Hospital Los Angeles-Long Beach-Anaheim, CA

Memorial Hospital of Gardena

Listed in its price file as “Pipeline Health System Holdings, LLC”.

Memorial Hospital of Gardena in Gardena, CA publishes cash prices for 265 common procedures listed here, from its own machine-readable price file updated Feb 4, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 172 of 262 procedures and below it for 86. By typical cash price it ranks #123 of 168 California hospitals and #39 of 49 hospitals in the Los Angeles, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1145 West Redondo Beach Blvd, Gardena, CA 90247 Collected Sep 27, 2026 Source price file (310) 532-4200

Acute care hospital Emergency department CMS star rating 1 of 5 CCN 050468 · CMS hospital register

The price file shows no self-pay discount

For 1214 of the 1214 prices listed here, the cash price in Memorial Hospital of Gardena's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE 3 VIEWS BILAT	$989.10	$989.10	$25.64–$791.28	—	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS RIGHT	$659.40	$659.40	$25.64–$527.52	58% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS LEFT	$659.40	$659.40	$25.64–$527.52	58% above	—
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE 3 VIEWS BILAT	$989.10	$989.10	$741.83–$791.28	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3 VIEWS LEFT	$659.40	$659.40	$494.55–$527.52	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3 VIEWS RIGHT	$659.40	$659.40	$494.55–$527.52	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US UPPER/LOWER EXT ART PHYSIO, BIL LTD	$762.00	$762.00	$53.14–$609.60	37% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$800.10	$800.10	$53.14–$640.08	44% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US UPPER/LOWER EXT ART PHYSIO, BIL LTD	$762.00	$762.00	$571.50–$609.60	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$800.10	$800.10	$600.08–$640.08	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 CONTRAST X-RAY ESOPHAGUS	$827.40	$827.40	$38.85–$661.92	56% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CONTRAST X-RAY ESOPHAGUS	$827.40	$827.40	$620.55–$661.92	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY	$2,556.75	$2,556.75	$143.85–$2,045.40	21% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY	$2,556.75	$2,556.75	$1,917.56–$2,045.40	—	—
Breast ultrasound, complete, one breast both sides CPT 76641 ULTRASOUND BREASTS, COMPLETE, BILATERAL	$2,585.10	$2,585.10	$98.15–$2,068.08	—	—
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST, UNI, COMPLETE	$1,292.55	$1,292.55	$98.15–$1,034.04	132% above	—
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 ULTRASOUND BREASTS, COMPLETE, BILATERAL	$2,585.10	$2,585.10	$1,938.83–$2,068.08	—	—
Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASOUND BREAST, UNI, COMPLETE	$1,292.55	$1,292.55	$969.41–$1,034.04	—	—
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 ULTRASOUND BREASTS, LIMITED, BILATERAL	$1,241.10	$1,241.10	$80.03–$992.88	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST, UNI, LIMITED	$620.55	$620.55	$80.03–$496.44	52% above	—
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 ULTRASOUND BREASTS, LIMITED, BILATERAL	$1,241.10	$1,241.10	$930.83–$992.88	—	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST, UNI, LIMITED	$620.55	$620.55	$465.41–$496.44	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$6,222.30	$6,222.30	$222.68–$4,977.84	99% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST	$6,222.30	$6,222.30	$4,666.73–$4,977.84	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$1,193.85	$1,193.85	$222.68–$955.08	52% below	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE	$1,193.85	$1,193.85	$895.39–$955.08	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$239.40	$239.40	$82.96–$749.00	24% below	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST	$239.40	$239.40	$179.55–$191.52	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS	$3,246.60	$3,246.60	$177.80–$2,597.28	16% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS	$3,246.60	$3,246.60	$2,434.95–$2,597.28	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELV W/CONTRAST	$7,366.80	$7,366.80	$287.44–$5,893.44	84% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELV W/CONTRAST	$7,366.80	$7,366.80	$5,525.10–$5,893.44	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELVIS W/WO CON	$8,859.90	$8,859.90	$325.62–$7,087.92	100% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELVIS W/WO CON	$8,859.90	$8,859.90	$6,644.93–$7,087.92	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/DYE	$3,467.10	$3,467.10	$212.94–$2,773.68	55% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/DYE	$3,467.10	$3,467.10	$2,600.33–$2,773.68	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O DYE	$2,296.35	$2,296.35	$133.24–$1,837.08	23% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O DYE	$2,296.35	$2,296.35	$1,722.26–$1,837.08	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE, ADD-ON	$4,127.55	$4,127.55	$125.82–$3,302.04	89% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$4,127.55	$4,127.55	$125.82–$3,302.04	89% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O DYE	$4,127.55	$4,127.55	$3,095.66–$3,302.04	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O DYE, ADD-ON	$4,127.55	$4,127.55	$3,095.66–$3,302.04	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$4,674.60	$4,674.60	$103.30–$3,739.68	104% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O DYE	$4,674.60	$4,674.60	$3,505.95–$3,739.68	—	—
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE	$4,852.05	$4,852.05	$145.69–$3,881.64	80% above	—
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/DYE	$4,852.05	$4,852.05	$3,639.04–$3,881.64	—	—
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$5,659.50	$5,659.50	$171.40–$4,527.60	102% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$5,659.50	$5,659.50	$4,244.63–$4,527.60	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$4,972.80	$4,972.80	$126.83–$3,978.24	77% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O DYE	$4,972.80	$4,972.80	$3,729.60–$3,978.24	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$4,710.30	$4,710.30	$127.49–$3,768.24	62% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT NECK SPINE W/O DYE	$4,710.30	$4,710.30	$3,532.73–$3,768.24	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$3,378.90	$3,378.90	$208.54–$2,703.12	33% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/DYE	$3,378.90	$3,378.90	$2,534.18–$2,703.12	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL ARTERIES DUPLEX BILATERAL	$2,704.80	$2,704.80	$159.77–$2,163.84	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 EXTRACRANIAL STUDY,PHYS,BIL	$2,704.80	$2,704.80	$159.77–$2,163.84	123% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRANIAL ARTERIES DUPLEX BILATERAL	$2,704.80	$2,704.80	$2,028.60–$2,163.84	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 EXTRACRANIAL STUDY,PHYS,BIL	$2,704.80	$2,704.80	$2,028.60–$2,163.84	—	—
Chest X-ray, 2 views CPT 71046 CHEST XR TWO VIEWS	$592.20	$592.20	$28.03–$473.76	54% above	—
Chest X-ray, 2 views inpatient CPT 71046 CHEST XR TWO VIEWS	$592.20	$592.20	$444.15–$473.76	—	—
Chest X-ray, single view CPT 71045 CHEST XR SINGLE VIEW	$394.80	$394.80	$18.02–$315.84	17% above	—
Chest X-ray, single view inpatient CPT 71045 CHEST XR SINGLE VIEW	$394.80	$394.80	$296.10–$315.84	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$1,641.15	$1,641.15	$82.33–$1,312.92	94% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP	$1,641.15	$1,641.15	$1,230.86–$1,312.92	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS	$1,075.20	$1,075.20	$167.43–$860.16	32% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US DETAILED SNGL FETUS	$1,075.20	$1,075.20	$806.40–$860.16	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O DYE	$4,435.20	$4,435.20	$129.87–$3,548.16	144% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O DYE	$4,435.20	$4,435.20	$3,326.40–$3,548.16	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/DYE	$5,387.55	$5,387.55	$164.16–$4,310.04	130% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/DYE	$5,387.55	$5,387.55	$4,040.66–$4,310.04	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 LOW EXTREM ART DUPLEX COMP BILAT	$1,932.00	$1,932.00	$98.81–$1,545.60	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX LOWER EXT ART/GRAFT BIL COMP	$1,979.62	$1,979.62	$98.81–$1,583.70	105% above	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 LOW EXTREM ART DUPLEX COMP BILAT	$1,932.00	$1,932.00	$1,449.00–$1,545.60	—	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUPLEX LOWER EXT ART/GRAFT BIL COMP	$1,979.62	$1,979.62	$1,484.72–$1,583.70	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 EXTREMITY VENOUS DUPLEX COMP BILAT	$2,849.70	$2,849.70	$171.60–$2,279.76	—	—
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX EXTREMITY VEINS BIL COMPLETE	$1,922.82	$1,922.82	$171.60–$1,538.26	70% above	—
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY COMP	$2,714.00	$2,714.00	$171.60–$2,171.20	140% above	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 EXTREMITY VENOUS DUPLEX COMP BILAT	$2,849.70	$2,849.70	$2,137.28–$2,279.76	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DUPLEX EXTREMITY VEINS BIL COMPLETE	$1,922.82	$1,922.82	$1,442.12–$1,538.26	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY COMP	$2,714.00	$2,714.00	$2,035.50–$2,171.20	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$4,700.85	$4,700.85	$244.56–$3,760.68	95% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE	$4,700.85	$4,700.85	$3,525.64–$3,760.68	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY IMAGING	$1,516.20	$1,516.20	$296.83–$1,212.96	1% below	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY IMAGING	$1,516.20	$1,516.20	$1,137.15–$1,212.96	—	—
Knee X-ray, 3 views both sides CPT 73562 KNEE 3 VIEWS BILAT	$811.65	$811.65	$23.85–$649.32	—	—
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LT	$540.75	$540.75	$23.85–$432.60	33% above	—
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RT	$540.75	$540.75	$23.85–$432.60	33% above	—
Knee X-ray, 3 views inpatient both sides CPT 73562 KNEE 3 VIEWS BILAT	$811.65	$811.65	$608.74–$649.32	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RT	$540.75	$540.75	$405.56–$432.60	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LT	$540.75	$540.75	$405.56–$432.60	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$1,032.15	$1,032.15	$61.95–$1,266.00	25% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$1,032.15	$1,032.15	$61.95–$825.72	25% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN	$1,032.15	$1,032.15	$774.11–$825.72	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$1,032.15	$1,032.15	$774.11–$825.72	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE FOR LUNG CA SCREENING	$234.15	$234.15	$133.24–$749.00	41% below	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE FOR LUNG CA SCREENING	$234.15	$234.15	$175.61–$187.32	—	—
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI JOINT LOW EXTREM W/O CON BILAT	$9,836.40	$9,836.40	$296.97–$7,869.12	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT LOW EXTREM W/O CON LT	$6,557.25	$6,557.25	$296.97–$5,245.80	162% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT LOW EXTREM W/O CON RT	$6,557.25	$6,557.25	$296.97–$5,245.80	162% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI JOINT LOW EXTREM W/O CON BILAT	$9,836.40	$9,836.40	$7,377.30–$7,869.12	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JOINT LOW EXTREM W/O CON LT	$6,557.25	$6,557.25	$4,917.94–$5,245.80	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JOINT LOW EXTREM W/O CON RT	$6,557.25	$6,557.25	$4,917.94–$5,245.80	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI JOINT LOW EXTREM W/WO CON BILAT	$10,976.70	$10,976.70	$466.09–$8,781.36	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LOW EXTREM W/WO CON LT	$7,317.45	$7,317.45	$466.09–$5,853.96	102% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LOW EXTREM W/WO CON RIGHT	$7,317.45	$7,317.45	$466.09–$5,853.96	102% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI JOINT LOW EXTREM W/WO CON BILAT	$10,976.70	$10,976.70	$8,232.53–$8,781.36	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LOW EXTREM W/WO CON LT	$7,317.45	$7,317.45	$5,488.09–$5,853.96	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LOW EXTREM W/WO CON RIGHT	$7,317.45	$7,317.45	$5,488.09–$5,853.96	—	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O DYE	$5,815.95	$5,815.95	$194.78–$4,652.76	119% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O DYE	$5,815.95	$5,815.95	$4,361.96–$4,652.76	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O & W/DYE	$6,109.95	$6,109.95	$340.19–$4,887.96	40% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/O & W/DYE	$6,109.95	$6,109.95	$4,582.46–$4,887.96	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O DYE	$7,585.20	$7,585.20	$193.96–$6,068.16	192% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O DYE	$7,585.20	$7,585.20	$5,688.90–$6,068.16	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O & W/DYE	$8,163.75	$8,163.75	$317.28–$6,531.00	117% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/O & W/DYE	$8,163.75	$8,163.75	$6,122.81–$6,531.00	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE	$3,370.50	$3,370.50	$189.72–$2,696.40	33% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O DYE	$3,370.50	$3,370.50	$2,527.88–$2,696.40	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$5,665.80	$5,665.80	$318.54–$4,532.64	44% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$5,665.80	$5,665.80	$4,249.35–$4,532.64	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O DYE	$3,743.25	$3,743.25	$189.06–$2,994.60	56% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE W/O DYE	$3,743.25	$3,743.25	$2,807.44–$2,994.60	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE	$4,412.10	$4,412.10	$319.50–$3,529.68	9% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI NECK SPINE W/O & W/DYE	$4,412.10	$4,412.10	$3,309.08–$3,529.68	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE	$3,341.10	$3,341.10	$189.36–$2,672.88	32% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI NECK SPINE W/O DYE	$3,341.10	$3,341.10	$2,505.83–$2,672.88	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE	$3,659.25	$3,659.25	$339.57–$2,927.40	8% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O & W/DYE	$3,659.25	$3,659.25	$2,744.44–$2,927.40	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE	$2,758.35	$2,758.35	$230.87–$2,206.68	29% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O DYE	$2,758.35	$2,758.35	$2,068.76–$2,206.68	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI JOINT UPR EXTREM W/O CON BILAT	$4,353.30	$4,353.30	$201.21–$3,482.64	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O CON RT	$2,902.20	$2,902.20	$201.21–$2,321.76	19% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O CON LT	$2,902.20	$2,902.20	$201.21–$2,321.76	19% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI JOINT UPR EXTREM W/O CON BILAT	$4,353.30	$4,353.30	$3,264.98–$3,482.64	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI JOINT UPR EXTREM W/O CON RT	$2,902.20	$2,902.20	$2,176.65–$2,321.76	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI JOINT UPR EXTREM W/O CON LT	$2,902.20	$2,902.20	$2,176.65–$2,321.76	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$4,271.40	$4,271.40	$355.08–$3,548.30	16% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT	$4,271.40	$4,271.40	$3,203.55–$3,417.12	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$1,125.60	$1,125.60	$43.01–$900.48	116% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED	$1,125.60	$1,125.60	$844.20–$900.48	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$1,206.45	$1,206.45	$69.00–$965.16	28% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE	$1,206.45	$1,206.45	$904.84–$965.16	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS	$1,333.50	$1,333.50	$130.50–$1,066.80	83% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >/= 14 WKS SNGL FETUS	$1,333.50	$1,333.50	$1,000.13–$1,066.80	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$1,019.55	$1,019.55	$113.03–$815.64	46% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS	$1,019.55	$1,019.55	$764.66–$815.64	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S)	$873.60	$873.60	$78.06–$698.88	73% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS(S)	$873.60	$873.60	$655.20–$698.88	—	—
