Hospital

Webster Memorial Hospital

Webster Memorial Hospital in Webster Springs, WV publishes cash prices for 259 common procedures listed here, from its own machine-readable price file updated Jul 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the West Virginia median for 257 of 257 procedures. By typical cash price it ranks #27 of 27 West Virginia hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

125 Diana Drive, Webster Springs, WV 26288 Collected Sep 27, 2026 Source price file (304) 847-5682

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 511301 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 VIEWS LT	$3,501,650.60	$5,002,358.00	$24.12–$4,652,192.94	1847737% above	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 VIEWS RT	$3,508,650.60	$5,012,358.00	$24.12–$4,661,492.94	1851431% above	30%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3 VIEWS LT	$3,501,650.60	$5,002,358.00	$4,252,004.30–$4,652,192.94	—	30%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3 VIEWS RT	$3,508,650.60	$5,012,358.00	$4,260,504.30–$4,661,492.94	—	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI ANKLE BRACHIAL INDEX ULTRASOUND	$3,502,745.40	$5,003,922.00	$53.90–$4,653,647.46	1356239% above	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI ANKLE BRACHIAL INDEX ULTRASOUND	$3,502,745.40	$5,003,922.00	$4,253,333.70–$4,653,647.46	—	30%
Bone scan, whole body (nuclear medicine) CPT 78306 NUC READ BODY SCAN	$4,030,481.00	$5,757,830.00	$175.22–$5,354,781.90	467473% above	30%
Bone scan, whole body (nuclear medicine) CPT 78306 NM WHOLE BODY BONE SCAN	$4,030,814.20	$5,758,306.00	$175.22–$5,355,224.58	467512% above	30%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NUC READ BODY SCAN	$4,030,481.00	$5,757,830.00	$4,894,155.50–$5,354,781.90	—	30%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM WHOLE BODY BONE SCAN	$4,030,814.20	$5,758,306.00	$4,894,560.10–$5,355,224.58	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHEST ANGIOGRAPHY WWO CONTRAST	$3,640,003.50	$5,200,005.00	$175.28–$4,836,004.65	271036% above	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$3,654,001.40	$5,220,002.00	$175.28–$4,854,601.86	272079% above	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT CHEST ANGIOGRAPHY WWO CONTRAST	$3,640,003.50	$5,200,005.00	$4,420,004.25–$4,836,004.65	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST	$3,654,001.40	$5,220,002.00	$4,437,001.70–$4,854,601.86	—	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS WO CONTRAS	$3,649,923.20	$5,214,176.00	$126.74–$4,849,183.68	272181% above	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD AND PELVIS WO CONTRAS	$3,649,923.20	$5,214,176.00	$4,432,049.60–$4,849,183.68	—	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS WITH CONTR	$3,649,923.90	$5,214,177.00	$205.74–$4,849,184.61	210028% above	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS W IV AND PO	$3,649,975.00	$5,214,250.00	$205.74–$4,849,252.50	210031% above	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD AND PELVIS WITH CONTR	$3,649,923.90	$5,214,177.00	$4,432,050.45–$4,849,184.61	—	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD AND PELVIS W IV AND PO	$3,649,975.00	$5,214,250.00	$4,432,112.50–$4,849,252.50	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD AND PELVIS W AND WO CONTR	$3,649,924.60	$5,214,178.00	$230.60–$4,849,185.54	208229% above	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD AND PELVIS W AND WO CONTR	$3,649,924.60	$5,214,178.00	$4,432,051.30–$4,849,185.54	—	30%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$3,647,105.00	$5,210,150.00	$156.83–$4,845,439.50	336116% above	30%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST	$3,647,105.00	$5,210,150.00	$4,428,627.50–$4,845,439.50	—	30%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST	$3,647,812.00	$5,211,160.00	$93.76–$4,846,378.80	481142% above	30%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN PO	$3,648,512.00	$5,212,160.00	$93.76–$4,847,308.80	481234% above	30%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST	$3,647,812.00	$5,211,160.00	$4,429,486.00–$4,846,378.80	—	30%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN PO	$3,648,512.00	$5,212,160.00	$4,430,336.00–$4,847,308.80	—	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MA FACE SINUS WO CON	$3,647,910.00	$5,211,300.00	$87.12–$4,846,509.00	531278% above	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MA FACE SINUS WO CON	$3,647,910.00	$5,211,300.00	$4,429,605.00–$4,846,509.00	—	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD STROKE WO CONTRAST	$3,647,315.00	$5,210,450.00	$72.60–$4,845,718.50	488652% above	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST	$3,647,945.00	$5,211,350.00	$72.60–$4,846,555.50	488737% above	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD STROKE WO CONTRAST	$3,647,315.00	$5,210,450.00	$4,428,882.50–$4,845,718.50	—	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST	$3,647,945.00	$5,211,350.00	$4,429,647.50–$4,846,555.50	—	30%
CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST	$3,647,238.00	$5,210,340.00	$101.39–$4,845,616.20	325663% above	30%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST	$3,647,238.00	$5,210,340.00	$4,428,789.00–$4,845,616.20	—	30%
CT scan of the head without and with contrast CPT 70470 CT HEAD W AND WO CONTRAST	$3,647,903.00	$5,211,290.00	$118.62–$4,846,499.70	298602% above	30%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W AND WO CONTRAST	$3,647,903.00	$5,211,290.00	$4,429,596.50–$4,846,499.70	—	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE WO CONTRAST	$3,647,889.00	$5,211,270.00	$88.35–$4,846,481.10	426180% above	30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE WO CONTRAST	$3,647,889.00	$5,211,270.00	$4,429,579.50–$4,846,481.10	—	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C SPINE WO CONTRAST	$3,647,182.00	$5,210,260.00	$88.84–$4,845,541.80	443596% above	30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C SPINE WO CONTRAST	$3,647,182.00	$5,210,260.00	$4,428,721.00–$4,845,541.80	—	30%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$3,647,126.00	$5,210,180.00	$152.94–$4,845,467.40	347742% above	30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$3,647,126.00	$5,210,180.00	$4,428,653.00–$4,845,467.40	—	30%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DUPLEX	$3,574,592.00	$5,106,560.00	$124.77–$4,749,100.80	663705% above	30%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 MRA CAROTID	$3,712,716.00	$5,303,880.00	$124.77–$4,932,608.40	689355% above	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID DUPLEX	$3,574,592.00	$5,106,560.00	$4,340,576.00–$4,749,100.80	—	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 MRA CAROTID	$3,712,716.00	$5,303,880.00	$4,508,298.00–$4,932,608.40	—	30%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$3,504,543.70	$5,006,491.00	$22.40–$4,656,036.63	1864019% above	30%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$3,504,543.70	$5,006,491.00	$4,255,517.35–$4,656,036.63	—	30%
Chest X-ray, single view CPT 71045 XR CHEST PA	$3,501,731.10	$5,002,473.00	$17.23–$4,652,299.89	2528226% above	30%
Chest X-ray, single view inpatient CPT 71045 XR CHEST PA	$3,501,731.10	$5,002,473.00	$4,252,102.05–$4,652,299.89	—	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US KIDNEY	$3,574,610.20	$5,106,586.00	$72.11–$4,749,124.98	802282% above	30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US KIDNEY	$3,574,610.20	$5,106,586.00	$4,340,598.10–$4,749,124.98	—	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR DEXA AXIAL SKELETON	$3,504,956.00	$5,007,080.00	$25.84–$4,656,584.40	1076691% above	30%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR DEXA AXIAL SKELETON	$3,504,956.00	$5,007,080.00	$4,256,018.00–$4,656,584.40	—	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR DEXA APPENDICULAR SKELETON	$3,504,956.70	$5,007,081.00	$21.16–$4,656,585.33	2024015% above	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR DEXA APPENDICULAR SKELETON	$3,504,956.70	$5,007,081.00	$4,256,018.85–$4,656,585.33	—	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST	$3,647,840.00	$5,211,200.00	$91.06–$4,846,416.00	461360% above	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST	$3,647,840.00	$5,211,200.00	$4,429,520.00–$4,846,416.00	—	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH CONTRAST	$3,647,168.00	$5,210,240.00	$113.94–$4,845,523.20	320530% above	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH CONTRAST	$3,647,168.00	$5,210,240.00	$4,428,704.00–$4,845,523.20	—	30%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMOGRAM DIAG BILAT	$3,503,280.90	$5,004,687.00	$105.08–$4,654,358.91	—	30%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMOGRAM DIAG BILAT	$3,503,280.90	$5,004,687.00	$4,253,983.95–$4,654,358.91	—	30%
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM DIAG UNILAT	$3,500,757.40	$5,001,082.00	$83.18–$4,651,006.26	1776033% above	30%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM DIAG UNILAT	$3,500,757.40	$5,001,082.00	$4,250,919.70–$4,651,006.26	—	30%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX LOW EXT ART BIL	$3,502,747.50	$5,003,925.00	$157.01–$4,653,650.25	600972% above	30%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX LOW EXT ARTER UNIL	$3,506,574.40	$5,009,392.00	$157.01–$4,658,734.56	601629% above	30%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUPLEX LOW EXT ART BIL	$3,502,747.50	$5,003,925.00	$4,253,336.25–$4,653,650.25	—	30%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUPLEX LOW EXT ARTER UNIL	$3,506,574.40	$5,009,392.00	$4,257,983.20–$4,658,734.56	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX UPPER EXT VEINS BILAT	$3,503,888.50	$5,005,555.00	$122.31–$4,655,166.15	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX LOWER EXT VEINS BILAT	$3,510,888.50	$5,015,555.00	$122.31–$4,664,466.15	—	30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPLEX UPPER EXT VEINS BILAT	$3,503,888.50	$5,005,555.00	$4,254,721.75–$4,655,166.15	—	30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPLEX LOWER EXT VEINS BILAT	$3,510,888.50	$5,015,555.00	$4,263,221.75–$4,664,466.15	—	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE	$3,502,314.20	$5,003,306.00	$130.93–$4,653,074.58	311771% above	30%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMPLETE	$3,502,314.20	$5,003,306.00	$4,252,810.10–$4,653,074.58	—	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUC HYDA SCAN IMAGE	$4,030,758.20	$5,758,226.00	$192.45–$5,355,150.18	473271% above	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SCAN CCK EF	$4,030,758.90	$5,758,227.00	$192.45–$5,355,151.11	473272% above	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SCAN EF HIDA SCAN	$4,030,759.60	$5,758,228.00	$192.45–$5,355,152.04	473272% above	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NUC HYDA SCAN IMAGE	$4,030,758.20	$5,758,226.00	$4,894,492.10–$5,355,150.18	—	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SCAN CCK EF	$4,030,758.90	$5,758,227.00	$4,894,492.95–$5,355,151.11	—	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SCAN EF HIDA SCAN	$4,030,759.60	$5,758,228.00	$4,894,493.80–$5,355,152.04	—	30%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP STUDY	$4,484,060.00	$6,405,800.00	$63.74–$5,957,394.00	1169909% above	30%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED-PRO	$4,484,064.20	$6,405,806.00	$72.25–$301.53	1169910% above	30%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY FACILITY	$4,484,071.20	$6,405,816.00	$63.74–$5,957,408.88	1169912% above	30%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HOME SLEEP STUDY	$4,484,060.00	$6,405,800.00	$5,444,930.00–$5,957,394.00	—	30%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTENDED-PRO	$4,484,064.20	$6,405,806.00	$72.25–$301.53	—	30%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY FACILITY	$4,484,071.20	$6,405,816.00	$5,444,943.60–$5,957,408.88	—	30%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LT	$3,501,685.60	$5,002,408.00	$27.07–$4,652,239.44	1818957% above	30%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RT	$3,508,685.60	$5,012,408.00	$27.07–$4,661,539.44	1822594% above	30%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LT	$3,501,685.60	$5,002,408.00	$4,252,046.80–$4,652,239.44	—	30%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS RT	$3,508,685.60	$5,012,408.00	$4,260,546.80–$4,661,539.44	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE PELVIS	$3,504,693.50	$5,006,705.00	$57.83–$4,656,235.65	845423% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE ABD BACK	$3,511,693.50	$5,016,705.00	$57.83–$4,665,535.65	847112% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE BACK	$3,518,693.50	$5,026,705.00	$57.83–$4,674,835.65	848801% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN SINGLE ORGAN	$3,574,570.30	$5,106,529.00	$57.83–$4,749,071.97	862281% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX	$3,574,574.50	$5,106,535.00	$57.83–$4,749,077.55	862282% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALL BLADDER	$3,574,604.60	$5,106,578.00	$57.83–$4,749,117.54	862290% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US RUQ	$3,575,373.90	$5,107,677.00	$57.83–$4,750,139.61	862475% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN	$3,581,570.30	$5,116,529.00	$57.83–$4,758,371.97	863970% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US FAST SCAN	$3,588,693.50	$5,126,705.00	$57.83–$4,767,835.65	865689% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE PELVIS	$3,504,693.50	$5,006,705.00	$4,255,699.25–$4,656,235.65	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE ABD BACK	$3,511,693.50	$5,016,705.00	$4,264,199.25–$4,665,535.65	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE BACK	$3,518,693.50	$5,026,705.00	$4,272,699.25–$4,674,835.65	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN SINGLE ORGAN	$3,574,570.30	$5,106,529.00	$4,340,549.65–$4,749,071.97	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US APPENDIX	$3,574,574.50	$5,106,535.00	$4,340,554.75–$4,749,077.55	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALL BLADDER	$3,574,604.60	$5,106,578.00	$4,340,591.30–$4,749,117.54	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US RUQ	$3,575,373.90	$5,107,677.00	$4,341,525.45–$4,750,139.61	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN	$3,581,570.30	$5,116,529.00	$4,349,049.65–$4,758,371.97	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US FAST SCAN	$3,588,693.50	$5,126,705.00	$4,357,699.25–$4,767,835.65	—	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG CANCER SCREENING	$3,640,002.10	$5,200,003.00	$94.50–$4,836,002.79	3033235% above	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG CANCER SCREENING	$3,640,002.10	$5,200,003.00	$4,420,002.55–$4,836,002.79	—	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI KNEE WO CONT	$3,712,183.30	$5,303,119.00	$138.31–$4,931,900.67	303928% above	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LWR EXT ANY JT WO LT	$3,712,879.80	$5,304,114.00	$138.31–$4,932,826.02	303985% above	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP NO CONTRAST LT	$3,712,881.90	$5,304,117.00	$138.31–$4,932,828.81	303985% above	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LWR EXT ANY JT WO RT	$3,719,879.80	$5,314,114.00	$138.31–$4,942,126.02	304558% above	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP NO CONTRAST RT	$3,719,881.90	$5,314,117.00	$138.31–$4,942,128.81	304559% above	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI KNEE WO CONT	$3,712,183.30	$5,303,119.00	$4,507,651.15–$4,931,900.67	—	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LWR EXT ANY JT WO LT	$3,712,879.80	$5,304,114.00	$4,508,496.90–$4,932,826.02	—	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP NO CONTRAST LT	$3,712,881.90	$5,304,117.00	$4,508,499.45–$4,932,828.81	—	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LWR EXT ANY JT WO RT	$3,719,879.80	$5,314,114.00	$4,516,996.90–$4,942,126.02	—	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP NO CONTRAST RT	$3,719,881.90	$5,314,117.00	$4,516,999.45–$4,942,128.81	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LWR EXT ANY JT WWO LT	$3,713,581.90	$5,305,117.00	$261.36–$4,933,758.81	189615% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LWR EXT ANY JT WWO RT	$3,720,581.90	$5,315,117.00	$261.36–$4,943,058.81	189973% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LWR EXT ANY JT WWO LT	$3,713,581.90	$5,305,117.00	$4,509,349.45–$4,933,758.81	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LWR EXT ANY JT WWO RT	$3,720,581.90	$5,315,117.00	$4,517,849.45–$4,943,058.81	—	30%
