Hospital Los Angeles-Long Beach-Anaheim, CA

Sherman Oaks Hospital

Sherman Oaks Hospital in Sherman Oaks, CA publishes cash prices for 322 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 307 of 320 procedures and above it for 6. By typical cash price it ranks #5 of 226 California hospitals and #3 of 55 hospitals in the Los Angeles, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

4929 Van Nuys Boulevard Sherman Oaks, CA 91403 Collected Sep 22, 2026 Source price file Check a bill from this hospital (818) 981-7111

Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 050755 · CMS hospital register NPI 1750491247

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Sherman Oaks Hospital in Sherman Oaks, CA:

Jul 21, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/& W/O CONTRAST	$224.00	$2,609.00	$224.48–$2,609.00	92% below	91%
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMPLETE	$111.00	$239.00	$26.32–$311.50	78% below	54%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LEFT COMPLETE	$111.00	$311.50	$26.32–$311.50	78% below	64%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RIGHT COMPLETE	$111.00	$311.50	$26.32–$311.50	78% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 ARTER PHYS LO EXT BILAT SINGLE	$170.00	$549.00	$50.82–$1,926.70	—	69%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI	$170.00	$468.00	$50.82–$1,926.70	70% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 THOR OUTLET MANEUVER	$170.00	$773.00	$50.82–$1,926.70	70% below	78%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NON INVAS ARTERIAL ST(SINGLE)	$170.00	$403.05	$50.82–$1,926.70	70% below	58%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 APPLIC SKIN SM(25-100)1ST 25sq	$170.00	$1,265.15	$50.82–$1,926.70	70% below	87%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 APPLIC SK LRG*(EA ADL 100SQCM)	$170.00	$1,265.15	$50.82–$1,926.70	70% below	87%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 APPLIC SK SM**EA ADL 25 SQCM	$170.00	$466.20	$50.82–$1,926.70	70% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 APPLIC SK LRG (1ST 100 SQCM)	$170.00	$1,926.70	$50.82–$1,926.70	70% below	91%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI* ANKLE/BRACHIAL PRESSURES	$170.00	$468.00	$50.82–$1,926.70	70% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI ANKLE/BRACHIAL PRESURE*UNI	$170.00	$608.55	$50.82–$1,926.70	70% below	72%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 ANKLE LEFT BRACHIAL PRESSURES	$170.00	$337.00	$50.82–$1,926.70	70% below	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 ANKLE RIGHT BRACHIAL PRESSURES	$170.00	$468.00	$50.82–$1,926.70	70% below	64%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXT W/O CONTRAST	$133.00	$1,492.00	$133.80–$1,492.00	94% below	91%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 ELBOW RIGHT W/O CONT - 73200 - 71034	$133.00	$1,492.00	$133.80–$1,492.00	94% below	91%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 SHOULDER LEFT W/O CONT - 73200 - 71039	$133.00	$1,492.00	$133.80–$1,492.00	94% below	91%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 WRIST LEFT W/O CONT - 73200 - 71037	$133.00	$1,492.00	$133.80–$1,492.00	94% below	91%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 SHOULDER RIGHT W/O CONT - 73200 - 71038	$133.00	$1,492.00	$133.80–$1,492.00	94% below	91%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 ELBOW LEFT W/O CONT - 73200 - 71035	$133.00	$1,492.00	$133.80–$1,492.00	94% below	91%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 WRIST RIGHT W/O CONT - 73200 - 71036	$133.00	$1,492.00	$133.80–$1,492.00	94% below	91%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM	$224.00	$484.00	$40.98–$484.00	63% below	54%
Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW	$224.00	$277.00	$40.98–$484.00	63% below	19%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN, WHOLE BODY	$511.00	$1,835.00	$171.95–$1,835.00	76% below	72%
Breast ultrasound, complete, one breast CPT 76641 BREAST ULTRASOUND	$133.00	$562.55	$65.44–$562.55	81% below	76%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST LEFT U/S	$111.00	$423.00	$49.43–$423.00	79% below	74%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 EDUS BREAST RIGHT US	$111.00	$423.00	$49.43–$423.00	79% below	74%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 EDUS BREAST LEFT US	$111.00	$423.00	$49.43–$423.00	79% below	74%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST RIGHT U/S	$111.00	$423.00	$49.43–$423.00	79% below	74%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS	$446.00	$5,600.00	$256.80–$5,600.00	92% below	92%
CT angiography (CTA) of the head CPT 70496 CTAHEADSTK	$224.00	$2,200.00	$191.53–$2,200.00	92% below	90%
CT angiography (CTA) of the neck CPT 70498 CTACAROTIDSTK	$224.00	$2,200.00	$190.93–$2,200.00	92% below	90%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT PUMONARY ANGIO SCAN	$224.00	$1,644.16	$192.35–$2,288.00	93% below	86%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST FOR DISSECTION	$224.00	$2,288.00	$192.35–$2,288.00	93% below	90%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W 3D IMAGE	$446.00	$2,288.00	$227.85–$2,288.00	84% below	81%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART W/O CALCIUM SCORE ONL	$111.00	$1,572.00	$59.37–$1,572.00	71% below	93%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL W/O CONTRST	$305.00	$1,520.89	$101.10–$1,520.89	90% below	80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS WITH CONTRAST	$446.00	$2,352.28	$202.90–$2,352.28	89% below	81%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL W/CONTRAST	$446.00	$2,288.44	$202.90–$2,352.28	89% below	81%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL W/WO	$446.00	$2,551.29	$233.05–$2,622.41	91% below	83%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV W&W/O CONT 1+	$446.00	$2,622.41	$233.05–$2,622.41	91% below	83%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CTUROGRAM	$446.00	$1,929.40	$233.05–$2,622.41	91% below	77%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$224.00	$2,149.00	$221.59–$2,149.00	91% below	90%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$133.00	$2,054.00	$116.66–$2,054.00	93% below	94%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MANDIBLE W/O CONTRAST	$133.00	$1,784.00	$125.62–$1,784.00	94% below	93%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLA W/O CONTRAST	$133.00	$1,334.00	$125.62–$1,784.00	94% below	90%
CT scan of the face and sinuses, no contrast dye CPT 70486 PARANASAL SINUSES W/O CONTRAST	$133.00	$996.00	$125.62–$1,784.00	94% below	87%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT TMJ'S W/O CONT	$133.00	$1,239.00	$125.62–$1,784.00	94% below	89%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WITHOUT	$133.00	$1,710.00	$125.62–$1,784.00	94% below	92%
CT scan of the face and sinuses, no contrast dye one side CPT 70486 TEMPORA LEFT MANDIBLE JOINT	$133.00	$1,239.00	$125.62–$1,784.00	94% below	89%
CT scan of the face and sinuses, no contrast dye one side CPT 70486 TEMPORAL RIGHT MANDIBLE JOINT	$133.00	$1,239.00	$125.62–$1,784.00	94% below	89%
CT scan of the head or brain, no contrast dye CPT 70450 CTHWOSTRK	$133.00	$4,207.00	$94.42–$4,207.00	94% below	97%
CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST	$224.00	$1,731.00	$137.27–$1,731.00	92% below	87%
CT scan of the head without and with contrast CPT 70470 CT HEAD W& W/O CONTRAST	$224.00	$3,331.00	$163.90–$3,331.00	93% below	93%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$224.00	$2,001.00	$222.88–$2,001.00	91% below	89%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID ULTRASOUND;COMPL/BILAT	$305.00	$953.00	$168.51–$953.00	—	68%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/& W/O CONTRAST	$224.00	$2,379.00	$208.88–$2,379.00	93% below	91%
Chest X-ray, 2 views both sides CPT 71046 CHEST DECUBITUS BILATERAL	$111.00	$304.00	$18.13–$600.00	—	63%
Chest X-ray, 2 views CPT 71046 CHEST APICAL LORDOTIC	$111.00	$202.00	$18.13–$600.00	73% below	45%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS/DSS	$111.00	$82.00	$18.13–$600.00	73% below	-35%
Chest X-ray, 2 views CPT 71046 CHEST PA & LATERAL	$111.00	$600.00	$18.13–$600.00	73% below	82%
Chest X-ray, 2 views one side CPT 71046 CHEST LEFT DECUBITUS	$111.00	$183.00	$18.13–$600.00	73% below	39%
Chest X-ray, 2 views one side CPT 71046 CHEST RIGHT DECUBITUS	$111.00	$183.00	$18.13–$600.00	73% below	39%
Chest X-ray, 2 views one side CPT 71046 CHEST DECUBITUS UNILATERAL	$111.00	$183.00	$18.13–$600.00	73% below	39%
Chest X-ray, single view CPT 71045 X-RAY POSITIVE SKIN TEST V/O	$111.00	$33.00	$9.71–$600.00	70% below	-236%
Chest X-ray, single view CPT 71045 CHEST IMMIGRATIONS	$111.00	$109.00	$9.71–$600.00	70% below	-2%
Chest X-ray, single view CPT 71045 CHEST EMPLOYEE	$111.00	$311.50	$9.71–$600.00	70% below	64%
Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW	$111.00	$600.00	$9.71–$600.00	70% below	82%
Chest X-ray, single view CPT 71045 X-RAY POSITIVE SKIN TEST S/P	$111.00	$33.00	$9.71–$600.00	70% below	-236%
Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE	$111.00	$240.00	$21.16–$311.50	77% below	54%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RIGHT	$111.00	$311.50	$21.16–$311.50	77% below	64%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LEFT	$111.00	$311.50	$21.16–$311.50	77% below	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERITONEAL ULTRASOUND	$133.00	$649.00	$79.89–$740.00	84% below	80%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ABDOMINAL AORTA ULTRASOUND	$133.00	$637.00	$79.89–$740.00	84% below	79%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RENAL ULTRASOUND	$133.00	$740.00	$79.89–$740.00	84% below	82%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 CT BONE DENSITOMETRY STUDY	$133.00	$412.00	$26.05–$412.00	74% below	68%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST	$133.00	$1,941.00	$133.32–$1,942.00	93% below	93%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHEST HIGH-RESOLUTION SCAN	$133.00	$1,942.00	$133.32–$1,942.00	93% below	93%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ CONTRAST	$224.00	$2,141.00	$170.83–$2,141.00	92% below	90%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Arterial DPLR Lower Ext Bilat	$305.00	$1,672.00	$104.21–$1,672.00	—	82%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX ARTERIAL LOWER EXT BILA	$305.00	$1,167.35	$104.21–$1,672.00	71% below	74%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS LOWER EXT BI/COM - 93970 - 67121	$305.00	$1,167.35	$173.75–$1,419.19	—	74%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS EXT BILAT	$305.00	$1,165.20	$173.75–$1,419.19	—	74%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS LOWER EXT BI/COM - 93970 - 82619	$305.00	$1,419.19	$173.75–$1,419.19	—	79%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS UPR EXT BI/COMPL - 93970 - 67119	$305.00	$1,167.35	$173.75–$1,419.19	—	74%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS UPR EXT BI/COMPL - 93970 - 82611	$305.00	$1,286.00	$173.75–$1,419.19	—	76%
Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX	$305.00	$1,286.00	$173.75–$1,419.19	74% below	76%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX-VEIN MAPPING	$305.00	$1,286.00	$173.75–$1,419.19	74% below	76%
Elbow X-ray, 2 views CPT 73070 ELBOW LIMITED/DSS	$111.00	$66.00	$19.80–$311.50	72% below	-68%
Elbow X-ray, 2 views CPT 73070 ELBOW-AP&LAT	$111.00	$175.00	$19.80–$311.50	72% below	37%
Elbow X-ray, 2 views one side CPT 73070 ELBOW LEFT LTD DDS	$111.00	$66.00	$19.80–$311.50	72% below	-68%
Elbow X-ray, 2 views one side CPT 73070 ELBOW RIGHT AP AND LATERAL	$111.00	$311.50	$19.80–$311.50	72% below	64%
Elbow X-ray, 2 views one side CPT 73070 ELBOW RIGHT LTD DDS	$111.00	$66.00	$19.80–$311.50	72% below	-68%
Elbow X-ray, 2 views one side CPT 73070 ELBOW LEFT AP AND LATERAL	$111.00	$311.50	$19.80–$311.50	72% below	64%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW-COMPLETE	$111.00	$239.00	$27.20–$311.50	77% below	54%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW RIGHT COMPLETE	$111.00	$311.50	$27.20–$311.50	77% below	64%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW LEFT COMPLETE	$111.00	$311.50	$27.20–$311.50	77% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS/AIC W/O CONTRAST	$133.00	$1,589.00	$133.80–$1,589.00	94% below	92%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMPLETE	$133.00	$562.55	$36.90–$562.55	73% below	76%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM	$111.00	$238.00	$20.57–$311.50	74% below	53%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LEFT	$111.00	$311.50	$20.57–$311.50	74% below	64%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RIGHT	$111.00	$311.50	$20.57–$311.50	74% below	64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATO-BILIARY (PIPIDA) SCAN	$511.00	$2,294.32	$261.91–$2,294.32	71% below	78%
Hand X-ray, 2 views CPT 73120 HAND-LIMITED	$133.00	$116.00	$17.12–$562.55	67% below	-15%
Hand X-ray, 2 views one side CPT 73120 HAND LEFT LIMITED	$133.00	$562.55	$17.12–$562.55	67% below	76%
Hand X-ray, 2 views one side CPT 73120 HAND RIGHT LIMITED	$133.00	$562.55	$17.12–$562.55	67% below	76%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HEEL (OS-CALSIS)	$111.00	$120.00	$19.37–$311.50	69% below	8%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEOUS RIGHT HEEL	$111.00	$311.50	$19.37–$311.50	69% below	64%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEOUS LEFT HEEL	$111.00	$311.50	$19.37–$311.50	69% below	64%
