Hospital San Antonio-New Braunfels, TX

Medina Regional Hospital

Listed in its price file as “Medina County Hospital District”.

Medina Regional Hospital in Hondo, TX publishes cash prices for 355 common procedures listed here, from its own machine-readable price file updated Jul 29, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 225 of 351 procedures and above it for 125. By typical cash price it ranks #58 of 240 Texas hospitals and #4 of 15 hospitals in the San Antonio, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.

3100 Avenue E, Hondo, TX 78861 Collected Sep 27, 2026 Source price file (830) 426-7700

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 451330 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 RAD EXAM ANKLE P/R 3 VW MIN	$273.87	$304.30	$73.03–$304.30	23% below	10%
Ankle X-ray, complete, 3 or more views CPT 73610 RAD EXAM ANKLE 3 VIEW MINIMUM	$273.87	$304.30	$73.03–$304.30	23% below	10%
Ankle X-ray, complete, 3 or more views CPT 73610 RAD EXAM ANKLE 3 VIEW MIN BIL	$547.73	$608.58	$109.47–$608.58	54% above	10%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 RAD EXAM ANKLE 3 VIEW MINIMUM	$273.87	$304.30	$152.15–$273.87	—	10%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 RAD EXAM ANKLE P/R 3 VW MIN	$273.87	$304.30	$152.15–$273.87	—	10%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 RAD EXAM ANKLE 3 VIEW MIN BIL	$547.73	$608.58	$304.29–$547.72	—	10%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR XTREM SEG PRESS/DIGITS LMT	$245.49	$272.76	$65.46–$546.21	65% below	10%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR XTRM IDAG STEAL SYN EV LTD	$259.04	$287.82	$69.08–$546.21	63% below	10%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI SINGLE LEVEL	$330.60	$367.33	$88.16–$546.21	53% below	10%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR XTREM SEG PRESS/DIGITS LMT	$245.49	$272.76	$136.38–$245.48	—	10%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR XTRM IDAG STEAL SYN EV LTD	$259.04	$287.82	$143.91–$259.04	—	10%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI SINGLE LEVEL	$330.60	$367.33	$183.67–$330.60	—	10%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XRAY XM ESOPHAGUS 1CNTRST	$410.79	$456.43	$109.54–$1,061.51	18% below	10%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XRAY XM ESOPHAGUS 1CNTRST	$410.79	$456.43	$228.22–$410.79	—	10%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST COMP BILAT	$360.50	$400.55	$96.13–$480.73	—	10%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LT	$431.16	$479.06	$114.97–$480.73	3% below	10%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RT	$431.16	$479.06	$114.97–$480.73	3% below	10%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST COMP BILAT	$360.50	$400.55	$200.28–$360.50	—	10%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE RT	$431.16	$479.06	$239.53–$431.15	—	10%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE LT	$431.16	$479.06	$239.53–$431.15	—	10%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RT	$330.56	$367.28	$88.15–$367.28	5% below	10%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LT	$330.56	$367.28	$88.15–$367.28	5% below	10%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED RT	$330.56	$367.28	$183.64–$330.55	—	10%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED LT	$330.56	$367.28	$183.64–$330.55	—	10%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WO/W CONT	$2,604.34	$2,893.71	$227.23–$2,893.71	20% below	10%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WO/W CONT	$2,604.34	$2,893.71	$1,446.86–$2,604.34	—	10%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HEART W/3D IMAGE W CONT	$792.90	$881.00	$211.44–$1,191.68	52% below	10%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HEART W/3D IMAGE W CONT	$792.90	$881.00	$440.50–$792.90	—	10%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART CALCIUM SCORE	$473.11	$525.67	$109.47–$577.11	130% above	10%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART CALCIUM SCORE	$473.11	$525.67	$262.84–$577.11	—	10%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS WO CONT	$2,548.64	$2,831.82	$294.24–$2,831.82	24% below	10%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS WO CONT	$2,548.64	$2,831.82	$577.11–$2,548.64	—	10%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W CONT	$3,186.99	$3,541.10	$400.00–$3,541.10	18% below	10%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W CONT	$3,186.99	$3,541.10	$627.11–$3,186.99	—	10%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELV WO/W CONT	$3,186.99	$3,541.10	$400.00–$3,541.10	24% below	10%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELV WO/W CONT	$3,186.99	$3,541.10	$677.11–$3,186.99	—	10%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON	$2,202.61	$2,447.34	$227.23–$2,447.34	17% below	10%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON	$2,202.61	$2,447.34	$627.11–$2,202.61	—	10%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONT	$1,668.47	$1,853.85	$134.67–$1,853.85	22% below	10%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONT	$1,668.47	$1,853.85	$577.11–$1,668.47	—	10%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CONT	$1,711.63	$1,901.81	$134.67–$1,901.81	1% above	10%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CONT	$1,711.63	$1,901.81	$577.11–$1,711.63	—	10%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO CONT	$1,865.21	$2,072.45	$134.67–$2,072.45	4% below	10%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO CONT	$1,865.21	$2,072.45	$577.11–$1,865.21	—	10%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W CONT	$2,022.50	$2,247.22	$227.23–$2,247.22	at median	10%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W CONT	$2,022.50	$2,247.22	$627.11–$2,022.50	—	10%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN WO/W CONT	$2,609.69	$2,899.65	$227.23–$2,899.65	12% above	10%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN WO/W CONT	$2,609.69	$2,899.65	$677.11–$2,609.69	—	10%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CONT	$1,882.48	$2,091.64	$134.67–$2,091.64	16% below	10%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CONT	$1,882.48	$2,091.64	$577.11–$1,882.48	—	10%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CONTR	$1,796.77	$1,996.41	$134.67–$1,996.41	15% below	10%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CONTR	$1,796.77	$1,996.41	$577.11–$1,796.77	—	10%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONT	$1,968.21	$2,186.89	$227.23–$2,186.89	13% below	10%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONT	$1,968.21	$2,186.89	$627.11–$1,968.20	—	10%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DOPPLER, BILAT COMP	$1,006.02	$1,117.79	$268.27–$1,117.79	—	10%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID DOPPLER, BILAT COMP	$1,006.02	$1,117.79	$558.90–$1,006.01	—	10%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$299.78	$333.08	$79.94–$333.08	27% below	10%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$299.78	$333.08	$166.54–$299.77	—	10%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$165.31	$183.67	$44.08–$260.90	53% below	10%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VW ADD PORT	$247.96	$275.51	$66.12–$275.51	29% below	10%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW PORT	$247.96	$275.51	$66.12–$275.51	29% below	10%
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW	$165.31	$183.67	$91.84–$165.30	—	10%
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW PORT	$247.96	$275.51	$137.76–$247.96	—	10%
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VW ADD PORT	$247.96	$275.51	$137.76–$247.96	—	10%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA	$488.51	$542.78	$130.27–$542.78	34% below	10%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL/KIDNEY	$610.64	$678.48	$134.67–$678.48	18% below	10%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US AORTA	$488.51	$542.78	$271.39–$488.50	—	10%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL/KIDNEY	$610.64	$678.48	$339.24–$610.63	—	10%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BD AXIAL SKELETON	$547.73	$608.58	$134.67–$608.58	32% above	10%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BD AXIAL SKELETON	$547.73	$608.58	$304.29–$547.72	—	10%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BD APPENDICULAR	$134.46	$149.40	$35.86–$151.52	39% below	10%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENS/PERIPH 1+ SITES	$355.90	$395.44	$73.88–$395.44	61% above	10%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENS AXIAL 1+ SITES	$547.73	$608.58	$73.88–$608.58	148% above	10%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BD APPENDICULAR	$134.46	$149.40	$74.70–$134.46	—	10%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENS/PERIPH 1+ SITES	$355.90	$395.44	$197.72–$355.90	—	10%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENS AXIAL 1+ SITES	$547.73	$608.58	$304.29–$547.72	—	10%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONT	$1,968.21	$2,186.89	$134.67–$2,186.89	at median	10%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONT	$1,968.21	$2,186.89	$577.11–$1,968.20	—	10%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONT	$2,224.80	$2,471.99	$227.23–$2,471.99	1% below	10%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONT	$2,224.80	$2,471.99	$627.11–$2,224.79	—	10%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO 3D DIAG BILAT	$332.41	$369.34	$60.00–$514.00	—	10%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO 3D DIAG BILAT W/CAD	$387.21	$430.23	$60.00–$514.00	—	10%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO 3D DIAG BILAT	$332.41	$369.34	$184.67–$332.41	—	10%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO 3D DIAG BILAT W/CAD	$387.21	$430.23	$215.12–$387.21	—	10%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO, DIAG INCL CAD UNI - RT	$301.76	$335.28	$60.00–$402.44	11% above	10%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO, DIAG INCL CAD UNI - LT	$301.76	$335.28	$60.00–$402.44	11% above	10%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO 3D DIAG UNILAT RT	$313.68	$348.53	$60.00–$402.44	15% above	10%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO 3D DIAG UNILAT LT	$313.68	$348.53	$60.00–$402.44	15% above	10%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO, DIAG INCL CAD UNI - LT	$301.76	$335.28	$167.64–$301.75	—	10%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO, DIAG INCL CAD UNI - RT	$301.76	$335.28	$167.64–$301.75	—	10%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO 3D DIAG UNILAT RT	$313.68	$348.53	$174.27–$313.68	—	10%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO 3D DIAG UNILAT LT	$313.68	$348.53	$174.27–$313.68	—	10%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US ARTERIAL BIL LOW	$1,023.91	$1,137.67	$273.04–$1,179.46	55% below	10%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US ARTERIAL BIL LOW	$1,023.91	$1,137.67	$568.84–$1,023.90	—	10%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS BILAT LOW	$1,179.33	$1,310.36	$289.96–$1,310.36	—	10%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS BIL UP	$1,081.26	$1,201.39	$288.33–$1,201.39	48% below	10%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS BILAT LOW	$1,179.33	$1,310.36	$655.18–$1,179.32	—	10%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS BIL UP	$1,081.26	$1,201.39	$600.70–$1,081.25	—	10%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMP =>18YO	$1,478.48	$1,642.75	$394.26–$1,642.75	43% below	10%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMP < 18Y/O	$1,665.36	$1,850.40	$444.10–$1,850.40	36% below	10%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMP =>18YO	$1,478.48	$1,642.75	$821.38–$1,478.48	—	10%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMP < 18Y/O	$1,665.36	$1,850.40	$925.20–$1,665.36	—	10%
Knee X-ray, 3 views both sides CPT 73562 RAD EXAM KNEE 3 VIEW BILAT	$495.30	$550.33	$109.47–$550.33	—	10%
Knee X-ray, 3 views CPT 73562 RAD EXAM KNEE 3 VIEW	$246.74	$274.15	$65.80–$274.15	29% below	10%
Knee X-ray, 3 views inpatient both sides CPT 73562 RAD EXAM KNEE 3 VIEW BILAT	$495.30	$550.33	$275.17–$495.30	—	10%
Knee X-ray, 3 views inpatient CPT 73562 RAD EXAM KNEE 3 VIEW	$246.74	$274.15	$137.08–$246.74	—	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US HEPATIC/LIVER	$357.75	$397.50	$95.40–$480.73	47% below	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$357.75	$397.50	$95.40–$480.73	47% below	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS	$357.75	$397.50	$95.40–$480.73	47% below	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMTED/RUQ	$357.75	$397.50	$95.40–$480.73	47% below	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN	$357.75	$397.50	$95.40–$480.73	47% below	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER	$357.75	$397.50	$198.75–$357.75	—	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS	$357.75	$397.50	$198.75–$357.75	—	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMTED/RUQ	$357.75	$397.50	$198.75–$357.75	—	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN	$357.75	$397.50	$198.75–$357.75	—	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US HEPATIC/LIVER	$357.75	$397.50	$198.75–$357.75	—	10%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CA SCREENING	$723.34	$803.71	$134.67–$803.71	201% above	10%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG CA SCREENING	$723.34	$803.71	$401.86–$723.34	—	10%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BILAT	$1,615.50	$1,795.00	$264.43–$1,795.00	—	10%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST C-+ W/CAD BILAT	$1,615.50	$1,795.00	$897.50–$1,615.50	—	10%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LWR XTREM JOINT WO CONTRA	$2,237.76	$2,486.39	$294.24–$2,486.39	4% above	10%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LWR XTREM JOINT WO CONTRA	$2,237.76	$2,486.39	$1,243.20–$2,237.75	—	10%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXT JOINT WO/W CONT	$2,501.13	$2,779.03	$464.22–$2,779.03	17% below	10%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOW EXT JOINT WO/W CONT	$2,501.13	$2,779.03	$1,389.52–$2,501.13	—	10%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST	$2,737.98	$3,042.20	$294.24–$3,042.20	20% above	10%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST	$2,737.98	$3,042.20	$1,521.10–$2,737.98	—	10%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO/W CONTRAST	$3,524.40	$3,915.99	$464.22–$3,915.99	8% above	10%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO/W CONTRAST	$3,524.40	$3,915.99	$1,958.00–$3,524.39	—	10%
MRI of the brain, no contrast dye CPT 70551 MRI IAC WO CONTRAST	$838.05	$931.16	$223.48–$1,098.83	62% below	10%
MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY WO CONTRAST	$838.05	$931.16	$223.48–$1,098.83	62% below	10%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN PIT GLAND WO CONT	$868.50	$965.00	$231.60–$1,098.83	60% below	10%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST	$2,823.72	$3,137.46	$294.24–$3,137.46	28% above	10%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI PITUITARY WO CONTRAST	$838.05	$931.16	$465.58–$838.04	—	10%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI IAC WO CONTRAST	$838.05	$931.16	$465.58–$838.04	—	10%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN PIT GLAND WO CONT	$868.50	$965.00	$482.50–$868.50	—	10%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST	$2,823.72	$3,137.46	$1,568.73–$2,823.71	—	10%
MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY WO/W CONTRAST	$1,507.54	$1,675.04	$402.01–$2,158.63	50% below	10%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WO/W CONTRAST	$1,549.68	$1,721.86	$413.25–$2,158.63	49% below	10%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN/IACS WO/W CONTRAST	$3,004.96	$3,338.84	$464.22–$3,338.84	1% below	10%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN/PITUITARY WO/W CONT	$3,088.78	$3,431.97	$464.22–$3,431.97	2% above	10%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONTRAST	$3,230.82	$3,589.80	$464.22–$3,589.80	7% above	10%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PITUITARY WO/W CONTRAST	$1,507.54	$1,675.04	$837.52–$1,507.54	—	10%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC WO/W CONTRAST	$1,549.68	$1,721.86	$860.93–$1,549.67	—	10%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN/IACS WO/W CONTRAST	$3,004.96	$3,338.84	$1,669.42–$3,004.96	—	10%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN/PITUITARY WO/W CONT	$3,088.78	$3,431.97	$1,715.99–$3,088.77	—	10%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CONTRAST	$3,230.82	$3,589.80	$1,794.90–$3,230.82	—	10%
MRI of the lower back, no contrast dye CPT 72148 MRI-LUMBAR SPINE WO CONT	$2,789.81	$3,099.78	$294.24–$3,099.78	22% above	10%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-LUMBAR SPINE WO CONT	$2,789.81	$3,099.78	$1,549.89–$2,789.80	—	10%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WO/W CONTRAST	$3,594.12	$3,993.46	$464.22–$3,993.46	12% above	10%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE WO/W CONTRAST	$3,594.12	$3,993.46	$1,996.73–$3,594.11	—	10%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WO CONTRAST	$2,652.85	$2,947.61	$294.24–$2,947.61	23% above	10%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE WO CONTRAST	$2,652.85	$2,947.61	$1,473.81–$2,652.85	—	10%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE WO/W CONT	$3,230.82	$3,589.80	$464.22–$3,589.80	1% below	10%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE WO/W CONT	$3,230.82	$3,589.80	$1,794.90–$3,230.82	—	10%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$2,567.13	$2,852.36	$294.24–$2,852.36	7% above	10%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$2,567.13	$2,852.36	$1,426.18–$2,567.12	—	10%
MRI of the pelvis without and with contrast CPT 72197 MRI SI JOINT WO/W CONTRAST	$1,507.54	$1,675.04	$402.01–$2,158.63	56% below	10%
MRI of the pelvis without and with contrast CPT 72197 MRI SACRUM/COCCYX WO/W CONT	$2,540.07	$2,822.30	$464.22–$2,822.30	25% below	10%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO/W CONTRAST	$3,230.82	$3,589.80	$464.22–$3,589.80	5% below	10%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI SI JOINT WO/W CONTRAST	$1,507.54	$1,675.04	$837.52–$1,507.54	—	10%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI SACRUM/COCCYX WO/W CONT	$2,540.07	$2,822.30	$1,411.15–$2,540.07	—	10%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO/W CONTRAST	$3,230.82	$3,589.80	$1,794.90–$3,230.82	—	10%