MRI of the abdomen without contrast CPT 74181 MRI ABD NO CONTRAST	$3,714,279.10	$5,306,113.00	$134.12–$4,934,685.09	288276% above	30%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD NO CONTRAST	$3,714,279.10	$5,306,113.00	$4,510,196.05–$4,934,685.09	—	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD WWO CONTRAST	$3,713,580.50	$5,305,115.00	$230.35–$4,933,756.95	191233% above	30%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD WWO CONTRAST	$3,713,580.50	$5,305,115.00	$4,509,347.75–$4,933,756.95	—	30%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN NO CONTRAST	$3,710,385.70	$5,300,551.00	$134.37–$4,929,512.43	269992% above	30%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN NO CONTRAST	$3,710,385.70	$5,300,551.00	$4,505,468.35–$4,929,512.43	—	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO CONTRAST	$3,710,387.10	$5,300,553.00	$217.80–$4,929,514.29	188849% above	30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WWO CONTRAST	$3,710,387.10	$5,300,553.00	$4,505,470.05–$4,929,514.29	—	30%
MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE NO CONTRAST	$3,711,503.60	$5,302,148.00	$131.17–$4,930,997.64	274674% above	30%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE NO CONTRAST	$3,711,503.60	$5,302,148.00	$4,506,825.80–$4,930,997.64	—	30%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE WWO CONTRAST	$3,711,510.60	$5,302,158.00	$218.54–$4,931,006.94	194296% above	30%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SPINE WWO CONTRAST	$3,711,510.60	$5,302,158.00	$4,506,834.30–$4,931,006.94	—	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE NO CONTRAST	$3,711,502.20	$5,302,146.00	$130.68–$4,930,995.78	274419% above	30%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SPINE NO CONTRAST	$3,711,502.20	$5,302,146.00	$4,506,824.10–$4,930,995.78	—	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE WWO CONTRAST	$3,711,509.20	$5,302,156.00	$218.78–$4,931,005.08	189384% above	30%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE WWO CONTRAST	$3,711,509.20	$5,302,156.00	$4,506,832.60–$4,931,005.08	—	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE NO CONTRAST	$3,711,498.70	$5,302,141.00	$130.93–$4,930,991.13	254679% above	30%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SPINE NO CONTRAST	$3,711,498.70	$5,302,141.00	$4,506,819.85–$4,930,991.13	—	30%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WWO CONTRAST	$3,711,537.90	$5,302,197.00	$229.61–$4,931,043.21	191128% above	30%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WWO CONTRAST	$3,711,537.90	$5,302,197.00	$4,506,867.45–$4,931,043.21	—	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS NO CONTRAST	$3,711,536.50	$5,302,195.00	$156.03–$4,931,041.35	273966% above	30%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS NO CONTRAST	$3,711,536.50	$5,302,195.00	$4,506,865.75–$4,931,041.35	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT ANY JT WO LT	$3,715,289.20	$5,307,556.00	$138.31–$4,936,027.08	277658% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHLDR NO CONTRAST LT	$3,715,289.90	$5,307,557.00	$138.31–$4,936,028.01	277658% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT ANY JT WO RT	$3,722,289.20	$5,317,556.00	$138.31–$4,945,327.08	278181% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHLDR NO CONTRAST RT	$3,722,289.90	$5,317,557.00	$138.31–$4,945,328.01	278181% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXT ANY JT WO LT	$3,715,289.20	$5,307,556.00	$4,511,422.60–$4,936,027.08	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHLDR NO CONTRAST LT	$3,715,289.90	$5,307,557.00	$4,511,423.45–$4,936,028.01	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXT ANY JT WO RT	$3,722,289.20	$5,317,556.00	$4,519,922.60–$4,945,327.08	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHLDR NO CONTRAST RT	$3,722,289.90	$5,317,557.00	$4,519,923.45–$4,945,328.01	—	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC STRESS	$4,030,917.10	$5,758,453.00	$283.02–$5,355,361.29	141450% above	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC STRESS TEST WITH IMAGES	$4,030,917.80	$5,758,454.00	$283.02–$5,355,362.22	141450% above	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM RAD STRESS TEST	$4,030,918.50	$5,758,455.00	$283.02–$5,355,363.15	141450% above	30%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM CARDIAC STRESS	$4,030,917.10	$5,758,453.00	$4,894,685.05–$5,355,361.29	—	30%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM CARDIAC STRESS TEST WITH IMAGES	$4,030,917.80	$5,758,454.00	$4,894,685.90–$5,355,362.22	—	30%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM RAD STRESS TEST	$4,030,918.50	$5,758,455.00	$4,894,686.75–$5,355,363.15	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US SOFT TISSUE GROIN	$3,574,799.90	$5,106,857.00	$33.47–$4,749,377.01	1199658% above	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER	$3,576,199.90	$5,108,857.00	$33.47–$4,751,237.01	1200128% above	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US SOFT TISSUE GROIN	$3,574,799.90	$5,106,857.00	$4,340,828.45–$4,749,377.01	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER	$3,576,199.90	$5,108,857.00	$4,342,528.45–$4,751,237.01	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB COMPLET	$3,574,650.80	$5,106,644.00	$69.65–$4,749,178.92	833405% above	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB COMPLET	$3,574,650.80	$5,106,644.00	$4,340,647.40–$4,749,178.92	—	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMP 2-3 TRIMESTER	$3,574,621.40	$5,106,602.00	$90.32–$4,749,139.86	842971% above	30%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMP 2-3 TRIMESTER	$3,574,621.40	$5,106,602.00	$4,340,611.70–$4,749,139.86	—	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRIMESTER	$3,573,890.60	$5,105,558.00	$78.75–$4,748,168.94	816789% above	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRIMESTER	$3,573,890.60	$5,105,558.00	$4,339,724.30–$4,748,168.94	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB FOLLOW UP LIMITED	$3,574,627.00	$5,106,610.00	$54.14–$4,749,147.30	1249770% above	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB FOLLOW UP LIMITED	$3,574,627.00	$5,106,610.00	$4,340,618.50–$4,749,147.30	—	30%
Screening mammogram, both breasts CPT 77067 MAMMOGRAPHY SCREEN	$3,504,264.40	$5,006,092.00	$84.66–$4,655,665.56	1191827% above	30%
Screening mammogram, both breasts inpatient CPT 77067 MAMMOGRAPHY SCREEN	$3,504,264.40	$5,006,092.00	$4,255,178.20–$4,655,665.56	—	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS MIN LT	$3,501,841.00	$5,002,630.00	$23.13–$4,652,445.90	1950786% above	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS MIN RT	$3,508,841.00	$5,012,630.00	$23.13–$4,661,745.90	1954686% above	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 VIEWS MIN LT	$3,501,841.00	$5,002,630.00	$4,252,235.50–$4,652,445.90	—	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 VIEWS MIN RT	$3,508,841.00	$5,012,630.00	$4,260,735.50–$4,661,745.90	—	30%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$3,570,665.00	$5,100,950.00	$79.00–$4,743,883.50	849573% above	30%
Transvaginal pelvic ultrasound CPT 76830 US PREGNANCY TRANSVAGINAL	$3,577,665.00	$5,110,950.00	$79.00–$4,753,183.50	851239% above	30%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$3,570,665.00	$5,100,950.00	$4,335,807.50–$4,743,883.50	—	30%
Transvaginal pelvic ultrasound inpatient CPT 76830 US PREGNANCY TRANSVAGINAL	$3,577,665.00	$5,110,950.00	$4,344,307.50–$4,753,183.50	—	30%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$3,574,557.70	$5,106,511.00	$77.52–$4,749,055.23	803623% above	30%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$3,574,557.70	$5,106,511.00	$4,340,534.35–$4,749,055.23	—	30%
Ultrasound of the scrotum and testicles both sides CPT 76870 US TESTICLE BILATERAL	$3,583,871.90	$5,119,817.00	$66.20–$4,761,429.81	—	30%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICLES	$3,576,871.90	$5,109,817.00	$66.20–$4,752,129.81	940885% above	30%
Ultrasound of the scrotum and testicles inpatient both sides CPT 76870 US TESTICLE BILATERAL	$3,583,871.90	$5,119,817.00	$4,351,844.45–$4,761,429.81	—	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICLES	$3,576,871.90	$5,109,817.00	$4,343,344.45–$4,752,129.81	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE FACE NECK	$3,572,779.70	$5,103,971.00	$72.60–$4,746,693.03	969131% above	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$3,574,668.30	$5,106,669.00	$72.60–$4,749,202.17	969643% above	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE NECK	$3,579,779.70	$5,113,971.00	$72.60–$4,755,993.03	971030% above	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE FACE NECK	$3,572,779.70	$5,103,971.00	$4,338,375.35–$4,746,693.03	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$3,574,668.30	$5,106,669.00	$4,340,668.65–$4,749,202.17	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE NECK	$3,579,779.70	$5,113,971.00	$4,346,875.35–$4,755,993.03	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UPPER DUPLEX EXT VEINS UNILAT LT	$3,503,889.20	$5,005,556.00	$78.01–$4,655,167.08	996739% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UPPER DUPLEX EXT VEINS UNILAT RT	$3,510,889.20	$5,015,556.00	$78.01–$4,664,467.08	998730% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LOWER DUPLEX EXT VEINS UNILAT RT	$3,510,889.90	$5,015,557.00	$78.01–$4,664,468.01	998731% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LOWER DUPLEX EXT VEINS UNILAT LT	$3,510,890.60	$5,015,558.00	$78.01–$4,664,468.94	998731% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UPPER DUPLEX EXT VEINS UNILAT LT	$3,503,889.20	$5,005,556.00	$4,254,722.60–$4,655,167.08	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UPPER DUPLEX EXT VEINS UNILAT RT	$3,510,889.20	$5,015,556.00	$4,263,222.60–$4,664,467.08	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LOWER DUPLEX EXT VEINS UNILAT RT	$3,510,889.90	$5,015,557.00	$4,263,223.45–$4,664,468.01	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LOWER DUPLEX EXT VEINS UNILAT LT	$3,510,890.60	$5,015,558.00	$4,263,224.30–$4,664,468.94	—	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE 3 OR MORE LT	$3,501,638.70	$5,002,341.00	$27.32–$4,652,177.13	1944607% above	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE 3 OR MORE RT	$3,508,638.70	$5,012,341.00	$27.32–$4,661,477.13	1948494% above	30%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMPLETE 3 OR MORE LT	$3,501,638.70	$5,002,341.00	$4,251,989.85–$4,652,177.13	—	30%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMPLETE 3 OR MORE RT	$3,508,638.70	$5,012,341.00	$4,260,489.85–$4,661,477.13	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2 VIEWS UNILATERAL LT INCL PELVIS	$3,500,049.00	$5,000,070.00	$31.50–$4,650,065.10	1872585% above	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2 VIEWS UNILATERAL RT INCL PELVIS	$3,507,049.00	$5,010,070.00	$31.50–$4,659,365.10	1876331% above	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2 VIEWS UNILATERAL LT INCL PELVIS	$3,500,049.00	$5,000,070.00	$4,250,059.50–$4,650,065.10	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2 VIEWS UNILATERAL RT INCL PELVIS	$3,507,049.00	$5,010,070.00	$4,258,559.50–$4,659,365.10	—	30%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW	$3,501,749.30	$5,002,499.00	$20.18–$4,652,324.07	1909459% above	30%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW	$3,501,749.30	$5,002,499.00	$4,252,124.15–$4,652,324.07	—	30%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT	$3,501,534.40	$5,002,192.00	$21.41–$4,652,038.56	1833164% above	30%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT	$3,508,534.40	$5,012,192.00	$21.41–$4,661,338.56	1836829% above	30%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LT	$3,501,534.40	$5,002,192.00	$4,251,863.20–$4,652,038.56	—	30%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS RT	$3,508,534.40	$5,012,192.00	$4,260,363.20–$4,661,338.56	—	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS 2 VIEWS MIN LT	$3,501,598.10	$5,002,283.00	$25.10–$4,652,123.19	2023945% above	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS 2 VIEWS MIN RT	$3,508,598.10	$5,012,283.00	$25.10–$4,661,423.19	2027991% above	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS 2 VIEWS MIN LT	$3,501,598.10	$5,002,283.00	$4,251,940.55–$4,652,123.19	—	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS 2 VIEWS MIN RT	$3,508,598.10	$5,012,283.00	$4,260,440.55–$4,661,423.19	—	30%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT	$3,503,124.10	$5,004,463.00	$19.20–$4,654,150.59	2182532% above	30%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT	$3,510,124.10	$5,014,463.00	$19.20–$4,663,450.59	2186893% above	30%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT	$3,503,124.10	$5,004,463.00	$4,253,793.55–$4,654,150.59	—	30%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RT	$3,510,124.10	$5,014,463.00	$4,262,293.55–$4,663,450.59	—	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 VIEWS MIN LT	$3,501,661.80	$5,002,374.00	$22.64–$4,652,207.82	1877467% above	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 VIEWS MIN RT	$3,508,661.80	$5,012,374.00	$22.64–$4,661,507.82	1881220% above	30%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3 VIEWS MIN LT	$3,501,661.80	$5,002,374.00	$4,252,017.90–$4,652,207.82	—	30%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3 VIEWS MIN RT	$3,508,661.80	$5,012,374.00	$4,260,517.90–$4,661,507.82	—	30%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS MIN LT	$3,501,616.30	$5,002,309.00	$24.61–$4,652,147.37	1887259% above	30%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS MIN RT	$3,508,616.30	$5,012,309.00	$24.61–$4,661,447.37	1891032% above	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS MIN LT	$3,501,616.30	$5,002,309.00	$4,251,962.65–$4,652,147.37	—	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS MIN RT	$3,508,616.30	$5,012,309.00	$4,260,462.65–$4,661,447.37	—	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS LT	$3,500,280.00	$5,000,400.00	$22.64–$4,650,372.00	1925776% above	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS RT	$3,507,280.00	$5,010,400.00	$22.64–$4,659,672.00	1929628% above	30%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 VIEWS LT	$3,500,280.00	$5,000,400.00	$4,250,340.00–$4,650,372.00	—	30%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 VIEWS RT	$3,507,280.00	$5,010,400.00	$4,258,840.00–$4,659,672.00	—	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBAR 2-3 VIEWS	$3,501,435.70	$5,002,051.00	$26.58–$4,651,907.43	1628248% above	30%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBAR 2-3 VIEWS	$3,501,435.70	$5,002,051.00	$4,251,743.35–$4,651,907.43	—	30%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR 4+ VIEWS	$3,501,448.30	$5,002,069.00	$34.21–$4,651,924.17	1237161% above	30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBAR 4+ VIEWS	$3,501,448.30	$5,002,069.00	$4,251,758.65–$4,651,924.17	—	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS	$3,501,425.20	$5,002,036.00	$21.90–$4,651,893.48	1592181% above	30%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2 VIEWS	$3,501,425.20	$5,002,036.00	$4,251,730.60–$4,651,893.48	—	30%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMPLETE	$3,501,483.30	$5,002,119.00	$24.86–$4,651,970.67	1911190% above	30%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMPLETE	$3,501,483.30	$5,002,119.00	$4,251,801.15–$4,651,970.67	—	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2-3 VIEWS	$3,501,407.00	$5,002,010.00	$26.33–$4,651,869.30	1797798% above	30%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2-3 VIEWS	$3,501,407.00	$5,002,010.00	$4,251,708.50–$4,651,869.30	—	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VIEWS	$3,501,696.80	$5,002,424.00	$18.70–$4,652,254.32	1945287% above	30%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2 VIEWS	$3,501,696.80	$5,002,424.00	$4,252,060.40–$4,652,254.32	—	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR COCCYX SACRUM	$3,501,453.90	$5,002,077.00	$21.66–$4,651,931.61	1969776% above	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR COCCYX SACRUM	$3,501,453.90	$5,002,077.00	$4,251,765.45–$4,651,931.61	—	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$2,800,044.80	$4,000,064.00	$3,000,048.00–$3,720,059.52	9655227% above	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$2,800,044.80	$4,000,064.00	$3,400,054.40–$3,720,059.52	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$2,804,341.40	$4,006,202.00	$3,004,651.50–$3,725,767.86	8128426% above	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$2,804,341.40	$4,006,202.00	$3,405,271.70–$3,725,767.86	—	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL 4	$2,800,041.30	$4,000,059.00	$3,000,044.25–$3,720,054.87	1266887% above	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL 4	$2,800,041.30	$4,000,059.00	$3,400,050.15–$3,720,054.87	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 BIPOLARIS AKA CURVULARIA SPICIFERA	$2,800,011.20	$4,000,016.00	$3,000,012.00–$3,720,014.88	13999956% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE WITH COMPNENT	$2,800,081.20	$4,000,116.00	$3,000,087.00–$3,720,107.88	14000306% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ZONE THREE PROFILE	$2,800,350.00	$4,000,500.00	$3,000,375.00–$3,720,465.00	14001650% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INHALANTS #603559	$2,800,359.80	$4,000,514.00	$3,000,385.50–$3,720,478.02	14001699% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE HONEYBEE #602886	$2,800,777.70	$4,001,111.00	$3,000,833.25–$3,721,033.23	14003788% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE YELLOW JACKET #602889	$2,800,855.40	$4,001,222.00	$3,000,916.50–$3,721,136.46	14004177% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PAPER WASP #602890	$2,800,856.80	$4,001,224.00	$3,000,918.00–$3,721,138.32	14004184% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE YELLOW HORNET #602891	$2,800,857.50	$4,001,225.00	$3,000,918.75–$3,721,139.25	14004188% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE LATEX #602669	$2,800,933.10	$4,001,333.00	$3,000,999.75–$3,721,239.69	14004566% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE WHITE FACE HORNET #602887	$2,801,556.10	$4,002,223.00	$3,001,667.25–$3,722,067.39	14007680% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 062448 ALLERGEN PROFILE MOLD	$2,801,713.60	$4,002,448.00	$3,001,836.00–$3,722,276.64	14008468% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BASIC FOOD PROFILE	$2,803,500.70	$4,005,001.00	$3,003,750.75–$3,724,650.93	14017404% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS 38 INHALANTS	$2,803,501.40	$4,005,002.00	$3,003,751.50–$3,724,651.86	14017407% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CHICKEN	$2,803,502.10	$4,005,003.00	$3,003,752.25–$3,724,652.79	14017410% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PORK	$2,803,502.80	$4,005,004.00	$3,003,753.00–$3,724,653.72	14017414% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ALMOND NUTS	$2,803,503.50	$4,005,005.00	$3,003,753.75–$3,724,654.65	14017418% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BRAZIL NUTS	$2,803,504.20	$4,005,006.00	$3,003,754.50–$3,724,655.58	14017421% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CASHEW NUTS	$2,803,504.90	$4,005,007.00	$3,003,755.25–$3,724,656.51	14017424% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HAZELNUT/FILBERT NUTS	$2,803,505.60	$4,005,008.00	$3,003,756.00–$3,724,657.44	14017428% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PECAN NUTS	$2,803,506.30	$4,005,009.00	$3,003,756.75–$3,724,658.37	14017432% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WALNUTS	$2,803,507.00	$4,005,010.00	$3,003,757.50–$3,724,659.30	14017435% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY	$2,803,507.70	$4,005,011.00	$3,003,758.25–$3,724,660.23	14017438% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT	$2,803,508.40	$4,005,012.00	$3,003,759.00–$3,724,661.16	14017442% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 PINE NUT	$2,803,509.10	$4,005,013.00	$3,003,759.75–$3,724,662.09	14017446% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN NUTS/SEEDS	$2,803,509.80	$4,005,014.00	$3,003,760.50–$3,724,663.02	14017449% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET CHESTNUT	$2,803,510.50	$4,005,015.00	$3,003,761.25–$3,724,663.95	14017452% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO NUT	$2,803,511.20	$4,005,016.00	$3,003,762.00–$3,724,664.88	14017456% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OREGANO	$2,803,511.90	$4,005,017.00	$3,003,762.75–$3,724,665.81	14017460% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEAR	$2,803,512.60	$4,005,018.00	$3,003,763.50–$3,724,666.74	14017463% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPICES	$2,803,513.30	$4,005,019.00	$3,003,764.25–$3,724,667.67	14017466% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CITRUS	$2,803,514.00	$4,005,020.00	$3,003,765.00–$3,724,668.60	14017470% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INSECTS	$2,803,514.70	$4,005,021.00	$3,003,765.75–$3,724,669.53	14017474% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SWEET POTATO	$2,803,516.80	$4,005,024.00	$3,003,768.00–$3,724,672.32	14017484% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SESAME SEED	$2,803,517.50	$4,005,025.00	$3,003,768.75–$3,724,673.25	14017488% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN EGG YOLK	$2,803,518.20	$4,005,026.00	$3,003,769.50–$3,724,674.18	14017491% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN EGG WHITE	$2,803,518.90	$4,005,027.00	$3,003,770.25–$3,724,675.11	14017494% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GRASS/TREE	$2,803,519.60	$4,005,028.00	$3,003,771.00–$3,724,676.04	14017498% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WEEDS	$2,803,520.30	$4,005,029.00	$3,003,771.75–$3,724,676.97	14017502% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GUM/SWEET	$2,803,521.00	$4,005,030.00	$3,003,772.50–$3,724,677.90	14017505% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ALDER,GREY	$2,803,521.70	$4,005,031.00	$3,003,773.25–$3,724,678.83	14017508% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLER PROF PERENNIAL ALLERGEN #062497	$2,804,202.10	$4,006,003.00	$3,004,502.25–$3,725,582.79	14020910% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PINEAPPLE	$2,804,203.50	$4,006,005.00	$3,004,503.75–$3,725,584.65	14020918% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MUSHROOM	$2,804,204.90	$4,006,007.00	$3,004,505.25–$3,725,586.51	14020924% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WATERMELON	$2,804,205.60	$4,006,008.00	$3,004,506.00–$3,725,587.44	14020928% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TOMATO	$2,804,206.30	$4,006,009.00	$3,004,506.75–$3,725,588.37	14020932% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BERRIES	$2,804,209.10	$4,006,013.00	$3,004,509.75–$3,725,592.09	14020946% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY FISH	$2,804,209.80	$4,006,014.00	$3,004,510.50–$3,725,593.02	14020949% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PROFILE FOOD SHELLFISH #062695	$2,804,210.50	$4,006,015.00	$3,004,511.25–$3,725,593.95	14020952% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ALTERNARIA ALTERNATA	$2,804,211.20	$4,006,016.00	$3,004,512.00–$3,725,594.88	14020956% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS	$2,804,211.90	$4,006,017.00	$3,004,512.75–$3,725,595.81	14020960% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BIRCH T3	$2,804,212.60	$4,006,018.00	$3,004,513.50–$3,725,596.74	14020963% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER	$2,804,213.30	$4,006,019.00	$3,004,514.25–$3,725,597.67	14020966% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CLADOSPORIUM HERBARUM	$2,804,214.00	$4,006,020.00	$3,004,515.00–$3,725,598.60	14020970% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COCKROACH GERMAN #602488	$2,804,214.70	$4,006,021.00	$3,004,515.75–$3,725,599.53	14020974% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED	$2,804,216.10	$4,006,023.00	$3,004,517.25–$3,725,601.39	14020980% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY COTTONWOOD T14	$2,804,216.80	$4,006,024.00	$3,004,518.00–$3,725,602.32	14020984% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE #602475	$2,804,217.50	$4,006,025.00	$3,004,518.75–$3,725,603.25	14020988% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY DERMATOPHAGOIDES PTER	$2,804,218.20	$4,006,026.00	$3,004,519.50–$3,725,604.18	14020991% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER	$2,804,218.90	$4,006,027.00	$3,004,520.25–$3,725,605.11	14020994% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ELM T8	$2,804,219.60	$4,006,028.00	$3,004,521.00–$3,725,606.04	14020998% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MAPLE BOX ELDER T1	$2,804,220.30	$4,006,029.00	$3,004,521.75–$3,725,606.97	14021002% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR MOUNTAIN #602491	$2,804,221.00	$4,006,030.00	$3,004,522.50–$3,725,607.90	14021005% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY OAK T7	$2,804,221.70	$4,006,031.00	$3,004,523.25–$3,725,608.83	14021008% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PECAN HICKORY T22	$2,804,222.40	$4,006,032.00	$3,004,524.00–$3,725,609.76	14021012% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PENICILLIUM NOTATUM	$2,804,223.10	$4,006,033.00	$3,004,524.75–$3,725,610.69	14021016% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ROUGH PIGWEED W14	$2,804,223.80	$4,006,034.00	$3,004,525.50–$3,725,611.62	14021019% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 W011 IGE THISTLE RUSSIAN	$2,804,224.50	$4,006,035.00	$3,004,526.25–$3,725,612.55	14021022% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SHEEP SORREL W18	$2,804,225.20	$4,006,036.00	$3,004,527.00–$3,725,613.48	14021026% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SYCAMORE T11	$2,804,225.90	$4,006,037.00	$3,004,527.75–$3,725,614.41	14021030% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS #602506	$2,804,227.30	$4,006,039.00	$3,004,529.25–$3,725,616.27	14021036% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE #602530	$2,804,228.00	$4,006,040.00	$3,004,530.00–$3,725,617.20	14021040% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WHITE ASH T15	$2,804,228.70	$4,006,041.00	$3,004,530.75–$3,725,618.13	14021044% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WHITE MULBERRY T70	$2,804,229.40	$4,006,042.00	$3,004,531.50–$3,725,619.06	14021047% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEANUTS	$2,804,230.10	$4,006,043.00	$3,004,532.25–$3,725,619.99	14021050% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PORK	$2,804,230.80	$4,006,044.00	$3,004,533.00–$3,725,620.92	14021054% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY POTATO WHITE	$2,804,231.50	$4,006,045.00	$3,004,533.75–$3,725,621.85	14021058% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WHEAT	$2,804,232.90	$4,006,047.00	$3,004,535.25–$3,725,623.71	14021064% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BEEF	$2,804,233.60	$4,006,048.00	$3,004,536.00–$3,725,624.64	14021068% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CHICKEN	$2,804,234.30	$4,006,049.00	$3,004,536.75–$3,725,625.57	14021072% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BEETS	$2,804,235.00	$4,006,050.00	$3,004,537.50–$3,725,626.50	14021075% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY VINEGAR	$2,804,235.70	$4,006,051.00	$3,004,538.25–$3,725,627.43	14021078% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CORN	$2,804,236.40	$4,006,052.00	$3,004,539.00–$3,725,628.36	14021082% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY EGG WHOLE	$2,804,237.10	$4,006,053.00	$3,004,539.75–$3,725,629.29	14021086% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MILK	$2,804,237.80	$4,006,054.00	$3,004,540.50–$3,725,630.22	14021089% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SOYBEAN	$2,804,238.50	$4,006,055.00	$3,004,541.25–$3,725,631.15	14021092% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD SHELLFI	$2,806,020.00	$4,008,600.00	$3,006,450.00–$3,727,998.00	14030000% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD FISH #601013	$2,806,022.10	$4,008,603.00	$3,006,452.25–$3,728,000.79	14030010% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS 38 INHALANTS 603559	$2,806,953.10	$4,009,933.00	$3,007,449.75–$3,729,237.69	14034666% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE EPITHELIUM IGE #602994	$2,806,974.10	$4,009,963.00	$3,007,472.25–$3,729,265.59	14034770% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD GRAIN	$2,808,143.10	$4,011,633.00	$3,008,724.75–$3,730,818.69	14040616% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD VEGETABLE 1	$2,808,276.10	$4,011,823.00	$3,008,867.25–$3,730,995.39	14041280% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD VEGETABLE 2	$2,808,276.80	$4,011,824.00	$3,008,868.00–$3,730,996.32	14041284% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD IGE W/REFLEX	$2,808,277.50	$4,011,825.00	$3,008,868.75–$3,730,997.25	14041288% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CINNAMON	$2,808,946.70	$4,012,781.00	$3,009,585.75–$3,731,886.33	14044634% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA-GAL IGE ALLERGY	$2,810,685.50	$4,015,265.00	$3,011,448.75–$3,734,196.45	14053328% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD BERRY	$2,811,209.10	$4,016,013.00	$3,012,009.75–$3,734,892.09	14055946% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 KIWI FRUIT	$2,811,272.10	$4,016,103.00	$3,012,077.25–$3,734,975.79	14056260% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ORANGE	$2,813,020.70	$4,018,601.00	$3,013,950.75–$3,737,298.93	14065004% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE LEMON	$2,813,021.40	$4,018,602.00	$3,013,951.50–$3,737,299.86	14065007% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE LIME	$2,813,022.10	$4,018,603.00	$3,013,952.25–$3,737,300.79	14065010% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PENICILLIN PANEL	$2,813,022.80	$4,018,604.00	$3,013,953.00–$3,737,301.72	14065014% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE LATEX RELATED	$2,813,891.50	$4,019,845.00	$3,014,883.75–$3,738,455.85	14069358% above	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIPOLARIS AKA CURVULARIA SPICIFERA	$2,800,011.20	$4,000,016.00	$3,400,013.60–$3,720,014.88	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE WITH COMPNENT	$2,800,081.20	$4,000,116.00	$3,400,098.60–$3,720,107.88	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ZONE THREE PROFILE	$2,800,350.00	$4,000,500.00	$3,400,425.00–$3,720,465.00	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN INHALANTS #603559	$2,800,359.80	$4,000,514.00	$3,400,436.90–$3,720,478.02	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE HONEYBEE #602886	$2,800,777.70	$4,001,111.00	$3,400,944.35–$3,721,033.23	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE YELLOW JACKET #602889	$2,800,855.40	$4,001,222.00	$3,401,038.70–$3,721,136.46	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE PAPER WASP #602890	$2,800,856.80	$4,001,224.00	$3,401,040.40–$3,721,138.32	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE YELLOW HORNET #602891	$2,800,857.50	$4,001,225.00	$3,401,041.25–$3,721,139.25	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE LATEX #602669	$2,800,933.10	$4,001,333.00	$3,401,133.05–$3,721,239.69	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE WHITE FACE HORNET #602887	$2,801,556.10	$4,002,223.00	$3,401,889.55–$3,722,067.39	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 062448 ALLERGEN PROFILE MOLD	$2,801,713.60	$4,002,448.00	$3,402,080.80–$3,722,276.64	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BASIC FOOD PROFILE	$2,803,500.70	$4,005,001.00	$3,404,250.85–$3,724,650.93	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS 38 INHALANTS	$2,803,501.40	$4,005,002.00	$3,404,251.70–$3,724,651.86	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CHICKEN	$2,803,502.10	$4,005,003.00	$3,404,252.55–$3,724,652.79	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PORK	$2,803,502.80	$4,005,004.00	$3,404,253.40–$3,724,653.72	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ALMOND NUTS	$2,803,503.50	$4,005,005.00	