SelfPayRates
Hospital Mayagüez, PR

Hospital de la Concepcion

Hospital de la Concepcion in San German, PR publishes cash prices for 240 common procedures listed here, from its own machine-readable price file updated Dec 26, 2024. Compared with other hospitals in the state, its outpatient cash prices are above the Puerto Rico median for 42 of 116 procedures and below it for 36. Click a procedure to compare it with other hospitals nearby.

Carr #2 KM 173.4 Bo Cain Alto, San German, PR 00683 Collected Sep 27, 2026 Source price file (787) 892-1860

Acute care hospital Emergency department CCN 400021 · CMS hospital register

The price file shows no self-pay discount

For 1260 of the 1260 prices listed here, the cash price in Hospital de la Concepcion'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

ProcedureCash price List priceInsurers payvs Puerto RicoOff list
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Complt Min 3 Vws LT $56.00 $56.00 $13.00–$66.75 15% above —
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Complt Min 3 Vws RT $56.00 $56.00 $13.00–$66.75 15% above —
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle Complt Min 3 Vws LT $56.00 $56.00 — — —
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle Complt Min 3 Vws RT $56.00 $56.00 — — —
Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus (Ba Swallow) $72.00 $72.00 $20.00–$134.97 — —
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophagus (Ba Swallow) $72.00 $72.00 — — —
Bone scan, whole body (nuclear medicine) CPT 78306 Bone &/Or Jt Imag Whole Body $365.00 $365.00 $87.50–$302.97 at median —
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone &/Or Jt Imag Whole Body $365.00 $365.00 $87.50–$278.76 — —
Breast ultrasound, complete, one breast CPT 76641 Sonomamography $125.00 $125.00 $27.00–$128.42 25% above —
Breast ultrasound, complete, one breast inpatient CPT 76641 Sonomamography $125.00 $125.00 $27.00–$128.42 — —
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angio Chest/Thorax W/O&W/C $525.00 $525.00 $132.30–$400.00 at median —
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct Angio Chest/Thorax W/O&W/C $525.00 $525.00 $132.30–$400.00 — —
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct Heart AngioW/C CoronaryArt $1,000.00 $1,000.00 $134.97–$476.60 — —
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct Heart AngioW/C CoronaryArt $1,000.00 $1,000.00 $175.52–$476.60 — —
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd-Pelvic W/O Cont (Comb) $500.00 $500.00 $83.98–$457.00 — —
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Enterography W/O Contrast $500.00 $500.00 $83.98–$457.00 — —
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Enterography W/O Contrast $500.00 $500.00 $83.98–$457.00 — —
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abd-Pelvic W/O Cont (Comb) $500.00 $500.00 $83.98–$457.00 — —
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abd-Pelvic W/C (Comb) $550.00 $550.00 $162.50–$457.00 — —
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography W/Contrast $550.00 $550.00 $162.50–$457.00 — —
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography W/Contrast $550.00 $550.00 $162.50–$457.00 — —
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abd-Pelvic W/C (Comb) $550.00 $550.00 $162.50–$457.00 — —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd Pelvic Ct W&W/O Cont $600.00 $600.00 $200.00–$457.00 — —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Enterography W & W/O Cont $600.00 $600.00 $200.00–$457.00 — —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Enterography W & W/O Cont $600.00 $600.00 $200.00–$457.00 — —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abd Pelvic Ct W&W/O Cont $600.00 $600.00 $200.00–$457.00 — —
CT scan of the abdomen with contrast CPT 74160 Ct Abdomen With Contrast $425.00 $425.00 $128.59–$264.60 9% above —
CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abdomen With Contrast $425.00 $425.00 $128.59–$264.60 — —
CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/O Contrast $375.00 $375.00 $66.97–$264.60 15% above —
CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abdomen W/O Contrast $375.00 $375.00 $66.97–$264.60 — —
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/O Contrast $375.00 $375.00 $72.20–$260.00 11% above —
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Maxillofacial W/O Contrast $375.00 $375.00 $72.20–$260.00 — —
CT scan of the head or brain, no contrast dye CPT 70450 Ct Head or Brain W/O Contrast $375.00 $375.00 $54.41–$260.00 40% above —
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head or Brain W/O Contrast $375.00 $375.00 $54.41–$260.00 — —
CT scan of the head with contrast CPT 70460 Ct Head or Brain With Contrast $425.00 $425.00 $78.74–$260.00 42% above —
CT scan of the head with contrast inpatient CPT 70460 Ct Head or Brain With Contrast $425.00 $425.00 $78.74–$260.00 — —
CT scan of the head without and with contrast CPT 70470 Ct Head or Brain W/O & W/Contr $475.00 $475.00 $94.44–$260.00 44% above —
CT scan of the head without and with contrast inpatient CPT 70470 Ct Head or Brain W/O & W/Contr $475.00 $475.00 $94.44–$260.00 — —
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Spine W/O Contrast $375.00 $375.00 $74.87–$260.00 40% above —
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct Lumbar Spine W/O Contrast $375.00 $375.00 $74.87–$260.00 — —
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cervical Spine W/O Contrast $375.00 $375.00 $75.37–$260.00 40% above —
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Cervical Spine W/O Contrast $375.00 $375.00 $75.37–$260.00 — —
CT scan of the pelvis, with contrast dye one side CPT 72193 Ct Pelvis Rt With Contrast $425.00 $425.00 $128.59–$264.60 42% above —
CT scan of the pelvis, with contrast dye one side CPT 72193 Ct Pelvis Lt With Contrast $425.00 $425.00 $128.59–$264.60 42% above —
CT scan of the pelvis, with contrast dye inpatient one side CPT 72193 Ct Pelvis Rt With Contrast $425.00 $425.00 $128.59–$264.60 — —
CT scan of the pelvis, with contrast dye inpatient one side CPT 72193 Ct Pelvis Lt With Contrast $425.00 $425.00 $128.59–$264.60 — —
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Carotid Duplex Scan Bilateral $210.00 $210.00 $70.00–$180.00 — —
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Carotid Duplex Scan Bilateral $210.00 $210.00 $70.00–$169.28 — —
Chest X-ray, 2 views CPT 71046 Chest 2 Views $45.00 $45.00 $12.50–$66.75 at median —
Chest X-ray, 2 views inpatient CPT 71046 Chest 2 Views $45.00 $45.00 — — —
Chest X-ray, single view CPT 71045 Chest Single View $30.00 $30.00 $8.39–$66.75 25% below —
Chest X-ray, single view inpatient CPT 71045 Chest Single View $30.00 $30.00 — — —
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Renal Sonogram,Retroperitoneal $150.00 $150.00 $35.00–$81.00 — —
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Renal Sonogram,Retroperitoneal $150.00 $150.00 $35.00–$81.00 — —
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density (Dexa) $100.00 $100.00 $21.45–$87.00 11% below —
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bone Density (Dexa) $100.00 $100.00 — — —
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Thorax W/O Contrast $375.00 $375.00 $71.55–$265.00 40% above —
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Thorax W/O Contrast $375.00 $375.00 $71.55–$265.00 — —
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Thorax With Contrast $425.00 $425.00 $95.49–$264.60 9% above —
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Thorax With Contrast $425.00 $425.00 $95.49–$264.60 — —
Diagnostic mammogram, both breasts CPT 77066 DiagnosticMammographyBilateral $345.00 $345.00 $16.25–$135.14 — —
Diagnostic mammogram, both breasts inpatient CPT 77066 DiagnosticMammographyBilateral $345.00 $345.00 $135.14 — —
Diagnostic mammogram, one breast one side CPT 77065 DiagnosticMammographyUni RT $275.00 $275.00 $11.50–$106.89 178% above —
Diagnostic mammogram, one breast one side CPT 77065 DiagnosticMammographyUni LT $275.00 $275.00 $11.50–$106.89 178% above —
Diagnostic mammogram, one breast inpatient one side CPT 77065 DiagnosticMammographyUni LT $275.00 $275.00 $106.89 — —
Diagnostic mammogram, one breast inpatient one side CPT 77065 DiagnosticMammographyUni RT $275.00 $275.00 $106.89 — —
Duplex ultrasound of the leg arteries, both legs CPT 93925 Duplex S Lower Extr. Art. Bil. $208.33 $208.33 $50.00–$229.09 — —
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Duplex S Lower Extr. Art. Bil. $208.33 $208.33 $50.00–$229.09 — —
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex S Ext.Veins Bilateral $250.00 $250.00 $60.00–$180.00 — —
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Duplex S Ext.Veins Bilateral $250.00 $250.00 $60.00–$177.70 — —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 EPS + Ablation + 3D Mapping w/o Irrigation Cath $410.00 $410.00 $97.08–$12,500.00 — —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 EPS + Ablation $410.00 $410.00 $97.08–$12,500.00 — —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 EPS $410.00 $410.00 $97.08–$12,500.00 — —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo 2D MModeDoppler ColorFlow $410.00 $410.00 $97.08–$12,500.00 — —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 EPS + Ablation + 3D Mapping w Irrigation Cath $410.00 $410.00 $97.08–$12,500.00 — —
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 EPS + Ablation + 3D Mapping w Irrigation Cath $410.00 $410.00 $101.76–$12,500.00 — —
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo 2D MModeDoppler ColorFlow $410.00 $410.00 $101.76–$12,500.00 — —
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 EPS + Ablation $410.00 $410.00 $101.76–$12,500.00 — —
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 EPS + Ablation + 3D Mapping w/o Irrigation Cath $410.00 $410.00 $101.76–$12,500.00 — —
Knee X-ray, 3 views one side CPT 73562 Knee 3 Vws LT $45.00 $45.00 $12.00–$66.75 at median —
Knee X-ray, 3 views one side CPT 73562 Knee 3 Vws RT $45.00 $45.00 $12.00–$66.75 at median —
Knee X-ray, 3 views inpatient one side CPT 73562 Knee 3 Vws RT $45.00 $45.00 — — —
Knee X-ray, 3 views inpatient one side CPT 73562 Knee 3 Vws LT $45.00 $45.00 — — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Abdomen Superior Sonogram $125.00 $125.00 $17.50–$80.76 at median —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Abdomen Superior Sonogram $125.00 $125.00 $17.50–$80.60 — —
MRI of both breasts, without and then with contrast dye both sides CPT 77049 Mri Breast W/O &/Or W/C; Bilat $800.00 $800.00 $191.10–$750.00 — —
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Mri Breast W/O &/Or W/C; Bilat $800.00 $800.00 $191.10–$750.00 — —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Any Jt Low Ext Rt W/OCont $700.00 $700.00 $115.10–$537.00 14% above —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Any Jt Lower Ext Lt W/O C $700.00 $700.00 $115.10–$537.00 14% above —
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Any Jt Low Ext Rt W/OCont $700.00 $700.00 $115.10–$537.00 — —
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Any Jt Lower Ext Lt W/O C $700.00 $700.00 $115.10–$537.00 — —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Any Jt Low Ext Rt W/O&W/C $800.00 $800.00 $245.98–$537.50 7% above —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Any Jt Low Ext Lt W/O&W/C $800.00 $800.00 $245.98–$537.50 7% above —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Any Jt Low Ext Rt W/O&W/C $800.00 $800.00 $245.98–$537.50 — —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Any Jt Low Ext Lt W/O&W/C $800.00 $800.00 $245.98–$537.50 — —
MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O Contrast $700.00 $700.00 $128.61–$537.50 at median —
MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O Contrast $700.00 $700.00 $128.61–$537.50 — —
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/O & W Contrast $800.00 $800.00 $201.42–$537.50 at median —
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen W/O & W Contrast $800.00 $800.00 $201.42–$537.50 — —
MRI of the brain, no contrast dye CPT 70551 Mri Brain W/O Contrast $700.00 $700.00 $106.18–$537.50 at median —
MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain W/O Contrast $700.00 $700.00 $106.18–$537.50 — —
MRI of the brain, with and without contrast dye CPT 70553 Mri Brain W/O & With Contrast $800.00 $800.00 $178.75–$537.00 3% below —
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain W/O & With Contrast $800.00 $800.00 $178.75–$537.00 — —
MRI of the lower back, no contrast dye CPT 72148 Mri Lumbar W/O Contrast $700.00 $700.00 $102.11–$537.00 5% above —
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Lumbar W/O Contrast $700.00 $700.00 $102.11–$537.00 — —
MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumbar W/O & With Contrast $800.00 $800.00 $180.28–$537.50 3% below —
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Lumbar W/O & With Contrast $800.00 $800.00 $180.28–$537.50 — —
MRI of the mid back (thoracic spine), no contrast dye one side CPT 72146 Mri Thoracic Rt W/O Contrast $700.00 $700.00 $101.86–$537.50 5% above —
MRI of the mid back (thoracic spine), no contrast dye one side CPT 72146 Mri Thoracic Lt W/O Contrast $700.00 $700.00 $101.86–$537.50 5% above —
MRI of the mid back (thoracic spine), no contrast dye inpatient one side CPT 72146 Mri Thoracic Rt W/O Contrast $700.00 $700.00 $101.86–$537.50 — —
MRI of the mid back (thoracic spine), no contrast dye inpatient one side CPT 72146 Mri Thoracic Lt W/O Contrast $700.00 $700.00 $101.86–$537.50 — —
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spinal Canal W/O & W/Contr $800.00 $800.00 $180.79–$537.50 3% below —
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Spinal Canal W/O & W/Contr $800.00 $800.00 $180.79–$537.50 — —
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Cervical W/O Contrast $700.00 $700.00 $101.86–$537.00 8% above —
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri Cervical W/O Contrast $700.00 $700.00 $101.86–$537.00 — —
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/O & With Contrast $800.00 $800.00 $200.91–$537.50 at median —
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis W/O & With Contrast $800.00 $800.00 $200.91–$537.50 — —
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/O Contrast $700.00 $700.00 $137.75–$537.50 11% above —
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis W/O Contrast $700.00 $700.00 $137.75–$537.50 — —
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Upper Ext Lt W/O Contrast $700.00 $700.00 $115.37–$537.50 at median —
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Any Jt Lt Upp Ext w/o Con $700.00 $700.00 $115.37–$537.50 at median —
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MriAnyJt RT Upper Ext W/O Con $700.00 $700.00 $115.37–$537.50 at median —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Any Jt Lt Upp Ext w/o Con $700.00 $700.00 $115.37–$537.50 — —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MriAnyJt RT Upper Ext W/O Con $700.00 $700.00 $115.37–$537.50 — —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Upper Ext Lt W/O Contrast $700.00 $700.00 $115.37–$537.50 — —
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocard P Imag Spect MxStudies $755.00 $755.00 $150.92–$1,043.08 at median —
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocard P Imag Spect MxStudies $755.00 $755.00 $150.92–$500.00 — —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Bladder Sonogram $125.00 $125.00 $10.00–$80.76 25% above —
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Bladder Sonogram $125.00 $125.00 $10.00–$80.60 — —
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvic Sonogram $125.00 $125.00 $20.00–$81.00 at median —
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Pelvic Sonogram $125.00 $125.00 $20.00–$81.00 — —
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Obstetric Sonogram $125.00 $125.00 $20.00–$94.97 at median —
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Obstetric Sonogram $125.00 $125.00 $20.00–$94.97 — —
Screening mammogram, both breasts CPT 77067 ScreeningMammographyBilateral $280.00 $280.00 $16.25–$102.22 170% above —
Screening mammogram, both breasts inpatient CPT 77067 ScreeningMammographyBilateral $280.00 $280.00 $80.00 — —
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Comp Min 2 Vw LT $45.00 $45.00 $12.00–$66.75 20% below —
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Comp Min 2 Vw RT $45.00 $45.00 $12.00–$66.75 20% below —
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder Comp Min 2 Vw LT $45.00 $45.00 — — —
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder Comp Min 2 Vw RT $45.00 $45.00 — — —
Transvaginal pelvic ultrasound CPT 76830 Transvaginal Sonogram $125.00 $125.00 $20.00–$110.00 at median —
Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal Sonogram $125.00 $125.00 $20.00–$110.00 — —
Ultrasound of the abdomen, complete CPT 76700 Abdominal Complete Sonogram $125.00 $125.00 $35.00–$90.00 14% below —
Ultrasound of the abdomen, complete inpatient CPT 76700 Abdominal Complete Sonogram $125.00 $125.00 $35.00–$90.00 — —
Ultrasound of the scrotum and testicles CPT 76870 Testicular Sonogram $125.00 $125.00 $32.25–$80.76 at median —
Ultrasound of the scrotum and testicles inpatient CPT 76870 Testicular Sonogram $125.00 $125.00 $32.25–$80.00 — —
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Thyroid Sonogram (Head & Neck) $125.00 $125.00 $30.00–$91.35 at median —
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Thyroid Sonogram (Head & Neck) $125.00 $125.00 $30.00–$91.35 — —
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugis W/WO Delay Film W/O Kub $84.00 $84.00 $33.00–$134.97 20% below —
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Ugis W/WO Delay Film W/O Kub $84.00 $84.00 — — —
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Scan Ext. Veins Uni $125.00 $125.00 $15.60–$101.50 — —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex Scan Ext. Veins Uni $125.00 $125.00 $15.60–$101.50 — —
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Complete Min 3 Vws LT $47.00 $47.00 $13.00–$66.75 at median —
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Complete Min 3 Vws RT $47.00 $47.00 $13.00–$66.75 at median —
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Complete Min 3 Vws LT $47.00 $47.00 — — —
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Complete Min 3 Vws RT $47.00 $47.00 — — —
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Pelvis & Hip Min 2-3 Vws LT $45.00 $45.00 $7.00–$66.75 14% above —
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Pelvis & Hip Min 2-3 Vws RT $45.00 $45.00 $7.00–$66.75 14% above —
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Pelvis & Hip Min 2-3 Vws RT $45.00 $45.00 — — —
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Pelvis & Hip Min 2-3 Vws LT $45.00 $45.00 — — —
X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 View $36.00 $36.00 $7.00–$66.75 24% below —
X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen 1 View $36.00 $36.00 — — —
X-ray of the ankle, 2 views one side CPT 73600 Ankle 2 Views LT $45.00 $45.00 $9.50–$66.75 24% above —
X-ray of the ankle, 2 views one side CPT 73600 Ankle 2 Views RT $45.00 $45.00 $9.50–$66.75 24% above —
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle 2 Views LT $45.00 $45.00 — — —
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle 2 Views RT $45.00 $45.00 — — —
X-ray of the finger(s), 2 or more views one side CPT 73140 Fingers Min 2 Vws LT $42.00 $42.00 $7.00–$66.75 6% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 Fingers Min 2 Vws RT $42.00 $42.00 $7.00–$66.75 6% above —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Fingers Min 2 Vws RT $42.00 $42.00 — — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Fingers Min 2 Vws LT $42.00 $42.00 — — —
X-ray of the foot, 2 views one side CPT 73620 Foot Ap Lat RT $24.00 $24.00 $9.50–$66.75 30% below —
X-ray of the foot, 2 views one side CPT 73620 Foot Ap Lat LT $24.00 $24.00 $9.50–$66.75 30% below —
X-ray of the foot, 2 views inpatient one side CPT 73620 Foot Ap Lat RT $24.00 $24.00 — — —
X-ray of the foot, 2 views inpatient one side CPT 73620 Foot Ap Lat LT $24.00 $24.00 — — —
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Complt Min 3 Vws RT $45.00 $45.00 $13.00–$66.75 10% below —
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Complt Min 3 Vws LT $45.00 $45.00 $13.00–$66.75 10% below —
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot Complt Min 3 Vws LT $45.00 $45.00 — — —
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot Complt Min 3 Vws RT $45.00 $45.00 — — —
X-ray of the hand, 3 or more views one side CPT 73130 Hand Compl Min 3 Vws LT $45.00 $45.00 $13.00–$66.75 at median —
X-ray of the hand, 3 or more views one side CPT 73130 Hand Compl Min 3 Vws RT $45.00 $45.00 $13.00–$66.75 at median —
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand Compl Min 3 Vws LT $45.00 $45.00 — — —
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand Compl Min 3 Vws RT $45.00 $45.00 — — —
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee Ap & Lat LT $45.00 $45.00 $9.50–$66.75 10% below —
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee Ap & Lat RT $45.00 $45.00 $9.50–$66.75 10% below —
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee Ap & Lat RT $45.00 $45.00 — — —
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee Ap & Lat LT $45.00 $45.00 — — —
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbosacral Ap Lat $48.00 $48.00 $14.00–$80.76 14% below —
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Spine Lumbosacral Ap Lat $48.00 $48.00 — — —
X-ray of the lower back, 4 or more views CPT 72110 Spine Lumbosacral Min 4 Vws $72.00 $72.00 $21.00–$80.76 at median —
X-ray of the lower back, 4 or more views inpatient CPT 72110 Spine Lumbosacral Min 4 Vws $72.00 $72.00 — — —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic 2 Vws $45.00 $45.00 $10.50–$80.76 14% below —
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Spine Thoracic 2 Vws $45.00 $45.00 — — —
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Comp Min 3 Vws $45.00 $45.00 $9.50–$66.75 at median —
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Comp Min 3 Vws $45.00 $45.00 — — —
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical Ap&Lat 2 Views $45.00 $45.00 $9.50–$66.75 23% below —
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical 3 Views $45.00 $45.00 $9.50–$66.75 23% below —
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Spine Cervical 3 Views $45.00 $45.00 — — —
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Spine Cervical Ap&Lat 2 Views $45.00 $45.00 — — —
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 or 2 Vws $36.00 $36.00 $8.00–$80.76 3% below —
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1 or 2 Vws $36.00 $36.00 — — —
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum & Coccyx Min 2 Vws $45.00 $45.00 $9.50–$66.75 3% above —
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum & Coccyx Min 2 Vws $45.00 $45.00 — — —