MRI of the pelvis, no contrast dye CPT 72195 MRI SI JOINT WO CONTRAST	$828.68	$920.75	$220.98–$1,098.83	67% below	10%
MRI of the pelvis, no contrast dye CPT 72195 MRCP	$873.11	$970.12	$232.83–$1,098.83	65% below	10%
MRI of the pelvis, no contrast dye CPT 72195 MRI SACRUM/COCCYX WO CONT	$2,218.33	$2,464.81	$294.24–$2,464.81	11% below	10%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST	$2,652.85	$2,947.61	$294.24–$2,947.61	7% above	10%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI SI JOINT WO CONTRAST	$828.68	$920.75	$460.38–$828.68	—	10%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRCP	$873.11	$970.12	$485.06–$873.11	—	10%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI SACRUM/COCCYX WO CONT	$2,218.33	$2,464.81	$1,232.41–$2,218.33	—	10%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST	$2,652.85	$2,947.61	$1,473.81–$2,652.85	—	10%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER XTREM JOINT WO CONT	$2,200.77	$2,445.29	$294.24–$2,445.29	23% above	10%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER XTREM JOINT WO CONT	$2,200.77	$2,445.29	$1,222.65–$2,200.76	—	10%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED FU	$230.69	$256.32	$61.52–$480.73	55% below	10%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER POST VOID	$359.61	$399.56	$95.89–$480.73	31% below	10%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED	$491.59	$546.21	$131.09–$546.21	5% below	10%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED FU	$230.69	$256.32	$128.16–$230.69	—	10%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER POST VOID	$359.61	$399.56	$199.78–$359.60	—	10%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED	$491.59	$546.21	$273.11–$491.59	—	10%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE	$746.34	$829.26	$137.30–$829.26	13% below	10%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE	$746.34	$829.26	$414.63–$746.33	—	10%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB 1st>14 WKS, SNGL FETUS	$566.86	$629.84	$134.67–$629.84	14% below	10%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB 1st>14 WKS, SNGL FETUS	$566.86	$629.84	$314.92–$566.86	—	10%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-OB 1st<14 WKS, SNGL FETUS	$564.99	$627.76	$134.67–$627.76	15% below	10%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-OB 1st<14 WKS, SNGL FETUS	$564.99	$627.76	$313.88–$564.98	—	10%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED	$411.43	$457.14	$109.71–$480.73	16% below	10%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED	$411.43	$457.14	$228.57–$411.43	—	10%
Screening mammogram, both breasts both sides CPT 77067 MAMMO, SCRN BI INCL CAD - RT	$365.74	$406.37	$60.00–$425.08	—	10%
Screening mammogram, both breasts both sides CPT 77067 MAMMO, SCRN BI INCL CAD - LT	$365.74	$406.37	$60.00–$425.08	—	10%
Screening mammogram, both breasts CPT 77067 MAMMO, DIGI SCRN BIL W/CAD	$439.09	$487.87	$60.00–$487.87	44% above	10%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO, SCRN BI INCL CAD - LT	$365.74	$406.37	$203.19–$365.73	—	10%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO, SCRN BI INCL CAD - RT	$365.74	$406.37	$203.19–$365.73	—	10%
Screening mammogram, both breasts inpatient CPT 77067 MAMMO, DIGI SCRN BIL W/CAD	$439.09	$487.87	$243.94–$439.08	—	10%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 RAD EXAM SHOULDER2/> VW BILAT	$292.35	$324.83	$77.96–$324.83	—	10%
Shoulder X-ray, complete, 2 or more views CPT 73030 RAD EXAM SHOULDER P/R 2/> VW	$174.56	$193.95	$46.55–$260.90	43% below	10%
Shoulder X-ray, complete, 2 or more views CPT 73030 RAD EXAM SHOULDER MIN 2 VIEW	$174.56	$193.95	$46.55–$260.90	43% below	10%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 RAD EXAM SHOULDER2/> VW BILAT	$292.35	$324.83	$162.42–$292.35	—	10%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 RAD EXAM SHOULDER MIN 2 VIEW	$174.56	$193.95	$96.98–$174.56	—	10%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 RAD EXAM SHOULDER P/R 2/> VW	$174.56	$193.95	$96.98–$174.56	—	10%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XRAY XM SWLING FUNCJ C+	$470.63	$522.92	$125.50–$522.92	22% below	10%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XRAY XM SWLING FUNCJ C+	$470.63	$522.92	$261.46–$470.63	—	10%
Transvaginal pelvic ultrasound CPT 76830 US PELVIC TRANSVAG	$746.34	$829.26	$134.67–$829.26	13% above	10%
Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIC TRANSVAG	$746.34	$829.26	$414.63–$746.33	—	10%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$684.64	$760.71	$134.67–$760.71	16% above	10%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$684.64	$760.71	$380.36–$684.64	—	10%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE	$804.33	$893.69	$134.67–$893.69	7% below	10%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE	$804.33	$893.69	$446.85–$804.32	—	10%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR/SCROTU	$556.38	$618.19	$134.67–$618.19	25% below	10%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR/SCROTU	$556.38	$618.19	$309.10–$556.37	—	10%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID/HEAD/NECK	$559.44	$621.60	$134.67–$621.60	13% below	10%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID/HEAD/NECK	$559.44	$621.60	$310.80–$559.44	—	10%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XRAY SM UPR GI TRC 1CNTRST	$323.21	$359.12	$86.19–$1,061.51	56% below	10%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XRAY SM UPR GI TRC 1CNTRST	$323.21	$359.12	$179.56–$323.21	—	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS UNI UP	$829.61	$921.78	$137.30–$921.78	3% above	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS UNI LOW	$905.46	$1,006.06	$137.30–$1,006.06	13% above	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VENOUS UNI UP	$829.61	$921.78	$460.89–$829.60	—	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VENOUS UNI LOW	$905.46	$1,006.06	$503.03–$905.45	—	10%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 RAD EXAM WRIST 3/< VIEW BILAT	$513.18	$570.20	$109.47–$570.20	—	10%
Wrist X-ray, complete, 3 or more views CPT 73110 RAD EXAM WRIST P/R 3/< VIEW	$256.59	$285.09	$68.42–$285.09	29% below	10%
Wrist X-ray, complete, 3 or more views CPT 73110 RAD EXAM WRIST MINIMUM 3 VIEW	$256.59	$285.09	$68.42–$285.09	29% below	10%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 RAD EXAM WRIST 3/< VIEW BILAT	$513.18	$570.20	$285.10–$513.18	—	10%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 RAD EXAM WRIST MINIMUM 3 VIEW	$256.59	$285.09	$142.55–$256.58	—	10%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 RAD EXAM WRIST P/R 3/< VIEW	$256.59	$285.09	$142.55–$256.58	—	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNI 2-3 VIEW RT	$88.38	$98.20	$23.57–$260.90	78% below	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNI 2-3 VIEW LT	$88.38	$98.20	$23.57–$260.90	78% below	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY HIP UNI 2-3 VIEW RT	$88.38	$98.20	$49.10–$88.38	—	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY HIP UNI 2-3 VIEW LT	$88.38	$98.20	$49.10–$88.38	—	10%
X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW PORT	$265.23	$294.70	$70.73–$294.70	22% below	10%
X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW, KUB	$265.23	$294.70	$70.73–$294.70	22% below	10%
X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABD 1 VW ADD PORT	$265.23	$294.70	$70.73–$294.70	22% below	10%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY EXAM ABD 1 VW ADD PORT	$265.23	$294.70	$147.35–$265.23	—	10%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW PORT	$265.23	$294.70	$147.35–$265.23	—	10%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW, KUB	$265.23	$294.70	$147.35–$265.23	—	10%
X-ray of the ankle, 2 views both sides CPT 73600 RAD EXAM ANKLE 2V BILAT	$428.07	$475.63	$109.47–$475.63	—	10%
X-ray of the ankle, 2 views CPT 73600 RAD EXAM ANKLE 1 VIEWS	$149.90	$166.55	$39.97–$260.90	48% below	10%
X-ray of the ankle, 2 views CPT 73600 RAD EXAM ANKLE POST RED 2V	$214.04	$237.82	$57.08–$260.90	26% below	10%
X-ray of the ankle, 2 views CPT 73600 RAD EXAM ANKLE 2 VIEWS	$214.04	$237.82	$57.08–$260.90	26% below	10%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 RAD EXAM ANKLE 2V BILAT	$428.07	$475.63	$237.82–$428.07	—	10%
X-ray of the ankle, 2 views inpatient CPT 73600 RAD EXAM ANKLE 1 VIEWS	$149.90	$166.55	$83.28–$149.90	—	10%
X-ray of the ankle, 2 views inpatient CPT 73600 RAD EXAM ANKLE 2 VIEWS	$214.04	$237.82	$118.91–$214.04	—	10%
X-ray of the ankle, 2 views inpatient CPT 73600 RAD EXAM ANKLE POST RED 2V	$214.04	$237.82	$118.91–$214.04	—	10%
X-ray of the finger(s), 2 or more views both sides CPT 73140 RAD EXAM FINGER MIN 2 VW BILAT	$404.01	$448.90	$107.74–$448.90	—	10%
X-ray of the finger(s), 2 or more views CPT 73140 RAD EXAM FINGER MINIMUM 1 VIEW	$141.25	$156.94	$37.67–$260.90	41% below	10%
X-ray of the finger(s), 2 or more views CPT 73140 RAD EXAM FINGER P/R 2/< VW	$201.69	$224.10	$53.78–$260.90	16% below	10%
X-ray of the finger(s), 2 or more views CPT 73140 RAD EXAM FINGER MINIMUM 2 VIEW	$201.69	$224.10	$53.78–$260.90	16% below	10%
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 RAD EXAM FINGER MIN 2 VW BILAT	$404.01	$448.90	$224.45–$404.01	—	10%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 RAD EXAM FINGER MINIMUM 1 VIEW	$141.25	$156.94	$78.47–$141.25	—	10%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 RAD EXAM FINGER MINIMUM 2 VIEW	$201.69	$224.10	$112.05–$201.69	—	10%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 RAD EXAM FINGER P/R 2/< VW	$201.69	$224.10	$112.05–$201.69	—	10%
X-ray of the foot, 2 views both sides CPT 73620 RAD EXAM FOOT 2 VW BILAT	$417.59	$463.98	$109.47–$463.98	—	10%
X-ray of the foot, 2 views CPT 73620 RAD EXAM FOOT 1 VIEW	$146.20	$162.44	$38.99–$260.90	56% below	10%
X-ray of the foot, 2 views CPT 73620 RAD EXAM FOOT 2 VIEW	$209.12	$232.35	$55.76–$260.90	37% below	10%
X-ray of the foot, 2 views inpatient both sides CPT 73620 RAD EXAM FOOT 2 VW BILAT	$417.59	$463.98	$231.99–$417.58	—	10%
X-ray of the foot, 2 views inpatient CPT 73620 RAD EXAM FOOT 1 VIEW	$146.20	$162.44	$81.22–$146.20	—	10%
X-ray of the foot, 2 views inpatient CPT 73620 RAD EXAM FOOT 2 VIEW	$209.12	$232.35	$116.18–$209.12	—	10%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 RAD EXAM FOOT MIN 3 VW BILAT	$547.73	$608.58	$109.47–$608.58	—	10%
X-ray of the foot, complete, 3 or more views CPT 73630 RAD EXAM FOOT MINIMUM 3 VIEW	$273.87	$304.30	$73.03–$304.30	26% below	10%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 RAD EXAM FOOT MIN 3 VW BILAT	$547.73	$608.58	$304.29–$547.72	—	10%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 RAD EXAM FOOT MINIMUM 3 VIEW	$273.87	$304.30	$152.15–$273.87	—	10%
X-ray of the hand, 3 or more views both sides CPT 73130 RAD EXAM HAND MIN 3 VW BILAT	$496.55	$551.72	$109.47–$551.72	—	10%
X-ray of the hand, 3 or more views CPT 73130 RAD EXAM HAND P/R MIN3 VW	$247.96	$275.51	$66.12–$275.51	35% below	10%
X-ray of the hand, 3 or more views CPT 73130 RAD EXAM HAND MINIMUM 3 VIEW	$247.96	$275.51	$66.12–$275.51	35% below	10%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 RAD EXAM HAND MIN 3 VW BILAT	$496.55	$551.72	$275.86–$496.55	—	10%
X-ray of the hand, 3 or more views inpatient CPT 73130 RAD EXAM HAND MINIMUM 3 VIEW	$247.96	$275.51	$137.76–$247.96	—	10%
X-ray of the hand, 3 or more views inpatient CPT 73130 RAD EXAM HAND P/R MIN3 VW	$247.96	$275.51	$137.76–$247.96	—	10%
X-ray of the knee, 1 or 2 views both sides CPT 73560 RAD EXAM KNEE 1/2 VIEW BILAT	$481.74	$535.26	$109.47–$535.26	—	10%
X-ray of the knee, 1 or 2 views CPT 73560 RAD EXAM KNEE 1 OR 2 VIEW	$241.17	$267.96	$64.31–$267.96	13% below	10%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 RAD EXAM KNEE 1/2 VIEW BILAT	$481.74	$535.26	$267.63–$481.73	—	10%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 RAD EXAM KNEE 1 OR 2 VIEW	$241.17	$267.96	$133.98–$241.16	—	10%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 RAD LUMBAR SPINE 2/3 VIEW	$484.84	$538.71	$129.29–$538.71	2% above	10%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 RAD LUMBAR SPINE 2/3 VIEW	$484.84	$538.71	$269.36–$484.84	—	10%
X-ray of the lower back, 4 or more views CPT 72110 RAD LUMBAR SPINE MIN 4 VIEW	$419.45	$466.05	$111.85–$480.73	36% below	10%
X-ray of the lower back, 4 or more views inpatient CPT 72110 RAD LUMBAR SPINE MIN 4 VIEW	$419.45	$466.05	$233.03–$419.45	—	10%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 RAD THORACIC SPINE 2/3 VIEW	$299.16	$332.40	$79.78–$480.73	26% below	10%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 RAD THORACIC SPINE 2/3 VIEW	$299.16	$332.40	$166.20–$299.16	—	10%
X-ray of the nasal bones, 3 or more views CPT 70160 RAD NASAL BONES MIN 3 VIEW	$251.67	$279.63	$67.11–$279.63	14% below	10%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 RAD NASAL BONES MIN 3 VIEW	$251.67	$279.63	$139.82–$251.67	—	10%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 RAD SPINE CERVICAL 3< VIEW	$316.43	$351.58	$84.38–$351.58	15% below	10%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 RAD SPINE CERVICAL 3< VIEW	$316.43	$351.58	$175.79–$316.42	—	10%
X-ray of the pelvis, 1 or 2 views CPT 72170 RAD EXAM PELVIS 1 OR 2 VIEW	$258.46	$287.17	$68.92–$480.73	30% below	10%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 RAD EXAM PELVIS 1 OR 2 VIEW	$258.46	$287.17	$143.59–$258.45	—	10%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 RAD SACRUM/COCCYX MIN 2 VIEW	$265.23	$294.70	$70.73–$294.70	19% below	10%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 RAD SACRUM/COCCYX MIN 2 VIEW	$265.23	$294.70	$147.35–$265.23	—	10%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT	$82.49	$91.65	$8.48–$91.65	40% above	10%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT	$82.49	$91.65	$45.83–$82.49	—	10%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT	$99.94	$111.04	$8.29–$111.04	70% above	10%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT	$99.94	$111.04	$55.52–$99.94	—	10%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$519.99	$577.76	$76.21–$577.76	34% above	10%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$519.99	$577.76	$288.88–$519.98	—	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PHOMA BETAE	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-EGG WHITE	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-EGG, WHOLE	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CHEESE, MOLD TYPE	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-AVOCADO	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MUCOR RACEMOOSUS	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-TOMATO	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WHITE MULBERRY	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-COMMON SILVER BIRCH	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PENICILUM CHRYSOGENUM	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CHEDDAR	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-APPLE	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CASHEW NUT	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BARLEY	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PECAN NUT	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CANDIDA ALBICANS	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MESQUITE	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PINEAPPLE	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ELM, AMERICAN	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ROUGH MARSHELDER	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HAZELNUT/FILBERT	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-RAGWEED, SHORT/COMMON	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BRAZIL NUT	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ALTERNARIA ALTERNATA	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-AUREOBASIDIUM PULLULA	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ALMOND	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MOUSE EPITHELIUM	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-COD FISH	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SOYBEAN	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WHEAT	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SHEEP SORREL	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-COCKROACH, AMERICAN	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WHOLE GRAIN	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CORN	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-DOG DANDER/EPITHALIA	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-KY BLUE/JUNE GRASS	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-OAK, WHITE	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-COTTONWOOD	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CHICKEN	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-FUSARIUM PORLIFEATUM	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BANANA	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-STEMPHYLIUM HERBARUM	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-RYE	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MAPLE/BOX ELDER	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-OAT	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SHRIMP	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-LETTUCE	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BEEF	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-GLUTEN	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PORK	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-NETTLE	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ASPERGILLUS NIGER	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MILK	$11.05	$12.27	$2.94–$23.70	57% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BROME, SMOOTH	$13.00	$14.44	$3.47–$23.70	49% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PLANTAIN, ENGLISH	$13.00	$14.44	$3.47–$23.70	49% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-EPICOCCUM PURPURASCEN	$13.00	$14.44	$3.47–$23.70	49% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-LAMB'S QUARTERS	$13.00	$14.44	$3.47–$23.70	49% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SYCAMORE, MAPLE LEAF	