$3,404,254.25–$3,724,654.65	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BRAZIL NUTS	$2,803,504.20	$4,005,006.00	$3,404,255.10–$3,724,655.58	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CASHEW NUTS	$2,803,504.90	$4,005,007.00	$3,404,255.95–$3,724,656.51	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HAZELNUT/FILBERT NUTS	$2,803,505.60	$4,005,008.00	$3,404,256.80–$3,724,657.44	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PECAN NUTS	$2,803,506.30	$4,005,009.00	$3,404,257.65–$3,724,658.37	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WALNUTS	$2,803,507.00	$4,005,010.00	$3,404,258.50–$3,724,659.30	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY	$2,803,507.70	$4,005,011.00	$3,404,259.35–$3,724,660.23	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACADAMIA NUT	$2,803,508.40	$4,005,012.00	$3,404,260.20–$3,724,661.16	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE NUT	$2,803,509.10	$4,005,013.00	$3,404,261.05–$3,724,662.09	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN NUTS/SEEDS	$2,803,509.80	$4,005,014.00	$3,404,261.90–$3,724,663.02	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET CHESTNUT	$2,803,510.50	$4,005,015.00	$3,404,262.75–$3,724,663.95	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO NUT	$2,803,511.20	$4,005,016.00	$3,404,263.60–$3,724,664.88	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN OREGANO	$2,803,511.90	$4,005,017.00	$3,404,264.45–$3,724,665.81	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PEAR	$2,803,512.60	$4,005,018.00	$3,404,265.30–$3,724,666.74	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPICES	$2,803,513.30	$4,005,019.00	$3,404,266.15–$3,724,667.67	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CITRUS	$2,803,514.00	$4,005,020.00	$3,404,267.00–$3,724,668.60	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN INSECTS	$2,803,514.70	$4,005,021.00	$3,404,267.85–$3,724,669.53	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SWEET POTATO	$2,803,516.80	$4,005,024.00	$3,404,270.40–$3,724,672.32	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SESAME SEED	$2,803,517.50	$4,005,025.00	$3,404,271.25–$3,724,673.25	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN EGG YOLK	$2,803,518.20	$4,005,026.00	$3,404,272.10–$3,724,674.18	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN EGG WHITE	$2,803,518.90	$4,005,027.00	$3,404,272.95–$3,724,675.11	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GRASS/TREE	$2,803,519.60	$4,005,028.00	$3,404,273.80–$3,724,676.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WEEDS	$2,803,520.30	$4,005,029.00	$3,404,274.65–$3,724,676.97	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GUM/SWEET	$2,803,521.00	$4,005,030.00	$3,404,275.50–$3,724,677.90	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ALDER,GREY	$2,803,521.70	$4,005,031.00	$3,404,276.35–$3,724,678.83	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLER PROF PERENNIAL ALLERGEN #062497	$2,804,202.10	$4,006,003.00	$3,405,102.55–$3,725,582.79	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE PINEAPPLE	$2,804,203.50	$4,006,005.00	$3,405,104.25–$3,725,584.65	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MUSHROOM	$2,804,204.90	$4,006,007.00	$3,405,105.95–$3,725,586.51	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY WATERMELON	$2,804,205.60	$4,006,008.00	$3,405,106.80–$3,725,587.44	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TOMATO	$2,804,206.30	$4,006,009.00	$3,405,107.65–$3,725,588.37	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BERRIES	$2,804,209.10	$4,006,013.00	$3,405,111.05–$3,725,592.09	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY FISH	$2,804,209.80	$4,006,014.00	$3,405,111.90–$3,725,593.02	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PROFILE FOOD SHELLFISH #062695	$2,804,210.50	$4,006,015.00	$3,405,112.75–$3,725,593.95	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY ALTERNARIA ALTERNATA	$2,804,211.20	$4,006,016.00	$3,405,113.60–$3,725,594.88	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS	$2,804,211.90	$4,006,017.00	$3,405,114.45–$3,725,595.81	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BIRCH T3	$2,804,212.60	$4,006,018.00	$3,405,115.30–$3,725,596.74	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER	$2,804,213.30	$4,006,019.00	$3,405,116.15–$3,725,597.67	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CLADOSPORIUM HERBARUM	$2,804,214.00	$4,006,020.00	$3,405,117.00–$3,725,598.60	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COCKROACH GERMAN #602488	$2,804,214.70	$4,006,021.00	$3,405,117.85–$3,725,599.53	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED	$2,804,216.10	$4,006,023.00	$3,405,119.55–$3,725,601.39	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY COTTONWOOD T14	$2,804,216.80	$4,006,024.00	$3,405,120.40–$3,725,602.32	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES FARINAE #602475	$2,804,217.50	$4,006,025.00	$3,405,121.25–$3,725,603.25	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY DERMATOPHAGOIDES PTER	$2,804,218.20	$4,006,026.00	$3,405,122.10–$3,725,604.18	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER	$2,804,218.90	$4,006,027.00	$3,405,122.95–$3,725,605.11	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY ELM T8	$2,804,219.60	$4,006,028.00	$3,405,123.80–$3,725,606.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MAPLE BOX ELDER T1	$2,804,220.30	$4,006,029.00	$3,405,124.65–$3,725,606.97	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR MOUNTAIN #602491	$2,804,221.00	$4,006,030.00	$3,405,125.50–$3,725,607.90	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY OAK T7	$2,804,221.70	$4,006,031.00	$3,405,126.35–$3,725,608.83	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PECAN HICKORY T22	$2,804,222.40	$4,006,032.00	$3,405,127.20–$3,725,609.76	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PENICILLIUM NOTATUM	$2,804,223.10	$4,006,033.00	$3,405,128.05–$3,725,610.69	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY ROUGH PIGWEED W14	$2,804,223.80	$4,006,034.00	$3,405,128.90–$3,725,611.62	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W011 IGE THISTLE RUSSIAN	$2,804,224.50	$4,006,035.00	$3,405,129.75–$3,725,612.55	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SHEEP SORREL W18	$2,804,225.20	$4,006,036.00	$3,405,130.60–$3,725,613.48	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SYCAMORE T11	$2,804,225.90	$4,006,037.00	$3,405,131.45–$3,725,614.41	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS #602506	$2,804,227.30	$4,006,039.00	$3,405,133.15–$3,725,616.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT TREE #602530	$2,804,228.00	$4,006,040.00	$3,405,134.00–$3,725,617.20	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY WHITE ASH T15	$2,804,228.70	$4,006,041.00	$3,405,134.85–$3,725,618.13	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY WHITE MULBERRY T70	$2,804,229.40	$4,006,042.00	$3,405,135.70–$3,725,619.06	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PEANUTS	$2,804,230.10	$4,006,043.00	$3,405,136.55–$3,725,619.99	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PORK	$2,804,230.80	$4,006,044.00	$3,405,137.40–$3,725,620.92	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY POTATO WHITE	$2,804,231.50	$4,006,045.00	$3,405,138.25–$3,725,621.85	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY WHEAT	$2,804,232.90	$4,006,047.00	$3,405,139.95–$3,725,623.71	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BEEF	$2,804,233.60	$4,006,048.00	$3,405,140.80–$3,725,624.64	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CHICKEN	$2,804,234.30	$4,006,049.00	$3,405,141.65–$3,725,625.57	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY BEETS	$2,804,235.00	$4,006,050.00	$3,405,142.50–$3,725,626.50	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY VINEGAR	$2,804,235.70	$4,006,051.00	$3,405,143.35–$3,725,627.43	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY CORN	$2,804,236.40	$4,006,052.00	$3,405,144.20–$3,725,628.36	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY EGG WHOLE	$2,804,237.10	$4,006,053.00	$3,405,145.05–$3,725,629.29	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MILK	$2,804,237.80	$4,006,054.00	$3,405,145.90–$3,725,630.22	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SOYBEAN	$2,804,238.50	$4,006,055.00	$3,405,146.75–$3,725,631.15	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE FOOD SHELLFI	$2,806,020.00	$4,008,600.00	$3,407,310.00–$3,727,998.00	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE FOOD FISH #601013	$2,806,022.10	$4,008,603.00	$3,407,312.55–$3,728,000.79	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS 38 INHALANTS 603559	$2,806,953.10	$4,009,933.00	$3,408,443.05–$3,729,237.69	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE EPITHELIUM IGE #602994	$2,806,974.10	$4,009,963.00	$3,408,468.55–$3,729,265.59	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE FOOD GRAIN	$2,808,143.10	$4,011,633.00	$3,409,888.05–$3,730,818.69	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE FOOD VEGETABLE 1	$2,808,276.10	$4,011,823.00	$3,410,049.55–$3,730,995.39	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE FOOD VEGETABLE 2	$2,808,276.80	$4,011,824.00	$3,410,050.40–$3,730,996.32	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE FOOD IGE W/REFLEX	$2,808,277.50	$4,011,825.00	$3,410,051.25–$3,730,997.25	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CINNAMON	$2,808,946.70	$4,012,781.00	$3,410,863.85–$3,731,886.33	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA-GAL IGE ALLERGY	$2,810,685.50	$4,015,265.00	$3,412,975.25–$3,734,196.45	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE FOOD BERRY	$2,811,209.10	$4,016,013.00	$3,413,611.05–$3,734,892.09	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIWI FRUIT	$2,811,272.10	$4,016,103.00	$3,413,687.55–$3,734,975.79	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ORANGE	$2,813,020.70	$4,018,601.00	$3,415,810.85–$3,737,298.93	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE LEMON	$2,813,021.40	$4,018,602.00	$3,415,811.70–$3,737,299.86	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE LIME	$2,813,022.10	$4,018,603.00	$3,415,812.55–$3,737,300.79	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE PENICILLIN PANEL	$2,813,022.80	$4,018,604.00	$3,415,813.40–$3,737,301.72	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE LATEX RELATED	$2,813,891.50	$4,019,845.00	$3,416,868.25–$3,738,455.85	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANITBODIES	$2,801,500.80	$4,002,144.00	$3,001,608.00–$3,721,993.92	7003652% above	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANITBODIES	$2,801,500.80	$4,002,144.00	$3,401,822.40–$3,721,993.92	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA MULTIPLEX #164863	$2,800,077.00	$4,000,110.00	$3,000,082.50–$3,720,102.30	4307711% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REF 5 BIO PRO	$2,801,477.00	$4,002,110.00	$3,001,582.50–$3,721,962.30	4309865% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES DI	$2,805,000.10	$4,007,143.00	$3,005,357.25–$3,726,642.99	4315285% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REFLEX TO 5-BIO PRO#164962	$2,806,959.40	$4,009,942.00	$3,007,456.50–$3,729,246.06	4318299% above	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA MULTIPLEX #164863	$2,800,077.00	$4,000,110.00	$3,400,093.50–$3,720,102.30	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA REF 5 BIO PRO	$2,801,477.00	$4,002,110.00	$3,401,793.50–$3,721,962.30	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES DI	$2,805,000.10	$4,007,143.00	$3,406,071.55–$3,726,642.99	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA REFLEX TO 5-BIO PRO#164962	$2,806,959.40	$4,009,942.00	$3,408,450.70–$3,729,246.06	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$2,802,716.00	$4,003,880.00	$3,002,910.00–$3,723,608.40	2335497% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-proBNP	$2,803,139.50	$4,004,485.00	$3,003,363.75–$3,724,171.05	2335850% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PBNP	$2,809,716.00	$4,013,880.00	$3,010,410.00–$3,732,908.40	2341330% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP	$2,816,716.00	$4,023,880.00	$3,017,910.00–$3,742,208.40	2347163% above	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$2,802,716.00	$4,003,880.00	$3,403,298.00–$3,723,608.40	—	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-proBNP	$2,803,139.50	$4,004,485.00	$3,403,812.25–$3,724,171.05	—	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PBNP	$2,809,716.00	$4,013,880.00	$3,411,798.00–$3,732,908.40	—	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP	$2,816,716.00	$4,023,880.00	$3,420,298.00–$3,742,208.40	—	30%
Basic metabolic panel (blood test) CPT 80048 BMP	$2,800,034.30	$4,000,049.00	$3,000,036.75–$3,720,045.57	6666648% above	30%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP	$2,800,034.30	$4,000,049.00	$3,400,041.65–$3,720,045.57	—	30%
Blood culture for bacteria CPT 87040 BLOOD CULTURE ROUTINE	$2,825,928.00	$4,037,040.00	$3,027,780.00–$3,754,447.20	3577024% above	30%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE ROUTINE	$2,825,928.00	$4,037,040.00	$3,431,484.00–$3,754,447.20	—	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAW FEE	$2,806,744.50	$4,009,635.00	$3,007,226.25–$3,728,960.55	26730800% above	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DRAW FEE	$2,806,744.50	$4,009,635.00	$3,408,189.75–$3,728,960.55	—	30%
Blood glucose (sugar) test CPT 82947 FASTING GLUCOSE	$2,801,969.10	$4,002,813.00	$3,002,109.75–$3,722,616.09	12182374% above	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$2,808,969.10	$4,012,813.00	$3,009,609.75–$3,731,916.09	12212809% above	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE 1 HR POSTPRANDIAL SERUM	$2,815,969.10	$4,022,813.00	$3,017,109.75–$3,741,216.09	12243244% above	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE 2 HR POSTPRANDIAL SERUM	$2,822,969.10	$4,032,813.00	$3,024,609.75–$3,750,516.09	12273679% above	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE 4 HR PP	$2,829,969.10	$4,042,813.00	$3,032,109.75–$3,759,816.09	12304113% above	30%
Blood glucose (sugar) test inpatient CPT 82947 FASTING GLUCOSE	$2,801,969.10	$4,002,813.00	$3,402,391.05–$3,722,616.09	—	30%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$2,808,969.10	$4,012,813.00	$3,410,891.05–$3,731,916.09	—	30%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 1 HR POSTPRANDIAL SERUM	$2,815,969.10	$4,022,813.00	$3,419,391.05–$3,741,216.09	—	30%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 2 HR POSTPRANDIAL SERUM	$2,822,969.10	$4,032,813.00	$3,427,891.05–$3,750,516.09	—	30%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 4 HR PP	$2,829,969.10	$4,042,813.00	$3,436,391.05–$3,759,816.09	—	30%
Blood lead test CPT 83655 LEAD ADULT	$2,804,804.10	$4,006,863.00	$3,005,147.25–$3,726,382.59	30821923% above	30%
Blood lead test CPT 83655 LEAD PEDIATRIC	$2,811,804.10	$4,016,863.00	$3,012,647.25–$3,735,682.59	30898846% above	30%
Blood lead test CPT 83655 LEAD CAPILLARY FINGERSTICK PEDIATRIC	$2,818,804.10	$4,026,863.00	$3,020,147.25–$3,744,982.59	30975769% above	30%
Blood lead test inpatient CPT 83655 LEAD ADULT	$2,804,804.10	$4,006,863.00	$3,405,833.55–$3,726,382.59	—	30%
Blood lead test inpatient CPT 83655 LEAD PEDIATRIC	$2,811,804.10	$4,016,863.00	$3,414,333.55–$3,735,682.59	—	30%