Lab tests

ProcedureCash price List priceInsurers payvs Puerto RicoOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt/Sgpt Alanine Aminotransfer $17.00 $17.00 $5.05–$10.00 at median —
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt/Sgpt Alanine Aminotransfer $17.00 $17.00 — — —
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast/Sgot Aspartate Aminotrasnf $17.00 $17.00 $4.94–$10.00 at median —
AST (aspartate aminotransferase) enzyme test CPT 84450 Cardiac Eval Panel (Desgl $35.00 $35.00 $4.94–$10.00 106% above —
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast/Sgot Aspartate Aminotrasnf $17.00 $17.00 — — —
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Cardiac Eval Panel (Desgl $35.00 $35.00 — — —
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Profile $118.00 $118.00 $47.63–$70.84 18% above —
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Profile $118.00 $118.00 — — —
Allergy blood test, specific IgE, per allergen CPT 86003 PalmTree Allergen Specific Ige $11.00 $11.00 $5.22–$10.00 20% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cockroach Spec Ige $11.00 $11.00 $5.22–$10.00 20% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Hair Allergen Specific Ige $11.00 $11.00 $5.22–$10.00 20% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Oak Tree Allergen Specific Ige $11.00 $11.00 $5.22–$10.00 20% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Horse HairAllergenSpecific Ige $11.00 $11.00 $5.22–$10.00 20% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Pecan TreeAllergenSpecific Ige $11.00 $11.00 $5.22–$10.00 20% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Acacia Allergen Specific Ige $11.00 $11.00 $5.22–$10.00 20% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Coconut IgE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Sweet Potatoes, Ige $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Tyrophagus Putrescentiae Ige $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Bermuda Grass IGE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Lobster IGE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Ragweed Western $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Mouse Epithelium IGE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Chicken Meat IGE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Crab IGE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Candida Albicans IGE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Melaleuca Leucadendrom $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Pumpkin, Ige $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Australian Pine IGE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Kiwi IgE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Lipidoglyphus Destructor Ige $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Eggplant IgE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Carrot, Ige $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Glycophagus Domesticus Ige $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cashew IGE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Ascaris IGE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Pistachio IGE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cladosporium Herbarum $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Lemon, Ige $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Mucor Racemosus IGE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Mesquite IGE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Fusarium Moniliforme $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Acarus Siro Ige $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Fire Ant Ige $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Watermelon, Ige $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Pollen (sunflower) $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Eucalyptus IGE $12.00 $12.00 $5.22–$10.00 13% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Mouse Urine IGE $12.36 $12.36 $5.22–$10.00 10% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Aspergil Fumigatus IgE $13.48 $13.48 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Pineapple $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Caffein (Coffee) $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Strawberry Ige $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy White Bean $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Pear $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Pine $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Walnut $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Red Kidney Beans $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Codfish (Bacalao) $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Mustard $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria Alternata, Ige $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Oregano $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Green Pepper $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Lamb $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Broccoli $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cranberry $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Green Bean $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Plum $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Grape $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Oyster $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Pecan Nut (Ige) $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Whole Egg $13.50 $13.50 $5.22–$10.00 2% below —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Mites $15.00 $15.00 $5.22–$10.00 9% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Bahia Grass $15.00 $15.00 $5.22–$10.00 9% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Queen Palm $15.00 $15.00 $5.22–$10.00 9% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Dog Dander $17.00 $17.00 $5.22–$10.00 23% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Penicilloyl V (C2) Ige $17.00 $17.00 $5.22–$10.00 23% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Penicilloyl G (C1) Ige $17.00 $17.00 $5.22–$10.00 23% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Gelatin IGE $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Storage Mite (D71) I $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Johnson Grass (g10)IGE $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Yeast IGE $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Apple $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Octopus IGE $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy White Faced Hornet IGE $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Salmon (F41) IGE $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cow's Milk (F2) IGE $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Almond (F20) IGE $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Perennial Rye Grass $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Tuna (F40) IGE $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Mouse Urine ProteinIGE $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Garlic (F47) IGE $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Mouse (e88) IGE $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Rye IGE $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Helminthosporium Halod $18.00 $18.00 $5.22–$10.00 30% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Ants $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Grass $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Dust $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Roach $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy D Pteronyss $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Beef $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Orange $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Penicillin $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Corn $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cat Danger Ige $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Alt-Tenuis $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Timothy Grass Ige $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Chocolate $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Rice IGE $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Mosquito $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Gluten $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Wheat $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mosquito $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Fish $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Shrimp $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Pepper $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Yellow Dock Weed $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Latex $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Horse Dander $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Feathers (Chicken) $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Beans $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Egg (Yolk) $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Peanut $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Bee $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Barley $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Dermatophogoides Ige $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Casein $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Squid $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Pork $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Yellow Jacket $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cheese Ige $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Milk $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy D Farinae $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Dust House $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 (Nd)-Allergy Test $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Soy $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Egg (White) $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cinnamon Ige $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cat Epithelia $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Tomate $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Vanilla Ige $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Oatmeal $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Whey $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cockroach German $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cat Dander $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Chili Peper $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Chicken $20.00 $20.00 $5.22–$10.00 45% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cephalosporin $29.65 $29.65 $5.22–$10.00 115% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Iodine(Yodo) $29.65 $29.65 $5.22–$10.00 115% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Aspirin $29.65 $29.65 $5.22–$10.00 115% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Penicilloyl G and V Profile $35.20 $35.20 $5.22–$10.00 155% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Stemphylium Botryosum $40.00 $40.00 $5.22–$10.00 190% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Niger Ige $40.88 $40.88 $5.22–$10.00 196% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Goose Feathers Ige $40.90 $40.90 $5.22–$10.00 196% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Lamb'S Quarters Ige $40.90 $40.90 $5.22–$10.00 196% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy White Hornet $41.00 $41.00 $5.22–$10.00 197% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Yellow Hornet $41.00 $41.00 $5.22–$10.00 197% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Wasp $41.00 $41.00 $5.22–$10.00 197% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Onion Specific Ige $41.00 $41.00 $5.22–$10.00 197% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Avocado IGE $48.50 $48.50 $5.22–$10.00 251% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Macadamia IgE $48.50 $48.50 $5.22–$10.00 251% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Scallop Ige $48.50 $48.50 $5.22–$10.00 251% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Soybean Ige $48.50 $48.50 $5.22–$10.00 251% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Mango Spec Ige $48.50 $48.50 $5.22–$10.00 251% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Clam Ige $48.50 $48.50 $5.22–$10.00 251% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Banana IGE $48.50 $48.50 $5.22–$10.00 251% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Sesame Ige $48.50 $48.50 $5.22–$10.00 251% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Hazel Nut Ige $48.50 $48.50 $5.22–$10.00 251% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Pigeon Feather $48.50 $48.50 $5.22–$10.00 251% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Common Silver BirchIGE $50.92 $50.92 $5.22–$10.00 269% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cedar Mountain IGE $50.92 $50.92 $5.22–$10.00 269% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Ash White IGE $50.92 $50.92 $5.22–$10.00 269% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Mulberry White IGE $50.92 $50.92 $5.22–$10.00 269% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Rabbit Epithelium $50.92 $50.92 $5.22–$10.00 269% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Spinach IGE $50.92 $50.92 $5.22–$10.00 269% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Rough Marshelder IGE $50.92 $50.92 $5.22–$10.00 269% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy English Plantain IGE $50.92 $50.92 $5.22–$10.00 269% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Black Pepper $50.92 $50.92 $5.22–$10.00 269% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Pigweed Common IGE $50.92 $50.92 $5.22–$10.00 269% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Mugwort IGE $50.92 $50.92 $5.22–$10.00 269% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cotton Wood IGE $50.92 $50.92 $5.22–$10.00 269% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Rabbit Meat IgE $50.92 $50.92 $5.22–$10.00 269% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Flounder $52.90 $52.90 $5.22–$10.00 283% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Rabbit Hair $55.00 $55.00 $5.22–$10.00 299% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Red Snapper Ige $55.50 $55.50 $5.22–$10.00 302% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Pinto Bean $59.82 $59.82 $5.22–$10.00 333% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Blomia Tropicales $60.00 $60.00 $5.22–$10.00 335% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillin Prifile 2 $72.00 $72.00 $5.22–$10.00 422% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Black Bean $72.75 $72.75 $5.22–$10.00 427% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Whitefish $73.00 $73.00 $5.22–$10.00 429% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Penicillium Chrysogenu $74.00 $74.00 $5.22–$10.00 436% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Wasp Paper (i4) IGE $75.64 $75.64 $5.22–$10.00 448% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel 19, Seafood Gro $81.09 $81.09 $5.22–$10.00 488% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Mold Panel (desgl $82.22 $82.22 $5.22–$10.00 496% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Grass (Desg) $85.00 $85.00 $5.22–$10.00 516% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillin Panel (DESG) $101.86 $101.86 $5.22–$10.00 638% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Penicillin Panel $101.86 $101.86 $5.22–$10.00 638% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cantaloupe $103.80 $103.80 $5.22–$10.00 652% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Latex Panel $109.00 $109.00 $5.22–$10.00 690% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Food Profile (Desg*12) $206.20 $206.20 $5.22–$10.00 1394% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Ige Panel $371.00 $371.00 $5.22–$10.00 2588% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Respiratory Prof DES21 $406.66 $406.66 $5.22–$10.00 2847% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Respiratory ProfRegXIX $406.66 $406.66 $5.22–$10.00 2847% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Profile Childhood IGE $938.25 $938.25 $5.22–$10.00 6699% above —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pecan TreeAllergenSpecific Ige $11.00 $11.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PalmTree Allergen Specific Ige $11.00 $11.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak Tree Allergen Specific Ige $11.00 $11.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cockroach Spec Ige $11.00 $11.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Horse HairAllergenSpecific Ige $11.00 $11.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Hair Allergen Specific Ige $11.00 $11.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Acacia Allergen Specific Ige $11.00 $11.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Crab IGE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Australian Pine IGE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Ascaris IGE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Glycophagus Domesticus Ige $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Pollen (sunflower) $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lipidoglyphus Destructor Ige $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Eggplant IgE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Mesquite IGE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Mucor Racemosus IGE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Fire Ant Ige $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Carrot, Ige $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cladosporium Herbarum $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Fusarium Moniliforme $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Pumpkin, Ige $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Melaleuca Leucadendrom $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Lemon, Ige $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Candida Albicans IGE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Eucalyptus IGE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tyrophagus Putrescentiae Ige $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Coconut IgE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Mouse Epithelium IGE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Sweet Potatoes, Ige $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Lobster IGE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cashew IGE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Kiwi IgE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Pistachio IGE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Acarus Siro Ige $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Bermuda Grass IGE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Ragweed Western $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Chicken Meat IGE $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Watermelon, Ige $12.00 $12.