Knee X-ray, 3 views one side CPT 73562 PATELLA LEFT AP AND SUNRISE	$111.00	$311.50	$25.15–$407.64	76% below	64%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LEFT	$111.00	$407.64	$25.15–$407.64	76% below	73%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RIGHT	$111.00	$407.64	$25.15–$407.64	76% below	73%
Knee X-ray, 3 views one side CPT 73562 KNEE LEFT SUNRISE-SUNSET	$111.00	$178.00	$25.15–$407.64	76% below	38%
Knee X-ray, 3 views one side CPT 73562 KNEE RIGHT SUNRISE-SUNSET	$111.00	$178.00	$25.15–$407.64	76% below	38%
Knee X-ray, 3 views one side CPT 73562 PATELLA RIGHT AP AND SUNRISE	$111.00	$190.00	$25.15–$407.64	76% below	42%
Knee X-ray, complete, 4 or more views CPT 73564 KNEE-COMPLETE	$133.00	$244.00	$29.01–$562.55	77% below	45%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE RIGHT COMPLETE	$133.00	$562.55	$29.01–$562.55	77% below	76%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE LEFT COMPLETE	$133.00	$562.55	$29.01–$562.55	77% below	76%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOW EXTREMITY W/O CONTRAST	$133.00	$1,463.00	$131.98–$1,463.00	94% below	91%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HIP RIGHT W/O CONT	$133.00	$1,463.00	$131.98–$1,463.00	94% below	91%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HIP LEFT W/O CONT	$133.00	$1,463.00	$131.98–$1,463.00	94% below	91%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 FOOT LEFT W/O CONT	$133.00	$1,463.00	$131.98–$1,463.00	94% below	91%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 ANKLE RIGHT W/O CONT - 73700 - 71044	$133.00	$1,463.00	$131.98–$1,463.00	94% below	91%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 ANKLE LEFT W/O CONT - 73700 - 71045	$133.00	$1,463.00	$131.98–$1,463.00	94% below	91%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 FOOT RIGHT W/O CONT	$133.00	$1,463.00	$131.98–$1,463.00	94% below	91%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 KNEE RIGHT W/O CONT - 73700 - 71042	$133.00	$1,463.00	$131.98–$1,463.00	94% below	91%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 KNEE LEFT W/O CONT - 73700 - 71043	$133.00	$1,463.00	$131.98–$1,463.00	94% below	91%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PANCREAS ULTRASOUND	$133.00	$655.00	$60.12–$1,513.25	84% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SPLEEN ULTRASOUND	$133.00	$740.00	$60.12–$1,513.25	84% below	82%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 USABDLTD(USABD LIMITED FST)	$133.00	$673.00	$60.12–$1,513.25	84% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMENT LTD/FU - 76705 - 71407	$133.00	$1,513.25	$60.12–$1,513.25	84% below	91%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 BILIARY TREE ULTRASOUND	$133.00	$740.00	$60.12–$1,513.25	84% below	82%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 GALLBLADDER ULTRASOUND	$133.00	$929.00	$60.12–$1,513.25	84% below	86%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 USAPPNDIX (US APPEND/RLQ)	$133.00	$673.00	$60.12–$1,513.25	84% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIVER ULTRASOUND	$133.00	$740.00	$60.12–$1,513.25	84% below	82%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EDUS ECHO EXT NON VASC	$133.00	$560.40	$8.66–$702.00	76% below	76%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ABCESS LOCALIZATION	$133.00	$560.40	$8.66–$702.00	76% below	76%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON VASCULAR LTD	$133.00	$560.40	$8.66–$702.00	76% below	76%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 KNEE (POPLATEAL) ULTRASOUND	$133.00	$702.00	$8.66–$702.00	76% below	81%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ECHO EXT NON VAS	$133.00	$560.40	$8.66–$702.00	76% below	76%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 POPLITEAL LEFT KNEE U/S	$133.00	$702.00	$8.66–$702.00	76% below	81%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 POPITEAL RIGHT KNEE U/S	$133.00	$702.00	$8.66–$702.00	76% below	81%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA-FIBULA LEG	$111.00	$238.00	$21.46–$311.50	74% below	53%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA RIGHT FIBULA	$111.00	$311.50	$21.46–$311.50	74% below	64%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA LEFT FIBULA	$111.00	$311.50	$21.46–$311.50	74% below	64%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD CIRCULE OF WILLES W/O	$305.00	$2,761.00	$181.41–$2,761.00	89% below	89%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI KNEE 2-SEQ 1 ECHO	$305.00	$2,044.00	$206.20–$2,800.00	90% below	85%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT LOWER EXTREMITIES	$305.00	$2,800.00	$206.20–$2,800.00	90% below	89%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE LEFT W/O CONT - 73721 - 70955	$305.00	$2,800.00	$206.20–$2,800.00	90% below	89%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE RIGHT W/O CONT - 73721 - 70954	$305.00	$2,800.00	$206.20–$2,800.00	90% below	89%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE RIGHT W/O CONT - 73721 - 70960	$305.00	$2,800.00	$206.20–$2,800.00	90% below	89%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HIP JOINT LEFT W/O CONT	$305.00	$2,800.00	$206.20–$2,800.00	90% below	89%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HIP JOINT RIGHT W/O CONT - 73721 - 70948	$305.00	$2,800.00	$206.20–$2,800.00	90% below	89%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE LEFT W/O CONT - 73721 - 70961	$305.00	$2,800.00	$206.20–$2,800.00	90% below	89%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI W/WO LOWER EXTREMITIES	$446.00	$3,450.00	$300.20–$3,450.00	90% below	87%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ANKLE RIGHT W/WO CONT - 73723 - 70964	$446.00	$3,450.00	$300.20–$3,450.00	90% below	87%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 KNEE RIGHT W/WO CONT - 73723 - 70958	$446.00	$3,450.00	$300.20–$3,450.00	90% below	87%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 KNEE LEFT W/WO CONT - 73723 - 70959	$446.00	$3,450.00	$300.20–$3,450.00	90% below	87%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HIP JOINT LEFT W CONT	$446.00	$3,450.00	$300.20–$3,450.00	90% below	87%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HIP JOINT RIGHT W/O CONT - 73723 - 70952	$446.00	$3,450.00	$300.20–$3,450.00	90% below	87%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ANKLE LEFT W/WO CONT - 73723 - 70965	$446.00	$3,450.00	$300.20–$3,450.00	90% below	87%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN;W/O CONTRAST	$305.00	$2,800.00	$216.39–$2,800.00	89% below	89%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST	$446.00	$4,305.80	$263.48–$4,305.80	90% below	90%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN;W/O CONTRAST	$305.00	$2,800.00	$188.21–$2,800.00	90% below	89%
MRI of the brain, no contrast dye CPT 70551 MRI SCAN IAC'S	$305.00	$2,044.00	$188.21–$2,800.00	90% below	85%
MRI of the brain, no contrast dye CPT 70551 MRI CHEST W/CONTRAST	$305.00	$2,800.00	$188.21–$2,800.00	90% below	89%
MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY GLAND W/ GAD	$446.00	$2,800.00	$316.79–$3,450.00	90% below	84%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST	$446.00	$3,450.00	$316.79–$3,450.00	90% below	87%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE;W/O CONTRAST	$305.00	$2,800.00	$181.42–$2,800.00	90% below	89%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI W/WO LUMBAR SPINE	$446.00	$3,450.00	$318.04–$3,450.00	90% below	87%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE;WO CONTRAS	$305.00	$2,800.00	$183.45–$2,800.00	89% below	89%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI W/WO CERVICAL SPINE	$446.00	$3,450.00	$319.01–$3,450.00	90% below	87%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONTRAST	$305.00	$2,800.00	$181.08–$2,800.00	90% below	89%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE 2 SEQ W/O	$305.00	$2,044.00	$181.08–$2,800.00	90% below	85%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$446.00	$3,450.00	$263.00–$3,450.00	89% below	87%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS	$305.00	$2,800.00	$185.60–$2,800.00	88% below	89%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 WRISTLTWO	$305.00	$1,800.00	$206.55–$1,893.00	88% below	83%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST RIGHT W/O CONT - 73221 - 70978	$305.00	$1,800.00	$206.55–$1,893.00	88% below	83%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 ELBOW RIGHT W/O CONT - 73221 - 70972	$305.00	$1,292.00	$206.55–$1,893.00	88% below	76%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 ELBOW LEFT W/O CONT - 73221 - 70973	$305.00	$1,292.00	$206.55–$1,893.00	88% below	76%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER LEFT W/O CONT - 73221 - 70967	$305.00	$1,893.00	$206.55–$1,893.00	88% below	84%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER RIGHT W/O CONT - 73221 - 70966	$305.00	$1,893.00	$206.55–$1,893.00	88% below	84%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST LEFT W/O CONT - 73221 - 70979	$305.00	$1,800.00	$206.55–$1,893.00	88% below	83%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE COMPLETE	$133.00	$562.55	$38.44–$562.55	79% below	76%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/	$224.00	$1,953.00	$184.40–$1,953.00	92% below	89%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST	$133.00	$1,482.00	$133.80–$1,482.00	94% below	91%
Neck soft tissue X-ray CPT 70360 NECK-SOFT TISSUE	$111.00	$311.50	$17.62–$311.50	66% below	64%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 ADENO 20MG CARDIAC STRESS	$1,656.00	$2,163.00	$295.90–$5,284.00	59% below	23%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM ADENO 30MG CARDIAC STRESS	$1,656.00	$5,284.00	$295.90–$5,284.00	59% below	69%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL STRESS SCAN	$1,656.00	$5,284.00	$295.90–$5,284.00	59% below	69%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM DOBUTAMINE CARDIAC STRESS	$1,656.00	$5,284.00	$295.90–$5,284.00	59% below	69%
OCT scan of the retina (optical coherence tomography) both sides CPT 92134 OPTHALMIC SCAN RETINA UNI/BI	$75.00	$233.65	$14.16–$233.65	—	68%
Pelvic CT scan without contrast CPT 72192 CAT SCAN PELVIS W/O CONTRAST	$133.00	$1,677.00	$117.13–$3,358.65	93% below	92%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$133.00	$1,677.00	$117.13–$3,358.65	93% below	92%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONRAST	$133.00	$3,358.65	$117.13–$3,358.65	93% below	96%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 EDUS US PELVIC LIMITED - 76857 - 71411	$133.00	$562.55	$30.24–$562.55	75% below	76%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED - 76857 - 71220	$133.00	$562.55	$30.24–$562.55	75% below	76%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 EDUS US PELVIC LIMITED - 76857 - 71401	$133.00	$562.55	$30.24–$562.55	75% below	76%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED - 76857 - 85502	$133.00	$562.55	$30.24–$562.55	75% below	76%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC ULTRASOUND;COMPLETE	$133.00	$763.00	$67.93–$763.00	86% below	83%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB COMPLETE ULTRASOUND	$133.00	$774.00	$90.65–$774.00	85% below	83%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 EDUS PLACENTAL LOCALIZATION US	$133.00	$548.00	$56.89–$548.00	78% below	76%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PLACENTAL LOCALIZATION U/S	$133.00	$548.00	$56.89–$548.00	78% below	76%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS LEFT	$111.00	$311.50	$26.10–$311.50	76% below	64%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS RIGHT	$111.00	$311.50	$26.10–$311.50	76% below	64%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS-UNILATERAL	$111.00	$311.50	$26.10–$311.50	76% below	64%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER-XRAY	$111.00	$238.00	$25.59–$505.62	80% below	53%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER COMPL 2+VIEWS BILA	$111.00	$505.62	$25.59–$505.62	80% below	78%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LEFT	$111.00	$311.50	$25.59–$505.62	80% below	64%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RIGHT	$111.00	$311.50	$25.59–$505.62	80% below	64%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES-COMPLETE	$111.00	$388.00	$32.53–$388.00	76% below	71%
Skull X-ray, fewer than 4 views CPT 70250 SKULL-LIMITED	$133.00	$562.55	$24.60–$562.55	67% below	76%
Swallow study (modified barium swallow, video X-ray) CPT 74230 ST XR SWALLO CINE VIDEO W/CONT	$224.00	$911.10	$59.57–$911.10	66% below	75%
Swallow study (modified barium swallow, video X-ray) CPT 74230 VIDEO ESOPHAGUS W/SPEECH THERA	$224.00	$866.00	$59.57–$911.10	66% below	74%
Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPHAGUS W/ BARIUM SWALLOW	$224.00	$827.00	$59.57–$911.10	66% below	73%
Swallow study (modified barium swallow, video X-ray) CPT 74230 ST XR SWALLOW CINE VIDEO W/CNT	$224.00	$911.10	$59.57–$911.10	66% below	75%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RIGHT	$111.00	$311.50	$20.99–$311.50	73% below	64%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LEFT	$111.00	$311.50	$20.99–$311.50	73% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE OR TOES	$111.00	$175.00	$17.22–$311.50	66% below	37%