Blood lead test inpatient CPT 83655 LEAD CAPILLARY FINGERSTICK PEDIATRIC	$2,818,804.10	$4,026,863.00	$3,422,833.55–$3,744,982.59	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM HCG	$2,804,532.50	$4,006,475.00	$3,004,856.25–$3,726,021.75	6924672% above	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SERUM HCG	$2,804,532.50	$4,006,475.00	$3,405,503.75–$3,726,021.75	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$2,804,468.80	$4,006,384.00	$3,004,788.00–$3,725,937.12	5498858% above	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$2,804,468.80	$4,006,384.00	$3,405,426.40–$3,725,937.12	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN QUANT	$2,804,764.20	$4,006,806.00	$3,005,104.50–$3,726,329.58	9841178% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$2,811,764.20	$4,016,806.00	$3,012,604.50–$3,735,629.58	9865739% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN QUANT	$2,804,764.20	$4,006,806.00	$3,405,785.10–$3,726,329.58	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$2,811,764.20	$4,016,806.00	$3,414,285.10–$3,735,629.58	—	30%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF PCR	$2,812,245.10	$4,017,493.00	$3,013,119.75–$3,736,268.49	2434744% above	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF PCR	$2,812,245.10	$4,017,493.00	$3,414,869.05–$3,736,268.49	—	30%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$2,800,388.50	$4,000,555.00	$3,000,416.25–$3,720,516.15	3097675% above	30%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$2,800,388.50	$4,000,555.00	$3,400,471.75–$3,720,516.15	—	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$2,801,503.60	$4,002,148.00	$3,001,611.00–$3,721,997.64	2512459% above	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$2,801,503.60	$4,002,148.00	$3,401,825.80–$3,721,997.64	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19	$2,800,158.20	$4,000,226.00	$3,000,169.50–$3,720,210.18	2837227% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19	$2,800,158.20	$4,000,226.00	$3,400,192.10–$3,720,210.18	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GENITAL CULTURE	$2,805,024.60	$4,007,178.00	$3,005,383.50–$3,726,675.54	5955366% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS NAA	$2,805,243.70	$4,007,491.00	$3,005,618.25–$3,726,966.63	5955831% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE	$2,806,978.30	$4,009,969.00	$3,007,476.75–$3,729,271.17	5959514% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DLA CT/NG	$2,807,938.00	$4,011,340.00	$3,008,505.00–$3,730,546.20	5961552% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD	$2,819,243.70	$4,027,491.00	$3,020,618.25–$3,745,566.63	5985555% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 GENITAL CULTURE	$2,805,024.60	$4,007,178.00	$3,406,101.30–$3,726,675.54	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS NAA	$2,805,243.70	$4,007,491.00	$3,406,367.35–$3,726,966.63	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PROBE	$2,806,978.30	$4,009,969.00	$3,408,473.65–$3,729,271.17	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 DLA CT/NG	$2,807,938.00	$4,011,340.00	$3,409,639.00–$3,730,546.20	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD	$2,819,243.70	$4,027,491.00	$3,423,367.35–$3,745,566.63	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID W LDL HDL RATIO	$2,800,036.40	$4,000,052.00	$3,000,039.00–$3,720,048.36	4479958% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL WITH TOTAL CHOL HDL RATIO	$2,800,055.30	$4,000,079.00	$3,000,059.25–$3,720,073.47	4479988% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$2,802,134.30	$4,003,049.00	$3,002,286.75–$3,722,835.57	4483315% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 DLA LIPID PROFILE	$2,807,042.70	$4,010,061.00	$3,007,545.75–$3,729,356.73	4491168% above	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID W LDL HDL RATIO	$2,800,036.40	$4,000,052.00	$3,400,044.20–$3,720,048.36	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL WITH TOTAL CHOL HDL RATIO	$2,800,055.30	$4,000,079.00	$3,400,067.15–$3,720,073.47	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$2,802,134.30	$4,003,049.00	$3,402,591.65–$3,722,835.57	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 DLA LIPID PROFILE	$2,807,042.70	$4,010,061.00	$3,408,551.85–$3,729,356.73	—	30%
Complete blood count (CBC) with differential CPT 85025 CBC W AUTO DIFF	$2,802,100.70	$4,003,001.00	$3,002,250.75–$3,722,790.93	6368311% above	30%
Complete blood count (CBC) with differential CPT 85025 CBC	$2,807,071.40	$4,010,102.00	$3,007,576.50–$3,729,394.86	6379608% above	30%
Complete blood count (CBC) with differential CPT 85025 DLA CBC	$2,810,517.50	$4,015,025.00	$3,011,268.75–$3,733,973.25	6387440% above	30%
Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF REF SMEAR #005009	$2,816,100.70	$4,023,001.00	$3,017,250.75–$3,741,390.93	6400129% above	30%
Complete blood count (CBC) with differential CPT 85025 LEUK/LYMPHO FLOW CYTOMETRY	$2,816,101.40	$4,023,002.00	$3,017,251.50–$3,741,391.86	6400130% above	30%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W AUTO DIFF	$2,802,100.70	$4,003,001.00	$3,402,550.85–$3,722,790.93	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC	$2,807,071.40	$4,010,102.00	$3,408,586.70–$3,729,394.86	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 DLA CBC	$2,810,517.50	$4,015,025.00	$3,412,771.25–$3,733,973.25	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFF REF SMEAR #005009	$2,816,100.70	$4,023,001.00	$3,419,550.85–$3,741,390.93	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 LEUK/LYMPHO FLOW CYTOMETRY	$2,816,101.40	$4,023,002.00	$3,419,551.70–$3,741,391.86	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$2,800,037.80	$4,000,054.00	$3,000,040.50–$3,720,050.22	5714263% above	30%
Comprehensive metabolic panel (blood test) CPT 80053 DLA CMP	$2,808,081.50	$4,011,545.00	$3,008,658.75–$3,730,736.85	5730679% above	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$2,800,037.80	$4,000,054.00	$3,400,045.90–$3,720,050.22	—	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 DLA CMP	$2,808,081.50	$4,011,545.00	$3,409,813.25–$3,730,736.85	—	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$2,801,838.90	$4,002,627.00	$3,001,970.25–$3,722,443.11	3012630% above	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$2,801,838.90	$4,002,627.00	$3,402,232.95–$3,722,443.11	—	30%
Estradiol blood test CPT 82670 ESTRADIOL	$2,800,147.70	$4,000,211.00	$3,000,158.25–$3,720,196.23	3255886% above	30%
Estradiol blood test CPT 82670 DLA ESTRADIOL	$2,808,869.00	$4,012,670.00	$3,009,502.50–$3,731,783.10	3266027% above	30%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$2,800,147.70	$4,000,211.00	$3,400,179.35–$3,720,196.23	—	30%
Estradiol blood test inpatient CPT 82670 DLA ESTRADIOL	$2,808,869.00	$4,012,670.00	$3,410,769.50–$3,731,783.10	—	30%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$2,804,970.70	$4,007,101.00	$3,005,325.75–$3,726,603.93	3187367% above	30%
FSH (follicle-stimulating hormone) test CPT 83001 FSH PEDIATRIC	$2,804,971.40	$4,007,102.00	$3,005,326.50–$3,726,604.86	3187368% above	30%
FSH (follicle-stimulating hormone) test CPT 83001 DLA FSH	$2,809,100.70	$4,013,001.00	$3,009,750.75–$3,732,090.93	3192060% above	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$2,804,970.70	$4,007,101.00	$3,406,035.85–$3,726,603.93	—	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH PEDIATRIC	$2,804,971.40	$4,007,102.00	$3,406,036.70–$3,726,604.86	—	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 DLA FSH	$2,809,100.70	$4,013,001.00	$3,411,050.85–$3,732,090.93	—	30%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$2,800,025.20	$4,000,036.00	$3,000,027.00–$3,720,033.48	3500369% above	30%
Fecal calprotectin (stool inflammation test) CPT 83993 PH STOOL	$2,800,070.00	$4,000,100.00	$3,000,075.00–$3,720,093.00	3500425% above	30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$2,800,025.20	$4,000,036.00	$3,400,030.60–$3,720,033.48	—	30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 PH STOOL	$2,800,070.00	$4,000,100.00	$3,400,085.00–$3,720,093.00	—	30%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$2,801,047.20	$4,001,496.00	$3,001,122.00–$3,721,391.28	3734630% above	30%
Ferritin blood test (iron stores) CPT 82728 DLA FERRITIN	$2,808,909.60	$4,012,728.00	$3,009,546.00–$3,731,837.04	3745113% above	30%
Ferritin blood test (iron stores) CPT 82728 FERRITIN SEND OUT	$2,815,047.20	$4,021,496.00	$3,016,122.00–$3,739,991.28	3753296% above	30%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$2,801,047.20	$4,001,496.00	$3,401,271.60–$3,721,391.28	—	30%
Ferritin blood test (iron stores) inpatient CPT 82728 DLA FERRITIN	$2,808,909.60	$4,012,728.00	$3,410,818.80–$3,731,837.04	—	30%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN SEND OUT	$2,815,047.20	$4,021,496.00	$3,418,271.60–$3,739,991.28	—	30%
Folate (folic acid) blood test CPT 82746 FOLATE FOLIC ACID SERUM	$2,801,922.20	$4,002,746.00	$3,002,059.50–$3,722,553.78	3922513% above	30%
Folate (folic acid) blood test CPT 82746 FOLATE	$2,802,465.40	$4,003,522.00	$3,002,641.50–$3,723,275.46	3923273% above	30%
Folate (folic acid) blood test CPT 82746 DLA VIT B12	$2,808,922.20	$4,012,746.00	$3,009,559.50–$3,731,853.78	3932312% above	30%
Folate (folic acid) blood test CPT 82746 FOLATE SEND OUT #002014	$2,823,465.40	$4,033,522.00	$3,025,141.50–$3,751,175.46	3952673% above	30%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE FOLIC ACID SERUM	$2,801,922.20	$4,002,746.00	$3,402,334.10–$3,722,553.78	—	30%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$2,802,465.40	$4,003,522.00	$3,402,993.70–$3,723,275.46	—	30%
Folate (folic acid) blood test inpatient CPT 82746 DLA VIT B12	$2,808,922.20	$4,012,746.00	$3,410,834.10–$3,731,853.78	—	30%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SEND OUT #002014	$2,823,465.40	$4,033,522.00	$3,428,493.70–$3,751,175.46	—	30%
Free T3 thyroid hormone test CPT 84481 FREE T3	$2,803,114.30	$4,004,449.00	$3,003,336.75–$3,724,137.57	3221870% above	30%
Free T3 thyroid hormone test CPT 84481 TRIIDOTHYRONINE FREE T3 FREE	$2,810,114.30	$4,014,449.00	$3,010,836.75–$3,733,437.57	3229916% above	30%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$2,803,114.30	$4,004,449.00	$3,403,781.65–$3,724,137.57	—	30%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIDOTHYRONINE FREE T3 FREE	$2,810,114.30	$4,014,449.00	$3,412,281.65–$3,733,437.57	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$2,803,107.30	$4,004,439.00	$3,003,329.25–$3,724,128.27	5288782% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 TSH W/REFLEX	$2,805,909.40	$4,008,442.00	$3,006,331.50–$3,727,851.06	5294069% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 DIRECT	$2,810,107.30	$4,014,439.00	$3,010,829.25–$3,733,428.27	5301989% above	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$2,803,107.30	$4,004,439.00	$3,403,773.15–$3,724,128.27	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 TSH W/REFLEX	$2,805,909.40	$4,008,442.00	$3,407,175.70–$3,727,851.06	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 DIRECT	$2,810,107.30	$4,014,439.00	$3,412,273.15–$3,733,428.27	—	30%
Free testosterone test CPT 84402 TESTOSTERONE FREE DIRECT	$2,801,494.50	$4,002,135.00	$3,001,601.25–$3,721,985.55	4813464% above	30%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$2,803,081.40	$4,004,402.00	$3,003,301.50–$3,724,093.86	4816191% above	30%
Free testosterone test CPT 84402 DLA TESTOSTERONE	$2,810,081.40	$4,014,402.00	$3,010,801.50–$3,733,393.86	4828219% above	30%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE DIRECT	$2,801,494.50	$4,002,135.00	$3,401,814.75–$3,721,985.55	—	30%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$2,803,081.40	$4,004,402.00	$3,403,741.70–$3,724,093.86	—	30%
Free testosterone test inpatient CPT 84402 DLA TESTOSTERONE	$2,810,081.40	$4,014,402.00	$3,412,241.70–$3,733,393.86	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 1HR GLUCOSE PREGNANCY 50 GM	$2,802,065.00	$4,002,950.00	$3,002,212.50–$3,722,743.50	8491006% above	30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 1HR GLUCOSE PREGNANCY 50 GM	$2,802,065.00	$4,002,950.00	$3,402,507.50–$3,722,743.50	—	30%
Glucose tolerance test, 3 samples CPT 82951 2 HOUR GTT	$2,802,065.70	$4,002,951.00	$3,002,213.25–$3,722,744.43	4023544% above	30%
Glucose tolerance test, 3 samples CPT 82951 3 HOUR GTT	$2,809,065.70	$4,012,951.00	$3,009,713.25–$3,732,044.43	4033596% above	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 2 HOUR GTT	$2,802,065.70	$4,002,951.00	$3,402,508.35–$3,722,744.43	—	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 3 HOUR GTT	$2,809,065.70	$4,012,951.00	$3,411,008.35–$3,732,044.43	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE NAA	$2,801,518.30	$4,002,169.00	$3,001,626.75–$3,722,017.17	4669097% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE	$2,805,313.70	$4,007,591.00	$3,005,693.25–$3,727,059.63	4675423% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE DNA AMP PROB	$2,806,979.70	$4,009,971.00	$3,007,478.25–$3,729,273.03	4678200% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE NAA	$2,801,518.30	$4,002,169.00	$3,401,843.65–$3,722,017.17	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE	$2,805,313.70	$4,007,591.00	$3,406,452.35–$3,727,059.63	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE DNA AMP PROB	$2,806,979.70	$4,009,971.00	$3,408,475.35–$3,729,273.03	—	30%
H. pylori antibody blood test CPT 86677 H PYLORI	$2,802,046.10	$4,002,923.00	$3,002,192.25–$3,722,718.39	5861921% above	30%
H. pylori antibody blood test CPT 86677 H PYLORI IGG AB	$2,814,473.90	$4,020,677.00	$3,015,507.75–$3,739,229.61	5887921% above	30%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODIES	$2,814,480.20	$4,020,686.00	$3,015,514.50–$3,739,237.98	5887934% above	30%
H. pylori antibody blood test CPT 86677 H PYLORI IGA AB	$2,818,673.90	$4,026,677.00	$3,020,007.75–$3,744,809.61	5896707% above	30%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI	$2,802,046.10	$4,002,923.00	$3,402,484.55–$3,722,718.39	—	30%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGG AB	$2,814,473.90	$4,020,677.00	$3,417,575.45–$3,739,229.61	—	30%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI ANTIBODIES	$2,814,480.20	$4,020,686.00	$3,417,583.10–$3,739,237.98	—	30%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGA AB	$2,818,673.90	$4,026,677.00	$3,422,675.45–$3,744,809.61	—	30%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL	$2,805,136.60	$4,007,338.00	$3,005,503.50–$3,726,824.34	5219730% above	30%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL	$2,805,136.60	$4,007,338.00	$3,406,237.30–$3,726,824.34	—	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANTITATIVE RNA REALTIME	$2,800,072.80	$4,000,104.00	$3,000,078.00–$3,720,096.72	1048616% above	30%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 RNA RT PCR QUANTITATIVE NONGRAPH	$2,812,275.20	$4,017,536.00	$3,013,152.00–$3,736,308.48	1053187% above	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANTITATIVE RNA REALTIME	$2,800,072.80	$4,000,104.00	$3,400,088.40–$3,720,096.72	—	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 RNA RT PCR QUANTITATIVE NONGRAPH	$2,812,275.20	$4,017,536.00	$3,414,905.60–$3,736,308.48	—	30%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 AB	$2,801,508.50	$4,002,155.00	$3,001,616.25–$3,722,004.15	4411724% above	30%
HIV-1 and HIV-2 antibody test CPT 86703 DLA HIV	$2,811,692.10	$4,016,703.00	$3,012,527.25–$3,735,533.79	4427762% above	30%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 2 AB	$2,815,508.50	$4,022,155.00	$3,016,616.25–$3,740,604.15	4433772% above	30%
HIV-1 and HIV-2 antibody test CPT 86703 HIV ABS ICMA	$2,822,508.50	$4,032,155.00	$3,024,116.25–$3,749,904.15	4444795% above	30%
HIV-1 and HIV-2 antibody test CPT 86703 HIV PANEL	$2,829,508.50	$4,042,155.00	$3,031,616.25–$3,759,204.15	4455819% above	30%
