Hospital Eureka-Arcata, CA

Mad River Community Hospital

Listed in its price file as “American Hospital Management Corporation”.

Mad River Community Hospital in Arcata, CA publishes cash prices for 280 common procedures listed here, from its own machine-readable price file updated Jul 22, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 226 of 275 procedures and below it for 49. By typical cash price it ranks #147 of 168 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

3800 Janes Road, Arcata, CA 95521 Collected Sep 27, 2026 Source price file (707) 822-3621

Acute care hospital Emergency department CMS star rating 1 of 5 CCN 050028 · CMS hospital register

The price file shows no self-pay discount

For 1031 of the 1031 prices listed here, the cash price in Mad River Community Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE MIN 3 VIEWS BILATERAL	$845.20	$845.20	$74.76–$633.90	—	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE MIN 3 VIEWS RT	$821.97	$821.97	$74.76–$616.48	96% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE MIN 3 VIEWS LT	$821.97	$821.97	$74.76–$616.48	96% above	—
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR ANKLE MIN 3 VIEWS BILATERAL	$885.35	$885.35	—	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE MIN 3 VIEWS LT	$861.01	$861.01	—	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE MIN 3 VIEWS RT	$861.01	$861.01	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDEX LIMITED	$667.01	$667.01	$74.54–$573.06	20% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTERIAL SDY SGL LVL	$667.01	$667.01	$74.54–$573.06	20% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ARTERIAL SDY SGL LVL	$698.69	$698.69	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE BRACHIAL INDEX LIMITED	$698.69	$698.69	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGRAM (SINGLE CONTRAST)	$1,279.81	$1,279.81	$191.97–$959.86	141% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGRAM (SINGLE CONTRAST)	$1,340.60	$1,340.60	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMG WHOLE B	$2,224.89	$2,224.89	$333.73–$1,786.43	5% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE IMG WHOLE B	$2,330.57	$2,330.57	—	—	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LT LIMITED	$516.51	$516.51	$77.48–$472.77	7% below	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT LIMITED	$516.51	$516.51	$77.48–$472.77	7% below	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT	$751.87	$751.87	$112.78–$563.90	35% above	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LT	$751.87	$751.87	$112.78–$563.90	35% above	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RT LIMITED	$541.04	$541.04	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LT LIMITED	$541.04	$541.04	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LT	$787.58	$787.58	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RT	$787.58	$787.58	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA THORACIC AORTA W/ IV CONTRAST	$5,863.34	$5,863.34	$226.19–$4,397.51	88% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA PE CHEST W/ IV CONTRAST	$5,863.34	$5,863.34	$226.19–$4,397.51	88% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA PE CHEST W/ IV CONTRAST	$6,141.85	$6,141.85	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA THORACIC AORTA W/ IV CONTRAST	$6,141.85	$6,141.85	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS W/O IV CONTRAST	$3,008.72	$3,008.72	$276.67–$2,256.54	7% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS W/O IV CONTRAST	$3,151.63	$3,151.63	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W/ IV CONTRAST	$3,484.29	$3,484.29	$453.77–$2,613.22	13% below	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W/ IV CONTRAST	$3,649.79	$3,649.79	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS W/ & W/O IV CONTRAST	$5,764.88	$5,764.88	$453.77–$4,323.66	30% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELVIS W/ & W/O IV CONTRAST	$6,038.71	$6,038.71	—	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABD W/ IV CONTRAST	$3,484.29	$3,484.29	$226.19–$2,613.22	56% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W/ IV CONTRAST	$3,649.79	$3,649.79	—	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABD W/O IV CONTR	$2,882.31	$2,882.31	$135.01–$2,161.73	54% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD W/O IV CONTR	$3,019.22	$3,019.22	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL/SINUS W/O IV CONTRAST	$2,405.54	$2,405.54	$135.01–$1,804.16	10% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL/SINUS W/O IV CONTRAST	$2,519.80	$2,519.80	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O IV CONTRAST	$2,405.54	$2,405.54	$135.01–$1,804.16	5% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN W/O IV CONTRAST	$2,519.80	$2,519.80	—	—	—
CT scan of the head with contrast CPT 70460 CT BRAIN W/ IV CONTRAST	$2,885.93	$2,885.93	$226.19–$2,164.45	7% above	—
CT scan of the head with contrast inpatient CPT 70460 CT BRAIN W/ IV CONTRAST	$3,023.01	$3,023.01	—	—	—
CT scan of the head without and with contrast CPT 70470 CT BRAIN W/O & W/ IV CONTRAST	$3,598.68	$3,598.68	$226.19–$2,699.01	28% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN W/O & W/ IV CONTRAST	$3,769.62	$3,769.62	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O IV CONTRAST	$3,008.72	$3,008.72	$135.01–$2,256.54	7% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR W/O IV CONTRAST	$3,151.63	$3,151.63	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O IV CONTRAST	$3,008.72	$3,008.72	$135.01–$2,256.54	3% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL W/O IV CONTRAST	$3,151.63	$3,151.63	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT SACRUM W/ IV CONTRAST	$3,484.29	$3,484.29	$226.19–$2,613.22	37% above	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ IV CONTRAST	$3,484.29	$3,484.29	$226.19–$2,613.22	37% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ IV CONTRAST	$3,649.79	$3,649.79	—	—	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT SACRUM W/ IV CONTRAST	$3,649.79	$3,649.79	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTIDS	$2,642.71	$2,642.71	$161.39–$1,982.03	118% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTIDS	$2,768.24	$2,768.24	—	—	—
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$986.70	$986.70	$74.76–$740.03	156% above	—
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$1,033.57	$1,033.57	—	—	—
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$743.49	$743.49	$74.76–$557.62	121% above	—
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW	$778.81	$778.81	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM	$1,119.90	$1,119.90	$135.01–$839.93	32% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEUM	$1,173.10	$1,173.10	—	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD SPINE/HIP	$852.41	$852.41	$127.86–$639.31	80% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD SPINE/HIP	$892.90	$892.90	—	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD APPENDAGE	$417.78	$417.78	$62.67–$391.43	58% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD APPENDAGE	$437.62	$437.62	—	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB FETAL ANATOMY SURVEY COMPLETE	$2,104.89	$2,104.89	$276.67–$1,578.67	158% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB FETAL ANATOMY SURVEY COMPLETE	$2,204.87	$2,204.87	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HI-RES W/O IV CONTRAST	$3,008.72	$3,008.72	$135.01–$2,256.54	65% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O IV CONTRAST	$3,008.72	$3,008.72	$135.01–$2,256.54	65% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O IV CONTRAST	$3,151.63	$3,151.63	—	—	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST HI-RES W/O IV CONTRAST	$3,151.63	$3,151.63	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ IV CONTRAST	$3,598.68	$3,598.68	$226.19–$2,699.01	54% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/ IV CONTRAST	$3,769.62	$3,769.62	—	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MG DIGITAL DIAGNOSTIC BILATERAL W/ CAD	$1,075.14	$1,075.14	$118.09–$806.36	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG DIGITAL DIAGNOSTIC BILATERAL W/ CAD	$1,126.21	$1,126.21	—	—	—
Diagnostic mammogram, one breast one side CPT 77065 MG DIGITAL DIAG UNILATERAL RT W/ CAD	$703.12	$703.12	$92.64–$527.34	99% above	—
Diagnostic mammogram, one breast one side CPT 77065 MG DIGITAL DIAG UNILATERAL LT W/ CAD	$703.12	$703.12	$92.64–$527.34	99% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG DIGITAL DIAG UNILATERAL LT W/ CAD	$736.52	$736.52	—	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG DIGITAL DIAG UNILATERAL RT W/ CAD	$736.52	$736.52	—	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERY LOWER EXT BILATERAL	$1,265.37	$1,265.37	$161.39–$1,074.62	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERY LOWER EXT BILATERAL	$1,325.48	$1,325.48	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS UPPER BILATERAL	$2,509.08	$2,509.08	$161.39–$1,881.81	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS LOWER BILATERAL	$2,509.08	$2,509.08	$161.39–$1,881.81	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS UPPER BILATERAL	$2,628.26	$2,628.26	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS LOWER BILATERAL	$2,628.26	$2,628.26	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM	$3,811.24	$3,811.24	$348.24–$2,858.43	58% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARDIOGRAM	$3,992.27	$3,992.27	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY	$1,908.55	$1,908.55	$286.28–$1,786.43	24% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY	$1,999.21	$1,999.21	—	—	—
Knee X-ray, 3 views both sides CPT 73562 XR KNEE 3 VIEWS BILATERAL	$936.70	$936.70	$74.76–$702.53	—	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LT	$909.60	$909.60	$74.76–$682.20	124% above	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RT	$909.60	$909.60	$74.76–$682.20	124% above	—
Knee X-ray, 3 views inpatient both sides CPT 73562 XR KNEE 3 VIEWS BILATERAL	$981.19	$981.19	—	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS RT	$952.81	$952.81	—	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LT	$952.81	$952.81	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 FAST EXAM ER	$642.92	$642.92	$96.44–$482.19	22% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ST LOWER BACK	$697.10	$697.10	$104.57–$522.83	16% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$1,014.76	$1,014.76	$135.01–$761.07	22% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 FAST EXAM ER	$673.46	$673.46	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ST LOWER BACK	$730.21	$730.21	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$1,062.96	$1,062.96	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LD LUNG SCREENING	$1,098.88	$1,098.88	$135.12–$824.16	176% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LD LUNG SCREENING	$1,151.08	$1,151.08	—	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR JOINT LOWER EXT RT W/O IV CONTRAST	$2,938.90	$2,938.90	$276.67–$2,204.18	17% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR JOINT LOWER EXT LT W/O IV CONTRAST	$2,938.90	$2,938.90	$276.67–$2,204.18	17% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR JOINT LOWER EXT RT W/O IV CONTRAST	$3,078.50	$3,078.50	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR JOINT LOWER EXT LT W/O IV CONTRAST	$3,078.50	$3,078.50	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR JOINT LOWER EXT LT W/&W/O IV CONTRAST	$6,654.35	$6,654.35	$453.77–$4,990.76	84% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR JOINT LOWER EXT RT W/&W/O IV CONTRAST	$6,654.35	$6,654.35	$453.77–$4,990.76	84% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR JOINT LOWER EXT RT W/&W/O IV CONTRAST	$6,970.43	$6,970.43	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR JOINT LOWER EXT LT W/&W/O IV CONTRAST	$6,970.43	$6,970.43	—	—	—
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN W/O IV CONTRAST	$2,950.93	$2,950.93	$276.67–$2,213.20	11% above	—
MRI of the abdomen without contrast CPT 74181 MR MRCP W/O IV CONTRAST	$2,950.93	$2,950.93	$276.67–$2,213.20	11% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MR MRCP W/O IV CONTRAST	$3,091.10	$3,091.10	—	—	—