Toe X-ray, 2 or more views one side CPT 73660 TOE LEFT OR TOES	$111.00	$311.50	$17.22–$311.50	66% below	64%
Toe X-ray, 2 or more views one side CPT 73660 TOE RIGHT OR TOES	$111.00	$311.50	$17.22–$311.50	66% below	64%
Transvaginal pelvic ultrasound CPT 76830 ECHOGRAPHY, TRANSVAGINAL	$133.00	$638.00	$70.84–$638.00	81% below	79%
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMPLETE ULTRASOUND	$133.00	$1,040.00	$82.35–$1,040.00	88% below	87%
Ultrasound of the scrotum and testicles CPT 76870 EDUS SCROTAL ULTRASOUND	$133.00	$740.00	$47.16–$740.00	85% below	82%
Ultrasound of the scrotum and testicles CPT 76870 SCROTAL ULTRASOUND	$133.00	$740.00	$47.16–$740.00	85% below	82%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID ULTRASOUND	$133.00	$702.00	$65.98–$702.00	84% below	81%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 EDUS ECHO SOFT TISSUE HEAD/NEC	$133.00	$560.40	$65.98–$702.00	84% below	76%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SOFT TISSUE HEAD/NECK	$133.00	$702.00	$65.98–$702.00	84% below	81%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ECHO SOFT TISSUE HEAD/NECK NON	$133.00	$560.40	$65.98–$702.00	84% below	76%
Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS	$111.00	$238.00	$21.46–$311.50	74% below	53%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LEFT	$111.00	$311.50	$21.46–$311.50	74% below	64%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RIGHT	$111.00	$311.50	$21.46–$311.50	74% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS LOW EXT*LEFT	$133.00	$954.00	$101.89–$954.00	85% below	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS LOWER EXT*RIGHT	$133.00	$954.00	$101.89–$954.00	85% below	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS UPPER EXT*UNILAT	$133.00	$523.75	$101.89–$954.00	85% below	75%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS UPPER EXT*RIGHT	$133.00	$954.00	$101.89–$954.00	85% below	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS UPPER EXT*LEFT	$133.00	$954.00	$101.89–$954.00	85% below	86%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS EXT UNILAT/LMTD	$133.00	$560.40	$101.89–$954.00	85% below	76%
Wrist X-ray, 2 views CPT 73100 WRIST AP & LATERAL	$111.00	$288.00	$17.87–$288.00	71% below	61%
Wrist X-ray, 2 views one side CPT 73100 WRIST RIGHT AP AND LATERAL	$111.00	$288.00	$17.87–$288.00	71% below	61%
Wrist X-ray, 2 views one side CPT 73100 WRIST LEFT AP AND LATERAL	$111.00	$288.00	$17.87–$288.00	71% below	61%
Wrist X-ray, complete, 3 or more views CPT 73110 NAVICULAR SERIES	$111.00	$238.00	$27.41–$311.50	78% below	53%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST COMPLETE	$111.00	$238.00	$27.41–$311.50	78% below	53%
Wrist X-ray, complete, 3 or more views one side CPT 73110 NAVICULAR RIGHT - SERIES	$111.00	$238.00	$27.41–$311.50	78% below	53%
Wrist X-ray, complete, 3 or more views one side CPT 73110 NAVICULAR LEFT - SERIES	$111.00	$238.00	$27.41–$311.50	78% below	53%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LEFT COMPLETE	$111.00	$311.50	$27.41–$311.50	78% below	64%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RIGHT COMPLETE	$111.00	$311.50	$27.41–$311.50	78% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP AP&LAT	$111.00	$238.00	$27.59–$311.50	72% below	53%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RIGHT AP AND LATERAL	$111.00	$311.50	$27.59–$311.50	72% below	64%
X-ray of the abdomen, 1 view CPT 74018 SCOUT FILM	$111.00	$229.00	$16.73–$600.00	64% below	52%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN (KUB)	$111.00	$600.00	$16.73–$600.00	64% below	82%
X-ray of the ankle, 2 views CPT 73600 ANKLE AP&LAT	$111.00	$172.00	$19.92–$311.50	72% below	35%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RIGHT AP AND LATERAL	$111.00	$311.50	$19.92–$311.50	72% below	64%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LEFT AP AND LATERAL	$111.00	$311.50	$19.92–$311.50	72% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER	$111.00	$172.00	$17.67–$311.50	70% below	35%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RIGHT	$111.00	$311.50	$17.67–$311.50	70% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT	$111.00	$311.50	$17.67–$311.50	70% below	64%
X-ray of the foot, 2 views CPT 73620 FOOT AP&LAT	$111.00	$175.00	$17.87–$311.50	73% below	37%
X-ray of the foot, 2 views one side CPT 73620 FOOT RIGHT AP AND LATERAL	$111.00	$311.50	$17.87–$311.50	73% below	64%
X-ray of the foot, 2 views one side CPT 73620 FOOT LEFT AP AND ATERAL	$111.00	$311.50	$17.87–$311.50	73% below	64%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT CMPL 3+V BILAT	$111.00	$498.81	$25.01–$498.81	—	78%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT-COMPLETE	$111.00	$238.00	$25.01–$498.81	78% below	53%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RIGHT COMPETE	$111.00	$311.50	$25.01–$498.81	78% below	64%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LEFT COMPLETE	$111.00	$311.50	$25.01–$498.81	78% below	64%
X-ray of the hand, 3 or more views CPT 73130 HAND-COMPLETE	$111.00	$145.00	$26.32–$311.50	78% below	23%
X-ray of the hand, 3 or more views one side CPT 73130 HAND LEFT COMPLETE	$111.00	$311.50	$26.32–$311.50	78% below	64%
X-ray of the hand, 3 or more views one side CPT 73130 HAND RIGHT COMPLETE	$111.00	$311.50	$26.32–$311.50	78% below	64%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE LIMITED/DSS	$111.00	$62.00	$18.60–$311.50	72% below	-79%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE AP&LAT	$111.00	$185.00	$18.60–$311.50	72% below	40%
X-ray of the knee, 1 or 2 views CPT 73560 SUNRISE VIEW	$111.00	$178.00	$18.60–$311.50	72% below	38%
X-ray of the knee, 1 or 2 views CPT 73560 TUNNEL VIEW	$111.00	$162.00	$18.60–$311.50	72% below	31%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RIGHT LIMITED/DDS	$111.00	$62.00	$18.60–$311.50	72% below	-79%
X-ray of the knee, 1 or 2 views one side CPT 73560 TUNNEL RIGHT VIEW	$111.00	$162.00	$18.60–$311.50	72% below	31%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RIGHT LIMITED	$111.00	$311.50	$18.60–$311.50	72% below	64%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LEFT LIMITED/DDS	$111.00	$62.00	$18.60–$311.50	72% below	-79%
X-ray of the knee, 1 or 2 views one side CPT 73560 TUNNEL LEFT VIEW	$111.00	$162.00	$18.60–$311.50	72% below	31%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LEFT LIMITED	$111.00	$311.50	$18.60–$311.50	72% below	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE LIMITED SERIES	$133.00	$562.55	$29.98–$562.55	72% below	76%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE 5 VIEWS	$133.00	$562.55	$43.40–$562.55	80% below	76%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE LIMITED	$133.00	$562.55	$27.35–$562.55	71% below	76%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES;COMPLETE	$111.00	$311.50	$26.31–$311.50	74% below	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE AP&LAT	$111.00	$311.50	$24.97–$311.50	75% below	64%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS	$133.00	$562.55	$22.95–$562.55	65% below	76%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX	$111.00	$311.50	$25.12–$311.50	76% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND/OR COCCYX	$111.00	$283.00	$25.12–$311.50	76% below	61%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM	$111.00	$311.50	$25.12–$311.50	76% below	64%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ACTH blood test CPT 82024 LC 004440 ACTH, PLASMA	$38.00	$47.68	$6.99–$47.68	44% below	20%
ACTH blood test CPT 82024 ACTH PLASMA/LC	$38.00	$23.31	$6.99–$47.68	44% below	-63%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALANINE ALT SGPT L	$5.00	$4.85	$1.46–$104.00	88% below	-3%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT SERUM	$5.00	$104.00	$1.46–$104.00	88% below	95%
AST (aspartate aminotransferase) enzyme test CPT 84450 FIB-4 LC	$5.00	$4.85	$1.46–$37.00	89% below	-3%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/PLATELETS W/ APRI LC	$5.00	$7.21	$1.46–$37.00	89% below	31%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT SERUM	$5.00	$37.00	$1.46–$37.00	89% below	86%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 LC 322744 HEPATITIS PANEL (4)	$47.00	$19.04	$5.71–$142.89	83% below	-147%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 LC 312355 HP4	$47.00	$19.04	$5.71–$142.89	83% below	-147%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE VIRAL HEP (HAV,HBV,HCV)	$47.00	$142.89	$5.71–$142.89	83% below	67%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PROFILE* LC	$47.00	$19.04	$5.71–$142.89	83% below	-147%
Albumin blood test CPT 82040 ALBUMIN SERUM	$4.00	$37.00	$1.00–$37.00	84% below	89%
Albumin blood test CPT 82040 PN MS PF+MBP, ALBUMIN LC1	$4.00	$2.26	$1.00–$37.00	84% below	-77%
Albumin blood test CPT 82040 MULTIPLE SCLEROSIS PROF* LC1	$4.00	$24.98	$1.00–$37.00	84% below	84%
Albumin blood test CPT 82040 ASSAY SERUM ALBUMIN	$4.00	$16.02	$1.00–$37.00	84% below	75%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN LC	$4.00	$11.43	$1.00–$37.00	84% below	65%
Aldosterone blood test CPT 82088 ALDOSTERONE, LC/MS	$40.00	$18.40	$5.52–$50.31	33% above	-117%
Aldosterone blood test CPT 82088 ALDOSTERONE	$40.00	$50.31	$5.52–$50.31	33% above	20%
Aldosterone blood test CPT 82088 LC 004291 ALDOSTERONE, URINE	$40.00	$21.00	$5.52–$50.31	33% above	-90%
Aldosterone blood test CPT 82088 LC 004374 ALDOSTERONE LCMS,SER	$40.00	$50.31	$5.52–$50.31	33% above	20%
Aldosterone blood test CPT 82088 ALDOSTERONE SER/LC	$40.00	$18.40	$5.52–$50.31	33% above	-117%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATE LC	$5.00	$15.54	$4.66–$37.00	86% below	68%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE	$5.00	$37.00	$4.66–$37.00	86% below	86%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE QN/SQ LC - 86003 - 45137	$5.00	$42.88	$2.60–$121.25	at median	88%
Allergy blood test, specific IgE, per allergen CPT 86003 LC660423-ALLERGENPROFILE-BASIC	$5.00	$41.71	$2.60–$121.25	at median	88%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS W/TOTAL IGE LC	$5.00	$83.13	$2.60–$121.25	at median	94%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE QN/SQ LC - 86003 - 45142	$5.00	$37.99	$2.60–$121.25	at median	87%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE QN/SQ LC - 86003 - 45140	$5.00	$40.62	$2.60–$121.25	at median	88%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE QN/SC	$5.00	$8.65	$2.60–$121.25	at median	42%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE,LATEX RELATED	$5.00	$121.25	$2.60–$121.25	at median	96%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD MEAT LC	$5.00	$9.78	$2.60–$121.25	at median	49%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEDIATRIC 0-3 YRS	$5.00	$121.25	$2.60–$121.25	at median	96%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS (7) SEAFOODS LC	$5.00	$22.52	$2.60–$121.25	at median	78%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (7) Seafood	$5.00	$22.82	$2.60–$121.25	at median	78%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, FOOD LC	$5.00	$39.12	$2.60–$121.25	at median	87%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER*LC	$16.00	$7.29	$2.19–$20.71	79% below	-119%
Alpha-fetoprotein (AFP) blood test CPT 82105 LC 480012 AFP,TUMOR MAR(SERL)	$16.00	$12.88	$2.19–$20.71	79% below	-24%
Alpha-fetoprotein (AFP) blood test CPT 82105 LC002253-AFP,SERUM,TUMOR MARKE	$16.00	$7.29	$2.19–$20.71	79% below	-119%
Alpha-fetoprotein (AFP) blood test CPT 82105 LC 002253 AFP,SER,TUMOR MARKER	$16.00	$20.71	$2.19–$20.71	79% below	23%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER SERUM LC	$16.00	$16.77	$2.19–$20.71	79% below	5%
Ammonia blood test CPT 82140 AMMONIA BLOOD	$14.00	$150.00	$14.57–$150.00	92% below	91%
Amylase blood test CPT 82150 AMYLASE OTHER BODY FL	$6.00	$39.00	$6.48–$43.00	88% below	85%
Amylase blood test CPT 82150 AMYLASE SERUM	$6.00	$43.00	$6.48–$43.00	88% below	86%
