.82 — $1,504.85 259% above —
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID $7,821.90 — $6,138.83–$31,967.77 21% above —
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID $7,821.90 — $931.27 21% above —
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH $2,080.47 — $1,709.94–$8,502.80 3% below —
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH $2,080.47 — $320.54 3% below —
Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2 $397.14 — $38.98 at median —
Trigger point injections, 1 or 2 muscles CPT 20552 INJ;1/MULT.PTS,MUSCLE/S $397.14 $1,306.00 $315.12–$1,623.11 at median 70%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY $7,821.90 — $378.88 21% above —
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY $7,821.90 — $6,138.83–$31,967.77 21% above —
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG $2,136.89 — $149.59 28% below —
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION US IM LT $2,136.89 $6,500.00 $929.50–$3,900.00 28% below 67%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION US IM RT $2,136.89 $6,500.00 $929.50–$3,900.00 28% below 67%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM $2,482.75 — $163.82 2% below —
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EN,EGD-BALLOON DILATION $2,482.75 $5,814.00 $831.40–$3,488.40 2% below 57%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE $1,173.49 — $147.26 15% below —
Upper endoscopy (EGD) with biopsy CPT 43239 EN,EGD-W/BIOPSY $1,173.49 $3,741.00 $534.96–$2,244.60 15% below 69%
Upper endoscopy (EGD) with biopsy CPT 43239 ER,EGD W/BIOPSY $1,173.49 $3,741.00 $964.43–$4,795.99 15% below 69%
Upper endoscopy (EGD) with injection into the lining CPT 43236 EDG-W/DIR SUBMUCOSAL INJ $1,173.49 $1,806.00 $964.43–$4,795.99 54% below 35%
Upper endoscopy (EGD) with injection into the lining CPT 43236 EN,EGD-W/DIR.SUBMUCOSAL INJ. $1,173.49 $3,048.00 $435.86–$1,828.80 54% below 61%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ $1,173.49 — $147.99 54% below —
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE $2,482.75 — $208.64 2% below —
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EN,EGD-POLYPECT-SNARE $2,482.75 $5,814.00 $831.40–$3,488.40 2% below 57%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EN,EGD-DILAT.W/GUIDE WIRE $1,173.49 $3,529.00 $504.65–$2,117.40 31% below 67%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION $1,173.49 — $177.65 31% below —
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH $1,173.49 — $131.75 46% below —
Upper endoscopy (EGD), diagnostic CPT 43235 EN,EGD-DIAG. - BRUSH WASH $1,173.49 $4,461.00 $637.92–$2,676.60 46% below 74%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAIN CYST $7,854.73 — $6,063.57–$32,101.92 19% above —
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAIN CYST $7,854.73 — $412.51 19% above —
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY $6,937.27 — $5,505.12–$28,352.31 25% above —
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY $6,937.27 — $420.24 25% above —
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY $6,937.27 — $446.12 14% above —
Ureteroscopy with laser stone breaking and stent placement CPT 52356 EN,CYSTO/URETERO W/LITHO $6,937.27 $3,469.00 $496.07–$2,081.40 14% above -100%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) $2,704.61 — $2,167.02–$11,053.61 48% below —
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) $2,704.61 — $246.26 48% below —
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN $4,085.25 — $3,391.25–$16,696.25 16% below —
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN $4,085.25 — $382.26 16% below —
Wart removal, up to 14 warts CPT 17110 DESTRUCTION B9 LES UP TO 14 $259.59 — $213.00–$1,935.00 3% below —
Wart removal, up to 14 warts CPT 17110 DESTRUCTION B9 LES UP TO 14 $259.59 — $61.43 3% below —
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB,DEBRIDE;SKIN & SUBQ $525.96 $1,571.00 $224.65–$942.60 2% below 67%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< $525.96 — $54.24 2% below —
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 EN,DEBRIDE SKIN & SUBCUT TISS $525.96 $1,571.00 $224.65–$942.60 2% below 67%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE;SKIN & SUBCUT. $525.96 $1,571.00 $424.23–$2,149.59 2% below 67%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP $9,388.33 — $7,611.39–$38,369.68 54% above —
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP $9,388.33 — $756.96 54% above —

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs New JerseyOff list
Blood transfusion (giving blood or blood components) CPT 36430 OB_ED BLOOD TRANSFUISON $570.81 $3,093.00 $442.30–$1,855.80 31% below 82%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION $570.81 $3,093.00 $442.30–$1,855.80 31% below 82%
Blood transfusion (giving blood or blood components) CPT 36430 OBSERVE, BLOOD TRANSFUSION $570.81 $3,093.00 $442.30–$1,855.80 31% below 82%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT $570.81 — $37.55 31% below —
