Hospital Merced, CA

Dignity Health

Dignity Health in Merced, CA publishes cash prices for 279 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 214 of 276 procedures and above it for 60. By typical cash price it ranks #32 of 168 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

333 Mercy Ave., Merced, CA 95340 Collected Sep 27, 2026 Source price file (209) 564-5000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 050444 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US DOP ART EXT 1-2 LVL BI	$195.19	$379.00	$59.79–$13,394.00	—	48%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US DOP ART EXT 1-2 LVL BI	$195.19	$379.00	$227.40–$356.26	—	48%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPH SCOUT CHST W CON	$271.41	$527.00	$54.64–$527.00	49% below	48%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPH SCOUT CHST W CON	$1,084.59	$2,106.00	$1,263.60–$1,979.64	—	49%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT WHOLE BODY	$788.47	$1,531.00	$202.29–$1,531.00	63% below	48%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT WHOLE BODY	$3,155.41	$6,127.00	$3,676.20–$5,759.38	—	48%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CON	$1,236.00	$2,400.00	$226.19–$3,716.00	60% below	49%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W CON	$5,618.14	$10,909.00	$6,545.40–$10,254.46	—	48%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT/COR ART 3D W	$209.09	$406.00	$239.41–$453.77	92% below	49%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT/COR ART 3D W	$456.29	$886.00	$531.60–$832.84	—	49%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT EVAL COR CA WO CON	$82.40	$160.00	$81.33–$160.00	74% below	49%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT EVAL COR CA WO CON	$103.00	$200.00	$120.00–$188.00	—	49%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CON	$270.38	$525.00	$174.31–$3,716.00	90% below	48%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CON	$2,704.78	$5,252.00	$3,151.20–$4,936.88	—	49%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CON	$463.50	$900.00	$281.80–$3,716.00	88% below	49%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CON	$3,864.05	$7,503.00	$4,501.80–$7,052.82	—	48%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WWO CON	$502.13	$975.00	$319.24–$3,716.00	89% below	48%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WWO CON	$4,713.80	$9,153.00	$5,491.80–$8,603.82	—	48%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON	$329.09	$639.00	$226.19–$3,716.00	85% below	48%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON	$2,980.31	$5,787.00	$3,472.20–$5,439.78	—	48%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON	$213.21	$414.00	$135.12–$3,716.00	89% below	49%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON	$1,936.92	$3,761.00	$2,256.60–$3,535.34	—	48%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CON	$746.24	$1,449.00	$135.12–$3,716.00	66% below	48%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CON	$4,145.24	$8,049.00	$4,829.40–$7,566.06	—	48%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CON	$1,006.83	$1,955.00	$135.12–$3,716.00	56% below	48%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CON	$4,377.50	$8,500.00	$5,100.00–$7,990.00	—	49%
CT scan of the head with contrast CPT 70460 CT HEAD W CON	$1,400.80	$2,720.00	$204.88–$3,716.00	48% below	49%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CON	$5,734.01	$11,134.00	$6,680.40–$10,465.96	—	49%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO AND W CON	$1,619.68	$3,145.00	$226.19–$3,716.00	42% below	48%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO AND W CON	$7,179.10	$13,940.00	$8,364.00–$13,103.60	—	49%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON	$1,289.56	$2,504.00	$135.12–$3,716.00	54% below	49%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON	$4,961.00	$9,633.00	$5,779.80–$9,055.02	—	48%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON	$1,300.38	$2,525.00	$135.12–$3,716.00	55% below	48%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON	$5,653.67	$10,978.00	$6,586.80–$10,319.32	—	49%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON	$1,734.52	$3,368.00	$226.19–$3,716.00	32% below	49%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON	$7,327.94	$14,229.00	$8,537.40–$13,375.26	—	48%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DPLX EXTRACRAN CMP BIL	$703.49	$1,366.00	$179.75–$13,394.00	42% below	49%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DPLX EXTRACRAN CMP BIL	$1,675.30	$3,253.00	$1,951.80–$3,057.82	—	48%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$193.64	$376.00	$27.47–$376.00	50% below	49%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$807.52	$1,568.00	$940.80–$1,473.92	—	49%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$145.23	$282.00	$17.65–$266.41	57% below	49%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW	$621.61	$1,207.00	$724.20–$1,134.58	—	48%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPL	$373.89	$726.00	$115.78–$726.00	56% below	49%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPL	$1,437.37	$2,791.00	$1,674.60–$2,623.54	—	48%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY(DXA)AXAL	$82.92	$161.00	$34.27–$161.00	82% below	48%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY(DXA)AXAL	$245.66	$477.00	$286.20–$448.38	—	48%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY(DXA)APEND	$49.96	$97.00	$25.10–$111.88	81% below	48%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENSITY(DXA)APEND	$109.18	$212.00	$127.20–$199.28	—	49%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG+DETL SNGL1ST GEST	$89.61	$174.00	$111.36–$307.13	89% below	49%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG+DETL SNGL1ST GEST	$193.64	$376.00	$225.60–$353.44	—	49%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CON	$597.92	$1,161.00	$135.12–$3,716.00	67% below	48%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CON	$2,542.04	$4,936.00	$2,961.60–$4,639.84	—	49%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CON	$1,196.35	$2,323.00	$226.19–$3,716.00	49% below	48%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CON	$4,984.69	$9,679.00	$5,807.40–$9,098.26	—	48%
Diagnostic mammogram, both breasts CPT 77066 MA MAMMO DIAG W CAD BIL	$147.29	$286.00	$141.68–$286.00	64% below	49%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA MAMMO DIAG W CAD BIL	$524.27	$1,018.00	$610.80–$956.92	—	49%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX ART LOW EXT BIL	$645.81	$1,254.00	$111.16–$13,394.00	33% below	49%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US V DPLX ART LOW EXT BIL	$4,460.42	$8,661.00	$111.16–$13,394.00	362% above	48%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUPLEX ART LOW EXT BIL	$1,467.24	$2,849.00	$1,709.40–$2,678.06	—	48%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US V DPLX ART LOW EXT BIL	$4,460.42	$8,661.00	$5,196.60–$8,141.34	—	48%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VENOUS EXT BIL	$1,410.07	$2,738.00	$193.06–$13,394.00	25% above	49%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DUPLEX VENOUS EXT BIL	$3,083.31	$5,987.00	$3,592.20–$5,627.78	—	48%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 RHC TTE W/DOPPLER COMPLET	$1,913.74	$3,716.00	$239.76–$13,394.00	21% below	49%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$3,828.00	$7,433.00	$239.76–$13,394.00	58% above	48%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 RHC TTE W/DOPPLER COMPLET	$1,913.74	$3,716.00	$2,229.60–$3,493.04	—	49%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE	$3,828.00	$7,433.00	$4,459.80–$6,987.02	—	48%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM	$578.35	$1,123.00	$291.01–$1,123.00	62% below	48%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM	$2,639.89	$5,126.00	$3,075.60–$4,818.44	—	49%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN WO CON LTD	$1,713.92	$3,328.00	$87.13–$3,128.32	107% above	49%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN WO CON LTD	$1,713.92	$3,328.00	$1,996.80–$3,128.32	—	49%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREEN LOW DOSE	$199.31	$387.00	$116.10–$3,716.00	50% below	48%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREEN LOW DOSE	$448.57	$871.00	$522.60–$818.74	—	48%
MRI of the abdomen without contrast CPT 74181 MR CHOLANGIO MRCP WO CON	$1,340.03	$2,602.00	$273.91–$5,539.00	49% below	49%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CON	$1,403.89	$2,726.00	$273.91–$5,539.00	47% below	49%
MRI of the abdomen without contrast inpatient CPT 74181 MR CHOLANGIO MRCP WO CON	$6,381.88	$12,392.00	$7,435.20–$11,648.48	—	49%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CON	$6,637.32	$12,888.00	$7,732.80–$12,114.72	—	49%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WO AND W CON	$1,212.31	$2,354.00	$333.52–$5,539.00	72% below	49%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WO AND W CON	$8,870.88	$17,225.00	$10,335.00–$16,191.50	—	48%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON	$1,742.25	$3,383.00	$272.77–$5,539.00	33% below	48%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON	$6,969.50	$13,533.00	$8,119.80–$12,721.02	—	48%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WO AND W CON	$2,090.90	$4,060.00	$446.18–$5,539.00	44% below	49%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WO AND W CON	$8,433.13	$16,375.00	$9,825.00–$15,392.50	—	48%
MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO CON	$1,160.81	$2,254.00	$266.80–$5,539.00	54% below	49%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE WO CON	$2,579.64	$5,009.00	$3,005.40–$4,708.46	—	48%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPINE WO AND W CON	$1,986.36	$3,857.00	$447.95–$5,539.00	50% below	48%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPINE WO AND W CON	$4,308.49	$8,366.00	$5,019.60–$7,864.04	—	49%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE WO CON	$1,065.02	$2,068.00	$265.87–$5,539.00	55% below	49%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPINE WO CON	$2,413.81	$4,687.00	$2,812.20–$4,405.78	—	48%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPINE WO AND W CON	$1,766.45	$3,430.00	$449.31–$5,539.00	56% below	49%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPINE WO AND W CON	$3,831.60	$7,440.00	$4,464.00–$6,993.60	—	49%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO CON	$1,032.58	$2,005.00	$266.30–$5,539.00	59% below	48%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE WO CON	$2,294.33	$4,455.00	$2,673.00–$4,187.70	—	48%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WO AND W CON	$2,106.35	$4,090.00	$332.91–$5,539.00	38% below	49%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WO AND W CON	$10,531.24	$20,449.00	$12,269.40–$19,222.06	—	48%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CON	$736.97	$1,431.00	$226.34–$5,539.00	65% below	48%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CON	$1,474.45	$2,863.00	$1,717.80–$2,691.22	—	48%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCAR SPECT WALL MULT	$1,190.17	$2,311.00	$348.12–$2,311.00	68% below	48%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCAR SPECT WALL MULT	$4,759.63	$9,242.00	$5,545.20–$8,687.48	—	49%
OCT scan of the retina (optical coherence tomography) both sides CPT 92134 IMG OPH RET POS DX UNI/BI	$91.16	$177.00	$37.01–$11,953.00	—	48%
OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 IMG OPH RET POS DX UNI/BI	$91.16	$177.00	$106.20–$166.38	—	48%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W CT SKULL MID THIGH	$2,771.22	$5,381.00	$1,853.28–$5,381.00	53% below	48%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W CT SKULL MID THIGH	$2,799.03	$5,435.00	$3,261.00–$5,108.90	—	48%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 RHC US PELV NONOB LTD F/U	$148.32	$288.00	$60.49–$288.00	71% below	49%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LTD F/U	$642.21	$1,247.00	$60.49–$1,172.18	24% above	48%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 RHC US PELV NONOB LTD F/U	$148.32	$288.00	$172.80–$270.72	—	49%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LTD F/U	$642.21	$1,247.00	$748.20–$1,172.18	—	48%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB COMP	$329.60	$640.00	$97.04–$640.00	65% below	49%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB COMP	$1,646.97	$3,198.00	$1,918.80–$3,006.12	—	49%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG=>14WK SNG 1ST GES	$745.21	$1,447.00	$135.12–$1,360.18	2% above	48%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG=>14WK SNG 1ST GES	$745.21	$1,447.00	$868.20–$1,360.18	—	48%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG<14WK SNGL1ST GEST	$398.10	$773.00	$78.42–$726.62	43% below	48%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG<14WK SNGL1ST GEST	$642.21	$1,247.00	$748.20–$1,172.18	—	48%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1 OR >FETUSES LTD	$313.12	$608.00	$90.30–$608.00	38% below	49%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1 OR >FETUSES LTD	$313.12	$608.00	$364.80–$571.52	—	49%
Screening mammogram, both breasts CPT 77067 MA MAMMO SCREEN W CAD BIL	$132.87	$258.00	$117.47–$258.00	49% below	49%
Screening mammogram, both breasts inpatient CPT 77067 MA MAMMO SCREEN W CAD BIL	$475.35	$923.00	$553.80–$867.62	—	48%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STR TEST COMP W ECG	$830.70	$1,613.00	$247.29–$13,394.00	53% below	48%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO STR TEST COMP W ECG	$830.70	$1,613.00	$967.80–$1,516.22	—	48%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWL FNC/CN/VD/SCT WCON	$296.13	$575.00	$74.46–$575.00	49% below	48%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWL FNC/CN/VD/SCT WCON	$1,409.04	$2,736.00	$1,641.60–$2,571.84	—	49%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$236.90	$460.00	$97.04–$460.00	58% below	49%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$1,183.47	$2,298.00	$1,378.80–$2,160.12	—	49%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL	$213.21	$414.00	$82.17–$414.00	63% below	49%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL	$1,422.43	$2,762.00	$1,657.20–$2,596.28	—	49%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE WO CON	$513.97	$998.00	$119.34–$998.00	48% below	49%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE WO CON	$2,227.89	$4,326.00	$2,595.60–$4,066.44	—	49%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$1,698.47	$3,298.00	$85.75–$3,100.12	91% above	49%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$1,698.47	$3,298.00	$1,978.80–$3,100.12	—	49%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISS HEAD NECK	$1,333.85	$2,590.00	$85.69–$2,434.60	61% above	49%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISS HEAD NECK	$1,333.85	$2,590.00	$1,554.00–$2,434.60	—	49%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SCOUT ABD W CON	$93.22	$181.00	$115.84–$226.19	85% below	48%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI/SCOUT ABD W CON	$202.91	$394.00	$236.40–$370.36	—	49%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX VENOUS EXT UNI	$864.69	$1,679.00	$97.03–$13,394.00	2% above	48%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUPLEX VENOUS EXT UNI	$1,880.27	$3,651.00	$2,190.60–$3,431.94	—	48%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW	$137.51	$267.00	$24.60–$267.00	54% below	48%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW	$572.68	$1,112.00	$667.20–$1,045.28	—	49%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2 OR 3 VW	$234.84	$456.00	$43.45–$428.64	49% below	49%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2 OR 3 VW	$979.53	$1,902.00	$1,141.20–$1,787.88	—	49%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+ VIEWS	$313.64	$609.00	$62.90–$581.56	47% below	48%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+ VIEWS	$1,342.09	$2,606.00	$1,563.60–$2,449.64	—	49%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS	$155.02	$301.00	$40.22–$301.00	57% below	48%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS	$610.79	$1,186.00	$711.60–$1,114.84	—	49%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+ VIEWS	$211.15	$410.00	$35.56–$385.40	44% below	49%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3+ VIEWS	$845.12	$1,641.00	$984.60–$1,542.54	—	48%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3 VW	$228.66	$444.00	$37.27–$417.36	47% below	49%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3 VW	$1,088.71	$2,114.00	$1,268.40–$1,987.16	—	49%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$156.05	$303.00	$31.01–$303.00	57% below	48%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS	$624.70	$1,213.00	$727.80–$1,140.22	—	48%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ VWS	$238.45	$463.00	$35.89–$435.22	44% below	48%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ VWS	$917.22	$1,781.00	$1,068.60–$1,674.14	—	48%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-FIBRO V 2005661B	$8.76	$17.00	$4.93–$17.00	80% below	48%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT	$62.32	$121.00	$5.30–$116.16	45% above	48%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-FIBRO V 2005661B	$8.76	$17.00	$10.20–$15.98	—	48%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT	$62.32	$121.00	$72.60–$113.74	—	48%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-FIBRO V 2005661A	$8.76	$17.00	$4.93–$17.00	80% below	48%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT	$62.32	$121.00	$5.18–$114.82	41% above	48%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-FIBRO V 2005661A	$8.76	$17.00	$10.20–$15.98	—	48%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT	$62.32	$121.00	$72.60–$113.74	—	48%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 H-HEPATITIS PNL 8216	$28.33	$55.00	$15.95–$55.00	88% below	48%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$261.11	$507.00	$47.63–$507.00	7% above	48%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 BM-ACUTE HEPATITIS PANEL	$574.74	$1,116.00	$47.63–$1,049.04	136% above	49%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 H-HEPATITIS PNL 8216	$28.33	$55.00	$33.00–$51.70	—	48%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$261.11	$507.00	$304.20–$476.58	—	48%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 BM-ACUTE HEPATITIS PANEL	$574.74	$1,116.00	$669.60–$1,049.04	—	49%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-Q-ALLERGN ASPRGILUS SP	$26.78	$52.00	$5.22–$52.00	222% above	49%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-Q-ALLERGN ASPRGILUS SP	$26.78	$52.00	$31.20–$48.88	—	49%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-RA PNL 3016634A	$11.67	$22.66	$6.58–$22.66	42% below	48%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-RA PNL 3016634A	$11.67	$22.66	$13.60–$21.31	—	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 H-ANA ANTINUCAB BLOOD8005	$8.24	$16.00	$4.64–$16.00	76% below	49%
Antinuclear antibody (ANA) blood test, screen CPT 86038 H-CENTROMERE AB 8009	$15.57	$30.23	$8.77–$30.23	55% below	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-Q-ANA AB PLEURAL FLUID	$25.75	$50.00	$12.09–$50.00	26% below	49%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-Q-ANA SCREEN IFA	$28.33	$55.00	$12.09–$55.00	19% below	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 H-ANA REFLEX T 8100	$47.90	$93.00	$12.09–$93.00	37% above	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 H-ANA ANTINUCAB BLOOD8005	$8.24	$16.00	$9.60–$15.04	—	49%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 H-CENTROMERE AB 8009	$15.57	$30.23	$18.14–$28.42	—	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-Q-ANA AB PLEURAL FLUID	$25.75	$50.00	$30.00–$47.00	—	49%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-Q-ANA SCREEN IFA	$28.33	$55.00	$33.00–$51.70	—	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 H-ANA REFLEX T 8100	$47.90	$93.00	$55.80–$87.42	—	48%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL-A-PRO BNP 50083	$18.03	$35.00	$10.15–$35.00	90% below	48%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$342.99	$666.00	$30.15–$666.00	94% above	49%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 RL-A-PRO BNP 50083	$18.03	$35.00	$21.00–$32.90	—	48%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$342.99	$666.00	$399.60–$626.04	—	49%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$292.01	$567.00	$8.46–$532.98	51% above	48%
Basic metabolic panel (blood test) CPT 80048 SJM-BASIC METABOLIC PANEL	$388.83	$755.00	$8.46–$709.70	101% above	48%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$292.01	$567.00	$340.20–$532.98	—	48%
Basic metabolic panel (blood test) inpatient CPT 80048 SJM-BASIC METABOLIC PANEL	$388.83	$755.00	$453.00–$709.70	—	48%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-DP-LEVEL IV GM	$19.50	$37.86	$24.24–$67.89	87% below	48%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-YP-GROSS MIC LEVEL IV	$25.53	$49.56	$31.72–$67.89	83% below	48%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-DV-GROSS/MICROSCP EXAM	$74.64	$144.93	$58.80–$144.93	51% below	48%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-MD-GROS MICRO LVL IV	$138.02	$268.00	$58.80–$268.00	9% below	49%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-DP-LEVEL IV GM	$19.50	$37.86	$22.72–$35.59	—	48%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-YP-GROSS MIC LEVEL IV	$25.53	$49.56	$29.74–$46.59	—	48%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-DV-GROSS/MICROSCP EXAM	$74.64	$144.93	$86.96–$136.24	—	48%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-MD-GROS MICRO LVL IV	$138.02	$268.00	$160.80–$251.92	—	49%
Blood culture for bacteria CPT 87040 SJM-CULT BLOOD	$287.37	$558.00	$10.32–$524.52	19% above	49%
Blood culture for bacteria CPT 87040 CULT BLOOD	$297.16	$577.00	$10.32–$542.38	23% above	48%
Blood culture for bacteria CPT 87040 BM-CULT BLOOD	$304.88	$592.00	$10.32–$556.48	27% above	49%
Blood culture for bacteria inpatient CPT 87040 SJM-CULT BLOOD	$287.37	$558.00	$334.80–$524.52	—	49%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD	$297.16	$577.00	$346.20–$542.38	—	48%
Blood culture for bacteria inpatient CPT 87040 BM-CULT BLOOD	$304.88	$592.00	$355.20–$556.48	—	49%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ER CONTRACT	$15.97	$31.00	$3.60–$16,506.00	34% below	48%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE OP	$28.33	$55.00	$3.60–$16,506.00	17% above	48%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ER CONTRACT	$15.97	$31.00	$18.60–$29.14	—	48%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE OP	$28.33	$55.00	$33.00–$51.70	—	48%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$40.69	$79.00	$3.93–$79.00	8% above	48%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD NONL	$146.26	$284.00	$3.93–$266.96	290% above	49%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD LAB	$275.53	$535.00	$3.93–$502.90	634% above	48%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD	$40.69	$79.00	$47.40–$74.26	—	48%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD NONL	$146.26	$284.00	$170.40–$266.96	—	49%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD LAB	$275.53	$535.00	$321.00–$502.90	—	48%
Blood lead test CPT 83655 RL-A-LEAD U 25060	$5.31	$10.31	$2.99–$10.31	63% below	48%
Blood lead test CPT 83655 RL-A-HY MET U 99475B	$5.89	$11.43	$3.32–$11.43	59% below	48%
Blood lead test CPT 83655 RL-Q-LEAD URINE/BLOOD	$9.56	$18.55	$5.38–$18.55	33% below	48%
Blood lead test CPT 83655 RHC LEAD NONL	$12.36	$24.00	$6.96–$24.00	13% below	49%
Blood lead test inpatient CPT 83655 RL-A-LEAD U 25060	$5.31	$10.31	$6.19–$9.70	—	48%
Blood lead test inpatient CPT 83655 RL-A-HY MET U 99475B	$5.89	$11.43	$6.86–$10.75	—	48%
Blood lead test inpatient CPT 83655 RL-Q-LEAD URINE/BLOOD	$9.56	$18.55	$11.13–$17.44	—	48%