Amylase blood test CPT 82150 DIASTASE URINE	$6.00	$39.00	$6.48–$43.00	88% below	85%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP LGG AB* LC	$12.00	$10.42	$3.13–$38.85	41% below	-15%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LC 164914 CCP ABS IGG/IGA	$12.00	$38.85	$3.13–$38.85	41% below	69%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LC 330458 ANA	$12.00	$60.75	$1.25–$105.00	63% below	80%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LC 164962 ANA W/REFLEX	$12.00	$4.16	$1.25–$105.00	63% below	-188%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LC 164855 ANTINUCLEAR ABS DIR	$12.00	$4.16	$1.25–$105.00	63% below	-188%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LC 164947 ANTINUCLEAR ABS, IFA	$12.00	$4.16	$1.25–$105.00	63% below	-188%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-Nuclear AB-Direct*LC	$12.00	$36.27	$1.25–$105.00	63% below	67%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LC 164863 ANA W/RFLEX IF POS	$12.00	$4.16	$1.25–$105.00	63% below	-188%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LC 164880 ANTINUC AB RFX CASCA	$12.00	$4.16	$1.25–$105.00	63% below	-188%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES by IFA	$12.00	$105.00	$1.25–$105.00	63% below	89%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$39.00	$196.30	$24.12–$196.30	79% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BODY FLUID CULT AER LC	$8.00	$10.19	$2.70–$134.00	93% below	21%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC CULTURE LC	$8.00	$25.86	$2.70–$134.00	93% below	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE PERITONEAL	$8.00	$134.00	$2.70–$134.00	93% below	94%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CERVIX	$8.00	$116.00	$2.70–$134.00	93% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC BACTERIAL CULT LC	$8.00	$25.86	$2.70–$134.00	93% below	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ANTHRAX CULTURE/FOCUS	$8.00	$129.00	$2.70–$134.00	93% below	94%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EYE CULTURE	$8.00	$121.00	$2.70–$134.00	93% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EAR CULTURE	$8.00	$121.00	$2.70–$134.00	93% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BODY FLUID CULTURE	$8.00	$121.00	$2.70–$134.00	93% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE, ROUTINE LC	$8.00	$9.93	$2.70–$134.00	93% below	19%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF CULTURE	$8.00	$134.00	$2.70–$134.00	93% below	94%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OF DIALYSIS WATER LC	$8.00	$12.01	$2.70–$134.00	93% below	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE VAGINAL	$8.00	$116.00	$2.70–$134.00	93% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE NASOPHARYNGEAL	$8.00	$97.00	$2.70–$134.00	93% below	92%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENVIRONMENTAL CULTURE	$8.00	$121.00	$2.70–$134.00	93% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BRONCHIAL	$8.00	$112.00	$2.70–$134.00	93% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF CULTURE W/CYTOSPIN GS LC	$8.00	$25.86	$2.70–$134.00	93% below	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CATHETER TIP CULTURE	$8.00	$121.00	$2.70–$134.00	93% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 WOUND CULTURE	$8.00	$121.00	$2.70–$134.00	93% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROAT CULTURE	$8.00	$121.00	$2.70–$134.00	93% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE	$8.00	$121.00	$2.70–$134.00	93% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 RESPIRATORY CULT FOR NASAL	$8.00	$121.00	$2.70–$134.00	93% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LOWER RESPIRATORY CULT LC	$8.00	$8.99	$2.70–$134.00	93% below	11%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GASTRIC CULTURE	$8.00	$134.00	$2.70–$134.00	93% below	94%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE	$8.00	$121.00	$2.70–$134.00	93% below	93%
Bilirubin blood test, total CPT 82247 INDIRECT BILIRUBIN	$5.00	$37.00	$3.08–$37.00	89% below	86%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL BF LC827969	$5.00	$10.25	$3.08–$37.00	89% below	51%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL-SERUM	$5.00	$37.00	$3.08–$37.00	89% below	86%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 NEO SX PATH/GROSS MICRO LVL IV	$66.00	$71.00	$2.66–$313.70	49% below	7%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV GROSS/MICRO COMPLEX	$66.00	$313.70	$2.66–$313.70	49% below	79%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK PREP-SCH	$66.00	$15.00	$2.66–$313.70	49% below	-340%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$66.00	$69.00	$2.66–$313.70	49% below	4%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LIGHT MICROSCOPY/CEDARS	$66.00	$151.00	$2.66–$313.70	49% below	56%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW INTERP BIOPSY IRON	$66.00	$224.00	$2.66–$313.70	49% below	71%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BLOCK PROCESSING -SCH	$66.00	$8.88	$2.66–$313.70	49% below	-643%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$9.00	$75.00	$9.34–$75.00	57% below	88%
Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM	$3.00	$37.00	$3.79–$37.00	92% below	92%
Blood glucose (sugar) test CPT 82947 GLUCOSE,FASTING	$3.00	$30.00	$3.79–$37.00	92% below	90%
Blood lead test CPT 83655 LC 007625 LEAD, BLOOD (ADULT)	$12.00	$3.65	$1.10–$7.01	17% above	-229%
Blood lead test CPT 83655 LEAD STANDARD PROFILE BLD LC	$12.00	$7.01	$1.10–$7.01	17% above	-71%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG B HCG QUAL BLOOD/URINE	$7.00	$68.00	$7.41–$68.00	96% below	90%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 REF LAB ABO-ARC	$170.00	$27.30	$2.73–$129.00	65% above	-523%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE	$170.00	$31.55	$2.73–$129.00	65% above	-439%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO AND RH	$170.00	$129.00	$2.73–$129.00	65% above	-32%
Blood urea nitrogen (BUN) test CPT 84520 BUN (BLOOD UREA NITRO)	$3.00	$37.00	$3.61–$37.00	91% below	92%
C-peptide blood test CPT 84681 C-PEPTIDE	$20.00	$25.70	$1.10–$35.00	69% below	22%
C-peptide blood test CPT 84681 C-PEPTIDE SERUM LC	$20.00	$3.65	$1.10–$35.00	69% below	-448%
C-peptide blood test CPT 84681 C-PEPTIDE/PAML	$20.00	$35.00	$1.10–$35.00	69% below	43%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP-INHOUSE	$5.00	$51.00	$1.50–$51.00	91% below	90%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REATIVE PROTEIN	$5.00	$37.00	$1.50–$51.00	91% below	86%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN,QUANT*LC	$5.00	$5.00	$1.50–$51.00	91% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 LC 006627 C-REACTIVE PROT, QNT	$5.00	$15.54	$1.50–$51.00	91% below	68%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE REVOGEN	$37.00	$186.35	$22.91–$200.00	76% below	80%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFFICILIE (ILLUMIGENE)	$37.00	$200.00	$22.91–$200.00	76% below	82%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN RFLEX TO AB AG LC	$37.00	$125.00	$22.91–$200.00	76% below	70%
CA 19-9 blood test (tumor marker) CPT 86301 CA-19-9 SERUM* LC	$20.00	$10.42	$3.13–$27.00	60% below	-92%
CA 19-9 blood test (tumor marker) CPT 86301 LC 829524 CANCER AG-G1, FLUID	$20.00	$27.00	$3.13–$27.00	60% below	26%
CA 19-9 blood test (tumor marker) CPT 86301 LC 002261 CA 19-9	$20.00	$25.70	$3.13–$27.00	60% below	22%
CA-125 blood test (ovarian cancer marker) CPT 86304 LC 480061 CA125,SERUM (SERIAL)	$20.00	$17.48	$2.50–$25.70	85% below	-14%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125 SERUM* LC	$20.00	$8.33	$2.50–$25.70	85% below	-140%
CA-125 blood test (ovarian cancer marker) CPT 86304 LC 002303 CANCER AG (CA) 125	$20.00	$25.70	$2.50–$25.70	85% below	22%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAG PANEL SONIC	$51.00	$70.00	$21.00–$153.93	46% below	27%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV2 COVID 19 PRIMEX	$51.00	$153.93	$21.00–$153.93	46% below	67%
Calcium blood test, total CPT 82310 PN CAPTH INTACT, CA TOT LC1	$5.00	$6.37	$1.91–$37.00	92% below	22%
Calcium blood test, total CPT 82310 CALCIUM SERUM	$5.00	$37.00	$1.91–$37.00	92% below	86%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA FLUED	$18.00	$12.00	$2.25–$23.41	78% below	-50%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA/LC	$18.00	$7.49	$2.25–$23.41	78% below	-140%
Carcinoembryonic antigen (CEA) test CPT 82378 LC 002139 CEA	$18.00	$23.41	$2.25–$23.41	78% below	23%
Carcinoembryonic antigen (CEA) test CPT 82378 LC 142331CEA, FLUID	$18.00	$23.41	$2.25–$23.41	78% below	23%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM	$12.00	$15.77	$2.50–$38.64	65% below	24%
Chickenpox (varicella) immunity blood test CPT 86787 VARECELLA ZOSTER IGG/IGM	$12.00	$24.00	$2.50–$38.64	65% below	50%
Chickenpox (varicella) immunity blood test CPT 86787 PN VZV IGG/IGM, VAR ZOS AB LC1	$12.00	$12.00	$2.50–$38.64	65% below	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG	$12.00	$8.32	$2.50–$38.64	65% below	-44%
Chickenpox (varicella) immunity blood test CPT 86787 PN VZV IGG/IGM, VAR ZOS AB LC2	$12.00	$12.00	$2.50–$38.64	65% below	—
Chickenpox (varicella) immunity blood test CPT 86787 LC 096206VAR ZOSTER IGG QUAL	$12.00	$38.64	$2.50–$38.64	65% below	69%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LC 188078 CHLAMY TRACHOM NAA	$35.00	$17.00	$5.10–$105.27	36% below	-106%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 PN CHLA AMP, CHLA TRA PROB LC1	$35.00	$105.27	$5.10–$105.27	36% below	67%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS NAA*LC	$35.00	$17.00	$5.10–$105.27	36% below	-106%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/GC AMPLIFICATION	$35.00	$42.00	$5.10–$105.27	36% below	17%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 MANUAL LIPID PANEL	$13.00	$109.00	$13.24–$109.00	87% below	88%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$13.00	$109.00	$13.24–$109.00	87% below	88%
Complete blood count (CBC) with differential CPT 85025 CBC	$7.00	$255.00	$7.75–$255.00	94% below	97%
Complete blood count (CBC), no differential CPT 85027 CBC-WITHOUT DIFF	$6.00	$100.00	$1.36–$100.00	93% below	94%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED LC	$6.00	$4.53	$1.36–$100.00	93% below	-32%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PNL	$10.00	$671.00	$10.55–$671.00	96% below	99%
Comprehensive metabolic panel (blood test) CPT 80053 MANUAL COMPREHENSIVE PANEL	$10.00	$162.00	$10.55–$671.00	96% below	94%
Cortisol blood test, total CPT 82533 LC004051-CORTISOL	$16.00	$5.43	$1.63–$239.90	83% below	-195%
Cortisol blood test, total CPT 82533 SALIVARY CORTISOL, MS	$16.00	$30.95	$1.63–$239.90	83% below	48%
Cortisol blood test, total CPT 82533 CORTISOL* EHMC	$16.00	$239.90	$1.63–$239.90	83% below	93%
Cortisol blood test, total CPT 82533 CORTISOL*ENC	$16.00	$7.48	$1.63–$239.90	83% below	-114%
Cortisol blood test, total CPT 82533 LC104018-CORTISOL-AM	$16.00	$20.12	$1.63–$239.90	83% below	20%
Cortisol blood test, total CPT 82533 LC104026-CORTISOL-PM	$16.00	$20.12	$1.63–$239.90	83% below	20%
Creatine kinase (CK) blood test, total CPT 82550 CPK-TOTAL SERUM	$6.00	$180.00	$6.51–$180.00	93% below	97%
Creatinine blood test CPT 82565 CREATININE SERUM	$5.00	$28.00	$4.95–$28.00	89% below	82%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV,LGG* LC	$14.00	$5.83	$1.66–$129.02	49% below	-140%
Cytomegalovirus (CMV) antibody test CPT 86644 PN CMV IGGM AB, CMV ABS LC1	$14.00	$5.53	$1.66–$129.02	49% below	-153%
Cytomegalovirus (CMV) antibody test CPT 86644 LC 006494 CMV AB, IGG	$14.00	$43.17	$1.66–$129.02	49% below	68%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS (CMV)* LC	$14.00	$129.02	$1.66–$129.02	49% below	89%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB,IgG + iGm*LC	$14.00	$11.66	$1.66–$129.02	49% below	-20%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEASO4	$22.00	$27.45	$8.24–$27.45	78% below	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN TRIAGE ONLY	$62.00	$310.70	$2.70–$359.15	at median	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ACID PHOSPHATASE PROST	$62.00	$59.00	$2.70–$359.15	at median	-5%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAMADOL SCREEN, UR LC733740	$62.00	$9.00	$2.70–$359.15	at median	-589%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES, SCREEN URINE LC	$62.00	$24.00	$2.70–$359.15	at median	-158%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GENERAL TOX PROFILE UR 15 LC	$62.00	$197.25	$2.70–$359.15	at median	69%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL BLOOD	$62.00	$66.00	$2.70–$359.15	at median	6%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN QL MLT CLASS NON - 80307 - 82713	$62.00	$102.35	$2.70–$359.15	at median	39%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 13 SERUM, LC700845	$62.00	$60.00	$2.70–$359.15	at median	-3%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN QL MLT CLASS NON - 80307 - 82817	$62.00	$20.47	$2.70–$359.15	at median	-203%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR(O)	$62.00	$359.15	$2.70–$359.15	at median	83%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$7.00	$61.00	$7.01–$61.00	92% below	89%
Epstein-Barr virus (EBV) antibody test CPT 86665 PN EBV, IGG LC2	$18.00	$7.14	$2.14–$24.37	32% below	-152%
Epstein-Barr virus (EBV) antibody test CPT 86665 PN EBV, IGG LC1	$18.00	$7.15	$2.14–$24.37	32% below	-152%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV-VCA Antibodies, IgM	$18.00	$24.37	$2.14–$24.37	32% below	26%
Estradiol blood test CPT 82670 ESTRADIOL	$27.00	$72.00	$6.45–$190.25	69% below	63%
Estradiol blood test CPT 82670 LC 500108 ESTRAD,LCMS,ENDO SCI	$27.00	$55.00	$6.45–$190.25	69% below	51%
Estradiol blood test CPT 82670 LC 004515 ESTRADIOL	$27.00	$34.49	$6.45–$190.25	69% below	22%
Estradiol blood test CPT 82670 LC 140244 ESTRADIOL, SENSITIVE	$27.00	$190.25	$6.45–$190.25	69% below	86%
Estradiol blood test CPT 82670 ESTRADIOL LLC	$27.00	$21.50	$6.45–$190.25	69% below	-26%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$18.00	$51.00	$2.00–$51.00	82% below	65%
FSH (follicle-stimulating hormone) test CPT 83001 LC 004309 FSH, SERUM LC	$18.00	$22.94	$2.00–$51.00	82% below	22%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STMULATION HORMONE*LC	$18.00	$6.65	$2.00–$51.00	82% below	-171%
FSH (follicle-stimulating hormone) test CPT 83001 FSH-SERUM	$18.00	$26.00	$2.00–$51.00	82% below	31%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$19.00	$200.00	$13.96–$200.00	74% below	91%
Ferritin blood test (iron stores) CPT 82728 HGBOPATHY FRACT CASCD RFLX LC	$13.00	$4.53	$1.36–$80.00	88% below	-187%