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION,BLOOD/COMPON. $570.81 $3,093.00 $442.30–$1,855.80 31% below 82%
Blood transfusion (giving blood or blood components) CPT 36430 EN,TRANSFUSION BLD/BLD COMP $570.81 $3,093.00 $442.30–$1,855.80 31% below 82%
Blood transfusion (giving blood or blood components) CPT 36430 BB,AUTOLOGOUS BLOOD TRANSFUS $570.81 $2,946.00 $421.28–$1,767.60 31% below 81%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT $283.32 — $19.11 26% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TRT,INITIAL(HH) $283.32 $82.00 $11.73–$49.20 26% above -246%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INDUCED SPUTUM,SUBSEQUENT $283.32 $82.00 $11.73–$49.20 26% above -246%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI FOLLOW-UP, 15 MIN. $283.32 $82.00 $11.73–$49.20 26% above -246%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INDUCED SPUTUM,INITIAL $283.32 $91.00 $13.01–$54.60 26% above -211%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TRT,SUBSEQ. $283.32 $82.00 $11.73–$49.20 26% above -246%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT $283.32 $82.00 $11.73–$49.20 26% above -246%
Chemotherapy IV infusion, first hour CPT 96413 MO,CH.ADM-INFUS,1HR,1SUB $427.36 $1,500.00 $214.50–$900.00 3% below 72%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR $427.36 — $97.96 3% below —
Chemotherapy IV infusion, first hour CPT 96413 IV,CH.ADM,IV INFUS;1ST HR,RX $427.36 $1,500.00 $360.32–$1,746.60 3% below 72%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 COMPRE OPH EXAM NEW PT 1/> $172.26 — $68.00 2% below —
Comprehensive eye exam by an eye doctor, new patient CPT 92004 COMPRE OPH EXAM NEW PT 1/> $172.26 — $140.64–$704.00 2% below —
Comprehensive eye exam, returning patient CPT 92014 COMPRE OPH EXAM EST PT 1/> $172.26 — $50.00 21% above —
Comprehensive eye exam, returning patient CPT 92014 COMPRE OPH EXAM EST PT 1/> $172.26 — $140.64–$704.00 21% above —
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST $166.48 — $144.77–$680.40 10% below —
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST $166.48 — $32.40 10% below —
Critical care, first 30 to 74 minutes CPT 99291 ED CRITICAL CARE 1ST HR $1,068.74 $3,675.00 $525.53–$532.14 1% below 71%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR $1,068.74 — $163.16 1% below —
Critical care, first 30 to 74 minutes CPT 99291 NB, CRITICAL CARE 1ST HOUR $1,068.74 $3,675.00 $525.53–$532.14 1% below 71%
Critical care, first 30 to 74 minutes CPT 99291 OB_ED CRITICAL CARE $1,068.74 $3,675.00 $525.53–$532.14 1% below 71%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG - AWAKE & DROWSY $279.37 $1,455.00 $242.93–$1,141.77 19% below 81%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY $279.37 — $367.52 19% below —
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG PORTABLE-AWAKE&DROWSY $279.37 $1,455.00 $242.93–$1,141.77 19% below 81%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG (12 LEAD) $76.33 $445.00 $65.08–$311.94 2% above 83%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING $76.33 — $9.26 2% above —
Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY $1,111.07 — $114.21 89% above —
Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY $1,111.07 — $570.25–$4,540.88 89% above —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP $109.10 — $16.39 50% below —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT-LEVEL (1) MINOR $109.10 $788.00 $112.68 50% below 86%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB_ED LEVEL 1 $109.10 $788.00 $112.68 50% below 86%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM $198.66 — $31.75 33% below —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB_ED LEVEL 2 $198.66 $1,155.00 $165.17 33% below 83%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT-LEVEL (2) LOW $198.66 $1,155.00 $165.17 33% below 83%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB_ED LEVEL 3 $353.19 $1,523.00 $217.79 4% below 77%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM $353.19 — $53.47 4% below —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT-LEVEL (3) MODERATE $353.19 $1,523.00 $217.79 4% below 77%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT-LEVEL (4) HIGH $539.87 $2,205.00 $315.32 2% below 76%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB_ED LEVEL 4 $539.87 $2,205.00 $315.32 2% below 76%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM $539.87 — $90.77 2% below —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT-LEVEL (5) URGENT $770.52 $2,520.00 $360.36 2% below 69%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM $770.52 — $132.29 2% below —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OB_ED LEVEL 5 $770.52 $2,520.00 $360.36 2% below 69%
Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL TOLERANCE TEST $279.37 $1,746.00 $249.68–$1,047.60 30% below 84%
Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST TRACING ONLY $279.37 — $43.95 30% below —