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER MIN. 2 VIEWS BILAT	$1,099.35	$1,099.35	$26.38–$879.48	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN. 2 VIEWS RT	$732.90	$732.90	$26.38–$586.32	44% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN. 2 VIEWS LT	$732.90	$732.90	$26.38–$586.32	44% above	—
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER MIN. 2 VIEWS BILAT	$1,099.35	$1,099.35	$824.51–$879.48	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN. 2 VIEWS RT	$732.90	$732.90	$549.68–$586.32	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN. 2 VIEWS LT	$732.90	$732.90	$549.68–$586.32	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION CINE/VID	$1,399.65	$1,399.65	$52.95–$1,119.72	142% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNCTION CINE/VID	$1,399.65	$1,399.65	$1,049.74–$1,119.72	—	—
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$846.30	$846.30	$69.00–$677.04	51% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US NON-OB	$846.30	$846.30	$634.73–$677.04	—	—
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC	$591.15	$591.15	$88.97–$472.92	2% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC	$591.15	$591.15	$443.36–$472.92	—	—
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$1,482.60	$1,482.60	$84.86–$1,186.08	50% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOM COMPLETE	$1,482.60	$1,482.60	$1,111.95–$1,186.08	—	—
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$1,202.25	$1,202.25	$60.98–$961.80	35% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US EXAM SCROTUM	$1,202.25	$1,202.25	$901.69–$961.80	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$1,971.90	$1,971.90	$60.93–$1,577.52	138% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK	$1,971.90	$1,971.90	$1,478.93–$1,577.52	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI	$397.95	$397.95	$104.07–$459.13	34% below	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI W/KUB	$1,484.70	$1,484.70	$104.07–$1,187.76	146% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI	$397.95	$397.95	$298.46–$318.36	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI W/KUB	$1,484.70	$1,484.70	$1,113.53–$1,187.76	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY/UNI/LTD	$998.00	$998.00	$86.25–$798.40	18% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY VENOUS DUPLEX UNI/LTD	$1,047.90	$1,047.90	$86.25–$838.32	24% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX EXTREMITY VEINS UNI/LIMITED	$1,487.82	$1,487.82	$86.25–$1,190.26	76% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY STUDY/UNI/LTD	$998.00	$998.00	$748.50–$798.40	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY VENOUS DUPLEX UNI/LTD	$1,047.90	$1,047.90	$785.93–$838.32	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUPLEX EXTREMITY VEINS UNI/LIMITED	$1,487.82	$1,487.82	$1,115.87–$1,190.26	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 CARPAL SERIES, MIN 3 VW BIL	$754.95	$754.95	$25.64–$603.96	75% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 CARPAL SERIES, MIN 3 VW RT	$502.95	$502.95	$25.64–$402.36	17% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 CARPAL SERIES, MIN 3 VW LT	$502.95	$502.95	$25.64–$402.36	17% above	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 CARPAL SERIES, MIN 3 VW BIL	$754.95	$754.95	$566.21–$603.96	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CARPAL SERIES, MIN 3 VW LT	$502.95	$502.95	$377.21–$402.36	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CARPAL SERIES, MIN 3 VW RT	$502.95	$502.95	$377.21–$402.36	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP 2-3 VWS, WITH PELVIS WHEN PERFORMED	$543.90	$543.90	$38.03–$435.12	43% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP 2-3 VWS, WITH PELVIS WHEN PERFORMED	$543.90	$543.90	$407.93–$435.12	—	—
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN XR SINGLE VIEW	$394.80	$394.80	$25.12–$315.84	31% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN XR SINGLE VIEW	$394.80	$394.80	$296.10–$315.84	—	—
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 2 VIEWS BILAT	$550.20	$550.20	$19.40–$440.16	—	—
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LEFT	$366.45	$366.45	$19.40–$293.16	22% above	—
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RIGHT	$366.45	$366.45	$19.40–$293.16	22% above	—
X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE 2 VIEWS BILAT	$550.20	$550.20	$412.65–$440.16	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RIGHT	$366.45	$366.45	$274.84–$293.16	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LEFT	$366.45	$366.45	$274.84–$293.16	—	—
X-ray of the finger(s), 2 or more views both sides CPT 73140 FINGER(S) MIN 2 VIEWS BILATERAL	$584.85	$584.85	$15.90–$467.88	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) , LEFT	$389.55	$389.55	$15.90–$311.64	47% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S), RIGHT	$389.55	$389.55	$15.90–$311.64	47% above	—
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 FINGER(S) MIN 2 VIEWS BILATERAL	$584.85	$584.85	$438.64–$467.88	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S), RIGHT	$389.55	$389.55	$292.16–$311.64	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) , LEFT	$389.55	$389.55	$292.16–$311.64	—	—
X-ray of the foot, 2 views both sides CPT 73620 FOOT 2 VIEWS BILAT	$607.95	$607.95	$17.65–$486.36	—	—
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LT	$405.30	$405.30	$17.65–$324.24	34% above	—
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RT	$405.30	$405.30	$17.65–$324.24	34% above	—
X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 2 VIEWS BILAT	$607.95	$607.95	$455.96–$486.36	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS LT	$405.30	$405.30	$303.98–$324.24	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS RT	$405.30	$405.30	$303.98–$324.24	—	—
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT 3 OR 4 VIEWS BILAT	$771.75	$771.75	$24.70–$617.40	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 OR 4 VIEWS RT	$514.50	$514.50	$24.70–$411.60	30% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 OR 4 VIEWS LT	$514.50	$514.50	$24.70–$411.60	30% above	—
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT 3 OR 4 VIEWS BILAT	$771.75	$771.75	$578.81–$617.40	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3 OR 4 VIEWS RT	$514.50	$514.50	$385.88–$411.60	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3 OR 4 VIEWS LT	$514.50	$514.50	$385.88–$411.60	—	—
X-ray of the hand, 3 or more views both sides CPT 73130 HAND 3 VIEWS BILAT	$1,025.85	$1,025.85	$25.64–$820.68	—	—
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS RT	$683.55	$683.55	$25.64–$546.84	62% above	—
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS LT	$683.55	$683.55	$25.64–$546.84	62% above	—
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND 3 VIEWS BILAT	$1,025.85	$1,025.85	$769.39–$820.68	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS RT	$683.55	$683.55	$512.66–$546.84	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS LT	$683.55	$683.55	$512.66–$546.84	—	—
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 1-2 VIEWS BILAT	$683.55	$683.55	$19.40–$546.84	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS LT	$455.70	$455.70	$19.40–$364.56	35% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS RT	$455.70	$455.70	$19.40–$364.56	35% above	—
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE 1-2 VIEWS BILAT	$683.55	$683.55	$512.66–$546.84	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS LT	$455.70	$455.70	$341.78–$364.56	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS RT	$455.70	$455.70	$341.78–$364.56	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2-3 VIEWS	$878.85	$878.85	$30.90–$703.08	92% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS	$878.85	$878.85	$30.90–$703.08	92% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS	$878.85	$878.85	$659.14–$703.08	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2-3 VIEWS	$878.85	$878.85	$659.14–$703.08	—	—
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE 4 VIEWS MIN	$1,342.95	$1,342.95	$44.73–$1,074.36	128% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE 4 VIEWS MIN	$1,342.95	$1,342.95	$1,007.21–$1,074.36	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE, 2 VIEWS	$729.75	$729.75	$28.60–$583.80	104% above	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE SINGLE VIEW	$729.75	$729.75	$28.60–$583.80	104% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE SINGLE VIEW	$729.75	$729.75	$547.31–$583.80	—	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE, 2 VIEWS	$729.75	$729.75	$547.31–$583.80	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLETE MIN 3 VIEWS	$559.65	$559.65	$25.29–$447.72	47% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMPLETE MIN 3 VIEWS	$559.65	$559.65	$419.74–$447.72	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE, 2 VIEW	$720.30	$720.30	$26.50–$576.24	67% above	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE, 2 VIEW LTD	$720.30	$720.30	$26.50–$576.24	67% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE, 2 VIEW LTD	$720.30	$720.30	$540.23–$576.24	—	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE, 2 VIEW	$720.30	$720.30	$540.23–$576.24	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS	$525.00	$525.00	$22.05–$420.00	44% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1-2 VIEWS	$525.00	$525.00	$393.75–$420.00	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX	$526.05	$526.05	$25.52–$420.84	23% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX LTD	$526.05	$526.05	$25.52–$420.84	23% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX	$526.05	$526.05	$394.54–$420.84	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX LTD	$526.05	$526.05	$394.54–$420.84	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT)	$196.35	$196.35	$2.23–$157.08	355% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO (ALT) (SGPT)	$196.35	$196.35	$147.26–$157.08	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel, Acute with Reflex ARUP	$51.90	$51.90	$20.00–$95.26	79% below	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$101.85	$101.85	$20.00–$95.26	58% below	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel, Acute with Reflex ARUP	$51.90	$51.90	$38.93–$41.52	—	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$101.85	$101.85	$76.39–$81.48	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen,Occupation, Gum Caragee LABCORP	$4.45	$4.45	$2.09–$10.44	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Cat Dander IgE-ARUP	$6.17	$6.17	$2.19–$10.44	26% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, POLLEN -ARUP	$6.17	$6.17	$2.19–$10.44	26% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen,Food, Corn IgE-ARUP	$6.17	$6.17	$2.19–$10.44	26% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, House Dust Greer-IgE-ARUP	$6.17	$6.17	$2.19–$10.44	26% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Egg White IgE-ARUP	$6.17	$6.17	$2.19–$10.44	26% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen,Fungi/Mold A.alternate IgE-ARUP	$6.17	$6.17	$2.19–$10.44	26% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen,Mites D.pteronyssinus IgE-ARUP	$6.17	$6.17	$2.19–$10.44	26% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Soybean IgE-ARUP	$6.17	$6.17	$2.19–$10.44	26% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen,Animal,Dog Dander IgE- ARUP	$6.17	$6.17	$2.19–$10.44	26% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen,Mites,D.farinae IgGE- ARUP	$6.17	$6.17	$2.19–$10.44	26% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen,Food Milk (cow) IgE-ARUP	$6.17	$6.17	$2.19–$10.44	26% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food,Wheat IgE- ARUP	$6.17	$6.17	$2.19–$10.44	26% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD -ARUP	$6.17	$6.17	$2.19–$10.44	26% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD, MIXED NUTS - LABCORP	$32.00	$32.00	$2.19–$25.60	285% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD, PROFILE 10 - LABCORP	$42.30	$42.30	$2.19–$33.84	408% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD, PROFILE 13 - LABCORP	$52.00	$52.00	$2.19–$41.60	525% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$54.45	$54.45	$2.19–$43.56	554% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Food, Profile 10 ARUP	$61.70	$61.70	$2.19–$49.36	642% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Respiratory Panel, RegionARUP	$175.29	$175.29	$2.19–$140.23	2007% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen,Occupation, Gum Caragee LABCORP	$4.45	$4.45	$3.34–$3.56	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen,Food Milk (cow) IgE-ARUP	$6.17	$6.17	$4.63–$4.94	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen,Mites,D.farinae IgGE- ARUP	$6.17	$6.17	$4.63–$4.94	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, House Dust Greer-IgE-ARUP	$6.17	$6.17	$4.63–$4.94	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Egg White IgE-ARUP	$6.17	$6.17	$4.63–$4.94	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, FOOD -ARUP	$6.17	$6.17	$4.63–$4.94	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen,Food, Corn IgE-ARUP	$6.17	$6.17	$4.63–$4.94	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food,Wheat IgE- ARUP	$6.17	$6.17	$4.63–$4.94	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen,Mites D.pteronyssinus IgE-ARUP	$6.17	$6.17	$4.63–$4.94	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Soybean IgE-ARUP	$6.17	$6.17	$4.63–$4.94	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, POLLEN -ARUP	$6.17	$6.17	$4.63–$4.94	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Cat Dander IgE-ARUP	$6.17	$6.17	$4.63–$4.94	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen,Animal,Dog Dander IgE- ARUP	$6.17	$6.17	$4.63–$4.94	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen,Fungi/Mold A.alternate IgE-ARUP	$6.17	$6.17	$4.63–$4.94	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, FOOD, MIXED NUTS - LABCORP	$32.00	$32.00	$24.00–$25.60	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, FOOD, PROFILE 10 - LABCORP	$42.30	$42.30	$31.73–$33.84	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, FOOD, PROFILE 13 - LABCORP	$52.00	$52.00	$39.00–$41.60	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE	$54.45	$54.45	$40.84–$43.56	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens, Food, Profile 10 ARUP	$61.70	$61.70	$46.28–$49.36	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens, Respiratory Panel, RegionARUP	$175.29	$175.29	$131.47–$140.23	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCL CITRULLINATD PEPTDE Ab,IgG-LABCORP	$10.00	$10.00	$4.69–$25.90	51% below	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP Ab, IgG & IgA, ELISA - LABCORP	$10.00	$10.00	$4.69–$25.90	51% below	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RHEUMATOID ARTHRITIS(RA) PROFILE-LABCORP	$13.50	$13.50	$5.44–$25.90	33% below	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide (CCP) ARUP	$17.30	$17.30	$5.44–$25.90	15% below	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE-ARUP	$17.30	$17.30	$5.44–$25.90	15% below	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RAPanelw/Reflex to RF IgA/IgG/IgM EIA LC	$25.00	$25.00	$5.44–$25.90	23% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$50.29	$50.29	$5.44–$40.23	148% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI-CCP Ab, IgG & IgA, ELISA - LABCORP	$10.00	$10.00	$7.50–$8.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCL CITRULLINATD PEPTDE Ab,IgG-LABCORP	$10.00	$10.00	$7.50–$8.