Ferritin blood test (iron stores) CPT 82728 FERRITIN*SOH	$13.00	$80.00	$1.36–$80.00	88% below	84%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$13.00	$77.00	$1.36–$80.00	88% below	83%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY LC	$9.00	$9.72	$2.92–$9.72	93% below	7%
Folate (folic acid) blood test CPT 82746 FOLATE*SOH	$14.00	$8.03	$1.20–$465.00	87% below	-74%
Folate (folic acid) blood test CPT 82746 FOLIC ACID-RBC* LC	$14.00	$80.00	$1.20–$465.00	87% below	83%
Folate (folic acid) blood test CPT 82746 FOLATE*ENC	$14.00	$8.03	$1.20–$465.00	87% below	-74%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$14.00	$4.00	$1.20–$465.00	87% below	-250%
Folate (folic acid) blood test CPT 82746 LC 002014 FOL(FOLIC ACID), SER	$14.00	$4.00	$1.20–$465.00	87% below	-250%
Folate (folic acid) blood test CPT 82746 EMERGENCY PROCOR HEMACARE	$14.00	$465.00	$1.20–$465.00	87% below	97%
Folate (folic acid) blood test CPT 82746 FOLATE	$14.00	$142.00	$1.20–$465.00	87% below	90%
Free T3 thyroid hormone test CPT 84481 T3 FREE/LC	$16.00	$5.00	$1.50–$157.50	80% below	-220%
Free T3 thyroid hormone test CPT 84481 LC 010390 T3 FREE	$16.00	$157.50	$1.50–$157.50	80% below	90%
Free T3 thyroid hormone test CPT 84481 FREE T3	$16.00	$54.00	$1.50–$157.50	80% below	70%
Free T3 thyroid hormone test CPT 84481 LC 010389 TRIIODTHYRNIN,FR,SER	$16.00	$20.92	$1.50–$157.50	80% below	24%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$9.00	$200.00	$1.50–$200.00	87% below	96%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free, Direct, S	$9.00	$5.00	$1.50–$200.00	87% below	-80%
Free testosterone test CPT 84402 LC 144980 TESTO, FR,DIRECT	$25.00	$14.18	$4.25–$76.41	9% below	-76%
Free testosterone test CPT 84402 TESTOSTERONE, FREE+TOTAL	$25.00	$20.84	$4.25–$76.41	9% below	-20%
Free testosterone test CPT 84402 TESTOSTERONE FREE/LC	$25.00	$76.41	$4.25–$76.41	9% below	67%
Free testosterone test CPT 84402 PN TESTO FR TOT TESTO FR LC1	$25.00	$31.45	$4.25–$76.41	9% below	21%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT (GGT)	$7.00	$37.00	$1.00–$37.00	85% below	81%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA-GLUTANYL TRANSTERASE LC	$7.00	$2.00	$1.00–$37.00	85% below	-250%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3HR	$12.00	$108.00	$12.87–$108.00	91% below	89%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, 3HR PREG	$12.00	$73.00	$12.87–$108.00	91% below	84%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 PN CHLA AMP, NEIS AMP PROB LC1	$35.00	$105.27	$29.10–$105.27	41% below	67%
H. pylori antibody blood test CPT 86677 H.PYLORI,AB,IGM* LC	$16.00	$20.81	$2.83–$28.30	86% below	23%
H. pylori antibody blood test CPT 86677 LC 162289 H. PYLORI IGG,ABS LC	$16.00	$12.80	$2.83–$28.30	86% below	-25%
H. pylori antibody blood test CPT 86677 H.PYLORI,AB IGG* LC	$16.00	$12.80	$2.83–$28.30	86% below	-25%
H. pylori antibody blood test CPT 86677 PN H PYL IGG/A/M, H PYL AB LC3	$16.00	$9.44	$2.83–$28.30	86% below	-69%
H. pylori antibody blood test CPT 86677 LC 163204 H PYLORI, IGM AB	$16.00	$14.90	$2.83–$28.30	86% below	-7%
H. pylori antibody blood test CPT 86677 PN H PYL IGG/A/M, H PYL AB LC1	$16.00	$9.43	$2.83–$28.30	86% below	-70%
H. pylori antibody blood test CPT 86677 LC163170-HELICOBACT PYLORI,LGA	$16.00	$14.90	$2.83–$28.30	86% below	-7%
H. pylori antibody blood test CPT 86677 PN H PYL IGG/A/M, H PYL AB LC2	$16.00	$9.43	$2.83–$28.30	86% below	-70%
H. pylori antibody blood test CPT 86677 LC 163170 H. PYLORI,IGA	$16.00	$14.90	$2.83–$28.30	86% below	-7%
H. pylori antibody blood test CPT 86677 H.PYLORI,IGA,IGM* LC	$16.00	$28.30	$2.83–$28.30	86% below	43%
H. pylori stool antigen test CPT 87338 H. PYLORI ANTIGEN	$14.00	$94.00	$9.86–$94.00	82% below	85%
H. pylori stool antigen test CPT 87338 LC180764-H[YLORI STOOL AG	$14.00	$32.86	$9.86–$94.00	82% below	57%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LC550432 RNA,PCR(NGPH)RFX/GENO	$85.00	$386.00	$26.19–$386.00	16% below	78%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LC 162164 RNA, B-DNA, QUANT	$85.00	$97.77	$26.19–$386.00	16% below	13%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LC 550422 RNA,PCR(GPH)RFX/GENO	$85.00	$351.00	$26.19–$386.00	16% below	76%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA,REAL TIME PCR* LC	$85.00	$87.30	$26.19–$386.00	16% below	3%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LC 550430 RNA,RT PCR(NGPH)	$85.00	$87.30	$26.19–$386.00	16% below	3%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LC 551887 RNA,B-DNA,QNT,N-GPH	$85.00	$231.43	$26.19–$386.00	16% below	63%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 LC 550420 RNA, RT PCR(GPH)	$85.00	$98.00	$26.19–$386.00	16% below	13%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/0/2/ABS-ICMA*LC	$13.00	$6.79	$2.04–$106.00	78% below	-91%
HIV-1 and HIV-2 antibody test CPT 86703 LC 083824 HIV 1-0-2/ABS-ICMA	$13.00	$6.79	$2.04–$106.00	78% below	-91%
HIV-1 and HIV-2 antibody test CPT 86703 HIV SCREEN 1&2	$13.00	$106.00	$2.04–$106.00	78% below	88%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 LC 083935 HIV 4G WRFX	$24.00	$13.58	$4.07–$13.58	73% below	-77%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C*ENC	$9.00	$8.32	$1.50–$77.00	86% below	-8%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LC 001453 HEMOGLOBIN A1C	$9.00	$5.00	$1.50–$77.00	86% below	-80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN HA1C*LC	$9.00	$77.00	$1.50–$77.00	86% below	88%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LC 102525 HGB A1C W EAG ESTIMA	$9.00	$5.00	$1.50–$77.00	86% below	-80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$9.00	$48.55	$1.50–$77.00	86% below	81%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LC 001693 GLYCOHEMOGL(GHB),TOT	$9.00	$16.31	$1.50–$77.00	86% below	45%
Hepatitis B core antibody test (total) CPT 86704 PN HEP ACUTE, HBCAB TOT LC1	$12.00	$19.83	$1.48–$36.15	66% below	39%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB*LC	$12.00	$4.94	$1.48–$36.15	66% below	-143%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB, IGM/PAML	$12.00	$16.00	$1.48–$36.15	66% below	25%
Hepatitis B core antibody test (total) CPT 86704 LC160101 HEPAT B CORE AB W/RFX	$12.00	$6.13	$1.48–$36.15	66% below	-96%
Hepatitis B core antibody test (total) CPT 86704 LC 006718 HEP B CORE AB, TOT	$12.00	$36.15	$1.48–$36.15	66% below	67%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB*LC	$10.00	$3.33	$1.00–$53.70	77% below	-200%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 LC 006395 HEP B SURFACE AB	$10.00	$53.70	$1.00–$53.70	77% below	81%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 PN HEP ACUTE, HBSAB LC1	$10.00	$20.21	$1.00–$53.70	77% below	51%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface AG SCR*LC	$10.00	$3.33	$1.00–$51.65	86% below	-200%
Hepatitis B surface antigen (HBsAg) test CPT 87340 PN HEP ACUTE, EIA QL HBSAG LC1	$10.00	$17.50	$1.00–$51.65	86% below	43%
Hepatitis B surface antigen (HBsAg) test CPT 87340 LC 006510 HEPATITIS B SURF AG	$10.00	$51.65	$1.00–$51.65	86% below	81%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HP B SURF AG/PAML	$10.00	$22.00	$1.00–$51.65	86% below	55%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C (HEPATITIS C)* LC	$14.00	$5.73	$1.72–$71.35	74% below	-144%
Hepatitis C antibody blood test (screening) CPT 86803 LC 140659 HCV ANTIBODY	$14.00	$71.35	$1.72–$71.35	74% below	80%
Hepatitis C antibody blood test (screening) CPT 86803 HCV wReflex to RIBA* LC	$14.00	$5.73	$1.72–$71.35	74% below	-144%
Hepatitis C viral load (HCV RNA) test CPT 87522 LC550100 HCV RNA PCR,RFX GENO	$42.00	$119.89	$30.00–$243.48	52% below	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUANT RNA LC	$42.00	$200.00	$30.00–$243.48	52% below	79%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUANTSURE PLUS* LC	$42.00	$119.89	$30.00–$243.48	52% below	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUANTSURE* LC	$42.00	$243.48	$30.00–$243.48	52% below	83%
Hepatitis C viral load (HCV RNA) test CPT 87522 LC 550080 HCV PCR QN NON-GRAPH	$42.00	$119.89	$30.00–$243.48	52% below	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 LC 550080 HCV QUANT, PCR	$42.00	$119.89	$30.00–$243.48	52% below	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 LC 140612 NGI HCV SUPERQUANT	$42.00	$219.05	$30.00–$243.48	52% below	81%
Hepatitis C viral load (HCV RNA) test CPT 87522 LC 859797 HCV RNA BDNA 3.0	$42.00	$100.00	$30.00–$243.48	52% below	58%
Hepatitis C viral load (HCV RNA) test CPT 87522 LC550090 HCV RNA BYPCR,QN GENO	$42.00	$119.89	$30.00–$243.48	52% below	65%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 LC550080 HCV RT-PCR, QT(N-GPH)	$42.00	$119.89	$30.00–$243.48	52% below	65%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 LC 550070 HCV RT-PCR,QNT (GPH)	$42.00	$119.89	$30.00–$243.48	52% below	65%
Herpes blood test, HSV-1 antibody CPT 86695 LC 164905 HSV TYPE 1 /2AB, IGG	$13.00	$14.22	$3.00–$30.60	33% below	9%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGG,TYPE SPECIFIC* LC	$13.00	$14.22	$3.00–$30.60	33% below	9%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 AB IGG W/RFLX LC	$13.00	$10.00	$3.00–$30.60	33% below	-30%
Herpes blood test, HSV-1 antibody CPT 86695 LC164897 HSV 1 SPECIFIC AB,IgG	$13.00	$14.22	$3.00–$30.60	33% below	9%
Herpes blood test, HSV-1 antibody CPT 86695 PN HSV IGG AB,HSV 1 AB IGG LC1	$13.00	$15.02	$3.00–$30.60	33% below	13%
Herpes blood test, HSV-1 antibody CPT 86695 LC828555 HSV TYPE 1 AB IGG,CSF	$13.00	$30.60	$3.00–$30.60	33% below	58%
Herpes blood test, HSV-1 antibody CPT 86695 LC 828656 HSV TYPE 1	$13.00	$30.60	$3.00–$30.60	33% below	58%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 AB IGG W/RFLX LC	$19.00	$10.00	$3.00–$17.88	19% below	-90%
Herpes blood test, HSV-2 antibody CPT 86696 PN HSV IGG AB,HSV 2 AB IGG LC1	$19.00	$17.08	$3.00–$17.88	19% below	-11%
Herpes blood test, HSV-2 antibody CPT 86696 LC163147 HSV 2 SPECIFIC AB, IG	$19.00	$17.88	$3.00–$17.88	19% below	-6%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$17.00	$66.00	$8.73–$66.00	78% below	74%
Homocysteine blood test CPT 83090 HOMOCYSTINE PLASMA*LC	$17.00	$40.00	$8.73–$66.00	78% below	58%
Homocysteine blood test CPT 83090 LC 706994 HOMOCYSTEINE, PLASMA	$17.00	$29.10	$8.73–$66.00	78% below	42%
Insulin blood test CPT 83525 INSULIN	$11.00	$14.11	$1.01–$14.11	71% below	22%
Insulin blood test CPT 83525 LC 004333 INSULIN	$11.00	$3.37	$1.01–$14.11	71% below	-226%
Iron blood test (serum iron) CPT 83540 IRON	$6.00	$37.00	$6.47–$161.00	90% below	84%
Iron blood test (serum iron) CPT 83540 IRON TOTAL SERUM	$6.00	$43.00	$6.47–$161.00	90% below	86%
Iron blood test (serum iron) CPT 83540 TOTAL IRON PLUS TBIC	$6.00	$161.00	$6.47–$161.00	90% below	96%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TIBC	$8.00	$130.00	$7.91–$130.00	89% below	94%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE* LC	$18.00	$9.86	$2.96–$58.00	83% below	-83%
LH (luteinizing hormone) test CPT 83002 LC 004283 LUTEINIZI HORMONE,S	$18.00	$22.86	$2.96–$58.00	83% below	21%
LH (luteinizing hormone) test CPT 83002 LH	$18.00	$58.00	$2.96–$58.00	83% below	69%
LH (luteinizing hormone) test CPT 83002 LC 500094 LUTEINIZING HORM ECL	$18.00	$26.00	$2.96–$58.00	83% below	31%
LH (luteinizing hormone) test CPT 83002 LH SERUM	$18.00	$24.00	$2.96–$58.00	83% below	25%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID*LC	$11.00	$283.95	$2.73–$283.95	92% below	96%
Lactate (lactic acid) blood test CPT 83605 LC 004770 LACTIC ACID, PLASMA	$11.00	$9.09	$2.73–$283.95	92% below	-21%
Lactate (lactic acid) blood test CPT 83605 LC 122408 LACTIC ACID, CSF	$11.00	$22.05	$2.73–$283.95	92% below	50%
Lactate (lactic acid) blood test CPT 83605 LC 823388 D-LACTATE	$11.00	$125.00	$2.73–$283.95	92% below	91%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BODY FLUIDS	$6.00	$40.00	$2.24–$40.00	83% below	85%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD,BODY FLUID	$6.00	$7.45	$2.24–$40.00	83% below	19%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$6.00	$40.00	$2.24–$40.00	83% below	85%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM	$6.00	$43.00	$6.89–$43.00	94% below	86%
Lyme disease antibody test CPT 86618 LC 905050 C6 PEPTI B. BURGDORF	$17.00	$30.00	$2.34–$33.67	20% below	43%
Lyme disease antibody test CPT 86618 PN LYME AB TOT, LYME AB LC2	$17.00	$7.81	$2.34–$33.67	20% below	-118%
Lyme disease antibody test CPT 86618 PN LYME AB TOT, LYME AB LC1	$17.00	$7.82	$2.34–$33.67	20% below	-117%
Lyme disease antibody test CPT 86618 LYME IGG/IGM AB* LC	$17.00	$15.63	$2.34–$33.67	20% below	-9%
Lyme disease antibody test CPT 86618 LYME AB, TOTAL/lgM* LC	$17.00	$15.63	$2.34–$33.67	20% below	-9%
Lyme disease antibody test CPT 86618 LC160333 LYM,IGM,EARLY TST/RFX	$17.00	$33.67	$2.34–$33.67	20% below	50%
Lyme disease antibody test CPT 86618 LC 161992 LYME DIS AB,QNT, IGM	$17.00	$8.76	$2.34–$33.67	20% below	-94%
Lyme disease antibody test CPT 86618 LC 015271 LYME IGG/IGM AB	$17.00	$15.63	$2.34–$33.67	20% below	-9%
Lyme disease antibody test CPT 86618 LYME AB/WESTERN BLOT RFLX LC	$17.00	$15.00	$2.34–$33.67	20% below	-13%
Lyme disease antibody test CPT 86618 LC 160325 LYME,TOT AB TEST/RFX	$17.00	$8.76	$2.34–$33.67	20% below	-94%
Lyme disease antibody test CPT 86618 LC 258004 LYME IGG/IGM AB	$17.00	$10.00	$2.34–$33.67	20% below	-70%