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Mouse Urine IGE $12.36 $12.36 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Aspergil Fumigatus IgE $13.48 $13.48 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alternaria Alternata, Ige $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Plum $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Strawberry Ige $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Broccoli $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy White Bean $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Mustard $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Pecan Nut (Ige) $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Codfish (Bacalao) $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Pear $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Pineapple $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Grape $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Green Pepper $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Green Bean $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cranberry $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Pine $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Oregano $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Walnut $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Oyster $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Lamb $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Red Kidney Beans $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Whole Egg $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Caffein (Coffee) $13.50 $13.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Mites $15.00 $15.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Bahia Grass $15.00 $15.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Queen Palm $15.00 $15.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Dog Dander $17.00 $17.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicilloyl V (C2) Ige $17.00 $17.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicilloyl G (C1) Ige $17.00 $17.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Storage Mite (D71) I $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Mouse (e88) IGE $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cow's Milk (F2) IGE $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Helminthosporium Halod $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Octopus IGE $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Salmon (F41) IGE $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Apple $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Almond (F20) IGE $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Mouse Urine ProteinIGE $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Johnson Grass (g10)IGE $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy White Faced Hornet IGE $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Rye IGE $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Tuna (F40) IGE $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Perennial Rye Grass $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Yeast IGE $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Garlic (F47) IGE $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Gelatin IGE $18.00 $18.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Latex $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cinnamon Ige $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Chili Peper $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Chocolate $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Tomate $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Roach $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Corn $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Penicillin $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Horse Dander $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Pepper $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Yellow Jacket $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cat Epithelia $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Dust $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Mosquito $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Rice IGE $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Alt-Tenuis $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Egg (White) $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Shrimp $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Barley $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Timothy Grass Ige $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Wheat $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Milk $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Dust House $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Peanut $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Fish $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy D Pteronyss $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Casein $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cheese Ige $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Yellow Dock Weed $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Squid $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Dermatophogoides Ige $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Beef $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy D Farinae $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Feathers (Chicken) $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Ants $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 (Nd)-Allergy Test $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Whey $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Chicken $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Orange $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Gluten $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Bee $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Vanilla Ige $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Grass $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Oatmeal $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Pork $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cat Dander $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Egg (Yolk) $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Soy $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cockroach German $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Beans $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mosquito $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cat Danger Ige $20.00 $20.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Aspirin $29.65 $29.65 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cephalosporin $29.65 $29.65 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Iodine(Yodo) $29.65 $29.65 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicilloyl G and V Profile $35.20 $35.20 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Stemphylium Botryosum $40.00 $40.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus Niger Ige $40.88 $40.88 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Lamb'S Quarters Ige $40.90 $40.90 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Goose Feathers Ige $40.90 $40.90 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Wasp $41.00 $41.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy White Hornet $41.00 $41.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Onion Specific Ige $41.00 $41.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Yellow Hornet $41.00 $41.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Avocado IGE $48.50 $48.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Banana IGE $48.50 $48.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Macadamia IgE $48.50 $48.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Pigeon Feather $48.50 $48.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Hazel Nut Ige $48.50 $48.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Mango Spec Ige $48.50 $48.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Scallop Ige $48.50 $48.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Sesame Ige $48.50 $48.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Soybean Ige $48.50 $48.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Clam Ige $48.50 $48.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Ash White IGE $50.92 $50.92 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Mulberry White IGE $50.92 $50.92 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cedar Mountain IGE $50.92 $50.92 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cotton Wood IGE $50.92 $50.92 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Rabbit Meat IgE $50.92 $50.92 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy English Plantain IGE $50.92 $50.92 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Black Pepper $50.92 $50.92 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Rough Marshelder IGE $50.92 $50.92 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Pigweed Common IGE $50.92 $50.92 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Rabbit Epithelium $50.92 $50.92 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Mugwort IGE $50.92 $50.92 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Common Silver BirchIGE $50.92 $50.92 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Spinach IGE $50.92 $50.92 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Flounder $52.90 $52.90 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Rabbit Hair $55.00 $55.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Red Snapper Ige $55.50 $55.50 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Pinto Bean $59.82 $59.82 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Blomia Tropicales $60.00 $60.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillin Prifile 2 $72.00 $72.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Black Bean $72.75 $72.75 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Whitefish $73.00 $73.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Penicillium Chrysogenu $74.00 $74.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Wasp Paper (i4) IGE $75.64 $75.64 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Panel 19, Seafood Gro $81.09 $81.09 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Mold Panel (desgl $82.22 $82.22 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Grass (Desg) $85.00 $85.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillin Panel (DESG) $101.86 $101.86 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Penicillin Panel $101.86 $101.86 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Cantaloupe $103.80 $103.80 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Latex Panel $109.00 $109.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Food Profile (Desg*12) $206.20 $206.20 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus Ige Panel $371.00 $371.00 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Respiratory Prof DES21 $406.66 $406.66 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Respiratory ProfRegXIX $406.66 $406.66 — — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Profile Childhood IGE $938.25 $938.25 — — —
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Fana (Antinuclear Ab) $31.00 $31.00 $12.09–$90.00 38% below —
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Profile $84.00 $84.00 $12.09–$90.00 69% above —
Antinuclear antibody (ANA) blood test, screen CPT 86038 Systemic Lupus Profile B (desg $449.00 $449.00 $12.09–$90.00 803% above —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana Fana (Antinuclear Ab) $31.00 $31.00 — — —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana Profile $84.00 $84.00 — — —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Systemic Lupus Profile B (desg $449.00 $449.00 — — —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Brain Natriuretic Peptide(BNP) $90.00 $90.00 $35.70–$100.00 at median —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Pro-Brain N. Peptide NT-proBNP $179.00 $179.00 $39.26–$100.00 99% above —
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Brain Natriuretic Peptide(BNP) $90.00 $90.00 $85.00–$100.00 — —
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Pro-Brain N. Peptide NT-proBNP $179.00 $179.00 $85.00–$100.00 — —
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel (BMP) $67.00 $67.00 $8.05–$40.00 41% above —
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel (BMP) $67.00 $67.00 — — —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV Surgical Pathology $140.00 $140.00 $17.50–$39.81 — —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV Surgical Pathology $140.00 $140.00 $22.00–$28.84 — —
Blood culture for bacteria CPT 87040 Culture Bacterial BloodAerobic $25.00 $25.00 $9.85–$35.00 38% below —
Blood culture for bacteria inpatient CPT 87040 Culture Bacterial BloodAerobic $25.00 $25.00 — — —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture Collectio $3.75 $3.75 — — —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture Collectio $4.50 $4.50 $3.00–$9.00 — —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Routine $30.00 $30.00 $3.00–$9.00 — —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipuncture Collectio $3.75 $3.75 — — —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipuncture Collectio $4.50 $4.50 — — —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Routine $30.00 $30.00 — — —
Blood glucose (sugar) test CPT 82947 FBS Blood Sugar $14.00 $14.00 $3.75–$8.00 7% below —
Blood glucose (sugar) test CPT 82947 Glucose $26.00 $26.00 $3.75–$8.00 73% above —
Blood glucose (sugar) test inpatient CPT 82947 FBS Blood Sugar $14.00 $14.00 — — —
Blood glucose (sugar) test inpatient CPT 82947 Glucose $26.00 $26.00 — — —
Blood lead test CPT 83655 Lead $35.00 $35.00 $8.55–$38.00 — —
Blood lead test inpatient CPT 83655 Lead $35.00 $35.00 — — —
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnacy Test Serum $15.00 $15.00 $7.17–$25.00 25% below —
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Urine $15.00 $15.00 $7.17–$25.00 25% below —
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta Sub Unit Hcg Serum $58.00 $58.00 $7.17–$25.00 190% above —
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnacy Test Serum $15.00 $15.00 — — —
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test Urine $15.00 $15.00 — — —
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta Sub Unit Hcg Serum $58.00 $58.00 — — —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Serologic; ABO $30.00 $30.00 $3.69–$93.84 at median —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Serologic; ABO $30.00 $30.00 $4.20–$7.72 — —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein (Crp) Quali $12.00 $12.00 $3.90–$15.00 at median —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp Quantitative $24.00 $24.00 $3.90–$15.00 100% above —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein (Crp) Quali $12.00 $12.00 — — —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Crp Quantitative $24.00 $24.00 — — —
CA 19-9 blood test (tumor marker) CPT 86301 Ca-19-9 En Fluido Pleural $31.64 $31.64 $20.81–$39.83 — —
CA 19-9 blood test (tumor marker) CPT 86301 Ca-19-9 Carbohydrate Ant. $55.00 $55.00 $20.81–$55.00 — —
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca-19-9 En Fluido Pleural $31.64 $31.64 — — —
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca-19-9 Carbohydrate Ant. $55.00 $55.00 — — —
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125 $55.00 $55.00 $19.19–$65.00 — —
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca-125 $55.00 $55.00 — — —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IDNOW COVID19 MOLECULAR OPD $83.32 $83.32 $51.00–$80.00 — —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 Molecular (HDLC) $83.32 $83.32 $51.00–$80.00 — —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 Labs Private (Nasoph) $104.00 $104.00 $51.00–$80.00 — —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV-2 PCR (HDLC) $125.00 $125.00 $51.00–$80.00 — —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 IDNOW COVID19 MOLECULAR OPD $83.32 $83.32 — — —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid 19 Molecular (HDLC) $83.32 $83.32 — — —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid 19 Labs Private (Nasoph) $104.00 $104.00 — — —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV-2 PCR (HDLC) $125.00 $125.00 — — —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $60.00 $60.00 $12.77–$30.00 16% above —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel $60.00 $60.00 — — —
Complete blood count (CBC) with differential CPT 85025 Cbc Automated W Platelet&Diff $20.00 $20.00 $7.41–$12.15 at median —
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc Automated W Platelet&Diff $20.00 $20.00 — — —
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $86.00 $86.00 $10.07–$55.00 33% above —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel $86.00 $86.00 — — —
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Quantitative $13.89 $13.89 $9.71–$30.00 44% below —
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Quantitative $13.89 $13.89 — — —
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate $22.00 $22.00 $22.23–$60.00 — —
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea Sulfate $22.00 $22.00 — — —
Estradiol blood test CPT 82670 Estradiol Urine $59.00 $59.00 $27.94–$70.00 — —
Estradiol blood test CPT 82670 Estradiol Serum $91.00 $91.00 $26.64–$76.00 — —
Estradiol blood test inpatient CPT 82670 Estradiol Urine $59.00 $59.00 — — —
Estradiol blood test inpatient CPT 82670 Estradiol Serum $91.00 $91.00 — — —
FSH (follicle-stimulating hormone) test CPT 83001 Follicle S. Hormone (FSH) $60.00 $60.00 $4.98–$45.00 — —
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle S. Hormone (FSH) $60.00 $60.00 — — —
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool $263.00 $263.00 $10.00–$26.71 — —
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool $263.00 $263.00 — — —
Ferritin blood test (iron stores) CPT 82728 Ferritin Serum $43.00 $43.00 $13.00–$40.00 4% above —
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin Serum $43.00 $43.00 — — —
Folate (folic acid) blood test CPT 82746 Folic Acid (Folate); Serum $67.00 $67.00 $9.75–$40.00 — —
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid (Folate); Serum $67.00 $67.00 — — —
Free T3 thyroid hormone test CPT 84481 T3 Free Serum $62.00 $62.00 $16.94–$70.00 — —
Free T3 thyroid hormone test CPT 84481 T3 Free Dialysis Lc/Ms-Ms $375.00 $375.00 $16.94–$70.00 — —
Free T3 thyroid hormone test inpatient CPT 84481 T3 Free Serum $62.00 $62.00 — — —
Free T3 thyroid hormone test inpatient CPT 84481 T3 Free Dialysis Lc/Ms-Ms $375.00 $375.00 — — —
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free Direct Dialysis $44.00 $44.00 $9.02–$30.00 65% above —
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free $46.00 $46.00 $9.02–$30.00 73% above —
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Free Direct Dialysis $44.00 $44.00 — — —
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Free $46.00 $46.00 — — —
Free testosterone test CPT 84402 Testosterone Free $78.00 $78.00 $25.47–$100.00 — —
Free testosterone test inpatient CPT 84402 Testosterone Free $78.00 $78.00 — — —
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Heatlh Panel (GHP) $150.00 $150.00 $6.69–$90.00 — —
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Heatlh Panel (GHP) $150.00 $150.00 — — —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose (2Hrs Post P.) Blood $14.00 $14.00 $4.00–$10.00 12% below —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose (3Hrs Post P.) Blood $14.00 $14.00 $4.00–$10.00 12% below —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BS 1 Hour Post 50Gm Glucola $14.00 $14.00 $4.00–$10.00 12% below —