$13.00	$14.44	$3.47–$23.70	49% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-JOHNSON GRASS	$13.00	$14.44	$3.47–$23.70	49% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-THISTLE, RUSSIAN	$13.00	$14.44	$3.47–$23.70	49% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BLUEBERRY	$13.31	$14.78	$3.55–$23.70	48% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-RASPBERRY	$13.31	$14.78	$3.55–$23.70	48% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CAULIFLOWER	$13.31	$14.78	$3.55–$23.70	48% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-GREEN BELL PEPPER	$13.31	$14.78	$3.55–$23.70	48% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MANGO	$13.31	$14.78	$3.55–$23.70	48% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ONION	$13.31	$14.78	$3.55–$23.70	48% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SPINACH	$13.31	$14.78	$3.55–$23.70	48% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CABBAGE	$13.31	$14.78	$3.55–$23.70	48% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-GREEN BEAN	$13.31	$14.78	$3.55–$23.70	48% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ASPARAGUS	$13.31	$14.78	$3.55–$23.70	48% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-GRAPE	$13.31	$14.78	$3.55–$23.70	48% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PEA	$14.13	$15.69	$3.77–$23.70	45% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PEANUT	$14.13	$15.69	$3.77–$23.70	45% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CHOCOLATE/CACAO	$14.13	$15.69	$3.77–$23.70	45% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-STRAWBERRY	$14.13	$15.69	$3.77–$23.70	45% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-POTATO, WHITE	$14.13	$15.69	$3.77–$23.70	45% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WALNUT	$14.13	$15.69	$3.77–$23.70	45% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-RICE	$14.13	$15.69	$3.77–$23.70	45% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ORANGE	$14.13	$15.69	$3.77–$23.70	45% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PISTACHIO NUT	$14.13	$15.69	$3.77–$23.70	45% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG SP IGE; QUAN/SEMIQUAN	$14.55	$16.16	$3.88–$23.70	43% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BING CHERRY	$15.90	$17.66	$4.24–$23.70	38% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WATERMELON IGE	$16.73	$18.58	$4.46–$23.70	35% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-COCONUT	$20.05	$22.27	$5.34–$23.70	22% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BAHIA GRASS RAST	$25.91	$28.78	$6.91–$28.78	1% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HORNET, WHITE FACE	$25.91	$28.78	$6.91–$28.78	1% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HONEYBEE	$25.91	$28.78	$6.91–$28.78	1% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WASP, PAPER	$25.91	$28.78	$6.91–$28.78	1% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HORNET, YELLOW	$25.91	$28.78	$6.91–$28.78	1% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLGEN-PENICILLOYL V	$28.80	$32.00	$7.68–$32.00	12% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLGEN-CO02 IgE PENICILLIN V	$28.80	$32.00	$7.68–$32.00	12% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-TIMOTHY	$33.73	$37.47	$8.35–$37.47	32% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SETOMELANOMA ROSTRATA	$33.73	$37.47	$8.35–$37.47	32% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CARELESS WEED	$33.73	$37.47	$8.35–$37.47	32% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-DERMATOPHAG FARINAE	$33.73	$37.47	$8.35–$37.47	32% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CAT DANDER/HAIR	$33.73	$37.47	$8.35–$37.47	32% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PECAN, HICKORY	$33.73	$37.47	$8.35–$37.47	32% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BERMUDA GRASS	$33.73	$37.47	$8.35–$37.47	32% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-OAK, LIVE/VIRIGINA	$33.73	$37.47	$8.35–$37.47	32% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-RAGWEED, GIANT	$33.73	$37.47	$8.35–$37.47	32% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLER-DERMATOPHA PTERONYSINUS	$33.73	$37.47	$8.35–$37.47	32% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ASPERGILLUS FUMIGATUS	$33.73	$37.47	$8.35–$37.47	32% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-YELLOW JACKET	$38.26	$42.51	$8.35–$42.51	49% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-FIRE ANT	$38.26	$42.51	$8.35–$42.51	49% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HOUSE DUST HS	$46.27	$51.41	$8.35–$51.41	81% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HOUSE DUST GREER	$46.27	$51.41	$8.35–$51.41	81% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-DEER EPITHELIUM	$48.85	$54.27	$8.35–$54.27	91% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PINTO BEAN	$49.97	$55.52	$8.35–$55.52	95% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BETA LACTOGLOBULIN	$60.46	$67.17	$8.35–$67.17	136% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CLADOSPORIUM HERBARUM	$60.46	$67.17	$8.35–$67.17	136% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-COCKROACH, GERMAN	$60.46	$67.17	$8.35–$67.17	136% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PIGWEED, ROUGH	$60.46	$67.17	$8.35–$67.17	136% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CASEIN	$60.46	$67.17	$8.35–$67.17	136% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HICKORY MT	$60.46	$67.17	$8.35–$67.17	136% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ASH, WHITE	$60.46	$67.17	$8.35–$67.17	136% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-EGG YOLK	$60.46	$67.17	$8.35–$67.17	136% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CEDAR, MOUNTAIN	$60.46	$67.17	$8.35–$67.17	136% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-OAK	$62.91	$69.90	$8.35–$69.90	146% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-LIVE OAK	$80.19	$89.10	$8.35–$89.10	213% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PROFILE	$172.09	$191.21	$8.35–$191.21	572% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILDHOOD ALLERGY	$172.09	$191.21	$8.35–$191.21	572% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS 22	$222.70	$247.44	$8.35–$247.44	769% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS(60)INHALANTS	$403.29	$448.10	$8.35–$448.10	1474% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ROST-TEXAS GENERAL PANEL	$535.38	$594.86	$8.35–$594.86	1990% above	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ASPERGILLUS NIGER	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BEEF	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ALMOND	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-DOG DANDER/EPITHALIA	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CANDIDA ALBICANS	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-AUREOBASIDIUM PULLULA	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MILK	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-SOYBEAN	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PENICILUM CHRYSOGENUM	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-WHEAT	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-COD FISH	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-RAGWEED, SHORT/COMMON	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-GLUTEN	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BRAZIL NUT	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HAZELNUT/FILBERT	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-OAT	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-EGG WHITE	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-EGG, WHOLE	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MESQUITE	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-WHITE MULBERRY	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-NETTLE	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ROUGH MARSHELDER	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-FUSARIUM PORLIFEATUM	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BARLEY	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-LETTUCE	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-AVOCADO	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PORK	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ELM, AMERICAN	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PHOMA BETAE	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-RYE	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PECAN NUT	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CHEDDAR	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MOUSE EPITHELIUM	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-SHEEP SORREL	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-COMMON SILVER BIRCH	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-COTTONWOOD	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-APPLE	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-TOMATO	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-COCKROACH, AMERICAN	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MUCOR RACEMOOSUS	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ALTERNARIA ALTERNATA	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CHEESE, MOLD TYPE	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CHICKEN	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MAPLE/BOX ELDER	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-STEMPHYLIUM HERBARUM	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BANANA	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PINEAPPLE	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CASHEW NUT	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-WHOLE GRAIN	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CORN	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-OAK, WHITE	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-KY BLUE/JUNE GRASS	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-SHRIMP	$11.05	$12.27	$6.14–$11.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-EPICOCCUM PURPURASCEN	$13.00	$14.44	$7.22–$13.00	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PLANTAIN, ENGLISH	$13.00	$14.44	$7.22–$13.00	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-LAMB'S QUARTERS	$13.00	$14.44	$7.22–$13.00	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-JOHNSON GRASS	$13.00	$14.44	$7.22–$13.00	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-SYCAMORE, MAPLE LEAF	$13.00	$14.44	$7.22–$13.00	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BROME, SMOOTH	$13.00	$14.44	$7.22–$13.00	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-THISTLE, RUSSIAN	$13.00	$14.44	$7.22–$13.00	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ASPARAGUS	$13.31	$14.78	$7.39–$13.30	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-SPINACH	$13.31	$14.78	$7.39–$13.30	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-RASPBERRY	$13.31	$14.78	$7.39–$13.30	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CABBAGE	$13.31	$14.78	$7.39–$13.30	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BLUEBERRY	$13.31	$14.78	$7.39–$13.30	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-GREEN BELL PEPPER	$13.31	$14.78	$7.39–$13.30	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-GRAPE	$13.31	$14.78	$7.39–$13.30	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CAULIFLOWER	$13.31	$14.78	$7.39–$13.30	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ONION	$13.31	$14.78	$7.39–$13.30	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MANGO	$13.31	$14.78	$7.39–$13.30	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-GREEN BEAN	$13.31	$14.78	$7.39–$13.30	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CHOCOLATE/CACAO	$14.13	$15.69	$7.85–$14.12	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ORANGE	$14.13	$15.69	$7.85–$14.12	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-RICE	$14.13	$15.69	$7.85–$14.12	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PEA	$14.13	$15.69	$7.85–$14.12	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-POTATO, WHITE	$14.13	$15.69	$7.85–$14.12	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-STRAWBERRY	$14.13	$15.69	$7.85–$14.12	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PISTACHIO NUT	$14.13	$15.69	$7.85–$14.12	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-WALNUT	$14.13	$15.69	$7.85–$14.12	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PEANUT	$14.13	$15.69	$7.85–$14.12	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG SP IGE; QUAN/SEMIQUAN	$14.55	$16.16	$8.08–$14.54	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BING CHERRY	$15.90	$17.66	$8.83–$15.89	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-WATERMELON IGE	$16.73	$18.58	$9.29–$16.72	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-COCONUT	$20.05	$22.27	$11.14–$20.04	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-WASP, PAPER	$25.91	$28.78	$14.39–$25.90	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HORNET, YELLOW	$25.91	$28.78	$14.39–$25.90	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HONEYBEE	$25.91	$28.78	$14.39–$25.90	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HORNET, WHITE FACE	$25.91	$28.78	$14.39–$25.90	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BAHIA GRASS RAST	$25.91	$28.78	$14.39–$25.90	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLGEN-PENICILLOYL V	$28.80	$32.00	$16.00–$28.80	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLGEN-CO02 IgE PENICILLIN V	$28.80	$32.00	$16.00–$28.80	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-TIMOTHY	$33.73	$37.47	$18.74–$33.72	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-DERMATOPHAG FARINAE	$33.73	$37.47	$18.74–$33.72	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CAT DANDER/HAIR	$33.73	$37.47	$18.74–$33.72	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PECAN, HICKORY	$33.73	$37.47	$18.74–$33.72	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLER-DERMATOPHA PTERONYSINUS	$33.73	$37.47	$18.74–$33.72	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-SETOMELANOMA ROSTRATA	$33.73	$37.47	$18.74–$33.72	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CARELESS WEED	$33.73	$37.47	$18.74–$33.72	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-RAGWEED, GIANT	$33.73	$37.47	$18.74–$33.72	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BERMUDA GRASS	$33.73	$37.47	$18.74–$33.72	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ASPERGILLUS FUMIGATUS	$33.73	$37.47	$18.74–$33.72	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-OAK, LIVE/VIRIGINA	$33.73	$37.47	$18.74–$33.72	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-FIRE ANT	$38.26	$42.51	$21.26–$38.26	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-YELLOW JACKET	$38.26	$42.51	$21.26–$38.26	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HOUSE DUST HS	$46.27	$51.41	$25.71–$46.27	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HOUSE DUST GREER	$46.27	$51.41	$25.71–$46.27	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-DEER EPITHELIUM	$48.85	$54.27	$27.14–$48.84	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PINTO BEAN	$49.97	$55.52	$27.76–$49.97	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CASEIN	$60.46	$67.17	$33.59–$60.45	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PIGWEED, ROUGH	$60.46	$67.17	$33.59–$60.45	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CLADOSPORIUM HERBARUM	$60.46	$67.17	$33.59–$60.45	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-COCKROACH, GERMAN	$60.46	$67.17	$33.59–$60.45	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ASH, WHITE	$60.46	$67.17	$33.59–$60.45	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BETA LACTOGLOBULIN	$60.46	$67.17	$33.59–$60.45	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CEDAR, MOUNTAIN	$60.46	$67.17	$33.59–$60.45	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HICKORY MT	$60.46	$67.17	$33.59–$60.45	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-EGG YOLK	$60.46	$67.17	$33.59–$60.45	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-OAK	$62.91	$69.90	$34.95–$62.91	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-LIVE OAK	$80.19	$89.10	$44.55–$80.19	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY PROFILE	$172.09	$191.21	$95.61–$172.09	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILDHOOD ALLERGY	$172.09	$191.21	$95.61–$172.09	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS 22	$222.70	$247.44	$123.72–$222.70	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS(60)INHALANTS	$403.29	$448.10	$224.05–$403.29	—	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROST-TEXAS GENERAL PANEL	$535.38	$594.86	$297.43–$535.37	—	10%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRILLANATED	$62.91	$69.90	$16.78–$69.90	22% above	10%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI CPP ANTIBODY	$70.31	$78.12	$18.75–$78.12	37% above	10%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$224.52	$249.46	$20.72–$249.46	336% above	10%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRILLANATED	$62.91	$69.90	$34.95–$62.91	—	10%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI CPP ANTIBODY	$70.31	$78.12	$39.06–$70.31	—	10%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$224.52	$249.46	$124.73–$224.51	—	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$13.97	$15.52	$3.72–$54.91	86% below	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCLERODERMA PROFILE	$46.72	$51.91	$12.46–$54.91	55% below	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTOIMMUNE PROFILE	$49.63	$55.14	$13.23–$55.14	52% below	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH TITER	$65.39	$72.65	$17.44–$72.65	37% below	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (ANTINUCLEAR ANTIBODY)	$65.39	$72.65	$17.44–$72.65	37% below	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (ANA);	$123.06	$136.73	$19.34–$136.73	19% above	10%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES	$13.97	$15.52	$7.76–$13.97	—	10%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 SCLERODERMA PROFILE	$46.72	$51.91	$25.96–$46.72	—	10%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 AUTOIMMUNE PROFILE	$49.63	$55.14	$27.57–$49.63	—	10%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA (ANTINUCLEAR ANTIBODY)	$65.39	$72.65	$36.33–$65.39	—	10%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH TITER	$65.39	$72.65	$36.33–$65.39	—	10%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB (ANA);	$123.06	$136.73	$68.37–$123.06	—	10%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PEPTIDE	$201.13	$223.47	$53.63–$223.47	2% above	10%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATRIURETIC PEPTIDE	$201.13	$223.47	$111.74–$201.12	—	10%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$57.98	$64.42	$13.54–$64.42	77% below	10%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$57.98	$64.42	$32.21–$57.98	—	10%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK LEVEL IV	$75.26	$83.62	$20.07–$164.50	76% below	10%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEV IV GRO	$235.39	$261.54	$62.77–$261.54	24% below	10%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK LEVEL IV	$75.26	$83.62	$41.81–$75.26	—	10%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH LEV IV GRO	$235.39	$261.54	$130.77–$235.39	—	10%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$109.19	$121.32	$16.51–$121.32	54% below	10%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$109.19	$121.32	$60.66–$109.19	—	10%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$13.84	$15.37	$3.69–$15.37	32% below	10%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$13.84	$15.37	$7.69–$13.83	—	10%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLD XCPT REAGENT	$57.98	$64.42	$6.29–$64.42	18% above	10%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLD XCPT REAGENT	$57.98	$64.42	$32.21–$57.98	—	10%