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RHEUMATOID ARTHRITIS(RA) PROFILE-LABCORP	$13.50	$13.50	$10.13–$10.80	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE-ARUP	$17.30	$17.30	$12.98–$13.84	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide (CCP) ARUP	$17.30	$17.30	$12.98–$13.84	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RAPanelw/Reflex to RF IgA/IgG/IgM EIA LC	$25.00	$25.00	$18.75–$20.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$50.29	$50.29	$37.72–$40.23	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$21.40	$21.40	$5.08–$24.18	39% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 LUPUS PROFILE - LABCORP	$26.09	$26.09	$5.08–$24.18	25% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Lupus Comprehensive Reflexive Panel ARUP	$42.40	$42.40	$5.08–$33.92	22% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES	$21.40	$21.40	$16.05–$17.12	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LUPUS PROFILE - LABCORP	$26.09	$26.09	$19.57–$20.87	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Lupus Comprehensive Reflexive Panel ARUP	$42.40	$42.40	$31.80–$33.92	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP - LABCORP	$27.12	$27.12	$12.72–$78.52	85% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$37.98	$37.98	$16.49–$78.52	78% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBRAIN NATRIURETIC PEPTIDE,NT- LC	$45.00	$45.00	$16.49–$78.52	75% below	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP - LABCORP	$27.12	$27.12	$20.34–$21.70	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$37.98	$37.98	$28.49–$30.38	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PROBRAIN NATRIURETIC PEPTIDE,NT- LC	$45.00	$45.00	$33.75–$36.00	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV-SURG PATH GROSS & MICRO CEDARS	$60.00	$60.00	$28.14–$135.41	61% below	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$267.75	$267.75	$28.44–$214.20	76% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST (ACL)	$379.00	$379.00	$28.44–$303.20	149% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV-SURG PATH GROSS & MICRO CEDARS	$60.00	$60.00	$45.00–$48.00	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST	$267.75	$267.75	$200.81–$214.20	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST (ACL)	$379.00	$379.00	$284.25–$303.20	—	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTER AEROBIC	$507.15	$507.15	$4.33–$405.72	111% above	—
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$507.15	$507.15	$4.33–$405.72	111% above	—
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD BACTER AEROBIC	$507.15	$507.15	$380.36–$405.72	—	—
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA	$507.15	$507.15	$380.36–$405.72	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$40.95	$40.95	$3.71–$32.76	69% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$40.95	$40.95	$30.71–$32.76	—	—
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$3.74	$3.74	$1.65–$7.86	90% below	—
Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM QUANT	$112.35	$112.35	$1.65–$89.88	199% above	—
Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$3.74	$3.74	$2.81–$2.99	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM QUANT	$112.35	$112.35	$84.26–$89.88	—	—
Blood lead test CPT 83655 Lead, Blood (Venous) ARUP	$7.70	$7.70	$3.61–$24.22	46% below	—
Blood lead test CPT 83655 ASSAY OF LEAD	$8.45	$8.45	$3.96–$24.22	41% below	—
Blood lead test CPT 83655 Lead, Blood (Venous) LABCORP	$13.46	$13.46	$5.09–$24.22	6% below	—
Blood lead test inpatient CPT 83655 Lead, Blood (Venous) ARUP	$7.70	$7.70	$5.78–$6.16	—	—
Blood lead test inpatient CPT 83655 ASSAY OF LEAD	$8.45	$8.45	$6.34–$6.76	—	—
Blood lead test inpatient CPT 83655 Lead, Blood (Venous) LABCORP	$13.46	$13.46	$10.10–$10.77	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE	$231.00	$231.00	$3.16–$184.80	51% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE	$231.00	$231.00	$173.25–$184.80	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPING CONFIRMATION (LIFE)	$21.40	$21.40	$2.43–$319.21	72% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$145.95	$145.95	$2.43–$319.21	90% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPING CONFIRMATION (LIFE)	$21.40	$21.40	$16.05–$17.12	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$145.95	$145.95	$109.46–$116.76	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein LABCORP	$6.00	$6.00	$2.18–$10.36	87% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein ARUP	$9.80	$9.80	$2.18–$10.36	79% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$142.80	$142.80	$2.18–$114.24	205% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein LABCORP	$6.00	$6.00	$4.50–$4.80	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein ARUP	$9.80	$9.80	$7.35–$7.84	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$142.80	$142.80	$107.10–$114.24	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C.DIFF TOX B GENE(tcdB),RT-PCR-LABCORP	$57.00	$57.00	$15.65–$74.54	63% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN PCR-ARUP	$105.00	$105.00	$15.65–$84.00	31% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile toxin B gene-ARUP	$112.35	$112.35	$15.65–$89.88	27% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$235.20	$235.20	$15.65–$188.16	54% above	—
C. difficile toxin gene test (stool PCR) one side CPT 87493 C.diff toxin B gene (tcdB), RT-PCR LABCP	$80.00	$80.00	$15.65–$74.54	48% below	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C.DIFF TOX B GENE(tcdB),RT-PCR-LABCORP	$57.00	$57.00	$42.75–$45.60	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN PCR-ARUP	$105.00	$105.00	$78.75–$84.00	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile toxin B gene-ARUP	$112.35	$112.35	$84.26–$89.88	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE	$345.61	$345.61	$259.21–$276.49	—	—
C. difficile toxin gene test (stool PCR) inpatient one side CPT 87493 C.diff toxin B gene (tcdB), RT-PCR LABCP	$80.00	$80.00	$60.00–$64.00	—	—
CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen-GI (CA 19-9) ARUP	$12.00	$12.00	$5.63–$41.62	76% below	—
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$12.41	$12.41	$5.82–$41.62	75% below	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer Antigen-GI (CA 19-9) ARUP	$12.00	$12.00	$9.00–$9.60	—	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$12.41	$12.41	$9.31–$9.93	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 ARUP	$16.10	$16.10	$7.55–$41.62	83% below	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 ARUP	$16.10	$16.10	$12.08–$12.88	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2(COVID-19) BY NAA - LABCORP	$51.31	$51.31	$21.55–$102.62	27% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NOVEL SARS-COV-2PCR QUEST	$69.00	$69.00	$21.55–$102.62	1% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NOVEL SARS-COV-2PCR WESTPAC	$70.00	$70.00	$21.55–$102.62	at median	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NOVEL SARS-COV-2PCR SUNRISE	$100.00	$100.00	$21.55–$102.62	43% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NOVEL SARS-COV-2 NAAT RNA	$135.45	$135.45	$21.55–$108.36	94% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 COVID-19 NOVEL SARS-COV-2 RT-PCR	$135.45	$135.45	$21.55–$108.36	94% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2(COVID-19) BY NAA - LABCORP	$51.31	$51.31	$38.48–$41.05	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 NOVEL SARS-COV-2PCR QUEST	$69.00	$69.00	$51.75–$55.20	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 NOVEL SARS-COV-2PCR WESTPAC	$70.00	$70.00	$52.50–$56.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 NOVEL SARS-COV-2PCR SUNRISE	$100.00	$100.00	$75.00–$80.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 NOVEL SARS-COV-2 NAAT RNA	$135.45	$135.45	$101.59–$108.36	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 COVID-19 NOVEL SARS-COV-2 RT-PCR	$135.45	$135.45	$101.59–$108.36	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.trachomatis & N. gonorrhoeae by TMA LC	$18.00	$18.00	$8.44–$70.18	67% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE	$26.75	$26.75	$12.55–$70.18	51% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis by Transcript ARUP	$28.89	$28.89	$13.55–$70.18	47% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis and Neisseria ARUP	$46.01	$46.01	$14.74–$70.18	16% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C.trachomatis & N. gonorrhoeae by TMA LC	$18.00	$18.00	$13.50–$14.40	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis by Transcript ARUP	$28.89	$28.89	$21.67–$23.11	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis and Neisseria ARUP	$46.01	$46.01	$34.51–$36.81	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PROBE	$93.45	$93.45	$70.09–$74.76	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$542.49	$542.49	$5.62–$433.99	435% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$542.49	$542.49	$406.87–$433.99	—	—
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$300.30	$300.30	$3.26–$240.24	171% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$300.30	$300.30	$225.23–$240.24	—	—
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$189.00	$189.00	$2.72–$151.20	149% above	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$998.55	$998.55	$4.44–$798.84	291% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL	$141.24	$141.24	$105.93–$112.99	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER - LABCORP	$14.00	$14.00	$4.28–$20.36	88% below	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER/THROMBOSIS - LABCORP	$14.00	$14.00	$4.28–$20.36	88% below	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE UCI	$38.00	$38.00	$4.28–$30.40	68% below	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE ARUP	$44.00	$44.00	$4.28–$35.20	63% below	—
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$166.95	$166.95	$4.28–$133.56	40% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER - LABCORP	$14.00	$14.00	$10.50–$11.20	—	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER/THROMBOSIS - LABCORP	$14.00	$14.00	$10.50–$11.20	—	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE UCI	$38.00	$38.00	$28.50–$30.40	—	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE ARUP	$44.00	$44.00	$33.00–$35.20	—	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT	$166.95	$166.95	$125.21–$133.56	—	—
Estradiol blood test CPT 82670 ESTROGNS,FRACT MASS SPEC -CRG 1-LABCORP	$15.23	$15.23	$7.14–$55.88	76% below	—
Estradiol blood test CPT 82670 Estradiol,Adult Premenopausal Fem-ARUP	$17.00	$17.00	$7.97–$55.88	73% below	—
Estradiol blood test CPT 82670 Estradiol,Post Females,Males-ARUP	$33.50	$33.50	$11.73–$55.88	47% below	—
Estradiol blood test CPT 82670 ASSAY OF ESTRADIOL	$120.00	$120.00	$11.73–$96.00	92% above	—
Estradiol blood test inpatient CPT 82670 ESTROGNS,FRACT MASS SPEC -CRG 1-LABCORP	$15.23	$15.23	$11.42–$12.18	—	—
Estradiol blood test inpatient CPT 82670 Estradiol,Adult Premenopausal Fem-ARUP	$17.00	$17.00	$12.75–$13.60	—	—
Estradiol blood test inpatient CPT 82670 Estradiol,Post Females,Males-ARUP	$33.50	$33.50	$25.13–$26.80	—	—
Estradiol blood test inpatient CPT 82670 ASSAY OF ESTRADIOL	$120.00	$120.00	$90.00–$96.00	—	—
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone LABCORP	$11.25	$11.25	$5.28–$37.16	87% below	—
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone, Serum ARUP	$18.80	$18.80	$7.80–$37.16	79% below	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone LABCORP	$11.25	$11.25	$8.44–$9.00	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone, Serum ARUP	$18.80	$18.80	$14.10–$15.04	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$73.70	$73.70	$8.24–$58.96	1% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal LABCORP	$164.00	$164.00	$8.24–$131.20	125% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$73.70	$73.70	$55.28–$58.96	—	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal LABCORP	$164.00	$164.00	$123.00–$131.20	—	—
Ferritin blood test (iron stores) CPT 82728 Ferritin ARUP	$10.70	$10.70	$5.02–$27.26	87% below	—
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin ARUP	$10.70	$10.70	$8.03–$8.56	—	—
Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN	$227.85	$227.85	$170.89–$182.28	—	—
Folate (folic acid) blood test CPT 82746 Folate, Serum ARUP	$13.60	$13.60	$6.17–$29.40	84% below	—
Folate (folic acid) blood test inpatient CPT 82746 Folate, Serum ARUP	$13.60	$13.60	$10.20–$10.88	—	—
Free T3 thyroid hormone test CPT 84481 Triiodothyronine, Free (Free T3) ARUP	$9.75	$9.75	$4.57–$33.88	85% below	—
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$107.10	$107.10	$7.11–$85.68	69% above	—
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine, Free (Free T3) ARUP	$9.75	$9.75	$7.31–$7.80	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$10.70	$10.70	$3.79–$18.04	84% below	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE	$10.70	$10.70	$8.03–$8.56	—	—
Free testosterone test CPT 84402 Testosterone Free, Adult Male ARUP	$13.50	$13.50	$6.33–$50.94	68% below	—
Free testosterone test CPT 84402 ASSAY OF TESTOSTERONE FREE	$18.68	$18.68	$8.76–$50.94	55% below	—
Free testosterone test CPT 84402 TESTOSTERONE,FREE BY IMMUNASY - LABCORP	$22.28	$22.28	$10.45–$50.94	46% below	—
Free testosterone test CPT 84402 FREE TESTOSTERONE - LABCORP	$22.28	$22.28	$10.45–$50.94	46% below	—
Free testosterone test CPT 84402 Testosterone Free, Adult Male LABCORP	$30.00	$30.00	$10.70–$50.94	28% below	—
Free testosterone test inpatient CPT 84402 Testosterone Free, Adult Male ARUP	$13.50	$13.50	$10.13–$10.80	—	—
Free testosterone test inpatient CPT 84402 ASSAY OF TESTOSTERONE FREE	$18.68	$18.68	$14.01–$14.94	—	—
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE - LABCORP	$22.28	$22.28	$16.71–$17.82	—	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE,FREE BY IMMUNASY - LABCORP	$22.28	$22.28	$16.71–$17.82	—	—
Free testosterone test inpatient CPT 84402 Testosterone Free, Adult Male LABCORP	$30.00	$30.00	$22.50–$24.00	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$697.20	$697.20	$139.44–$557.76	151% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$697.20	$697.20	$522.90–$557.76	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCAGON TOLERANCE PANEL	$368.55	$368.55	$5.41–$294.84	215% above	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$368.55	$368.55	$5.41–$294.84	215% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$37.45	$37.45	$28.09–$29.96	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCAGON TOLERANCE PANEL	$368.55	$368.55	$276.41–$294.84	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$26.75	$26.75	$12.55–$70.18	50% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae by Transcript ARUP	$28.89	$28.89	$13.55–$70.18	46% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae by Transcript ARUP	$28.89	$28.89	$21.67–$23.11	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB	$65.10	$65.10	$48.83–$52.08	—	—
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI	$9.54	$9.54	$4.47–$33.70	92% below	—
H. pylori antibody blood test CPT 86677 Helicobacter pylori Antibody, IgG ARUP	$12.84	$12.84	$6.02–$33.70	89% below	—
H. pylori antibody blood test CPT 86677 Helicobacter pylori Antibody, IgM ARUP	$12.84	$12.84	$6.02–$33.70	89% below	—
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI	$9.54	$9.54	$7.16–$7.63	—	—
H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori Antibody, IgG ARUP	$12.84	$12.84	$9.63–$10.27	—	—
H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori Antibody, IgM ARUP	$12.84	$12.84	$9.63–$10.27	—	—
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI AgFECAL BY EIA-LABCP	$27.00	$27.00	$6.04–$28.76	64% below	—
H. pylori stool antigen test CPT 87338 HPYLORI STOOL EIA	$42.00	$42.00	$6.04–$33.60	43% below	—
H. pylori stool antigen test CPT 87338 Helicobacter pylori Antigen, Fecal ARUP	$52.96	$52.96	$6.04–$42.37	29% below	—
H. pylori stool antigen test CPT 87338 Helicobacter pylori Ag,Fecal by EIA LBCP	$61.00	$61.00	$6.04–$48.80	18% below	—
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI AgFECAL BY EIA-LABCP	$27.00	$27.00	$20.25–$21.60	—	—