HIV-1 and HIV-2 antibody test CPT 86703 POST EXPOSURE RAPID HIV	$2,836,508.50	$4,052,155.00	$3,039,116.25–$3,768,504.15	4466843% above	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 AB	$2,801,508.50	$4,002,155.00	$3,401,831.75–$3,722,004.15	—	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 DLA HIV	$2,811,692.10	$4,016,703.00	$3,414,197.55–$3,735,533.79	—	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 2 AB	$2,815,508.50	$4,022,155.00	$3,418,831.75–$3,740,604.15	—	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV ABS ICMA	$2,822,508.50	$4,032,155.00	$3,427,331.75–$3,749,904.15	—	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV PANEL	$2,829,508.50	$4,042,155.00	$3,435,831.75–$3,759,204.15	—	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 POST EXPOSURE RAPID HIV	$2,836,508.50	$4,052,155.00	$3,444,331.75–$3,768,504.15	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/0/2 AG/AB 4TH GEN REFL	$2,805,173.70	$4,007,391.00	$3,005,543.25–$3,726,873.63	5844012% above	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/0/2 AG/AB 4TH GEN REFL	$2,805,173.70	$4,007,391.00	$3,406,282.35–$3,726,873.63	—	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV APTIMA	$2,800,020.30	$4,000,029.00	$3,000,021.75–$3,720,026.97	5599941% above	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA	$2,801,519.70	$4,002,171.00	$3,001,628.25–$3,722,019.03	5602939% above	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV ASR	$2,804,634.70	$4,006,621.00	$3,004,965.75–$3,726,157.53	5609169% above	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK	$2,815,519.70	$4,022,171.00	$3,016,628.25–$3,740,619.03	5630939% above	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV LOW VOLUME RFX	$2,822,519.70	$4,032,171.00	$3,024,128.25–$3,749,919.03	5644939% above	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV APTIMA	$2,800,020.30	$4,000,029.00	$3,400,024.65–$3,720,026.97	—	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA	$2,801,519.70	$4,002,171.00	$3,401,845.35–$3,722,019.03	—	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV ASR	$2,804,634.70	$4,006,621.00	$3,405,627.85–$3,726,157.53	—	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK	$2,815,519.70	$4,022,171.00	$3,418,845.35–$3,740,619.03	—	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV LOW VOLUME RFX	$2,822,519.70	$4,032,171.00	$3,427,345.35–$3,749,919.03	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C	$2,803,120.60	$4,004,458.00	$3,003,343.50–$3,724,145.94	5390517% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C SEND OUT	$2,810,120.60	$4,014,458.00	$3,010,843.50–$3,733,445.94	5403978% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C	$2,803,120.60	$4,004,458.00	$3,403,789.30–$3,724,145.94	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C SEND OUT	$2,810,120.60	$4,014,458.00	$3,412,289.30–$3,733,445.94	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL	$2,804,125.10	$4,005,893.00	$3,004,419.75–$3,725,480.49	5418499% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY QUAL FOR #058537	$2,811,125.10	$4,015,893.00	$3,011,919.75–$3,734,780.49	5432026% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB QUAL	$2,804,125.10	$4,005,893.00	$3,405,009.05–$3,725,480.49	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY QUAL FOR #058537	$2,811,125.10	$4,015,893.00	$3,413,509.05–$3,734,780.49	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG SCREEN	$2,804,403.70	$4,006,291.00	$3,004,718.25–$3,725,850.63	4919906% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIBODY	$2,804,700.50	$4,006,715.00	$3,005,036.25–$3,726,244.95	4920427% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SUR ANTIGEN	$2,811,403.70	$4,016,291.00	$3,012,218.25–$3,735,150.63	4932187% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DLA HBSAG	$2,812,138.00	$4,017,340.00	$3,013,005.00–$3,736,126.20	4933475% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP BE AG	$2,818,403.70	$4,026,291.00	$3,019,718.25–$3,744,450.63	4944468% above	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG SCREEN	$2,804,403.70	$4,006,291.00	$3,405,347.35–$3,725,850.63	—	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIBODY	$2,804,700.50	$4,006,715.00	$3,405,707.75–$3,726,244.95	—	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SUR ANTIGEN	$2,811,403.70	$4,016,291.00	$3,413,847.35–$3,735,150.63	—	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 DLA HBSAG	$2,812,138.00	$4,017,340.00	$3,414,739.00–$3,736,126.20	—	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP BE AG	$2,818,403.70	$4,026,291.00	$3,422,347.35–$3,744,450.63	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB W REFLEX TO QUANT PCR	$2,800,425.60	$4,000,608.00	$3,000,456.00–$3,720,565.44	4706498% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C VIRUS AB	$2,801,125.60	$4,001,608.00	$3,001,206.00–$3,721,495.44	4707674% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HCV HEPATITIS C VIRUS AB	$2,805,531.40	$4,007,902.00	$3,005,926.50–$3,727,348.86	4715079% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 DLA HCV	$2,811,762.10	$4,016,803.00	$3,012,602.25–$3,735,626.79	4725551% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HCV GENOTYPE	$2,812,531.40	$4,017,902.00	$3,013,426.50–$3,736,648.86	4726844% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HEPA C VIR HCV ANTI REFL QUAN PCR#144050	$2,813,076.00	$4,018,680.00	$3,014,010.00–$3,737,372.40	4727759% above	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV AB W REFLEX TO QUANT PCR	$2,800,425.60	$4,000,608.00	$3,400,516.80–$3,720,565.44	—	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C VIRUS AB	$2,801,125.60	$4,001,608.00	$3,401,366.80–$3,721,495.44	—	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV HEPATITIS C VIRUS AB	$2,805,531.40	$4,007,902.00	$3,406,716.70–$3,727,348.86	—	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 DLA HCV	$2,811,762.10	$4,016,803.00	$3,414,282.55–$3,735,626.79	—	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV GENOTYPE	$2,812,531.40	$4,017,902.00	$3,415,216.70–$3,736,648.86	—	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPA C VIR HCV ANTI REFL QUAN PCR#144050	$2,813,076.00	$4,018,680.00	$3,415,878.00–$3,737,372.40	—	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPA C VIR HCV QUAN RNA PCR REF TO GENTY	$2,805,266.10	$4,007,523.00	$3,005,642.25–$3,726,996.39	1378409% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL LOAD RFX GENOTYPE	$2,812,965.40	$4,018,522.00	$3,013,891.50–$3,737,225.46	1382193% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANTITATION	$2,819,965.40	$4,028,522.00	$3,021,391.50–$3,746,525.46	1385632% above	30%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT PCR QUANT NON GRAPH	$2,805,965.40	$4,008,522.00	$3,006,391.50–$3,727,925.46	1378753% above	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPA C VIR HCV QUAN RNA PCR REF TO GENTY	$2,805,266.10	$4,007,523.00	$3,406,394.55–$3,726,996.39	—	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL LOAD RFX GENOTYPE	$2,812,965.40	$4,018,522.00	$3,415,743.70–$3,737,225.46	—	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUANTITATION	$2,819,965.40	$4,028,522.00	$3,424,243.70–$3,746,525.46	—	30%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT PCR QUANT NON GRAPH	$2,805,965.40	$4,008,522.00	$3,407,243.70–$3,727,925.46	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1AB IGG	$2,800,000.70	$4,000,001.00	$3,000,000.75–$3,720,000.93	6399902% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1/2 SPEC AB IGG	$2,800,167.30	$4,000,239.00	$3,000,179.25–$3,720,222.27	6400282% above	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1AB IGG	$2,800,000.70	$4,000,001.00	$3,400,000.85–$3,720,000.93	—	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1/2 SPEC AB IGG	$2,800,167.30	$4,000,239.00	$3,400,203.15–$3,720,222.27	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 1/2 PCR	$2,801,507.10	$4,002,153.00	$3,001,614.75–$3,722,002.29	6024646% above	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1/2 PCR	$2,801,507.10	$4,002,153.00	$3,401,830.05–$3,722,002.29	—	30%
Homocysteine blood test CPT 83090 HOMOCYST(E)INE	$2,802,163.00	$4,003,090.00	$3,002,317.50–$3,722,873.70	3184176% above	30%
Homocysteine blood test inpatient CPT 83090 HOMOCYST(E)INE	$2,802,163.00	$4,003,090.00	$3,402,626.50–$3,722,873.70	—	30%
Insulin blood test CPT 83525 INSULIN LABCORP	$2,802,467.50	$4,003,525.00	$3,002,643.75–$3,723,278.25	5049391% above	30%
Insulin blood test inpatient CPT 83525 INSULIN LABCORP	$2,802,467.50	$4,003,525.00	$3,402,996.25–$3,723,278.25	—	30%
Iron blood test (serum iron) CPT 83540 IRON	$2,804,724.30	$4,006,749.00	$3,005,061.75–$3,726,276.57	6636730% above	30%
Iron blood test (serum iron) CPT 83540 DLA IRON PANEL	$2,809,478.00	$4,013,540.00	$3,010,155.00–$3,732,592.20	6647979% above	30%
Iron blood test (serum iron) CPT 83540 IRON LAB CORP	$2,811,724.30	$4,016,749.00	$3,012,561.75–$3,735,576.57	6653294% above	30%
Iron blood test (serum iron) CPT 83540 IRON SERUM #001339	$2,818,724.30	$4,026,749.00	$3,020,061.75–$3,744,876.57	6669858% above	30%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$2,804,724.30	$4,006,749.00	$3,405,736.65–$3,726,276.57	—	30%
Iron blood test (serum iron) inpatient CPT 83540 DLA IRON PANEL	$2,809,478.00	$4,013,540.00	$3,411,509.00–$3,732,592.20	—	30%
Iron blood test (serum iron) inpatient CPT 83540 IRON LAB CORP	$2,811,724.30	$4,016,749.00	$3,414,236.65–$3,735,576.57	—	30%
Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM #001339	$2,818,724.30	$4,026,749.00	$3,422,736.65–$3,744,876.57	—	30%
Iron-binding capacity (TIBC) test CPT 83550 TIBC SEND OUT	$2,802,331.70	$4,003,331.00	$3,002,498.25–$3,723,097.83	6785207% above	30%
Iron-binding capacity (TIBC) test CPT 83550 IRON AND TIBC SEND OUT	$2,804,729.20	$4,006,756.00	$3,005,067.00–$3,726,283.08	6791012% above	30%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$2,809,331.70	$4,013,331.00	$3,009,998.25–$3,732,397.83	6802156% above	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC SEND OUT	$2,802,331.70	$4,003,331.00	$3,402,831.35–$3,723,097.83	—	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON AND TIBC SEND OUT	$2,804,729.20	$4,006,756.00	$3,405,742.60–$3,726,283.08	—	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$2,809,331.70	$4,013,331.00	$3,411,331.35–$3,732,397.83	—	30%
Kidney function blood test panel CPT 80069 RENAL PANEL	$2,800,048.30	$4,000,069.00	$3,000,051.75–$3,720,064.17	7000021% above	30%
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL	$2,800,048.30	$4,000,069.00	$3,400,058.65–$3,720,064.17	—	30%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE PEDIATRIC	$2,804,964.40	$4,007,092.00	$3,005,319.00–$3,726,595.56	2906599% above	30%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE LH SERUM	$2,804,965.10	$4,007,093.00	$3,005,319.75–$3,726,596.49	2906600% above	30%
LH (luteinizing hormone) test CPT 83002 DLA LH	$2,809,101.40	$4,013,002.00	$3,009,751.50–$3,732,091.86	2910886% above	30%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE PEDIATRIC	$2,804,964.40	$4,007,092.00	$3,406,028.20–$3,726,595.56	—	30%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE LH SERUM	$2,804,965.10	$4,007,093.00	$3,406,029.05–$3,726,596.49	—	30%
LH (luteinizing hormone) test inpatient CPT 83002 DLA LH	$2,809,101.40	$4,013,002.00	$3,411,051.70–$3,732,091.86	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$2,804,388.30	$4,006,269.00	$3,004,701.75–$3,725,830.17	6373510% above	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$2,804,388.30	$4,006,269.00	$3,405,328.65–$3,725,830.17	—	30%
Liver function blood test panel CPT 80076 HEPATIC PANEL	$2,800,040.60	$4,000,058.00	$3,000,043.50–$3,720,053.94	7368428% above	30%
Liver function blood test panel CPT 80076 DLA HEPATIC PANEL	$2,807,053.20	$4,010,076.00	$3,007,557.00–$3,729,370.68	7386882% above	30%
Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL	$2,800,040.60	$4,000,058.00	$3,400,049.30–$3,720,053.94	—	30%
Liver function blood test panel inpatient CPT 80076 DLA HEPATIC PANEL	$2,807,053.20	$4,010,076.00	$3,408,564.60–$3,729,370.68	—	30%
Lyme disease antibody test CPT 86618 LYME IGG/IGM AB	$2,800,495.60	$4,000,708.00	$3,000,531.00–$3,720,658.44	9493105% above	30%
Lyme disease antibody test CPT 86618 LYMES TITER	$2,801,895.60	$4,002,708.00	$3,002,031.00–$3,722,518.44	9497851% above	30%
Lyme disease antibody test CPT 86618 LYME DISEASE TOTAL	$2,804,632.60	$4,006,618.00	$3,004,963.50–$3,726,154.74	9507129% above	30%
Lyme disease antibody test CPT 86618 LYME TOTAL AB W REFLEX	$2,804,633.30	$4,006,619.00	$3,004,964.25–$3,726,155.67	9507132% above	30%
Lyme disease antibody test inpatient CPT 86618 LYME IGG/IGM AB	$2,800,495.60	$4,000,708.00	$3,400,601.80–$3,720,658.44	—	30%
Lyme disease antibody test inpatient CPT 86618 LYMES TITER	$2,801,895.60	$4,002,708.00	$3,402,301.80–$3,722,518.44	—	30%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE TOTAL	$2,804,632.60	$4,006,618.00	$3,405,625.30–$3,726,154.74	—	30%
Lyme disease antibody test inpatient CPT 86618 LYME TOTAL AB W REFLEX	$2,804,633.30	$4,006,619.00	$3,405,626.15–$3,726,155.67	—	30%
Magnesium blood test CPT 83735 RANDOM UR MG	$2,802,614.50	$4,003,735.00	$3,002,801.25–$3,723,473.55	20760007% above	30%
Magnesium blood test CPT 83735 MAGNESIUM	$2,804,734.80	$4,006,764.00	$3,005,073.00–$3,726,290.52	20775713% above	30%
Magnesium blood test CPT 83735 MAG 24H UR	$2,805,861.10	$4,008,373.00	$3,006,279.75–$3,727,786.89	20784056% above	30%
Magnesium blood test CPT 83735 DLA MAGNESIUM	$2,809,614.50	$4,013,735.00	$3,010,301.25–$3,732,773.55	20811859% above	30%
Magnesium blood test CPT 83735 MAG URINE	$2,816,614.50	$4,023,735.00	$3,017,801.25–$3,742,073.55	20863711% above	30%
Magnesium blood test inpatient CPT 83735 RANDOM UR MG	$2,802,614.50	$4,003,735.00	$3,403,174.75–$3,723,473.55	—	30%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$2,804,734.80	$4,006,764.00	$3,405,749.40–$3,726,290.52	—	30%
Magnesium blood test inpatient CPT 83735 MAG 24H UR	$2,805,861.10	$4,008,373.00	$3,407,117.05–$3,727,786.89	—	30%
Magnesium blood test inpatient CPT 83735 DLA MAGNESIUM	$2,809,614.50	$4,013,735.00	$3,411,674.75–$3,732,773.55	—	30%
Magnesium blood test inpatient CPT 83735 MAG URINE	$2,816,614.50	$4,023,735.00	$3,420,174.75–$3,742,073.55	—	30%
Measles (rubeola) antibody test CPT 86765 MEASLES RUBEOLA IGG	$2,804,753.00	$4,006,790.00	$3,005,092.50–$3,726,314.70	8789474% above	30%
Measles (rubeola) antibody test CPT 86765 MEASLES RUBEOLA IgM	$2,804,753.70	$4,006,791.00	$3,005,093.25–$3,726,315.63	8789476% above	30%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES RUBEOLA IGG	$2,804,753.00	$4,006,790.00	$3,405,771.50–$3,726,314.70	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES RUBEOLA IgM	$2,804,753.70	$4,006,791.00	$3,405,772.35–$3,726,315.63	—	30%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS TEST QUAL WITH REFLEX	$2,800,032.90	$4,000,047.00	$3,000,035.25–$3,720,043.71	7999994% above	30%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS TEST QUALITATIVE	$2,800,065.10	$4,000,093.00	$3,000,069.75–$3,720,086.49	8000086% above	30%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN	$2,801,342.60	$4,001,918.00	$3,001,438.50–$3,721,783.74	8003736% above	30%
Mono test (heterophile antibody, Monospot) CPT 86308 ANA PATTERN & TITER	$2,804,415.60	$4,006,308.00	$3,004,731.00–$3,725,866.44	8012516% above	30%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY	$2,804,485.60	$4,006,408.00	$3,004,806.00–$3,725,959.44	8012716% above	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS TEST QUAL WITH REFLEX	$2,800,032.90	$4,000,047.00	$3,400,039.95–$3,720,043.71	—	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS TEST QUALITATIVE	$2,800,065.10	$4,000,093.00	$3,400,079.05–$3,720,086.49	—	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREEN	$2,801,342.60	$4,001,918.00	$3,401,630.30–$3,721,783.74	—	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 ANA PATTERN & TITER	$2,804,415.60	$4,006,308.00	$3,405,361.80–$3,725,866.44	—	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODY	$2,804,485.60	$4,006,408.00	$3,405,446.80–$3,725,959.44	—	30%
Obstetric blood test panel CPT 80055 PRENATAL PROFILE WITH HBSAG	$2,800,038.50	$4,000,055.00	$3,000,041.25–$3,720,051.15	1264026% above	30%