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose (2Hrs Post P.) Blood $14.00 $14.00 — — —
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose (3Hrs Post P.) Blood $14.00 $14.00 — — —
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 BS 1 Hour Post 50Gm Glucola $14.00 $14.00 — — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae Rna,Tma $61.50 $61.50 $32.00–$52.20 — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoeae Rna,Tma $61.50 $61.50 — — —
H. pylori antibody blood test CPT 86677 Helicobacter Pylori Ab (Iga) $22.50 $22.50 $16.85–$103.00 — —
H. pylori antibody blood test CPT 86677 Helicobacter Pilory Ab (Igg) $40.00 $40.00 $13.84–$103.00 — —
H. pylori antibody blood test CPT 86677 Helicobacter Pilory Ab (Igm) $50.00 $50.00 $16.85–$103.00 — —
H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Ab (Iga) $22.50 $22.50 — — —
H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pilory Ab (Igg) $40.00 $40.00 — — —
H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pilory Ab (Igm) $50.00 $50.00 — — —
H. pylori stool antigen test CPT 87338 Helicobacter Pilory Ag Stool $40.00 $40.00 $14.38–$23.00 — —
H. pylori stool antigen test inpatient CPT 87338 Helicobacter Pilory Ag Stool $40.00 $40.00 — — —
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna By Pcr $230.00 $230.00 $85.10–$190.00 — —
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Virolo Bdna $511.50 $511.50 $85.10–$190.00 — —
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna By Pcr $230.00 $230.00 — — —
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Virolo Bdna $511.50 $511.50 — — —
HIV-1 and HIV-2 antibody test CPT 86703 HIV Rapid Screen $20.00 $20.00 $12.60–$384.00 — —
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/Hiv-2 $38.00 $38.00 $13.71–$384.00 — —
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV Rapid Screen $20.00 $20.00 — — —
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/Hiv-2 $38.00 $38.00 — — —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV Ag Ab Combo (CHIV) $42.00 $42.00 $22.96–$34.12 — —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIVAG/AB Cascade Reflex to NAA $504.00 $504.00 $24.08–$34.12 — —
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV Ag Ab Combo (CHIV) $42.00 $42.00 — — —
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIVAG/AB Cascade Reflex to NAA $504.00 $504.00 — — —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C H.Level Bld (Glycohemoglo) $60.00 $60.00 $9.25–$25.00 88% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C H.Level Bld (Glycohemoglo) $60.00 $60.00 — — —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab (Hbsab) $38.00 $38.00 $10.24–$32.00 14% below —
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Ab (Hbsab) $38.00 $38.00 — — —
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen (HBsAg) $40.00 $40.00 $10.33–$25.00 — —
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Antigen (HBsAg) $40.00 $40.00 — — —
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Ab W/Reflex HCV/RNA QUAN $18.00 $18.00 $14.27–$50.00 — —
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody $56.00 $56.00 $14.27–$50.00 — —
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab WReflex To Riba $194.63 $194.63 $14.27–$50.00 — —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hep C Ab W/Reflex HCV/RNA QUAN $18.00 $18.00 — — —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody $56.00 $56.00 — — —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab WReflex To Riba $194.63 $194.63 — — —
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Viral Rna Pcr Quan $190.00 $190.00 $42.84–$195.00 — —
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Viral Rna Pcr Quan $190.00 $190.00 — — —
Herpes blood test, HSV-1 antibody CPT 86695 ENCEPHALITIS ANTBODY PANEL CSF $2,262.28 $2,262.28 $13.19–$35.00 — —
Herpes blood test, HSV-1 antibody inpatient CPT 86695 ENCEPHALITIS ANTBODY PANEL CSF $2,262.28 $2,262.28 — — —
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP Sensitivity $53.00 $53.00 $10.00–$105.00 at median —
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP Sensitivity $53.00 $53.00 — — —
Homocysteine blood test CPT 83090 Homocystein Urine $62.00 $62.00 $17.92–$126.00 — —
Homocysteine blood test CPT 83090 Homocystein Serum $123.00 $123.00 $17.92–$126.00 — —
Homocysteine blood test inpatient CPT 83090 Homocystein Urine $62.00 $62.00 — — —
Homocysteine blood test inpatient CPT 83090 Homocystein Serum $123.00 $123.00 — — —
Insulin blood test CPT 83525 Insulin Level $76.00 $76.00 $10.90–$35.00 — —
Insulin blood test inpatient CPT 83525 Insulin Level $76.00 $76.00 — — —
Iron blood test (serum iron) CPT 83540 Iron $18.00 $18.00 $6.17–$14.00 at median —
Iron blood test (serum iron) CPT 83540 Iron Panel (Desgl $60.00 $60.00 $6.17–$14.00 233% above —
Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE $378.00 $378.00 $6.47–$10.00 2000% above —
Iron blood test (serum iron) inpatient CPT 83540 Iron $18.00 $18.00 — — —
Iron blood test (serum iron) inpatient CPT 83540 Iron Panel (Desgl $60.00 $60.00 — — —
Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE $378.00 $378.00 — — —
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity (IBCT) $24.00 $24.00 $8.34–$17.00 at median —
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity (IBCT) $24.00 $24.00 — — —
Kidney function blood test panel CPT 80069 Renal Panel $88.00 $88.00 $8.28–$53.00 42% above —
Kidney function blood test panel inpatient CPT 80069 Renal Panel $88.00 $88.00 — — —
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (LH) $54.00 $54.00 $17.65–$40.00 — —
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone (LH) $54.00 $54.00 — — —
Lipase blood test (pancreas enzyme) CPT 83690 Fluids Lipase $18.00 $18.00 $6.57–$15.00 at median —
Lipase blood test (pancreas enzyme) CPT 83690 Lipase $44.00 $44.00 $6.57–$15.00 144% above —
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Fluids Lipase $18.00 $18.00 — — —
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase $44.00 $44.00 — — —
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Urine $109.70 $109.70 — — —
Liver function blood test panel CPT 80076 Hepatic Function Panel $36.00 $36.00 $7.79–$35.00 3% above —
Liver function blood test panel CPT 80076 Liver Profile $65.00 $65.00 $7.79–$35.00 87% above —
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel $36.00 $36.00 — — —
Liver function blood test panel inpatient CPT 80076 Liver Profile $65.00 $65.00 — — —
Lyme disease antibody test CPT 86618 Lyme Disease Ab $112.00 $112.00 $17.03–$70.00 60% above —
Lyme disease antibody test CPT 86618 Fluids Borrellia Pcr $220.00 $220.00 $17.03–$70.00 214% above —
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Ab $112.00 $112.00 — — —
Lyme disease antibody test inpatient CPT 86618 Fluids Borrellia Pcr $220.00 $220.00 — — —
Magnesium blood test CPT 83735 Magnesium $17.00 $17.00 $6.38–$15.00 at median —
Magnesium blood test CPT 83735 Magnesium (Urine 24 Hrs) $23.00 $23.00 $6.38–$15.00 35% above —
Magnesium blood test CPT 83735 Magnesium Urine $23.00 $23.00 $6.38–$15.00 35% above —
Magnesium blood test inpatient CPT 83735 Magnesium $17.00 $17.00 — — —
Magnesium blood test inpatient CPT 83735 Magnesium Urine $23.00 $23.00 — — —
Magnesium blood test inpatient CPT 83735 Magnesium (Urine 24 Hrs) $23.00 $23.00 — — —
Measles (rubeola) antibody test CPT 86765 Rubeola Antibody $38.00 $38.00 $12.88–$55.00 — —
Measles (rubeola) antibody test CPT 86765 Measles Ab Titer $74.00 $74.00 $12.88–$55.00 — —
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Antibody $38.00 $38.00 — — —
Measles (rubeola) antibody test inpatient CPT 86765 Measles Ab Titer $74.00 $74.00 — — —
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test $12.00 $12.00 $4.94–$15.00 at median —
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antib; Screen $22.00 $22.00 $5.18–$15.00 83% above —
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Test $12.00 $12.00 — — —
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Antib; Screen $22.00 $22.00 — — —
Obstetric blood test panel CPT 80055 Obstetric Panel $60.00 $60.00 $7.42–$80.00 at median —
Obstetric blood test panel inpatient CPT 80055 Obstetric Panel $60.00 $60.00 — — —
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free $70.00 $70.00 $18.39–$35.00 at median —
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free $70.00 $70.00 — — —
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (3er Generation) $13.50 $13.50 $18.39–$35.00 47% below —
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA $37.00 $37.00 $17.54–$58.00 45% above —
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE CANCER PROF II (DESG) $185.98 $185.98 $18.39–$35.00 626% above —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (3er Generation) $13.50 $13.50 — — —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA $37.00 $37.00 — — —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE CANCER PROF II (DESG) $185.98 $185.98 — — —
Parathyroid hormone (PTH) blood test CPT 83970 PTH $108.00 $108.00 $39.36–$130.00 — —
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH $108.00 $108.00 — — —
Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt(Thromboplastin Time) $12.00 $12.00 $5.73–$14.00 14% below —
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation Combo Pt Ptt Inr $27.00 $27.00 $5.73–$14.00 93% above —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt(Thromboplastin Time) $12.00 $12.00 — — —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation Combo Pt Ptt Inr $27.00 $27.00 — — —
Progesterone blood test CPT 84144 Progesterone Serum $61.00 $61.00 $19.89–$65.00 — —
Progesterone blood test inpatient CPT 84144 Progesterone Serum $61.00 $61.00 — — —
Prolactin blood test CPT 84146 (Nd)- Macroprolactin $45.00 $45.00 $19.38–$40.00 — —
Prolactin blood test CPT 84146 Prolactin Serum $71.00 $71.00 $18.48–$40.00 — —
Prolactin blood test CPT 84146 Macroprolactin ((desgl) $107.00 $107.00 $19.38–$40.00 — —
Prolactin blood test CPT 84146 Prolactin Dilution Study $122.70 $122.70 $19.38–$40.00 — —
Prolactin blood test inpatient CPT 84146 (Nd)- Macroprolactin $45.00 $45.00 — — —
Prolactin blood test inpatient CPT 84146 Prolactin Serum $71.00 $71.00 — — —
Prolactin blood test inpatient CPT 84146 Macroprolactin ((desgl) $107.00 $107.00 — — —
Prolactin blood test inpatient CPT 84146 Prolactin Dilution Study $122.70 $122.70 — — —
Prothrombin time (PT/INR) clotting test CPT 85610 Pt (Prothrombin Time) $12.00 $12.00 $3.75–$12.00 15% below —
Prothrombin time (PT/INR) clotting test CPT 85610 PT- PTT Mixing STUDY $172.50 $172.50 $3.75–$12.00 1124% above —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt (Prothrombin Time) $12.00 $12.00 — — —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT- PTT Mixing STUDY $172.50 $172.50 — — —
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Urine $64.00 $64.00 $10.47–$50.00 — —
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Toxicology Screening Blood $100.00 $100.00 $12.60–$50.00 — —
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Toxicology Screening Urine $100.00 $100.00 $12.60–$50.00 — —
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Screen Urine $64.00 $64.00 — — —
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Toxicology Screening Urine $100.00 $100.00 — — —
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Toxicology Screening Blood $100.00 $100.00 — — —
Rapid flu test (influenza antigen) CPT 87804 Influenza A And B $30.00 $30.00 $10.38–$52.00 — —
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A And B $30.00 $30.00 — — —
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Agt-Immunoassay Dir ObsStrep A $20.00 $20.00 $15.00–$25.00 — —
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Agt-Immunoassay Dir ObsStrep A $20.00 $20.00 — — —
Rheumatoid factor (RF) test CPT 86431 RA Factor Ab Iga $7.00 $7.00 $5.67–$14.00 — —
Rheumatoid factor (RF) test CPT 86431 Ra Factor Ab Igg $7.00 $7.00 $5.41–$14.00 — —
Rheumatoid factor (RF) test CPT 86431 RA Factor Ab Igm $7.00 $7.00 $5.67–$14.00 — —
Rheumatoid factor (RF) test CPT 86431 RA Quantitative $13.00 $13.00 $5.41–$14.00 — —
Rheumatoid factor (RF) test CPT 86431 RA Test With Titer (Quant) $22.00 $22.00 $5.67–$14.00 — —
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Diag Prof $100.00 $100.00 $5.67–$14.00 — —
Rheumatoid factor (RF) test inpatient CPT 86431 Ra Factor Ab Igg $7.00 $7.00 — — —
Rheumatoid factor (RF) test inpatient CPT 86431 RA Factor Ab Igm $7.00 $7.00 — — —
Rheumatoid factor (RF) test inpatient CPT 86431 RA Factor Ab Iga $7.00 $7.00 — — —
Rheumatoid factor (RF) test inpatient CPT 86431 RA Quantitative $13.00 $13.00 — — —
Rheumatoid factor (RF) test inpatient CPT 86431 RA Test With Titer (Quant) $22.00 $22.00 — — —
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Diag Prof $100.00 $100.00 — — —
Rubella antibody test (immunity check) CPT 86762 Rubella, Igm Ab $56.00 $56.00 $14.39–$35.00 — —
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody $56.00 $56.00 $14.39–$35.00 — —
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella, Igm Ab $56.00 $56.00 — — —
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody $56.00 $56.00 — — —
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Sperm Count (Analysis) $50.00 $50.00 $9.75–$30.00 — —
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Sperm Count (Analysis) $50.00 $50.00 — — —
Stool ova and parasites exam CPT 87177 Ova & Parasites Direct Smears $22.00 $22.00 $4.70–$10.99 18% above —
Stool ova and parasites exam CPT 87177 Ova & Parasites Concn Perm Sme $49.40 $49.40 $5.00–$10.99 166% above —
Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites Direct Smears $22.00 $22.00 — — —
Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites Concn Perm Sme $49.40 $49.40 — — —
Stool test for hidden blood (guaiac FOBT) CPT 82270 stool wbc $12.00 $12.00 $3.50–$24.00 — —
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood $27.00 $27.00 $3.50–$24.00 — —
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 stool wbc $12.00 $12.00 — — —
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood $27.00 $27.00 — — —
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Inmunoassay (FOBT) $15.00 $15.00 $10.00–$48.00 25% below —
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Inmunoassay (FOBT) $15.00 $15.00 — — —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl Csf $15.00 $15.00 $4.27–$12.00 8% below —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Fluids Vdrl, Csf $15.40 $15.40 $4.27–$12.00 5% below —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL Qualitative $20.00 $20.00 $4.27–$12.00 23% above —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl Csf $15.00 $15.00 — — —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Fluids Vdrl, Csf $15.40 $15.40 — — —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL Qualitative $20.00 $20.00 — — —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold $516.60 $516.60 $61.98–$84.43 — —
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon TB Gold $516.60 $516.60 — — —
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total $85.00 $85.00 $24.62–$75.00 — —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total $85.00 $85.00 — — —
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab Serum $38.00 $38.00 $13.87–$50.00 — —
Thyroid peroxidase (TPO) antibody test CPT 86376 Antithyroid Peroxidase Ab $53.00 $53.00 $13.87–$50.00 — —
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Ab $54.00 $54.00 $13.87–$50.00 — —
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal Ab $55.00 $55.00 $14.55–$50.00 — —
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antibody Panel I $62.00 $62.00 $14.55–$50.00 — —
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Cytosol Type 1 (LC-1) $282.90 $282.90 $14.55–$50.00 — —
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Antigen (Soluble) $283.50 $283.50 $14.55–$50.00 — —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Ab Serum $38.00 $38.00 — — —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Antithyroid Peroxidase Ab $53.00 $53.00 — — —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Ab $54.00 $54.00 — — —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsomal Ab $55.00 $55.00 — — —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Antibody Panel I $62.00 $62.00 — — —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Cytosol Type 1 (LC-1) $282.90 $282.90 — — —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Antigen (Soluble) $283.50 $283.50 — — —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W REFLEX TO T4 FREE $40.52 $40.52 $16.80–$36.00 8% below —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (Thyroid S. Hormone) $52.00 $52.00 $16.02–$40.00 17% above —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH W REFLEX TO T4 FREE $40.52 $40.52 — — —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (Thyroid S. Hormone) $52.00 $52.00 — — —
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis RNA Qua $90.40 $90.40 $28.00–$50.87 — —
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis RNA Qua $90.40 $90.40 — — —
Uric acid blood test CPT 84550 Uric Acid; Bld $16.00 $16.00 $4.31–$10.00 at median —
Uric acid blood test inpatient CPT 84550 Uric Acid; Bld $16.00 $16.00 — — —
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Comp W Refl Culture $13.72 $13.72 $3.17–$8.00 at median —
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Comp W Refl Culture $13.72 $13.72 — — —
Urinalysis with microscope exam, manual CPT 81000 Specific Gravity Urine $6.00 $6.00 $3.02–$8.00 at median —
Urinalysis with microscope exam, manual CPT 81000 Urinalysis Complete $10.00 $10.00 $3.02–$8.00 67% above —
Urinalysis with microscope exam, manual inpatient CPT 81000 Specific Gravity Urine $6.00 $6.00 — — —
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis Complete $10.00 $10.00 — — —
Urine culture for bacteria, with colony count CPT 87086 Cult Bact QtiveColonyCountUrin $20.00 $20.00 $6.83–$30.00 20% below —
Urine culture for bacteria, with colony count inpatient CPT 87086 Cult Bact QtiveColonyCountUrin $20.00 $20.00 — — —
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12 $47.00 $47.00 $14.38–$45.00 32% above —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12 $47.00 $47.00 — — —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy (Total) $66.00 $66.00 $28.23–$120.00 1% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 QuestAssureD 25Hydroxy & Calci $190.00 $190.00 $29.60–$90.00 190% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 QuestAssureD 25Hydroxyvit D2D3 $190.00 $190.00 $29.60–$90.00 190% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy (Total) $66.00 $66.00 — — —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 QuestAssureD 25Hydroxyvit D2D3 $190.00 $190.00 — — —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 QuestAssureD 25Hydroxy & Calci $190.00 $190.00 — — —
Zinc blood test CPT 84630 Zinc: Urine $35.00 $35.00 $11.39–$47.00 — —
Zinc blood test CPT 84630 Zinc Plasma $35.00 $35.00 $11.39–$47.00 — —
Zinc blood test inpatient CPT 84630 Zinc Plasma $35.00 $35.00 — — —
Zinc blood test inpatient CPT 84630 Zinc: Urine $35.00 $35.00 — — —