H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Antigen, Fecal ARUP	$52.96	$52.96	$39.72–$42.37	—	—
H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL EIA	$56.81	$56.81	$42.61–$45.45	—	—
H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Ag,Fecal by EIA LBCP	$61.00	$61.00	$45.75–$48.80	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 by Quantitative NAAT, Plasma LABCP	$50.00	$50.00	$23.45–$170.20	41% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 BY QUANTITATIVE NAAT,PLASMA-LC	$50.00	$50.00	$23.45–$170.20	41% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT PCR W RFLX PHENOSENSE-LABCRP	$79.78	$79.78	$35.74–$170.20	6% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Human Immunodeficiency Virus 1 RNA ARUP	$107.00	$107.00	$35.74–$170.20	26% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 DNA QUANT	$128.40	$128.40	$35.74–$170.20	51% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 by Quantitative NAAT, Plasma LABCP	$50.00	$50.00	$37.50–$40.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 BY QUANTITATIVE NAAT,PLASMA-LC	$50.00	$50.00	$37.50–$40.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT PCR W RFLX PHENOSENSE-LABCRP	$79.78	$79.78	$59.84–$63.82	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Human Immunodeficiency Virus 1 RNA ARUP	$107.00	$107.00	$80.25–$85.60	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 DNA QUANT	$128.40	$128.40	$96.30–$102.72	—	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1,2 Screen ARUP	$11.50	$11.50	$5.39–$27.42	72% below	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 SINGLE ASSAY	$38.52	$38.52	$5.76–$30.82	7% below	—
HIV-1 and HIV-2 antibody test CPT 86703 ORAL HIV-1/HIV-2 SCREEN	$165.90	$165.90	$5.76–$132.72	298% above	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 AB SINGLE ASSAY	$165.90	$165.90	$5.76–$132.72	298% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1,2 Screen ARUP	$11.50	$11.50	$8.63–$9.20	—	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 SINGLE ASSAY	$38.52	$38.52	$28.89–$30.82	—	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 ORAL HIV-1/HIV-2 SCREEN	$165.90	$165.90	$124.43–$132.72	—	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 AB SINGLE ASSAY	$165.90	$165.90	$124.43–$132.72	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV COMBO ANTG/ANTI W REFLEX HIV-1 ARUP	$26.70	$26.70	$10.11–$48.16	56% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV COMBO ANTG/ANTI W REFLEX HIV-1 ARUP	$26.70	$26.70	$20.03–$21.36	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$7.49	$7.49	$3.51–$19.42	88% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c ARUP	$11.70	$11.70	$4.08–$19.42	82% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$7.49	$7.49	$5.62–$5.99	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c ARUP	$11.70	$11.70	$8.78–$9.36	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY ARUP	$8.75	$8.75	$4.10–$21.48	77% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$92.40	$92.40	$4.51–$73.92	140% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY ARUP	$8.75	$8.75	$6.56–$7.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$92.40	$92.40	$69.30–$73.92	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG EIA	$36.75	$36.75	$4.34–$29.40	41% below	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG EIA	$7.70	$7.70	$5.78–$6.16	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS ANTIBODY BY CIA ARUP	$15.40	$15.40	$5.99–$28.54	70% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$84.00	$84.00	$5.99–$67.20	61% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$9.63	$9.63	$7.22–$7.70	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS ANTIBODY BY CIA ARUP	$15.40	$15.40	$11.55–$12.32	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV BY QUANTITATIVE NAAT - LABCORP	$50.00	$50.00	$17.99–$85.68	36% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV by Quantitative NAAT LABCORP	$50.00	$50.00	$17.99–$85.68	36% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV Quant w/Rflx to HCV HR Genotype LCRP	$50.00	$50.00	$17.99–$85.68	36% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV GENOTYPE BY PCR & SEQ - LABCORP	$75.00	$75.00	$17.99–$85.68	4% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA Quantitative,ARUP	$98.44	$98.44	$17.99–$85.68	26% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$126.26	$126.26	$17.99–$101.01	61% above	—
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR,QUANT(NON-GRAPH)550362-LABCRP	$111.47	$111.47	$17.99–$89.18	42% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV by Quantitative NAAT LABCORP	$50.00	$50.00	$37.50–$40.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV Quant w/Rflx to HCV HR Genotype LCRP	$50.00	$50.00	$37.50–$40.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV BY QUANTITATIVE NAAT - LABCORP	$50.00	$50.00	$37.50–$40.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV GENOTYPE BY PCR & SEQ - LABCORP	$75.00	$75.00	$56.25–$60.00	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA Quantitative,ARUP	$98.44	$98.44	$73.83–$78.75	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT	$126.26	$126.26	$94.70–$101.01	—	—
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR,QUANT(NON-GRAPH)550362-LABCRP	$111.47	$111.47	$83.60–$89.18	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 GLYCOPROTEIN G Ab,IgG - LABCORP	$13.22	$13.22	$5.54–$26.38	30% below	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV Type 1 Ab IgG, CSF LABCORP	$18.00	$18.00	$5.54–$26.38	4% below	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP VIRUS TYPE 1 GLY G-SP (ARUP)	$28.50	$28.50	$5.54–$26.38	52% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TEST	$84.63	$84.63	$5.54–$67.70	350% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 GLYCOPROTEIN G Ab,IgG - LABCORP	$13.22	$13.22	$9.92–$10.58	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV Type 1 Ab IgG, CSF LABCORP	$18.00	$18.00	$13.50–$14.40	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP VIRUS TYPE 1 GLY G-SP (ARUP)	$28.50	$28.50	$21.38–$22.80	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TEST	$84.63	$84.63	$63.47–$67.70	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 GLYCOPROTEIN G Ab,IgG - LABCORP	$9.00	$9.00	$4.22–$38.70	66% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 1/2 IgG - LABCORP	$12.00	$12.00	$5.63–$38.70	55% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP VIRUS TYPE 2 GLY G-SP (ARUP)	$28.50	$28.50	$8.13–$38.70	7% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$40.66	$40.66	$8.13–$38.70	52% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 GLYCOPROTEIN G Ab,IgG - LABCORP	$9.00	$9.00	$6.75–$7.20	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS 1/2 IgG - LABCORP	$12.00	$12.00	$9.00–$9.60	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP VIRUS TYPE 2 GLY G-SP (ARUP)	$28.50	$28.50	$21.38–$22.80	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$40.66	$40.66	$30.50–$32.53	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$11.23	$11.23	$5.27–$25.90	76% below	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, High Sensitivit ARUP	$18.00	$18.00	$5.44–$25.90	62% below	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN, HIGH SENSITIVITY	$50.00	$50.00	$5.44–$40.00	7% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS	$11.23	$11.23	$8.42–$8.98	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein, High Sensitivit ARUP	$18.00	$18.00	$13.50–$14.40	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN, HIGH SENSITIVITY	$50.00	$50.00	$37.50–$40.00	—	—
Homocysteine blood test CPT 83090 Homocysteine, Total LABCORP	$14.00	$14.00	$6.57–$35.84	66% below	—
Homocysteine blood test CPT 83090 Homocysteine, Total ARUP	$21.30	$21.30	$7.53–$35.84	48% below	—
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTINE	$23.54	$23.54	$7.53–$35.84	43% below	—
Homocysteine blood test inpatient CPT 83090 Homocysteine, Total LABCORP	$14.00	$14.00	$10.50–$11.20	—	—
Homocysteine blood test inpatient CPT 83090 Homocysteine, Total ARUP	$21.30	$21.30	$15.98–$17.04	—	—
Homocysteine blood test inpatient CPT 83090 ASSAY OF HOMOCYSTINE	$23.54	$23.54	$17.66–$18.83	—	—
Insulin blood test CPT 83525 Insulin, Random LABCORP	$6.50	$6.50	$3.05–$22.86	81% below	—
Insulin blood test CPT 83525 Insulin, Random ARUP	$9.70	$9.70	$4.55–$22.86	71% below	—
Insulin blood test CPT 83525 ASSAY OF INSULIN	$12.84	$12.84	$4.80–$22.86	62% below	—
Insulin blood test inpatient CPT 83525 Insulin, Random LABCORP	$6.50	$6.50	$4.88–$5.20	—	—
Insulin blood test inpatient CPT 83525 Insulin, Random ARUP	$9.70	$9.70	$7.28–$7.76	—	—
Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN	$12.84	$12.84	$9.63–$10.27	—	—
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$64.20	$64.20	$2.72–$51.36	45% above	—
Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON	$64.20	$64.20	$48.15–$51.36	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST	$145.95	$145.95	$3.67–$116.76	164% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING TEST	$145.95	$145.95	$109.46–$116.76	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$845.30	$845.30	$3.65–$676.24	499% above	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$845.30	$845.30	$633.98–$676.24	—	—
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone, Serum LABCORP	$11.25	$11.25	$5.28–$37.04	86% below	—
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone, Serum ARUP	$18.80	$18.80	$7.78–$37.04	76% below	—
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone, Serum LABCORP	$11.25	$11.25	$8.44–$9.00	—	—
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone, Serum ARUP	$18.80	$18.80	$14.10–$15.04	—	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase,Fluid - ARUP	$9.70	$9.70	$2.89–$13.78	87% below	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Fluid LABCORP	$11.25	$11.25	$2.89–$13.78	85% below	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, FLUID - LABCORP	$37.00	$37.00	$2.89–$29.60	51% below	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase,Fluid - ARUP	$9.70	$9.70	$7.28–$7.76	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase, Fluid LABCORP	$11.25	$11.25	$8.44–$9.00	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE, FLUID - LABCORP	$37.00	$37.00	$27.75–$29.60	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE	$213.15	$213.15	$159.86–$170.52	—	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$636.30	$636.30	$477.23–$509.04	—	—
Lyme disease antibody test CPT 86618 BorreliaBurgdorferiAbs,Total by ELISA LC	$13.50	$13.50	$6.33–$34.06	44% below	—
Lyme disease antibody test CPT 86618 LYME DIS ACUTE REFLEX PANEL - LABCORP	$16.29	$16.29	$7.15–$34.06	32% below	—
Lyme disease antibody test CPT 86618 Borrelia burgdorferi Antibodies, To ARUP	$19.20	$19.20	$7.15–$34.06	20% below	—
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$33.29	$33.29	$7.15–$34.06	39% above	—
Lyme disease antibody test CPT 86618 B.BURGDORFERI IgG/IgM Abs,CSF - LABCORP	$102.21	$102.21	$7.15–$81.77	326% above	—
Lyme disease antibody test inpatient CPT 86618 BorreliaBurgdorferiAbs,Total by ELISA LC	$13.50	$13.50	$10.13–$10.80	—	—
Lyme disease antibody test inpatient CPT 86618 LYME DIS ACUTE REFLEX PANEL - LABCORP	$16.29	$16.29	$12.22–$13.03	—	—
Lyme disease antibody test inpatient CPT 86618 Borrelia burgdorferi Antibodies, To ARUP	$19.20	$19.20	$14.40–$15.36	—	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$33.29	$33.29	$24.97–$26.63	—	—
Lyme disease antibody test inpatient CPT 86618 B.BURGDORFERI IgG/IgM Abs,CSF - LABCORP	$102.21	$102.21	$76.66–$81.77	—	—
Measles (rubeola) antibody test CPT 86765 MEASLES Abs, IgG & IgM-CRG 1 - LABCORP	$5.66	$5.66	$2.65–$25.76	73% below	—
Measles (rubeola) antibody test CPT 86765 MEASLES Abs, IgG & IgM-CRG 2 - LABCORP	$5.66	$5.66	$2.65–$25.76	73% below	—
Measles (rubeola) antibody test CPT 86765 Measles(Rubeola antibody), IgG	$10.91	$10.91	$5.12–$25.76	48% below	—
Measles (rubeola) antibody test CPT 86765 Measles(Rubeola antibody), IgGM	$10.91	$10.91	$5.12–$25.76	48% below	—
Measles (rubeola) antibody test CPT 86765 Rubeola IgG-ARUP	$11.50	$11.50	$5.39–$25.76	45% below	—
Measles (rubeola) antibody test CPT 86765 Rubeola IgM-ARUP	$11.50	$11.50	$5.39–$25.76	45% below	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$34.11	$34.11	$5.41–$27.29	63% above	—
Measles (rubeola) antibody test CPT 86765 OCC SCRN-MMR/VZV ANTIBDY PANL, IgG-ARUP	$43.85	$43.85	$5.41–$35.08	110% above	—
Measles (rubeola) antibody test CPT 86765 ENCEPHALITIS SERUM -CRG 1 - LABCORP	$121.50	$121.50	$5.41–$97.20	482% above	—
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES Abs, IgG & IgM-CRG 1 - LABCORP	$5.66	$5.66	$4.25–$4.53	—	—
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES Abs, IgG & IgM-CRG 2 - LABCORP	$5.66	$5.66	$4.25–$4.53	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Measles(Rubeola antibody), IgGM	$10.91	$10.91	$8.18–$8.73	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Measles(Rubeola antibody), IgG	$10.91	$10.91	$8.18–$8.73	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola IgG-ARUP	$11.50	$11.50	$8.63–$9.20	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola IgM-ARUP	$11.50	$11.50	$8.63–$9.20	—	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY	$34.11	$34.11	$25.58–$27.29	—	—
Measles (rubeola) antibody test inpatient CPT 86765 OCC SCRN-MMR/VZV ANTIBDY PANL, IgG-ARUP	$43.85	$43.85	$32.89–$35.08	—	—
Measles (rubeola) antibody test inpatient CPT 86765 ENCEPHALITIS SERUM -CRG 1 - LABCORP	$121.50	$121.50	$91.13–$97.20	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Ab (Inf. Mono) LA, Qual LBCP	$7.50	$7.50	$2.18–$10.36	92% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Ab(Inf. Mono)by LA w/Rflx LC	$8.00	$8.00	$2.18–$10.36	91% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES	$9.14	$9.14	$2.18–$10.36	90% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Ab (Inf. Mono) LA, Qual ARUP	$14.70	$14.70	$2.18–$11.76	84% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREEN	$207.90	$207.90	$2.18–$166.32	124% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Ab (Inf. Mono) LA, Qual LBCP	$7.50	$7.50	$5.63–$6.00	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Ab(Inf. Mono)by LA w/Rflx LC	$8.00	$8.00	$6.00–$6.40	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES	$9.14	$9.14	$6.86–$7.31	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Ab (Inf. Mono) LA, Qual ARUP	$14.70	$14.70	$11.03–$11.76	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREEN	$207.90	$207.90	$155.93–$166.32	—	—
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$50.29	$50.29	$20.08–$95.62	80% below	—
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$50.29	$50.29	$37.72–$40.23	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE	$22.89	$22.89	$7.72–$36.78	34% below	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA FREE	$22.89	$22.89	$17.17–$18.31	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$10.70	$10.70	$5.02–$36.78	77% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen, Free Pe ARUP	$11.40	$11.40	$5.35–$36.78	76% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen, Total ARUP	$11.40	$11.40	$5.35–$36.78	76% below	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL	$10.70	$10.70	$8.03–$8.56	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen, Free Pe ARUP	$11.40	$11.40	$8.55–$9.12	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen, Total ARUP	$11.40	$11.40	$8.55–$9.12	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$132.30	$132.30	$11.18–$105.84	44% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$132.30	$132.30	$99.23–$105.84	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER	$135.45	$135.45	$8.51–$108.36	49% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER	$135.45	$135.45	$101.59–$108.36	—	—
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone, Intact ARUP	$51.00	$51.00	$17.34–$82.56	51% below	—