Blood lead test CPT 83655 LEAD, URINE	$79.56	$88.39	$19.38–$88.39	56% above	10%
Blood lead test CPT 83655 LEAD, BLOOD	$92.54	$102.82	$19.38–$102.82	82% above	10%
Blood lead test inpatient CPT 83655 LEAD, URINE	$79.56	$88.39	$44.20–$79.55	—	10%
Blood lead test inpatient CPT 83655 LEAD, BLOOD	$92.54	$102.82	$51.41–$92.54	—	10%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM	$78.34	$87.04	$12.03–$87.04	57% below	10%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM	$78.34	$87.04	$43.52–$78.34	—	10%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$46.27	$51.41	$12.34–$386.55	48% below	10%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC ABO	$46.27	$51.41	$25.71–$46.27	—	10%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN (CRP) QUANT	$28.37	$31.52	$7.56–$31.52	51% below	10%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN (CRP) QUANT	$28.37	$31.52	$15.76–$28.37	—	10%
C. difficile toxin gene test (stool PCR) CPT 87493 C.DIFFICILE DNA PCR	$177.18	$196.86	$47.25–$196.86	9% below	10%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C.DIFFICILE DNA PCR	$177.18	$196.86	$98.43–$177.17	—	10%
CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE ANTIGEN (CA) 19-9	$194.92	$216.57	$33.30–$216.57	47% above	10%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CARBOHYDRATE ANTIGEN (CA) 19-9	$194.92	$216.57	$108.29–$194.91	—	10%
CA-125 blood test (ovarian cancer marker) CPT 86304 IA QUANT; CA 125	$164.94	$183.26	$33.30–$183.26	3% above	10%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$233.77	$259.74	$33.30–$259.74	46% above	10%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IA QUANT; CA 125	$164.94	$183.26	$91.63–$164.93	—	10%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$233.77	$259.74	$129.87–$233.77	—	10%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV2/COVID19 AMP PRB(PCR)	$233.05	$258.94	$51.31–$258.94	181% above	10%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV2/COVID19 AMP PRB(PCR)	$233.05	$258.94	$129.47–$233.05	—	10%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. DIFFICILE ANTIGEN	$65.39	$72.65	$17.44–$159.45	47% below	10%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA (PACE2)	$133.02	$147.79	$35.47–$159.45	7% above	10%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 URINE LCR CHLAMYDIA	$189.99	$211.10	$50.66–$211.10	53% above	10%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. DIFFICILE ANTIGEN	$65.39	$72.65	$36.33–$65.39	—	10%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA (PACE2)	$133.02	$147.79	$73.90–$133.01	—	10%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 URINE LCR CHLAMYDIA	$189.99	$211.10	$105.55–$189.99	—	10%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID CASADE W/REF LIPOPRT PAR	$15.72	$17.46	$4.19–$60.83	94% below	10%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL SCREEN	$92.59	$102.87	$21.42–$102.87	62% below	10%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPOPROTEIN PHENOTYPE	$118.44	$131.59	$21.42–$131.59	51% below	10%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID CASADE W/REF LIPOPRT PAR	$15.72	$17.46	$8.73–$15.71	—	10%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL SCREEN	$92.59	$102.87	$51.44–$92.58	—	10%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPOPROTEIN PHENOTYPE	$118.44	$131.59	$65.80–$118.43	—	10%
Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF	$73.43	$81.58	$12.43–$81.58	22% below	10%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFF	$73.43	$81.58	$40.79–$73.42	—	10%
Complete blood count (CBC), no differential CPT 85027 CBC W/O OR MANUAL DIFFERENCIAL	$67.86	$75.39	$10.35–$75.39	35% below	10%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O OR MANUAL DIFFERENCIAL	$67.86	$75.39	$37.70–$67.85	—	10%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$123.44	$137.15	$16.90–$137.15	66% below	10%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$123.44	$137.15	$68.58–$123.44	—	10%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE	$158.40	$175.99	$16.29–$175.99	14% below	10%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE	$158.40	$175.99	$88.00–$158.39	—	10%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$233.16	$259.06	$35.57–$259.06	48% above	10%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$233.16	$259.06	$129.53–$233.15	—	10%
Estradiol blood test CPT 82670 ESTRADIOL	$150.49	$167.21	$40.13–$167.21	1% below	10%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$150.49	$167.21	$83.61–$150.49	—	10%
FSH (follicle-stimulating hormone) test CPT 83001 FSH, EA SPECIMEN	$99.94	$111.04	$26.65–$111.04	38% below	10%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH, EA SPECIMEN	$99.94	$111.04	$55.52–$99.94	—	10%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$602.86	$669.84	$31.41–$669.84	182% above	10%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL	$602.86	$669.84	$334.92–$602.86	—	10%
Ferritin blood test (iron stores) CPT 82728 FERRITIN, BY RIA 010	$74.02	$82.24	$19.74–$82.24	28% below	10%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN, BY RIA 010	$74.02	$82.24	$41.12–$74.02	—	10%
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID)	$78.97	$87.74	$21.06–$87.74	5% below	10%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE (FOLIC ACID)	$78.97	$87.74	$43.87–$78.97	—	10%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$91.30	$101.44	$24.35–$101.44	40% below	10%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$91.30	$101.44	$50.72–$91.30	—	10%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE DIAL/MASS SPECT	$86.05	$95.61	$14.43–$95.61	16% below	10%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, FREE NONDIALYSIS	$186.90	$207.66	$14.43–$207.66	81% above	10%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE DIAL/MASS SPECT	$86.05	$95.61	$47.81–$86.05	—	10%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4, FREE NONDIALYSIS	$186.90	$207.66	$103.83–$186.89	—	10%
Free testosterone test CPT 84402 FREE TESTOSTERONE	$249.20	$276.88	$40.75–$276.88	125% above	10%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE	$249.20	$276.88	$138.44–$249.19	—	10%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOLA	$25.91	$28.78	$6.91–$28.78	77% below	10%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE TEST 1 HOUR	$33.95	$37.72	$7.60–$37.72	70% below	10%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOLA	$25.91	$28.78	$14.39–$25.90	—	10%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TOLERANCE TEST 1 HOUR	$33.95	$37.72	$18.86–$33.95	—	10%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE, GTT 3 SPECM 2HR	$209.12	$232.35	$20.59–$232.35	29% above	10%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE, GTT 3 SPECM 2HR	$209.12	$232.35	$116.18–$209.12	—	10%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE, NAA	$133.02	$147.79	$35.47–$159.45	6% below	10%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE, NAA	$133.02	$147.79	$73.90–$133.01	—	10%
H. pylori antibody blood test CPT 86677 H PYLORI PANEL	$62.33	$69.25	$16.62–$69.25	52% below	10%
H. pylori antibody blood test CPT 86677 H. PYLORI EA ANTIBODY	$152.24	$169.15	$26.96–$169.15	17% above	10%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI PANEL	$62.33	$69.25	$34.63–$62.33	—	10%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI EA ANTIBODY	$152.24	$169.15	$84.58–$152.24	—	10%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL ANTIGEN	$280.64	$311.82	$23.01–$311.82	244% above	10%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL ANTIGEN	$280.64	$311.82	$155.91–$280.64	—	10%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QN PCR	$325.44	$361.59	$86.78–$386.62	at median	10%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA QN PCR	$325.44	$361.59	$180.80–$325.43	—	10%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/0/2 AB PRELM TEST W/CONF	$87.24	$96.93	$21.94–$96.93	8% below	10%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 & 2	$113.50	$126.11	$21.94–$126.11	20% above	10%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/0/2 AB PRELM TEST W/CONF	$87.24	$96.93	$48.47–$87.24	—	10%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 & 2	$113.50	$126.11	$63.06–$113.50	—	10%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV I/II (Ag/Ab)	$1,116.51	$1,240.56	$38.53–$1,240.56	670% above	10%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV I/II (Ag/Ab)	$1,116.51	$1,240.56	$620.28–$1,116.50	—	10%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES	$178.77	$198.63	$47.67–$198.63	152% above	10%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES	$178.77	$198.63	$99.32–$178.77	—	10%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C	$65.39	$72.65	$15.54–$72.65	29% below	10%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C	$65.39	$72.65	$36.33–$65.39	—	10%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$43.40	$48.22	$11.57–$48.80	32% below	10%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF Ab HBSAB	$113.50	$126.11	$17.18–$126.11	78% above	10%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$43.40	$48.22	$24.11–$43.40	—	10%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF Ab HBSAB	$113.50	$126.11	$63.06–$113.50	—	10%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$44.43	$49.36	$11.85–$49.36	44% below	10%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$207.88	$230.97	$16.53–$230.97	163% above	10%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA	$44.43	$49.36	$24.68–$44.42	—	10%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$207.88	$230.97	$115.49–$207.87	—	10%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$60.96	$67.73	$16.26–$67.73	30% below	10%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C (ANTIBODY)	$129.54	$143.93	$22.83–$143.93	49% above	10%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$60.96	$67.73	$33.87–$60.96	—	10%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C (ANTIBODY)	$129.54	$143.93	$71.97–$129.54	—	10%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REALTIME	$240.56	$267.28	$64.15–$267.28	24% below	10%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV VIRAL LOAD	$320.98	$356.64	$68.54–$356.64	1% above	10%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$324.43	$360.47	$68.54–$360.47	2% above	10%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANATATIVE	$464.45	$516.05	$68.54–$516.05	46% above	10%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C REALTIME	$240.56	$267.28	$133.64–$240.55	—	10%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV VIRAL LOAD	$320.98	$356.64	$178.32–$320.98	—	10%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$324.43	$360.47	$180.24–$324.42	—	10%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANATATIVE	$464.45	$516.05	$258.03–$464.45	—	10%
Herpes blood test, HSV-1 antibody CPT 86695 AB; HSV 1	$46.30	$51.44	$12.35–$59.91	46% below	10%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIM VIRUS I ANTIBODY	$100.54	$111.71	$21.10–$111.71	17% above	10%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX IGG	$158.47	$176.07	$21.10–$176.07	85% above	10%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 AB; HSV 1	$46.30	$51.44	$25.72–$46.30	—	10%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIM VIRUS I ANTIBODY	$100.54	$111.71	$55.86–$100.54	—	10%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX IGG	$158.47	$176.07	$88.04–$158.46	—	10%
Herpes blood test, HSV-2 antibody CPT 86696 AB; HSV TYPE 2	$82.98	$92.20	$22.13–$92.20	8% below	10%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX II ANTIBODY	$143.72	$159.68	$30.96–$159.68	59% above	10%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 AB; HSV TYPE 2	$82.98	$92.20	$46.10–$82.98	—	10%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX II ANTIBODY	$143.72	$159.68	$79.84–$143.71	—	10%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO CRP	$131.40	$145.99	$20.72–$145.99	65% above	10%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIO CRP	$131.40	$145.99	$73.00–$131.39	—	10%
Homocysteine blood test CPT 83090 HOMOCYST(E)INE	$91.30	$101.44	$24.35–$101.44	39% below	10%
Homocysteine blood test inpatient CPT 83090 HOMOCYST(E)INE	$91.30	$101.44	$50.72–$91.30	—	10%
Insulin blood test CPT 83525 INSULIN	$76.49	$84.98	$18.29–$84.98	10% below	10%
Insulin blood test inpatient CPT 83525 INSULIN	$76.49	$84.98	$42.49–$76.48	—	10%
Iron blood test (serum iron) CPT 83540 IRON	$71.29	$79.21	$10.35–$79.21	20% below	10%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$71.29	$79.21	$39.61–$71.29	—	10%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$42.14	$46.82	$11.24–$46.82	57% below	10%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$42.14	$46.82	$23.41–$42.14	—	10%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$46.88	$52.08	$12.50–$52.08	86% below	10%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$46.88	$52.08	$26.04–$46.87	—	10%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE/LH EA SPEC	$143.72	$159.68	$29.63–$159.68	5% below	10%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$298.54	$331.71	$29.63–$331.71	97% above	10%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE/LH EA SPEC	$143.72	$159.68	$79.84–$143.71	—	10%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$298.54	$331.71	$165.86–$298.54	—	10%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BLOOD	$46.27	$51.41	$11.02–$51.41	53% below	10%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BLOOD	$46.27	$51.41	$25.71–$46.27	—	10%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$155.43	$172.69	$13.07–$172.69	46% below	10%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$155.43	$172.69	$86.35–$155.42	—	10%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODIES	$193.68	$215.19	$27.25–$215.19	134% above	10%
Lyme disease antibody test CPT 86618 LYMES ANTIBODY PANEL	$311.50	$346.11	$27.25–$346.11	277% above	10%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODIES	$193.68	$215.19	$107.60–$193.67	—	10%
Lyme disease antibody test inpatient CPT 86618 LYMES ANTIBODY PANEL	$311.50	$346.11	$173.06–$311.50	—	10%
Magnesium blood test CPT 83735 MAGNESIUM	$35.78	$39.75	$9.54–$39.75	22% below	10%
Magnesium blood test CPT 83735 URINE MAGNESIUM	$44.42	$49.35	$10.72–$49.35	3% below	10%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$35.78	$39.75	$19.88–$35.78	—	10%
Magnesium blood test inpatient CPT 83735 URINE MAGNESIUM	$44.42	$49.35	$24.68–$44.42	—	10%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA), EACH Ab	$69.11	$76.78	$18.43–$76.78	163% above	10%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA), EACH Ab	$69.11	$76.78	$38.39–$69.10	—	10%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST (HETEROPHILE Ab)	$66.61	$74.01	$8.29–$74.01	31% below	10%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST (HETEROPHILE Ab)	$66.61	$74.01	$37.01–$66.61	—	10%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$242.41	$269.34	$29.42–$269.34	114% above	10%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$242.41	$269.34	$134.67–$242.41	—	10%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$115.97	$128.85	$29.42–$128.85	40% above	10%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$115.97	$128.85	$64.43–$115.97	—	10%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATHOLOGY CERVICAL/VAGINAL	$56.98	$63.31	$15.19–$92.04	38% below	10%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATHOLOGY CERVICAL/VAGINAL	$56.98	$63.31	$31.66–$56.98	—	10%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$178.90	$198.77	$47.70–$198.77	19% below	10%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 ASSAY OF PARATHORMONE	$227.61	$252.90	$126.45–$227.61	—	10%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$69.11	$76.78	$9.62–$76.78	29% above	10%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$69.11	$76.78	$38.39–$69.10	—	10%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY	$2,988.04	$3,320.04	$796.81–$3,320.04	243% above	10%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHRMOML ANEUPLOIDY	$2,988.04	$3,320.04	$1,660.02–$2,988.04	—	10%
Progesterone blood test CPT 84144 PROGESTERONE	$167.77	$186.41	$33.38–$186.41	38% above	10%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$167.77	$186.41	$93.21–$167.77	—	10%
Prolactin blood test CPT 84146 PROLACTIN	$210.34	$233.71	$31.01–$233.71	74% above	10%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$210.34	$233.71	$116.86–$210.34	—	10%
Prothrombin time (PT/INR) clotting test CPT 85610 PRO TIME	$51.20	$56.88	$6.86–$56.88	8% above	10%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PRO TIME	$51.20	$56.88	$28.44–$51.19	—	10%
Rapid flu test (influenza antigen) CPT 87804 FLU IA W DO	$38.10	$42.33	$10.16–$60.90	66% below	10%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A ANTIGEN	$65.39	$72.65	$17.44–$72.65	42% below	10%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B ANTIGEN	$65.39	$72.65	$17.44–$72.65	42% below	10%