Blood lead test inpatient CPT 83655 RHC LEAD NONL	$12.36	$24.00	$14.40–$22.56	—	49%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL URINE LAB	$16.48	$32.00	$7.52–$32.00	89% below	49%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SJM-HCG PREG QL SERUM	$78.28	$152.00	$7.52–$152.00	49% below	49%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL SERUM	$129.78	$252.00	$7.52–$236.88	15% below	49%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL	$180.25	$350.00	$7.52–$329.00	18% above	49%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL URINE LAB	$16.48	$32.00	$19.20–$30.08	—	49%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SJM-HCG PREG QL SERUM	$78.28	$152.00	$91.20–$142.88	—	49%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL SERUM	$129.78	$252.00	$151.20–$236.88	—	49%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL	$180.25	$350.00	$210.00–$329.00	—	49%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-BC-ABORH A	$14.87	$28.87	$3.41–$163.78	81% below	48%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$79.31	$154.00	$3.41–$163.78	3% above	49%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-BC-ABORH A	$14.87	$28.87	$17.33–$27.14	—	48%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$79.31	$154.00	$92.40–$144.76	—	49%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$74.16	$144.00	$5.18–$135.36	58% above	49%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$74.16	$144.00	$86.40–$135.36	—	49%
C. difficile toxin gene test (stool PCR) CPT 87493 SJM-CLOS DIF TXN AMP PRB	$48.41	$94.00	$27.26–$94.00	68% below	49%
C. difficile toxin gene test (stool PCR) CPT 87493 BM-CLOS DIFF TOXIN AMP PB	$59.74	$116.00	$28.64–$116.00	61% below	49%
C. difficile toxin gene test (stool PCR) CPT 87493 IA CLOS DIFF TOXN AMP PRB	$67.47	$131.00	$28.64–$131.00	56% below	48%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 SJM-CLOS DIF TXN AMP PRB	$48.41	$94.00	$56.40–$88.36	—	49%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 BM-CLOS DIFF TOXIN AMP PB	$59.74	$116.00	$69.60–$109.04	—	49%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 IA CLOS DIFF TOXN AMP PRB	$67.47	$131.00	$78.60–$123.14	—	48%
CA 19-9 blood test (tumor marker) CPT 86301 H-CA 19 98055	$74.16	$144.00	$18.50–$144.00	49% above	49%
CA 19-9 blood test (tumor marker) CPT 86301 IA TUMOR AG CA 19-9	$121.54	$236.00	$18.50–$236.00	145% above	49%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 H-CA 19 98055	$74.16	$144.00	$86.40–$135.36	—	49%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IA TUMOR AG CA 19-9	$121.54	$236.00	$141.60–$221.84	—	49%
CA-125 blood test (ovarian cancer marker) CPT 86304 H-CA 125 8051	$74.16	$144.00	$18.50–$144.00	22% below	49%
CA-125 blood test (ovarian cancer marker) CPT 86304 IA TUMOR AG CA 125	$110.73	$215.00	$18.50–$215.00	17% above	48%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 H-CA 125 8051	$74.16	$144.00	$86.40–$135.36	—	49%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IA TUMOR AG CA 125	$110.73	$215.00	$129.00–$202.10	—	48%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL-A-COVID19NAA 3002638	$38.53	$74.80	$21.70–$74.80	45% below	48%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 H-COVID-19 6631 & 6639	$51.50	$100.00	$29.00–$100.00	26% below	49%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL-A-COVID19NAA 3002638	$38.53	$74.80	$44.88–$70.32	—	48%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 H-COVID-19 6631 & 6639	$51.50	$100.00	$60.00–$94.00	—	49%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 H-CHLAMYDIA 8089	$61.80	$120.00	$34.80–$120.00	13% above	49%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IA CHLAMYD TRACH AMP PRB	$163.26	$317.00	$35.09–$317.00	199% above	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 H-CHLAMYDIA 8089	$61.80	$120.00	$72.00–$112.80	—	49%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 IA CHLAMYD TRACH AMP PRB	$163.26	$317.00	$190.20–$297.98	—	48%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-LIPOELECT 80503B	$10.48	$20.34	$5.90–$20.34	90% below	48%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$163.26	$317.00	$13.39–$297.98	61% above	48%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 SJM-LIPID PANEL	$324.45	$630.00	$13.39–$592.20	220% above	49%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-LIPOELECT 80503B	$10.48	$20.34	$12.21–$19.12	—	48%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$163.26	$317.00	$190.20–$297.98	—	48%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 SJM-LIPID PANEL	$324.45	$630.00	$378.00–$592.20	—	49%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF	$163.26	$317.00	$7.77–$297.98	47% above	48%
Complete blood count (CBC) with differential CPT 85025 SJM-CBC AUTO W DIFF	$225.06	$437.00	$7.77–$410.78	103% above	48%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF	$163.26	$317.00	$190.20–$297.98	—	48%
Complete blood count (CBC) with differential inpatient CPT 85025 SJM-CBC AUTO W DIFF	$225.06	$437.00	$262.20–$410.78	—	48%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF	$78.80	$153.00	$6.47–$143.82	4% above	48%
Complete blood count (CBC), no differential CPT 85027 SJM-CBC AUTO WO DIFF	$239.99	$466.00	$6.47–$438.04	216% above	49%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF	$78.80	$153.00	$91.80–$143.82	—	48%
Complete blood count (CBC), no differential inpatient CPT 85027 SJM-CBC AUTO WO DIFF	$239.99	$466.00	$279.60–$438.04	—	49%
Comprehensive metabolic panel (blood test) CPT 80053 SJM-COMP METABOLIC PNL	$479.98	$932.00	$10.56–$876.08	88% above	49%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$550.02	$1,068.00	$10.56–$1,003.92	115% above	49%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 SJM-COMP METABOLIC PNL	$479.98	$932.00	$559.20–$876.08	—	49%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL	$550.02	$1,068.00	$640.80–$1,003.92	—	49%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QN	$142.66	$277.00	$10.18–$260.38	19% above	48%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QN	$142.66	$277.00	$166.20–$260.38	—	48%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$159.65	$310.00	$27.94–$310.00	155% above	49%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL	$159.65	$310.00	$186.00–$291.40	—	49%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE	$167.89	$326.00	$18.58–$326.00	90% above	49%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMONE	$167.89	$326.00	$195.60–$306.44	—	49%
Fecal calprotectin (stool inflammation test) CPT 83993 RL-A-CALPRO FEC 3002859	$20.60	$40.00	$11.60–$40.00	72% below	49%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL-A-CALPRO FEC 3002859	$20.60	$40.00	$24.00–$37.60	—	49%
Ferritin blood test (iron stores) CPT 82728 H-FERRITIN 7577	$55.62	$108.00	$13.63–$108.00	34% below	49%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$175.62	$341.00	$13.63–$320.54	110% above	48%
Ferritin blood test (iron stores) inpatient CPT 82728 H-FERRITIN 7577	$55.62	$108.00	$64.80–$101.52	—	49%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$175.62	$341.00	$204.60–$320.54	—	48%
Folate (folic acid) blood test CPT 82746 H-FOLATE SERUM 7579	$39.14	$76.00	$14.70–$76.00	54% below	49%
Folate (folic acid) blood test CPT 82746 BM-FOLIC ACID SERUM	$91.16	$177.00	$14.70–$177.00	6% above	48%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$103.00	$200.00	$14.70–$200.00	20% above	49%
Folate (folic acid) blood test inpatient CPT 82746 H-FOLATE SERUM 7579	$39.14	$76.00	$45.60–$71.44	—	49%
Folate (folic acid) blood test inpatient CPT 82746 BM-FOLIC ACID SERUM	$91.16	$177.00	$106.20–$166.38	—	48%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$103.00	$200.00	$120.00–$188.00	—	49%
Free T3 thyroid hormone test CPT 84481 H-T3 FREE 7843	$44.81	$87.00	$16.94–$87.00	29% below	48%
Free T3 thyroid hormone test inpatient CPT 84481 H-T3 FREE 7843	$44.81	$87.00	$52.20–$81.78	—	48%
Free T4 (free thyroxine) thyroid blood test CPT 84439 RL-A-FT4 ED-TMS 93244	$11.33	$22.00	$6.38–$22.00	83% below	49%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$89.61	$174.00	$9.02–$174.00	32% above	49%
Free T4 (free thyroxine) thyroid blood test CPT 84439 H-T4 FREE 7842	$112.27	$218.00	$9.02–$204.92	65% above	49%
Free T4 (free thyroxine) thyroid blood test CPT 84439 MH-THYROXINE FREE	$117.94	$229.00	$9.02–$215.26	73% above	48%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 RL-A-FT4 ED-TMS 93244	$11.33	$22.00	$13.20–$20.68	—	49%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$89.61	$174.00	$104.40–$163.56	—	49%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 H-T4 FREE 7842	$112.27	$218.00	$130.80–$204.92	—	49%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 MH-THYROXINE FREE	$117.94	$229.00	$137.40–$215.26	—	48%
Free testosterone test CPT 84402 RL-A-TESTOS FR 81059	$17.00	$33.00	$9.57–$33.00	59% below	48%
Free testosterone test inpatient CPT 84402 RL-A-TESTOS FR 81059	$17.00	$33.00	$19.80–$31.02	—	48%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE	$37.60	$73.00	$4.75–$73.00	15% below	48%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR PP	$78.80	$153.00	$4.75–$143.82	78% above	48%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE	$37.60	$73.00	$43.80–$68.62	—	48%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2HR PP	$78.80	$153.00	$91.80–$143.82	—	48%
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPEC	$87.55	$170.00	$12.87–$170.00	25% below	49%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1ST 3 SPEC	$87.55	$170.00	$102.00–$159.80	—	49%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 H-NEISSERIA GONORRHEA8089	$61.80	$120.00	$34.80–$120.00	16% above	49%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 IA NEISSERIA GONO AMP PRB	$163.26	$317.00	$35.09–$317.00	206% above	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 H-NEISSERIA GONORRHEA8089	$61.80	$120.00	$72.00–$112.80	—	49%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 IA NEISSERIA GONO AMP PRB	$163.26	$317.00	$190.20–$297.98	—	48%
H. pylori stool antigen test CPT 87338 H-H PYLORI ANTIGEN 8022	$10.30	$20.00	$5.80–$20.00	86% below	49%
H. pylori stool antigen test inpatient CPT 87338 H-H PYLORI ANTIGEN 8022	$10.30	$20.00	$12.00–$18.80	—	49%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL-A-HIV QT GR 3000870	$30.90	$60.00	$17.40–$60.00	64% below	49%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 H-HIV1 QNT RNA PCR 6600	$57.68	$112.00	$32.48–$112.00	32% below	49%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 RL-Q-HIV1 RNA Q RT PR CSF	$54.39	$105.60	$30.63–$105.60	36% below	48%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RL-A-HIV QT GR 3000870	$30.90	$60.00	$36.00–$56.40	—	49%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 H-HIV1 QNT RNA PCR 6600	$57.68	$112.00	$67.20–$105.28	—	49%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 RL-Q-HIV1 RNA Q RT PR CSF	$54.39	$105.60	$63.36–$99.27	—	48%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 HIV-2 AB RAPID	$37.60	$73.00	$13.71–$73.00	10% below	48%