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN W/O IV CONTRAST	$3,091.10	$3,091.10	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W/ & W/O IV CONTRAST	$6,566.46	$6,566.46	$453.77–$4,924.85	50% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN W/ & W/O IV CONTRAST	$6,878.37	$6,878.37	—	—	—
MRI of the brain, no contrast dye CPT 70551 MR BRAIN W/O IV CONTRAST	$2,949.73	$2,949.73	$276.67–$2,212.30	13% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN W/O IV CONTRAST	$3,089.84	$3,089.84	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W/ & W/O IV CONTRAST	$5,807.96	$5,807.96	$453.77–$4,355.97	55% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W/ & W/O IV CONTRAST	$6,083.84	$6,083.84	—	—	—
MRI of the lower back, no contrast dye CPT 72148 MR L-SPINE W/O IV CONTRAST	$3,268.78	$3,268.78	$276.67–$2,451.59	29% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L-SPINE W/O IV CONTRAST	$3,424.05	$3,424.05	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MR L-SPINE W/&W/O IV CONTRAST	$5,807.96	$5,807.96	$453.77–$4,355.97	47% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L-SPINE W/&W/O IV CONTRAST	$6,083.84	$6,083.84	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T-SPINE W/O IV CONTRAST	$3,271.20	$3,271.20	$276.67–$2,453.40	37% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T-SPINE W/O IV CONTRAST	$3,426.58	$3,426.58	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C-SPINE W/ & W/O IV CONTRAST	$5,806.74	$5,806.74	$453.77–$4,355.06	44% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C-SPINE W/ & W/O IV CONTRAST	$6,082.56	$6,082.56	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C-SPINE W/O IV CONTRAST	$2,950.93	$2,950.93	$276.67–$2,213.20	16% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C-SPINE W/O IV CONTRAST	$3,091.10	$3,091.10	—	—	—
MRI of the pelvis without and with contrast CPT 72197 MR SACRUM W/&W/O IV CONTRAST	$2,580.11	$2,580.11	$387.02–$1,935.08	24% below	—
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W&W/O IV CONTRAST	$6,665.18	$6,665.18	$453.77–$4,998.89	96% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MR SACRUM W/&W/O IV CONTRAST	$2,702.67	$2,702.67	—	—	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS W&W/O IV CONTRAST	$6,981.78	$6,981.78	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 MR SACRUM W/O IV CONTRAST	$2,580.11	$2,580.11	$270.12–$1,935.08	21% above	—
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS W/O IV CONTRAST	$3,007.53	$3,007.53	$276.67–$2,255.65	41% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR SACRUM W/O IV CONTRAST	$2,702.67	$2,702.67	—	—	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS W/O IV CONTRAST	$3,150.39	$3,150.39	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR JOINT UPPER EXT RT W/O IV CONTRAST	$2,938.90	$2,938.90	$276.67–$2,204.18	20% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR JOINT UPPER EXT LT W/O IV CONTRAST	$2,938.90	$2,938.90	$276.67–$2,204.18	20% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR JOINT UPPER EXT LT W/O IV CONTRAST	$3,078.50	$3,078.50	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR JOINT UPPER EXT RT W/O IV CONTRAST	$3,078.50	$3,078.50	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC W/ THALL	$6,145.68	$6,145.68	$921.85–$5,803.79	67% above	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARD PERF STRES&REST	$10,667.74	$10,667.74	$1,475.26–$8,000.81	190% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM CARDIAC W/ THALL	$6,437.60	$6,437.60	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM CARD PERF STRES&REST	$11,174.46	$11,174.46	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US ST BUTTOCK	$601.99	$601.99	$90.30–$472.77	16% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC BLADDER	$601.99	$601.99	$90.30–$472.77	16% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC FOLLICLE COUNT	$819.90	$819.90	$122.99–$614.93	58% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED	$819.90	$819.90	$122.99–$614.93	58% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US ST BUTTOCK	$630.58	$630.58	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC BLADDER	$630.58	$630.58	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED	$858.85	$858.85	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC FOLLICLE COUNT	$858.85	$858.85	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC	$1,095.39	$1,095.39	$135.01–$821.54	16% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PROSTATE TA	$1,095.39	$1,095.39	$135.01–$821.54	16% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PROSTATE TA	$1,147.42	$1,147.42	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC	$1,147.42	$1,147.42	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >14 WEEKS	$1,286.42	$1,286.42	$135.01–$964.82	77% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >14 WEEKS	$1,347.52	$1,347.52	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB FIRST TRIMESTER	$1,198.78	$1,198.78	$135.01–$899.09	72% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB FIRST TRIMESTER	$1,255.72	$1,255.72	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB PLACENTA LOCALIZATION	$823.51	$823.51	$123.53–$617.63	63% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED	$1,014.76	$1,014.76	$135.01–$761.07	101% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB PLACENTA LOCALIZATION	$862.63	$862.63	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED	$1,062.96	$1,062.96	—	—	—
Screening mammogram, both breasts both sides CPT 77067 MG DIGITAL SCREENING BILATERAL W/CAD	$703.12	$703.12	$97.76–$527.34	—	—
Screening mammogram, both breasts one side CPT 77067 MG DIGITAL SCREEN UNILATERAL RT W/ CAD	$551.42	$551.42	$82.71–$413.57	113% above	—
Screening mammogram, both breasts one side CPT 77067 MG DIGITAL SCREEN UNILATERAL LT W/CAD	$551.42	$551.42	$82.71–$413.57	113% above	—
Screening mammogram, both breasts inpatient both sides CPT 77067 MG DIGITAL SCREENING BILATERAL W/CAD	$736.52	$736.52	—	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MG DIGITAL SCREEN UNILATERAL LT W/CAD	$577.61	$577.61	—	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MG DIGITAL SCREEN UNILATERAL RT W/ CAD	$577.61	$577.61	—	—	—
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER MIN 2 VIEWS BILAT	$936.70	$936.70	$74.76–$702.53	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER MIN 2 VIEWS RT	$909.60	$909.60	$74.76–$682.20	78% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER MIN 2 VIEWS LT	$909.60	$909.60	$74.76–$682.20	78% above	—
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR SHOULDER MIN 2 VIEWS BILAT	$981.19	$981.19	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER MIN 2 VIEWS RT	$952.81	$952.81	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER MIN 2 VIEWS LT	$952.81	$952.81	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR ESOPHAGRAM VIDEO WITH SPEECH	$1,414.66	$1,414.66	$135.01–$1,061.00	144% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR ESOPHAGRAM VIDEO WITH SPEECH	$1,481.86	$1,481.86	—	—	—
Transvaginal pelvic ultrasound CPT 76830 US ENDOVAGINAL NON PREGNANT	$1,095.39	$1,095.39	$135.01–$821.54	95% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US ENDOVAGINAL NON PREGNANT	$1,147.42	$1,147.42	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US ENDOVAGINAL PREGNANT	$1,095.39	$1,095.39	$135.01–$821.54	90% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US ENDOVAGINAL PREGNANT	$1,147.42	$1,147.42	—	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN SURVEY	$1,119.90	$1,119.90	$135.01–$839.93	13% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN SURVEY	$1,173.10	$1,173.10	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$2,811.18	$2,811.18	$135.01–$2,108.39	216% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$2,944.71	$2,944.71	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US ST HEAD/NECK	$697.10	$697.10	$104.57–$522.83	16% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$697.10	$697.10	$104.57–$522.83	16% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US ST HEAD/NECK	$730.21	$730.21	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$730.21	$730.21	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI (SINGLE CONTRAST)	$929.77	$929.77	$139.47–$791.41	54% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI (SINGLE CONTRAST)	$973.93	$973.93	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LOWER UNILATERAL LT	$1,719.27	$1,719.27	$78.76–$1,289.45	104% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UPPER UNILATERAL LT	$1,719.27	$1,719.27	$78.76–$1,289.45	104% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LOWER UNILATERAL RT	$1,719.27	$1,719.27	$78.76–$1,289.45	104% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UPPER UNILATERAL RT	$1,719.27	$1,719.27	$78.76–$1,289.45	104% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS UPPER UNILATERAL LT	$1,800.94	$1,800.94	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS UPPER UNILATERAL RT	$1,800.94	$1,800.94	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS LOWER UNILATERAL RT	$1,800.94	$1,800.94	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS LOWER UNILATERAL LT	$1,800.94	$1,800.94	—	—	—
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR WRIST MIN 3 VIEWS BILAT	$1,643.94	$1,643.94	$74.76–$1,232.96	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST MIN 3 VIEWS RT	$821.97	$821.97	$74.76–$616.48	90% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST MIN 3 VIEWS LT	$821.97	$821.97	$74.76–$616.48	90% above	—
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR WRIST MIN 3 VIEWS BILAT	$1,722.03	$1,722.03	—	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST MIN 3 VIEWS LT	$861.01	$861.01	—	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST MIN 3 VIEWS RT	$861.01	$861.01	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILAT W OR W/O PELVIS RT (2-3 V)	$624.85	$624.85	$74.76–$468.64	64% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILAT W OR W/O PELVIS LT (2-3 V)	$624.85	$624.85	$74.76–$468.64	64% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNILAT W OR W/O PELVIS LT (2-3 V)	$654.53	$654.53	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNILAT W OR W/O PELVIS RT (2-3 V)	$654.53	$654.53	—	—	—
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW	$807.96	$807.96	$74.76–$605.97	168% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW	$846.34	$846.34	—	—	—
X-ray of the ankle, 2 views both sides CPT 73600 XR ANKLE 2 VIEWS BILATERAL	$786.19	$786.19	$74.76–$589.64	—	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT	$523.72	$523.72	$74.76–$392.79	74% above	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT	$523.72	$523.72	$74.76–$392.79	74% above	—
X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR ANKLE 2 VIEWS BILATERAL	$823.53	$823.53	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS RT	$548.60	$548.60	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LT	$548.60	$548.60	—	—	—
X-ray of the finger(s), 2 or more views both sides CPT 73140 XR FINGERS BILATERAL	$677.83	$677.83	$74.76–$508.37	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS LT	$452.70	$452.70	$67.91–$391.43	71% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS RT	$452.70	$452.70	$67.91–$391.43	71% above	—
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 XR FINGERS BILATERAL	$710.03	$710.03	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS RT	$474.20	$474.20	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS LT	$474.20	$474.20	—	—	—
X-ray of the foot, 2 views both sides CPT 73620 XR FOOT 2 VIEWS BILATERAL	$786.19	$786.19	$74.76–$589.64	—	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT	$523.72	$523.72	$74.76–$392.79	74% above	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT	$523.72	$523.72	$74.76–$392.79	74% above	—
X-ray of the foot, 2 views inpatient both sides CPT 73620 XR FOOT 2 VIEWS BILATERAL	$823.53	$823.53	—	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RT	$548.60	$548.60	—	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT	$548.60	$548.60	—	—	—
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT MIN 3 VIEWS BILATERAL	$1,230.34	$1,230.34	$74.76–$922.76	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT MIN 3 VIEWS	$821.97	$821.97	$74.76–$616.48	108% above	—