Rapid flu test (influenza antigen) inpatient CPT 87804 FLU IA W DO	$38.10	$42.33	$21.17–$38.10	—	10%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A ANTIGEN	$65.39	$72.65	$36.33–$65.39	—	10%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B ANTIGEN	$65.39	$72.65	$36.33–$65.39	—	10%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$33.08	$36.75	$8.82–$60.83	69% below	10%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC	$33.08	$36.75	$18.38–$33.08	—	10%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$24.57	$27.30	$6.55–$27.30	56% below	10%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR ISO IgA/EIA	$69.75	$77.50	$9.07–$77.50	26% above	10%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR ISO IgG/EIA	$70.65	$78.50	$9.07–$78.50	27% above	10%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR ISO IgM/EIA	$71.33	$79.25	$9.07–$79.25	28% above	10%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID PRILE A	$85.76	$95.28	$9.07–$95.28	54% above	10%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$24.57	$27.30	$13.65–$24.57	—	10%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR ISO IgA/EIA	$69.75	$77.50	$38.75–$69.75	—	10%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR ISO IgG/EIA	$70.65	$78.50	$39.25–$70.65	—	10%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR ISO IgM/EIA	$71.33	$79.25	$39.63–$71.33	—	10%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID PRILE A	$85.76	$95.28	$47.64–$85.75	—	10%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$78.34	$87.04	$20.89–$87.04	100% above	10%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER- IGM	$170.86	$189.84	$23.02–$189.84	335% above	10%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$78.34	$87.04	$43.52–$78.34	—	10%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER- IGM	$170.86	$189.84	$94.92–$170.86	—	10%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 AUTOM ERYTHROCYTE SED RATE	$19.17	$21.29	$4.32–$21.29	71% below	10%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 AUTOM ERYTHROCYTE SED RATE	$19.17	$21.29	$10.65–$19.16	—	10%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$80.82	$89.79	$14.24–$89.79	21% below	10%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS	$80.82	$89.79	$44.90–$80.81	—	10%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$19.55	$21.72	$5.21–$21.72	56% below	10%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD PROF	$37.02	$41.13	$7.01–$41.13	17% below	10%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$19.55	$21.72	$10.86–$19.55	—	10%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD PROF	$37.02	$41.13	$20.57–$37.02	—	10%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD FHG QUAL 1-3	$145.35	$161.50	$25.47–$161.50	88% above	10%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLD FHG QUAL 1-3	$145.35	$161.50	$80.75–$145.35	—	10%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$57.40	$63.77	$6.83–$63.77	2% above	10%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$62.79	$69.76	$6.83–$69.76	12% above	10%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$57.40	$63.77	$31.89–$57.39	—	10%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL	$62.79	$69.76	$34.88–$62.78	—	10%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$324.45	$360.49	$86.52–$360.49	47% above	10%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$324.45	$360.49	$180.25–$324.44	—	10%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE	$63.00	$70.00	$16.80–$117.28	50% below	10%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL WITH SHBG	$131.35	$145.94	$35.03–$145.94	5% above	10%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, BIOAVAILABLE/TTL	$169.02	$187.79	$41.30–$187.79	35% above	10%
Testosterone blood test, total (not free testosterone) CPT 84403 SALIVARY TESTOSTERONE	$526.10	$584.55	$41.30–$584.55	321% above	10%
Testosterone blood test, total (not free testosterone) CPT 84403 SALIVARY TESTOSTERONE LC/MS-MS	$537.07	$596.74	$41.30–$596.74	330% above	10%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE	$63.00	$70.00	$35.00–$63.00	—	10%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL WITH SHBG	$131.35	$145.94	$72.97–$131.35	—	10%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, BIOAVAILABLE/TTL	$169.02	$187.79	$93.90–$169.01	—	10%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 SALIVARY TESTOSTERONE	$526.10	$584.55	$292.28–$526.10	—	10%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 SALIVARY TESTOSTERONE LC/MS-MS	$537.07	$596.74	$298.37–$537.07	—	10%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES	$40.10	$44.55	$10.69–$66.09	59% below	10%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDOSE ANTIBODIES	$78.97	$87.74	$21.06–$87.74	19% below	10%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL AB	$112.88	$125.42	$23.28–$125.42	16% above	10%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODIES	$133.85	$148.72	$23.28–$148.72	37% above	10%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES	$40.10	$44.55	$22.28–$40.10	—	10%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDOSE ANTIBODIES	$78.97	$87.74	$43.87–$78.97	—	10%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL AB	$112.88	$125.42	$62.71–$112.88	—	10%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID ANTIBODIES	$133.85	$148.72	$74.36–$133.85	—	10%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE (TSH)	$130.78	$145.31	$26.88–$145.31	at median	10%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE (TSH)	$130.78	$145.31	$72.66–$130.78	—	10%
Uric acid blood test CPT 84550 URIC ACID	$70.31	$78.12	$7.23–$78.12	37% below	10%
Uric acid blood test inpatient CPT 84550 URIC ACID	$70.31	$78.12	$39.06–$70.31	—	10%
Urinalysis with microscope exam, automated CPT 81001 UASTUDY	$17.28	$19.20	$4.61–$19.20	85% below	10%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS	$38.26	$42.51	$5.07–$42.51	67% below	10%
Urinalysis with microscope exam, automated inpatient CPT 81001 UASTUDY	$17.28	$19.20	$9.60–$17.28	—	10%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS	$38.26	$42.51	$21.26–$38.26	—	10%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS DIP W MICRO	$35.63	$39.58	$6.43–$39.58	9% below	10%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS DIP W MICRO	$35.63	$39.58	$19.79–$35.62	—	10%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$17.96	$19.95	$3.60–$19.95	67% below	10%
Urinalysis without microscope exam, automated CPT 81003 URINE AUTO DIPSTICK	$24.06	$26.73	$3.60–$26.73	55% below	10%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE	$17.96	$19.95	$9.98–$17.96	—	10%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE AUTO DIPSTICK	$24.06	$26.73	$13.37–$24.06	—	10%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE W/COL	$73.43	$81.58	$12.91–$81.58	48% below	10%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE W/COL	$73.43	$81.58	$40.79–$73.42	—	10%
Urine pregnancy test, read by color change CPT 81025 URINE HCG	$38.10	$42.33	$10.16–$42.33	58% below	10%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$55.53	$61.69	$13.78–$61.69	38% below	10%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE HCG	$38.10	$42.33	$21.17–$38.10	—	10%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$55.53	$61.69	$30.85–$55.52	—	10%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$114.73	$127.47	$24.13–$127.47	26% above	10%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$114.73	$127.47	$63.74–$114.72	—	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 TETANUS ANTITOXIOID AB	$26.35	$29.27	$7.02–$134.50	78% below	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2, D3, D25 HYDROXY	$136.56	$151.73	$36.42–$151.73	16% above	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-25OH	$283.74	$315.26	$47.36–$315.26	141% above	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 TETANUS ANTITOXIOID AB	$26.35	$29.27	$14.64–$26.34	—	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2, D3, D25 HYDROXY	$136.56	$151.73	$75.87–$136.56	—	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D-25OH	$283.74	$315.26	$157.63–$283.73	—	10%
Zinc blood test CPT 84630 ZINC	$71.56	$79.51	$18.22–$79.51	4% above	10%
Zinc blood test inpatient CPT 84630 ZINC	$71.56	$79.51	$39.76–$71.56	—	10%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG SUBUNIT	$49.08	$54.53	$13.09–$68.41	56% below	10%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, QUANTITATIVE SERUM	$130.89	$145.43	$24.08–$145.43	17% above	10%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG SUBUNIT	$49.08	$54.53	$27.27–$49.08	—	10%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, QUANTITATIVE SERUM	$130.89	$145.43	$72.72–$130.89	—	10%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 ADENOIDECTOMY; < 12 yrs	$896.19	$995.76	$238.98–$11,149.23	76% below	10%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 ADENOIDECTOMY; < 12 yrs	$896.19	$995.76	$497.88–$896.18	—	10%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY RUPTURE	$2,948.94	$3,276.60	$525.00–$4,605.28	6% below	10%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 APPENDECTOMY RUPTURE	$2,948.94	$3,276.60	$1,638.30–$2,948.94	—	10%
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$9,293.40	$10,326.00	$525.00–$21,625.23	61% above	10%
Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY	$9,293.40	$10,326.00	$5,163.00–$9,293.40	—	10%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 SNS ENDO W/BALLOON DIL MAX SNS	$5,809.00	$6,454.44	$426.00–$19,563.57	14% above	10%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 SNS ENDO W/BALLOON DIL MAX SNS	$5,809.00	$6,454.44	$3,227.22–$5,809.00	—	10%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FX CARE-DISTAL FIBUL	$381.78	$424.20	$85.32–$1,089.54	18% below	10%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TRT DIST FIB FX	$412.04	$457.82	$85.32–$1,089.54	12% below	10%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 FX CARE-DISTAL FIBUL	$381.78	$424.20	$212.10–$381.78	—	10%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD TRT DIST FIB FX	$412.04	$457.82	$228.91–$412.04	—	10%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METAFARSAL FX	$412.04	$457.82	$85.32–$567.59	47% above	10%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METAFARSAL FX	$412.04	$457.82	$228.91–$412.04	—	10%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION HALLUX VALGUS	$9,851.56	$10,946.17	$426.00–$13,411.32	144% above	10%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 CORRECTION HALLUX VALGUS	$9,851.56	$10,946.17	$5,473.09–$9,851.55	—	10%
Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION HALLUX V	$2,496.80	$2,774.22	$371.00–$13,411.32	40% below	10%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 CORRECTION HALLUX V	$2,496.80	$2,774.22	$1,387.11–$2,496.80	—	10%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$407.72	$453.02	$108.72–$2,599.19	76% below	10%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERN	$1,369.30	$1,521.44	$125.00–$2,599.19	19% below	10%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$407.72	$453.02	$226.51–$407.72	—	10%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERN	$1,369.30	$1,521.44	$760.72–$1,369.30	—	10%
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY MEDIAN NRV CARPTUN	$4,957.70	$5,508.55	$371.00–$8,165.24	27% above	10%
Carpal tunnel release, open surgery inpatient CPT 64721 NEUROPLASTY MEDIAN NRV CARPTUN	$4,957.70	$5,508.55	$2,754.28–$4,957.70	—	10%
Cataract surgery with lens implant CPT 66984 EXTRACAP CAT.REM.W/I	$6,132.78	$6,814.19	$599.00–$9,739.93	110% above	10%
Cataract surgery with lens implant inpatient CPT 66984 EXTRACAP CAT.REM.W/I	$6,132.78	$6,814.19	$3,407.10–$6,132.77	—	10%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$176.72	$196.35	$48.07–$2,297.88	84% below	10%
Cervical biopsy CPT 57500 BIOP SINGLE/MULTIPLE	$347.33	$385.92	$91.36–$2,297.88	70% below	10%
Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX	$176.72	$196.35	$98.18–$176.72	—	10%
Cervical biopsy inpatient CPT 57500 BIOP SINGLE/MULTIPLE	$347.33	$385.92	$192.96–$347.33	—	10%
Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVER/POSTPART	$7,717.28	$8,574.75	$525.00–$12,092.76	86% above	10%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 CESAREAN DELIVER/POSTPART	$7,717.28	$8,574.75	$4,287.38–$7,717.28	—	10%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$3,139.15	$3,487.94	$371.00–$8,597.10	33% above	10%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUM 28 DAYS OR OLDER	$3,139.15	$3,487.94	$1,743.97–$3,139.15	—	10%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION,EXCPT N	$3,139.15	$3,487.94	$277.00–$8,597.10	155% above	10%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION,EXCPT N	$3,139.15	$3,487.94	$1,743.97–$3,139.15	—	10%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE <=28 DAYS	$3,139.15	$3,487.94	$238.15–$8,597.10	39% above	10%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION NEONATE <=28 DAYS	$3,139.15	$3,487.94	$1,743.97–$3,139.15	—	10%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX CARE-DISTAL RADIU	$349.89	$388.76	$85.32–$674.07	38% below	10%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLSD TRT_COLLES FX W	$412.04	$457.82	$85.32–$567.59	27% below	10%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DSTL RAD FX/EPI SEP WO MN	$845.98	$939.97	$85.32–$939.97	49% above	10%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 FX CARE-DISTAL RADIU	$349.89	$388.76	$194.38–$349.88	—	10%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLSD TRT_COLLES FX W	$412.04	$457.82	$228.91–$412.04	—	10%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLTX DSTL RAD FX/EPI SEP WO MN	$845.98	$939.97	$469.99–$845.97	—	10%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/POLYPE	$2,989.28	$3,321.42	$371.00–$4,747.50	150% above	10%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/POLYPE	$2,989.28	$3,321.42	$1,660.71–$2,989.28	—	10%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY	$2,989.28	$3,321.42	$371.00–$4,747.50	150% above	10%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BIOPSY	$2,989.28	$3,321.42	$1,660.71–$2,989.28	—	10%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY	$2,266.51	$2,518.34	$328.50–$3,599.60	54% above	10%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY	$2,266.51	$2,518.34	$1,259.17–$2,266.51	—	10%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLP CERVIX W BX & CURETT	$324.27	$360.29	$65.06–$916.98	31% above	10%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLP CERVIX W BX & CURETT	$324.27	$360.29	$180.15–$324.26	—	10%
Complex cataract surgery with lens implant CPT 66982 CATARACT SURGERY COMPLEX	$6,132.78	$6,814.19	$599.00–$9,739.93	39% above	10%
Complex cataract surgery with lens implant inpatient CPT 66982 CATARACT SURGERY COMPLEX	$6,132.78	$6,814.19	$3,407.10–$6,132.77	—	10%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY W/STENT	$8,608.98	$9,565.53	$371.00–$13,672.57	98% above	10%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSCOPY W/STENT	$8,608.98	$9,565.53	$4,782.77–$8,608.98	—	10%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$1,805.59	$2,006.21	$238.15–$2,867.59	62% above	10%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY	$1,805.59	$2,006.21	$1,003.11–$1,805.59	—	10%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$7,255.46	$8,061.62	$371.00–$11,522.94	75% above	10%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION AND CURETTAGE	$7,255.46	$8,061.62	$4,030.81–$7,255.46	—	10%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PREMAL LES 1ST	$85.76	$95.28	$22.87–$856.58	58% below	10%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LES 1st LES	$97.26	$108.06	$26.45–$856.58	52% below	10%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PREMAL LES 1ST	$85.76	$95.28	$47.64–$85.75	—	10%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALG LES 1st LES	$97.26	$108.06	$54.03–$97.25	—	10%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 TYMPANOSTOMY GEN ANESTHESIA	$3,633.47	$4,037.18	$420.64–$5,770.57	7% above	10%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 TYMPANOSTOMY GEN ANESTHESIA	$3,633.47	$4,037.18	$2,018.59–$3,633.46	—	10%
Ear tube placement (tympanostomy) with local anesthesia, one ear one side CPT 69433 TYMPANOSTOMY LOCAL; UNILATERAL	$635.22	$705.79	$117.66–$1,572.69	19% below	10%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient one side CPT 69433 TYMPANOSTOMY LOCAL; UNILATERAL	$635.22	$705.79	$352.90–$635.21	—	10%
Earwax removal by irrigation (rinsing), one ear CPT 69209 RMV IMPACT EAR WAX LAVAGE, UNI	$55.76	$61.95	$15.17–$283.72	55% below	10%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$168.20	$186.88	$44.85–$283.72	36% above	10%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 RMV IMPACT EAR WAX LAVAGE, UNI	$55.76	$61.95	$30.98–$55.76	—	10%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI	$207.51	$230.56	$115.28–$207.50	—	10%
Earwax removal with instruments, one ear CPT 69210 RMV IMPACT EARWAX RQR INST UNI	$64.17	$71.30	$17.45–$283.72	63% below	10%
Earwax removal with instruments, one ear CPT 69210 IMPACTED CERUMEN, RM	$166.56	$185.06	$44.41–$283.72	3% below	10%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$260.72	$289.68	$69.52–$900.00	52% above	10%
Earwax removal with instruments, one ear inpatient CPT 69210 RMV IMPACT EARWAX RQR INST UNI	$64.17	$71.30	$35.65–$64.17	—	10%