HIV-1 and HIV-2 antibody test CPT 86703 BM-HIV-1/HIV-2 AB SINGLE	$100.94	$196.00	$13.71–$196.00	142% above	49%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 HIV-2 AB SINGLE	$114.33	$222.00	$13.71–$222.00	175% above	49%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 HIV-2 AB RAPID	$37.60	$73.00	$43.80–$68.62	—	48%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 BM-HIV-1/HIV-2 AB SINGLE	$100.94	$196.00	$117.60–$184.24	—	49%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 HIV-2 AB SINGLE	$114.33	$222.00	$133.20–$208.68	—	49%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RL-ADV-HIV-1/2 EIA/ELISA	$12.41	$24.08	$6.99–$24.08	79% below	48%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 IA HIV1 AG W HIV1 HIV2 AB	$52.02	$101.00	$20.26–$101.00	14% below	48%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 RL-ADV-HIV-1/2 EIA/ELISA	$12.41	$24.08	$14.45–$22.64	—	48%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 IA HIV1 AG W HIV1 HIV2 AB	$52.02	$101.00	$60.60–$94.94	—	48%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 H-HEMOGLOBIN A1C 7623	$81.37	$158.00	$9.71–$158.00	26% above	49%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 BM-HEMOGLOBIN A1C	$106.09	$206.00	$9.71–$206.00	65% above	49%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RHC HEMOGLOBIN A1C NONL	$110.21	$214.00	$9.71–$214.00	71% above	49%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$120.00	$233.00	$9.71–$219.02	86% above	48%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 H-HEMOGLOBIN A1C 7623	$81.37	$158.00	$94.80–$148.52	—	49%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 BM-HEMOGLOBIN A1C	$106.09	$206.00	$123.60–$193.64	—	49%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 RHC HEMOGLOBIN A1C NONL	$110.21	$214.00	$128.40–$201.16	—	49%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$120.00	$233.00	$139.80–$219.02	—	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 H-HEP SCRN PNL 8220	$17.51	$34.00	$9.86–$34.00	54% below	49%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 H-HEP B SURFACE AB 8223	$28.33	$55.00	$10.74–$55.00	26% below	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 BM-HEP B SURFACE AB	$102.49	$199.00	$10.74–$199.00	166% above	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB	$116.39	$226.00	$10.74–$226.00	202% above	49%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 H-HEP SCRN PNL 8220	$17.51	$34.00	$20.40–$31.96	—	49%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 H-HEP B SURFACE AB 8223	$28.33	$55.00	$33.00–$51.70	—	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 BM-HEP B SURFACE AB	$102.49	$199.00	$119.40–$187.06	—	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB	$116.39	$226.00	$135.60–$212.44	—	49%
Hepatitis B surface antigen (HBsAg) test CPT 87340 BM-IA HEP B SURFACE AG QL	$103.00	$200.00	$10.33–$200.00	66% above	49%
Hepatitis B surface antigen (HBsAg) test CPT 87340 IA HEP B SURFACE AG QL	$116.91	$227.00	$10.33–$221.86	88% above	48%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 BM-IA HEP B SURFACE AG QL	$103.00	$200.00	$120.00–$188.00	—	49%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 IA HEP B SURFACE AG QL	$116.91	$227.00	$136.20–$213.38	—	48%
Hepatitis C antibody blood test (screening) CPT 86803 BM-HEPATITIS C AB	$129.78	$252.00	$14.27–$252.00	149% above	49%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$173.56	$337.00	$14.27–$316.78	234% above	48%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 BM-HEPATITIS C AB	$129.78	$252.00	$151.20–$236.88	—	49%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$173.56	$337.00	$202.20–$316.78	—	48%
Hepatitis C viral load (HCV RNA) test CPT 87522 H-HCV RNA QNT PCR 6610	$46.35	$90.00	$26.10–$90.00	41% below	49%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 H-HCV RNA QNT PCR 6610	$46.35	$90.00	$54.00–$84.60	—	49%
Herpes blood test, HSV-1 antibody CPT 86695 RL-A-HERP I S 50292	$6.96	$13.50	$3.92–$13.50	63% below	48%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-HERP I S 50292	$6.96	$13.50	$8.10–$12.69	—	48%
High-sensitivity CRP (hs-CRP) test CPT 86141 RL-A-HSCRP 50182	$8.24	$16.00	$4.64–$16.00	82% below	49%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY	$72.62	$141.00	$11.06–$141.00	55% above	48%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 RL-A-HSCRP 50182	$8.24	$16.00	$9.60–$15.04	—	49%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY	$72.62	$141.00	$84.60–$132.54	—	48%
Homocysteine blood test CPT 83090 H-HOMOCYSTEINE 7624	$41.20	$80.00	$14.99–$80.00	at median	49%
Homocysteine blood test inpatient CPT 83090 H-HOMOCYSTEINE 7624	$41.20	$80.00	$48.00–$75.20	—	49%
Insulin blood test CPT 83525 H-INSULIN FASTING 7630	$9.27	$18.00	$5.22–$18.00	72% below	49%
Insulin blood test inpatient CPT 83525 H-INSULIN FASTING 7630	$9.27	$18.00	$10.80–$16.92	—	49%
Iron blood test (serum iron) CPT 83540 IRON	$51.50	$100.00	$6.47–$100.00	17% above	49%
Iron blood test (serum iron) CPT 83540 H-IRON 8194	$124.63	$242.00	$6.47–$227.48	182% above	49%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$51.50	$100.00	$60.00–$94.00	—	49%
Iron blood test (serum iron) inpatient CPT 83540 H-IRON 8194	$124.63	$242.00	$145.20–$227.48	—	49%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$78.80	$153.00	$8.74–$151.89	43% above	48%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$78.80	$153.00	$91.80–$143.82	—	48%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$305.91	$594.00	$8.68–$558.36	117% above	49%
Kidney function blood test panel CPT 80069 SJM-RENAL FUNCT PANEL	$479.98	$932.00	$8.68–$876.08	240% above	49%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$305.91	$594.00	$356.40–$558.36	—	49%
Kidney function blood test panel inpatient CPT 80069 SJM-RENAL FUNCT PANEL	$479.98	$932.00	$559.20–$876.08	—	49%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$167.89	$326.00	$18.52–$326.00	111% above	49%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$167.89	$326.00	$195.60–$306.44	—	49%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$170.47	$331.00	$6.89–$311.14	126% above	48%
Lipase blood test (pancreas enzyme) CPT 83690 SJM-LIPASE	$288.40	$560.00	$6.89–$526.40	282% above	49%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$170.47	$331.00	$198.60–$311.14	—	48%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 SJM-LIPASE	$288.40	$560.00	$336.00–$526.40	—	49%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$261.62	$508.00	$8.17–$477.52	95% above	49%
Liver function blood test panel CPT 80076 SJM-HEP FUNCT PANEL	$396.04	$769.00	$8.17–$722.86	196% above	48%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$261.62	$508.00	$304.80–$477.52	—	49%
Liver function blood test panel inpatient CPT 80076 SJM-HEP FUNCT PANEL	$396.04	$769.00	$461.40–$722.86	—	48%
Lyme disease antibody test CPT 86618 RL-Q-LYME AB SCRN H95229	$8.17	$15.86	$4.60–$15.86	66% below	48%
Lyme disease antibody test CPT 86618 RL-Q-B BURGDORFERI IGG	$14.94	$29.00	$8.41–$29.00	38% below	48%
Lyme disease antibody test CPT 86618 RL-A-LYME MTTT 3006053	$24.99	$48.51	$14.07–$48.51	4% above	48%
Lyme disease antibody test CPT 86618 RL-A-LYME STTTC 3016760	$25.75	$50.00	$14.50–$50.00	7% above	49%
Lyme disease antibody test inpatient CPT 86618 RL-Q-LYME AB SCRN H95229	$8.17	$15.86	$9.52–$14.91	—	48%
Lyme disease antibody test inpatient CPT 86618 RL-Q-B BURGDORFERI IGG	$14.94	$29.00	$17.40–$27.26	—	48%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME MTTT 3006053	$24.99	$48.51	$29.11–$45.60	—	48%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME STTTC 3016760	$25.75	$50.00	$30.00–$47.00	—	49%
Magnesium blood test CPT 83735 RL-A-MG RBC 92079	$12.36	$24.00	$6.70–$24.00	79% below	49%
Magnesium blood test CPT 83735 MAGNESIUM	$154.50	$300.00	$6.70–$282.00	167% above	49%
Magnesium blood test CPT 83735 MAGNESIUM UR	$159.14	$309.00	$6.70–$290.46	175% above	48%
Magnesium blood test inpatient CPT 83735 RL-A-MG RBC 92079	$12.36	$24.00	$14.40–$22.56	—	49%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$154.50	$300.00	$180.00–$282.00	—	49%
Magnesium blood test inpatient CPT 83735 MAGNESIUM UR	$159.14	$309.00	$185.40–$290.46	—	48%
Measles (rubeola) antibody test CPT 86765 RL-A-MEASLES M 99597	$6.22	$12.06	$3.50–$12.06	70% below	48%
Measles (rubeola) antibody test CPT 86765 RL-Q-MESLES RUBELA AB IGG	$11.14	$21.62	$6.27–$21.62	47% below	48%
Measles (rubeola) antibody test CPT 86765 H-RUBEOLA IGG 8142	$32.96	$64.00	$12.88–$64.00	58% above	49%
Measles (rubeola) antibody test inpatient CPT 86765 RL-A-MEASLES M 99597	$6.22	$12.06	$7.24–$11.34	—	48%
Measles (rubeola) antibody test inpatient CPT 86765 RL-Q-MESLES RUBELA AB IGG	$11.14	$21.62	$12.98–$20.33	—	48%
Measles (rubeola) antibody test inpatient CPT 86765 H-RUBEOLA IGG 8142	$32.96	$64.00	$38.40–$60.16	—	49%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCR	$118.97	$231.00	$5.18–$217.14	28% above	48%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCR	$118.97	$231.00	$138.60–$217.14	—	48%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$317.76	$617.00	$47.81–$579.98	28% above	48%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$317.76	$617.00	$370.20–$579.98	—	48%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$120.00	$233.00	$18.39–$233.00	246% above	48%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$120.00	$233.00	$139.80–$219.02	—	48%
PSA (prostate-specific antigen) blood test, total CPT 84153 RL-A-PSA ULTRA 98581	$8.95	$17.36	$5.04–$17.36	81% below	48%
PSA (prostate-specific antigen) blood test, total CPT 84153 MH-ASSAY OF PSA TOTAL	$163.77	$318.00	$18.39–$318.00	250% above	49%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$192.61	$374.00	$18.39–$374.00	312% above	49%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 RL-A-PSA ULTRA 98581	$8.95	$17.36	$10.42–$16.32	—	48%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 MH-ASSAY OF PSA TOTAL	$163.77	$318.00	$190.80–$298.92	—	49%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$192.61	$374.00	$224.40–$351.56	—	49%
Parathyroid hormone (PTH) blood test CPT 83970 H-PTH INTACT 8119	$34.51	$67.00	$19.43–$67.00	67% below	48%
Parathyroid hormone (PTH) blood test CPT 83970 BM-PTH-INTRAOP	$87.55	$170.00	$41.28–$170.00	15% below	49%
Parathyroid hormone (PTH) blood test CPT 83970 BM-PTH-INTACT	$92.70	$180.00	$41.28–$180.00	10% below	49%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTACT	$94.76	$184.00	$41.28–$184.00	8% below	49%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTRAOP	$118.45	$230.00	$41.28–$230.00	14% above	49%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 H-PTH INTACT 8119	$34.51	$67.00	$40.20–$62.98	—	48%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 BM-PTH-INTRAOP	$87.55	$170.00	$102.00–$159.80	—	49%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 BM-PTH-INTACT	$92.70	$180.00	$108.00–$169.20	—	49%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-INTACT	$94.76	$184.00	$110.40–$172.96	—	49%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-INTRAOP	$118.45	$230.00	$138.00–$216.20	—	49%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-RFLX INPTT1 2003272A	$5.00	$9.70	$2.82–$9.70	87% below	48%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-PTT 30235	$5.01	$9.71	$2.82–$9.71	87% below	48%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-PTT INHIB 2003266	$5.60	$10.87	$3.16–$10.87	85% below	48%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-RF BILL PTTT 3017033	$15.87	$30.80	$6.01–$30.80	58% below	48%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO TIME	$217.33	$422.00	$6.01–$396.68	476% above	49%
Partial thromboplastin time (PTT) clotting test CPT 85730 SJM-PTT	$232.27	$451.00	$6.01–$423.94	515% above	48%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-RFLX INPTT1 2003272A	$5.00	$9.70	$5.82–$9.12	—	48%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-PTT 30235	$5.01	$9.71	$5.83–$9.13	—	48%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-PTT INHIB 2003266	$5.60	$10.87	$6.53–$10.22	—	48%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-RF BILL PTTT 3017033	$15.87	$30.80	$18.48–$28.96	—	48%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO TIME	$217.33	$422.00	$253.20–$396.68	—	49%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SJM-PTT	$232.27	$451.00	$270.60–$423.94	—	48%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 RL-Q-MATERNIT21 PLUS	$319.30	$620.00	$232.00–$620.00	82% below	49%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 RL-Q-MATERNIT21 PLUS	$319.30	$620.00	$372.00–$582.80	—	49%
Progesterone blood test CPT 84144 RL-A-PGSN 2008509	$12.36	$24.00	$6.96–$24.00	77% below	49%
Progesterone blood test CPT 84144 PROGESTERONE	$160.68	$312.00	$20.86–$312.00	193% above	49%
Progesterone blood test inpatient CPT 84144 RL-A-PGSN 2008509	$12.36	$24.00	$14.40–$22.56	—	49%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$160.68	$312.00	$187.20–$293.28	—	49%
Prolactin blood test CPT 84146 MH-PROLACTIN	$159.65	$310.00	$19.38–$310.00	77% above	49%
Prolactin blood test CPT 84146 PROLACTIN	$167.89	$326.00	$19.38–$326.00	87% above	49%