Exercise stress test, tracing only, the hospital charge CPT 93017 NUCLEAR STRESS TEST-W/RX $279.37 $1,746.00 $242.93–$1,141.77 30% below 84%
Eye exam, returning patient, intermediate CPT 92012 INTRM OPH EXAM EST PATIENT $172.26 — $40.00 21% above —
Eye exam, returning patient, intermediate CPT 92012 INTRM OPH EXAM EST PATIENT $172.26 — $140.64–$704.00 21% above —
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN $229.65 — $169.63–$938.57 18% above —
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN $229.65 — $107.26 18% above —
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN $229.65 — $102.85 22% above —
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN $229.65 — $169.63–$938.57 22% above —
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY $131.44 — $94.84–$537.19 21% above —
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY $131.44 — $25.24 21% above —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV,HYDRATION, INITIAL 1ST HR $275.20 $1,000.00 $228.04–$1,124.74 11% above 72%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT $275.20 — $59.00 11% above —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION, INITIAL 1ST HR $275.20 $1,000.00 $143.00–$600.00 11% above 72%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 EN,HYDRATION, INITIAL 1ST HR $275.20 $1,000.00 $228.04–$1,124.74 11% above 72%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 MO,HYDRATION, INITIAL 1ST HR $275.20 $1,000.00 $143.00–$600.00 11% above 72%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OBQ,HYDRATION, INITIAL 1ST HR $275.20 $1,000.00 $228.04–$3,575.00 11% above 72%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB_ED IV HYDRATION 1ST HOUR $275.20 $1,000.00 $143.00–$600.00 11% above 72%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OBSERVE, HYDRATION 1ST HR $275.20 $1,000.00 $143.00–$600.00 11% above 72%
IV infusion of a medicine, first hour CPT 96365 OB_ED INFUSION 1ST HOUR $275.20 $1,000.00 $143.00–$600.00 5% above 72%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT $275.20 — $71.25 5% above —
IV infusion of a medicine, first hour CPT 96365 ED,THERAPEUTIC INFUS DX - 1 HR $275.20 $1,000.00 $143.00–$600.00 5% above 72%
IV infusion of a medicine, first hour CPT 96365 EN,THERAPEUTIC INFUS DX - 1 HR $275.20 $1,000.00 $228.04–$1,124.74 5% above 72%
IV infusion of a medicine, first hour CPT 96365 MO,THERAPEUTIC INFUS DX - 1HR $275.20 $1,000.00 $143.00–$600.00 5% above 72%
IV infusion of a medicine, first hour CPT 96365 OBSERVE, THERAPUTIC INFUS 1HR $275.20 $1,000.00 $143.00–$600.00 5% above 72%
IV infusion of a medicine, first hour CPT 96365 IV,THERAPEUTIC INFUS DX - 1HR $275.20 $1,000.00 $228.04–$1,124.74 5% above 72%
IV infusion of a medicine, first hour CPT 96365 OBQ,THRAPEUTIC INFUS DX-1HR $275.20 $1,000.00 $228.04–$3,575.00 5% above 72%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH $275.20 — $58.22 18% above —
IV push of a medicine, first drug CPT 96374 OBSERVE, IV PUSH 1 SUB $275.20 $1,000.00 $143.00–$600.00 18% above 72%
IV push of a medicine, first drug CPT 96374 IV,INJ,TH/PROPH/DX;PUSH,1SUB $275.20 $1,000.00 $143.00–$600.00 18% above 72%
IV push of a medicine, first drug CPT 96374 OB_ED IV PUSH 1ST MED $275.20 $1,000.00 $143.00–$600.00 18% above 72%
IV push of a medicine, first drug CPT 96374 OBQ,IV PUSH INIT SUB NEW DRUG $275.20 $1,000.00 $228.04–$3,575.00 18% above 72%
IV push of a medicine, first drug CPT 96374 MO,INJ,TH/PR/DX,PUSH;1SUB $275.20 $1,000.00 $143.00–$600.00 18% above 72%
IV push of a medicine, first drug CPT 96374 EN,ENDO-IV INJ,T/P/DX-PUSH,1 $275.20 $1,000.00 $228.04–$3,575.00 18% above 72%
IV push of a medicine, first drug CPT 96374 IV PUSH,INITIAL SUB/DRUG $275.20 $1,000.00 $143.00–$600.00 18% above 72%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM $93.16 — $25.66 11% above —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED,INJ,THER/PROPH/DX SC/IM $93.16 $1,000.00 $143.00–$600.00 11% above 91%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IV,INJ,THER/PROPH/DX SC/IM $93.16 $1,000.00 $143.00–$600.00 11% above 91%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 EN,INJ,THER/PROPH/DX SC/IM $93.16 $1,000.00 $74.95–$380.73 11% above 91%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 MO,INJ,THER/PROPH/DX SC/IM $93.16 $1,000.00 $143.00–$600.00 11% above 91%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OBQ,INJ,THER/PROPH/DX SC/IM $93.16 $1,000.00 $143.00–$600.00 11% above 91%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB_ED RHOGAM ADMINISTRATION $93.16 $1,000.00 $143.00–$600.00 11% above 91%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB_ED IM/SUB Q INJECTION $93.16 $1,000.00 $143.00–$600.00 11% above 91%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OBSERVE, INJECTION IM $93.16 $1,000.00 $143.00–$600.00 11% above 91%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB,INJECTION, IM $93.16 $1,000.00 $143.00–$600.00 11% above 91%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PN,INJ,THER/PROPH/DX SC/IM $93.16 $1,000.00 $143.00–$600.00 11% above 91%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION $229.65 — $169.63–$938.57 21% above —