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR FOOT MIN 3 VIEWS BILATERAL	$1,288.78	$1,288.78	—	—	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT MIN 3 VIEWS	$861.01	$861.01	—	—	—
X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND MIN 3 VIEWS BILAT	$845.20	$845.20	$74.76–$633.90	—	—
X-ray of the hand, 3 or more views CPT 73130 XR HAND MIN 3 VIEWS	$821.97	$821.97	$74.76–$616.48	95% above	—
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR HAND MIN 3 VIEWS BILAT	$885.35	$885.35	—	—	—
X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND MIN 3 VIEWS	$861.01	$861.01	—	—	—
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BILAT	$831.93	$831.93	$74.76–$623.95	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS RT	$555.04	$555.04	$74.76–$416.28	64% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS LT	$555.04	$555.04	$74.76–$416.28	64% above	—
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BILAT	$871.45	$871.45	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 VIEWS RT	$581.40	$581.40	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 VIEWS LT	$581.40	$581.40	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 3 OR LESS VIEWS	$1,060.32	$1,060.32	$135.01–$795.24	132% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L-SPINE 3 OR LESS VIEWS	$1,110.69	$1,110.69	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE MIN 4 VI	$992.08	$992.08	$135.01–$744.06	69% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-SPINE MIN 4 VI	$1,039.20	$1,039.20	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS	$706.73	$706.73	$106.01–$530.05	97% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR T-SPINE 2 VIEWS	$740.30	$740.30	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES	$555.04	$555.04	$74.76–$416.28	46% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES	$581.40	$581.40	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE LIMITED	$955.18	$955.18	$74.76–$716.39	121% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C-SPINE LIMITED	$1,000.55	$1,000.55	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VI	$555.04	$555.04	$83.26–$472.77	52% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VI	$581.40	$581.40	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM-COCCYX	$624.85	$624.85	$74.76–$468.64	47% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM-COCCYX	$654.53	$654.53	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$151.71	$151.71	$5.30–$113.78	252% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460	$26.00	$26.00	—	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT)	$158.92	$158.92	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$149.29	$149.29	$5.18–$111.97	239% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450	$23.00	$23.00	—	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT)	$156.38	$156.38	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PROF	$184.20	$184.20	$27.63–$138.15	25% below	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PROF	$192.95	$192.95	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 JAPANESE CEDAR	$8.00	$8.00	$1.20–$14.22	4% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN D FARINAE	$34.91	$34.91	$5.22–$26.18	320% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PAPAYA FOOD	$34.91	$34.91	$5.22–$26.18	320% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CHICK FEAT	$34.91	$34.91	$5.22–$26.18	320% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ANISAKIS IGE	$34.91	$34.91	$5.22–$26.18	320% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CANTALOUPE	$34.91	$34.91	$5.22–$26.18	320% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LATEX BRAZILIAN RUBBBER TREE	$43.35	$43.35	$5.22–$32.51	421% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WALLEYE PIKE	$43.35	$43.35	$5.22–$32.51	421% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY REGIONAL I	$43.35	$43.35	$5.22–$32.51	421% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003	$26.00	$26.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JAPANESE CEDAR	$29.00	$29.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN D FARINAE	$36.57	$36.57	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CHICK FEAT	$36.57	$36.57	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CANTALOUPE	$36.57	$36.57	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PAPAYA FOOD	$36.57	$36.57	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ANISAKIS IGE	$36.57	$36.57	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WALLEYE PIKE	$45.41	$45.41	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY REGIONAL I	$45.41	$45.41	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LATEX BRAZILIAN RUBBBER TREE	$45.41	$45.41	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE (CCP) ANTIB	$56.84	$56.84	$8.53–$42.63	180% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE IGG, IGA	$85.48	$85.48	$12.82–$64.11	321% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE (CCP) ANTIB	$59.54	$59.54	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 86200	$64.00	$64.00	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE IGG, IGA	$89.54	$89.54	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA MULTIPLEX W/ REFLEX TO 11 ANTIBODY C	$50.66	$50.66	$7.60–$38.00	45% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES COMPRE PROFILE	$52.67	$52.67	$7.90–$39.50	51% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX	$53.07	$53.07	$7.96–$39.80	52% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES W/ REFLEX	$79.46	$79.46	$11.92–$59.60	128% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES ANA RFLEX CASCADE	$79.46	$79.46	$11.92–$59.60	128% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTOIMMUNE PROFILE	$79.46	$79.46	$11.92–$59.60	128% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT	$79.46	$79.46	$11.92–$59.60	128% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA MULTIPLEX W/ REFLEX TO 11 ANTIBODY C	$53.07	$53.07	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES COMPRE PROFILE	$55.17	$55.17	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA W/REFLEX	$55.59	$55.59	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038	$60.00	$60.00	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 AUTOIMMUNE PROFILE	$83.23	$83.23	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES W/ REFLEX	$83.23	$83.23	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA DIRECT	$83.23	$83.23	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES ANA RFLEX CASCADE	$83.23	$83.23	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CARDIO IQ NT PROBNP	$223.93	$223.93	$33.59–$167.95	27% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Triage BNP	$972.80	$972.80	$39.26–$729.60	451% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP Access	$972.80	$972.80	$39.26–$729.60	451% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-proBNP	$157.04	$157.04	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 CARDIO IQ NT PROBNP	$234.57	$234.57	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Triage BNP	$1,019.01	$1,019.01	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP Access	$1,019.01	$1,019.01	—	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PA	$244.40	$244.40	$8.46–$183.30	27% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PA	$256.01	$256.01	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LVL IV G&M	$169.00	$169.00	$25.35–$184.91	11% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH LVL IV G&M	$254.34	$254.34	—	—	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD #2	$216.72	$216.72	$10.32–$162.54	10% below	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD (TEST ITEM)	$216.72	$216.72	$10.32–$162.54	10% below	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$216.72	$216.72	$10.32–$162.54	10% below	—
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$227.01	$227.01	—	—	—
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD #2	$227.01	$227.01	—	—	—
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD (TEST ITEM)	$227.01	$227.01	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$63.81	$63.81	$9.09–$47.86	163% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$66.84	$66.84	—	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE 2HR PP	$111.98	$111.98	$3.93–$83.99	198% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE	$111.98	$111.98	$3.93–$83.99	198% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE RAPID	$111.98	$111.98	$3.93–$83.99	198% above	—
Blood glucose (sugar) test inpatient CPT 82947 82947	$17.00	$17.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RAPID	$117.30	$117.30	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$117.30	$117.30	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 2HR PP	$117.30	$117.30	—	—	—
Blood lead test CPT 83655 LEAD, CAPILLARY	$50.74	$50.74	$7.61–$38.06	256% above	—
Blood lead test CPT 83655 LEAD WHOLE BLOOD	$79.46	$79.46	$11.92–$59.60	458% above	—
Blood lead test inpatient CPT 83655 LEAD, CAPILLARY	$53.15	$53.15	—	—	—
Blood lead test inpatient CPT 83655 83655	$60.00	$60.00	—	—	—
Blood lead test inpatient CPT 83655 LEAD WHOLE BLOOD	$83.23	$83.23	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL URINE	$215.51	$215.51	$7.52–$161.63	41% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL SERUM	$215.51	$215.51	$7.52–$161.63	41% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL SERUM	$225.75	$225.75	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL URINE	$225.75	$225.75	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900	$13.00	$13.00	$1.95–$446.10	83% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPING	$357.82	$357.82	$53.67–$446.10	366% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900	$326.10	$326.10	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO TYPING	$374.82	$374.82	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$45.75	$45.75	$5.18–$34.31	2% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$47.92	$47.92	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN GENE NAA	$167.35	$167.35	$25.10–$125.51	9% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN GENE NAA	$175.30	$175.30	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$137.25	$137.25	$20.59–$102.94	176% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$143.77	$143.77	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 W/HAMA	$137.25	$137.25	$20.59–$102.94	44% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$137.25	$137.25	$20.59–$102.94	44% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 W/HAMA	$143.77	$143.77	—	—	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$143.77	$143.77	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 RAPID MRCH PCR (CEPHEID)	$211.23	$211.23	$31.68–$158.42	202% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 RAPID MRCH PCR (CEPHEID)	$221.26	$221.26	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS CONJUNCTIVAL SWAB	$167.35	$167.35	$25.10–$125.51	207% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS	$232.37	$232.37	$34.86–$174.28	326% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491	$173.00	$173.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS CONJUNCTIVAL SWAB	$175.30	$175.30	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS	$243.41	$243.41	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL w/direct LDL	$47.92	$47.92	$7.19–$36.47	53% below	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPOPROFILE	$87.89	$87.89	$13.18–$65.92	13% below	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$382.86	$382.86	$13.39–$287.15	278% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061	$66.00	$66.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LIPOPROFILE	$92.06	$92.06	—	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL w/direct LDL	$401.02	$401.02	—	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$401.05	$401.05	—	—	—
Complete blood count (CBC) with differential CPT 85025 CBC AUTO/MIC FEMALE	$191.43	$191.43	$7.77–$143.57	73% above	—
Complete blood count (CBC) with differential CPT 85025 CBC AUTO/MIC MALE	$191.43	$191.43	$7.77–$143.57	73% above	—
Complete blood count (CBC) with differential CPT 85025 SLIDE	$191.43	$191.43	$7.77–$143.57	73% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO/MIC MALE	$200.52	$200.52	—	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO/MIC FEMALE	$200.52	$200.52	—	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 SLIDE	$200.52	$200.52	—	—	—