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone, Intact with Ca ARUP	$90.00	$90.00	$17.34–$82.56	13% below	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone, Intact ARUP	$51.00	$51.00	$38.25–$40.80	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone, Intact with Ca ARUP	$90.00	$90.00	$67.50–$72.00	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$5.35	$5.35	$2.51–$12.02	86% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-ARUP	$11.70	$11.70	$2.52–$12.02	69% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-D 1:1 MIX BILL -CRG 1 - LABCORP	$19.36	$19.36	$2.52–$15.49	49% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, INHIBTR SCRN,1:1 MIX-CRG 1-LABCORP	$25.79	$25.79	$2.52–$20.63	32% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-D HEPARIN REFLEX BILL-CRG 1-LABCORP	$25.79	$25.79	$2.52–$20.63	32% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Inhibitor Assay, PTT, Reflex LABCORP	$95.00	$95.00	$2.52–$76.00	152% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PLASMA/WHOLE BLOOD	$277.20	$277.20	$2.52–$221.76	634% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$5.35	$5.35	$4.01–$4.28	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-ARUP	$11.70	$11.70	$8.78–$9.36	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-D 1:1 MIX BILL -CRG 1 - LABCORP	$19.36	$19.36	$14.52–$15.49	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-D HEPARIN REFLEX BILL-CRG 1-LABCORP	$25.79	$25.79	$19.34–$20.63	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, INHIBTR SCRN,1:1 MIX-CRG 1-LABCORP	$25.79	$25.79	$19.34–$20.63	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Inhibitor Assay, PTT, Reflex LABCORP	$95.00	$95.00	$71.25–$76.00	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT PLASMA/WHOLE BLOOD	$277.20	$277.20	$207.90–$221.76	—	—
Progesterone blood test CPT 84144 Progesterone Quant, Serum/Plasma LABCORP	$12.00	$12.00	$5.63–$41.72	78% below	—
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$13.91	$13.91	$6.52–$41.72	75% below	—
Progesterone blood test CPT 84144 Progesterone ARUP	$29.00	$29.00	$8.76–$41.72	47% below	—
Progesterone blood test inpatient CPT 84144 Progesterone Quant, Serum/Plasma LABCORP	$12.00	$12.00	$9.00–$9.60	—	—
Progesterone blood test inpatient CPT 84144 ASSAY OF PROGESTERONE	$13.91	$13.91	$10.43–$11.13	—	—
Progesterone blood test inpatient CPT 84144 Progesterone ARUP	$29.00	$29.00	$21.75–$23.20	—	—
Prolactin blood test CPT 84146 Prolactin LABCORP	$12.75	$12.75	$5.98–$38.76	86% below	—
Prolactin blood test CPT 84146 Prolactin ARUP	$18.90	$18.90	$8.14–$38.76	79% below	—
Prolactin blood test inpatient CPT 84146 Prolactin LABCORP	$12.75	$12.75	$9.56–$10.20	—	—
Prolactin blood test inpatient CPT 84146 Prolactin ARUP	$18.90	$18.90	$14.18–$15.12	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT -ARUP	$11.70	$11.70	$1.80–$9.36	75% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME(PT)MIXING STUDY-LABCORP	$30.19	$30.19	$1.80–$24.15	37% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 Inhibitor Assay, PT,Reflex to 1:1 Mix LC	$30.19	$30.19	$1.80–$24.15	37% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME - UCI	$45.00	$45.00	$1.80–$36.00	6% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$233.10	$233.10	$1.80–$186.48	389% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT -ARUP	$11.70	$11.70	$8.78–$9.36	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME(PT)MIXING STUDY-LABCORP	$30.19	$30.19	$22.64–$24.15	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Inhibitor Assay, PT,Reflex to 1:1 Mix LC	$30.19	$30.19	$22.64–$24.15	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME - UCI	$45.00	$45.00	$33.75–$36.00	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$233.10	$233.10	$174.83–$186.48	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN QUALITATE/MULTI	$189.00	$189.00	$5.29–$151.20	123% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN QUALITATE/MULTI	$189.00	$189.00	$141.75–$151.20	—	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENA A + B DIRECT IMMUNOASSAY-LABCRP	$39.71	$39.71	$6.95–$33.10	47% below	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$1,056.21	$1,056.21	$6.95–$844.97	1301% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENA A + B DIRECT IMMUNOASSAY-LABCRP	$39.71	$39.71	$29.78–$31.77	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC	$1,056.21	$1,056.21	$792.16–$844.97	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus(Group A) Rapid -ARUP	$9.95	$9.95	$4.67–$33.06	91% below	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$12.49	$12.49	$5.86–$33.06	88% below	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus(Group A) Rapid -ARUP	$9.95	$9.95	$7.46–$7.96	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC	$12.49	$12.49	$9.37–$9.99	—	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$10.59	$10.59	$2.38–$11.34	19% below	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor ARUP	$11.50	$11.50	$2.38–$11.34	12% below	—
Rheumatoid factor (RF) test CPT 86431 RF FACTORS IgA,IgG,IgM ELISA-CRG3-LABCRP	$25.96	$25.96	$2.38–$20.77	100% above	—
Rheumatoid factor (RF) test CPT 86431 RF FACTORS IgA,IgG,IgM ELISA-CRG2-LABCRP	$25.96	$25.96	$2.38–$20.77	100% above	—
Rheumatoid factor (RF) test CPT 86431 RF FACTORS IgA,IgG,IgM ELISA-CRG1-LABCRP	$25.97	$25.97	$2.38–$20.78	100% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$10.59	$10.59	$7.94–$8.47	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor ARUP	$11.50	$11.50	$8.63–$9.20	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 RF FACTORS IgA,IgG,IgM ELISA-CRG2-LABCRP	$25.96	$25.96	$19.47–$20.77	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 RF FACTORS IgA,IgG,IgM ELISA-CRG3-LABCRP	$25.96	$25.96	$19.47–$20.77	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 RF FACTORS IgA,IgG,IgM ELISA-CRG1-LABCRP	$25.97	$25.97	$19.48–$20.78	—	—
Rubella antibody test (immunity check) CPT 86762 TORCH ANTIBODIES, IgG -CRG 1 - LABCORP	$6.02	$6.02	$2.82–$28.78	85% below	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES,IgG&IgM-CRG2-LABCO	$6.77	$6.77	$3.18–$28.78	83% below	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES,IgG&IgM-CRG1-LABCO	$6.78	$6.78	$3.18–$28.78	83% below	—
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody, IgG LABCORP	$7.50	$7.50	$3.52–$28.78	81% below	—
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody, IgM ARUP	$11.50	$11.50	$5.39–$28.78	71% below	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$17.86	$17.86	$6.04–$28.78	55% below	—
Rubella antibody test (immunity check) inpatient CPT 86762 TORCH ANTIBODIES, IgG -CRG 1 - LABCORP	$6.02	$6.02	$4.52–$4.82	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES,IgG&IgM-CRG2-LABCO	$6.77	$6.77	$5.08–$5.42	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES,IgG&IgM-CRG1-LABCO	$6.78	$6.78	$5.09–$5.42	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody, IgG LABCORP	$7.50	$7.50	$5.63–$6.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody, IgM ARUP	$11.50	$11.50	$8.63–$9.20	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$17.86	$17.86	$13.40–$14.29	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$132.68	$132.68	$1.13–$106.14	194% above	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED	$132.68	$132.68	$99.51–$106.14	—	—
Stool ova and parasites exam CPT 87177 Ova&ParasiteExam,BodyFluid or Urine-ARUP	$8.18	$8.18	$3.74–$17.80	54% below	—
Stool ova and parasites exam CPT 87177 Ova&Parasite Exam,Trichrome Stain-ARUP	$8.18	$8.18	$3.74–$17.80	54% below	—
Stool ova and parasites exam CPT 87177 Ova and Parasite Exam, Fecal. LABCORP	$8.50	$8.50	$3.74–$17.80	53% below	—
Stool ova and parasites exam CPT 87177 OVA&PARASITE EXAM,BODYFLUID/URN -LABCORP	$13.23	$13.23	$3.74–$17.80	26% below	—
Stool ova and parasites exam CPT 87177 Ova and Parasite Exam, Fecal (Immun ARUP	$34.24	$34.24	$3.74–$27.39	91% above	—
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$130.54	$130.54	$3.74–$104.43	628% above	—
Stool ova and parasites exam inpatient CPT 87177 Ova&Parasite Exam,Trichrome Stain-ARUP	$8.18	$8.18	$6.14–$6.54	—	—
Stool ova and parasites exam inpatient CPT 87177 Ova&ParasiteExam,BodyFluid or Urine-ARUP	$8.18	$8.18	$6.14–$6.54	—	—
Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite Exam, Fecal. LABCORP	$8.50	$8.50	$6.38–$6.80	—	—
Stool ova and parasites exam inpatient CPT 87177 OVA&PARASITE EXAM,BODYFLUID/URN -LABCORP	$13.23	$13.23	$9.92–$10.58	—	—
Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite Exam, Fecal (Immun ARUP	$34.24	$34.24	$25.68–$27.39	—	—
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS	$130.54	$130.54	$97.91–$104.43	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$5.35	$5.35	$1.84–$8.76	86% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES NEOPLASM	$47.25	$47.25	$1.84–$37.80	21% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$5.35	$5.35	$4.01–$4.28	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES NEOPLASM	$47.25	$47.25	$35.44–$37.80	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCLT BLOOD, IMMUNOASSAY COLOFIT LABCORP	$16.00	$16.00	$6.69–$31.84	55% below	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL	$57.90	$57.90	$6.69–$46.32	61% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCLT BLOOD, IMMUNOASSAY COLOFIT LABCORP	$16.00	$16.00	$12.00–$12.80	—	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY TEST FOR BLOOD FECAL	$57.90	$57.90	$43.43–$46.32	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL with Reflex to Titer, CSF LABCORP	$6.25	$6.25	$1.79–$8.54	58% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Treponema pallidum (VDRL), Cerebros ARUP	$6.30	$6.30	$1.79–$8.54	58% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 reponema pallidum (VDRL), Serum wit ARUP	$6.30	$6.30	$1.79–$8.54	58% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$10.16	$10.16	$1.79–$8.54	32% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL with Reflex to Titer, CSF LABCORP	$6.25	$6.25	$4.69–$5.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 reponema pallidum (VDRL), Serum wit ARUP	$6.30	$6.30	$4.73–$5.04	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Treponema pallidum (VDRL), Cerebros ARUP	$6.30	$6.30	$4.73–$5.04	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL	$10.16	$10.16	$7.62–$8.13	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLU, 4-TUBE -LABCO	$29.00	$29.00	$13.60–$123.96	59% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLU, 4-TUBE -LABCORP	$29.00	$29.00	$13.60–$123.96	59% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus, 4-Tube LABCORP	$34.00	$34.00	$15.95–$123.96	52% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus, 1 Tube LABCORP	$34.00	$34.00	$15.95–$123.96	52% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON«-TB Gold In-Tube ARUP	$50.00	$50.00	$23.45–$123.96	29% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTI-TB GOLD CLIENT INCUBATED- LABCORP	$55.00	$55.00	$25.80–$123.96	22% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$104.86	$104.86	$26.03–$123.96	48% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLU, 4-TUBE -LABCO	$29.00	$29.00	$21.75–$23.20	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLU, 4-TUBE -LABCORP	$29.00	$29.00	$21.75–$23.20	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus, 4-Tube LABCORP	$34.00	$34.00	$25.50–$27.20	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus, 1 Tube LABCORP	$34.00	$34.00	$25.50–$27.20	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON«-TB Gold In-Tube ARUP	$50.00	$50.00	$37.50–$40.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTI-TB GOLD CLIENT INCUBATED- LABCORP	$55.00	$55.00	$41.25–$44.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE	$104.86	$104.86	$78.65–$83.89	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Adult Male ARUP	$11.40	$11.40	$5.35–$51.62	72% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Free, Adult Male LABCORP	$13.50	$13.50	$6.33–$51.62	66% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE BY LC-MS/MS,SERUM - LABCORP	$24.75	$24.75	$10.84–$51.62	38% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Females or Children ARUP	$27.00	$27.00	$10.84–$51.62	33% below	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Adult Male ARUP	$11.40	$11.40	$8.55–$9.12	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Free, Adult Male LABCORP	$13.50	$13.50	$10.13–$10.80	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE BY LC-MS/MS,SERUM - LABCORP	$24.75	$24.75	$18.56–$19.80	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Females or Children ARUP	$27.00	$27.00	$20.25–$21.60	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Ab LABCORP	$7.50	$7.50	$3.52–$29.10	67% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOME ABS,IgG-LABCORP	$8.00	$8.00	$3.75–$29.10	65% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 REFLEX Thyroid Peroxidase (TPO) Ant ARUP	$9.80	$9.80	$4.60–$29.10	57% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody ARUP	$9.80	$9.80	$4.60–$29.10	57% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY	$10.58	$10.58	$4.96–$29.10	54% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOME ANTIBDY IGG ARUP	$16.60	$16.60	$6.11–$29.10	27% below	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Ab LABCORP	$7.50	$7.50	$5.63–$6.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOME ABS,IgG-LABCORP	$8.00	$8.00	$6.00–$6.40	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody ARUP	$9.80	$9.80	$7.35–$7.84	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 REFLEX Thyroid Peroxidase (TPO) Ant ARUP	$9.80	$9.80	$7.35–$7.84	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY	$10.58	$10.58	$7.94–$8.46	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOME ANTIBDY IGG ARUP	$16.60	$16.60	$12.45–$13.28	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE	$367.50	$367.50	$275.63–$294.00	—	—
Uric acid blood test inpatient CPT 84550 ASSAY OF BLOOD/URIC ACID	$147.00	$147.00	$110.25–$117.60	—	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$181.65	$181.65	$1.33–$145.32	119% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE	$6.42	$6.42	$4.82–$5.14	—	—
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE	$3.21	$3.21	$1.51–$8.04	93% below	—
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NONAUTO W/SCOPE	$82.95	$82.95	$62.21–$66.36	—	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$6.93	$6.93	$0.95–$5.54	88% below	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE	$6.93	$6.93	$5.20–$5.54	—	—
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$100.80	$100.80	$1.46–$80.64	265% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$100.80	$100.80	$75.60–$80.64	—	—
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$8.34	$8.34	$3.39–$16.14	94% below	—
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT	$306.60	$306.60	$229.95–$245.28	—	—
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$176.40	$176.40	$2.86–$141.12	105% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$176.40	$176.40	$132.30–$141.12	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 ARUP	$13.40	$13.40	$6.28–$30.16	78% below	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$113.40	$113.40	$6.33–$90.72	84% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 ARUP	$13.40	$13.40	$10.05–$10.72	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-Hydroxy ARUP	$11.75	$11.75	$5.51–$59.20	82% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-HYDROXY - LABCORP	$12.00	$12.00	$5.63–$59.20	81% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$25.68	$25.68	$12.04–$59.20	60% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXYVITAMIN D2 & D3,SERUM-LABCORP	$28.00	$28.00	$12.43–$59.20	56% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D2 & D3, Serum LABCORP	$28.00	$28.00	$12.43–$59.20	56% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25-Hydroxy ARUP	$11.75	$11.75	$8.81–$9.40	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25-HYDROXY - LABCORP	$12.00	$12.00	$9.00–$9.60	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$25.68	$25.68	$19.26–$20.54	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-HYDROXYVITAMIN D2 & D3,SERUM-LABCORP	$28.00	$28.00	$21.00–$22.40	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxyvitamin D2 & D3, Serum LABCORP	$28.00	$28.00	$21.00–$22.40	—	—