Magnesium blood test CPT 83735 MAGNESIUM SERUM	$6.00	$169.00	$1.50–$169.00	91% below	96%
Magnesium blood test CPT 83735 MAGNESIUM LC	$6.00	$6.70	$1.50–$169.00	91% below	10%
Magnesium blood test CPT 83735 MAGNESIUM RBC LC	$6.00	$5.00	$1.50–$169.00	91% below	-20%
Measles (rubeola) antibody test CPT 86765 PN MMR ABS, RUBEOLA AB LC1	$12.00	$15.90	$4.77–$15.90	62% below	25%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$12.00	$15.90	$4.77–$15.90	62% below	25%
Mumps immunity blood test CPT 86735 PN MMR ABS, MUMPS AB LC1	$13.00	$16.11	$1.80–$76.00	19% below	19%
Mumps immunity blood test CPT 86735 SKIN TEST MUMPS	$13.00	$37.00	$1.80–$76.00	19% below	65%
Mumps immunity blood test CPT 86735 MEAS,MMP,RUB IMM PROFILE LLC	$13.00	$76.00	$1.80–$76.00	19% below	83%
Mumps immunity blood test CPT 86735 LC 096552 MUMPS ABS, IGG	$13.00	$6.00	$1.80–$76.00	19% below	-117%
Mumps immunity blood test CPT 86735 LC 160499 MUMPS ANTIBODIES,IGM	$13.00	$9.36	$1.80–$76.00	19% below	-39%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA	$18.00	$110.00	$1.46–$110.00	70% below	84%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE LC	$18.00	$4.88	$1.46–$110.00	70% below	-269%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE-SPECIFIC ANTIGEN (PSA	$18.00	$2.43	$1.00–$220.00	70% below	-641%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATIC SPECIFIC ANTIG - 84153 - 80393	$18.00	$142.00	$1.00–$220.00	70% below	87%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA/FREE PSA PANEL	$18.00	$220.00	$1.00–$220.00	70% below	92%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL LC	$18.00	$4.89	$1.00–$220.00	70% below	-268%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LC192005-PAPLB(LIQUID BASED)	$20.00	$22.37	$5.16–$62.68	78% below	11%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LC192197-PAPLB,HPV,RFX16/18	$20.00	$62.68	$5.16–$62.68	78% below	68%
Parathyroid hormone (PTH) blood test CPT 83970 CA+PTH INTACT	$41.00	$10.27	$1.72–$123.84	63% below	-299%
Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT	$41.00	$5.73	$1.72–$123.84	63% below	-616%
Parathyroid hormone (PTH) blood test CPT 83970 LC 011650 PTH (C-TERMINAL)	$41.00	$7.42	$1.72–$123.84	63% below	-453%
Parathyroid hormone (PTH) blood test CPT 83970 PN CAPTH INTACT, PTH LC1	$41.00	$50.96	$1.72–$123.84	63% below	20%
Parathyroid hormone (PTH) blood test CPT 83970 PTH C-TERM SER/LC	$41.00	$7.42	$1.72–$123.84	63% below	-453%
Parathyroid hormone (PTH) blood test CPT 83970 LC 015610 PTH, INTACT	$41.00	$123.84	$1.72–$123.84	63% below	67%
Partial thromboplastin time (PTT) clotting test CPT 85730 PROTIME / PTT	$6.00	$110.00	$4.13–$132.05	90% below	95%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PLASMA	$6.00	$58.00	$4.13–$132.05	90% below	90%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PLASMA/WHOLE BLOOD LC	$6.00	$132.05	$4.13–$132.05	90% below	95%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LC	$6.00	$28.00	$4.13–$132.05	90% below	79%
Partial thromboplastin time (PTT) clotting test CPT 85730 PN LUP ANT PROF, PTT LC1	$6.00	$13.75	$4.13–$132.05	90% below	56%
Partial thromboplastin time (PTT) clotting test CPT 85730 PN DRVVT, PTT LC1	$6.00	$32.33	$4.13–$132.05	90% below	81%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS SERUM	$4.00	$174.00	$4.74–$174.00	95% below	98%
Potassium blood test CPT 84132 POTASSIUM SERUM	$4.00	$37.00	$3.95–$37.00	95% below	89%
Progesterone blood test CPT 84144 LC 004317 PROGESTERONE	$20.00	$25.76	$7.73–$25.76	76% below	22%
Prolactin blood test CPT 84146 LC 004465 PROLACTIN	$19.00	$23.92	$2.25–$23.92	82% below	21%
Prolactin blood test CPT 84146 PROLACTIN SERUM, LC	$19.00	$7.49	$2.25–$23.92	82% below	-154%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$4.00	$37.00	$1.46–$37.00	93% below	89%
Prothrombin time (PT/INR) clotting test CPT 85610 MANUAL PROTIME PANEL	$4.00	$37.00	$1.46–$37.00	93% below	89%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$4.00	$4.85	$1.46–$37.00	93% below	18%
Prothrombin time (PT/INR) clotting test CPT 85610 PN DRVVT,PROTH TIME LC1	$4.00	$23.73	$1.46–$37.00	93% below	83%
Prothrombin time (PT/INR) clotting test CPT 85610 PN LUP ANT PROF,PROTH TIME LC1	$4.00	$10.09	$1.46–$37.00	93% below	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN INHOUSE URINE	$12.00	$77.00	$10.08–$77.00	86% below	84%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA RAPID ANTIGEN A&B - 87804 - 11467	$16.00	$82.75	$7.08–$82.75	79% below	81%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA RAPID ANTIGEN A&B - 87804 - 80204	$16.00	$82.75	$7.08–$82.75	79% below	81%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID GROUP A SCREEN	$16.00	$113.00	$8.02–$113.00	85% below	86%
Renin blood test CPT 84244 LC 500458 PLASMA RENIN ACTIVI	$21.00	$48.00	$4.25–$48.00	15% below	56%
Renin blood test CPT 84244 RENIN	$21.00	$27.15	$4.25–$48.00	15% below	23%
Renin blood test CPT 84244 RENIN PLASMA/LC	$21.00	$14.15	$4.25–$48.00	15% below	-48%
Renin blood test CPT 84244 LC 002006 RENIN ACTIVITY, PL	$21.00	$27.15	$4.25–$48.00	15% below	23%
Rh blood typing CPT 86901 REF LAB RH-ARC	$47.00	$138.27	$2.82–$138.27	16% below	66%
Rh blood typing CPT 86901 RH TYPE ONLY	$47.00	$59.00	$2.82–$138.27	16% below	20%
Rh blood typing CPT 86901 RH TYPE	$47.00	$25.25	$2.82–$138.27	16% below	-86%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LVLS IGA LC	$5.00	$8.82	$1.00–$62.89	62% below	43%
Rheumatoid factor (RF) test CPT 86431 RF ISOTYPES IGG IGA IGM EIA LC	$5.00	$62.89	$1.00–$62.89	62% below	92%
Rheumatoid factor (RF) test CPT 86431 RA TEST	$5.00	$43.00	$1.00–$62.89	62% below	88%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (RF) LC	$5.00	$3.00	$1.00–$62.89	62% below	-67%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES-IGM LC	$14.00	$9.99	$1.46–$17.77	72% below	-40%
Rubella antibody test (immunity check) CPT 86762 LC 828757 RUBELLA AB IGM, CSF	$14.00	$13.50	$1.46–$17.77	72% below	-4%
Rubella antibody test (immunity check) CPT 86762 LC 006197 RUBELLA IgG	$14.00	$17.77	$1.46–$17.77	72% below	21%
Rubella antibody test (immunity check) CPT 86762 LC 096537 RUBELLA ABS, IGM	$14.00	$9.99	$1.46–$17.77	72% below	-40%
Rubella antibody test (immunity check) CPT 86762 LC 096537 RUBELLA IgM	$14.00	$17.77	$1.46–$17.77	72% below	21%
Rubella antibody test (immunity check) CPT 86762 PN MMR ABS, RUBELLA AB LC1	$14.00	$17.77	$1.46–$17.77	72% below	21%
Rubella antibody test (immunity check) CPT 86762 LC 006197 RUBELLA ABS, IGG	$14.00	$4.85	$1.46–$17.77	72% below	-189%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SER HI/PAML	$14.00	$4.85	$1.46–$17.77	72% below	-189%
Sodium blood test CPT 84295 SODIUM SERUM	$4.00	$37.00	$4.03–$37.00	94% below	89%
Stool ova and parasites exam CPT 87177 PN OVA+P,SMEAR OVA &P CONC LC1	$8.00	$26.70	$1.98–$132.00	62% below	70%
Stool ova and parasites exam CPT 87177 OVA & PARASITES	$8.00	$132.00	$1.98–$132.00	62% below	94%
Stool ova and parasites exam CPT 87177 OVA & PARASITE EXAM,ROUTINE*LC	$8.00	$6.60	$1.98–$132.00	62% below	-21%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCCULT SCREENING	$4.00	$37.00	$3.35–$37.00	90% below	89%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECAL IA LC	$15.00	$30.00	$9.00–$30.00	69% below	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS* LC	$13.00	$8.32	$2.50–$13.24	20% below	-56%
Syphilis antibody test (Treponema pallidum) CPT 86780 LC006379 FL TREPONEMA AB SERUM	$13.00	$8.32	$2.50–$13.24	20% below	-56%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum Antibodies	$13.00	$13.24	$2.50–$13.24	20% below	2%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LC 828698 VDRL SER W/RFX TITER	$4.00	$7.60	$1.00–$37.00	70% below	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR SEROLOGY	$4.00	$37.00	$1.00–$37.00	70% below	89%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR -LAB CORP	$4.00	$6.66	$1.00–$37.00	70% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LC 006445 VDRL, CSF	$4.00	$4.82	$1.00–$37.00	70% below	17%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LC 006072 RPR QUAL	$4.00	$12.81	$1.00–$37.00	70% below	69%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LC 258988 RPR	$4.00	$7.70	$1.00–$37.00	70% below	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LC 012005 RPR,RFX QN RPR/CONF	$4.00	$3.11	$1.00–$37.00	70% below	-29%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QFT-TB PLUS (CLIENT INC) LC	$61.00	$40.00	$12.00–$185.94	28% below	-53%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$61.00	$185.94	$12.00–$185.94	28% below	67%
Testosterone blood test, total (not free testosterone) CPT 84403 LC 855900 TESTOSTERONE, URINE	$25.00	$125.00	$2.00–$140.50	38% below	80%
Testosterone blood test, total (not free testosterone) CPT 84403 LC 070001 TESTO,TOT, LC/MS	$25.00	$6.65	$2.00–$140.50	38% below	-276%
Testosterone blood test, total (not free testosterone) CPT 84403 LC 004226 TESTOSTERONE, SERUM	$25.00	$31.87	$2.00–$140.50	38% below	22%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SER/LC	$25.00	$6.65	$2.00–$140.50	38% below	-276%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, FREE+TOTAL*LC	$25.00	$20.84	$2.00–$140.50	38% below	-20%
Testosterone blood test, total (not free testosterone) CPT 84403 LC 500159 TESTOSTE,WOMEN/CHILD	$25.00	$140.50	$2.00–$140.50	38% below	82%
Testosterone blood test, total (not free testosterone) CPT 84403 PN TESTO FR TOT TESTO TOT LC1	$25.00	$31.87	$2.00–$140.50	38% below	22%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID AB PANEL	$14.00	$13.84	$2.06–$66.00	39% below	-1%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-TPO AB (RDL) LC	$14.00	$66.00	$2.06–$66.00	39% below	79%
Thyroid peroxidase (TPO) antibody test CPT 86376 LC 006676 THY PEROXIDA(TPO) AB	$14.00	$17.96	$2.06–$66.00	39% below	22%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB*LC	$14.00	$13.67	$2.06–$66.00	39% below	-2%
Thyroid peroxidase (TPO) antibody test CPT 86376 LC 163980 LIVER-KIDNEY MICR AB	$14.00	$13.67	$2.06–$66.00	39% below	-2%
Thyroid peroxidase (TPO) antibody test CPT 86376 PN THYROID AB,MICRO THY AB LC1	$14.00	$6.88	$2.06–$66.00	39% below	-103%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (LC004259)	$16.00	$3.71	$1.11–$180.00	83% below	-331%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH SERUM	$16.00	$180.00	$1.11–$180.00	83% below	91%
Total IgE blood test CPT 82785 LC602643-ALERGENSW/TOTIGEARE13	$16.00	$106.65	$11.39–$106.65	75% below	85%
Total IgE blood test CPT 82785 LC 002170 IMMUNOGLOBU E, TOTAL	$16.00	$49.38	$11.39–$106.65	75% below	68%
Total IgE blood test CPT 82785 IGE SERUM/LC	$16.00	$49.38	$11.39–$106.65	75% below	68%
Total IgE blood test CPT 82785 ALLERGEN W/TOTAL IGE AREA13 LC	$16.00	$42.87	$11.39–$106.65	75% below	63%
Total IgE blood test CPT 82785 ALLERGEN W/TOTAL IGE AREA12 LC	$16.00	$37.98	$11.39–$106.65	75% below	58%
Total IgE blood test CPT 82785 ALLERGEN W/TOTAL IGE AREA17 LC	$16.00	$40.62	$11.39–$106.65	75% below	61%
Total cholesterol blood test CPT 82465 CHOLESTROL SERUM	$4.00	$28.00	$4.23–$28.00	90% below	86%
Total thyroxine (T4) blood test CPT 84436 LC 001149 THYROXINE (T4,TOTAL)	$6.00	$3.33	$1.00–$34.35	85% below	-80%
Total thyroxine (T4) blood test CPT 84436 T4	$6.00	$34.35	$1.00–$34.35	85% below	83%
Total triiodothyronine (T3) blood test CPT 84480 Total T3*ENC	$14.00	$6.55	$1.97–$37.00	82% below	-114%
Total triiodothyronine (T3) blood test CPT 84480 TOTAL T3*LC	$14.00	$10.00	$1.97–$37.00	82% below	-40%
Total triiodothyronine (T3) blood test CPT 84480 TOTAL T3	$14.00	$37.00	$1.97–$37.00	82% below	62%
Total triiodothyronine (T3) blood test CPT 84480 PROGESTERONE/LC	$14.00	$9.16	$1.97–$37.00	82% below	-53%
Total triiodothyronine (T3) blood test CPT 84480 T3 RIA SERUM*LC	$14.00	$21.90	$1.97–$37.00	82% below	36%
Total triiodothyronine (T3) blood test CPT 84480 LC002188-TRIIODOTHYRONINE(T3)	$14.00	$17.51	$1.97–$37.00	82% below	20%
Transferrin blood test CPT 84466 TRANSFERRIN	$12.00	$15.76	$4.73–$15.76	78% below	24%
Triglycerides blood test CPT 84478 TRIGLYCERIDES SERUM	$5.00	$39.00	$5.17–$39.00	88% below	87%
Triglycerides blood test CPT 84478 TRIGLYCERIDES, FLUID *LC	$5.00	$17.22	$5.17–$39.00	88% below	71%
Troponin test, quantitative CPT 84484 TROPONIN ISTAT	$12.00	$117.00	$9.72–$297.00	93% below	90%
Troponin test, quantitative CPT 84484 TROPONIN I	$12.00	$297.00	$9.72–$297.00	93% below	96%
Urinalysis without microscope exam, manual CPT 81002 URINE DIP ER W/O MICRO	$3.00	$33.00	$2.47–$33.00	91% below	91%
Urinalysis without microscope exam, manual CPT 81002 N-AUTOM URINALYSIS W/O MICRO	$3.00	$22.00	$2.47–$33.00	91% below	86%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE BLADDER	$8.00	$81.00	$2.03–$200.00	94% below	90%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$8.00	$200.00	$2.03–$200.00	94% below	96%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE LC	$8.00	$6.77	$2.03–$200.00	94% below	-18%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RATIO RNDM UR LC	$5.00	$17.34	$1.17–$17.34	86% below	71%
Urine microalbumin (albumin) test CPT 82043 LC 140050 MICROALBU, 24 HR UR	$5.00	$5.27	$1.17–$17.34	86% below	5%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUANT/LC	$5.00	$3.91	$1.17–$17.34	86% below	-28%