Earwax removal with instruments, one ear inpatient CPT 69210 IMPACTED CERUMEN, RM	$166.56	$185.06	$92.53–$166.55	—	10%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX UNI	$260.72	$289.68	$144.84–$260.71	—	10%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$150.39	$167.10	$40.91–$569.58	59% below	10%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMET BX WO CERVIC DILATION	$384.16	$426.84	$45.96–$900.00	4% above	10%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING	$150.39	$167.10	$83.55–$150.39	—	10%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMET BX WO CERVIC DILATION	$384.16	$426.84	$213.42–$384.16	—	10%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NASAL ENDO W ETHMOIDECT TOTAL	$15,528.09	$17,253.43	$599.00–$24,661.34	204% above	10%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 NASAL ENDO W ETHMOIDECT TOTAL	$15,528.09	$17,253.43	$8,626.72–$15,528.09	—	10%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NASAL/S ENDO W FRNTAL SNS EXPL	$15,528.09	$17,253.43	$426.00–$24,661.34	204% above	10%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 NASAL/S ENDO W FRNTAL SNS EXPL	$15,528.09	$17,253.43	$8,626.72–$15,528.09	—	10%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 NASAL ENDO W MAXILL ANTROSTOMY	$8,352.99	$9,281.09	$426.00–$13,266.01	144% above	10%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 NASAL ENDO W MAXILL ANTROSTOMY	$8,352.99	$9,281.09	$4,640.55–$8,352.98	—	10%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 NASAL ENDO W MA; W REM TISS MS	$15,528.09	$17,253.43	$426.00–$24,661.34	218% above	10%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 NASAL ENDO W MA; W REM TISS MS	$15,528.09	$17,253.43	$8,626.72–$15,528.09	—	10%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$563.76	$626.39	$150.33–$3,407.95	67% below	10%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$563.76	$626.39	$313.20–$563.75	—	10%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$9,157.47	$10,174.96	$525.00–$10,174.96	42% above	10%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 RPR AA HRN 1ST 3-10 RDC	$9,157.47	$10,174.96	$5,087.48–$9,157.46	—	10%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC	$9,253.91	$10,282.12	$525.00–$10,282.12	19% above	10%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 RPR AA HRN 1ST > 10 RDC	$9,253.91	$10,282.12	$5,141.06–$9,253.91	—	10%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$9,099.60	$10,110.66	$525.00–$10,110.66	51% above	10%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$9,099.60	$10,110.66	$5,055.33–$9,099.59	—	10%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SGMDCPY, DIAG W	$442.46	$491.62	$117.99–$2,612.43	44% below	10%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEX SGMDCPY, DIAG W	$442.46	$491.62	$245.81–$442.46	—	10%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECY	$4,861.62	$5,401.79	$599.00–$22,757.61	20% below	10%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECY	$4,861.62	$5,401.79	$2,700.90–$4,861.61	—	10%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 CHOLE W/CHOLANG	$4,861.62	$5,401.79	$599.00–$22,757.61	41% below	10%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 CHOLE W/CHOLANG	$4,861.62	$5,401.79	$2,700.90–$4,861.61	—	10%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY;	$4,638.47	$5,153.85	$525.00–$5,620.60	45% above	10%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY;	$4,638.47	$5,153.85	$2,576.93–$4,638.47	—	10%
Hammertoe correction surgery CPT 28285 HAMMERTOE OP ONE TOE	$2,695.52	$2,995.02	$426.00–$13,411.32	23% below	10%
Hammertoe correction surgery inpatient CPT 28285 HAMMERTOE OP ONE TOE	$2,695.52	$2,995.02	$1,497.51–$2,695.52	—	10%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY, BY	$631.00	$701.11	$163.62–$2,612.43	29% below	10%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY RUB	$1,334.76	$1,483.06	$125.00–$1,483.06	50% above	10%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY, BY	$631.00	$701.11	$350.56–$631.00	—	10%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY RUB	$1,334.76	$1,483.06	$741.53–$1,334.75	—	10%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$7,589.20	$8,432.44	$426.00–$11,740.24	109% above	10%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$7,589.20	$8,432.44	$4,216.22–$7,589.20	—	10%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL ABDOMINAL HYSTERECTOMY	$5,472.69	$6,080.76	$650.00–$6,080.76	31% above	10%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOTAL ABDOMINAL HYSTERECTOMY	$5,472.69	$6,080.76	$3,040.38–$5,472.68	—	10%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HSG INJECT	$335.40	$372.66	$89.44–$900.00	12% below	10%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HSG INJECT	$335.40	$372.66	$186.33–$335.39	—	10%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROS W ENDOMETRIAL ABLAT	$13,126.31	$14,584.78	$599.00–$20,846.88	163% above	10%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROS W ENDOMETRIAL ABLAT	$13,126.31	$14,584.78	$7,292.39–$13,126.30	—	10%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROS W BX ENDOM/POLYPECT	$7,255.46	$8,061.62	$426.00–$11,522.94	53% above	10%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROS W BX ENDOM/POLYPECT	$7,255.46	$8,061.62	$4,030.81–$7,255.46	—	10%
IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION	$106.28	$118.08	$28.91–$280.22	72% below	10%
IUD insertion (the device itself billed separately) CPT 58300 INSERT IUD	$197.37	$219.30	$52.63–$900.00	48% below	10%
IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION	$106.28	$118.08	$59.04–$106.27	—	10%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT IUD	$197.37	$219.30	$109.65–$197.37	—	10%
Incision and drainage of a simple or single skin abscess CPT 10060 I/D ABSCESS SIMPLE/SINGLE	$138.35	$153.72	$37.63–$572.25	70% below	10%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SMPLE/SI	$229.46	$254.95	$61.19–$370.52	51% below	10%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL	$2,223.31	$2,470.34	$65.06–$2,470.34	375% above	10%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I/D ABSCESS SIMPLE/SINGLE	$138.35	$153.72	$76.86–$138.35	—	10%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SMPLE/SI	$229.46	$254.95	$127.48–$229.46	—	10%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL	$2,223.31	$2,470.34	$1,235.17–$2,223.31	—	10%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERN	$9,293.40	$10,326.00	$525.00–$14,759.58	50% above	10%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INGUINAL HERN	$9,293.40	$10,326.00	$5,163.00–$9,293.40	—	10%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDN SHEATH/LIGAMENT APON	$77.20	$85.77	$21.00–$846.60	83% below	10%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ 1 TNDN SHEATH/LIGMNT APONE	$189.36	$210.40	$23.54–$846.60	57% below	10%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$636.54	$707.26	$23.54–$707.26	44% above	10%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDN SHEATH/LIGAMENT APON	$77.20	$85.77	$42.89–$77.19	—	10%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ 1 TNDN SHEATH/LIGMNT APONE	$189.36	$210.40	$105.20–$189.36	—	10%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT	$636.54	$707.26	$353.63–$636.53	—	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ/ASP JNT LARGE	$133.85	$148.72	$27.96–$846.60	81% below	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ANES DRAIN/INJ JNT/BURS W/O US	$135.71	$150.78	$27.96–$846.60	81% below	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPRT-MAJR JNTS	$636.54	$707.26	$27.96–$707.26	11% below	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJ JNT/BURSA W/O US	$676.64	$751.82	$27.96–$846.60	5% below	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$1,134.92	$1,261.02	$27.96–$1,261.02	59% above	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ/ASP JNT LARGE	$133.85	$148.72	$74.36–$133.85	—	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ANES DRAIN/INJ JNT/BURS W/O US	$135.71	$150.78	$75.39–$135.70	—	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASPRT-MAJR JNTS	$636.54	$707.26	$353.63–$636.53	—	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJ JNT/BURSA W/O US	$676.64	$751.82	$375.91–$676.64	—	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$1,134.92	$1,261.02	$630.51–$1,134.92	—	10%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION NONBIODEGRADABLE DRG	$198.13	$220.14	$46.38–$532.55	17% below	10%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION NONBIODEGRADABLE DRG	$198.13	$220.14	$110.07–$198.13	—	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$77.20	$85.77	$21.00–$846.60	88% below	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP/INJ INTER JNT/BURSA W/O US	$172.95	$192.16	$23.54–$277.00	73% below	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JNT/BURS WO US	$189.36	$210.40	$23.54–$846.60	70% below	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INT JNT/BRSA W/O US	$676.64	$751.82	$23.54–$846.60	7% above	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$77.20	$85.77	$42.89–$77.19	—	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASP/INJ INTER JNT/BURSA W/O US	$172.95	$192.16	$96.08–$172.94	—	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JNT/BURS WO US	$189.36	$210.40	$105.20–$189.36	—	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INT JNT/BRSA W/O US	$676.64	$751.82	$375.91–$676.64	—	10%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJ/ASP JOINT SMALL	$72.19	$80.21	$19.64–$846.60	85% below	10%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$130.50	$145.00	$22.70–$900.00	72% below	10%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPRT-SML JNTS	$636.54	$707.26	$22.70–$707.26	35% above	10%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SM JNT/BURSA W/O US	$676.64	$751.82	$22.70–$846.60	44% above	10%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJ/ASP JOINT SMALL	$72.19	$80.21	$40.11–$72.19	—	10%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$130.50	$145.00	$72.50–$130.50	—	10%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASPRT-SML JNTS	$636.54	$707.26	$353.63–$636.53	—	10%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ SM JNT/BURSA W/O US	$676.64	$751.82	$375.91–$676.64	—	10%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSC KNEE W MEN REPMED&LAT	$10,170.80	$11,300.88	$426.00–$13,411.32	77% above	10%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTHROSC KNEE W MEN REPMED&LAT	$10,170.80	$11,300.88	$5,650.44–$10,170.79	—	10%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$10,170.80	$11,300.88	$525.00–$13,411.32	72% above	10%
Knee arthroscopy with meniscus trim inpatient CPT 29881 KNEE ARTHROSCOPY/SURGERY	$10,170.80	$11,300.88	$5,650.44–$10,170.79	—	10%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHO, KNEE W/MENISC	$8,444.48	$9,382.75	$525.00–$13,411.32	48% above	10%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHO, KNEE W/MENISC	$8,444.48	$9,382.75	$4,691.38–$8,444.48	—	10%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROSCOPY KNEE DEBRID/SHV AC	$10,170.80	$11,300.88	$525.00–$13,411.32	126% above	10%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHROSCOPY KNEE DEBRID/SHV AC	$10,170.80	$11,300.88	$5,650.44–$10,170.79	—	10%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAP,SURG, APPENDECTOMY	$2,795.97	$3,106.63	$426.00–$22,757.61	61% below	10%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAP,SURG, APPENDECTOMY	$2,795.97	$3,106.63	$1,553.32–$2,795.97	—	10%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS	$24,247.17	$26,941.30	$764.00–$38,508.78	196% above	10%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 TLH UTERUS 250 G OR LESS	$24,247.17	$26,941.30	$13,470.65–$24,247.17	—	10%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$24,247.17	$26,941.30	$764.00–$38,508.78	126% above	10%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 TLH W/T/O 250 G OR LESS	$24,247.17	$26,941.30	$13,470.65–$24,247.17	—	10%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT	$14,329.41	$15,921.56	$525.00–$22,757.61	15% above	10%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP ING HERNIA REPAIR INIT	$14,329.41	$15,921.56	$7,960.78–$14,329.40	—	10%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAP SURG W LYSIS	$14,329.41	$15,921.56	$599.00–$22,757.61	66% above	10%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAP SURG W LYSIS	$14,329.41	$15,921.56	$7,960.78–$14,329.40	—	10%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC REP INT TO 2.5CM	$293.75	$326.38	$78.33–$1,139.76	46% below	10%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER_CLD TRNK 2.5 C	$336.79	$374.21	$89.81–$817.69	38% below	10%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WND REPAIR S/A/T/EXT	$1,052.34	$1,169.26	$143.08–$1,169.26	94% above	10%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAC REP INT TO 2.5CM	$293.75	$326.38	$163.19–$293.74	—	10%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER_CLD TRNK 2.5 C	$336.79	$374.21	$187.11–$336.79	—	10%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD WND REPAIR S/A/T/EXT	$1,052.34	$1,169.26	$584.63–$1,052.33	—	10%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$2,312.33	$2,569.25	$262.86–$2,754.94	37% above	10%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC	$2,312.33	$2,569.25	$1,284.63–$2,312.33	—	10%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR CRV/THRC	$530.59	$589.54	$141.49–$2,754.94	58% below	10%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$530.59	$589.54	$125.00–$2,754.94	58% below	10%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC	$530.59	$589.54	$294.77–$530.59	—	10%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR CRV/THRC	$530.59	$589.54	$294.77–$530.59	—	10%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$8,708.21	$9,675.78	$426.00–$13,830.15	102% above	10%
Lumpectomy (partial mastectomy) inpatient CPT 19301 PARTIAL MASTECTOMY	$8,708.21	$9,675.78	$4,837.89–$8,708.20	—	10%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$17,920.74	$19,911.93	$525.00–$24,396.23	196% above	10%
Mastectomy (total removal of the breast) inpatient CPT 19303 MAST SIMPLE COMPLETE	$17,920.74	$19,911.93	$9,955.97–$17,920.74	—	10%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE MISCARRIAGE	$7,255.46	$8,061.62	$599.00–$11,522.94	99% above	10%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE MISCARRIAGE	$7,255.46	$8,061.62	$4,030.81–$7,255.46	—	10%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G	$662.70	$736.33	$176.72–$1,795.20	47% below	10%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 MOHS 1 STAGE H/N/HF/G	$662.70	$736.33	$368.17–$662.70	—	10%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BENIGN LESION < .05cm	$141.37	$157.07	$38.45–$2,011.08	83% below	10%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENG LES UP 0.5	$493.45	$548.27	$77.79–$548.27	40% below	10%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5CM/<	$2,993.26	$3,325.84	$77.79–$3,325.84	267% above	10%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BENIGN LESION < .05cm	$141.37	$157.07	$78.54–$141.36	—	10%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BENG LES UP 0.5	$493.45	$548.27	$274.14–$493.44	—	10%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TR-EXT B9+MARG 0.5CM/<	$2,993.26	$3,325.84	$1,662.92–$2,993.26	—	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION BENIGN LESION <= .5cm	$157.41	$174.89	$42.81–$2,011.08	83% below	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5CM/<	$826.34	$918.15	$86.38–$2,011.08	10% below	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION BENIGN LESION <= .5cm	$157.41	$174.89	$87.45–$157.40	—	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM B9+MARG 0.5CM/<	$826.34	$918.15	$459.08–$826.34	—	10%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE	$218.35	$242.61	$58.23–$856.58	39% below	10%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$526.50	$585.00	$140.40–$900.00	48% above	10%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE	$126.32	$140.35	$70.18–$126.32	—	10%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE	$218.35	$242.61	$121.31–$218.35	—	10%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANES GRTR OCCIPITAL NRV	$189.36	$210.40	$30.18–$846.60	56% below	10%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV	$926.45	$1,029.38	$30.18–$1,029.38	117% above	10%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES GRTR OCCIPITAL NRV	$189.36	$210.40	$105.20–$189.36	—	10%
Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA&/STRD GR OCPL NRV	$926.45	$1,029.38	$514.69–$926.44	—	10%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAG GUIDE	$1,381.65	$1,535.16	$125.00–$3,769.49	15% below	10%
Paracentesis with imaging guidance CPT 49083 US PARA W/US GUIDE	$1,443.33	$1,603.70	$334.95–$3,769.49	11% below	10%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$2,967.82	$3,297.57	$334.95–$3,769.49	82% above	10%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAG GUIDE	$1,381.65	$1,535.16	$767.58–$1,381.64	—	10%
Paracentesis with imaging guidance inpatient CPT 49083 US PARA W/US GUIDE	$1,443.33	$1,603.70	$801.85–$1,443.33	—	10%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$2,967.82	$3,297.57	$1,648.79–$2,967.81	—	10%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REM INGROWN NAIL	$271.70	$301.88	$73.90–$1,139.76	66% below	10%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL NAIL BED	$378.82	$420.91	$84.71–$1,139.76	52% below	10%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC INGROWN NAIL	$1,085.58	$1,206.19	$84.71–$1,206.19	37% above	10%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REM INGROWN NAIL	$271.70	$301.88	$150.94–$271.69	—	10%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL NAIL BED	$378.82	$420.91	$210.46–$378.82	—	10%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC INGROWN NAIL	$1,085.58	$1,206.19	$603.10–$1,085.57	—	10%
Removal of a breast lump, open surgery CPT 19120 RMVL BREAST LESION	$8,708.21	$9,675.78	$426.00–$13,830.15	77% above	10%
Removal of a breast lump, open surgery inpatient CPT 19120 RMVL BREAST LESION	$8,708.21	$9,675.78	$4,837.89–$8,708.20	—	10%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SUBQ TISS	$168.43	$187.14	$45.81–$1,139.76	74% below	10%
Removal of a foreign object under the skin, simple CPT 10120 I&RMVE FB SUBQ SMPLE	$695.76	$773.06	$86.38–$773.06	9% above	10%
Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SQ; SMPL	$1,694.59	$1,882.87	$86.38–$1,882.87	166% above	10%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY SUBQ TISS	$168.43	$187.14	$93.57–$168.43	—	10%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&RMVE FB SUBQ SMPLE	$695.76	$773.06	$386.53–$695.75	—	10%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC & REM FB SQ; SMPL	$1,694.59	$1,882.87	$941.44–$1,694.58	—	10%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCRN COLONOSCOPY PT NO HI RISK	$2,266.51	$2,518.34	$328.50–$3,599.60	190% above	10%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 SCRN COLONOSCOPY PT NO HI RISK	$2,266.51	$2,518.34	$1,259.17–$2,266.51	—	10%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCRN COLONOSCOPY ON HI RISK PT	$2,266.51	$2,518.34	$328.50–$3,599.60	112% above	10%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 SCRN COLONOSCOPY ON HI RISK PT	$2,266.51	$2,518.34	$1,259.17–$2,266.51	—	10%