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM	$186.61	$186.61	$6.47–$139.96	146% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM	$195.47	$195.47	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 METABOLIC PANEL (14) COMPREHENSIVE	$69.84	$69.84	$10.48–$52.38	73% below	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE PANEL	$302.19	$302.19	$10.56–$226.64	18% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 METABOLIC PANEL (14) COMPREHENSIVE	$73.16	$73.16	—	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE PANEL	$316.54	$316.54	—	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER \R	$67.43	$67.43	$10.11–$50.57	44% below	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER \R	$70.63	$70.63	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$146.89	$146.89	$22.03–$110.17	92% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$153.87	$153.87	—	—	—
Estradiol blood test CPT 82670 ESTRADIOL TOTAL -REF LAB	$122.63	$122.63	$18.39–$91.97	96% above	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL -REF LAB	$128.45	$128.45	—	—	—
Estradiol blood test inpatient CPT 82670 82670	$138.00	$138.00	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$110.77	$110.77	$16.62–$83.08	26% above	—
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE-STIMULATING	$122.82	$122.82	$18.42–$92.12	39% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 83001	$92.00	$92.00	—	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$116.03	$116.03	—	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE-STIMULATING	$128.65	$128.65	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$93.92	$93.92	$14.09–$70.44	29% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$98.38	$98.38	—	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN (REF LAB)	$90.29	$90.29	$13.54–$67.72	8% above	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$391.29	$391.29	$13.63–$293.47	368% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$94.58	$94.58	—	—	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN (REF LAB)	$94.58	$94.58	—	—	—
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID)	$97.52	$97.52	$14.63–$73.14	14% above	—
Folate (folic acid) blood test CPT 82746 FOLATE (WHO)	$105.95	$105.95	$14.70–$79.46	23% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE (FOLIC ACID)	$102.15	$102.15	—	—	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE (WHO)	$110.98	$110.98	—	—	—
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID	$113.00	$113.00	—	—	—
Free T3 thyroid hormone test CPT 84481 T3 FREE	$111.98	$111.98	$16.80–$83.99	76% above	—
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$117.30	$117.30	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 RFLX T4 FREE	$36.00	$36.00	$5.40–$27.00	47% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT	$59.00	$59.00	$8.85–$44.25	13% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (T4) FREE DIRECT	$59.00	$59.00	$8.85–$44.25	13% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T3 FREE NEW	$257.65	$257.65	$9.02–$193.24	278% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$257.65	$257.65	$9.02–$193.24	278% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FT4 BY DIALYSIS	$278.11	$278.11	$9.02–$208.58	308% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 RFLX T4 FREE	$37.71	$37.71	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIRECT	$61.80	$61.80	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE (T4) FREE DIRECT	$61.80	$61.80	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T3 FREE NEW	$269.89	$269.89	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$269.89	$269.89	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FT4 BY DIALYSIS	$291.32	$291.32	—	—	—
Free testosterone test CPT 84402 TESTOSTERONE BIOAVAILABLE	$168.56	$168.56	$25.28–$126.42	305% above	—
Free testosterone test CPT 84402 TESTOSTERONE FREE	$168.56	$168.56	$25.28–$126.42	305% above	—
Free testosterone test inpatient CPT 84402 84402	$125.00	$125.00	—	—	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE BIOAVAILABLE	$176.57	$176.57	—	—	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$176.57	$176.57	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLU DOS	$138.45	$138.45	$4.75–$103.84	212% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLU DOS	$145.03	$145.03	—	—	—
Glucose tolerance test, 3 samples CPT 82951 GTT 1 HOUR	$68.63	$68.63	$10.29–$51.47	41% below	—
Glucose tolerance test, 3 samples CPT 82951 GTT 2 HR 50 GM GLUC	$370.82	$370.82	$12.87–$278.12	217% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 82951	$57.00	$57.00	—	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1 HOUR	$71.89	$71.89	—	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 2 HR 50 GM GLUC	$388.43	$388.43	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE RNA, TMA, UROGENIT	$189.83	$189.83	$28.47–$142.37	256% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE RNA, TMA, THROAT	$189.83	$189.83	$28.47–$142.37	256% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONOCOCCUS BY NAA	$232.37	$232.37	$34.86–$174.28	336% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591	$173.00	$173.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE RNA, TMA, THROAT	$198.85	$198.85	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE RNA, TMA, UROGENIT	$198.85	$198.85	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONOCOCCUS BY NAA	$243.41	$243.41	—	—	—
H. pylori antibody blood test inpatient CPT 86677 86677	$72.00	$72.00	—	—	—
H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG	$93.92	$93.92	$14.09–$70.44	27% above	—
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL AG	$98.38	$98.38	—	—	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 W/RFX WB	$90.29	$90.29	$13.54–$67.72	117% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1&2 W/RFX WB	$94.58	$94.58	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 AND 2 AG AND AB W/ REFLEX CASCADE	$158.93	$158.93	$23.84–$119.20	163% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 REFLEX HIV 1&2 AG&AB	$451.48	$451.48	$24.08–$338.61	646% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/2 Ag/Ab COMBO	$144.48	$144.48	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 AND 2 AG AND AB W/ REFLEX CASCADE	$166.48	$166.48	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 REFLEX HIV 1&2 AG&AB	$472.93	$472.93	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$278.11	$278.11	$9.71–$208.58	331% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C (REF LAB)	$278.11	$278.11	$9.71–$208.58	331% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCO-HGB A1C	$160.00	$160.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C (REF LAB)	$291.32	$291.32	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$291.32	$291.32	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB	$71.04	$71.04	$10.66–$53.28	85% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 86706	$53.00	$53.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB	$74.41	$74.41	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B EVAL	$61.40	$61.40	$9.21–$46.05	1% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG	$68.63	$68.63	$10.29–$51.47	11% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 87340	$51.00	$51.00	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B EVAL	$64.32	$64.32	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG	$71.89	$71.89	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEP C IGG ABS	$93.92	$93.92	$14.09–$70.44	81% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HEP C W/FLX ALT AB	$93.92	$93.92	$14.09–$70.44	81% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB W/RFX PCR QT	$93.92	$93.92	$14.09–$70.44	81% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HEP C W/RFX RIBA	$93.92	$93.92	$14.09–$70.44	81% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 86803	$70.00	$70.00	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV AB W/RFX PCR QT	$98.38	$98.38	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C W/FLX ALT AB	$98.38	$98.38	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C W/RFX RIBA	$98.38	$98.38	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C IGG ABS	$98.38	$98.38	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA PCR QNT	$246.16	$246.16	$36.92–$184.62	214% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C PCR QT RX GEN	$282.93	$282.93	$42.44–$212.20	261% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANT PCR NGI QUANTSURE	$421.39	$421.39	$42.84–$316.04	437% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 REFLEX HCV QUANT	$705.72	$705.72	$42.84–$529.29	800% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA PCR QNT	$257.85	$257.85	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C PCR QT RX GEN	$296.37	$296.37	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C QUANT PCR NGI QUANTSURE	$441.41	$441.41	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REFLEX HCV QUANT	$739.24	$739.24	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 IgG	$87.89	$87.89	$13.18–$65.92	367% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695	$65.00	$65.00	—	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 IgG	$92.06	$92.06	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 REFLEX HSV-2 INHIBITION STUDY	$100.56	$100.56	$15.08–$75.42	277% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 INHIBITION ST	$100.56	$100.56	$15.08–$75.42	277% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IgG	$127.62	$127.62	$19.14–$95.72	378% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG ABS	$127.62	$127.62	$19.14–$95.72	378% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696	$96.00	$96.00	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 INHIBITION ST	$105.34	$105.34	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 REFLEX HSV-2 INHIBITION STUDY	$105.34	$105.34	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG ABS	$133.68	$133.68	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 IgG	$133.68	$133.68	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 86141	$72.42	$72.42	$10.86–$54.32	55% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HIGH SENSITIVITY	$74.37	$74.37	$11.16–$55.78	59% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY	$278.11	$278.11	$12.95–$208.58	494% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 86141	$75.86	$75.86	—	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HIGH SENSITIVITY	$77.90	$77.90	—	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY	$291.32	$291.32	—	—	—
Homocysteine blood test CPT 83090 83090	$75.42	$75.42	$11.31–$56.57	83% above	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE CARDIOV	$111.98	$111.98	$16.80–$83.99	172% above	—
Homocysteine blood test inpatient CPT 83090 83090	$79.00	$79.00	—	—	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE CARDIOV	$117.30	$117.30	—	—	—
Insulin blood test CPT 83525 83525	$47.89	$47.89	$7.18–$35.92	43% above	—
Insulin blood test CPT 83525 INSULIN	$75.84	$75.84	$11.38–$56.88	127% above	—
Insulin blood test inpatient CPT 83525 83525	$50.16	$50.16	—	—	—
Insulin blood test inpatient CPT 83525 INSULIN	$79.44	$79.44	—	—	—
Iron blood test (serum iron) CPT 83540 IRON	$186.61	$186.61	$6.47–$139.96	322% above	—
Iron blood test (serum iron) CPT 83540 IRON & TIBC	$203.48	$203.48	$6.47–$152.61	360% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$195.47	$195.47	—	—	—
Iron blood test (serum iron) inpatient CPT 83540 IRON & TIBC	$213.15	$213.15	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAP	$202.27	$202.27	$8.74–$151.70	266% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAP	$211.88	$211.88	—	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$248.03	$248.03	$8.68–$186.02	76% above	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$259.81	$259.81	—	—	—
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$110.77	$110.77	$16.62–$83.08	39% above	—
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE PED	$122.82	$122.82	$18.42–$92.12	54% above	—
LH (luteinizing hormone) test inpatient CPT 83002 83002	$91.00	$91.00	—	—	—
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE PED	$128.65	$128.65	—	—	—