Zinc blood test CPT 84630 Zinc, Serum or Plasma LABCORP	$6.75	$6.75	$3.17–$22.78	52% below	—
Zinc blood test CPT 84630 Zinc, Serum -ARUP	$11.40	$11.40	$4.78–$22.78	18% below	—
Zinc blood test CPT 84630 ASSAY OF ZINC	$22.47	$22.47	$4.78–$22.78	61% above	—
Zinc blood test inpatient CPT 84630 Zinc, Serum or Plasma LABCORP	$6.75	$6.75	$5.06–$5.40	—	—
Zinc blood test inpatient CPT 84630 Zinc, Serum -ARUP	$11.40	$11.40	$8.55–$9.12	—	—
Zinc blood test inpatient CPT 84630 ASSAY OF ZINC	$22.47	$22.47	$16.85–$17.98	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-hCG, Serum Quant Tumor Marker ARUP	$17.40	$17.40	$6.32–$30.10	88% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$350.70	$350.70	$6.32–$280.56	152% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta-hCG, Serum Quant Tumor Marker ARUP	$17.40	$17.40	$13.05–$13.92	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE	$350.70	$350.70	$263.03–$280.56	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 PLACE NEEDLE WIRE BREAST	$3,517.50	$3,517.50	$644.81–$4,051.39	17% below	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST PERCUT W/DEVICE	$3,517.50	$3,517.50	$644.81–$4,051.39	17% below	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST PERCUT W/IMAGE	$3,517.50	$3,517.50	$644.81–$4,051.39	17% below	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 STEREOTACTIC GUID BREAST BX 1ST LESION	$3,517.50	$3,517.50	$644.81–$4,051.39	17% below	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST PERCUT W/IMAGE	$3,517.50	$3,517.50	$2,638.13–$2,814.00	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 STEREOTACTIC GUID BREAST BX 1ST LESION	$3,517.50	$3,517.50	$2,638.13–$2,814.00	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST PERCUT W/DEVICE	$3,517.50	$3,517.50	$2,638.13–$2,814.00	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 PLACE NEEDLE WIRE BREAST	$3,517.50	$3,517.50	$2,638.13–$2,814.00	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FIB DIST ANKLE FX W/OM BIL	$1,693.65	$1,693.65	$177.40–$1,354.92	216% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 FIB DIST ANKLE FX W/OM LT	$1,128.75	$1,128.75	$177.40–$1,266.00	111% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 FIB DIST ANKLE FX W/OM RT	$1,128.75	$1,128.75	$177.40–$1,266.00	111% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 FIB DIST ANKLE FX W/OM BIL	$1,693.65	$1,693.65	$1,270.24–$1,354.92	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 FIB DIST ANKLE FX W/OM LT	$1,128.75	$1,128.75	$846.56–$903.00	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 FIB DIST ANKLE FX W/OM RT	$1,128.75	$1,128.75	$846.56–$903.00	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TX METATARSAL FX W/O M BIL	$1,693.65	$1,693.65	$141.43–$1,354.92	216% above	—
Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 TX METATARSAL FX W/O M LT	$1,128.75	$1,128.75	$141.43–$1,266.00	111% above	—
Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 TX METATARSAL FX W/O M RT	$1,128.75	$1,128.75	$141.43–$1,266.00	111% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TX METATARSAL FX W/O M BIL	$1,693.65	$1,693.65	$1,270.24–$1,354.92	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient one side CPT 28470 TX METATARSAL FX W/O M RT	$1,128.75	$1,128.75	$846.56–$903.00	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient one side CPT 28470 TX METATARSAL FX W/O M LT	$1,128.75	$1,128.75	$846.56–$903.00	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$3,288.60	$3,288.60	$124.91–$2,630.88	84% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$3,288.60	$3,288.60	$124.91–$2,630.88	84% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$3,288.60	$3,288.60	$2,466.45–$2,630.88	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$3,288.60	$3,288.60	$2,466.45–$2,630.88	—	—
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$3,845.10	$3,845.10	$146.77–$3,076.08	97% above	—
Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX	$3,845.10	$3,845.10	$2,883.83–$3,076.08	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting both sides CPT 25600 TX FX RAD/ULNA W/O M BILAT	$1,233.75	$1,233.75	$160.53–$1,266.00	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 TX FX RAD/ULNA W/O M RT	$822.15	$822.15	$160.53–$1,266.00	42% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 TX FX RAD/ULNA W/O M LT	$822.15	$822.15	$160.53–$1,266.00	42% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient both sides CPT 25600 TX FX RAD/ULNA W/O M BILAT	$1,233.75	$1,233.75	$925.31–$987.00	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 TX FX RAD/ULNA W/O M LT	$822.15	$822.15	$616.61–$657.72	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 TX FX RAD/ULNA W/O M RT	$822.15	$822.15	$616.61–$657.72	—	—
Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 RMVL IMPCTD CERUMEN IRRIGAT/LAVAG BI	$610.05	$610.05	$14.86–$1,266.00	—	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 RMVL IMPCTD CERUMEN IRRIGAT/LAVAG RT	$406.35	$406.35	$14.86–$1,266.00	129% above	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 RMVL IMPCTD CERUMEN IRRIGAT/LAVAG LT	$406.35	$406.35	$14.86–$1,266.00	129% above	—
Earwax removal by irrigation (rinsing), one ear inpatient both sides CPT 69209 RMVL IMPCTD CERUMEN IRRIGAT/LAVAG BI	$610.05	$610.05	$457.54–$488.04	—	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 RMVL IMPCTD CERUMEN IRRIGAT/LAVAG RT	$406.35	$406.35	$304.76–$325.08	—	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 RMVL IMPCTD CERUMEN IRRIGAT/LAVAG LT	$406.35	$406.35	$304.76–$325.08	—	—
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX	$193.20	$193.20	$44.06–$1,266.00	10% above	—
Earwax removal with instruments, one ear CPT 69210 RMVL IMPCTD CERUMEN REQUIRING INSTR BIL	$289.80	$289.80	$44.06–$1,266.00	65% above	—
Earwax removal with instruments, one ear one side CPT 69210 RMVL IMPCTD CERUMEN INSTRMNTATION RT	$193.20	$193.20	$44.06–$1,266.00	10% above	—
Earwax removal with instruments, one ear one side CPT 69210 RMVL IMPCTD CERUMEN INSTRMNTATION LT	$193.20	$193.20	$44.06–$1,266.00	10% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX	$193.20	$193.20	$144.90–$154.56	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 RMVL IMPCTD CERUMEN REQUIRING INSTR BIL	$289.80	$289.80	$217.35–$231.84	—	—
Earwax removal with instruments, one ear inpatient one side CPT 69210 RMVL IMPCTD CERUMEN INSTRMNTATION RT	$193.20	$193.20	$144.90–$154.56	—	—
Earwax removal with instruments, one ear inpatient one side CPT 69210 RMVL IMPCTD CERUMEN INSTRMNTATION LT	$193.20	$193.20	$144.90–$154.56	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION PARAVERT JNT LUM/SAC 1 LEVEL	$1,765.53	$1,765.53	$147.34–$2,277.67	14% below	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJECTION PARAVERT JNT LUM/SAC 1 LEVEL	$1,765.53	$1,765.53	$1,324.15–$1,412.42	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$245.70	$245.70	$49.14–$1,850.00	47% below	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATHETER FOR HYSTEROGRAPHY	$245.70	$245.70	$184.28–$196.56	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D OF SKIN ABSCESS	$474.00	$474.00	$111.23–$500.28	1% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS	$497.70	$497.70	$111.23–$1,266.00	6% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE/SINGLE	$497.70	$497.70	$111.23–$500.28	6% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D OF SKIN ABSCESS	$474.00	$474.00	$355.50–$379.20	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS	$497.70	$497.70	$373.28–$398.16	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SIMPLE/SINGLE	$497.70	$497.70	$373.28–$398.16	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$1,262.10	$1,262.10	$53.63–$1,266.00	91% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT	$1,262.10	$1,262.10	$946.58–$1,009.68	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIR/INJECT JOINT/BURSA MAJOR	$1,339.80	$1,339.80	$59.78–$3,153.00	85% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIR/INJECT JOINT/BURSA MAJOR	$1,339.80	$1,339.80	$59.78–$3,153.00	85% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT JOINT/BURSA	$1,339.80	$1,339.80	$59.78–$1,266.00	85% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIR/INJ MAJOR W/O US	$1,339.80	$1,339.80	$59.78–$1,071.84	85% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIR/INJECT JOINT/BURSA MAJOR	$1,339.80	$1,339.80	$1,004.85–$1,071.84	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASPIR/INJ MAJOR W/O US	$1,339.80	$1,339.80	$1,004.85–$1,071.84	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJECT JOINT/BURSA	$1,339.80	$1,339.80	$1,004.85–$1,071.84	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIR/INJECT JOINT/BURSA MAJOR	$1,339.80	$1,339.80	$1,004.85–$1,071.84	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIR/INJECT JOINT/BURSA INTERMED	$1,262.10	$1,262.10	$51.14–$2,428.00	122% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIR/INJECT JOINT/BURSA INTERMED	$1,262.10	$1,262.10	$51.14–$2,428.00	122% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASPIR/INJ INTERM W/O US	$1,262.10	$1,262.10	$51.14–$1,009.68	122% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT JOINT/BURSA	$1,262.10	$1,262.10	$51.14–$1,266.00	122% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ASPIR/INJ INTERM W/O US	$1,262.10	$1,262.10	$946.58–$1,009.68	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIR/INJECT JOINT/BURSA INTERMED	$1,262.10	$1,262.10	$946.58–$1,009.68	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIR/INJECT JOINT/BURSA INTERMED	$1,262.10	$1,262.10	$946.58–$1,009.68	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJECT JOINT/BURSA	$1,262.10	$1,262.10	$946.58–$1,009.68	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIR/INJECT JOINT/BURSA SMALL	$656.25	$656.25	$49.19–$1,850.00	6% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT JOINT/BURSA	$656.25	$656.25	$49.19–$1,266.00	6% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIR/INJECT JOINT/BURSA SMALL	$656.25	$656.25	$49.19–$1,850.00	6% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIR/INJ SM W/O US GUID	$656.25	$656.25	$49.19–$740.12	6% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJECT JOINT/BURSA	$656.25	$656.25	$492.19–$525.00	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASPIR/INJECT JOINT/BURSA SMALL	$656.25	$656.25	$492.19–$525.00	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASPIR/INJ SM W/O US GUID	$656.25	$656.25	$492.19–$525.00	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASPIR/INJECT JOINT/BURSA SMALL	$656.25	$656.25	$492.19–$525.00	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WND REPAIR S/TR/EXT	$868.35	$868.35	$251.16–$1,266.00	at median	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD WND REPAIR S/TR/EXT	$868.35	$868.35	$651.26–$694.68	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION OF BENIGN LESION 0.5CM OR LESS	$1,483.00	$1,483.00	$122.25–$1,758.14	12% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BNGN LSN INCL MRGNS EXCPT SKN TG>5CM	$1,557.15	$1,557.15	$122.25–$1,758.14	17% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION OF BENIGN LESION 0.5CM OR LESS	$1,483.00	$1,483.00	$1,112.25–$1,186.40	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BNGN LSN INCL MRGNS EXCPT SKN TG>5CM	$1,557.15	$1,557.15	$1,167.86–$1,245.72	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M	$1,334.55	$1,334.55	$137.15–$1,758.14	10% below	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M	$1,334.55	$1,334.55	$1,000.91–$1,067.64	—	—
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$451.50	$451.50	$109.23–$1,266.00	at median	—
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE	$451.50	$451.50	$338.63–$361.20	—	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$2,171.40	$2,171.40	$282.43–$2,265.18	22% above	—
Paracentesis with imaging guidance CPT 49083 ABDOM PARACENTESIS W/IMAG GUIDANCE	$2,171.40	$2,171.40	$282.43–$2,428.00	22% above	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$2,171.40	$2,171.40	$282.43–$2,428.00	22% above	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS -US GUIDED	$2,171.40	$2,171.40	$282.43–$2,428.00	22% above	—
Paracentesis with imaging guidance CPT 49083 PUNCTURE PERITONEAL CAVITY	$2,171.40	$2,171.40	$282.43–$2,265.18	22% above	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS -CT GUIDED	$2,171.40	$2,171.40	$282.43–$2,428.00	22% above	—
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/ IMAG GUIDANCE	$2,171.40	$2,171.40	$282.43–$2,265.18	22% above	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS -CT GUIDED	$2,171.40	$2,171.40	$1,628.55–$1,737.12	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$2,171.40	$2,171.40	$1,628.55–$1,737.12	—	—
Paracentesis with imaging guidance inpatient CPT 49083 PUNCTURE PERITONEAL CAVITY	$2,171.40	$2,171.40	$1,628.55–$1,737.12	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABDOM PARACENTESIS W/IMAG GUIDANCE	$2,171.40	$2,171.40	$1,628.55–$1,737.12	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$2,171.40	$2,171.40	$1,628.55–$1,737.12	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS -US GUIDED	$2,171.40	$2,171.40	$1,628.55–$1,737.12	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W/ IMAG GUIDANCE	$2,171.40	$2,171.40	$1,628.55–$1,737.12	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$1,295.70	$1,295.70	$151.07–$1,266.00	5% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$1,295.70	$1,295.70	$971.78–$1,036.56	—	—
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE	$6,059.55	$6,059.55	$89.24–$5,089.73	132% above	—
Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE	$6,059.55	$6,059.55	$4,544.66–$4,847.64	—	—
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY	$827.00	$827.00	$143.44–$996.41	10% above	—
Removal of a foreign object under the skin, simple CPT 10120 REM FB BOTH TH/KN SIMP	$1,303.05	$1,303.05	$143.44–$1,266.00	73% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY	$868.35	$868.35	$651.26–$694.68	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 REM FB BOTH TH/KN SIMP	$1,303.05	$1,303.05	$977.29–$1,042.44	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$2,623.95	$2,623.95	$1,107.67–$2,428.00	54% above	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$2,623.95	$2,623.95	$1,967.96–$2,099.16	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$2,623.95	$2,623.95	$1,107.67–$2,428.00	46% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$2,623.95	$2,623.95	$1,967.96–$2,099.16	—	—
Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST BIL	$910.35	$910.35	$84.30–$1,266.00	82% above	—
Short arm cast (elbow to hand) CPT 29075 APPLY SHORT ARM CAST	$1,208.75	$1,208.75	$84.30–$1,266.00	142% above	—
Short arm cast (elbow to hand) one side CPT 29075 APPLY FOREARM CAST LT	$606.90	$606.90	$84.30–$1,266.00	22% above	—
Short arm cast (elbow to hand) one side CPT 29075 APPLY FOREARM CAST RT	$606.90	$606.90	$84.30–$1,266.00	22% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST BIL	$910.35	$910.35	$682.76–$728.28	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY SHORT ARM CAST	$1,208.75	$1,208.75	$906.56–$967.00	—	—
Short arm cast (elbow to hand) inpatient one side CPT 29075 APPLY FOREARM CAST LT	$606.90	$606.90	$455.18–$485.52	—	—
Short arm cast (elbow to hand) inpatient one side CPT 29075 APPLY FOREARM CAST RT	$606.90	$606.90	$455.18–$485.52	—	—
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT	$528.00	$528.00	$62.88–$1,266.00	30% above	—
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT BIL	$651.00	$651.00	$62.88–$1,266.00	61% above	—
Short arm splint (forearm and hand) one side CPT 29125 APPLY FOREARM SPLINT LT	$433.65	$433.65	$62.88–$1,266.00	7% above	—
Short arm splint (forearm and hand) one side CPT 29125 APPLY FOREARM SPLINT RT	$433.65	$433.65	$62.88–$1,266.00	7% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT	$528.00	$528.00	$396.00–$422.40	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT BIL	$651.00	$651.00	$488.25–$520.80	—	—