Prolactin blood test inpatient CPT 84146 MH-PROLACTIN	$159.65	$310.00	$186.00–$291.40	—	49%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$167.89	$326.00	$195.60–$306.44	—	49%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-ANTI PHOS 3017157A	$3.61	$7.00	$2.03–$7.00	92% below	48%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-PT INHIB 2003260	$6.94	$13.46	$3.91–$13.46	85% below	48%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$138.02	$268.00	$4.29–$251.92	189% above	49%
Prothrombin time (PT/INR) clotting test CPT 85610 SJM-PROTIME PT	$184.89	$359.00	$4.29–$337.46	288% above	48%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-ANTI PHOS 3017157A	$3.61	$7.00	$4.20–$6.58	—	48%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-PT INHIB 2003260	$6.94	$13.46	$8.08–$12.66	—	48%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$138.02	$268.00	$160.80–$251.92	—	49%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SJM-PROTIME PT	$184.89	$359.00	$215.40–$337.46	—	48%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRG SCRN PRESUMPT OPTICAL	$433.63	$842.00	$10.08–$791.48	412% above	49%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRG SCRN PRESUMPT OPTICAL	$433.63	$842.00	$505.20–$791.48	—	49%
Rapid flu test (influenza antigen) CPT 87804 RHC INFLUZA IA OPTIC NONL	$38.63	$75.00	$8.85–$75.00	49% below	48%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA AG OPTIC	$40.69	$79.00	$8.85–$79.00	46% below	48%
Rapid flu test (influenza antigen) inpatient CPT 87804 RHC INFLUZA IA OPTIC NONL	$38.63	$75.00	$45.00–$70.50	—	48%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA AG OPTIC	$40.69	$79.00	$47.40–$74.26	—	48%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A IA AG OPTIC	$137.51	$267.00	$10.03–$250.98	30% above	48%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A IA AG OPTIC	$137.51	$267.00	$160.20–$250.98	—	48%
Rheumatoid factor (RF) test CPT 86431 RL-A-RA PNL 3016634B	$11.67	$22.66	$5.67–$22.66	10% below	48%
Rheumatoid factor (RF) test CPT 86431 H-RHEUMATOID FACT QN 8120	$14.94	$29.00	$5.67–$29.00	15% above	48%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QN	$162.23	$315.00	$5.67–$296.10	1148% above	48%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-RA PNL 3016634B	$11.67	$22.66	$13.60–$21.31	—	48%
Rheumatoid factor (RF) test inpatient CPT 86431 H-RHEUMATOID FACT QN 8120	$14.94	$29.00	$17.40–$27.26	—	48%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QN	$162.23	$315.00	$189.00–$296.10	—	48%
Rubella antibody test (immunity check) CPT 86762 RL-Q-RUBELLA AB IGM	$11.14	$21.62	$6.27–$21.62	72% below	48%
Rubella antibody test (immunity check) CPT 86762 H-RUBELLA IGG 8145	$29.87	$58.00	$14.39–$58.00	25% below	49%
Rubella antibody test (immunity check) CPT 86762 MH-RUBELLA AB	$90.13	$175.00	$14.39–$175.00	126% above	48%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$103.00	$200.00	$14.39–$200.00	158% above	49%
Rubella antibody test (immunity check) inpatient CPT 86762 RL-Q-RUBELLA AB IGM	$11.14	$21.62	$12.98–$20.33	—	48%
Rubella antibody test (immunity check) inpatient CPT 86762 H-RUBELLA IGG 8145	$29.87	$58.00	$34.80–$54.52	—	49%
Rubella antibody test (immunity check) inpatient CPT 86762 MH-RUBELLA AB	$90.13	$175.00	$105.00–$164.50	—	48%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$103.00	$200.00	$120.00–$188.00	—	49%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE RBC AUTO	$90.13	$175.00	$2.70–$164.50	100% above	48%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SJM-SED RATE RBC AUTO	$148.84	$289.00	$2.70–$271.66	230% above	48%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE RBC AUTO	$90.13	$175.00	$105.00–$164.50	—	48%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SJM-SED RATE RBC AUTO	$148.84	$289.00	$173.40–$271.66	—	48%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE	$63.35	$123.00	$12.31–$123.00	54% below	48%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS COMPLETE	$63.35	$123.00	$73.80–$115.62	—	48%
Stool ova and parasites exam CPT 87177 H-O P EXAM IP ONLY 2450	$5.67	$11.00	$3.19–$11.00	68% below	48%
Stool ova and parasites exam CPT 87177 RL-A-OP FEC 3001662A	$6.18	$12.00	$3.48–$12.00	66% below	49%
Stool ova and parasites exam CPT 87177 SJM-O P SMEAR PARASITE	$11.33	$22.00	$6.38–$22.00	37% below	49%
Stool ova and parasites exam inpatient CPT 87177 H-O P EXAM IP ONLY 2450	$5.67	$11.00	$6.60–$10.34	—	48%
Stool ova and parasites exam inpatient CPT 87177 RL-A-OP FEC 3001662A	$6.18	$12.00	$7.20–$11.28	—	49%
Stool ova and parasites exam inpatient CPT 87177 SJM-O P SMEAR PARASITE	$11.33	$22.00	$13.20–$20.68	—	49%
Stool test for hidden blood (guaiac FOBT) CPT 82270 RHC OCC BLD FEC QL 3 NONL	$39.14	$76.00	$3.99–$71.44	at median	49%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD FEC QL 3 SPEC	$77.77	$151.00	$3.99–$141.94	99% above	48%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD FEC 3SPEC LAB	$90.13	$175.00	$3.99–$164.50	131% above	48%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 RHC OCC BLD FEC QL 3 NONL	$39.14	$76.00	$45.60–$71.44	—	49%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD FEC QL 3 SPEC	$77.77	$151.00	$90.60–$141.94	—	48%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD FEC 3SPEC LAB	$90.13	$175.00	$105.00–$164.50	—	48%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL BLOOD ASSAY QL	$32.45	$63.00	$14.14–$63.00	10% below	48%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL BLOOD ASSAY QL	$32.45	$63.00	$37.80–$59.22	—	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL-A-VDRL SERU 93093	$3.65	$7.07	$2.06–$7.07	76% below	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL-Q-SYPHILIS VDRL RPR QL	$8.07	$15.66	$4.27–$15.66	46% below	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 H-RPR 8140	$11.85	$23.00	$4.27–$23.00	20% below	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 BM-SYPHIL VDRL/RPR QL	$59.74	$116.00	$4.27–$109.04	301% above	49%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHIL VDRL/RPR QL	$61.29	$119.00	$4.27–$111.86	311% above	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL-A-VDRL SERU 93093	$3.65	$7.07	$4.25–$6.65	—	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL-Q-SYPHILIS VDRL RPR QL	$8.07	$15.66	$9.40–$14.73	—	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 H-RPR 8140	$11.85	$23.00	$13.80–$21.62	—	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 BM-SYPHIL VDRL/RPR QL	$59.74	$116.00	$69.60–$109.04	—	49%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHIL VDRL/RPR QL	$61.29	$119.00	$71.40–$111.86	—	48%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL-A-QFT PLUS 3017554	$18.03	$35.00	$10.15–$35.00	75% below	48%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 RL-A-QFT PLUS 3017554	$18.03	$35.00	$21.00–$32.90	—	48%
Testosterone blood test, total (not free testosterone) CPT 84403 H-FREE TESTOSTERONE 7708	$18.03	$35.00	$10.15–$35.00	55% below	48%
Testosterone blood test, total (not free testosterone) CPT 84403 H-TSTSTRN TOT ONLY 7707	$18.54	$36.00	$10.44–$36.00	54% below	49%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$78.28	$152.00	$25.81–$152.00	96% above	49%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 H-FREE TESTOSTERONE 7708	$18.03	$35.00	$21.00–$32.90	—	48%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 H-TSTSTRN TOT ONLY 7707	$18.54	$36.00	$21.60–$33.84	—	49%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$78.28	$152.00	$91.20–$142.88	—	49%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-LIVER-KID 99270	$7.21	$14.00	$4.06–$14.00	68% below	49%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-Q-LVR-KDNY MCRO AB IGG	$17.92	$34.78	$10.09–$34.78	22% below	48%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-LIVER-KID 99270	$7.21	$14.00	$8.40–$13.16	—	49%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-Q-LVR-KDNY MCRO AB IGG	$17.92	$34.78	$20.87–$32.70	—	48%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 H-NEWBORN SCREEN 69750	$10.30	$20.00	$5.80–$20.00	88% below	49%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE	$217.33	$422.00	$16.80–$396.68	160% above	49%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 H-TSH 7827	$217.85	$423.00	$16.80–$397.62	160% above	48%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 H-NEWBORN SCREEN 69750	$10.30	$20.00	$12.00–$18.80	—	49%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE	$217.33	$422.00	$253.20–$396.68	—	49%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 H-TSH 7827	$217.85	$423.00	$253.80–$397.62	—	48%
Trichomonas test (NAAT) CPT 87661 RL-A-VPAN TMA 3002581C	$21.25	$41.25	$11.97–$41.25	76% below	48%
Trichomonas test (NAAT) inpatient CPT 87661 RL-A-VPAN TMA 3002581C	$21.25	$41.25	$24.75–$38.78	—	48%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$49.44	$96.00	$4.52–$96.00	19% below	49%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$49.44	$96.00	$57.60–$90.24	—	49%
Urinalysis with microscope exam, automated CPT 81001 RHC UA AUTO W MICRO NONL	$120.00	$233.00	$3.17–$219.02	45% above	48%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W MICRO	$131.84	$256.00	$3.17–$240.64	59% above	49%
Urinalysis with microscope exam, automated CPT 81001 SJM-UA AUTO W MICRO	$184.89	$359.00	$3.17–$337.46	123% above	48%
Urinalysis with microscope exam, automated inpatient CPT 81001 RHC UA AUTO W MICRO NONL	$120.00	$233.00	$139.80–$219.02	—	48%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W MICRO	$131.84	$256.00	$153.60–$240.64	—	49%
Urinalysis with microscope exam, automated inpatient CPT 81001 SJM-UA AUTO W MICRO	$184.89	$359.00	$215.40–$337.46	—	48%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO LAB	$55.11	$107.00	$2.25–$100.58	2% below	48%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO	$84.98	$165.00	$2.25–$155.10	52% above	48%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO LAB	$55.11	$107.00	$64.20–$100.58	—	48%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO	$84.98	$165.00	$99.00–$155.10	—	48%
Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W/O MICRO NONL	$37.08	$72.00	$3.08–$67.68	34% above	49%
Urinalysis without microscope exam, manual CPT 81002 RHC UA NOAUT WO MICRONONL	$47.38	$92.00	$3.08–$86.48	72% above	49%
Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO WO MICRO	$47.90	$93.00	$3.08–$87.42	74% above	48%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO W/O MICRO NONL	$37.08	$72.00	$43.20–$67.68	—	49%
Urinalysis without microscope exam, manual inpatient CPT 81002 RHC UA NOAUT WO MICRONONL	$47.38	$92.00	$55.20–$86.48	—	49%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO WO MICRO	$47.90	$93.00	$55.80–$87.42	—	48%
Urine culture for bacteria, with colony count CPT 87086 SJM-CULT UR W CLNY CNT	$134.93	$262.00	$8.07–$246.28	2% below	49%
Urine culture for bacteria, with colony count CPT 87086 CULT UR W COLONY CNT	$138.54	$269.00	$8.07–$252.86	at median	48%
Urine culture for bacteria, with colony count CPT 87086 BM-CULT UR W/COLONY CNT	$179.22	$348.00	$8.07–$327.12	30% above	49%
Urine culture for bacteria, with colony count inpatient CPT 87086 SJM-CULT UR W CLNY CNT	$134.93	$262.00	$157.20–$246.28	—	49%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT UR W COLONY CNT	$138.54	$269.00	$161.40–$252.86	—	48%
Urine culture for bacteria, with colony count inpatient CPT 87086 BM-CULT UR W/COLONY CNT	$179.22	$348.00	$208.80–$327.12	—	49%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL LAB	$61.80	$120.00	$4.02–$113.32	28% below	49%
Urine pregnancy test, read by color change CPT 81025 RHC PREG UA VISUAL NONL	$73.65	$143.00	$4.02–$134.42	14% below	48%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL	$163.26	$317.00	$4.02–$297.98	90% above	48%
Urine pregnancy test, read by color change CPT 81025 SJM-PREGNANCY VISUAL URN	$184.89	$359.00	$4.02–$337.46	115% above	48%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL LAB	$61.80	$120.00	$72.00–$112.80	—	49%
Urine pregnancy test, read by color change inpatient CPT 81025 RHC PREG UA VISUAL NONL	$73.65	$143.00	$85.80–$134.42	—	48%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL	$163.26	$317.00	$190.20–$297.98	—	48%