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$128.65	$128.65	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE FLUID	$45.75	$45.75	$6.86–$34.31	39% below	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$73.45	$73.45	$6.89–$55.09	3% below	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE FLUID	$47.92	$47.92	—	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$76.94	$76.94	—	—	—
Liver function blood test panel CPT 80076 HEPATIC FUNCT PANEL	$234.77	$234.77	$8.17–$176.08	75% above	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCT PANEL	$245.92	$245.92	—	—	—
Lyme disease antibody test CPT 86618 LYME DIS W/RFX WB	$97.42	$97.42	$14.61–$73.07	306% above	—
Lyme disease antibody test CPT 86618 LYME AB IGG + IGM	$111.98	$111.98	$16.80–$83.99	367% above	—
Lyme disease antibody test CPT 86618 LYME IGG & IGM ABS	$111.98	$111.98	$16.80–$83.99	367% above	—
Lyme disease antibody test CPT 86618 LYME TOTAL & IGM	$111.98	$111.98	$16.80–$83.99	367% above	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY WITH REFLEX TO IMM	$68.12	$68.12	—	—	—
Lyme disease antibody test inpatient CPT 86618 LYME DIS W/RFX WB	$102.05	$102.05	—	—	—
Lyme disease antibody test inpatient CPT 86618 LYME IGG & IGM ABS	$117.30	$117.30	—	—	—
Lyme disease antibody test inpatient CPT 86618 LYME AB IGG + IGM	$117.30	$117.30	—	—	—
Lyme disease antibody test inpatient CPT 86618 LYME TOTAL & IGM	$117.30	$117.30	—	—	—
Magnesium blood test CPT 83735 MAGNESIUM URINE	$44.55	$44.55	$6.68–$33.41	23% below	—
Magnesium blood test CPT 83735 MAGNESIUM RBC	$65.02	$65.02	$6.70–$48.77	12% above	—
Magnesium blood test CPT 83735 MAGNESIUM	$191.43	$191.43	$6.70–$143.57	231% above	—
Magnesium blood test inpatient CPT 83735 83735	$33.00	$33.00	—	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$46.67	$46.67	—	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$68.11	$68.11	—	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$200.52	$200.52	—	—	—
Measles (rubeola) antibody test CPT 86765 MEASLES IGG ABS	$85.48	$85.48	$12.82–$64.11	309% above	—
Measles (rubeola) antibody test inpatient CPT 86765 86765	$64.00	$64.00	—	—	—
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IGG ABS	$89.54	$89.54	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO REFERENCE LAB	$33.71	$33.71	$5.06–$25.28	64% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 TEST MONOSPOT	$51.80	$51.80	$5.18–$38.85	44% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$149.29	$149.29	$5.18–$111.97	61% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO REFERENCE LAB	$35.31	$35.31	—	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 TEST MONOSPOT	$54.26	$54.26	—	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$156.38	$156.38	—	—	—
Obstetric blood test panel CPT 80055 PRENATAL PANEL	$185.42	$185.42	$27.81–$139.07	25% below	—
Obstetric blood test panel inpatient CPT 80055 PRENATAL PANEL	$194.23	$194.23	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE AND TOTAL	$73.56	$73.56	$11.03–$55.17	112% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE \R	$121.60	$121.60	$18.24–$91.20	251% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE AND TOTAL	$77.05	$77.05	—	—	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154	$91.00	$91.00	—	—	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE \R	$127.38	$127.38	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE	$29.17	$29.17	$4.38–$50.09	38% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN (REF LAB)	$121.60	$121.60	$18.24–$91.20	160% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE ANTIGENSERUM	$121.60	$121.60	$18.24–$91.20	160% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL (LABCORP)	$121.60	$121.60	$18.24–$91.20	160% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$527.34	$527.34	$18.39–$395.51	1027% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING	$527.34	$527.34	$18.39–$395.51	1027% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSITIVE	$29.00	$29.00	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL WITH REFLEX TO PSA FREE	$73.56	$73.56	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153	$91.00	$91.00	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE ANTIGENSERUM	$127.38	$127.38	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL (LABCORP)	$127.38	$127.38	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN (REF LAB)	$127.38	$127.38	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING	$552.39	$552.39	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$552.39	$552.39	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT INCLUDI	$236.74	$236.74	$35.51–$177.56	129% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT-	$272.11	$272.11	$40.82–$204.08	163% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID ASPIRATE	$276.92	$276.92	$41.28–$207.69	168% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970	$204.00	$204.00	—	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT INCLUDI	$247.99	$247.99	—	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT-	$285.04	$285.04	—	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID ASPIRATE	$290.07	$290.07	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT SJ	$169.77	$169.77	$6.01–$127.33	350% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$169.77	$169.77	$6.01–$127.33	350% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730	$30.00	$30.00	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$154.72	$154.72	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT SJ	$177.83	$177.83	—	—	—
Progesterone blood test CPT 84144 PROGESTRONE	$137.25	$137.25	$20.59–$102.94	150% above	—
Progesterone blood test inpatient CPT 84144 PROGESTRONE	$143.77	$143.77	—	—	—
Prolactin blood test CPT 84146 PROLACTIN	$127.62	$127.62	$19.14–$95.72	42% above	—
Prolactin blood test inpatient CPT 84146 84146	$78.00	$78.00	—	—	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$133.68	$133.68	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$26.49	$26.49	$3.97–$19.87	44% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME SJ	$102.05	$102.05	$4.29–$76.54	114% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$111.98	$111.98	$4.29–$83.99	135% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$27.75	$27.75	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610	$57.00	$57.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME SJ	$106.90	$106.90	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME	$117.30	$117.30	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 ER POCT RAPID URINE DRUG SCREEN	$346.00	$346.00	$12.60–$259.50	308% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUG SCREEN (MEDTOX)	$416.58	$416.58	$12.60–$312.44	391% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 CPSI TRIAL SCREEN TOX FENT TEST	$416.58	$416.58	$12.60–$312.44	391% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 ER POCT RAPID URINE DRUG SCREEN	$346.00	$346.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 CPSI TRIAL SCREEN TOX FENT TEST	$436.37	$436.37	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE DRUG SCREEN (MEDTOX)	$436.37	$436.37	—	—	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A&B (FIA)	$258.86	$258.86	$16.55–$194.15	243% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A&B (FIA)	$271.16	$271.16	—	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN RAPID A	$84.28	$84.28	$12.64–$63.21	20% below	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN RAPID A	$88.28	$88.28	—	—	—
Rheumatoid factor (RF) test CPT 86431 CRYPTOCOCCUS ANTIBODY	$24.89	$24.89	$3.73–$18.67	91% above	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QNT	$37.32	$37.32	$5.60–$27.99	187% above	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR IGG,IGM,IGA	$38.53	$38.53	$5.67–$28.90	196% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 CRYPTOCOCCUS ANTIBODY	$26.07	$26.07	—	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 86431	$28.00	$28.00	—	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QNT	$39.09	$39.09	—	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR IGG,IGM,IGA	$40.36	$40.36	—	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$18.06	$18.06	$2.71–$39.20	55% below	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES	$95.11	$95.11	$14.27–$71.33	138% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$377.46	$377.46	$14.39–$283.10	846% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$18.92	$18.92	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 86762	$71.00	$71.00	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES	$99.63	$99.63	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$395.39	$395.39	—	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN COMPLETE	$255.00	$255.00	$12.31–$191.25	84% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN COMPLETE	$267.11	$267.11	—	—	—
Stool ova and parasites exam CPT 87177 OVA AND PARASITE FORMALIN ONLY	$59.00	$59.00	$8.85–$44.25	229% above	—
Stool ova and parasites exam inpatient CPT 87177 87177	$44.00	$44.00	—	—	—
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE FORMALIN ONLY	$61.80	$61.80	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD	$51.77	$51.77	$4.38–$38.83	33% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD	$54.23	$54.23	—	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ER POCT OCCULT BLOOD IMMUNO	$385.27	$385.27	$15.92–$288.95	974% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECAL IMMUNOASSAY	$385.27	$385.27	$15.92–$288.95	974% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD IMMUNO	$385.27	$385.27	$15.92–$288.95	974% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ER POCT OCCULT BLOOD IMMUNO	$403.57	$403.57	—	—	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD FECAL IMMUNOASSAY	$403.57	$403.57	—	—	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD IMMUNO	$403.57	$403.57	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM	$27.69	$27.69	$4.15–$20.77	86% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL	$27.69	$27.69	$4.15–$20.77	86% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W/REFLX QNT&CON	$27.69	$27.69	$4.15–$20.77	86% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR MONITOR WITH REFLEX TO TITER	$87.89	$87.89	$4.27–$65.92	490% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR W/REFLX QNT&CON	$29.01	$29.01	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM	$29.01	$29.01	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF VDRL	$29.01	$29.01	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR MONITOR WITH REFLEX TO TITER	$92.06	$92.06	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON IN TUBE	$239.58	$239.58	$35.94–$179.69	238% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON IN TUBE	$250.96	$250.96	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TTL WMEN CHLDRN HYPO MATES	$170.97	$170.97	$25.65–$128.23	327% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 SALIVARY TESTOSTERONE LC/MS-MS	$246.81	$246.81	$25.81–$185.11	516% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$343.13	$343.13	$25.81–$257.35	757% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 SALIVARY TESTOSTERONE 2 SP LC/MS-MS	$492.43	$492.43	$25.81–$369.32	1130% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 SALIVARY TESTOSTERONE 3 SP LC/MS-MS	$739.24	$739.24	$25.81–$554.43	1746% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403	$125.00	$125.00	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TTL WMEN CHLDRN HYPO MATES	$179.09	$179.09	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 SALIVARY TESTOSTERONE LC/MS-MS	$258.53	$258.53	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE	$359.43	$359.43	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 SALIVARY TESTOSTERONE 2 SP LC/MS-MS	$515.82	$515.82	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 SALIVARY TESTOSTERONE 3 SP LC/MS-MS	$774.35	$774.35	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOLIC ANTIGEN TYPE 1 (LC-1)	$58.20	$58.20	$8.73–$43.65	154% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY ABS	$96.32	$96.32	$14.45–$72.24	321% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE A	$96.32	$96.32	$14.45–$72.24	321% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL PROTEIN	$156.53	$156.53	$14.55–$117.40	584% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOLIC ANTIGEN TYPE 1 (LC-1)	$60.96	$60.96	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376	$72.00	$72.00	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY ABS	$100.90	$100.90	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE A	$100.90	$100.90	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL PROTEIN	$163.97	$163.97	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADING REFLEX	$68.00	$68.00	$10.20–$51.00	19% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$99.93	$99.93	$14.99–$74.95	19% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH)	$110.77	$110.77	$16.62–$83.08	32% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADING REFLEX	$71.23	$71.23	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443	$83.00	$83.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$104.68	$104.68	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH)	$116.03	$116.03	—	—	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA, QUALITATIVE,	$140.36	$140.36	$21.05–$105.27	59% above	—