Surgery and procedures

ProcedureCash price List priceInsurers payvs Puerto RicoOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1 Lesion StereoGuida $1,420.00 $1,420.00 $300.00–$1,500.00 — —
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast 1 Lesion StereoGuida $1,420.00 $1,420.00 — — —
Cardiac catheterization with coronary angiogram CPT 93458 Lt Ht Cath $2,000.00 $2,000.00 $1,350.00–$2,396.29 — —
Cardiac catheterization with coronary angiogram inpatient CPT 93458 Lt Ht Cath $2,000.00 $2,000.00 $1,950.00–$2,396.29 — —
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion External $319.60 $319.60 $150.00–$478.08 — —
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion External $319.60 $319.60 — — —
Catheter ablation for atrial fibrillation CPT 93656 EPS Ablation 3DMapp W IrrigCat $10,500.00 $10,500.00 $2,000.00–$17,446.65 — —
Catheter ablation for atrial fibrillation CPT 93656 EPS + Ablation + 3D Mapping w Irrigation Cath $10,500.00 $10,500.00 $2,000.00–$17,446.65 — —
Catheter ablation for atrial fibrillation CPT 93656 EPS + Ablation + 3D Mapping w/o Irrigation Cath $10,500.00 $10,500.00 $2,000.00–$17,446.65 — —
Catheter ablation for atrial fibrillation CPT 93656 EPS + Ablation $10,500.00 $10,500.00 $2,000.00–$17,446.65 — —
Catheter ablation for atrial fibrillation CPT 93656 EPS $10,500.00 $10,500.00 $2,000.00–$17,446.65 — —
Catheter ablation for atrial fibrillation inpatient CPT 93656 EPS + Ablation + 3D Mapping w Irrigation Cath $10,500.00 $10,500.00 $3,000.00–$12,500.00 — —
Catheter ablation for atrial fibrillation inpatient CPT 93656 EPS + Ablation + 3D Mapping w/o Irrigation Cath $10,500.00 $10,500.00 $3,000.00–$12,500.00 — —
Catheter ablation for atrial fibrillation inpatient CPT 93656 EPS Ablation 3DMapp W IrrigCat $10,500.00 $10,500.00 $3,000.00–$12,500.00 — —
Catheter ablation for atrial fibrillation inpatient CPT 93656 EPS + Ablation $10,500.00 $10,500.00 $3,000.00–$12,500.00 — —
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Trat Cerrado Fx Radio Distal $223.94 $223.94 — — —
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Trat Cerrado Fx Radio Distal $268.72 $268.72 $173.23 — —
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Trat Cerrado Fx Radio Distal $223.94 $223.94 — — —
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Trat Cerrado Fx Radio Distal $268.72 $268.72 — — —
Coronary stent placement, one artery CPT 92928 Ptca With Stent Implant $8,000.00 $8,000.00 $1,350.00–$8,081.27 — —
Coronary stent placement, one artery inpatient CPT 92928 Ptca With Stent Implant $8,000.00 $8,000.00 $2,000.00–$4,000.00 — —
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax Uni $22.00 $22.00 — — —
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax Uni $29.00 $29.00 $44.93 — —
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove Impacted Ear Wax Uni $22.00 $22.00 — — —
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove Impacted Ear Wax Uni $29.00 $29.00 — — —
Earwax removal with instruments, one ear CPT 69210 RemocionCerumenImpactadoOid $34.01 $34.01 — — —
Earwax removal with instruments, one ear CPT 69210 RemocionCerumenImpactadoOid $40.81 $40.81 $44.93 — —
Earwax removal with instruments, one ear inpatient CPT 69210 RemocionCerumenImpactadoOid $34.01 $34.01 — — —
Earwax removal with instruments, one ear inpatient CPT 69210 RemocionCerumenImpactadoOid $40.81 $40.81 — — —
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Laparoscopic Hernia $681.92 $681.92 $732.77–$2,541.41 — —
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Laparoscopic Hernia $681.92 $681.92 — — —
Gallbladder removal, laparoscopic CPT 47562 Laparoscopic Cholecystectomy $1,326.18 $1,326.18 $732.77–$4,238.53 14% above —
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopic Cholecystectomy $1,326.18 $1,326.18 — — —
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheterization Intro Hysteros $75.00 $75.00 — — —
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheterization Intro Hysteros $75.00 $75.00 — — —
Incision and drainage of a simple or single skin abscess CPT 10060 Inc. Y Drenaje Absceso Simple $87.54 $87.54 — — —
Incision and drainage of a simple or single skin abscess CPT 10060 Inc. Y Drenaje Absceso Simple $105.04 $105.04 $147.06 — —
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abcess Simple $200.00 $200.00 $147.06 — —
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Inc. Y Drenaje Absceso Simple $87.54 $87.54 — — —
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Inc. Y Drenaje Absceso Simple $105.04 $105.04 — — —
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abcess Simple $200.00 $200.00 — — —
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injec Therapeutic CarpalTunnel $73.77 $73.77 — — —
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injec Therapeutic CarpalTunnel $73.77 $73.77 — — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspiracion/Inj $50.00 $50.00 $57.45 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspiracion/Inj $60.00 $60.00 $217.57 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthroc Major Jnt Or Bursa $75.11 $75.11 $57.45 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Interventional Radiology Biopsy & Aspiration $90.60 $90.60 $217.57–$8,000.00 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Other (Embolizations, IVC Filter, Vascular Stent) $90.60 $90.60 $217.57–$8,000.00 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Angioplasty (PTA & Balloon), Nephrostomy $90.60 $90.60 $217.57–$8,000.00 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Diagnostic Imaging Services $90.60 $90.60 $217.57–$8,000.00 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Interventional Radiology Abscess & Drainage $90.60 $90.60 $217.57–$8,000.00 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TIPPS $90.60 $90.60 $217.57–$8,000.00 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis MajorJointBursa $90.60 $90.60 $217.57–$8,000.00 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Aspiracion/Inj $50.00 $50.00 $57.45 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Aspiracion/Inj $60.00 $60.00 — — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthroc Major Jnt Or Bursa $75.11 $75.11 $57.45 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TIPPS $90.60 $90.60 $500.00–$5,557.00 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis MajorJointBursa $90.60 $90.60 $500.00–$5,557.00 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Atherectomy $90.60 $90.60 $500.00–$5,557.00 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Other (Embolizations, IVC Filter, Vascular Stent) $90.60 $90.60 $500.00–$5,557.00 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Angioplasty (PTA & Balloon), Nephrostomy $90.60 $90.60 $500.00–$5,557.00 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Diagnostic Imaging Services $90.60 $90.60 $500.00–$5,557.00 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Interventional Radiology Abscess & Drainage $90.60 $90.60 $500.00–$5,557.00 — —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Interventional Radiology Biopsy & Aspiration $90.60 $90.60 $500.00–$5,557.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthroc Inter Jnt Or Bursa $62.84 $62.84 $48.34 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Angioplasty (PTA & Balloon), Nephrostomy $73.28 $73.28 $217.57–$8,000.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Diagnostic Imaging Services $73.28 $73.28 $217.57–$8,000.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthroc Inter Jnt/Bursa W/O US $73.28 $73.28 $217.57–$8,000.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Interventional Radiology Biopsy & Aspiration $73.28 $73.28 $217.57–$8,000.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 TIPPS $73.28 $73.28 $217.57–$8,000.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Other (Embolizations, IVC Filter, Vascular Stent) $73.28 $73.28 $217.57–$8,000.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Interventional Radiology Abscess & Drainage $73.28 $73.28 $217.57–$8,000.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthroc Inter Jnt Or Bursa $62.84 $62.84 $48.34 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Atherectomy $73.28 $73.28 $500.00–$5,557.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Interventional Radiology Abscess & Drainage $73.28 $73.28 $500.00–$5,557.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Diagnostic Imaging Services $73.28 $73.28 $500.00–$5,557.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Angioplasty (PTA & Balloon), Nephrostomy $73.28 $73.28 $500.00–$5,557.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Other (Embolizations, IVC Filter, Vascular Stent) $73.28 $73.28 $500.00–$5,557.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 TIPPS $73.28 $73.28 $500.00–$5,557.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Interventional Radiology Biopsy & Aspiration $73.28 $73.28 $500.00–$5,557.00 — —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthroc Inter Jnt/Bursa W/O US $73.28 $73.28 $500.00–$5,557.00 — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspir Quiste $40.66 $40.66 $46.22 — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspir Quiste $48.79 $48.79 $217.57 — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthroc Sm Joint/Bursa Or Cyst $60.24 $60.24 $46.22 — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthroc Sma Joint/Bursa W/O US $71.28 $71.28 $217.57–$8,000.00 — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 TIPPS $71.28 $71.28 $217.57–$8,000.00 — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Other (Embolizations, IVC Filter, Vascular Stent) $71.28 $71.28 $217.57–$8,000.00 — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Interventional Radiology Biopsy & Aspiration $71.28 $71.28 $217.57–$8,000.00 — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Interventional Radiology Abscess & Drainage $71.28 $71.28 $217.57–$8,000.00 — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Diagnostic Imaging Services $71.28 $71.28 $217.57–$8,000.00 — —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Angioplasty (PTA & Balloon), Nephrostomy $71.28 $71.28 $217.57–$8,000.00 — —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Aspir Quiste $40.66 $40.66 $46.22 — —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Aspir Quiste $48.79 $48.79 — — —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthroc Sm Joint/Bursa Or Cyst $60.24 $60.24 $46.22 — —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Other (Embolizations, IVC Filter, Vascular Stent) $71.28 $71.28 $500.00–$5,557.00 — —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Diagnostic Imaging Services $71.28 $71.28 $500.00–$5,557.00 — —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Interventional Radiology Biopsy & Aspiration $71.28 $71.28 $500.00–$5,557.00 — —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 TIPPS $71.28 $71.28 $500.00–$5,557.00 — —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthroc Sma Joint/Bursa W/O US $71.28 $71.28 $500.00–$5,557.00 — —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Atherectomy $71.28 $71.28 $500.00–$5,557.00 — —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Angioplasty (PTA & Balloon), Nephrostomy $71.28 $71.28 $500.00–$5,557.00 — —
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Interventional Radiology Abscess & Drainage $71.28 $71.28 $500.00–$5,557.00 — —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rep Interm Her 0 - 2.5 Cm $150.13 $150.13 — — —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rep Interm Her 0 - 2.5 Cm $180.15 $180.15 $292.91 — —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Rep Interm Her 0 - 2.5 Cm $150.13 $150.13 — — —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Rep Interm Her 0 - 2.5 Cm $180.15 $180.15 — — —
Left heart catheterization, diagnostic CPT 93452 Lt Ht Cath W Ventriculography $1,500.00 $1,500.00 $1,350.00–$2,396.29 at median —
Left heart catheterization, diagnostic inpatient CPT 93452 Lt Ht Cath W Ventriculography $1,500.00 $1,500.00 $1,950.00–$2,396.29 — —
Lumbar laminectomy (spinal decompression), one level CPT 63047 Neuro - Spinal Surgery $2,237.90 $2,237.90 $732.77–$5,255.25 — —
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 Neuro - Spinal Surgery $2,237.90 $2,237.90 — — —
Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Nail Partial Or Co $61.19 $61.19 — — —
Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Nail Partial Or Co $73.42 $73.42 $147.06 — —
Nail removal (partial or complete), one nail CPT 11730 Avulsion of Nail Plate $225.00 $225.00 $147.06 — —
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Of Nail Partial Or Co $61.19 $61.19 — — —
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Of Nail Partial Or Co $73.42 $73.42 — — —
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion of Nail Plate $225.00 $225.00 — — —
Paracentesis with imaging guidance CPT 49083 Para Peritonecentesis W Imag $207.90 $207.90 $575.00–$8,000.00 — —
Paracentesis with imaging guidance CPT 49083 TIPPS $207.90 $207.90 $575.00–$8,000.00 — —
Paracentesis with imaging guidance CPT 49083 Other (Embolizations, IVC Filter, Vascular Stent) $207.90 $207.90 $575.00–$8,000.00 — —