Obstetric blood test panel inpatient CPT 80055 PRENATAL PROFILE WITH HBSAG	$2,800,038.50	$4,000,055.00	$3,400,046.75–$3,720,051.15	—	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA TOTAL RATIO REFLEX	$2,800,115.50	$4,000,165.00	$3,000,123.75–$3,720,153.45	4674550% above	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA ULTRASENSITIVE	$2,800,512.40	$4,000,732.00	$3,000,549.00–$3,720,680.76	4675213% above	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA TOTAL RATIO REFLEX	$2,800,115.50	$4,000,165.00	$3,400,140.25–$3,720,153.45	—	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA ULTRASENSITIVE	$2,800,512.40	$4,000,732.00	$3,400,622.20–$3,720,680.76	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$2,801,444.10	$4,002,063.00	$3,001,547.25–$3,721,918.59	4309814% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA FREE ASSAY OF PSA TOTAL	$2,802,216.90	$4,003,167.00	$3,002,375.25–$3,722,945.31	4311003% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 DLA PSA	$2,809,907.10	$4,014,153.00	$3,010,614.75–$3,733,162.29	4322834% above	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$2,801,444.10	$4,002,063.00	$3,401,753.55–$3,721,918.59	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA FREE ASSAY OF PSA TOTAL	$2,802,216.90	$4,003,167.00	$3,402,691.95–$3,722,945.31	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 DLA PSA	$2,809,907.10	$4,014,153.00	$3,412,030.05–$3,733,162.29	—	30%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTO AUTO SYS MANUAL	$2,805,722.50	$4,008,175.00	$3,006,131.25–$3,727,602.75	3346021% above	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTO AUTO SYS MANUAL	$2,805,722.50	$4,008,175.00	$3,406,948.75–$3,727,602.75	—	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR #193000	$2,800,507.50	$4,000,725.00	$3,000,543.75–$3,720,674.25	5600915% above	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP TEST HPV APTI #199330	$2,801,521.80	$4,002,174.00	$3,001,630.50–$3,722,021.82	5602944% above	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 GYNECOLOGIC PAP TEST IMAGE GU	$2,822,521.80	$4,032,174.00	$3,024,130.50–$3,749,921.82	5644944% above	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP IG IMAGE GUIDED	$2,829,521.80	$4,042,174.00	$3,031,630.50–$3,759,221.82	5658944% above	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP RFLX HPV	$2,836,521.80	$4,052,174.00	$3,039,130.50–$3,768,521.82	5672944% above	30%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR #193000	$2,800,507.50	$4,000,725.00	$3,400,616.25–$3,720,674.25	—	30%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP TEST HPV APTI #199330	$2,801,521.80	$4,002,174.00	$3,401,847.90–$3,722,021.82	—	30%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 GYNECOLOGIC PAP TEST IMAGE GU	$2,822,521.80	$4,032,174.00	$3,427,347.90–$3,749,921.82	—	30%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP IG IMAGE GUIDED	$2,829,521.80	$4,042,174.00	$3,435,847.90–$3,759,221.82	—	30%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP RFLX HPV	$2,836,521.80	$4,052,174.00	$3,444,347.90–$3,768,521.82	—	30%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$2,806,600.30	$4,009,429.00	$3,007,071.75–$3,728,768.97	1852441% above	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$2,806,600.30	$4,009,429.00	$3,408,014.65–$3,728,768.97	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT	$2,801,276.10	$4,001,823.00	$3,001,367.25–$3,721,695.39	6224958% above	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT	$2,801,276.10	$4,001,823.00	$3,401,549.55–$3,721,695.39	—	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 CELL FREE DNA PRENATAL TRISOMY	$2,800,994.00	$4,001,420.00	$3,001,065.00–$3,721,320.60	350024% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERNI T21 PLUS CORE	$2,803,082.10	$4,004,403.00	$3,003,302.25–$3,724,094.79	350285% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MaterniT21 PLUS Core (chr21,18,13,sex)	$2,856,994.00	$4,081,420.00	$3,061,065.00–$3,795,720.60	357024% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 CELL FREE DNA PRENATAL TRISOMY	$2,800,994.00	$4,001,420.00	$3,401,207.00–$3,721,320.60	—	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MATERNI T21 PLUS CORE	$2,803,082.10	$4,004,403.00	$3,403,742.55–$3,724,094.79	—	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MaterniT21 PLUS Core (chr21,18,13,sex)	$2,856,994.00	$4,081,420.00	$3,469,207.00–$3,795,720.60	—	30%
Progesterone blood test CPT 84144 PROGESTERONE	$2,800,630.70	$4,000,901.00	$3,000,675.75–$3,720,837.93	2605138% above	30%
Progesterone blood test CPT 84144 DLA PROGESTERONE	$2,809,900.80	$4,014,144.00	$3,010,608.00–$3,733,153.92	2613761% above	30%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$2,800,630.70	$4,000,901.00	$3,400,765.85–$3,720,837.93	—	30%
Progesterone blood test inpatient CPT 84144 DLA PROGESTERONE	$2,809,900.80	$4,014,144.00	$3,412,022.40–$3,733,153.92	—	30%
Prolactin blood test CPT 84146 PROLACTIN	$2,800,596.40	$4,000,852.00	$3,000,639.00–$3,720,792.36	4118424% above	30%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$2,800,596.40	$4,000,852.00	$3,400,724.20–$3,720,792.36	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR SEND OUT	$2,804,226.60	$4,006,038.00	$3,004,528.50–$3,725,615.34	10385924% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR	$2,811,226.60	$4,016,038.00	$3,012,028.50–$3,734,915.34	10411850% above	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR SEND OUT	$2,804,226.60	$4,006,038.00	$3,405,132.30–$3,725,615.34	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR	$2,811,226.60	$4,016,038.00	$3,413,632.30–$3,734,915.34	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DHHR UDS	$2,800,155.40	$4,000,222.00	$3,000,166.50–$3,720,206.46	8000344% above	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DLA UDS	$2,807,213.50	$4,010,305.00	$3,007,728.75–$3,729,583.65	8020510% above	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PRE EMPLOYMENT UDS	$2,807,855.40	$4,011,222.00	$3,008,416.50–$3,730,436.46	8022344% above	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DHHR UDS	$2,800,155.40	$4,000,222.00	$3,400,188.70–$3,720,206.46	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DLA UDS	$2,807,213.50	$4,010,305.00	$3,408,759.25–$3,729,583.65	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 PRE EMPLOYMENT UDS	$2,807,855.40	$4,011,222.00	$3,409,538.70–$3,730,436.46	—	30%
Rapid flu test (influenza antigen) CPT 87804 COWEN INFLUENZA A&B	$2,800,045.50	$4,000,065.00	$3,000,048.75–$3,720,060.45	6021503% above	30%
Rapid flu test (influenza antigen) CPT 87804 FLU A & B	$2,805,077.80	$4,007,254.00	$3,005,440.50–$3,726,746.22	6032325% above	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 COWEN INFLUENZA A&B	$2,800,045.50	$4,000,065.00	$3,400,055.25–$3,720,060.45	—	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 FLU A & B	$2,805,077.80	$4,007,254.00	$3,406,165.90–$3,726,746.22	—	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 COWEN RAPID STREP	$2,800,044.10	$4,000,063.00	$3,000,047.25–$3,720,058.59	6871174% above	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP A	$2,804,703.30	$4,006,719.00	$3,005,039.25–$3,726,248.67	6882607% above	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A PCR	$2,804,705.40	$4,006,722.00	$3,005,041.50–$3,726,251.46	6882613% above	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 COWEN RAPID STREP	$2,800,044.10	$4,000,063.00	$3,400,053.55–$3,720,058.59	—	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP A	$2,804,703.30	$4,006,719.00	$3,405,711.15–$3,726,248.67	—	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A PCR	$2,804,705.40	$4,006,722.00	$3,405,713.70–$3,726,251.46	—	30%
Rheumatoid factor (RF) test CPT 86431 RAF	$2,800,039.20	$4,000,056.00	$3,000,042.00–$3,720,052.08	7619054% above	30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID ARTHRITIS FACTOR	$2,800,809.20	$4,001,156.00	$3,000,867.00–$3,721,075.08	7621150% above	30%
Rheumatoid factor (RF) test CPT 86431 SLE RHEYMATOID FACTOR QUANT	$2,806,962.20	$4,009,946.00	$3,007,459.50–$3,729,249.78	7637892% above	30%
Rheumatoid factor (RF) test inpatient CPT 86431 RAF	$2,800,039.20	$4,000,056.00	$3,400,047.60–$3,720,052.08	—	30%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID ARTHRITIS FACTOR	$2,800,809.20	$4,001,156.00	$3,400,982.60–$3,721,075.08	—	30%
Rheumatoid factor (RF) test inpatient CPT 86431 SLE RHEYMATOID FACTOR QUANT	$2,806,962.20	$4,009,946.00	$3,408,454.10–$3,729,249.78	—	30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IGG	$2,800,344.40	$4,000,492.00	$3,000,369.00–$3,720,457.56	4341519% above	30%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES IGG	$2,800,344.40	$4,000,492.00	$3,400,418.20–$3,720,457.56	—	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR AUTO	$2,810,956.40	$4,015,652.00	$3,011,739.00–$3,734,556.36	16781729% above	30%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR AUTO	$2,810,956.40	$4,015,652.00	$3,413,304.20–$3,734,556.36	—	30%
Stool ova and parasites exam CPT 87177 OVAPARASITES DIRECT SMEARS CON	$2,801,421.70	$4,002,031.00	$3,001,523.25–$3,721,888.83	5602743% above	30%
Stool ova and parasites exam inpatient CPT 87177 OVAPARASITES DIRECT SMEARS CON	$2,801,421.70	$4,002,031.00	$3,401,726.35–$3,721,888.83	—	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 DLA IFOBT	$2,808,589.00	$4,012,270.00	$3,009,202.50–$3,731,411.10	17021652% above	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD CA SCREENING	$2,811,526.90	$4,016,467.00	$3,012,350.25–$3,735,314.31	17039457% above	30%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 DLA IFOBT	$2,808,589.00	$4,012,270.00	$3,410,429.50–$3,731,411.10	—	30%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD CA SCREENING	$2,811,526.90	$4,016,467.00	$3,413,996.95–$3,735,314.31	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN REFLEX	$2,801,509.20	$4,002,156.00	$3,001,617.00–$3,722,005.08	10005290% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$2,802,146.90	$4,003,067.00	$3,002,300.25–$3,722,852.31	10007568% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN	$2,802,208.50	$4,003,155.00	$3,002,366.25–$3,722,934.15	10007788% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL	$2,804,614.40	$4,006,592.00	$3,004,944.00–$3,726,130.56	10016380% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RAPID PLASMA REAGIN REFLEX	$2,801,509.20	$4,002,156.00	$3,401,832.60–$3,722,005.08	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$2,802,146.90	$4,003,067.00	$3,402,606.95–$3,722,852.31	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RAPID PLASMA REAGIN	$2,802,208.50	$4,003,155.00	$3,402,681.75–$3,722,934.15	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL	$2,804,614.40	$4,006,592.00	$3,405,603.20–$3,726,130.56	—	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUAN TB GOLD	$2,804,536.00	$4,006,480.00	$3,004,860.00–$3,726,026.40	1436282% above	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUAN TB GOLD	$2,804,536.00	$4,006,480.00	$3,405,508.00–$3,726,026.40	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM	$2,802,892.40	$4,004,132.00	$3,003,099.00–$3,723,842.76	3465395% above	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE SERUM	$2,802,892.40	$4,004,132.00	$3,403,512.20–$3,723,842.76	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICROSOMAL	$2,806,045.90	$4,008,637.00	$3,006,477.75–$3,728,032.41	3597395% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE TPO	$2,806,046.60	$4,008,638.00	$3,006,478.50–$3,728,033.34	3597396% above	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER/KIDNEY MICROSOMAL	$2,806,045.90	$4,008,637.00	$3,407,341.45–$3,728,032.41	—	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE TPO	$2,806,046.60	$4,008,638.00	$3,407,342.30–$3,728,033.34	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$2,800,585.90	$4,000,837.00	$3,000,627.75–$3,720,778.41	4341894% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH SEND OUT	$2,801,285.90	$4,001,837.00	$3,001,377.75–$3,721,708.41	4342979% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W REFLEX	$2,801,985.90	$4,002,837.00	$3,002,127.75–$3,722,638.41	4344064% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE PROFILE	$2,803,115.00	$4,004,450.00	$3,003,337.50–$3,724,138.50	4345815% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 DLA TSH	$2,810,110.10	$4,014,443.00	$3,010,832.25–$3,733,431.99	4356660% above	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$2,800,585.90	$4,000,837.00	$3,400,711.45–$3,720,778.41	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH SEND OUT	$2,801,285.90	$4,001,837.00	$3,401,561.45–$3,721,708.41	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH W REFLEX	$2,801,985.90	$4,002,837.00	$3,402,411.45–$3,722,638.41	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE PROFILE	$2,803,115.00	$4,004,450.00	$3,403,782.50–$3,724,138.50	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 DLA TSH	$2,810,110.10	$4,014,443.00	$3,412,276.55–$3,733,431.99	—	30%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS NAA UR OR SWAB	$2,800,051.80	$4,000,074.00	$3,000,055.50–$3,720,068.82	3684179% above	30%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS (LC)	$2,805,362.70	$4,007,661.00	$3,005,745.75–$3,727,124.73	3691167% above	30%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$2,806,350.40	$4,009,072.00	$3,006,804.00–$3,728,436.96	3692466% above	30%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS NAA UR OR SWAB	$2,800,051.80	$4,000,074.00	$3,400,062.90–$3,720,068.82	—	30%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS (LC)	$2,805,362.70	$4,007,661.00	$3,406,511.85–$3,727,124.73	—	30%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$2,806,350.40	$4,009,072.00	$3,407,711.20–$3,728,436.96	—	30%
Uric acid blood test CPT 84550 URIC ACID	$2,805,712.00	$4,008,160.00	$3,006,120.00–$3,727,588.80	8502058% above	30%
Uric acid blood test inpatient CPT 84550 URIC ACID	$2,805,712.00	$4,008,160.00	$3,406,936.00–$3,727,588.80	—	30%
Urinalysis with microscope exam, automated CPT 81001 UA MICRO COMPLETE W/REFLEX	$2,800,051.10	$4,000,073.00	$3,000,054.75–$3,720,067.89	9491599% above	30%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE	$2,811,509.40	$4,016,442.00	$3,012,331.50–$3,735,291.06	9530440% above	30%
Urinalysis with microscope exam, automated CPT 81001 OB PANEL	$2,812,670.70	$4,018,101.00	$3,013,575.75–$3,736,833.93	9534377% above	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA MICRO COMPLETE W/REFLEX	$2,800,051.10	$4,000,073.00	$3,400,062.05–$3,720,067.89	—	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS COMPLETE	$2,811,509.40	$4,016,442.00	$3,413,975.70–$3,735,291.06	—	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 OB PANEL	$2,812,670.70	$4,018,101.00	$3,415,385.85–$3,736,833.93	—	30%
Urinalysis without microscope exam, automated CPT 81003 COWEN UA REFLEX	$2,800,043.40	$4,000,062.00	$3,000,046.50–$3,720,057.66	15846212% above	30%
Urinalysis without microscope exam, automated CPT 81003 DOT UA	$2,800,905.10	$4,001,293.00	$3,000,969.75–$3,721,202.49	15851089% above	30%
Urinalysis without microscope exam, automated CPT 81003 UA DIP REFLEX	$2,800,905.80	$4,001,294.00	$3,000,970.50–$3,721,203.42	15851093% above	30%
Urinalysis without microscope exam, automated CPT 81003 SPEC GRAVITY	$2,804,509.40	$4,006,442.00	$3,004,831.50–$3,725,991.06	15871487% above	30%
Urinalysis without microscope exam, automated CPT 81003 DLA URINALYSIS	$2,807,700.70	$4,011,001.00	$3,008,250.75–$3,730,230.93	15889547% above	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 COWEN UA REFLEX	$2,800,043.40	$4,000,062.00	$3,400,052.70–$3,720,057.66	—	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 DOT UA	$2,800,905.10	$4,001,293.00	$3,401,099.05–$3,721,202.49	—	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA DIP REFLEX	$2,800,905.80	$4,001,294.00	$3,401,099.90–$3,721,203.42	—	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPEC GRAVITY	$2,804,509.40	$4,006,442.00	$3,405,475.70–$3,725,991.06	—	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 DLA URINALYSIS	$2,807,700.70	$4,011,001.00	$3,409,350.85–$3,730,230.93	—	30%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE ROUTINE	$2,800,049.70	$4,000,071.00	$3,000,053.25–$3,720,066.03	4516109% above	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE ROUTINE	$2,800,049.70	$4,000,071.00	$3,400,060.35–$3,720,066.03	—	30%
Urine pregnancy test, read by color change CPT 81025 COWEN UR PREG	$2,800,047.60	$4,000,068.00	$3,000,051.00–$3,720,063.24	13333460% above	30%
Urine pregnancy test, read by color change CPT 81025 URINE HCG	$2,804,533.20	$4,006,476.00	$3,004,857.00–$3,726,022.68	13354820% above	30%
Urine pregnancy test, read by color change CPT 81025 DLA URINE HCG	$2,807,717.50	$4,011,025.00	$3,008,268.75–$3,730,253.25	13369983% above	30%
Urine pregnancy test, read by color change inpatient CPT 81025 COWEN UR PREG	$2,800,047.60	$4,000,068.00	$3,400,057.80–$3,720,063.24	—	30%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE HCG	$2,804,533.20	$4,006,476.00	$3,405,504.60–$3,726,022.68	—	30%
Urine pregnancy test, read by color change inpatient CPT 81025 DLA URINE HCG	$2,807,717.50	$4,011,025.00	$3,409,371.25–$3,730,253.25	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 B12 SEND OUT	$2,804,873.40	$4,006,962.00	$3,005,221.50–$3,726,474.66	3299751% above	30%