Trichomonas test (NAAT) CPT 87661 TRICH VAG BY BY NAA	$232.37	$232.37	$34.86–$174.28	163% above	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RNA, QUALITATIVE,	$147.03	$147.03	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 87661	$173.00	$173.00	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAG BY BY NAA	$243.41	$243.41	—	—	—
Uric acid blood test CPT 84550 URIC ACID	$131.23	$131.23	$4.52–$98.42	114% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID	$137.46	$137.46	—	—	—
Urinalysis with microscope exam, automated CPT 81001 URINE MICROSCOPIC ONLY- Male	$90.29	$90.29	$3.17–$67.72	9% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUT/MIC FEMALE	$52.00	$52.00	—	—	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINE MICROSCOPIC ONLY- Male	$94.58	$94.58	—	—	—
Urinalysis with microscope exam, manual CPT 81000 URINE DIPSTICK POC	$51.77	$51.77	$4.02–$38.83	20% above	—
Urinalysis with microscope exam, manual inpatient CPT 81000 URINE DIPSTICK POC	$54.23	$54.23	—	—	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS	$5.00	$5.00	$0.75–$6.13	91% below	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, Outpati	$51.77	$51.77	$2.25–$38.83	8% below	—
Urinalysis without microscope exam, automated CPT 81003 URINE DIP ONLY	$65.02	$65.02	$2.25–$48.77	16% above	—
Urinalysis without microscope exam, automated CPT 81003 .URINALYSIS AUT DIPST	$65.02	$65.02	$2.25–$48.77	16% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS	$5.24	$5.24	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 81003	$11.00	$11.00	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS, Outpati	$54.23	$54.23	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE DIP ONLY	$68.11	$68.11	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 .URINALYSIS AUT DIPST	$68.11	$68.11	—	—	—
Urinalysis without microscope exam, manual CPT 81002 NITRAZINE POC	$99.93	$99.93	$3.48–$74.95	262% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS POC	$51.00	$51.00	—	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 NITRAZINE POC	$104.68	$104.68	—	—	—
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$174.58	$174.58	$8.07–$130.94	26% above	—
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE (TEST ITEM)	$174.58	$174.58	$8.07–$130.94	26% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE (TEST ITEM)	$182.87	$182.87	—	—	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$182.87	$182.87	—	—	—
Urine pregnancy test, read by color change CPT 81025 HCG, URINE	$57.79	$57.79	$8.61–$43.34	33% below	—
Urine pregnancy test, read by color change CPT 81025 ER POCT HCG PREGNANCY URINE TEST	$215.51	$215.51	$8.61–$161.63	151% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 HCG, URINE	$60.54	$60.54	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 ER POCT HCG PREGNANCY URINE TEST	$225.75	$225.75	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$99.93	$99.93	$14.99–$74.95	62% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 VIT B12	$434.64	$434.64	$15.08–$325.98	604% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$104.68	$104.68	—	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VIT B12	$455.29	$455.29	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROX	$196.25	$196.25	$29.44–$147.19	207% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 HYDROXY VITAMIN D LC/MS-MS	$196.25	$196.25	$29.44–$147.19	207% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 (OH)	$209.50	$209.50	$29.60–$157.13	228% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 82306	$132.00	$132.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25 HYDROX	$163.00	$163.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROX	$205.57	$205.57	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 HYDROXY VITAMIN D LC/MS-MS	$205.57	$205.57	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 (OH)	$219.45	$219.45	—	—	—
Zinc blood test CPT 84630 ZINC	$74.66	$74.66	$11.20–$56.00	436% above	—
Zinc blood test CPT 84630 ZINC RBC	$161.34	$161.34	$11.39–$121.01	1059% above	—
Zinc blood test inpatient CPT 84630 ZINC	$78.21	$78.21	—	—	—
Zinc blood test inpatient CPT 84630 ZINC RBC	$169.00	$169.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA	$99.93	$99.93	$14.99–$74.95	28% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TRIMESTER AFP 1ST	$99.93	$99.93	$14.99–$74.95	28% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$431.03	$431.03	$15.05–$323.27	210% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT.	$431.03	$431.03	$15.05–$323.27	210% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG BETA	$104.68	$104.68	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 TRIMESTER AFP 1ST	$104.68	$104.68	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT.	$451.50	$451.50	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$451.50	$451.50	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY	$19,955.71	$19,955.71	$2,993.36–$31,758.99	115% above	—
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 KNEE ARTHROSCOPY	$20,903.61	$20,903.61	—	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION	$4,524.00	$4,524.00	$678.60–$7,203.11	6% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION	$4,738.89	$4,738.89	—	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD REDUCTION ANKLE FRACTURE W/O MANIPU	$1,072.85	$1,072.85	$157.56–$1,066.45	100% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD REDUCTION ANKLE FRACTURE W/O MANIPU	$1,123.81	$1,123.81	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECT CARDIOVERSION	$1,327.98	$1,327.98	$199.20–$2,909.21	26% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 ER ELECT CARDIOVERS	$1,391.06	$1,391.06	$208.66–$2,909.21	22% below	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECT CARDIOVERSION	$1,391.06	$1,391.06	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ER ELECT CARDIOVERS	$3,151.16	$3,151.16	—	—	—
Cataract surgery with lens implant CPT 66984 CATARACT SURGERY W/IOL STAGE	$12,304.09	$12,304.09	$1,342.01–$10,139.47	121% above	—
Cataract surgery with lens implant inpatient CPT 66984 CATARACT SURGERY W/IOL STAGE	$12,888.53	$12,888.53	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$2,307.76	$2,307.76	$346.16–$9,107.08	26% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION	$2,417.38	$2,417.38	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MAN	$1,631.38	$1,631.38	$157.56–$1,223.54	183% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MAN	$1,708.87	$1,708.87	—	—	—
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/ LESION REMOVAL	$5,397.62	$5,397.62	$685.85–$5,241.86	136% above	—
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/ LESION REMOVAL	$5,654.01	$5,654.01	—	—	—
Colonoscopy, diagnostic CPT 45378 DIAGNSOTIC COLONOSC	$3,188.66	$3,188.66	$478.30–$4,053.20	53% above	—
Colonoscopy, diagnostic inpatient CPT 45378 DIAGNSOTIC COLONOSC	$3,340.12	$3,340.12	—	—	—
Complex cataract surgery with lens implant CPT 66982 CATARACT SURGERY COMPLEX	$12,304.09	$12,304.09	$1,342.01–$10,139.47	157% above	—
Complex cataract surgery with lens implant inpatient CPT 66982 CATARACT SURGERY COMPLEX	$12,888.53	$12,888.53	—	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED CERUMEN IRRIGATION	$309.43	$309.43	$39.13–$264.06	74% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED CERUMEN IRRIGATION	$324.13	$324.13	—	—	—
Earwax removal with instruments, one ear CPT 69210 RMV IMPACTED CERUMEN	$256.45	$256.45	$38.47–$264.06	46% above	—
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACT EAR WAX W/ INSTRUMENTATION	$314.24	$314.24	$39.13–$264.06	79% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 RMV IMPACTED CERUMEN	$268.63	$268.63	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACT EAR WAX W/ INSTRUMENTATION	$329.17	$329.17	—	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION, BLOCK, SINGLE LEVEL	$4,250.99	$4,250.99	$535.39–$3,957.98	106% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJECTION, BLOCK, SINGLE LEVEL	$4,452.91	$4,452.91	—	—	—
Gallbladder removal, laparoscopic CPT 47562 LAP CHOLECYSTECTOMY	$15,724.57	$15,724.57	$2,358.69–$25,937.92	19% above	—
Gallbladder removal, laparoscopic inpatient CPT 47562 LAP CHOLECYSTECTOMY	$16,471.49	$16,471.49	—	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTERECTOMY	$8,530.11	$8,530.11	$1,279.52–$14,135.27	20% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTERECTOMY	$8,935.29	$8,935.29	—	—	—
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTERUTERINE DEVICE	$1,097.26	$1,097.26	$164.59–$822.95	87% above	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTERUTERINE DEVICE	$1,149.38	$1,149.38	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABCESS SINGLE/SIMPLE	$400.93	$400.93	$60.14–$883.38	14% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 I & D SIMPLE	$657.05	$657.05	$98.56–$883.38	40% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D OF ABCESS SIMPLE OR SINGLE	$948.73	$948.73	$123.51–$883.38	103% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABCESS SINGLE/SIMPLE	$419.97	$419.97	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D OF ABCESS SIMPLE OR SINGLE	$993.79	$993.79	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SIMPLE	$1,337.87	$1,337.87	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON SHEATH/LIGAMENT	$1,359.94	$1,359.94	$173.24–$1,312.35	106% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT TENDON SHEATH/LIGAMENT	$1,424.54	$1,424.54	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN INFECT MAJOR JOINT/BURSA NO U/S	$1,374.94	$1,374.94	$173.24–$1,312.35	88% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN INFECT MAJOR JOINT/BURSA NO U/S	$1,440.25	$1,440.25	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN INJECT JOINT/BURSA W/O US	$1,374.94	$1,374.94	$173.24–$1,312.35	142% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN INJECT JOINT/BURSA W/O US	$1,440.25	$1,440.25	—	—	—
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY	$8,980.29	$8,980.29	$1,347.04–$14,424.61	114% above	—
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 KNEE ARTHROSCOPY	$9,406.85	$9,406.85	—	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPROSCOPIC APPENDECTOMY	$8,328.90	$8,328.90	$1,249.34–$25,937.92	4% above	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPROSCOPIC APPENDECTOMY	$8,724.52	$8,724.52	—	—	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS, TUBES AND/OR OVARIES	$39,924.59	$39,924.59	$5,419.14–$46,285.33	264% above	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 REMOVAL OF UTERUS, TUBES AND/OR OVARIES	$41,821.01	$41,821.01	—	—	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY	$3,184.39	$3,184.39	$347.33–$2,438.93	92% above	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 AFTER CATARACT LASER SURGERY	$3,335.65	$3,335.65	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 SUTURE DBL BODY NO E <2.5CM	$1,745.76	$1,745.76	$219.86–$1,776.20	101% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 SUTURE DBL BODY NO E <2.5CM	$1,828.68	$1,828.68	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC LES/SK TG T/A/L 0.5 CM/<	$807.86	$807.86	$121.18–$3,127.95	39% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC LES/SK TG T/A/L 0.5 CM/<	$846.23	$846.23	—	—	—
Nail removal (partial or complete), one nail CPT 11730 AVULS NAIL PLATE (PART, COMP, SMPL,SNGL)	$460.32	$460.32	$69.05–$883.38	2% above	—