Septoplasty to straighten the nasal septum CPT 30520 SEPTOPLASTY/SUBMUCOUS RESECT	$7,020.16	$7,800.17	$525.00–$11,149.23	92% above	10%
Septoplasty to straighten the nasal septum inpatient CPT 30520 SEPTOPLASTY/SUBMUCOUS RESECT	$7,020.16	$7,800.17	$3,900.09–$7,020.15	—	10%
Short arm cast (elbow to hand) CPT 29075 CAST ELBOW-FINGER SHORT ARM	$108.28	$120.31	$28.87–$767.64	65% below	10%
Short arm cast (elbow to hand) CPT 29075 CAST ARM SHORT APPLY	$583.49	$648.32	$45.13–$648.32	90% above	10%
Short arm cast (elbow to hand) inpatient CPT 29075 CAST ELBOW-FINGER SHORT ARM	$108.28	$120.31	$60.16–$108.28	—	10%
Short arm cast (elbow to hand) inpatient CPT 29075 CAST ARM SHORT APPLY	$583.49	$648.32	$324.16–$583.49	—	10%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$82.21	$91.34	$21.92–$532.55	72% below	10%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT	$82.21	$91.34	$45.67–$82.21	—	10%
Short leg cast (below the knee) CPT 29405 CAST SHORT LEG BELOW KNEE-TOE	$111.29	$123.65	$29.68–$767.64	67% below	10%
Short leg cast (below the knee) CPT 29405 CAST LEG SHORT APPLY	$583.49	$648.32	$39.03–$648.32	72% above	10%
Short leg cast (below the knee) inpatient CPT 29405 CAST SHORT LEG BELOW KNEE-TOE	$111.29	$123.65	$61.83–$111.29	—	10%
Short leg cast (below the knee) inpatient CPT 29405 CAST LEG SHORT APPLY	$583.49	$648.32	$324.16–$583.49	—	10%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$88.23	$98.03	$23.53–$450.39	72% below	10%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT	$88.23	$98.03	$49.02–$88.23	—	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC 2.5ORLESS SNATEX	$186.48	$207.20	$50.72–$856.58	56% below	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SMPL SCLP NCK	$213.43	$237.14	$56.91–$856.58	49% below	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/<	$539.36	$599.28	$143.83–$900.00	28% above	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC 2.5ORLESS SNATEX	$186.48	$207.20	$103.60–$186.48	—	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SMPL SCLP NCK	$213.43	$237.14	$118.57–$213.43	—	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/<	$539.36	$599.28	$299.64–$539.35	—	10%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$292.64	$325.15	$78.04–$1,139.76	36% below	10%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$292.64	$325.15	$162.58–$292.64	—	10%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/<	$219.57	$243.96	$59.72–$2,011.08	82% below	10%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 < CM	$1,452.52	$1,613.91	$112.68–$2,011.08	19% above	10%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/<	$219.57	$243.96	$121.98–$219.56	—	10%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC TR-EXT MAL+MARG 0.5 < CM	$1,452.52	$1,613.91	$806.96–$1,452.52	—	10%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS UPW/15	$101.26	$112.51	$27.54–$856.58	68% below	10%
Skin tag removal, up to 15 tags CPT 11200 SKIN TAG REMOVAL	$138.79	$154.21	$37.01–$856.58	56% below	10%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS, MULT	$218.35	$242.61	$58.23–$856.58	31% below	10%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UPW/15	$227.61	$252.90	$60.70–$856.58	29% below	10%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS UPW/15	$101.26	$112.51	$56.26–$101.26	—	10%
Skin tag removal, up to 15 tags inpatient CPT 11200 SKIN TAG REMOVAL	$138.79	$154.21	$77.11–$138.79	—	10%
Skin tag removal, up to 15 tags inpatient CPT 11200 RMVL SKIN TAGS, MULT	$218.35	$242.61	$121.31–$218.35	—	10%
Skin tag removal, up to 15 tags inpatient CPT 11200 RMVL SKIN TAGS UPW/15	$227.61	$252.90	$126.45–$227.61	—	10%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$926.45	$1,029.38	$125.00–$2,754.94	11% below	10%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAG	$1,734.66	$1,927.39	$262.86–$2,754.94	66% above	10%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$926.45	$1,029.38	$514.69–$926.44	—	10%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAG	$1,734.66	$1,927.39	$963.70–$1,734.65	—	10%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC 2.6-7.5 SNATEXTR	$199.52	$221.68	$53.20–$856.58	58% below	10%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SMPL SCLP NCK	$213.43	$237.14	$56.91–$856.58	55% below	10%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM	$539.36	$599.28	$143.83–$900.00	14% above	10%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC 2.6-7.5 SNATEXTR	$199.52	$221.68	$110.84–$199.51	—	10%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SMPL SCLP NCK	$213.43	$237.14	$118.57–$213.43	—	10%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM	$539.36	$599.28	$299.64–$539.35	—	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC 2.5ORLESS FACE	$197.51	$219.45	$52.67–$856.58	53% below	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR_SMPL FACE EAR	$336.79	$374.21	$89.81–$856.58	21% below	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SREP F/E/N/L/MM; 2.5CM/<	$539.36	$599.28	$143.83–$900.00	27% above	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC 2.5ORLESS FACE	$197.51	$219.45	$109.73–$197.51	—	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR_SMPL FACE EAR	$336.79	$374.21	$187.11–$336.79	—	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SREP F/E/N/L/MM; 2.5CM/<	$539.36	$599.28	$299.64–$539.35	—	10%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$76.14	$84.60	$20.71–$572.25	79% below	10%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES	$76.14	$84.60	$42.30–$76.14	—	10%
Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS	$1,381.65	$1,535.16	$223.75–$3,105.73	3% below	10%
Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTESIS	$1,381.65	$1,535.16	$767.58–$1,381.64	—	10%
Tonsil and adenoid removal, age 12 or older CPT 42821 RMV TONSILS AND ADENOIDS >= 12	$7,020.16	$7,800.17	$599.00–$11,149.23	86% above	10%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 RMV TONSILS AND ADENOIDS >= 12	$7,020.16	$7,800.17	$3,900.09–$7,020.15	—	10%
Tonsil and adenoid removal, child under 12 CPT 42820 RMV TONSILS AND ADENOIDS <12YR	$13,850.90	$15,389.88	$426.00–$21,997.67	190% above	10%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 RMV TONSILS AND ADENOIDS <12YR	$13,850.90	$15,389.88	$7,694.94–$13,850.89	—	10%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY; <= 12 YRS	$7,020.16	$7,800.17	$525.00–$11,149.23	59% above	10%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 TONSILLECTOMY; <= 12 YRS	$7,020.16	$7,800.17	$3,900.09–$7,020.15	—	10%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 TONSILLECTOMY; < 12 YR	$13,850.90	$15,389.88	$525.00–$21,997.67	204% above	10%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 TONSILLECTOMY; < 12 YR	$13,850.90	$15,389.88	$7,694.94–$13,850.89	—	10%
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION	$4,527.81	$5,030.90	$371.00–$6,844.20	34% above	10%
Trigger finger release surgery inpatient CPT 26055 TENDON SHEATH INCISION	$4,527.81	$5,030.90	$2,515.45–$4,527.81	—	10%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PNT 1-2 MUSC	$68.18	$75.75	$18.54–$846.60	88% below	10%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ SNGL/MLT TRGGR PT 1/2 MUSC	$282.50	$313.88	$23.26–$846.60	51% below	10%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECSINGLE/MULTIPLE	$636.54	$707.26	$23.26–$707.26	10% above	10%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER PNT 1-2 MUSC	$68.18	$75.75	$37.88–$68.18	—	10%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SNGL/MLT TRGGR PT 1/2 MUSC	$282.50	$313.88	$156.94–$282.49	—	10%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECSINGLE/MULTIPLE	$636.54	$707.26	$353.63–$636.53	—	10%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY, SURGICA	$14,329.41	$15,921.56	$426.00–$22,757.61	190% above	10%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAPAROSCOPY, SURGICA	$14,329.41	$15,921.56	$7,960.78–$14,329.40	—	10%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX-BREAST, W/DEVICE 1ST LES	$2,597.97	$2,886.63	$371.00–$6,834.51	6% below	10%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BX-BREAST, W/DEVICE 1ST LES	$2,597.97	$2,886.63	$1,443.32–$2,597.97	—	10%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$920.79	$1,023.09	$245.54–$7,236.87	37% below	10%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH EGD DILATION <30 MM	$920.79	$1,023.09	$511.55–$920.78	—	10%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY	$2,373.48	$2,637.19	$334.95–$3,769.49	148% above	10%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/BIOPSY	$2,373.48	$2,637.19	$1,318.60–$2,373.47	—	10%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$2,497.50	$2,775.00	$334.95–$3,769.49	241% above	10%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$2,497.50	$2,775.00	$1,387.50–$2,497.50	—	10%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$683.28	$759.19	$182.21–$7,236.87	40% below	10%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD REMOVE LESION SNARE	$683.28	$759.19	$379.60–$683.27	—	10%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$848.04	$942.26	$226.14–$3,769.49	16% above	10%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD GUIDE WIRE INSERTION	$848.04	$942.26	$471.13–$848.03	—	10%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$2,373.48	$2,637.19	$277.00–$3,769.49	125% above	10%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$2,373.48	$2,637.19	$1,318.60–$2,373.47	—	10%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNIL OR BILAT	$5,413.18	$6,014.64	$371.00–$8,597.10	—	10%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNIL OR BILAT	$5,413.18	$6,014.64	$3,007.32–$5,413.18	—	10%
Wart removal, up to 14 warts CPT 17110 DEST BENIGN LES	$104.87	$116.52	$27.96–$856.58	50% below	10%
Wart removal, up to 14 warts CPT 17110 DEST BENIGN LESION	$133.35	$148.16	$36.27–$856.58	37% below	10%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$246.60	$274.00	$65.76–$856.58	17% above	10%
Wart removal, up to 14 warts inpatient CPT 17110 DEST BENIGN LES	$104.87	$116.52	$58.26–$104.87	—	10%
Wart removal, up to 14 warts inpatient CPT 17110 DEST BENIGN LESION	$133.35	$148.16	$74.08–$133.34	—	10%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1-14	$246.60	$274.00	$137.00–$246.60	—	10%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 EXC TR-EXT B9+MARG 1.1-2 CM	$1,985.63	$2,206.25	$143.08–$2,206.25	94% above	10%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 EXC TR-EXT B9+MARG 1.1-2 CM	$695.76	$773.06	$386.53–$695.75	—	10%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL	$20,880.03	$23,200.03	$599.00–$28,424.55	163% above	10%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 TREAT FX RAD EXTRA-ARTICUL	$20,880.03	$23,200.03	$11,600.02–$20,880.03	—	10%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD/B	$635.31	$705.89	$30.73–$1,240.83	33% below	10%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD/B	$635.31	$705.89	$352.95–$635.30	—	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$18.06	$20.06	$4.81–$969.18	91% below	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION/COLLECTION	$94.44	$104.93	$25.18–$969.18	54% below	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INCENTIVE SPIROMETRY	$101.16	$112.39	$26.97–$969.18	50% below	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI/DPI INITIAL TX	$101.16	$112.39	$26.97–$969.18	50% below	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TMT, SUBS	$289.37	$321.52	$77.16–$969.18	42% above	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TMT, INITIAL	$308.43	$342.69	$82.25–$969.18	52% above	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$18.06	$20.06	$10.03–$18.05	—	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION/COLLECTION	$94.44	$104.93	$52.47–$94.44	—	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI/DPI INITIAL TX	$101.16	$112.39	$56.20–$101.15	—	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INCENTIVE SPIROMETRY	$101.16	$112.39	$56.20–$101.15	—	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TMT, SUBS	$289.37	$321.52	$160.76–$289.37	—	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TMT, INITIAL	$308.43	$342.69	$171.35–$308.42	—	10%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE	$3,149.86	$3,499.84	$125.00–$5,400.00	22% above	10%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE	$3,149.86	$3,499.84	$1,749.92–$3,149.86	—	10%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE	$62.70	$69.66	$16.72–$69.66	56% below	10%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE	$62.70	$69.66	$34.83–$62.69	—	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG W/O INTERP/REPORT	$196.78	$218.64	$52.47–$290.99	34% below	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG W/O INTERP/REPORT	$196.78	$218.64	$109.32–$196.78	—	10%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER ROOM LEVEL 1	$296.82	$329.79	$55.00–$500.00	3% above	10%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER ROOM LEVEL 1	$296.82	$329.79	$164.90–$296.81	—	10%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER ROOM LEVEL 2	$544.67	$605.18	$85.00–$850.00	13% above	10%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER ROOM LEVEL 2	$544.67	$605.18	$302.59–$544.66	—	10%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER ROOM LEVEL 3	$949.14	$1,054.60	$115.00–$1,139.32	15% above	10%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER ROOM LEVEL 3	$949.14	$1,054.60	$527.30–$949.14	—	10%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER ROOM LEVEL 4	$1,342.16	$1,491.28	$125.00–$3,587.00	1% below	10%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER ROOM LEVEL 4	$1,342.16	$1,491.28	$745.64–$1,342.15	—	10%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER ROOM LEVEL 5	$2,235.93	$2,484.36	$125.00–$4,850.00	4% below	10%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER ROOM LEVEL 5	$2,235.93	$2,484.36	$1,242.18–$2,235.92	—	10%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 RHC HYDRATION IV INFUSION INIT	$153.00	$170.00	$40.80–$612.66	69% below	10%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRAT IV INFUS INIT 31-60 MIN	$446.63	$496.25	$119.10–$612.66	9% below	10%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 RHC HYDRATION IV INFUSION INIT	$153.00	$170.00	$85.00–$153.00	—	10%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRAT IV INFUS INIT 31-60 MIN	$446.63	$496.25	$248.13–$446.63	—	10%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT 1H	$446.63	$496.25	$119.10–$612.66	12% below	10%
IV infusion of a medicine, first hour CPT 96365 IV DRUG INFU,INITIAL </1 HR	$446.63	$496.25	$119.10–$612.66	12% below	10%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION <= 1 HR	$481.56	$535.06	$128.41–$612.66	5% below	10%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT 1H	$446.63	$496.25	$248.13–$446.63	—	10%
IV infusion of a medicine, first hour inpatient CPT 96365 IV DRUG INFU,INITIAL </1 HR	$446.63	$496.25	$248.13–$446.63	—	10%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION <= 1 HR	$481.56	$535.06	$267.53–$481.55	—	10%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$49.58	$55.08	$13.22–$302.64	71% below	10%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$48.14	$53.48	$26.74–$48.13	—	10%
Neuromuscular re-education, 15 minutes CPT 97112 PT-NM RE-ED EACH 15MIN	$117.40	$130.44	$31.31–$184.76	3% above	10%
Neuromuscular re-education, 15 minutes CPT 97112 OT-NEURO RE-EDUCATION	$117.40	$130.44	$31.31–$184.76	3% above	10%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT-NM RE-ED EACH 15MIN	$117.40	$130.44	$65.22–$117.40	—	10%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT-NEURO RE-EDUCATION	$117.40	$130.44	$65.22–$117.40	—	10%
New patient office visit, about 30 minutes CPT 99203 OB NEW PATIENT LVL 3	$131.34	$145.93	$35.02–$404.98	49% below	10%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3	$131.34	$145.93	$35.02–$404.98	49% below	10%
New patient office visit, about 30 minutes CPT 99203 OB TRIAGE NEW PT LVL 3	$247.50	$275.00	$66.00–$404.98	3% below	10%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3	$131.34	$145.93	$72.97–$131.34	—	10%
New patient office visit, about 30 minutes inpatient CPT 99203 OB NEW PATIENT LVL 3	$131.34	$145.93	$72.97–$131.34	—	10%
New patient office visit, about 30 minutes inpatient CPT 99203 OB TRIAGE NEW PT LVL 3	$247.50	$275.00	$137.50–$247.50	—	10%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4	$203.52	$226.13	$54.27–$683.02	37% below	10%
New patient office visit, about 45 minutes CPT 99204 OB NEW PATIENT LVL 4	$203.52	$226.13	$54.27–$683.02	37% below	10%
New patient office visit, about 45 minutes CPT 99204 OB TRIAGE NEW PT LVL 4	$382.50	$425.00	$102.00–$683.02	19% above	10%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4	$203.52	$226.13	$113.07–$203.52	—	10%
New patient office visit, about 45 minutes inpatient CPT 99204 OB NEW PATIENT LVL 4	$203.52	$226.13	$113.07–$203.52	—	10%
New patient office visit, about 45 minutes inpatient CPT 99204 OB TRIAGE NEW PT LVL 4	$382.50	$425.00	$212.50–$382.50	—	10%
New patient office visit, about 60 minutes CPT 99205 OB NEW PATIENT LVL 5	$257.66	$286.28	$68.71–$892.06	23% below	10%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5	$257.66	$286.28	$68.71–$892.06	23% below	10%
New patient office visit, about 60 minutes CPT 99205 OB TRIAGE NEW PT LVL 5	$540.00	$600.00	$144.00–$892.06	61% above	10%
New patient office visit, about 60 minutes inpatient CPT 99205 OB NEW PATIENT LVL 5	$257.66	$286.28	$143.14–$257.65	—	10%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LEVEL 5	$257.66	$286.28	$143.14–$257.65	—	10%
New patient office visit, about 60 minutes inpatient CPT 99205 OB TRIAGE NEW PT LVL 5	$540.00	$600.00	$300.00–$540.00	—	10%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEVEL 2	$90.23	$100.25	$24.06–$266.86	54% below	10%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB NEW PATIENT LVL 2	$90.23	$100.25	$24.06–$266.86	54% below	10%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB TRIAGE NEW PT LVL 2	$162.00	$180.00	$43.20–$266.86	17% below	10%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LEVEL 2	$90.23	$100.25	$50.13–$90.23	—	10%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB NEW PATIENT LVL 2	$90.23	$100.25	$50.13–$90.23	—	10%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB TRIAGE NEW PT LVL 2	$162.00	$180.00	$90.00–$162.00	—	10%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIALEA 15MIN	$63.49	$70.54	$16.93–$171.70	9% above	10%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIALEA 15MIN	$63.49	$70.54	$35.27–$63.49	—	10%