Urine pregnancy test, read by color change inpatient CPT 81025 SJM-PREGNANCY VISUAL URN	$184.89	$359.00	$215.40–$337.46	—	48%
Vitamin B12 (cobalamin) blood test CPT 82607 H-VITAMIN B12 7870	$40.69	$79.00	$15.08–$79.00	34% below	48%
Vitamin B12 (cobalamin) blood test CPT 82607 BM-VITAMIN B-12	$126.18	$245.00	$15.08–$245.00	105% above	48%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$142.66	$277.00	$15.08–$277.00	131% above	48%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 H-VITAMIN B12 7870	$40.69	$79.00	$47.40–$74.26	—	48%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 BM-VITAMIN B-12	$126.18	$245.00	$147.00–$230.30	—	48%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$142.66	$277.00	$166.20–$260.38	—	48%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 H-VIT D 25 HYDROXY 7850	$30.90	$60.00	$17.40–$60.00	52% below	49%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$41.72	$81.00	$23.49–$81.00	35% below	48%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 H-VIT D 25 HYDROXY 7850	$30.90	$60.00	$36.00–$56.40	—	49%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$41.72	$81.00	$48.60–$76.14	—	48%
Zinc blood test CPT 84630 RL-Q-ZINC BLOOD	$6.18	$12.00	$3.48–$12.00	56% below	49%
Zinc blood test inpatient CPT 84630 RL-Q-ZINC BLOOD	$6.18	$12.00	$7.20–$11.28	—	49%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG PREG QN	$221.97	$431.00	$15.05–$405.14	59% above	48%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG PREG QN	$221.97	$431.00	$258.60–$405.14	—	48%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRST STERO PRC 1ST UNI	$1,111.89	$2,159.00	$632.17–$13,379.00	74% below	48%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BRST STERO PRC 1ST UNI	$3,088.97	$5,998.00	$3,598.80–$5,638.12	—	49%
Cardiac catheterization with coronary angiogram CPT 93458 LT HRT CTH COR ANG VNTRCU	$4,353.81	$8,454.00	$1,090.16–$39,336.00	66% below	49%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LT HRT CTH COR ANG VNTRCU	$13,193.79	$25,619.00	$15,371.40–$24,081.86	—	48%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELCTIVE EXT	$2,291.75	$4,450.00	$175.66–$9,131.00	28% above	49%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELCTIVE EXT	$2,291.75	$4,450.00	$2,670.00–$4,183.00	—	49%
Catheter ablation for atrial fibrillation CPT 93656 EP AFIB ABL PV ISOL 3DMAP	$25,202.56	$48,937.00	$1,010.36–$50,908.00	17% below	48%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP AFIB ABL PV ISOL 3DMAP	$25,202.56	$48,937.00	$29,362.20–$46,000.78	—	48%
Cervical biopsy CPT 57500 RHC BIOPSY CERVIX	$149.87	$291.00	$46.52–$9,131.00	92% below	48%
Cervical biopsy CPT 57500 BIOPSY CERVIX	$915.16	$1,777.00	$46.52–$9,131.00	53% below	48%
Cervical biopsy inpatient CPT 57500 RHC BIOPSY CERVIX	$149.87	$291.00	$174.60–$273.54	—	48%
Cervical biopsy inpatient CPT 57500 BIOPSY CERVIX	$915.16	$1,777.00	$1,066.20–$1,670.38	—	48%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 RHC CIRCUMCISION	$143.17	$278.00	$177.92–$13,379.00	92% below	49%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$1,480.63	$2,875.00	$1,840.00–$13,379.00	19% below	48%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 RHC CIRCUMCISION	$143.17	$278.00	$166.80–$261.32	—	49%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION	$1,480.63	$2,875.00	$1,725.00–$2,702.50	—	48%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 RHC COLPOS CERVX BX CURET	$398.10	$773.00	$98.85–$11,994.00	58% below	48%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 RHC COLPOS CERVX BX CURET	$398.10	$773.00	$463.80–$726.62	—	48%
Cystoscopy with ureteral stent placement CPT 52332 CYSTO W STENT URETERL INS	$2,004.90	$3,893.00	$631.86–$16,193.00	65% below	48%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTO W STENT URETERL INS	$4,655.09	$9,039.00	$5,423.40–$8,496.66	—	48%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 RHC LES PREMAL DEST 1ST	$144.72	$281.00	$80.10–$8,557.00	61% below	48%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 RHC LES PREMAL DEST 1ST	$144.72	$281.00	$168.60–$264.14	—	48%
Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 RHC IRRIG CERUM IMPACT BI	$116.91	$227.00	$13.24–$7,546.00	—	48%
Earwax removal by irrigation (rinsing), one ear inpatient both sides CPT 69209 RHC IRRIG CERUM IMPACT BI	$116.91	$227.00	$136.20–$213.38	—	48%
Earwax removal with instruments, one ear CPT 69210 RHC REMOVE CERUMEN IMPACT	$82.40	$160.00	$35.03–$8,557.00	53% below	49%
Earwax removal with instruments, one ear inpatient CPT 69210 RHC REMOVE CERUMEN IMPACT	$82.40	$160.00	$96.00–$150.40	—	49%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 RHC BX ENDOMETRIAL WO DIL	$196.22	$381.00	$47.09–$8,557.00	64% below	48%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 RHC BX ENDOMETRIAL WO DIL	$196.22	$381.00	$228.60–$358.14	—	48%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET JT/NRV L/S SNG INJ	$504.19	$979.00	$165.76–$11,054.00	76% below	48%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET JT/NRV L/S SNG BIL	$723.58	$1,405.00	$165.76–$11,054.00	65% below	48%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET JT/NRV L/S SNG INJ	$1,170.60	$2,273.00	$1,363.80–$2,136.62	—	48%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET JT/NRV L/S SNG BIL	$1,679.42	$3,261.00	$1,956.60–$3,065.34	—	48%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTERO NS/CON INTRO	$220.42	$428.00	$212.81–$8,557.00	52% below	49%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTERO NS/CON INTRO	$220.42	$428.00	$256.80–$402.32	—	49%
IUD insertion (the device itself billed separately) CPT 58300 RHC INSERT UTERIN DEV INT	$148.84	$289.00	$184.96–$5,322.00	75% below	48%
IUD insertion (the device itself billed separately) inpatient CPT 58300 RHC INSERT UTERIN DEV INT	$148.84	$289.00	$173.40–$271.66	—	48%
Incision and drainage of a simple or single skin abscess CPT 10060 RHC I D ABSCESS SIMPLE	$106.61	$207.00	$48.70–$11,994.00	77% below	48%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE	$138.54	$269.00	$48.70–$11,994.00	70% below	48%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 RHC I D ABSCESS SIMPLE	$106.61	$207.00	$124.20–$194.58	—	48%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D ABSCESS SIMPLE	$323.94	$629.00	$377.40–$591.26	—	48%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 RHC INJ TENDON SHTH/LIG	$92.19	$179.00	$52.54–$8,557.00	86% below	48%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 RHC INJ TENDON SHTH/LIG	$92.19	$179.00	$107.40–$168.26	—	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 RHC ARTHR ASP MAJOR JT WO	$121.03	$235.00	$52.54–$15,399.00	83% below	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCEN ASP MAJOR JT WO	$191.58	$372.00	$52.54–$15,399.00	74% below	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTH ASP MJR JT WO US UNI	$202.40	$393.00	$52.54–$15,399.00	72% below	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 RHC ARTHR ASP MAJOR JT WO	$121.03	$235.00	$141.00–$220.90	—	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCEN ASP MAJOR JT WO	$468.65	$910.00	$546.00–$855.40	—	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTH ASP MJR JT WO US UNI	$500.07	$971.00	$582.60–$912.74	—	48%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 RHC INS NONBI DRG DEL IMP	$157.08	$305.00	$143.25–$7,546.00	44% below	48%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 RHC INS NONBI DRG DEL IMP	$157.08	$305.00	$183.00–$286.70	—	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 RHC ARTHRO ASP INT JT WO	$202.40	$393.00	$43.57–$11,994.00	64% below	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCEN ASP INTER JT WO	$202.40	$393.00	$43.57–$11,994.00	64% below	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 RHC ARTHRO ASP INT JT WO	$202.40	$393.00	$235.80–$369.42	—	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCEN ASP INTER JT WO	$500.07	$971.00	$582.60–$912.74	—	48%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 RHC ARTHRO ASP SMAL JT WO	$500.07	$971.00	$37.17–$8,557.00	19% below	48%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 RHC ARTHRO ASP SMAL JT WO	$500.07	$971.00	$582.60–$912.74	—	48%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RHC RPR SCLP/TRK INT<=2.5	$570.11	$1,107.00	$96.98–$11,994.00	34% below	48%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RHC RPR SCLP/TRK INT<=2.5	$570.11	$1,107.00	$664.20–$1,040.58	—	48%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPI/SUBAR L/S W IMAG	$1,026.40	$1,993.00	$220.03–$9,131.00	38% below	48%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPI/SUBAR L/S W IMAG	$1,026.40	$1,993.00	$1,195.80–$1,873.42	—	48%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ EPI/SUBAR L/S WO IMAG	$929.06	$1,804.00	$138.50–$9,131.00	44% below	49%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ EPI/SUBAR L/S WO IMAG	$929.06	$1,804.00	$1,082.40–$1,695.76	—	49%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 ANES/STE EPI L/S SNGL INJ	$504.19	$979.00	$164.49–$11,054.00	74% below	48%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 ANES/STE EPI L/S SNGL INJ	$1,170.60	$2,273.00	$1,363.80–$2,136.62	—	48%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 RHC EX BEN LES T/A/L <0.5	$161.20	$313.00	$66.65–$11,994.00	88% below	48%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 RHC EX BEN LES T/A/L <0.5	$161.20	$313.00	$187.80–$294.22	—	48%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 RHC EX BEN LES F/E/N<=0.5	$173.56	$337.00	$73.91–$11,994.00	88% below	48%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 RHC EX BEN LES F/E/N<=0.5	$173.56	$337.00	$202.20–$316.78	—	48%
Nail removal (partial or complete), one nail CPT 11730 RHC AVUL NAIL PLAT SINGLE	$109.18	$212.00	$36.74–$8,557.00	76% below	49%
Nail removal (partial or complete), one nail inpatient CPT 11730 RHC AVUL NAIL PLAT SINGLE	$109.18	$212.00	$127.20–$199.28	—	49%
Occipital nerve block (injection for headaches) CPT 64405 RHC INJ GRTR OC NRV AA/ST	$64.38	$125.00	$72.20–$8,557.00	92% below	48%
Occipital nerve block (injection for headaches) inpatient CPT 64405 RHC INJ GRTR OC NRV AA/ST	$64.38	$125.00	$75.00–$117.50	—	48%
Pacemaker implant (dual chamber) CPT 33208 PACEMAKER INS/REPL A/V	$8,405.83	$16,322.00	$854.44–$34,751.00	42% below	49%
Pacemaker implant (dual chamber) inpatient CPT 33208 PACEMAKER INS/REPL A/V	$20,502.15	$39,810.00	$23,886.00–$37,421.40	—	49%
Paracentesis with imaging guidance CPT 49083 PARACENTSIS ABD W IMAGING	$876.53	$1,702.00	$103.10–$11,994.00	51% below	49%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTSIS ABD W IMAGING	$876.53	$1,702.00	$1,021.20–$1,599.88	—	49%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 RHC EXC NAILAND MATRIX	$640.66	$1,244.00	$96.98–$8,557.00	48% below	49%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 RHC EXC NAILAND MATRIX	$640.66	$1,244.00	$746.40–$1,169.36	—	49%
Prostate biopsy CPT 55700 BIOPSY PROSTATE NDL/PUNCH	$1,774.18	$3,445.00	$100.40–$13,379.00	32% below	48%
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NDL/PUNCH	$4,117.94	$7,996.00	$4,797.60–$7,516.24	—	49%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 FACET JT NRV L/S DEST SNG	$3,122.45	$6,063.00	$224.16–$13,379.00	5% below	48%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 FACET JT NRV L/S DEST SNG	$3,122.45	$6,063.00	$3,637.80–$5,699.22	—	48%
Removal of a foreign object under the skin, simple CPT 10120 I AND R FB SUBQ SIMPLE	$255.44	$496.00	$59.38–$8,557.00	66% below	49%
Removal of a foreign object under the skin, simple CPT 10120 RHC I R FB SUBQ SIMPLE	$612.34	$1,189.00	$59.38–$8,557.00	19% below	48%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I AND R FB SUBQ SIMPLE	$592.25	$1,150.00	$690.00–$1,081.00	—	49%
Removal of a foreign object under the skin, simple inpatient CPT 10120 RHC I R FB SUBQ SIMPLE	$612.34	$1,189.00	$713.40–$1,117.66	—	48%