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE, SINGLE	$948.73	$948.73	$123.51–$883.38	110% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE, SINGLE	$993.79	$993.79	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULS NAIL PLATE (PART, COMP, SMPL,SNGL)	$1,337.87	$1,337.87	—	—	—
Occipital nerve block (injection for headaches) CPT 64405 OCCIPITAL NERVE BLOCK	$1,146.28	$1,146.28	$171.94–$1,312.35	39% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 OCCIPITAL NERVE BLOCK	$1,200.73	$1,200.73	—	—	—
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W IMAGING	$4,217.52	$4,217.52	$533.08–$4,168.12	137% above	—
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W IMAGING	$4,417.85	$4,417.85	—	—	—
Partial knee replacement (one compartment) CPT 27446 ARTHROPLASTY KNEE	$31,490.90	$31,490.90	$4,723.64–$57,202.22	57% above	—
Partial knee replacement (one compartment) inpatient CPT 27446 ARTHROPLASTY KNEE	$32,986.72	$32,986.72	—	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL/NAIL MATRIX PERM REMOVAL	$1,745.76	$1,745.76	$219.86–$1,776.20	42% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PARTIAL REMOVAL NAIL MATRIX	$1,784.89	$1,784.89	$219.86–$1,776.20	45% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 RMVL NAIL BED	$1,808.51	$1,808.51	$219.86–$1,776.20	47% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL/NAIL MATRIX PERM REMOVAL	$1,828.68	$1,828.68	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PARTIAL REMOVAL NAIL MATRIX	$1,869.67	$1,869.67	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 RMVL NAIL BED	$2,381.39	$2,381.39	—	—	—
Removal of a breast lump, open surgery CPT 19120 EXC BREAST LES PRE PLMT RAD MRKR OPEN 1	$10,092.95	$10,092.95	$1,513.94–$17,023.90	101% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 EXC BREAST LES PRE PLMT RAD MRKR OPEN 1	$10,572.37	$10,572.37	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 FB REMOVAL SUBQ WITH INCISION SIMPLE	$1,743.35	$1,743.35	$219.86–$1,776.20	121% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 FB REMOVAL SUBQ WITH INCISION SIMPLE	$1,826.16	$1,826.16	—	—	—
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM	$589.95	$589.95	$74.54–$573.06	45% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM	$617.97	$617.97	—	—	—
Short leg cast (below the knee) CPT 29405 PLACE SHORT LEG CAST	$1,255.70	$1,255.70	$164.91–$1,180.70	152% above	—
Short leg cast (below the knee) inpatient CPT 29405 PLACE SHORT LEG CAST	$1,315.35	$1,315.35	—	—	—
Short leg splint (calf to foot) CPT 29515 SPLINT SHORT LEG	$760.91	$760.91	$94.23–$701.50	54% above	—
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT SHORT LEG	$797.05	$797.05	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUTURE BODY <2.5 CM	$948.73	$948.73	$123.51–$883.38	115% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SUTURE BODY <2.5 CM	$993.79	$993.79	—	—	—
Skin biopsy, punch, one lesion CPT 11104 BX PUNCH SKIN SINGLE	$890.39	$890.39	$123.51–$1,776.20	23% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN SINGLE LESION	$1,337.87	$1,337.87	—	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 BX PUNCH SKIN SINGLE	$1,337.87	$1,337.87	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAG	$3,053.27	$3,053.27	$419.17–$3,078.76	149% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAG	$3,198.30	$3,198.30	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SUTURE BODY 2.6-7.5CM	$948.73	$948.73	$123.51–$883.38	40% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SUTURE BODY 2.6-7.5CM	$993.79	$993.79	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SUTURE FACE < 2.5CM	$948.73	$948.73	$123.51–$883.38	44% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SUTURE FACE < 2.5CM	$993.79	$993.79	—	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX TANGENTIAL SKIN SINGLE	$890.39	$890.39	$123.51–$883.38	61% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY OF SKIN	$1,337.87	$1,337.87	—	—	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX TANGENTIAL SKIN SINGLE	$1,337.87	$1,337.87	—	—	—
Thoracentesis with imaging guidance CPT 32555 PARA/THORACENTESIS W/IMMAGING	$3,442.15	$3,442.15	$434.01–$2,748.62	69% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 PARA/THORACENTESIS W/IMMAGING	$3,605.65	$3,605.65	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION(S) TRIGGER POINT	$1,374.94	$1,374.94	$173.24–$1,312.35	120% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION(S) TRIGGER POINT	$1,440.25	$1,440.25	—	—	—
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAP TUBAL CAUTERY	$13,649.31	$13,649.31	$2,047.40–$25,937.92	216% above	—
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAP TUBAL CAUTERY	$14,297.65	$14,297.65	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$6,077.07	$6,077.07	$911.56–$7,203.11	97% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG	$6,365.73	$6,365.73	—	—	—
Wart removal, up to 14 warts CPT 17110 CRYOABLATION	$414.93	$414.93	$62.24–$883.38	16% above	—
Wart removal, up to 14 warts inpatient CPT 17110 CRYOABLATION	$1,337.87	$1,337.87	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WND DBRD SUBQ&TISSUE	$1,094.69	$1,094.69	$164.20–$1,776.20	61% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT < 20 SQ CM (INCISIONAL)	$1,745.76	$1,745.76	$219.86–$1,776.20	156% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT < 20 SQ CM (INCISIONAL)	$1,828.68	$1,828.68	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WND DBRD SUBQ&TISSUE	$2,381.39	$2,381.39	—	—	—
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP	$19,954.88	$19,954.88	$2,993.23–$31,758.99	303% above	—
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP	$20,902.74	$20,902.74	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 ER TRANFUSION BLOOD PRODUCTS	$2,106.95	$2,106.95	$268.03–$1,943.57	141% above	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/PDCT	$2,106.95	$2,106.95	$268.03–$1,943.57	141% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD/PDCT	$2,207.03	$2,207.03	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ER TRANFUSION BLOOD PRODUCTS	$2,207.03	$2,207.03	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN SUBSEQ	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN TREATMENT PULMICORT	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN2 TREATMENT	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN TREATMENT ACETYLCYSTEINE 20%	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN TREATMENT XOPENEX .63	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRN SVN	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCT SUBSEQ	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN TREATMENT ATROV	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN TREATMENT	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN TREATMENT DUONEB	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN TREATMENT ALBUTEROL	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN TREATMENT XOPENEX 1.25	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN TREATMENT RACEMIC EPI 2.25%	$409.35	$409.35	$61.40–$904.23	33% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN TREATMENT PULMICORT	$428.79	$428.79	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN TREATMENT DUONEB	$428.79	$428.79	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN SUBSEQ	$428.79	$428.79	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRN SVN	$428.79	$428.79	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN TREATMENT ACETYLCYSTEINE 20%	$428.79	$428.79	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TREATMENT	$428.79	$428.79	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN TREATMENT RACEMIC EPI 2.25%	$428.79	$428.79	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN TREATMENT	$428.79	$428.79	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN2 TREATMENT	$428.79	$428.79	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN TREATMENT ATROV	$428.79	$428.79	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN TREATMENT ALBUTEROL	$428.79	$428.79	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCT SUBSEQ	$428.79	$428.79	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN TREATMENT XOPENEX 1.25	$428.79	$428.79	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION	$428.79	$428.79	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN TREATMENT XOPENEX .63	$428.79	$428.79	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1 (30>74 MIN)	$8,526.08	$8,526.08	$518.01–$6,394.56	72% above	—
Critical care, first 30 to 74 minutes CPT 99291 CODE TRAUMA W/O NOTIFICATION (1)	$8,793.77	$8,793.77	$518.01–$6,595.33	78% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1 (30>74 MIN)	$8,931.07	$8,931.07	—	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CODE TRAUMA W/O NOTIFICATION (1)	$9,211.47	$9,211.47	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY	$888.53	$888.53	$133.28–$1,384.38	at median	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY	$930.74	$930.74	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG RESTING	$587.53	$587.53	$39.13–$440.65	74% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG RESTING	$615.44	$615.44	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL TRIAGE	$131.23	$131.23	$19.68–$391.46	66% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL TRIAGE	$137.46	$137.46	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER TREATMENT ROOM	$150.00	$150.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL II	$1,642.06	$1,642.06	$89.57–$1,231.55	120% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL II	$1,720.06	$1,720.06	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL III	$3,055.01	$3,055.01	$156.09–$2,291.26	153% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL III	$3,200.12	$3,200.12	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL IV	$3,800.60	$3,800.60	$252.26–$2,850.45	95% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL IV	$3,981.13	$3,981.13	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL V	$4,507.04	$4,507.04	$367.71–$3,380.28	37% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 TRAUMA ALERT W/O NOTIFICATION (1)	$9,631.77	$9,631.77	$367.71–$7,223.83	193% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL V	$4,721.12	$4,721.12	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 TRAUMA ALERT W/O NOTIFICATION (1)	$10,089.28	$10,089.28	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 EKG STRESS REG TRD	$1,486.91	$1,486.91	$176.62–$1,384.38	23% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EKG STRESS REG TRD	$1,557.54	$1,557.54	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INITIAL 31-60 MIN	$1,036.63	$1,036.63	$131.03–$936.66	128% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INITIAL 31-60 MIN	$1,085.87	$1,085.87	—	—	—
IV infusion of a medicine, first hour CPT 96365 INFUSE DRUG INITIAL 3RD SITE	$753.70	$753.70	$113.06–$936.66	58% above	—
IV infusion of a medicine, first hour CPT 96365 INFUSE DRUG INITIAL 2ND SITE	$753.70	$753.70	$113.06–$936.66	58% above	—
IV infusion of a medicine, first hour CPT 96365 INFUSE DRUG INITIAL 1ST 16-60 MIN	$1,036.63	$1,036.63	$131.03–$936.66	117% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSE DRUG INITIAL 3RD SITE	$789.50	$789.50	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSE DRUG INITIAL 2ND SITE	$789.50	$789.50	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSE DRUG INITIAL 1ST 16-60 MIN	$1,085.87	$1,085.87	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SQ EACH INJECTION	$331.08	$331.08	$41.82–$316.42	111% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SQ EACH INJECTION	$346.81	$346.81	—	—	—
Neuromuscular re-education, 15 minutes CPT 97112 OT NEURO MUS RE-ED UP TO 15MIN	$138.45	$138.45	$20.77–$103.84	9% above	—
Neuromuscular re-education, 15 minutes CPT 97112 PT NEURO MUS RE-ED <15M	$204.53	$204.53	$30.68–$153.40	61% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEURO MUS RE-ED UP TO 15MIN	$145.03	$145.03	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEURO MUS RE-ED <15M	$214.25	$214.25	—	—	—
New patient office visit, about 30 minutes CPT 99203 OUTPATIENT LEVEL 3 NEW PATIENT	$864.46	$864.46	$81.09–$648.35	371% above	—
New patient office visit, about 30 minutes CPT 99203 WC OUTPATIENT NEW LEVEL 3	$918.63	$918.63	$81.09–$688.97	400% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPATIENT LEVEL 3 NEW PATIENT	$905.52	$905.52	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 WC OUTPATIENT NEW LEVEL 3	$962.26	$962.26	—	—	—