Paracentesis with imaging guidance CPT 49083 Angioplasty (PTA & Balloon), Nephrostomy $207.90 $207.90 $575.00–$8,000.00 — —
Paracentesis with imaging guidance CPT 49083 Diagnostic Imaging Services $207.90 $207.90 $575.00–$8,000.00 — —
Paracentesis with imaging guidance CPT 49083 Interventional Radiology Abscess & Drainage $207.90 $207.90 $575.00–$8,000.00 — —
Paracentesis with imaging guidance CPT 49083 Interventional Radiology Biopsy & Aspiration $207.90 $207.90 $575.00–$8,000.00 — —
Paracentesis with imaging guidance inpatient CPT 49083 Angioplasty (PTA & Balloon), Nephrostomy $207.90 $207.90 $500.00–$5,557.00 — —
Paracentesis with imaging guidance inpatient CPT 49083 Interventional Radiology Abscess & Drainage $207.90 $207.90 $500.00–$5,557.00 — —
Paracentesis with imaging guidance inpatient CPT 49083 Interventional Radiology Biopsy & Aspiration $207.90 $207.90 $500.00–$5,557.00 — —
Paracentesis with imaging guidance inpatient CPT 49083 Diagnostic Imaging Services $207.90 $207.90 $500.00–$5,557.00 — —
Paracentesis with imaging guidance inpatient CPT 49083 Para Peritonecentesis W Imag $207.90 $207.90 $500.00–$5,557.00 — —
Paracentesis with imaging guidance inpatient CPT 49083 Atherectomy $207.90 $207.90 $500.00–$5,557.00 — —
Paracentesis with imaging guidance inpatient CPT 49083 TIPPS $207.90 $207.90 $500.00–$5,557.00 — —
Paracentesis with imaging guidance inpatient CPT 49083 Other (Embolizations, IVC Filter, Vascular Stent) $207.90 $207.90 $500.00–$5,557.00 — —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Una Parcial O Complet $167.63 $167.63 — — —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Una Parcial O Complet $201.15 $201.15 $292.91 — —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail Partial / Comple $225.00 $225.00 $292.91 — —
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Una Parcial O Complet $167.63 $167.63 — — —
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Una Parcial O Complet $201.15 $201.15 — — —
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Nail Partial / Comple $225.00 $225.00 — — —
Prostate biopsy CPT 55700 Prostate $272.84 $272.84 $575.00–$8,000.00 58% below —
Prostate biopsy CPT 55700 Interventional Radiology Biopsy & Aspiration $272.84 $272.84 $575.00–$8,000.00 58% below —
Prostate biopsy CPT 55700 Interventional Radiology Abscess & Drainage $272.84 $272.84 $575.00–$8,000.00 58% below —
Prostate biopsy CPT 55700 Diagnostic Imaging Services $272.84 $272.84 $575.00–$8,000.00 58% below —
Prostate biopsy CPT 55700 Angioplasty (PTA & Balloon), Nephrostomy $272.84 $272.84 $575.00–$8,000.00 58% below —
Prostate biopsy CPT 55700 Other (Embolizations, IVC Filter, Vascular Stent) $272.84 $272.84 $575.00–$8,000.00 58% below —
Prostate biopsy CPT 55700 TIPPS $272.84 $272.84 $575.00–$8,000.00 58% below —
Prostate biopsy inpatient CPT 55700 Angioplasty (PTA & Balloon), Nephrostomy $272.84 $272.84 $500.00–$5,557.00 — —
Prostate biopsy inpatient CPT 55700 Prostate $272.84 $272.84 $500.00–$5,557.00 — —
Prostate biopsy inpatient CPT 55700 Interventional Radiology Biopsy & Aspiration $272.84 $272.84 $500.00–$5,557.00 — —
Prostate biopsy inpatient CPT 55700 Interventional Radiology Abscess & Drainage $272.84 $272.84 $500.00–$5,557.00 — —
Prostate biopsy inpatient CPT 55700 Atherectomy $272.84 $272.84 $500.00–$5,557.00 — —
Prostate biopsy inpatient CPT 55700 TIPPS $272.84 $272.84 $500.00–$5,557.00 — —
Prostate biopsy inpatient CPT 55700 Other (Embolizations, IVC Filter, Vascular Stent) $272.84 $272.84 $500.00–$5,557.00 — —
Prostate biopsy inpatient CPT 55700 Diagnostic Imaging Services $272.84 $272.84 $500.00–$5,557.00 — —
Removal of a foreign object under the skin, simple CPT 10120 Remocion Cuerpo Ext. Piel Simp $86.53 $86.53 — — —
Removal of a foreign object under the skin, simple CPT 10120 Remocion Cuerpo Ext. Piel Simp $103.83 $103.83 $292.91 — —
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remocion Cuerpo Ext. Piel Simp $86.53 $86.53 — — —
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remocion Cuerpo Ext. Piel Simp $103.83 $103.83 — — —
Short arm cast (elbow to hand) CPT 29075 Aplicacion Yeso Corto Codo A D $57.14 $57.14 — — —
Short arm cast (elbow to hand) CPT 29075 Aplicacion Yeso Corto Codo A D $68.56 $68.56 $197.28 — —
Short arm cast (elbow to hand) inpatient CPT 29075 Aplicacion Yeso Corto Codo A D $57.14 $57.14 — — —
Short arm cast (elbow to hand) inpatient CPT 29075 Aplicacion Yeso Corto Codo A D $68.56 $68.56 — — —
Short arm splint (forearm and hand) CPT 29125 Splint (Post) Antebrazo/Mano $40.53 $40.53 — — —
Short arm splint (forearm and hand) CPT 29125 Splint (Post) Antebrazo/Mano $48.63 $48.63 $93.84 — —
Short arm splint (forearm and hand) inpatient CPT 29125 Splint (Post) Antebrazo/Mano $40.53 $40.53 — — —
Short arm splint (forearm and hand) inpatient CPT 29125 Splint (Post) Antebrazo/Mano $48.63 $48.63 — — —
Short leg cast (below the knee) CPT 29405 Yeso Corto Rodilla A Pie L/E $61.31 $61.31 — — —
Short leg cast (below the knee) CPT 29405 Yeso Corto Rodilla A Pie L/E $74.00 $74.00 $197.28 — —
Short leg cast (below the knee) inpatient CPT 29405 Yeso Corto Rodilla A Pie L/E $61.31 $61.31 — — —
Short leg cast (below the knee) inpatient CPT 29405 Yeso Corto Rodilla A Pie L/E $74.00 $74.00 — — —
Short leg splint (calf to foot) CPT 29515 Applic Short Leg Splint $48.31 $48.31 — — —
Short leg splint (calf to foot) CPT 29515 Splint Corto Pantorrilla A Pi $48.31 $48.31 — — —
Short leg splint (calf to foot) CPT 29515 Splint Corto Pantorrilla A Pi $58.00 $58.00 $115.75 — —
Short leg splint (calf to foot) CPT 29515 Applic Short Leg Splint $58.00 $58.00 $115.75 — —
Short leg splint (calf to foot) inpatient CPT 29515 Applic Short Leg Splint $48.31 $48.31 — — —
Short leg splint (calf to foot) inpatient CPT 29515 Splint Corto Pantorrilla A Pi $48.31 $48.31 — — —
Short leg splint (calf to foot) inpatient CPT 29515 Applic Short Leg Splint $58.00 $58.00 — — —
Short leg splint (calf to foot) inpatient CPT 29515 Splint Corto Pantorrilla A Pi $58.00 $58.00 — — —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SimRPR S/N/Ax/Gen/Trnk 2.5 cm< $75.00 $75.00 — — —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SimpleRep/S/N/Ax/Gen/Trnk2.5/< $95.00 $95.00 $147.06 — —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SimRPR S/N/Ax/Gen/Trnk 2.5 cm< $75.00 $75.00 — — —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SimpleRep/S/N/Ax/Gen/Trnk2.5/< $95.00 $95.00 — — —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/Ax/Gen/Trnk 2.6-7.5 Cm $90.00 $90.00 — — —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/Ax/Gen/Trnk 2.6-7.5 Cm $120.00 $120.00 $147.06 — —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR S/N/Ax/Gen/Trnk 2.6-7.5 Cm $90.00 $90.00 — — —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR S/N/Ax/Gen/Trnk 2.6-7.5 Cm $120.00 $120.00 — — —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rep Simple Her 0 - 2.5 Cm Fac $105.83 $105.83 — — —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rep Simple Her 0 - 2.5 Cm Fac $126.99 $126.99 $147.06 — —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rep Simple Her 0 - 2.5 Cm Fac $105.83 $105.83 — — —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rep Simple Her 0 - 2.5 Cm Fac $126.99 $126.99 — — —
Thoracentesis with imaging guidance CPT 32555 TIPPS $231.76 $231.76 $461.47–$8,000.00 — —
Thoracentesis with imaging guidance CPT 32555 Other (Embolizations, IVC Filter, Vascular Stent) $231.76 $231.76 $461.47–$8,000.00 — —
Thoracentesis with imaging guidance CPT 32555 Thoracentesis With Imaging $231.76 $231.76 $461.47–$8,000.00 — —
Thoracentesis with imaging guidance CPT 32555 Interventional Radiology Abscess & Drainage $231.76 $231.76 $461.47–$8,000.00 — —
Thoracentesis with imaging guidance CPT 32555 Angioplasty (PTA & Balloon), Nephrostomy $231.76 $231.76 $461.47–$8,000.00 — —
Thoracentesis with imaging guidance CPT 32555 Diagnostic Imaging Services $231.76 $231.76 $461.47–$8,000.00 — —
Thoracentesis with imaging guidance CPT 32555 Interventional Radiology Biopsy & Aspiration $231.76 $231.76 $461.47–$8,000.00 — —
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis With Imaging $231.76 $231.76 $500.00–$5,557.00 — —
Thoracentesis with imaging guidance inpatient CPT 32555 Interventional Radiology Abscess & Drainage $231.76 $231.76 $500.00–$5,557.00 — —
Thoracentesis with imaging guidance inpatient CPT 32555 Atherectomy $231.76 $231.76 $500.00–$5,557.00 — —
Thoracentesis with imaging guidance inpatient CPT 32555 Diagnostic Imaging Services $231.76 $231.76 $500.00–$5,557.00 — —
Thoracentesis with imaging guidance inpatient CPT 32555 Angioplasty (PTA & Balloon), Nephrostomy $231.76 $231.76 $500.00–$5,557.00 — —
Thoracentesis with imaging guidance inpatient CPT 32555 TIPPS $231.76 $231.76 $500.00–$5,557.00 — —
Thoracentesis with imaging guidance inpatient CPT 32555 Other (Embolizations, IVC Filter, Vascular Stent) $231.76 $231.76 $500.00–$5,557.00 — —
Thoracentesis with imaging guidance inpatient CPT 32555 Interventional Radiology Biopsy & Aspiration $231.76 $231.76 $500.00–$5,557.00 — —
Total hip replacement CPT 27130 HIP Replacement Package $4,500.00 $4,500.00 $732.77–$9,667.95 — —
Total hip replacement inpatient CPT 27130 HIP Replacement Package $4,500.00 $4,500.00 $1,224.00–$4,100.00 — —
Trigger point injections, 1 or 2 muscles CPT 20552 Inj(S)Sing Or Mult Trig Pts 1+ $68.45 $68.45 — — —
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj(S)Sing Or Mult Trig Pts 1+ $68.45 $68.45 — — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 TIPPS $330.00 $330.00 $575.00–$8,000.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BiopsyBreastWPlacementOfLocDev $330.00 $330.00 $575.00–$8,000.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Other (Embolizations, IVC Filter, Vascular Stent) $330.00 $330.00 $575.00–$8,000.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Angioplasty (PTA & Balloon), Nephrostomy $330.00 $330.00 $575.00–$8,000.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Diagnostic Imaging Services $330.00 $330.00 $575.00–$8,000.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Interventional Radiology Abscess & Drainage $330.00 $330.00 $575.00–$8,000.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Interventional Radiology Biopsy & Aspiration $330.00 $330.00 $575.00–$8,000.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1 Lesion Sono Guidan $1,380.00 $1,380.00 $300.00–$1,500.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Interventional Radiology Biopsy & Aspiration $330.00 $330.00 $500.00–$5,557.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Interventional Radiology Abscess & Drainage $330.00 $330.00 $500.00–$5,557.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Diagnostic Imaging Services $330.00 $330.00 $500.00–$5,557.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Angioplasty (PTA & Balloon), Nephrostomy $330.00 $330.00 $500.00–$5,557.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Other (Embolizations, IVC Filter, Vascular Stent) $330.00 $330.00 $500.00–$5,557.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 TIPPS $330.00 $330.00 $500.00–$5,557.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Atherectomy $330.00 $330.00 $500.00–$5,557.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BiopsyBreastWPlacementOfLocDev $330.00 $330.00 $500.00–$5,557.00 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast 1 Lesion Sono Guidan $1,380.00 $1,380.00 — — —
Upper endoscopy (EGD) with biopsy CPT 43239 EGD Biopsy $219.33 $219.33 — 24% below —
Upper endoscopy (EGD) with biopsy CPT 43239 EGD Biopsy $292.44 $292.44 $665.89 1% above —
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD Biopsy $219.33 $219.33 — — —
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD Biopsy $292.44 $292.44 — — —
Upper endoscopy (EGD), diagnostic CPT 43235 Ugi Endo; Dx W/Wo Collec Spec $150.56 $150.56 — 13% below —
Upper endoscopy (EGD), diagnostic CPT 43235 Ugi Endo; Dx W/Wo Collec Spec $180.67 $180.67 $665.89 5% above —
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Ugi Endo; Dx W/Wo Collec Spec $150.56 $150.56 — — —
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Ugi Endo; Dx W/Wo Collec Spec $180.67 $180.67 — — —
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/Lithotrypsy $652.18 $652.18 $3,800.99 — —
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero with Lithotripsy $652.18 $652.18 — — —
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cysto/uretero w/Lithotrypsy $652.18 $652.18 — — —
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cysto/uretero with Lithotripsy $652.18 $652.18 — — —
Wart removal, up to 14 warts CPT 17110 Remocion/Destruccion Verruga $61.11 $61.11 — — —
Wart removal, up to 14 warts CPT 17110 Remocion/Destruccion Verruga $73.33 $73.33 $147.06 — —
Wart removal, up to 14 warts inpatient CPT 17110 Remocion/Destruccion Verruga $61.11 $61.11 — — —
Wart removal, up to 14 warts inpatient CPT 17110 Remocion/Destruccion Verruga $73.33 $73.33 — — —
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Skin Subcutaneous $56.29 $56.29 $292.91 — —
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Sub Q Tissue $400.00 $400.00 $292.91 — —
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Skin Subcutaneous $56.29 $56.29 — — —
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Sub Q Tissue $400.00 $400.00 — — —