Urine microalbumin (albumin) test CPT 82043 LC 149997 MICROALB, RNDM UR	$5.00	$3.91	$1.17–$17.34	86% below	-28%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test	$8.00	$43.05	$4.02–$43.05	91% below	81%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12*ENC	$15.00	$8.37	$1.20–$142.00	84% below	-79%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 SERUM*SOH	$15.00	$60.00	$1.20–$142.00	84% below	75%
Vitamin B12 (cobalamin) blood test CPT 82607 B12*LC	$15.00	$142.00	$1.20–$142.00	84% below	89%
Vitamin B12 (cobalamin) blood test CPT 82607 B12*EHMC	$15.00	$28.00	$1.20–$142.00	84% below	46%
Vitamin B12 (cobalamin) blood test CPT 82607 LC 001503 VITAMIN B12	$15.00	$4.00	$1.20–$142.00	84% below	-275%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D SERUM/LC	$29.00	$10.42	$3.13–$93.50	55% below	-178%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LC 500116 VIT D 25HYDR,D2 D3	$29.00	$93.50	$3.13–$93.50	55% below	69%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LC 081950 VITAMIN D,25-HYDROXY	$29.00	$88.80	$3.13–$93.50	55% below	67%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 HYDROXYVIT D LCMS D2+D3 LC	$29.00	$28.00	$3.13–$93.50	55% below	-4%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$29.00	$10.42	$3.13–$93.50	55% below	-178%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LC 25-HYDROXY VIT D (D2+D3)	$29.00	$55.00	$3.13–$93.50	55% below	47%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 LC 081091 VIT D,1, 25 DIHYD	$38.00	$47.53	$14.26–$47.53	44% below	20%
Zinc blood test CPT 84630 ZINC	$11.00	$25.00	$3.42–$25.00	at median	56%
Zinc blood test CPT 84630 ZINC, SERUM OR PLASMA LC	$11.00	$11.39	$3.42–$25.00	at median	3%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 PREGNANCY QUANT	$15.00	$87.00	$14.77–$87.00	92% below	83%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Sho arthrs srg rt8tr cuf rpr	$9,286.00	$27,016.00	$494.04–$27,016.00	23% above	66%
Cardiac catheterization with coronary angiogram CPT 93458 LT HRT ART/VENTRICLE ANGIO - 93458 - 95307	$4,149.00	$15,281.80	$693.51–$15,281.80	68% below	73%
Cardiac catheterization with coronary angiogram CPT 93458 LT HRT ART/VENTRICLE ANGIO - 93458 - 95487	$4,149.00	$15,281.80	$693.51–$15,281.80	68% below	73%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTV EXTERNAL - 92960 - 95016	$845.00	$3,100.50	$175.66–$3,100.50	56% below	73%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTV EXTERNAL - 92960 - 95624	$845.00	$3,100.50	$175.66–$3,100.50	56% below	73%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTV EXTERNAL - 92960 - 95502	$845.00	$3,100.50	$175.66–$3,100.50	56% below	73%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION/DEFIB*ER	$845.00	$3,100.50	$175.66–$3,100.50	56% below	73%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION-ICU	$845.00	$3,100.50	$175.66–$3,100.50	56% below	73%
Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery	$2,499.00	$8,912.00	$454.46–$8,912.00	31% below	72%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL TX DIST RAD FX/ES;W/O MANIP	$315.00	$563.00	$168.90–$563.00	44% below	44%
Coronary stent placement, one artery CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL	$14,775.00	$49,542.40	$483.05–$49,542.40	1% below	70%
Coronary stent placement, one artery CPT 92928 CORONARY STENT(S), SGL VESSEL	$14,775.00	$17,471.00	$483.05–$49,542.40	1% below	15%
Coronary stent placement, one artery CPT 92928 PLCMNT DRUG ELUT STNT,SGL - 92928 - 95559	$14,775.00	$14,174.60	$483.05–$49,542.40	1% below	-4%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 ELECTRICAL CAUTERIZATION	$256.00	$167.00	$50.10–$167.00	20% below	-53%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 ELECTRICAL CAUTERIZATION-P	$256.00	$167.00	$50.10–$167.00	20% below	-53%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOV IMP CER IRRIG/LAVUNILAT	$75.00	$253.08	$11.54–$253.08	58% below	70%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED CERUMEN	$75.00	$306.90	$43.79–$306.90	60% below	76%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN	$75.00	$279.50	$43.79–$306.90	60% below	73%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 LUMBAR PARAVERTEBRAL NERVE BLK	$1,132.00	$515.00	$144.45–$515.00	45% below	-120%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY,FLEX/DX;SIMPLE	$1,190.00	$1,234.00	$78.50–$1,234.00	35% below	4%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomygraph	$7,737.00	$7,788.00	$769.53–$7,788.00	17% below	1%
Hammertoe correction surgery CPT 28285 Repair of hammertoe	$4,187.00	$7,339.83	$290.51–$7,339.83	at median	43%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$6,402.00	$21,816.00	$1,784.98–$21,816.00	at median	71%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$4,143.00	$15,600.00	$251.48–$15,600.00	42% below	73%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS	$256.00	$917.00	$60.88–$12,456.00	45% below	72%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D,ABCESS,SIMPLE-P	$256.00	$544.00	$60.88–$12,456.00	45% below	53%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS SIMPLE/SGL	$256.00	$533.08	$60.88–$12,456.00	45% below	52%
Incision and drainage of a simple or single skin abscess CPT 10060 I&d abscess simple/single	$256.00	$12,456.00	$60.88–$12,456.00	45% below	98%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC;SMPL OR SGL	$256.00	$882.25	$60.88–$12,456.00	45% below	71%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr	$4,582.00	$24,936.00	$493.45–$24,936.00	38% below	82%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTIONS OF TENDON SHETH/LEG	$392.00	$1,084.85	$65.68–$1,084.85	41% below	64%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TRIGGER POINT INJECTION	$392.00	$412.00	$65.68–$1,084.85	41% below	5%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT/ASPIR MAJOR JOINT/BURSA	$392.00	$1,084.85	$65.68–$1,237.40	59% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT ASP/INJ JT,MAJOR	$392.00	$1,237.40	$65.68–$1,237.40	59% below	68%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECTION-JOINT	$392.00	$515.00	$54.46–$1,237.40	36% below	24%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT ASP/INJ JT,INTERMED	$392.00	$1,237.40	$54.46–$1,237.40	36% below	68%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ/ASPIR INTERM JOINT/BURS	$392.00	$1,084.85	$54.46–$1,237.40	36% below	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENT ASP/INJ JT,SMALL	$392.00	$742.00	$46.46–$1,084.85	46% below	47%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECT/ASP SMALL JOINT/BURSA	$392.00	$1,084.85	$46.46–$1,084.85	46% below	64%
Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery - 29881 - OR36029881	$4,187.00	$16,995.60	$790.35–$16,995.60	19% below	75%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery - 29880 - OR36029880	$4,187.00	$13,312.20	$790.35–$13,312.20	at median	69%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery - 29877 - OR36029877	$4,187.00	$18,696.00	$684.62–$18,696.00	56% below	78%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init	$7,737.00	$34,296.00	$379.70–$34,296.00	51% below	77%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa	$7,737.00	$18,696.00	$701.38–$18,696.00	42% below	59%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG LASER SURGERY	$703.00	$2,379.00	$267.01–$2,379.00	57% below	70%
Left heart catheterization, diagnostic CPT 93452 LT HRT CATH W/VENTRCLGRAPHY	$4,149.00	$16,390.00	$549.26–$16,390.00	58% below	75%
Left heart catheterization, diagnostic one side CPT 93452 CATH LEFT HEART PERC - 93452 - 95626	$4,149.00	$11,907.40	$549.26–$16,390.00	58% below	65%
Left heart catheterization, diagnostic one side CPT 93452 CATH LEFT HEART W/VENTRCLGRPH	$4,149.00	$15,281.80	$549.26–$16,390.00	58% below	73%
Left heart catheterization, diagnostic one side CPT 93452 CATH LEFT HEART PERC - 93452 - 95633	$4,149.00	$11,907.40	$549.26–$16,390.00	58% below	65%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac	$903.00	$12,550.00	$220.03–$12,550.00	59% below	93%
Lower-back epidural injection, without imaging guidance CPT 62322 LUMBAR EPIDURAL STEROID INJECT	$1,132.00	$721.00	$138.50–$721.00	37% below	-57%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa&strd tfrm epi ls 1	$1,132.00	$8,894.50	$205.61–$8,894.50	45% below	87%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc face-mm b9+marg 0.5 cm/<	$906.00	$21,816.00	$92.39–$21,816.00	39% below	96%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE; SINGLE	$256.00	$349.35	$45.93–$882.25	49% below	27%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE,SGL/SIMPLE	$256.00	$882.25	$45.93–$882.25	49% below	71%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE-P	$256.00	$348.00	$45.93–$882.25	49% below	26%
Occipital nerve block (injection for headaches) CPT 64405 OCCIPTAL NERVE BLOCK	$392.00	$515.00	$90.25–$515.00	55% below	24%
Pacemaker implant (dual chamber) CPT 33208 INS/REPL PACEMKR PERM A/V	$13,377.00	$26,904.20	$1,068.05–$26,904.20	29% below	50%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS,W IMAGING GUIDANC	$1,160.00	$2,088.75	$89.72–$2,088.75	37% below	44%
Paracentesis with imaging guidance CPT 49083 zULTRASOUND GUIDE PARA/THORA	$1,160.00	$1,100.70	$89.72–$2,088.75	37% below	-5%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL & MATRIX	$520.00	$1,371.00	$121.22–$1,371.00	60% below	62%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL/PART/COMP-P	$520.00	$1,052.00	$121.22–$1,371.00	60% below	51%
Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB,SUBCU TISS*SIMPLE	$520.00	$1,333.44	$74.23–$1,578.25	47% below	61%
Removal of a foreign object under the skin, simple CPT 10120 INCISION/REM FB SUBQ SMP	$520.00	$1,578.25	$74.23–$1,578.25	47% below	67%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCRN COLONOSCOPY PT;HI RISK	$1,190.00	$2,473.00	$741.90–$2,473.00	50% below	52%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCRN COLONOSCOPY PT;NOT HIRISK	$1,190.00	$2,473.00	$741.90–$2,473.00	51% below	52%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$170.00	$559.75	$75.84–$559.75	59% below	70%
Short leg cast (below the knee) both sides CPT 29405 APPL CAST LEG SHORT,BILATERAL	$357.00	$1,460.00	$107.10–$1,460.00	—	76%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$357.00	$357.00	$107.10–$1,460.00	28% below	—
Short leg cast (below the knee) one side CPT 29405 APPL CAST LEG SHORT,RIGHT	$357.00	$730.00	$107.10–$1,460.00	28% below	51%
Short leg cast (below the knee) one side CPT 29405 APPL CAST LEG SHORT, LEFT	$357.00	$794.35	$107.10–$1,460.00	28% below	55%
Short leg splint (calf to foot) both sides CPT 29515 APPL SPLINT LEG SHORT,BILAT	$207.00	$696.00	$81.17–$696.00	—	70%
Short leg splint (calf to foot) one side CPT 29515 APPL SPLINT LEG SHORT,RIGHT	$207.00	$348.00	$81.17–$696.00	58% below	41%
Short leg splint (calf to foot) one side CPT 29515 APPL SPLINT LEG SHORT*LEFT	$207.00	$575.50	$81.17–$696.00	58% below	64%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Sho arthrs srg dstl claviclc	$4,187.00	$10,321.50	$517.50–$10,321.50	at median	59%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SNGL LESION	$520.00	$1,765.00	$112.06–$1,765.00	28% below	71%
Skin tag removal, up to 15 tags CPT 11200 EXCISION OF SKIN TAGS	$256.00	$348.00	$45.40–$348.00	35% below	26%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP,LUMBAR PUNC DX (ER)	$903.00	$1,796.43	$117.49–$2,994.05	32% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE*RAD	$903.00	$2,994.05	$117.49–$2,994.05	32% below	70%
Thoracentesis with imaging guidance CPT 32555 US GUIDED THORACENTESIS	$802.00	$3,100.05	$92.33–$3,100.05	61% below	74%
Total knee replacement CPT 27447 Total knee arthroplasty	$16,431.00	$28,056.00	$2,136.11–$28,056.00	36% below	41%
Total shoulder replacement CPT 23472 Reconstruct shoulder joint	$22,440.00	$28,056.00	$1,303.87–$28,056.00	98% above	20%
Trigger finger release surgery CPT 26055 Incise finger tendon sheath	$2,058.00	$12,456.00	$302.26–$12,456.00	33% below	83%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1/2 muscl	$392.00	$12,456.00	$52.49–$12,456.00	39% below	97%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy tubal cautery	$7,737.00	$21,816.00	$604.44–$21,816.00	79% above	65%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$2,113.00	$6,863.00	$613.92–$6,863.00	34% below	69%
Upper endoscopy (EGD), diagnostic CPT 43235 UGI EGD; SIMPLE	$1,160.00	$2,112.00	$321.48–$2,112.00	38% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT, SUB-Q TISSUE-P	$520.00	$767.00	$109.06–$2,345.72	24% below	32%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT;SKIN,SUB-Q	$520.00	$1,579.00	$109.06–$2,345.72	24% below	67%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT,SKIN & SUBCU TSSUE	$520.00	$847.00	$109.06–$2,345.72	24% below	39%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SK SUBQTISS1ST20SQCMLS	$520.00	$2,345.72	$109.06–$2,345.72	24% below	78%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION,BLOOD/COMPS (ER)	$564.00	$1,940.20	$564.64–$1,940.20	35% below	71%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION ADMIN	$564.00	$1,940.20	$564.64–$1,940.20	35% below	71%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP	$564.00	$1,940.20	$564.64–$1,940.20	35% below	71%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TX,SUBSEQUENT*ER	$280.00	$1,322.25	$16.78–$1,322.25	13% below	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL CHECK	$280.00	$1,322.25	$16.78–$1,322.25	13% below	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$280.00	$1,194.14	$16.78–$1,322.25	13% below	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION-INITIAL	$280.00	$1,322.25	$16.78–$1,322.25	13% below	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TX	$280.00	$1,322.25	$16.78–$1,322.25	13% below	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INLINE MDI TX	$280.00	$1,322.25	$16.78–$1,322.25	13% below	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TX, INITIAL*IP	$280.00	$1,322.25	$16.78–$1,322.25	13% below	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TX,SUBSQT*IP	$280.00	$1,322.25	$16.78–$1,322.25	13% below	79%