Short arm cast (elbow to hand) CPT 29075 RHC APPLY CAST SHORT ARM	$192.10	$373.00	$94.84–$8,557.00	62% below	48%
Short arm cast (elbow to hand) inpatient CPT 29075 RHC APPLY CAST SHORT ARM	$192.10	$373.00	$223.80–$350.62	—	48%
Short arm splint (forearm and hand) CPT 29125 RHC APP SPLNT SHRT ARM ST	$94.76	$184.00	$60.67–$8,557.00	77% below	49%
Short arm splint (forearm and hand) inpatient CPT 29125 RHC APP SPLNT SHRT ARM ST	$94.76	$184.00	$110.40–$172.96	—	49%
Short leg cast (below the knee) CPT 29405 RHC APPLY CAST SHORT LEG	$192.10	$373.00	$97.84–$8,557.00	62% below	48%
Short leg cast (below the knee) inpatient CPT 29405 RHC APPLY CAST SHORT LEG	$192.10	$373.00	$223.80–$350.62	—	48%
Short leg splint (calf to foot) CPT 29515 RHC APPL LEG SHORT SPLINT	$258.02	$501.00	$64.94–$8,557.00	48% below	48%
Short leg splint (calf to foot) inpatient CPT 29515 RHC APPL LEG SHORT SPLINT	$258.02	$501.00	$300.60–$470.94	—	48%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RHC RPR TRK/NK SMP<=2.5CM	$319.82	$621.00	$80.31–$11,994.00	28% below	48%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RHC RPR TRK/NK SMP<=2.5CM	$319.82	$621.00	$372.60–$583.74	—	48%
Skin biopsy, punch, one lesion CPT 11104 RHC BX SKIN PUNCH SNG LES	$386.77	$751.00	$89.65–$8,557.00	46% below	48%
Skin biopsy, punch, one lesion inpatient CPT 11104 RHC BX SKIN PUNCH SNG LES	$386.77	$751.00	$450.60–$705.94	—	48%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 RHC EX MAL LES T/A/L<=0.5	$1,064.51	$2,067.00	$79.47–$11,994.00	46% below	48%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 RHC EX MAL LES T/A/L<=0.5	$1,064.51	$2,067.00	$1,240.20–$1,942.98	—	48%
Skin tag removal, up to 15 tags CPT 11200 RHC REMOVE SKIN TAGS <=15	$351.75	$683.00	$36.32–$8,557.00	10% below	48%
Skin tag removal, up to 15 tags inpatient CPT 11200 RHC REMOVE SKIN TAGS <=15	$351.75	$683.00	$409.80–$642.02	—	48%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBER DX	$846.15	$1,643.00	$93.99–$9,131.00	31% below	48%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBAR DX	$850.27	$1,651.00	$93.99–$9,131.00	31% below	48%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCTURE SPINAL LUMBAR DX	$846.15	$1,643.00	$985.80–$1,544.42	—	48%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RHC RPR TRK/NK SMP2.6-7.5	$72.10	$140.00	$85.44–$15,877.00	89% below	49%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RHC RPR TRK/NK SMP2.6-7.5	$72.10	$140.00	$84.00–$131.60	—	49%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKN TANGENTIAL SNG LES	$355.87	$691.00	$71.48–$8,557.00	36% below	48%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 RHC BX SKN TANGNT SNG LES	$355.87	$691.00	$71.48–$8,557.00	36% below	48%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKN TANGENTIAL SNG LES	$355.87	$691.00	$414.60–$649.54	—	48%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 RHC BX SKN TANGNT SNG LES	$355.87	$691.00	$414.60–$649.54	—	48%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING	$857.99	$1,666.00	$105.95–$9,131.00	58% below	49%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMG UNI	$948.12	$1,841.00	$105.95–$9,131.00	53% below	48%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAG BIL	$1,414.71	$2,747.00	$105.95–$9,131.00	30% below	48%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMG UNI	$1,188.62	$2,308.00	$1,384.80–$2,169.52	—	49%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING	$1,444.58	$2,805.00	$1,683.00–$2,636.70	—	48%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAG BIL	$2,182.06	$4,237.00	$2,542.20–$3,982.78	—	48%
Trigger point injections, 1 or 2 muscles CPT 20552 RHC INJ MSCL TRIGGR PT1-2	$456.81	$887.00	$52.49–$8,557.00	27% below	48%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 RHC INJ MSCL TRIGGR PT1-2	$456.81	$887.00	$532.20–$833.78	—	48%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST US PERC 1ST UNI	$833.79	$1,619.00	$613.92–$13,379.00	73% below	48%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST US PERC 1ST UNI	$3,088.97	$5,998.00	$3,598.80–$5,638.12	—	49%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 RHC VASECTOMY UNI OR BIL	$713.28	$1,385.00	$299.06–$13,379.00	72% below	48%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 RHC VASECTOMY UNI OR BIL	$713.28	$1,385.00	$831.00–$1,301.90	—	48%
Vein ablation, radiofrequency, first vein CPT 36475 EXTRM VEIN ABLAT RF 1ST	$4,015.46	$7,797.00	$2,282.45–$16,193.00	30% below	48%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 EXTRM VEIN ABLAT RF 1ST	$4,015.46	$7,797.00	$4,678.20–$7,329.18	—	48%
Wart removal, up to 14 warts CPT 17110 RHC LES BENIGN DESTR 1-14	$73.13	$142.00	$90.88–$8,557.00	80% below	49%
Wart removal, up to 14 warts inpatient CPT 17110 RHC LES BENIGN DESTR 1-14	$73.13	$142.00	$85.20–$133.48	—	49%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 RHC DEBR SUBQ TISS 1ST 20	$504.70	$980.00	$119.19–$11,994.00	26% below	49%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SUBQ TISS 1ST 20SQCM	$612.34	$1,189.00	$119.19–$11,994.00	10% below	48%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 RHC DEBR SUBQ TISS 1ST 20	$504.70	$980.00	$588.00–$921.20	—	49%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBR SUBQ TISS 1ST 20SQCM	$612.34	$1,189.00	$713.40–$1,117.66	—	48%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/BLD COMP	$1,032.06	$2,004.00	$509.85–$14,950.00	18% above	49%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLD/BLD COMP	$1,032.06	$2,004.00	$1,202.40–$1,883.76	—	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RHC TX INHAL INIT EA DAY	$123.60	$240.00	$19.30–$14,950.00	60% below	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BLAND AERO TX INIT EA DAY	$262.65	$510.00	$19.30–$14,950.00	15% below	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RHC TX INHAL INIT EA DAY	$123.60	$240.00	$144.00–$225.60	—	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BLAND AERO TX INIT EA DAY	$262.65	$510.00	$306.00–$479.40	—	49%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INIT 1ST HR	$1,007.34	$1,956.00	$32.81–$2,885.00	15% above	49%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF INIT 1ST HR	$1,007.34	$1,956.00	$1,173.60–$1,838.64	—	49%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74MIN	$6,809.85	$13,223.00	$200.58–$25,609.00	38% above	48%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30-74MIN	$6,809.85	$13,223.00	$7,933.80–$12,429.62	—	48%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$1,296.77	$2,518.00	$86.73–$13,394.00	46% above	49%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$1,296.77	$2,518.00	$1,510.80–$2,366.92	—	49%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RHC ECG 12 LD TRACE ONLY	$267.80	$520.00	$18.82–$13,394.00	21% below	49%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD TRACING ONLY	$418.18	$812.00	$18.82–$13,394.00	24% above	49%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 RHC ECG 12 LD TRACE ONLY	$267.80	$520.00	$312.00–$488.80	—	49%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD TRACING ONLY	$418.18	$812.00	$487.20–$763.28	—	49%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1	$570.62	$1,108.00	$21.77–$11,953.00	48% above	49%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1	$570.62	$1,108.00	$664.80–$1,041.52	—	49%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2	$1,089.74	$2,116.00	$34.97–$11,953.00	46% above	49%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2	$1,089.74	$2,116.00	$1,269.60–$1,989.04	—	49%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3	$1,971.94	$3,829.00	$63.97–$25,609.00	63% above	48%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3	$1,971.94	$3,829.00	$2,297.40–$3,599.26	—	48%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4	$3,113.69	$6,046.00	$98.04–$25,609.00	59% above	49%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4	$3,113.69	$6,046.00	$3,627.60–$5,683.24	—	49%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5	$5,189.66	$10,077.00	$155.03–$25,609.00	58% above	48%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5	$5,189.66	$10,077.00	$6,046.20–$9,472.38	—	48%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM CARDIOVAS STRES TEST	$422.30	$820.00	$60.24–$13,394.00	65% below	49%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVAS STR TEST WO RX	$1,408.53	$2,735.00	$60.24–$13,394.00	16% above	48%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CARDIOVAS STRES TEST	$845.12	$1,641.00	$984.60–$1,542.54	—	48%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVAS STR TEST WO RX	$1,408.53	$2,735.00	$1,641.00–$2,570.90	—	48%
Family therapy with the patient, 50 minutes CPT 90847 RHC FAM PSYCH W PT 50 MIN	$215.27	$418.00	$89.65–$418.00	37% below	49%
Family therapy with the patient, 50 minutes inpatient CPT 90847 RHC FAM PSYCH W PT 50 MIN	$215.27	$418.00	$250.80–$392.92	—	49%
Family therapy without the patient, 50 minutes CPT 90846 RHC FAM PSYCH WO PT 50MIN	$215.27	$418.00	$86.64–$418.00	37% below	49%
Family therapy without the patient, 50 minutes inpatient CPT 90846 RHC FAM PSYCH WO PT 50MIN	$215.27	$418.00	$250.80–$392.92	—	49%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRA INIT 31-60MN	$746.24	$1,449.00	$59.00–$1,980.00	64% above	48%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRA INIT 31-60MN	$746.24	$1,449.00	$869.40–$1,362.06	—	48%
IV infusion of a medicine, first hour CPT 96365 INF TX/DX/PRO INIT 1ST HR	$899.19	$1,746.00	$71.83–$2,885.00	88% above	49%
IV infusion of a medicine, first hour inpatient CPT 96365 INF TX/DX/PRO INIT 1ST HR	$899.19	$1,746.00	$1,047.60–$1,641.24	—	49%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 RHC INJ TX/DX/PROP SUB/IM	$109.18	$212.00	$21.52–$1,980.00	30% below	49%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/DX/PROPH SUBQ/IM	$376.98	$732.00	$21.52–$1,980.00	141% above	49%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RHC INJ TX/DX/PROP SUB/IM	$109.18	$212.00	$127.20–$199.28	—	49%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/DX/PROPH SUBQ/IM	$376.98	$732.00	$439.20–$688.08	—	49%
New patient office visit, about 30 minutes CPT 99203 VISIT LOW 30MN NW PT	$114.33	$222.00	$94.36–$222.00	36% below	49%
New patient office visit, about 30 minutes CPT 99203 RHC VISIT LOW 30MN NW PT	$170.98	$332.00	$94.36–$332.00	5% below	49%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT LOW 30MN NW PT	$114.33	$222.00	$133.20–$208.68	—	49%
New patient office visit, about 30 minutes inpatient CPT 99203 RHC VISIT LOW 30MN NW PT	$170.98	$332.00	$199.20–$312.08	—	49%
New patient office visit, about 45 minutes CPT 99204 VISIT MDT 45MN NW PT	$126.69	$246.00	$113.65–$246.00	46% below	49%
New patient office visit, about 45 minutes CPT 99204 RHC VISIT MDT 45MN NW PT	$204.46	$397.00	$113.65–$397.00	14% below	48%
New patient office visit, about 45 minutes CPT 99204 FETAL DEMISE <23WK NEW PT	$1,309.65	$2,543.00	$113.65–$13,394.00	454% above	48%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT MDT 45MN NW PT	$126.69	$246.00	$147.60–$231.24	—	49%
New patient office visit, about 45 minutes inpatient CPT 99204 RHC VISIT MDT 45MN NW PT	$204.46	$397.00	$238.20–$373.18	—	48%
New patient office visit, about 45 minutes inpatient CPT 99204 FETAL DEMISE <23WK NEW PT	$1,309.65	$2,543.00	$1,525.80–$2,390.42	—	48%
New patient office visit, about 60 minutes CPT 99205 VISIT HIGH 60MN NW PT	$142.14	$276.00	$134.00–$276.00	50% below	49%
New patient office visit, about 60 minutes CPT 99205 RHC VISIT HIGH 60MN NW PT	$247.20	$480.00	$134.00–$480.00	13% below	49%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT HIGH 60MN NW PT	$142.14	$276.00	$165.60–$259.44	—	49%
New patient office visit, about 60 minutes inpatient CPT 99205 RHC VISIT HIGH 60MN NW PT	$247.20	$480.00	$288.00–$451.20	—	49%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT	$98.88	$192.00	$56.58–$192.00	26% below	49%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 RHC VISIT STFD 15MN NW PT	$142.14	$276.00	$56.58–$276.00	7% above	49%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT/FETAL MONITR NEW	$247.20	$480.00	$56.58–$13,394.00	86% above	49%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT	$98.88	$192.00	$115.20–$180.48	—	49%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 RHC VISIT STFD 15MN NW PT	$142.14	$276.00	$165.60–$259.44	—	49%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB VISIT/FETAL MONITR NEW	$247.20	$480.00	$288.00–$451.20	—	49%