Short arm splint (forearm and hand) inpatient one side CPT 29125 APPLY FOREARM SPLINT LT	$433.65	$433.65	$325.24–$346.92	—	—
Short arm splint (forearm and hand) inpatient one side CPT 29125 APPLY FOREARM SPLINT RT	$433.65	$433.65	$325.24–$346.92	—	—
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST BIL	$910.35	$910.35	$86.97–$1,266.00	82% above	—
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$1,208.75	$1,208.75	$86.97–$1,266.00	142% above	—
Short leg cast (below the knee) one side CPT 29405 APPLY SHORT LEG CAST RT	$606.90	$606.90	$86.97–$1,266.00	22% above	—
Short leg cast (below the knee) one side CPT 29405 APPLY SHORT LEG CAST LT	$606.90	$606.90	$86.97–$1,266.00	22% above	—
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST BIL	$910.35	$910.35	$682.76–$728.28	—	—
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST	$1,208.75	$1,208.75	$906.56–$967.00	—	—
Short leg cast (below the knee) inpatient one side CPT 29405 APPLY SHORT LEG CAST RT	$606.90	$606.90	$455.18–$485.52	—	—
Short leg cast (below the knee) inpatient one side CPT 29405 APPLY SHORT LEG CAST LT	$606.90	$606.90	$455.18–$485.52	—	—
Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT	$528.00	$528.00	$67.22–$1,266.00	7% above	—
Short leg splint (calf to foot) CPT 29515 APPLY LOW LEG SPLINT BIL	$871.50	$871.50	$67.22–$1,266.00	76% above	—
Short leg splint (calf to foot) one side CPT 29515 APPLY LOW LEG SPLINT RT	$580.65	$580.65	$67.22–$1,266.00	18% above	—
Short leg splint (calf to foot) one side CPT 29515 APPLY LOW LEG SPLINT LT	$580.65	$580.65	$67.22–$1,266.00	18% above	—
Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLINT	$528.00	$528.00	$396.00–$422.40	—	—
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOW LEG SPLINT BIL	$871.50	$871.50	$653.63–$697.20	—	—
Short leg splint (calf to foot) inpatient one side CPT 29515 APPLY LOW LEG SPLINT LT	$580.65	$580.65	$435.49–$464.52	—	—
Short leg splint (calf to foot) inpatient one side CPT 29515 APPLY LOW LEG SPLINT RT	$580.65	$580.65	$435.49–$464.52	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S)	$430.00	$430.00	$88.31–$500.28	3% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SUPERFICIAL WOUND(S)	$451.50	$451.50	$338.63–$361.20	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MLG+MARG 0.5 < CM	$1,987.65	$1,987.65	$70.64–$1,758.14	1% above	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC TR-EXT MLG+MARG 0.5 < CM	$1,987.65	$1,987.65	$1,490.74–$1,590.12	—	—
Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAB MULT UP TO 15 LESIONS	$433.65	$433.65	$86.47–$1,266.00	11% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAB MULT UP TO 15 LESIONS	$433.65	$433.65	$325.24–$346.92	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$1,224.30	$1,224.30	$124.27–$1,728.08	at median	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP DIAGNOSTIC	$1,224.30	$1,224.30	$124.27–$1,728.08	at median	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL FLUID TAP DIAGNOSTIC	$1,224.30	$1,224.30	$918.23–$979.44	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$1,224.30	$1,224.30	$918.23–$979.44	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND(S)	$497.00	$497.00	$106.28–$500.28	27% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SUPERFICIAL WOUND(S)	$521.85	$521.85	$391.39–$417.48	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND(S)	$543.90	$543.90	$105.40–$1,266.00	18% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR SUPERFICIAL WOUND(S)	$543.90	$543.90	$407.93–$435.12	—	—
Thoracentesis with imaging guidance both sides CPT 32555 THORACENTESIS NEEDLE/CATH PLEUR W IMA BI	$3,051.30	$3,051.30	$94.18–$2,441.04	—	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE/CATH PLEURA W/ IMAG	$3,051.30	$3,051.30	$94.18–$2,441.04	50% above	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/TUBE INSERT-FL GUIDED	$3,051.30	$3,051.30	$94.18–$2,441.04	50% above	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING GUIDANCE BIL	$3,051.30	$3,051.30	$94.18–$2,441.04	50% above	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS FOR ASPIRATION-US GUIDED	$3,051.30	$3,051.30	$94.18–$2,441.04	50% above	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS FOR ASPIRATION-FL GUIDED	$3,051.30	$3,051.30	$94.18–$2,441.04	50% above	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING GUIDANCE	$3,051.30	$3,051.30	$94.18–$2,441.04	50% above	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS FOR ASPIRATION-CT GUIDED	$3,051.30	$3,051.30	$94.18–$2,441.04	50% above	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/TUBE INSERT-CT GUIDED	$3,051.30	$3,051.30	$94.18–$2,441.04	50% above	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING	$3,051.30	$3,051.30	$94.18–$2,441.04	50% above	—
Thoracentesis with imaging guidance inpatient both sides CPT 32555 THORACENTESIS NEEDLE/CATH PLEUR W IMA BI	$3,051.30	$3,051.30	$2,288.48–$2,441.04	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/TUBE INSERT-CT GUIDED	$3,051.30	$3,051.30	$2,288.48–$2,441.04	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/TUBE INSERT-FL GUIDED	$3,051.30	$3,051.30	$2,288.48–$2,441.04	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS NEEDLE/CATH PLEURA W/ IMAG	$3,051.30	$3,051.30	$2,288.48–$2,441.04	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGING GUIDANCE BIL	$3,051.30	$3,051.30	$2,288.48–$2,441.04	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS FOR ASPIRATION-FL GUIDED	$3,051.30	$3,051.30	$2,288.48–$2,441.04	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGING	$3,051.30	$3,051.30	$2,288.48–$2,441.04	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGING GUIDANCE	$3,051.30	$3,051.30	$2,288.48–$2,441.04	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS FOR ASPIRATION-US GUIDED	$3,051.30	$3,051.30	$2,288.48–$2,441.04	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS FOR ASPIRATION-CT GUIDED	$3,051.30	$3,051.30	$2,288.48–$2,441.04	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$656.25	$656.25	$53.54–$1,850.00	5% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$656.25	$656.25	$492.19–$525.00	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BREAST BIOPSY W/CLIP 1ST LESION	$2,734.20	$2,734.20	$626.20–$4,051.39	12% below	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BREAST BIOPSY W/CLIP 1ST LESION	$2,734.20	$2,734.20	$2,050.65–$2,187.36	—	—
Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESIONS UP TO 14	$677.00	$677.00	$109.00–$1,266.00	89% above	—
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION BENIGN LESIONS UP TO 14	$677.00	$677.00	$507.75–$541.60	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM OR LESS	$1,233.00	$1,233.00	$122.38–$996.41	81% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$1,233.00	$1,233.00	$122.38–$996.41	81% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM OR LESS	$1,233.00	$1,233.00	$924.75–$986.40	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$1,233.00	$1,233.00	$924.75–$986.40	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$2,457.00	$2,457.00	$526.11–$1,965.60	181% above	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$2,457.00	$2,457.00	$526.11–$1,965.60	181% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE	$2,457.00	$2,457.00	$1,351.35–$1,965.60	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$2,457.00	$2,457.00	$1,842.75–$1,965.60	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$339.15	$339.15	$11.93–$532.98	10% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$339.15	$339.15	$254.36–$271.32	—	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$1,761.90	$1,761.90	$29.16–$1,409.52	102% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR	$1,761.90	$1,761.90	$1,321.43–$1,409.52	—	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST	$385.35	$385.35	$180.73–$390.33	30% below	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE HEARING TEST	$385.35	$385.35	$289.01–$308.28	—	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$5,045.25	$5,045.25	$124.03–$4,036.20	2% above	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HR W/P	$5,045.25	$5,045.25	$124.03–$4,036.20	2% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST HR W/P	$5,045.25	$5,045.25	$3,783.94–$4,036.20	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR	$5,045.25	$5,045.25	$3,783.94–$4,036.20	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$1,033.20	$1,033.20	$77.09–$826.56	16% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$1,033.20	$1,033.20	$774.90–$826.56	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$460.95	$460.95	$16.73–$368.76	36% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING	$460.95	$460.95	$345.71–$368.76	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1 W/PROC	$420.00	$420.00	$15.48–$1,266.00	9% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT 1	$420.00	$420.00	$15.48–$1,266.00	9% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL 1 W/PROC	$420.00	$420.00	$315.00–$336.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPT VISIT 1	$420.00	$420.00	$315.00–$336.00	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2 W/PROC	$1,230.00	$1,230.00	$24.87–$1,266.00	65% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT 2	$1,230.00	$1,230.00	$24.87–$1,266.00	65% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL 2 W/PROC	$1,230.00	$1,230.00	$922.50–$984.00	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT 2	$1,230.00	$1,230.00	$922.50–$984.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3 W/PROC	$1,780.00	$1,780.00	$45.49–$1,424.00	47% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT 3	$1,780.00	$1,780.00	$45.49–$1,424.00	47% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT 3	$1,780.00	$1,780.00	$1,335.00–$1,424.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL 3 W/PROC	$1,780.00	$1,780.00	$1,335.00–$1,424.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4 W/PROC	$2,930.00	$2,930.00	$69.72–$2,344.00	50% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT 4	$2,930.00	$2,930.00	$69.72–$2,344.00	50% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL 4 W/PROC	$2,930.00	$2,930.00	$2,197.50–$2,344.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT 4	$2,930.00	$2,930.00	$2,197.50–$2,344.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5 W/PROC	$4,420.00	$4,420.00	$110.24–$3,536.00	35% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT 5	$4,420.00	$4,420.00	$110.24–$3,536.00	35% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT 5	$4,420.00	$4,420.00	$3,315.00–$3,536.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL 5 W/PROC	$4,420.00	$4,420.00	$3,315.00–$3,536.00	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO STRESS TEST	$1,517.25	$1,517.25	$53.55–$1,213.80	25% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$1,517.25	$1,517.25	$53.55–$1,213.80	25% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIO STRESS TEST	$1,517.25	$1,517.25	$1,137.94–$1,213.80	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST	$1,517.25	$1,517.25	$1,137.94–$1,213.80	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV ADMINISTRATION HYDRATION 31 MIN-1 HR	$763.35	$763.35	$52.33–$610.68	68% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATE INITIAL 1ST HOUR	$763.35	$763.35	$52.33–$610.68	68% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV ADMIN HYDRATION INIT	$973.35	$973.35	$52.33–$1,266.00	114% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$973.35	$973.35	$52.33–$1,266.00	114% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT	$763.35	$763.35	$572.51–$610.68	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATE INITIAL 1ST HOUR	$763.35	$763.35	$572.51–$610.68	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV ADMINISTRATION HYDRATION 31 MIN-1 HR	$763.35	$763.35	$572.51–$610.68	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV ADMIN HYDRATION INIT	$973.35	$973.35	$730.01–$778.68	—	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HOUR	$810.60	$810.60	$63.85–$648.48	69% above	—
IV infusion of a medicine, first hour CPT 96365 IV ADMINISTRATION MEDICATION INITIAL HR	$810.60	$810.60	$63.85–$648.48	69% above	—
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$810.60	$810.60	$63.85–$648.48	69% above	—
IV infusion of a medicine, first hour CPT 96365 THER/PRO/DIAG IV INF INI	$810.60	$810.60	$63.85–$1,266.00	69% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT	$810.60	$810.60	$607.95–$648.48	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HOUR	$810.60	$810.60	$607.95–$648.48	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV ADMINISTRATION MEDICATION INITIAL HR	$810.60	$810.60	$607.95–$648.48	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PRO/DIAG IV INF INI	$810.60	$810.60	$607.95–$648.48	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC/DX INJ SUBQ/IM	$156.45	$156.45	$19.13–$399.00	at median	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ/IM	$156.45	$156.45	$19.13–$399.00	at median	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TX/PRO/DX INJ SC/IM	$156.45	$156.45	$19.13–$1,266.00	at median	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$238.35	$238.35	$19.13–$1,266.00	52% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ/IM	$156.45	$156.45	$117.34–$125.16	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TX/PRO/DX INJ SC/IM	$156.45	$156.45	$117.34–$125.16	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$156.45	$156.45	$117.34–$125.16	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPHYLACTIC/DX INJ SUBQ/IM	$156.45	$156.45	$117.34–$125.16	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSY DX INTERVIEW	$473.55	$473.55	$166.34–$1,266.00	49% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL	$473.55	$473.55	$166.34–$1,266.00	49% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSY DX INTERVIEW	$473.55	$473.55	$355.16–$378.84	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL	$473.55	$473.55	$355.16–$378.84	—	—
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCAT EA 15 MIN	$254.10	$254.10	$12.46–$218.00	99% above	—
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION EA 15 MIN	$254.10	$254.10	$12.46–$218.00	99% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION EA 15 MIN	$240.65	$240.65	$180.49–$192.52	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCAT EA 15 MIN	$254.10	$254.10	$190.58–$203.28	—	—
New patient office visit, about 30 minutes CPT 99203 INTERNAL MEDICINE NEW PT VISIT LEVEL 3	$374.00	$374.00	$74.80–$299.20	109% above	—
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT NEW LEVEL 3	$374.00	$374.00	$74.80–$299.20	109% above	—
New patient office visit, about 30 minutes CPT 99203 CLINIC NEW PATIENT LEVEL 3	$393.00	$393.00	$78.60–$314.40	119% above	—
New patient office visit, about 30 minutes CPT 99203 New Patient Ortho Visit 3	$393.00	$393.00	$78.60–$314.40	119% above	—
New patient office visit, about 30 minutes CPT 99203 NEW PT VISIT LEVEL 3	$638.00	$638.00	$103.30–$510.40	256% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 INTERNAL MEDICINE NEW PT VISIT LEVEL 3	$374.00	$374.00	$280.50–$299.20	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT NEW LEVEL 3	$374.00	$374.00	$280.50–$299.20	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 New Patient Ortho Visit 3	$393.00	$393.00	$294.75–$314.40	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC NEW PATIENT LEVEL 3	$393.00	$393.00	$294.75–$314.40	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT VISIT LEVEL 3	$638.00	$638.00	$478.50–$510.40	—	—
New patient office visit, about 45 minutes CPT 99204 INTERNAL MEDICINE NEW PT VISIT LEVEL 4	$675.00	$675.00	$135.00–$540.00	185% above	—
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT NEW LEVEL 4	$675.00	$675.00	$135.00–$540.00	185% above	—
New patient office visit, about 45 minutes CPT 99204 New Patient Ortho Visit 4	$675.00	$675.00	$135.00–$540.00	185% above	—
New patient office visit, about 45 minutes CPT 99204 CLINIC NEW PATIENT LEVEL 4	$675.00	$675.00	$135.00–$540.00	185% above	—