New patient office visit, about 45 minutes CPT 99204 WC OUTPATIENT NEW LEVEL 4	$782.59	$782.59	$81.09–$586.94	237% above	—
New patient office visit, about 45 minutes CPT 99204 OUTPATIENT LEVEL 4 NEW PATIENT	$1,106.45	$1,106.45	$81.09–$829.84	377% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 WC OUTPATIENT NEW LEVEL 4	$819.76	$819.76	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPATIENT LEVEL 4 NEW PATIENT	$1,159.01	$1,159.01	—	—	—
New patient office visit, about 60 minutes CPT 99205 OUTPATIENT LEVEL 5 NEW PATIENT	$1,303.91	$1,303.91	$81.09–$977.93	366% above	—
New patient office visit, about 60 minutes CPT 99205 WC OUTPATIENT NEW LEVEL 5	$1,868.56	$1,868.56	$81.09–$1,401.42	567% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPATIENT LEVEL 5 NEW PATIENT	$1,365.85	$1,365.85	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 WC OUTPATIENT NEW LEVEL 5	$1,957.32	$1,957.32	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPATIENT NEW LEVE	$254.04	$254.04	$38.11–$572.91	88% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPATIENT LEVEL 1 NEW PATIENT	$254.04	$254.04	$38.11–$572.91	88% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WC OUTPATIENT NEW LEVEL 1	$358.79	$358.79	$53.82–$572.91	165% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPATIENT LEVEL 2 NEW PATIENT	$579.11	$579.11	$81.09–$572.91	328% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW OUTPATIENT LEVE	$579.11	$579.11	$81.09–$572.91	328% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WC OUTPATIENT NEW LEVEL 2	$628.48	$628.48	$81.09–$572.91	364% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OUTPATIENT LEVEL 1 NEW PATIENT	$266.11	$266.11	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OUTPATIENT NEW LEVE	$266.11	$266.11	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WC OUTPATIENT NEW LEVEL 1	$375.83	$375.83	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OUTPATIENT LEVEL 2 NEW PATIENT	$606.62	$606.62	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW OUTPATIENT LEVE	$606.62	$606.62	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WC OUTPATIENT NEW LEVEL 2	$658.33	$658.33	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL IND	$54.19	$54.19	$8.13–$40.64	46% below	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL IND	$56.76	$56.76	—	—	—
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL NEW PT LOW	$370.82	$370.82	$55.62–$278.12	43% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL NEW PT LOW	$388.43	$388.43	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL NEW PT HIGH COMPLEXITY	$359.98	$359.98	$54.00–$269.99	19% below	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL NEW PT HIGH COMPLEXITY	$377.08	$377.08	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL NEW PT LOW COMPLEXITY	$401.35	$401.35	$60.20–$301.01	65% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL NEW PT LOW COMPLEXITY	$420.41	$420.41	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL NEW PT MODERATE COMPLEXITY	$450.75	$450.75	$67.61–$338.06	26% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL NEW PT MODERATE COMPLEXITY	$472.16	$472.16	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERPAY	$154.11	$154.11	$23.12–$115.58	29% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY <15 MIN	$224.33	$224.33	$28.43–$168.25	87% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERPAY	$161.43	$161.43	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY <15 MIN	$234.99	$234.99	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EX UP TO 15MIN	$96.32	$96.32	$14.45–$72.24	26% below	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXER < 15M	$140.21	$140.21	$21.03–$105.16	8% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA PT THERAPEUTIC EXER < 15M	$140.21	$140.21	$21.03–$105.16	8% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PUL REHAB THER PRD PER 15 MIN	$169.77	$169.77	$22.48–$127.33	31% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EX UP TO 15MIN	$100.90	$100.90	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXER < 15M	$146.87	$146.87	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA PT THERAPEUTIC EXER < 15M	$146.87	$146.87	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PUL REHAB THER PRD PER 15 MIN	$177.83	$177.83	—	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO CESSATION 3-10 MIN	$170.97	$170.97	$23.37–$132.44	210% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO CESSATION 3-10 MIN	$179.09	$179.09	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WC OUTPATIENT EST LEVEL 5	$1,282.23	$1,282.23	$81.09–$961.67	510% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OUTPATIENT LEVEL 5 ESTAB PATIENT	$1,287.05	$1,287.05	$81.09–$965.29	513% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WC OUTPATIENT EST LEVEL 5	$1,343.14	$1,343.14	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OUTPATIENT LEVEL 5 ESTAB PATIENT	$1,348.18	$1,348.18	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WC OUTPATIENT EST LEVEL 3	$622.46	$622.46	$81.09–$572.91	330% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPATIENT LEVEL 3 ESTAB PATIENT	$864.46	$864.46	$81.09–$648.35	497% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WC OUTPATIENT EST LEVEL 3	$652.03	$652.03	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OUTPATIENT LEVEL 3 ESTAB PATIENT	$905.52	$905.52	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WC OUTPATIENT EST LEVEL 4	$933.07	$933.07	$81.09–$699.80	437% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPATIENT LEVEL 4 ESTAB PATIENT	$1,106.45	$1,106.45	$81.09–$829.84	537% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WC OUTPATIENT EST LEVEL 4	$977.39	$977.39	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OUTPATIENT LEVEL 4 ESTAB PATIENT	$1,159.01	$1,159.01	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WC OUTPATIENT EST LEVEL 2	$349.15	$349.15	$52.37–$572.91	205% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OUTPATIENT LEVEL 2 ESTAB PATIENT	$579.11	$579.11	$81.09–$572.91	406% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WC OUTPATIENT EST LEVEL 2	$365.73	$365.73	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OUTPATIENT LEVEL 2 ESTAB PATIENT	$606.62	$606.62	—	—	—
Speech and language evaluation CPT 92523 ST EVAL SPEECH SOUND PROD W/ LANG COMP	$372.02	$372.02	$55.80–$279.02	19% below	—
Speech and language evaluation inpatient CPT 92523 ST EVAL SPEECH SOUND PROD W/ LANG COMP	$389.69	$389.69	—	—	—
Speech therapy session, individual CPT 92507 ST SPEECH/AURAL REHAB TX	$370.82	$370.82	$55.62–$278.12	34% above	—
Speech therapy session, individual inpatient CPT 92507 ST SPEECH/AURAL REHAB TX	$388.43	$388.43	—	—	—
Spirometry (breathing test) CPT 94010 PFT SPIROMETRY	$1,124.51	$1,124.51	$95.16–$843.38	249% above	—
Spirometry (breathing test) inpatient CPT 94010 PFT SPIROMETRY	$1,177.92	$1,177.92	—	—	—
Spirometry before and after a bronchodilator CPT 94060 PFT BRONCHSPASM EVAL	$1,824.01	$1,824.01	$176.62–$1,384.38	137% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT BRONCHSPASM EVAL	$1,910.65	$1,910.65	—	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 OT FUNCTIONAL ACT UP TO 15MIN	$111.98	$111.98	$16.80–$83.99	18% below	—
Therapeutic activities (functional training), 15 minutes CPT 97530 PUL REHAB THER ACT 15 MIN	$180.60	$180.60	$22.48–$135.45	32% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY	$214.03	$214.03	$32.10–$160.52	56% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT FUNCTIONAL ACT UP TO 15MIN	$117.30	$117.30	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PUL REHAB THER ACT 15 MIN	$189.18	$189.18	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITY	$224.20	$224.20	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VAC (VARIVAX) 0.5ML INJ	$359.98	$359.98	$54.00–$269.99	15% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VAC (VARIVAX) 0.5ML INJ	$377.08	$377.08	$188.54	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS (GARDASIL)VACCINE	$257.65	$257.65	$38.65–$193.24	33% below	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS (GARDASIL)VACCINE	$269.89	$269.89	$134.95	—	—
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A&B TWINRIX IM SUSPENSION 1ML	$113.18	$113.18	$16.98–$84.89	27% below	—
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A&B TWINRIX IM SUSPENSION 1ML	$118.56	$118.56	$59.28	—	—
Hepatitis A vaccine, adult dose CPT 90632 HEP A VAC (HAVRIX) 1440 UNITS/ML INJ	$78.26	$78.26	$11.74–$58.70	44% below	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VAC (HAVRIX) 1440 UNITS/ML INJ	$81.98	$81.98	$40.99	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B (ADULT) VACC 20MCG/ML INJ	$60.21	$60.21	$9.03–$70.38	29% below	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B (ADULT) VACC 20MCG/ML INJ	$63.07	$63.07	$31.54	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA PEDIATRIC VACCINE	$101.14	$101.14	$15.17–$83.49	19% below	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA ADULT OVER 65 VACCINE	$172.17	$172.17	$25.83–$129.13	37% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA PEDIATRIC VACCINE	$105.94	$105.94	$52.97	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA ADULT OVER 65 VACCINE	$180.35	$180.35	$90.18	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE 0.5ML	$95.00	$95.00	$47.50	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA	$260.00	$260.00	$39.00–$195.00	1% below	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA	$118.00	$118.00	$59.00	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GROUB B VAC 120MCG/0.5ML	$204.68	$204.68	$30.70–$153.51	29% below	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGITIS (BEXSERO) B VACCINE 0.5ML	$374.11	$374.11	$56.12–$280.58	31% above	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GROUB B VAC 120MCG/0.5ML	$214.40	$214.40	$107.20	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGITIS (BEXSERO) B VACCINE 0.5ML	$391.88	$391.88	$195.94	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20	$365.28	$365.28	$54.79–$298.04	27% below	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20	$382.63	$382.63	$191.32	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 ADULT 0.5ML INJ	$119.20	$119.20	$17.88–$133.47	26% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 ADULT 0.5ML INJ	$124.86	$124.86	$62.43	—	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE (RABAVERT) 2.5U/ML KIT	$1,312.33	$1,312.33	$196.85–$984.25	86% above	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE (RABAVERT) 2.5U/ML KIT	$1,374.67	$1,374.67	$687.34	—	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX 50MCG/.5ML	$308.22	$308.22	$46.23–$231.17	42% above	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX 50MCG/.5ML	$322.86	$322.86	$161.43	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TDVAX IM SUSP 2LF U-2LF U/0.5ML	$19.84	$19.84	$2.98–$14.88	75% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPHTH (DECAVAC) 5-2LFU INJ	$114.38	$114.38	$17.16–$85.79	44% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TDVAX IM SUSP 2LF U-2LF U/0.5ML	$20.78	$20.78	$10.39	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIPHTH (DECAVAC) 5-2LFU INJ	$119.81	$119.81	$59.91	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TDAP) 0.5ML SYRINGE	$45.75	$45.75	$6.86–$34.31	46% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 T DAP W/ PERTUSSIS 0.5ML	$166.15	$166.15	$24.92–$124.61	97% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TDAP) 0.5ML INJ	$355.18	$355.18	$53.28–$266.39	321% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX (TDAP) 0.5ML SYRINGE	$47.92	$47.92	$23.96	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 T DAP W/ PERTUSSIS 0.5ML	$174.04	$174.04	$87.02	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX (TDAP) 0.5ML INJ	$372.05	$372.05	$186.03	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ IMMUN 1 VACCINE	$162.54	$162.54	$24.38–$316.42	61% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJ IMMUN 1 VACCINE	$170.26	$170.26	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJ IMMUN ADD VACCINE	$162.54	$162.54	$24.38–$121.91	141% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 INJ IMMUN ADD VACCINE	$170.26	$170.26	—	—	—

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/8531/941698406_american-hospital-management-corporation_standardcharges.csv