Chemotherapy IV infusion, first hour CPT 96413 REMICADE INFUSION 1ST HOUR INF	$422.00	$1,703.66	$28.59–$1,703.66	52% below	75%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 AUDIOLOGY EVALUATION	$164.00	$445.00	$42.90–$445.00	70% below	63%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE;1ST HOUR - 99291 - 02655	$1,057.00	$5,000.00	$174.42–$5,000.00	81% below	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ROUTINE	$75.00	$350.00	$23.52–$500.00	78% below	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG/ECG,12 LEAD*ER	$75.00	$500.00	$23.52–$500.00	78% below	85%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG REORDER*ER	$75.00	$310.00	$23.52–$500.00	78% below	76%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT - LEVEL 1 - 99281 - 02644	$107.00	$600.00	$21.77–$600.00	75% below	82%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/R BRIEF I - 99281 - 02508	$107.00	$152.00	$21.77–$600.00	75% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/R RETURN VISIT - 99281 - 02513	$107.00	$77.00	$21.77–$600.00	75% below	-39%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT - LEVEL 2 - 99282 - 02646	$196.00	$1,200.00	$34.97–$1,200.00	78% below	84%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/R PRIMARY II - 99282 - 02511	$196.00	$271.00	$34.97–$1,200.00	78% below	28%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT - LEVEL 3 - 99283 - 02649	$349.00	$1,800.00	$63.97–$1,800.00	77% below	81%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/R SECONDARY III - 99283 - 02514	$349.00	$584.40	$63.97–$1,800.00	77% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT - LEVEL 4 - 99284 - 02651	$534.00	$2,600.00	$98.04–$2,600.00	80% below	79%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/R IV INTERMEDIATE - 99284 - 02509	$534.00	$866.00	$98.04–$2,600.00	80% below	38%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT - LEVEL 5 - 99285 - 02653	$762.00	$3,800.00	$155.03–$3,800.00	79% below	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/R ACUTE V - 99285 - 02506	$762.00	$1,082.00	$155.03–$3,800.00	79% below	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/R CRITICAL VI - 99285 - 02504	$762.00	$1,191.00	$155.03–$3,800.00	79% below	36%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS ADENOSINE	$276.00	$1,000.00	$60.86–$1,000.00	80% below	72%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS DOBUTAMINE	$276.00	$1,000.00	$60.86–$1,000.00	80% below	72%
Exercise stress test, tracing only, the hospital charge CPT 93017 NUCLEAR TREADMILL	$276.00	$1,000.00	$60.86–$1,000.00	80% below	72%
Exercise stress test, tracing only, the hospital charge CPT 93017 CVSLR STRESS TEST; TRACING	$276.00	$1,000.00	$60.86–$1,000.00	80% below	72%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W PT PRESENT	$227.00	$752.00	$51.00–$752.00	34% below	70%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY	$130.00	$464.00	$5.23–$464.00	55% below	72%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF/HYDRA, INTIAL*31MIN>1HR	$272.00	$604.00	$51.30–$1,237.00	45% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION*INITIAL U/T 1HR	$272.00	$1,237.00	$51.30–$1,237.00	45% below	78%
IV infusion of a medicine, first hour CPT 96365 IV INF/THER/PRO/DX,INI U/T 1HR	$272.00	$630.00	$45.30–$1,237.00	54% below	57%
IV infusion of a medicine, first hour CPT 96365 IV INF TH/PROP*INITIAL U/T1H	$272.00	$1,237.00	$45.30–$1,237.00	54% below	78%
IV infusion of a medicine, first hour CPT 96365 ER IV THERAPY/VISIT	$272.00	$151.00	$45.30–$1,237.00	54% below	-80%
IV push of a medicine, first drug CPT 96374 IV INJECTION - 96374 - 76046	$272.00	$248.00	$49.82–$1,237.00	23% below	-10%
IV push of a medicine, first drug CPT 96374 IV PUSH TH/PRO;SGL/INTIAL DRUG	$272.00	$1,237.00	$49.82–$1,237.00	23% below	78%
IV push of a medicine, first drug CPT 96374 IV PUSH*SINGLE/INITIAL DRUG	$272.00	$244.10	$49.82–$1,237.00	23% below	-11%
IV push of a medicine, first drug CPT 96374 IV PUSH SUBSTANCE/DRUG INITIAL	$272.00	$206.76	$49.82–$1,237.00	23% below	-32%
IV push of a medicine, first drug CPT 96374 IV INJECTION - 96374 - 71134	$272.00	$248.00	$49.82–$1,237.00	23% below	-10%
IV push of a medicine, first drug CPT 96374 IV INJECTION - 96374 - 71079	$272.00	$248.00	$49.82–$1,237.00	23% below	-10%
IV push of a medicine, first drug CPT 96374 INJECT*IVP IN RECOVERY,INITIAL	$272.00	$264.00	$49.82–$1,237.00	23% below	-3%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL (OP SERVICE)	$272.00	$264.00	$49.82–$1,237.00	23% below	-3%
IV push of a medicine, first drug CPT 96374 GI LAB:IV PUSH TX/PRO;S/I DRUG	$272.00	$264.00	$49.82–$1,237.00	23% below	-3%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$92.00	$172.99	$18.75–$417.85	49% below	47%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION,IM,SQ,SC(ER ONLY)	$92.00	$417.85	$18.75–$417.85	49% below	78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION,IM (OP SERVICE)	$92.00	$158.00	$18.75–$417.85	49% below	42%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECT*IM/SUBCU IN RECOVERY	$92.00	$158.00	$18.75–$417.85	49% below	42%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 GI LAB: IM, SQ, SC	$92.00	$158.00	$18.75–$417.85	49% below	42%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION,IM(PARTIAL)	$92.00	$251.20	$18.75–$417.85	49% below	63%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 N/PT PSYCH DX INTERVIEW	$227.00	$658.00	$128.08–$658.00	41% below	66%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCLE RE ED OTA 15M - 97112 - 47901290	$36.00	$139.40	$17.53–$139.40	72% below	74%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCLE RE ED OTA 15M - 97112 - 85994	$36.00	$66.00	$17.53–$139.40	72% below	45%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROREED PTA 15 MINS - 97112 - 47701289	$36.00	$139.40	$17.53–$139.40	72% below	74%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROREED PTA 15 MINS - 97112 - 85464	$36.00	$66.00	$17.53–$139.40	72% below	45%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSE RE-EDUC EA 15 MIN	$36.00	$66.00	$17.53–$139.40	72% below	45%
Neuromuscular re-education, 15 minutes CPT 97112 WC NEURO RE-ED INITL 30 MIN	$36.00	$130.00	$17.53–$139.40	72% below	72%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN	$36.00	$66.00	$17.53–$139.40	72% below	45%
Neuromuscular re-education, 15 minutes CPT 97112 BALANCE TRAINING EA 15 MIN	$36.00	$66.00	$17.53–$139.40	72% below	45%
Neuromuscular re-education, 15 minutes CPT 97112 WC NEURO RE-ED INIT 30 MIN	$36.00	$130.00	$17.53–$139.40	72% below	72%
Occupational therapy evaluation, low complexity CPT 97165 EVAL 45 MINUTES - 97165 - 85983	$111.00	$325.00	$32.70–$433.00	57% below	66%
Occupational therapy evaluation, low complexity CPT 97165 EVAL 15 MINUTES - 97165 - 85981	$111.00	$109.00	$32.70–$433.00	57% below	-2%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX	$111.00	$433.00	$32.70–$433.00	57% below	74%
Occupational therapy evaluation, low complexity CPT 97165 EVAL 30 MINUTES - 97165 - 85982	$111.00	$216.00	$32.70–$433.00	57% below	49%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX	$108.00	$433.00	$108.32–$433.00	72% below	75%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVAL 45 MINUTES - 97161 - 85456	$108.00	$325.00	$32.70–$433.00	54% below	67%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVAL 30 MINUTES - 97161 - 85455	$108.00	$216.00	$32.70–$433.00	54% below	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVAL 15 MINUTES - 97161 - 85454	$108.00	$109.00	$32.70–$433.00	54% below	1%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX	$108.00	$433.00	$32.70–$433.00	54% below	75%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX	$108.00	$550.00	$108.31–$550.00	70% below	80%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 SOFT TISSUE MOBILIATION 15 MIN	$30.00	$130.00	$30.58–$261.00	75% below	77%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 WC SOFT TIS MOB INT 30 MIN - 97140 - 85954	$30.00	$261.00	$30.58–$261.00	75% below	89%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 WC SOFT TIS MOB INT 30 MIN - 97140 - 85433	$30.00	$261.00	$30.58–$261.00	75% below	89%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 TRACTION MANUAL CERVICL 15 MIN	$30.00	$130.00	$30.58–$261.00	75% below	77%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 SOFT TISSUE MOB EA 15 MIN	$30.00	$130.00	$30.58–$261.00	75% below	77%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 JOINT MOBILIZATION EA 15 MIN - 97140 - 85357	$30.00	$130.00	$30.58–$261.00	75% below	77%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 JOINT MOBILIZATION EA 15 MIN - 97140 - 85945	$30.00	$130.00	$30.58–$261.00	75% below	77%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 WC THER PROC INT 30 MIN (EX) - 97110 - 85960	$32.00	$130.00	$9.14–$175.00	75% below	75%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX PTA 15 MINS - 97110 - 85465	$32.00	$66.00	$9.14–$175.00	75% below	52%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 WC THER PROC INT 30 MIN (EX) - 97110 - 85439	$32.00	$130.00	$9.14–$175.00	75% below	75%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EX OTA 15 MINS - 97110 - 85995	$32.00	$66.00	$9.14–$175.00	75% below	52%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX PTA 15 MINS - 97110 - 47701290	$32.00	$126.00	$9.14–$175.00	75% below	75%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC PROCED EA 15 MIN	$32.00	$66.00	$9.14–$175.00	75% below	52%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EX OTA 15 MINS - 97110 - 47901291	$32.00	$126.00	$9.14–$175.00	75% below	75%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC PROCEDURE/EX 15MIN	$32.00	$175.00	$9.14–$175.00	75% below	82%
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL PSYCHOTHERAPY 30MIN	$227.00	$525.00	$18.98–$525.00	29% below	57%
Psychotherapy session, 45 minutes CPT 90834 IND PSYC 45 MIN	$227.00	$876.68	$67.16–$876.68	29% below	74%
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL PSYCHOTHERAPY	$227.00	$658.00	$67.16–$876.68	29% below	66%
Psychotherapy session, 60 minutes CPT 90837 IND PSYC 60 MINUTES	$227.00	$912.33	$38.01–$912.33	38% below	75%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TUCC Counseling 3-10 minutes	$47.00	$110.00	$10.41–$110.00	36% below	57%
Speech therapy session, individual CPT 92507 SPEECH THERAPY	$83.00	$304.00	$31.21–$304.00	70% below	73%
Spirometry (breathing test) CPT 94010 SPIROMETRY;DIAGNOSTIC	$276.00	$325.00	$21.17–$325.00	28% below	15%
Spirometry (breathing test) CPT 94010 PEAK FLOW ASSESMENT/MEASURE	$276.00	$190.40	$21.17–$325.00	28% below	-45%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL B/A BRONCHOD	$477.00	$315.00	$38.75–$315.00	40% below	-51%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 TRANSCRN MAG STIM THER TX PLAN	$276.00	$1,043.35	$123.15–$1,043.35	71% below	74%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THER ACTIVITY OTA 15M - 97530 - 85993	$39.00	$66.00	$15.98–$175.00	72% below	41%
Therapeutic activities (functional training), 15 minutes CPT 97530 TRANSF ACT/FUNET EA 15 MIN	$39.00	$66.00	$15.98–$175.00	72% below	41%
Therapeutic activities (functional training), 15 minutes CPT 97530 WC THER ACT INT 30 MIN - 97530 - 85435	$39.00	$130.00	$15.98–$175.00	72% below	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN	$39.00	$66.00	$15.98–$175.00	72% below	41%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THER ACTIVITY OTA 15M - 97530 - 47901289	$39.00	$126.00	$15.98–$175.00	72% below	69%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES 15 MIN	$39.00	$175.00	$15.98–$175.00	72% below	78%
Therapeutic activities (functional training), 15 minutes CPT 97530 WC THER ACT INT 30 MIN - 97530 - 85956	$39.00	$130.00	$15.98–$175.00	72% below	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THER ACTS PTA 15 MINS - 97530 - 47701288	$39.00	$126.00	$15.98–$175.00	72% below	69%
Therapeutic activities (functional training), 15 minutes CPT 97530 WC THER ACT ADD 15 MIN - 97530 - 85434	$39.00	$66.00	$15.98–$175.00	72% below	41%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THER ACTS PTA 15 MINS - 97530 - 85463	$39.00	$66.00	$15.98–$175.00	72% below	41%
Therapeutic activities (functional training), 15 minutes CPT 97530 WC THER ACT ADD 15 MIN - 97530 - 85955	$39.00	$66.00	$15.98–$175.00	72% below	41%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin, IM/SQ	$92.00	$302.35	$4.46–$302.35	12% below	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN,IM/SQ*ER	$92.00	$179.25	$4.46–$302.35	12% below	49%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://shermanoakshospital.org/wp-content/uploads/2026/09/930000149_ShermanOaksHospital_standardcharges.json