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs Puerto RicoOff list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PressOrnonpressInhalationTreat $28.82 $28.82 $10.70–$156.68 — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PressOrnonpressInhalationTreat $28.82 $28.82 $8.04 — —
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Incl/Awake&Drowsy w/Hyper $394.58 $394.58 $230.57 — —
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Incl/Awake&Drowsy w/Hyper $394.58 $394.58 — — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Physician ED Visit Minor (T) $50.00 $50.00 — — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Physician ED Visit Minor $50.00 $50.00 — — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Visit Problem Minor(Trauma) $260.00 $260.00 $65.22–$259.00 — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Visit Problem Minor $260.00 $260.00 $65.22–$259.00 — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Visit Problem Minor (CDT) $260.00 $260.00 $65.22–$259.00 — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Physician ED Visit Minor $50.00 $50.00 — — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Physician ED Visit Minor (T) $50.00 $50.00 — — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Visit Problem Minor(Trauma) $260.00 $260.00 — — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Visit Problem Minor (CDT) $260.00 $260.00 — — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Visit Problem Minor $260.00 $260.00 — — —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Physician ED Visit Low Mod (T) $90.00 $90.00 — — —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Physician ED Visit Low Mod $90.00 $90.00 — — —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED Visit Low-Mod Severity $285.00 $285.00 $120.14–$259.00 — —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED Visit Low-Mod Severity (T) $285.00 $285.00 $120.14–$259.00 — —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Physician ED Visit Low Mod (T) $90.00 $90.00 — — —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Physician ED Visit Low Mod $90.00 $90.00 — — —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED Visit Low-Mod Severity (T) $285.00 $285.00 — — —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED Visit Low-Mod Severity $285.00 $285.00 — — —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Physician ED Visit Moderate(T) $130.00 $130.00 — — —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Physician ED Visit Moderate $130.00 $130.00 — — —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED Visit Moderate Severity (T) $310.00 $310.00 $134.00–$259.00 — —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED Visit Moderate Severity $310.00 $310.00 $134.00–$259.00 — —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Physician ED Visit Moderate $130.00 $130.00 — — —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Physician ED Visit Moderate(T) $130.00 $130.00 — — —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED Visit Moderate Severity (T) $310.00 $310.00 — — —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED Visit Moderate Severity $310.00 $310.00 — — —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Physician ED Visit High Urg(T) $250.00 $250.00 $107.45–$117.07 — —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Physician ED Visit High Urg Ev $250.00 $250.00 $107.45–$117.07 — —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED Visit High Sev Urg Eva(T) $335.00 $335.00 $134.00–$357.89 — —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED Visit High Severity Urg Eva $335.00 $335.00 $134.00–$357.89 — —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Physician ED Visit High Urg Ev $250.00 $250.00 $107.45–$117.07 — —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Physician ED Visit High Urg(T) $250.00 $250.00 $107.45–$117.07 — —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED Visit High Sev Urg Eva(T) $335.00 $335.00 — — —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED Visit High Severity Urg Eva $335.00 $335.00 — — —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Visit High Sev Immed Threat $360.00 $360.00 $134.00–$519.02 — —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Visit High Sev Im.Threat(T) $360.00 $360.00 $134.00–$519.02 — —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Physician ED Visit High Threat $360.00 $360.00 $158.66–$169.67 — —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Physician ED VisitHigh Thr (T) $360.00 $360.00 $158.66–$169.67 — —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED Visit High Sev Im.Threat(T) $360.00 $360.00 — — —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Physician ED Visit High Threat $360.00 $360.00 $158.66–$169.67 — —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Physician ED VisitHigh Thr (T) $360.00 $360.00 $158.66–$169.67 — —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED Visit High Sev Immed Threat $360.00 $360.00 — — —
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test Tracing Only $95.00 $95.00 $33.00–$230.57 — —
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test Tracing Only $95.00 $95.00 $33.00–$58.50 — —
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Holter Monitor up to 48 Hours $175.00 $175.00 $90.90–$170.00 — —
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Holter Monitor up to 48 Hours $175.00 $175.00 $140.00–$170.00 — —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IntravInfusHydrationFirst31min $125.00 $125.00 $157.45 — —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER-IntravInfusHydraFirst31min $125.00 $125.00 $157.45 — —
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IntravInfusHydrationFirst31min $125.00 $125.00 — — —
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ER-IntravInfusHydraFirst31min $125.00 $125.00 — — —
IV infusion of a medicine, first hour CPT 96365 ER-IntravInfusTheraDiagUpto1hr $250.00 $250.00 $157.45 — —
IV infusion of a medicine, first hour CPT 96365 IntravInfusionTheraDiagUpto1hr $250.00 $250.00 $157.45 — —
IV infusion of a medicine, first hour inpatient CPT 96365 ER-IntravInfusTheraDiagUpto1hr $250.00 $250.00 — — —
IV infusion of a medicine, first hour inpatient CPT 96365 IntravInfusionTheraDiagUpto1hr $250.00 $250.00 — — —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ProphylacticOrDiagInjSub/OrIM $125.00 $125.00 $51.75 — —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER-ProphylactOrDiagInjSubOrIM $125.00 $125.00 $51.75 — —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ProphylacticOrDiagInjSub/OrIM $125.00 $125.00 — — —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER-ProphylactOrDiagInjSubOrIM $125.00 $125.00 — — —
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Ncv 7 Or 8 Nerves $238.91 $238.91 — — —
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Ncv 7 Or 8 Nerves $238.91 $238.91 — — —
Neuromuscular re-education, 15 minutes CPT 97112 TherapNeuromusReEducatiEa15Min $75.00 $75.00 $20.00–$35.75 — —
Neuromuscular re-education, 15 minutes CPT 97112 TherapePx1+Area15MinNeuroReedu $75.00 $75.00 $20.00–$35.75 — —
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TherapNeuromusReEducatiEa15Min $75.00 $75.00 — — —
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TherapePx1+Area15MinNeuroReedu $75.00 $75.00 — — —
New patient office visit, about 30 minutes CPT 99203 Initial Visit Moderate: 30 Min $134.48 $134.48 $98.47 13% above —
New patient office visit, about 30 minutes inpatient CPT 99203 Initial Visit Moderate: 30 Min $134.48 $134.48 $98.47 — —
New patient office visit, about 45 minutes CPT 99204 Initial Visit Mod to High:45Mi $209.03 $209.03 — 18% below —
New patient office visit, about 45 minutes inpatient CPT 99204 Initial Visit Mod to High:45Mi $209.03 $209.03 — — —
New patient office visit, about 60 minutes CPT 99205 Initial Visit High: 60 Min $264.18 $264.18 — 20% below —
New patient office visit, about 60 minutes inpatient CPT 99205 Initial Visit High: 60 Min $264.18 $264.18 — — —
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Initial Visit Low to Mod:20Min $92.57 $92.57 — — —
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Initial Visit Low to Mod:20Min $92.57 $92.57 — — —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Telenutrition Assessment $45.00 $45.00 $16.80–$45.00 — —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrition Inicial Visit $45.00 $45.00 $16.80–$45.00 — —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Telenutrition Assessment $45.00 $45.00 — — —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nutrition Inicial Visit $45.00 $45.00 — — —
Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complexity 30 Min $185.00 $185.00 $28.00–$101.19 — —
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complexity 30 Min $185.00 $185.00 $72.27 — —
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PtHighComplexityTypically45Min $175.00 $175.00 $20.00–$100.20 — —
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PtHighComplexityTypically45Min $175.00 $175.00 $30.00 — —
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PtLowComplexityTypically20 Min $125.00 $125.00 $20.00–$100.20 — —
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PtLowComplexityTypically20 Min $125.00 $125.00 $30.00 — —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PtModComplexityTypically30 Min $150.00 $150.00 $20.00–$100.20 — —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PtModComplexityTypically30 Min $150.00 $150.00 $30.00 — —
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 ManualTheraTech1/+RegEa15Min $60.00 $60.00 $6.83–$30.00 — —
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 ManualTherapy1+RegionsEa15Min $60.00 $60.00 $6.83–$26.96 — —
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 ManualTherapy1+RegionsEa15Min $60.00 $60.00 $20.00 — —
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 ManualTheraTech1/+RegEa15Min $60.00 $60.00 $20.00 — —
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TherapeuticPx1+AreaEa15MinExer $65.00 $65.00 $20.00–$31.41 117% above —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TherapeuticPx1+AreaEa15MinExer $65.00 $65.00 $20.00 — —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established Pat High: 40 Min $184.50 $184.50 — — —
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Established Pat High: 40 Min $184.50 $184.50 — — —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EstablishedPat Low to Mod:15Mi $91.16 $91.16 $67.06 — —
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EstablishedPat Low to Mod:15Mi $91.16 $91.16 $67.06 — —
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EstablishedPat Mod toHigh:25Mi $136.10 $136.10 — — —
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EstablishedPat Mod toHigh:25Mi $136.10 $136.10 — — —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established Patient Low: 10Min $53.22 $53.22 — — —
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Established Patient Low: 10Min $53.22 $53.22 — — —
Speech and language evaluation CPT 92523 EvalSpeechSoundProdW/Language $400.00 $400.00 $26.32–$227.69 — —
Speech and language evaluation inpatient CPT 92523 EvalSpeechSoundProdW/Language $400.00 $400.00 — — —
Speech therapy session, individual CPT 92507 Treat Of Speech/Hear Thera Ind $160.00 $160.00 $21.94–$76.23 — —
Speech therapy session, individual inpatient CPT 92507 Treat Of Speech/Hear Thera Ind $160.00 $160.00 $30.00 — —
Spirometry (breathing test) CPT 94010 Single Spirometry $75.00 $75.00 $114.75 — —
Spirometry (breathing test) inpatient CPT 94010 Single Spirometry $75.00 $75.00 — — —
Spirometry before and after a bronchodilator CPT 94060 BronchospasmEvSpiroPrePostBron $125.00 $125.00 $33.85–$230.57 — —
Spirometry before and after a bronchodilator inpatient CPT 94060 BronchospasmEvSpiroPrePostBron $125.00 $125.00 — — —
Therapeutic activities (functional training), 15 minutes CPT 97530 Therap Act Dir 1 On 1 Ea 15Min $85.00 $85.00 $10.73–$41.57 — —
Therapeutic activities (functional training), 15 minutes CPT 97530 TheraActivitiesDirectPtEa15Min $85.00 $85.00 $10.73–$41.57 — —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therap Act Dir 1 On 1 Ea 15Min $85.00 $85.00 $25.22 — —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TheraActivitiesDirectPtEa15Min $85.00 $85.00 $25.22 — —
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Stres Test $175.00 $175.00 $73.01–$200.00 — —
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Stres Test $175.00 $175.00 $67.60–$200.00 — —

Vaccines

ProcedureCash price List priceInsurers payvs Puerto RicoOff list
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO (MENING VAC A,C,Y,W-135 $584.84 $584.84 — — —
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO (MENING VAC A,C,Y,W-135 $584.84 $584.84 — — —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administracion De Vacuna $50.00 $50.00 $51.75 — —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administracion De Vacuna $50.00 $50.00 — — —

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/8494/660227304_hospital-de-la-concepcion-inc_standardcharges.csv