Preventive checkup, new patient aged 18–39 CPT 99385 RHC EVL COMP18-39 INIT NW	$180.77	$351.00	$114.10–$351.00	9% above	48%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 RHC EVL COMP18-39 INIT NW	$180.77	$351.00	$210.60–$329.94	—	48%
Preventive checkup, new patient aged 40–64 CPT 99386 RHC EVL COMP40-64 INIT NW	$180.77	$351.00	$132.20–$351.00	2% below	48%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 RHC EVL COMP40-64 INIT NW	$180.77	$351.00	$210.60–$329.94	—	48%
Preventive checkup, new patient aged 65 or older CPT 99387 RHC EVL COMP >64 INIT NEW	$180.77	$351.00	$134.00–$351.00	at median	48%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 RHC EVL COMP >64 INIT NEW	$180.77	$351.00	$210.60–$329.94	—	48%
Preventive checkup, returning patient aged 18–39 CPT 99395 CPE CMP PR REEVL 18-39ES	$217.85	$423.00	$102.90–$423.00	41% above	48%
Preventive checkup, returning patient aged 18–39 CPT 99395 RHC REEVAL COMP 18-39 EST	$217.85	$423.00	$102.90–$423.00	41% above	48%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 CPE CMP PR REEVL 18-39ES	$217.85	$423.00	$253.80–$397.62	—	48%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 RHC REEVAL COMP 18-39 EST	$217.85	$423.00	$253.80–$397.62	—	48%
Preventive checkup, returning patient aged 40–64 CPT 99396 RHC REEVAL COMP 40-64 EST	$217.85	$423.00	$109.90–$423.00	38% above	48%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 RHC REEVAL COMP 40-64 EST	$217.85	$423.00	$253.80–$397.62	—	48%
Preventive checkup, returning patient aged 65 or older CPT 99397 RHC REEVL COMP PREV>64EST	$217.85	$423.00	$134.00–$423.00	39% above	48%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 RHC REEVL COMP PREV>64EST	$217.85	$423.00	$253.80–$397.62	—	48%
Psychotherapy for crisis, first 60 minutes CPT 90839 RHC PSYCH CRISIS INI 60MN	$256.47	$498.00	$38.01–$498.00	25% below	49%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 RHC PSYCH CRISIS INI 60MN	$256.47	$498.00	$298.80–$468.12	—	49%
Psychotherapy session, 30 minutes CPT 90832 RHC PSYCHOTH PT 16-37 MIN	$215.27	$418.00	$60.67–$14,950.00	28% below	49%
Psychotherapy session, 30 minutes inpatient CPT 90832 RHC PSYCHOTH PT 16-37 MIN	$215.27	$418.00	$250.80–$392.92	—	49%
Psychotherapy session, 45 minutes CPT 90834 RHC PSYCHOTH PAT 38-52 MN	$215.27	$418.00	$77.07–$14,950.00	32% below	49%
Psychotherapy session, 45 minutes inpatient CPT 90834 RHC PSYCHOTH PAT 38-52 MN	$215.27	$418.00	$250.80–$392.92	—	49%
Psychotherapy session, 60 minutes CPT 90837 RHC PSYCHOTH PAT >53 MIN	$215.27	$418.00	$112.48–$14,950.00	37% below	49%
Psychotherapy session, 60 minutes inpatient CPT 90837 RHC PSYCHOTH PAT >53 MIN	$215.27	$418.00	$250.80–$392.92	—	49%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO COUNSELING 3-10MN	$47.90	$93.00	$10.41–$14,950.00	13% below	48%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 RHC COUNSL SMOK/TOBAC3-10	$50.99	$99.00	$10.41–$99.00	7% below	48%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO COUNSELING 3-10MN	$47.90	$93.00	$55.80–$87.42	—	48%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 RHC COUNSL SMOK/TOBAC3-10	$50.99	$99.00	$59.40–$93.06	—	48%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT HIGH 40MN EST PT	$114.33	$222.00	$94.36–$222.00	48% below	49%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 RHC VISIT HIGH 40MN EST	$241.02	$468.00	$94.36–$468.00	10% above	49%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT HIGH 40MN EST PT	$114.33	$222.00	$133.20–$208.68	—	49%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 RHC VISIT HIGH 40MN EST	$241.02	$468.00	$280.80–$439.92	—	49%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LOW 20MN EST PT	$86.52	$168.00	$39.59–$168.00	40% below	49%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHC VISIT LOW 20MN EST PT	$166.86	$324.00	$39.59–$324.00	16% above	49%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT LOW 20MN EST PT	$86.52	$168.00	$100.80–$157.92	—	49%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RHC VISIT LOW 20MN EST PT	$166.86	$324.00	$194.40–$304.56	—	49%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT MDT 30MN EST PT	$98.88	$192.00	$61.86–$192.00	43% below	49%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHC VISIT MDT 30MN EST PT	$200.85	$390.00	$61.86–$390.00	15% above	49%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FETAL DEMISE <23WK EST PT	$1,309.65	$2,543.00	$61.86–$13,394.00	649% above	48%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT MDT 30MN EST PT	$98.88	$192.00	$115.20–$180.48	—	49%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 RHC VISIT MDT 30MN EST PT	$200.85	$390.00	$234.00–$366.60	—	49%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FETAL DEMISE <23WK EST PT	$1,309.65	$2,543.00	$1,525.80–$2,390.42	—	48%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT STFD 10MN EST PT	$70.56	$137.00	$29.85–$137.00	38% below	48%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RHC VST STFD 10MN EST PT	$139.05	$270.00	$29.85–$270.00	23% above	49%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT STFD 10MN EST PT	$70.56	$137.00	$82.20–$128.78	—	48%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RHC VST STFD 10MN EST PT	$139.05	$270.00	$162.00–$253.80	—	49%
Specialist consultation, low complexity or 30+ minutes CPT 99243 RHC CCA CNSLT LOW 30 MIN	$88.58	$172.00	$106.00–$172.00	51% below	49%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 RHC CCA CNSLT LOW 30 MIN	$88.58	$172.00	$103.20–$161.68	—	49%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 RHC CCA CNSLT MOD 40 MIN	$121.03	$235.00	$134.00–$235.00	49% below	48%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 RHC CCA CNSLT MOD 40 MIN	$121.03	$235.00	$141.00–$220.90	—	48%
Spirometry (breathing test) CPT 94010 RHC SPIROMETRY	$239.99	$466.00	$28.23–$466.00	25% below	49%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$406.85	$790.00	$28.23–$790.00	26% above	49%
Spirometry (breathing test) inpatient CPT 94010 RHC SPIROMETRY	$239.99	$466.00	$279.60–$438.04	—	49%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$406.85	$790.00	$474.00–$742.60	—	49%
Spirometry before and after a bronchodilator CPT 94060 RHC BRNCSPASM EVL PRE/PST	$437.24	$849.00	$51.67–$849.00	43% below	48%
Spirometry before and after a bronchodilator CPT 94060 BRNCHSPASM EVAL PRE/POST	$589.68	$1,145.00	$51.67–$1,145.00	23% below	48%
Spirometry before and after a bronchodilator inpatient CPT 94060 RHC BRNCSPASM EVL PRE/PST	$437.24	$849.00	$509.40–$798.06	—	48%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRNCHSPASM EVAL PRE/POST	$589.68	$1,145.00	$687.00–$1,076.30	—	48%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT	$98.37	$191.00	$18.82–$15,877.00	67% below	48%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT	$98.37	$191.00	$114.60–$179.54	—	48%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC TR ADJ 0.5MLPFS	$104.55	$203.00	$50.00–$190.82	26% below	48%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC TR ADJ 0.5MLPFS	$104.55	$203.00	$50.75–$190.82	—	48%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCOV VAC30MCG/0.3MLSDV	$277.59	$539.00	$134.75–$539.00	19% above	48%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCOV VAC30MCG/0.3MLSDV	$277.59	$539.00	$323.40–$506.66	—	48%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC PF TR SV 0.5MLPFS	$47.38	$92.00	$19.98–$86.48	41% above	49%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC PF TR SV 0.5MLPFS	$47.38	$92.00	$23.00–$86.48	—	49%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV VACC 9-VAL 0.5ML IM	$73.33	$142.37	$91.12–$142.37	81% below	48%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV VACC 9-VAL 0.5ML IM	$73.33	$142.37	$85.43–$133.83	—	48%
Hepatitis A vaccine, adult dose CPT 90632 HEPAT A VACC 1440U 1ML IN	$26.81	$52.05	$33.32–$52.05	81% below	48%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPAT A VACC 1440U 1ML IN	$26.81	$52.05	$31.23–$48.93	—	48%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPAT B VACC 20MCG 1ML IN	$120.00	$233.00	$58.25–$219.02	42% above	48%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPAT B VACC 20MCG 1ML IN	$120.00	$233.00	$58.25–$219.02	—	48%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC PF SV HD .5MLPFS	$104.55	$203.00	$41.30–$190.82	17% below	48%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC PF SV HD .5MLPFS	$104.55	$203.00	$50.75–$190.82	—	48%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC	$76.22	$148.00	$62.00–$148.00	35% below	49%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC	$76.22	$148.00	$88.80–$139.12	—	49%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC ACYW PF0.5MLIM	$137.51	$267.00	$113.69–$267.00	47% below	48%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC ACYW PF0.5MLIM	$137.51	$267.00	$160.20–$250.98	—	48%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOC VACC 20 VALENT	$287.37	$558.00	$139.50–$558.00	43% below	49%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOC VACC 20 VALENT	$287.37	$558.00	$334.80–$524.52	—	49%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOC VACC 23 VALENT	$47.90	$93.00	$23.25–$93.00	70% below	48%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOC VACC 23 VALENT	$47.90	$93.00	$23.25–$87.42	—	48%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NRSVMAB-ALIP 50/0.5ML INJ	$508.82	$988.00	$247.00–$988.00	47% below	49%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NRSVMAB-ALIP 50/0.5ML INJ	$508.82	$988.00	$592.80–$928.72	—	49%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VAC 120MCG/0.5MLKIT	$385.74	$749.00	$187.25–$749.00	25% above	48%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VAC 120MCG/0.5MLKIT	$385.74	$749.00	$449.40–$704.06	—	48%
Rabies vaccine, one dose CPT 90675 RABIES VACC 2.5IU/ML 1ML	$675.68	$1,312.00	$218.47–$1,233.28	4% below	49%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC 2.5IU/ML 1ML	$675.68	$1,312.00	$787.20–$1,233.28	—	49%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOM ADJ0.5ML	$68.91	$133.79	$85.63–$133.79	68% below	48%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOM ADJ0.5ML	$68.91	$133.79	$80.28–$125.77	—	48%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP PFVACC 0.5ML>=7YR	$24.21	$47.00	$30.08–$47.00	70% below	48%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP PFVACC 0.5ML>=7YR	$24.21	$47.00	$28.20–$44.18	—	48%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 0.5ML >=7YR IM	$24.21	$47.00	$30.08–$47.00	71% below	48%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 0.5ML >=7YR IM	$24.21	$47.00	$28.20–$44.18	—	48%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RHC ADMIN OTH IMM VAC ONE	$59.23	$115.00	$4.46–$115.00	41% below	48%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEP B VACCINE	$134.93	$262.00	$4.46–$262.00	34% above	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 RHC ADMIN OTH IMM VAC ONE	$59.23	$115.00	$69.00–$108.10	—	48%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEP B VACCINE	$134.93	$262.00	$157.20–$246.28	—	49%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 RHC ADMIN OTH IMM VAC ADD	$59.23	$115.00	$5.13–$115.00	12% below	48%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN OTHER IMMUN VAC ADD	$134.93	$262.00	$5.13–$262.00	100% above	49%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 RHC ADMIN OTH IMM VAC ADD	$59.23	$115.00	$69.00–$108.10	—	48%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN OTHER IMMUN VAC ADD	$134.93	$262.00	$157.20–$246.28	—	49%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/dhcva/cacv/finance/price-transparency/941196203-1518018191_dignity-health_standardcharges.json