New patient office visit, about 45 minutes CPT 99204 NEW PT VISIT LEVEL 4	$1,012.00	$1,012.00	$154.94–$809.60	328% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 New Patient Ortho Visit 4	$675.00	$675.00	$506.25–$540.00	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT VISIT NEW LEVEL 4	$675.00	$675.00	$506.25–$540.00	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC NEW PATIENT LEVEL 4	$675.00	$675.00	$506.25–$540.00	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 INTERNAL MEDICINE NEW PT VISIT LEVEL 4	$675.00	$675.00	$506.25–$540.00	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT VISIT LEVEL 4	$1,012.00	$1,012.00	$759.00–$809.60	—	—
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT NEW LEVEL 5	$735.00	$735.00	$147.00–$588.00	158% above	—
New patient office visit, about 60 minutes CPT 99205 CLINIC NEW PATIENT LEVEL 5	$735.00	$735.00	$147.00–$588.00	158% above	—
New patient office visit, about 60 minutes CPT 99205 New Patient Ortho Visit 5	$735.00	$735.00	$147.00–$588.00	158% above	—
New patient office visit, about 60 minutes CPT 99205 INTERNAL MEDICINE NEW PT VISIT LEVEL 5	$735.00	$735.00	$147.00–$588.00	158% above	—
New patient office visit, about 60 minutes CPT 99205 NEW PT VISIT LEVEL 5	$1,192.00	$1,192.00	$201.94–$953.60	318% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 New Patient Ortho Visit 5	$735.00	$735.00	$551.25–$588.00	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC NEW PATIENT LEVEL 5	$735.00	$735.00	$551.25–$588.00	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 INTERNAL MEDICINE NEW PT VISIT LEVEL 5	$735.00	$735.00	$551.25–$588.00	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT NEW LEVEL 5	$735.00	$735.00	$551.25–$588.00	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT VISIT LEVEL 5	$1,192.00	$1,192.00	$894.00–$953.60	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPATIENT VISIT NEW LEVEL 2	$341.00	$341.00	$68.20–$272.80	156% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 INTERNAL MEDICINE NEW PT VISIT LEVEL 2	$341.00	$341.00	$68.20–$272.80	156% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Ortho Visit 2	$341.00	$341.00	$68.20–$272.80	156% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC NEW PATIENT LEVEL 2	$358.05	$358.05	$70.69–$286.44	169% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT VISIT LEVEL 2	$400.00	$400.00	$70.69–$320.00	201% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OUTPATIENT VISIT NEW LEVEL 2	$341.00	$341.00	$255.75–$272.80	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 INTERNAL MEDICINE NEW PT VISIT LEVEL 2	$341.00	$341.00	$255.75–$272.80	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Patient Ortho Visit 2	$341.00	$341.00	$255.75–$272.80	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CLINIC NEW PATIENT LEVEL 2	$358.05	$358.05	$268.54–$286.44	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT VISIT LEVEL 2	$400.00	$400.00	$300.00–$320.00	—	—
Occupational therapy evaluation, low complexity CPT 97165 OCCPTNL THERAPY EVALUATION LOW CMPLXTY	$511.35	$511.35	$89.89–$409.08	97% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCPTNL THERAPY EVALUATION LOW CMPLXTY	$511.35	$511.35	$383.51–$409.08	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVALUATION HIGH CMPLXTY	$791.70	$791.70	$88.94–$633.36	79% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PHYSICAL THERAPY EVALUATION HIGH CMPLXTY	$791.70	$791.70	$593.78–$633.36	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVALUATION LOW CMPLXTY	$495.60	$495.60	$88.94–$396.48	103% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVALUATION LOW CMPLXTY	$495.60	$495.60	$371.70–$396.48	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVALUATION MOD CMPLXTY	$668.85	$668.85	$88.94–$535.08	88% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PHYSICAL THERAPY EVALUATION MOD CMPLXTY	$668.85	$668.85	$501.64–$535.08	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MYOFASCIAL RELEASE 15 MIN	$150.15	$150.15	$22.65–$218.00	25% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MASSAGE THERAPY EA 15 MIN	$261.43	$261.43	$22.65–$218.00	118% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MYOFASCIAL RELEASE 15 MIN	$150.15	$150.15	$112.61–$120.12	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MASSAGE THERAPY EA 15 MIN	$150.15	$150.15	$112.61–$120.12	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN	$244.65	$244.65	$11.18–$218.00	89% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE	$244.65	$244.65	$11.18–$218.00	89% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN	$244.65	$244.65	$183.49–$195.72	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE	$270.41	$270.41	$202.81–$216.33	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$91.35	$91.35	$13.64–$73.08	66% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$91.35	$91.35	$68.51–$73.08	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Ortho Visit Established Lvl 5	$601.00	$601.00	$120.20–$480.80	175% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC ESTABLISHED PATIENT LEVEL 5	$601.00	$601.00	$120.20–$480.80	175% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 INTERNAL MEDICINE EST PT VISIT LEVEL 5	$601.00	$601.00	$120.20–$480.80	175% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPATIENT VISIT EST LEVEL 5	$601.00	$601.00	$120.20–$480.80	175% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT VISIT LEVEL 5	$855.00	$855.00	$165.35–$684.00	291% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OUTPATIENT VISIT EST LEVEL 5	$601.00	$601.00	$450.75–$480.80	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC ESTABLISHED PATIENT LEVEL 5	$601.00	$601.00	$450.75–$480.80	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 INTERNAL MEDICINE EST PT VISIT LEVEL 5	$601.00	$601.00	$450.75–$480.80	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Ortho Visit Established Lvl 5	$601.00	$601.00	$450.75–$480.80	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT VISIT LEVEL 5	$855.00	$855.00	$641.25–$684.00	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 INTERNAL MEDICINE EST PT VISIT LEVEL 3	$388.00	$388.00	$77.60–$310.40	169% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT VISIT EST LEVEL 3	$388.00	$388.00	$77.60–$310.40	169% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC ESTABLISHED PATIENT LEVEL 3	$388.00	$388.00	$77.60–$310.40	169% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Ortho Visit Established Lvl 3	$388.00	$388.00	$77.60–$310.40	169% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT VISIT LEVEL 3	$457.00	$457.00	$83.66–$365.60	217% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPATIENT VISIT EST LEVEL 3	$388.00	$388.00	$291.00–$310.40	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Ortho Visit Established Lvl 3	$388.00	$388.00	$291.00–$310.40	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC ESTABLISHED PATIENT LEVEL 3	$388.00	$388.00	$291.00–$310.40	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 INTERNAL MEDICINE EST PT VISIT LEVEL 3	$388.00	$388.00	$291.00–$310.40	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT VISIT LEVEL 3	$457.00	$457.00	$342.75–$365.60	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPATIENT VISIT EST LEVEL 4	$464.00	$464.00	$92.80–$371.20	165% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Ortho Visit Established Lvl 4	$464.00	$464.00	$92.80–$371.20	165% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC ESTABLISHED PATIENT LEVEL 4	$464.00	$464.00	$92.80–$371.20	165% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 INTERNAL MEDICINE EST PT VISIT LEVEL 4	$464.00	$464.00	$92.80–$371.20	165% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT VISIT LEVEL 4	$522.00	$522.00	$104.40–$417.60	198% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC ESTABLISHED PATIENT LEVEL 4	$464.00	$464.00	$348.00–$371.20	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPATIENT VISIT EST LEVEL 4	$464.00	$464.00	$348.00–$371.20	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Ortho Visit Established Lvl 4	$464.00	$464.00	$348.00–$371.20	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 INTERNAL MEDICINE EST PT VISIT LEVEL 4	$464.00	$464.00	$348.00–$371.20	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT VISIT LEVEL 4	$522.00	$522.00	$391.50–$417.60	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 INTERNAL MEDICINE EST PT VISIT LEVEL 2	$329.00	$329.00	$52.69–$263.20	191% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPATIENT VISIT EST LEVEL 2	$329.00	$329.00	$52.69–$263.20	191% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Ortho Visit Established Lvl 2	$329.00	$329.00	$52.69–$263.20	191% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC ESTABLISHED PATIENT LEVEL 2	$329.00	$329.00	$52.69–$263.20	191% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT VISIT LEVEL 2	$392.00	$392.00	$52.69–$313.60	247% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 INTERNAL MEDICINE EST PT VISIT LEVEL 2	$329.00	$329.00	$246.75–$263.20	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC ESTABLISHED PATIENT LEVEL 2	$329.00	$329.00	$246.75–$263.20	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Ortho Visit Established Lvl 2	$329.00	$329.00	$246.75–$263.20	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPATIENT VISIT EST LEVEL 2	$329.00	$329.00	$246.75–$263.20	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT VISIT LEVEL 2	$392.00	$392.00	$294.00–$313.60	—	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT LEVEL 3 (40MIN)	$271.00	$271.00	$54.20–$216.80	49% above	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 INTERNAL MEDICINE CONSULT LEVEL 3 (40MN)	$271.00	$271.00	$54.20–$216.80	49% above	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 INTERNAL MEDICINE CONSULT LEVEL 3 (40MN)	$271.00	$271.00	$203.25–$216.80	—	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT LEVEL 3 (40MIN)	$271.00	$271.00	$203.25–$216.80	—	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT LEVEL 4 (60MIN)	$388.00	$388.00	$77.60–$310.40	65% above	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 INTERNAL MEDICINE CONSULT LEVEL 4 (60MN)	$388.00	$388.00	$77.60–$310.40	65% above	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 INTERNAL MEDICINE CONSULT LEVEL 4 (60MN)	$388.00	$388.00	$291.00–$310.40	—	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT LEVEL 4 (60MIN)	$388.00	$388.00	$291.00–$310.40	—	—
Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY INDIVIDUAL	$306.60	$306.60	$57.54–$245.28	10% above	—
Speech therapy session, individual inpatient CPT 92507 SPEECH/HEARING THERAPY INDIVIDUAL	$306.60	$306.60	$229.95–$245.28	—	—
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$430.50	$430.50	$25.51–$390.33	34% above	—
Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST	$430.50	$430.50	$322.88–$344.40	—	—
Spirometry before and after a bronchodilator CPT 94060 PFT COMPREHENSIVE FULL	$817.95	$817.95	$45.93–$784.34	6% above	—
Spirometry before and after a bronchodilator CPT 94060 PFT SPIROMETRY PRE/POST BRONCHODIL	$817.95	$817.95	$45.93–$784.34	6% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT SPIROMETRY PRE/POST BRONCHODIL	$817.95	$817.95	$613.46–$654.36	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT COMPREHENSIVE FULL	$817.95	$817.95	$613.46–$654.36	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN	$292.95	$292.95	$11.36–$234.36	113% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES EA 15 MIN	$292.95	$292.95	$11.36–$234.36	113% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN	$279.29	$279.29	$209.47–$223.43	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES EA 15 MIN	$292.95	$292.95	$219.71–$234.36	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$606.90	$606.90	$93.73–$1,266.00	103% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$606.90	$606.90	$93.73–$485.52	103% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$606.90	$606.90	$455.18–$485.52	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$606.90	$606.90	$455.18–$485.52	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX 24/25 C19 VAC 12YR+ 0.5ML PFS	$3,403.00	$3,403.00	$124.03–$2,722.40	1307% above	—
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SPIKEVAX 24/25 C19 VAC 12YR+ 0.5ML PFS	$3,403.00	$3,403.00	$575.11–$2,722.40	—	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 PFIZER C19 VACCINE 12YR+ 10X.48ML SDV	$2,760.00	$2,760.00	$111.44–$2,208.00	1085% above	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 PFIZER C19 VACCINE 12YR+ 10X.48ML SDV	$2,760.00	$2,760.00	$466.44–$2,208.00	—	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX DS W/DL SDV 10X0.5 M	$2,878.00	$2,878.00	$181.59–$2,302.40	819% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX DS W/DL SDV 10X0.5 M	$2,878.00	$2,878.00	$486.38–$2,302.40	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE FLULAVAL 2025-2026	$47.00	$47.00	$8.57–$44.47	40% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AFLURIA TIV NH2425 PFS LL 10X1 US, SUS	$128.17	$128.17	$18.90–$102.54	281% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE FLUARIX '24-25 FORMULA	$471.00	$471.00	$18.90–$376.80	1302% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX 25/26 TIV PFS 10X0.5 ML	$489.00	$489.00	$18.90–$391.20	1355% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE FLULAVAL 2025-2026	$47.00	$47.00	$7.94–$37.60	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 AFLURIA TIV NH2425 PFS LL 10X1 US, SUS	$353.00	$353.00	$59.66–$282.40	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE FLUARIX '24-25 FORMULA	$471.00	$471.00	$79.60–$376.80	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX 25/26 TIV PFS 10X0.5 ML	$489.00	$489.00	$82.64–$391.20	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20 PFS 0.5 ML	$986.00	$986.00	$179.85–$788.80	96% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR-20 PFS 0.5 ML	$986.00	$986.00	$166.63–$788.80	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE	$109.20	$109.20	$19.92–$266.94	32% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 VIAL	$128.17	$128.17	$23.38–$266.94	21% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE	$109.20	$109.20	$18.45–$87.36	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 VIAL	$128.17	$128.17	$21.66–$102.54	—	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM	$408.72	$408.72	$74.55–$700.28	42% below	—
Rabies vaccine, one dose CPT 90675 RABAVERT INJ KIT/1 DOSE	$1,685.00	$1,685.00	$297.62–$1,348.00	139% above	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM	$408.72	$408.72	$69.07–$326.98	—	—
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT INJ KIT/1 DOSE	$1,685.00	$1,685.00	$284.77–$1,348.00	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPHTHERIA VACC 7 YRS OR >	$174.54	$174.54	$31.84–$139.63	120% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPHTHERIA VACC 7 YRS OR >	$174.54	$174.54	$29.50–$139.63	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 0.5ML	$128.17	$128.17	$23.38–$102.54	52% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL SYRINGE	$128.17	$128.17	$23.38–$102.54	52% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL SYRINGE	$128.17	$128.17	$21.66–$102.54	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 0.5ML	$128.17	$128.17	$21.66–$102.54	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE	$187.95	$187.95	$19.14–$176.03	86% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$187.95	$187.95	$19.14–$176.03	86% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE	$187.95	$187.95	$140.96–$150.36	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$187.95	$187.95	$140.96–$150.36	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$114.45	$114.45	$4.55–$91.56	70% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM PRQ ID SUBQ/IM NJXS EA VACCINE	$114.45	$114.45	$4.55–$91.56	70% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD	$114.45	$114.45	$85.84–$91.56	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM PRQ ID SUBQ/IM NJXS EA VACCINE	$114.45	$114.45	$85.84–$91.56	—	—

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/8430/760594558-1194016923_pipeline-health-system-holdings,-llc_standardcharges.csv