Occupational therapy evaluation, low complexity CPT 97165 OT-EVALUATION; LOW COMPLEXITY	$211.12	$234.57	$56.30–$479.60	21% below	10%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT-EVALUATION; LOW COMPLEXITY	$211.12	$234.57	$117.29–$211.11	—	10%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT-EVAL HIGH COMPLEX 45 MIN	$312.72	$347.46	$83.39–$444.18	2% above	10%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT-EVAL HIGH COMPLEX 45 MIN	$312.72	$347.46	$173.73–$312.71	—	10%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT-EVAL LOW COMPLEX 20 MIN	$267.55	$297.27	$71.34–$444.18	13% above	10%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT-EVAL LOW COMPLEX 20 MIN	$267.55	$297.27	$148.64–$267.54	—	10%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT-EVAL MOD COMPLEX 30 MIN	$290.14	$322.37	$77.37–$444.18	2% above	10%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT-EVAL MOD COMPLEX 30 MIN	$290.14	$322.37	$161.19–$290.13	—	10%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT-MANUAL THERAPY EA 15	$105.70	$117.44	$28.19–$147.42	6% below	10%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT-MANUAL THERAPY	$105.70	$117.44	$28.19–$147.42	6% below	10%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT-MANUAL THERAPY EA 15	$105.70	$117.44	$58.72–$105.70	—	10%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT-MANUAL THERAPY	$105.70	$117.44	$58.72–$105.70	—	10%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT-THERAPEUTIC EXERCISE	$112.82	$125.35	$30.08–$162.34	9% below	10%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-THER EXERCISE - 15 M	$112.82	$125.35	$30.08–$162.34	9% below	10%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT-THER EXERCISE - 15 M	$112.82	$125.35	$62.68–$112.82	—	10%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT-THERAPEUTIC EXERCISE	$112.82	$125.35	$62.68–$112.82	—	10%
Preventive checkup, new patient aged 18–39 CPT 99385 NP SPORTS/WORK 18-39	$60.15	$66.83	$16.04–$516.93	56% below	10%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV NP 22-39 YRS	$151.39	$168.21	$40.37–$516.93	10% above	10%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV NP AGE 18-21 YRS	$151.39	$168.21	$40.37–$516.93	10% above	10%
Preventive checkup, new patient aged 18–39 CPT 99385 STEPS NP AGE 18-20YR	$151.39	$168.21	$40.37–$516.93	10% above	10%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 NP SPORTS/WORK 18-39	$60.15	$66.83	$33.42–$60.15	—	10%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV NP 22-39 YRS	$151.39	$168.21	$84.11–$151.39	—	10%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 STEPS NP AGE 18-20YR	$151.39	$168.21	$84.11–$151.39	—	10%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV NP AGE 18-21 YRS	$151.39	$168.21	$84.11–$151.39	—	10%
Preventive checkup, new patient aged 40–64 CPT 99386 NP SPORTS/WORK 40-64	$71.19	$79.09	$18.98–$628.89	41% below	10%
Preventive checkup, new patient aged 40–64 CPT 99386 NP AGE 40-64 YEARS	$177.46	$197.17	$47.32–$628.89	46% above	10%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 NP SPORTS/WORK 40-64	$71.19	$79.09	$39.55–$71.18	—	10%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 NP AGE 40-64 YEARS	$177.46	$197.17	$98.59–$177.45	—	10%
Preventive checkup, new patient aged 65 or older CPT 99387 NP SPORTS/WORK 65+YR	$77.20	$85.77	$20.58–$673.71	52% below	10%
Preventive checkup, new patient aged 65 or older CPT 99387 NP 65 YRS AND OLDER	$194.50	$216.11	$51.87–$673.71	22% above	10%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 NP SPORTS/WORK 65+YR	$77.20	$85.77	$42.89–$77.19	—	10%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 NP 65 YRS AND OLDER	$194.50	$216.11	$108.06–$194.50	—	10%
Preventive checkup, returning patient aged 18–39 CPT 99395 SPORT/WORK 22-39 YR	$52.65	$58.49	$14.04–$472.16	45% below	10%
Preventive checkup, returning patient aged 18–39 CPT 99395 SPORTS/WORK 18-21 YR	$52.65	$58.49	$14.04–$472.16	45% below	10%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST PT 22-39YRS	$131.34	$145.93	$35.02–$472.16	36% above	10%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-21	$131.34	$145.93	$35.02–$472.16	36% above	10%
Preventive checkup, returning patient aged 18–39 CPT 99395 STEPS EST PT 18-21 YR	$131.34	$145.93	$35.02–$472.16	36% above	10%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 SPORT/WORK 22-39 YR	$52.65	$58.49	$29.25–$52.64	—	10%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 SPORTS/WORK 18-21 YR	$52.65	$58.49	$29.25–$52.64	—	10%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREV VISIT EST AGE 18-21	$131.34	$145.93	$72.97–$131.34	—	10%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREV VISIT EST PT 22-39YRS	$131.34	$145.93	$72.97–$131.34	—	10%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 STEPS EST PT 18-21 YR	$131.34	$145.93	$72.97–$131.34	—	10%
Preventive checkup, returning patient aged 40–64 CPT 99396 SPORTS/WORK 40-64 YR	$57.66	$64.06	$15.37–$511.37	73% below	10%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 YRS	$144.37	$160.41	$38.50–$511.37	32% below	10%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 SPORTS/WORK 40-64 YR	$57.66	$64.06	$32.03–$57.65	—	10%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV VISIT EST AGE 40-64 YRS	$144.37	$160.41	$80.21–$144.37	—	10%
Preventive checkup, returning patient aged 65 or older CPT 99397 SPORTS/WORK 65+YRS	$64.67	$71.85	$17.24–$539.34	63% below	10%
Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR	$161.42	$179.35	$43.04–$539.34	8% below	10%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 SPORTS/WORK 65+YRS	$64.67	$71.85	$35.93–$64.67	—	10%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PER PM REEVAL EST PAT 65+ YR	$161.42	$179.35	$89.68–$161.42	—	10%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$61.43	$68.25	$16.38–$161.36	31% above	10%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESS EDUC (3-10 mins)	$148.02	$164.46	$39.47–$164.46	216% above	10%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$61.43	$68.25	$34.13–$61.43	—	10%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESS EDUC (3-10 mins)	$148.02	$164.46	$82.23–$148.01	—	10%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT LEVEL 5	$178.46	$198.28	$47.59–$585.99	42% below	10%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 TELE VISIT EST LVL 5	$178.46	$198.28	$47.59–$585.99	42% below	10%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 TELE VISIT EST LVL 5 MOD 93	$178.46	$198.28	$47.59–$585.99	42% below	10%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB EST PATIENT LVL 5	$178.46	$198.28	$47.59–$585.99	42% below	10%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB TRIAGE EST PT LVL 5	$315.00	$350.00	$84.00–$585.99	2% above	10%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT LEVEL 5	$178.46	$198.28	$99.14–$178.45	—	10%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TELE VISIT EST LVL 5	$178.46	$198.28	$99.14–$178.45	—	10%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TELE VISIT EST LVL 5 MOD 93	$178.46	$198.28	$99.14–$178.45	—	10%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OB EST PATIENT LVL 5	$178.46	$198.28	$99.14–$178.45	—	10%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OB TRIAGE EST PT LVL 5	$315.00	$350.00	$175.00–$315.00	—	10%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB EST PATIENT LVL 3	$87.23	$96.92	$23.26–$270.61	59% below	10%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 TELE VISIT EST LVL 3 MOD 93	$87.23	$96.92	$23.26–$270.61	59% below	10%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 TELE VISIT EST LVL 1 MOD 93	$87.23	$96.92	$23.26–$270.61	59% below	10%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 TELE VISIT EST LVL 3	$87.23	$96.92	$23.26–$270.61	59% below	10%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT LEVEL 3	$87.23	$96.92	$23.26–$270.61	59% below	10%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB TRIAGE EST PT LVL 3	$202.50	$225.00	$54.00–$270.61	4% below	10%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TELE VISIT EST LVL 1 MOD 93	$87.23	$96.92	$48.46–$87.23	—	10%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TELE VISIT EST LVL 3	$87.23	$96.92	$48.46–$87.23	—	10%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TELE VISIT EST LVL 3 MOD 93	$87.23	$96.92	$48.46–$87.23	—	10%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB EST PATIENT LVL 3	$87.23	$96.92	$48.46–$87.23	—	10%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT LEVEL 3	$87.23	$96.92	$48.46–$87.23	—	10%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB TRIAGE EST PT LVL 3	$202.50	$225.00	$112.50–$202.50	—	10%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB EST PATIENT LVL 4	$132.34	$147.04	$35.29–$414.28	52% below	10%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PATIENT LEVEL 4	$132.34	$147.04	$35.29–$414.28	52% below	10%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TELE VISIT EST LVL 4	$132.34	$147.04	$35.29–$414.28	52% below	10%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TELE VISIT EST LVL 4 MOD 93	$132.34	$147.04	$35.29–$414.28	52% below	10%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB TRIAGE EST PT LVL 4	$225.00	$250.00	$60.00–$414.28	18% below	10%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TELE VISIT EST LVL 4 MOD 93	$132.34	$147.04	$73.52–$132.34	—	10%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TELE VISIT EST LVL 4	$132.34	$147.04	$73.52–$132.34	—	10%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PATIENT LEVEL 4	$132.34	$147.04	$73.52–$132.34	—	10%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB EST PATIENT LVL 4	$132.34	$147.04	$73.52–$132.34	—	10%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB TRIAGE EST PT LVL 4	$225.00	$250.00	$125.00–$225.00	—	10%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB EST PATIENT LVL 2	$52.14	$57.93	$13.90–$161.36	68% below	10%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PATIENT LEVEL 2	$52.14	$57.93	$13.90–$161.36	68% below	10%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TELE VISIT EST LVL 2	$52.14	$57.93	$13.90–$161.36	68% below	10%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TELE VISIT EST LVL 2 MOD 93	$52.14	$57.93	$13.90–$161.36	68% below	10%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB TRIAGE EST PT LVL 2	$112.50	$125.00	$30.00–$134.37	31% below	10%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OB EST PATIENT LVL 2	$52.14	$57.93	$28.97–$52.14	—	10%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PATIENT LEVEL 2	$52.14	$57.93	$28.97–$52.14	—	10%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TELE VISIT EST LVL 2	$52.14	$57.93	$28.97–$52.14	—	10%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TELE VISIT EST LVL 2 MOD 93	$52.14	$57.93	$28.97–$52.14	—	10%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OB TRIAGE EST PT LVL 2	$112.50	$125.00	$62.50–$112.50	—	10%
Speech and language evaluation CPT 92523 ST-EVAL SND PROD/EVAL LANG	$544.59	$605.09	$130.00–$1,045.10	29% above	10%
Speech and language evaluation inpatient CPT 92523 ST-EVAL SND PROD/EVAL LANG	$544.59	$605.09	$302.55–$544.58	—	10%
Speech therapy session, individual CPT 92507 ST-SPEECH/HEARING THERAPY INDI	$185.05	$205.61	$49.35–$414.28	19% below	10%
Speech therapy session, individual inpatient CPT 92507 ST-SPEECH/HEARING THERAPY INDI	$185.05	$205.61	$102.81–$185.05	—	10%
Spirometry (breathing test) CPT 94010 PFT SPIROMETRY - BASIC	$300.38	$333.75	$80.10–$708.86	23% below	10%
Spirometry (breathing test) inpatient CPT 94010 PFT SPIROMETRY - BASIC	$300.38	$333.75	$166.88–$300.38	—	10%
Spirometry before and after a bronchodilator CPT 94060 PFT PRE & POST	$408.95	$454.38	$109.05–$897.18	35% below	10%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT PRE & POST	$408.95	$454.38	$227.19–$408.94	—	10%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT-THERAPEUTIC ACTIVITY	$90.06	$100.06	$24.01–$214.60	23% below	10%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT-THERAPEUTIC ACTIVITY	$90.06	$100.06	$24.01–$214.60	23% below	10%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT-THERAPEUTIC ACTIVITY	$90.06	$100.06	$50.03–$90.05	—	10%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT-THERAPEUTIC ACTIVITY	$90.06	$100.06	$50.03–$90.05	—	10%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPUT	$129.54	$143.93	$34.54–$546.21	48% below	10%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPUT	$129.54	$143.93	$71.97–$129.54	—	10%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ	$150.77	$167.52	$40.20–$599.59	70% below	10%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VAR VACCINE LIVE SUBQ	$150.77	$167.52	$83.76–$150.77	—	10%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU TRI N/PRSV .5 ML IM >= 6M	$28.35	$31.50	$7.56–$51.66	41% below	10%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU TRI N/PRSV .5 ML IM >= 6M	$28.35	$31.50	$15.75–$28.35	—	10%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV VACCINE 9V 2/3 DOSE IM	$311.85	$346.50	$83.16–$809.47	69% below	10%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV VACCINE 9V 2/3 DOSE IM	$311.85	$346.50	$173.25–$311.85	—	10%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A/B VACCINE	$20.35	$22.61	$5.43–$409.33	97% below	10%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A/B VACCINE	$20.35	$22.61	$11.31–$20.35	—	10%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VAC ADULT IM	$77.46	$86.06	$20.65–$273.46	66% below	10%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VAC ADULT IM	$77.46	$86.06	$43.03–$77.45	—	10%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM	$81.08	$90.08	$21.62–$193.07	55% below	10%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B - Adult Vaccine	$207.31	$230.34	$55.28–$230.34	15% above	10%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPB VACCINE 3 DOSE ADULT IM	$81.08	$90.08	$45.04–$81.07	—	10%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B - Adult Vaccine	$207.31	$230.34	$115.17–$207.31	—	10%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH DOSE 65+ YEARS	$80.33	$89.25	$21.42–$134.32	46% below	10%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH DOSE 65+ YEARS	$80.33	$89.25	$44.63–$80.33	—	10%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VIRUS VACC SUBCUTANEOUS	$97.08	$107.86	$25.89–$176.74	61% below	10%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VIRUS VACC SUBCUTANEOUS	$97.08	$107.86	$53.93–$97.07	—	10%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM	$152.60	$169.55	$40.69–$357.34	57% below	10%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACWYD/MENACWYCRM VACC IM	$152.60	$169.55	$84.78–$152.60	—	10%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACC 2 DOSE IM	$491.40	$546.00	$131.04–$675.15	19% below	10%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENB-4C VACC 2 DOSE IM	$491.40	$546.00	$273.00–$491.40	—	10%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM	$228.69	$254.10	$60.98–$266.63	59% below	10%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PCV20 VACCINE IM	$228.69	$254.10	$127.05–$228.69	—	10%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PCV-23 PNEUMOVAX	$180.08	$200.08	$48.02–$285.68	32% below	10%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 Vaccine	$277.55	$308.38	$74.01–$308.38	5% above	10%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PCV-23 PNEUMOVAX	$180.08	$200.08	$100.04–$180.07	—	10%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23 Vaccine	$277.55	$308.38	$154.19–$277.54	—	10%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOC ANTB SEASN .5ML IM	$519.75	$577.50	$138.60–$577.50	48% below	10%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RSV MONOC ANTB SEASN .5ML IM	$519.75	$577.50	$288.75–$519.75	—	10%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 1ML I	$976.57	$1,085.07	$260.42–$1,085.07	5% below	10%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 1ML I	$976.57	$1,085.07	$542.54–$976.56	—	10%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM	$63.27	$70.30	$16.87–$117.60	52% below	10%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7 YRS+ IM	$63.27	$70.30	$35.15–$63.27	—	10%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP >= 7yrs IM	$51.01	$56.67	$13.60–$163.04	69% below	10%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP >= 7yrs IM	$51.01	$56.67	$28.34–$51.00	—	10%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 IM VICPS TYPHOID VACCINE	$80.33	$89.25	$21.42–$267.79	85% below	10%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 IM VICPS TYPHOID VACCINE	$80.33	$89.25	$44.63–$80.33	—	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TVFC-IMMUNIZATION ADMIN 1 VACC	$29.08	$32.31	$7.75–$302.64	62% below	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN - 1 VACCINE	$29.08	$32.31	$7.75–$302.64	62% below	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$94.99	$105.54	$25.33–$302.64	23% above	10%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN - 1 VACCINE	$29.08	$32.31	$16.16–$29.08	—	10%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TVFC-IMMUNIZATION ADMIN 1 VACC	$29.08	$32.31	$16.16–$29.08	—	10%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$94.99	$105.54	$52.77–$94.99	—	10%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 TVFC-IMMUNIZATION ADMIN EA ADD	$15.04	$16.71	$4.01–$67.18	72% below	10%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$15.04	$16.71	$4.01–$67.18	72% below	10%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN EA ADDTL	$94.99	$105.54	$25.33–$105.54	78% above	10%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD	$15.04	$16.71	$8.36–$15.04	—	10%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 TVFC-IMMUNIZATION ADMIN EA ADD	$15.04	$16.71	$8.36–$15.04	—	10%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN EA ADDTL	$94.99	$105.54	$52.77–$94.99	—	10%

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/8108/270492434_medina-county-hospital-district_standardcharges.csv