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION $229.65 — $162.81 21% above —
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES $482.80 — $333.94–$1,973.20 40% above —
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES $482.80 — $187.60 40% above —
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS $229.65 — $186.26 21% above —
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS $229.65 — $169.63–$938.57 21% above —
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST $279.37 — $242.93–$1,141.77 19% below —
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST $279.37 — $107.57 19% below —
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN $229.65 — $169.63–$938.57 21% above —
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN $229.65 — $135.10 21% above —
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES $229.65 — $71.70 29% above —
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES $229.65 — $169.63–$938.57 29% above —
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES $229.65 — $95.13 29% above —
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES $229.65 — $169.63–$938.57 29% above —
Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES $229.65 — $139.74 29% above —
Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES $229.65 — $169.63–$938.57 29% above —
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN $48.48 — $30.53–$198.13 47% above —
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN $48.48 — $10.27 47% above —
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST $279.37 — $166.19–$1,141.77 50% above —
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST $279.37 — $37.27 50% above —
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING $482.80 — $62.81 40% above —
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING $482.80 — $333.94–$1,973.20 40% above —
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 TCRANIAL MAGN STIM TX PLAN $279.37 — $242.93–$1,141.77 — —
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 TCRANIAL MAGN STIM TX PLAN $279.37 — $250.00 — —
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY $172.14 $824.00 $117.83–$494.40 8% above 79%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY $172.14 — $103.44 8% above —
Visual field test, extended CPT 92083 EXTENDED VISUAL FIELD XM $172.14 — $69.54 54% below —
Visual field test, extended CPT 92083 EXTENDED VISUAL FIELD XM $172.14 — $135.91–$703.54 54% below —

Vaccines

ProcedureCash priceList priceInsurers payvs New JerseyOff list
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM $362.49 — $322.77 at median —
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM $362.49 — $315.21–$1,481.49 at median —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN.OF IMMUNIZATION,ONE $93.16 $75.00 $10.73–$45.00 29% above -24%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OBS-I/P-VACCINE ADMIN.1 $93.16 $75.00 $74.95–$3,575.00 29% above -24%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN $93.16 — $10.00 29% above —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN.OF IMMUN,1 (HEP B) $93.16 $75.00 $74.95–$3,575.00 29% above -24%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MO,ADMIN.IMMUNIZATION,1ST $93.16 $75.00 $10.73–$45.00 29% above -24%

Dental

ProcedureCash priceList priceInsurers payvs New JerseyOff list
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 Periodontal scaling & root $836.45 — $727.34–$3,418.52 55% below —
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 Periodontal scaling & root $836.45 — $97.29 55% below —
Porcelain crown CDT D2740 Crown porcelain/ceramic $836.45 — $460.01 55% below —
Porcelain crown CDT D2740 Crown porcelain/ceramic $836.45 — $727.34–$3,418.52 55% below —
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 Impact tooth remov comp bony $836.45 — $193.53 55% below —
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 Impact tooth remov comp bony $836.45 — $727.34–$3,418.52 55% below —
Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 End thxpy, molar tooth $836.45 — $727.34–$3,418.52 55% below —
Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 End thxpy, molar tooth $836.45 — $397.48 55% below —
Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 Dental prophylaxis adult $172.26 — $37.58 21% above —
Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 Dental prophylaxis adult $172.26 — $140.64–$704.00 21% above —
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Extraction erupted tooth/exr $836.45 — $727.34–$3,418.52 55% below —
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Extraction erupted tooth/exr $836.45 — $55.95 55% below —
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://shoremedical.pt.panaceainc.com/MRFDownload/shoremedical/shoremedicalcenter