Vitamin B12 (cobalamin) blood test CPT 82607 DLA FOLATE	$2,808,824.90	$4,012,607.00	$3,009,455.25–$3,731,724.51	3304400% above	30%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$2,811,873.40	$4,016,962.00	$3,012,721.50–$3,735,774.66	3307986% above	30%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 SEND OUT #001503	$2,818,873.40	$4,026,962.00	$3,020,221.50–$3,745,074.66	3316222% above	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12 SEND OUT	$2,804,873.40	$4,006,962.00	$3,405,917.70–$3,726,474.66	—	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 DLA FOLATE	$2,808,824.90	$4,012,607.00	$3,410,715.95–$3,731,724.51	—	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$2,811,873.40	$4,016,962.00	$3,414,417.70–$3,735,774.66	—	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 SEND OUT #001503	$2,818,873.40	$4,026,962.00	$3,422,917.70–$3,745,074.66	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D SEND OUT	$2,801,614.20	$4,002,306.00	$3,001,729.50–$3,722,144.58	3918242% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25	$2,808,614.20	$4,012,306.00	$3,009,229.50–$3,731,444.58	3928032% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXY VIT D D2 + D3 FRACT LC/MS-MS	$2,808,645.00	$4,012,350.00	$3,009,262.50–$3,731,485.50	3928075% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY	$2,815,614.20	$4,022,306.00	$3,016,729.50–$3,740,744.58	3937822% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D SEND OUT	$2,801,614.20	$4,002,306.00	$3,401,960.10–$3,722,144.58	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25	$2,808,614.20	$4,012,306.00	$3,410,460.10–$3,731,444.58	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-HYDROXY VIT D D2 + D3 FRACT LC/MS-MS	$2,808,645.00	$4,012,350.00	$3,410,497.50–$3,731,485.50	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY	$2,815,614.20	$4,022,306.00	$3,418,960.10–$3,740,744.58	—	30%
Zinc blood test CPT 84630 ZINC	$2,803,241.00	$4,004,630.00	$3,003,472.50–$3,724,305.90	7786681% above	30%
Zinc blood test CPT 84630 ZINC WHOLE BLOOD #070032	$2,810,241.00	$4,014,630.00	$3,010,972.50–$3,733,605.90	7806125% above	30%
Zinc blood test inpatient CPT 84630 ZINC	$2,803,241.00	$4,004,630.00	$3,403,935.50–$3,724,305.90	—	30%
Zinc blood test inpatient CPT 84630 ZINC WHOLE BLOOD #070032	$2,810,241.00	$4,014,630.00	$3,412,435.50–$3,733,605.90	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG	$2,804,901.40	$4,007,002.00	$3,005,251.50–$3,726,511.86	3280486% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG	$2,804,901.40	$4,007,002.00	$3,405,951.70–$3,726,511.86	—	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TX CLS TIB FIB WO MN	$849,174.20	$1,213,106.00	$211.62–$654.38	255675% above	30%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TX CLS TIB FIB WO MN	$849,174.20	$1,213,106.00	$211.62–$654.38	—	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED CARDIOVERSION	$702,072.00	$1,002,960.00	$76.04–$932,752.80	67180% above	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$849,270.80	$1,213,244.00	$70.71–$388.13	81287% above	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED CARDIOVERSION	$702,072.00	$1,002,960.00	$852,516.00–$932,752.80	—	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$849,270.80	$1,213,244.00	$70.71–$388.13	—	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 EX WART REMOVAL 1	$852,131.00	$1,217,330.00	$34.59–$150.14	384176% above	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PB WART RMOVAL 1	$5,824,038.50	$8,320,055.00	$34.59–$150.14	2626298% above	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 EX WART REMOVAL 1	$852,131.00	$1,217,330.00	$34.59–$150.14	—	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PB WART RMOVAL 1	$5,824,038.50	$8,320,055.00	$34.59–$150.14	—	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATIO	$860,446.30	$1,229,209.00	$11.28–$34.59	1055662% above	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 PB REMOVAL IMPACTED CERUMEN USING IRRIGA	$5,867,400.70	$8,382,001.00	$11.28–$34.59	7199165% above	30%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATIO	$860,446.30	$1,229,209.00	$11.28–$34.59	—	30%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 PB REMOVAL IMPACTED CERUMEN USING IRRIGA	$5,867,400.70	$8,382,001.00	$11.28–$34.59	—	30%
Earwax removal with instruments, one ear CPT 69210 ED REMOVAL IMPACTED CERUMEN	$706,447.00	$1,009,210.00	$23.63–$938,565.30	1038793% above	30%
Earwax removal with instruments, one ear CPT 69210 REMOVAL CERUMEN REQUIRING INSTRUMENTATIO	$850,592.40	$1,215,132.00	$20.75–$94.94	1250771% above	30%
Earwax removal with instruments, one ear CPT 69210 PB REMOVAL CERUMEN REQUIRING INSTRUMENTA	$5,824,001.40	$8,320,002.00	$20.75–$94.94	8564608% above	30%
Earwax removal with instruments, one ear inpatient CPT 69210 ED REMOVAL IMPACTED CERUMEN	$706,447.00	$1,009,210.00	$857,828.50–$938,565.30	—	30%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL CERUMEN REQUIRING INSTRUMENTATIO	$850,592.40	$1,215,132.00	$20.75–$94.94	—	30%
Earwax removal with instruments, one ear inpatient CPT 69210 PB REMOVAL CERUMEN REQUIRING INSTRUMENTA	$5,824,001.40	$8,320,002.00	$20.75–$94.94	—	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 PB FAC BIOPSY OF UTERUS LINING	$5,814,067.00	$8,305,810.00	$43.30–$216.38	2885293% above	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 PB PRO FEE BIOPSY OF UTERUS LINING	$5,821,067.00	$8,315,810.00	$43.30–$216.38	2888767% above	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 PB FAC BIOPSY OF UTERUS LINING	$5,814,067.00	$8,305,810.00	$43.30–$216.38	—	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 PB PRO FEE BIOPSY OF UTERUS LINING	$5,821,067.00	$8,315,810.00	$43.30–$216.38	—	30%
Incision and drainage of a simple or single skin abscess CPT 10060 ED I&D ABSCESS SIMPLE	$700,042.00	$1,000,060.00	$73.83–$930,055.80	300347% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D PUNCTURE ASPIRATE	$849,421.30	$1,213,459.00	$72.50–$238.78	364458% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 PB FAC I&D PUNCTURE ASPIRATE	$5,810,042.00	$8,300,060.00	$73.83–$7,719,055.80	2493480% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 PB I&D PUNCTURE ASPIRATE	$5,824,012.60	$8,320,018.00	$72.50–$238.78	2499476% above	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ED I&D ABSCESS SIMPLE	$700,042.00	$1,000,060.00	$850,051.00–$930,055.80	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D PUNCTURE ASPIRATE	$849,421.30	$1,213,459.00	$72.50–$238.78	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PB FAC I&D PUNCTURE ASPIRATE	$5,810,042.00	$8,300,060.00	$7,055,051.00–$7,719,055.80	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PB I&D PUNCTURE ASPIRATE	$5,824,012.60	$8,320,018.00	$72.50–$238.78	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ED FAC INJ TENDON LIGAMENT	$701,438.50	$1,002,055.00	$28.30–$931,911.15	199456% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ED PRO INJ TENDON LIGAMENT	$708,438.50	$1,012,055.00	$25.87–$114.84	201447% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON SHEATH	$849,807.00	$1,214,010.00	$25.87–$114.84	241666% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PB INJECTION TENDON SHEATH	$5,824,011.20	$8,320,016.00	$25.87–$114.84	1656802% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ED FAC INJ TENDON LIGAMENT	$701,438.50	$1,002,055.00	$851,746.75–$931,911.15	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ED PRO INJ TENDON LIGAMENT	$708,438.50	$1,012,055.00	$25.87–$114.84	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT TENDON SHEATH	$849,807.00	$1,214,010.00	$25.87–$114.84	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PB INJECTION TENDON SHEATH	$5,824,011.20	$8,320,016.00	$25.87–$114.84	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ED FF LARGE INJ ASPIR	$702,825.20	$1,004,036.00	$32.98–$933,753.48	199425% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OP JOINT LARGE INJ OR ASPIR	$849,825.20	$1,214,036.00	$30.49–$145.73	241156% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PB JOINT LARGE INJ ASPIRATION	$5,824,009.80	$8,320,014.00	$30.49–$145.73	1653274% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PB FAC JOINT LARGE INJ	$5,824,427.00	$8,320,610.00	$32.98–$7,738,167.30	1653392% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ED FF LARGE INJ ASPIR	$702,825.20	$1,004,036.00	$853,430.60–$933,753.48	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 OP JOINT LARGE INJ OR ASPIR	$849,825.20	$1,214,036.00	$30.49–$145.73	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PB JOINT LARGE INJ ASPIRATION	$5,824,009.80	$8,320,014.00	$30.49–$145.73	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PB FAC JOINT LARGE INJ	$5,824,427.00	$8,320,610.00	$7,072,518.50–$7,738,167.30	—	30%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION NON-BIODEGRADABLE DRUG DELIVE	$848,386.70	$1,211,981.00	$42.79–$259.07	505615% above	30%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 PB FAC INSERTION DRUG-DELIVERY IMPLANT	$5,811,386.70	$8,301,981.00	$46.02–$7,720,842.33	3464007% above	30%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 PB PF INSERTION DRUG-DELIVERY IMPLANT	$5,825,386.70	$8,321,981.00	$42.79–$259.07	3472353% above	30%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION NON-BIODEGRADABLE DRUG DELIVE	$848,386.70	$1,211,981.00	$42.79–$259.07	—	30%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 PB FAC INSERTION DRUG-DELIVERY IMPLANT	$5,811,386.70	$8,301,981.00	$7,056,683.85–$7,720,842.33	—	30%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 PB PF INSERTION DRUG-DELIVERY IMPLANT	$5,825,386.70	$8,321,981.00	$42.79–$259.07	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PF JOINT MEDIUM INJECTION ASPIRATION	$847,423.50	$1,210,605.00	$24.34–$111.14	241503% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PC JOINT MEDIUM INJ ASPIR	$849,819.60	$1,214,028.00	$24.34–$111.14	242186% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PB FAC JOINT MEDIUM INJ ASPIRATION	$5,811,442.00	$8,302,060.00	$26.58–$7,720,915.80	1656762% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PB JOINT MEDIUM INJ ASPIRATION	$5,824,009.10	$8,320,013.00	$24.34–$111.14	1660345% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PF JOINT MEDIUM INJECTION ASPIRATION	$847,423.50	$1,210,605.00	$24.34–$111.14	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PC JOINT MEDIUM INJ ASPIR	$849,819.60	$1,214,028.00	$24.34–$111.14	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PB FAC JOINT MEDIUM INJ ASPIRATION	$5,811,442.00	$8,302,060.00	$7,056,751.00–$7,720,915.80	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PB JOINT MEDIUM INJ ASPIRATION	$5,824,009.10	$8,320,013.00	$24.34–$111.14	—	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PC JOINT SMALL INJ ASPIR	$847,424.20	$1,210,606.00	$23.82–$106.12	242021% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PB FAC ASPIR AND/OR INJ SMALL WO US	$5,811,442.70	$8,302,061.00	$26.09–$7,720,916.73	1660312% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PB JOINT SMALL INJ ASPIRATION	$5,824,008.40	$8,320,012.00	$23.82–$106.12	1663902% above	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PC JOINT SMALL INJ ASPIR	$847,424.20	$1,210,606.00	$23.82–$106.12	—	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PB FAC ASPIR AND/OR INJ SMALL WO US	$5,811,442.70	$8,302,061.00	$7,056,751.85–$7,720,916.73	—	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PB JOINT SMALL INJ ASPIRATION	$5,824,008.40	$8,320,012.00	$23.82–$106.12	—	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED REPAIR INTERMEDIATE 2.5 CM OR LESS	$701,421.70	$1,002,031.00	$105.82–$931,888.83	174166% above	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED PRO REPAIR INTERM 2.5 CM OR LESS	$708,421.70	$1,012,031.00	$97.61–$477.34	175905% above	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ED REPAIR INTERMEDIATE 2.5 CM OR LESS	$701,421.70	$1,002,031.00	$851,726.35–$931,888.83	—	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ED PRO REPAIR INTERM 2.5 CM OR LESS	$708,421.70	$1,012,031.00	$97.61–$477.34	—	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENIGN <.5CM	$847,980.00	$1,211,400.00	$55.08–$234.16	128382% above	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PB FAC EXC BENIGN <0.5CM	$5,810,980.00	$8,301,400.00	$58.57–$7,720,302.00	880352% above	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PB EXC BEN LES <.5 CM 11400	$5,824,032.20	$8,320,046.00	$55.08–$234.16	882329% above	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BENIGN <.5CM	$847,980.00	$1,211,400.00	$55.08–$234.16	—	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 PB FAC EXC BENIGN <0.5CM	$5,810,980.00	$8,301,400.00	$7,056,190.00–$7,720,302.00	—	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 PB EXC BEN LES <.5 CM 11400	$5,824,032.20	$8,320,046.00	$55.08–$234.16	—	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BENIGN >0.5CM FACE	$848,008.00	$1,211,440.00	$69.69–$259.78	126610% above	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BENIGN >0.5CM FACE	$848,008.00	$1,211,440.00	$69.69–$259.78	—	30%
Nail removal (partial or complete), one nail CPT 11730 ED EXC NAIL REMOVAL AVUL	$701,211.00	$1,001,730.00	$38.64–$931,608.90	279323% above	30%
Nail removal (partial or complete), one nail CPT 11730 EXC NAIL REMOVAL AVUL	$848,211.00	$1,211,730.00	$36.38–$205.82	337900% above	30%
Nail removal (partial or complete), one nail CPT 11730 EXC NAIL AVUL	$848,212.40	$1,211,732.00	$36.38–$205.82	337901% above	30%
Nail removal (partial or complete), one nail CPT 11730 PB EXC NAIL REMOVAL AVUL	$5,824,023.10	$8,320,033.00	$36.38–$205.82	2320690% above	30%
Nail removal (partial or complete), one nail CPT 11730 PB EXC NAIL AVUL	$5,824,024.50	$8,320,035.00	$36.38–$205.82	2320691% above	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 ED EXC NAIL REMOVAL AVUL	$701,211.00	$1,001,730.00	$851,470.50–$931,608.90	—	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 EXC NAIL REMOVAL AVUL	$848,211.00	$1,211,730.00	$36.38–$205.82	—	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 EXC NAIL AVUL	$848,212.40	$1,211,732.00	$36.38–$205.82	—	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 PB EXC NAIL REMOVAL AVUL	$5,824,023.10	$8,320,033.00	$36.38–$205.82	—	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 PB EXC NAIL AVUL	$5,824,024.50	$8,320,035.00	$36.38–$205.82	—	30%
Occipital nerve block (injection for headaches) CPT 64405 PF OCCIPITAL NERVE BLOCK	$850,083.50	$1,214,405.00	$36.38–$209.76	224790% above	30%
Occipital nerve block (injection for headaches) CPT 64405 PB OCCIPITAL BLOCK	$5,824,003.50	$8,320,005.00	$36.38–$209.76	1540642% above	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 PF OCCIPITAL NERVE BLOCK	$850,083.50	$1,214,405.00	$36.38–$209.76	—	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 PB OCCIPITAL BLOCK	$5,824,003.50	$8,320,005.00	$36.38–$209.76	—	30%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS	$853,358.10	$1,219,083.00	$70.46–$630.75	60435% above	30%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS	$853,358.10	$1,219,083.00	$70.46–$630.75	—	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ED EXC NAIL EXCISION PERN	$702,507.40	$1,003,582.00	$71.62–$933,331.26	162048% above	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL EXCISION PERM	$849,507.40	$1,213,582.00	$69.17–$405.54	195978% above	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PB EXC NAIL PERMANENT	$5,824,023.80	$8,320,034.00	$69.17–$405.54	1344164% above	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ED EXC NAIL EXCISION PERN	$702,507.40	$1,003,582.00	$853,044.70–$933,331.26	—	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL EXCISION PERM	$849,507.40	$1,213,582.00	$69.17–$405.54	—	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PB EXC NAIL PERMANENT	$5,824,023.80	$8,320,034.00	$69.17–$405.54	—	30%
Removal of a foreign object under the skin, simple CPT 10120 ED REMOVE FB SIMPLE	$700,708.40	$1,001,012.00	$73.58–$930,941.16	178197% above	30%
Removal of a foreign object under the skin, simple CPT 10120 FB REMOVE FB SIMPLE	$847,708.40	$1,211,012.00	$73.53–$289.08	215602% above	30%
Removal of a foreign object under the skin, simple CPT 10120 PB FAC FB REMOVE FB SIMPLE	$5,810,084.00	$8,300,120.00	$73.58–$7,719,111.60	1478293% above	30%
Removal of a foreign object under the skin, simple CPT 10120 PB FB REMOVE FB SIMPLE	$5,817,084.00	$8,310,120.00	$73.53–$289.08	1480074% above	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 ED REMOVE FB SIMPLE	$700,708.40	$1,001,012.00	$850,860.20–$930,941.16	—	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FB REMOVE FB SIMPLE	$847,708.40	$1,211,012.00	$73.53–$289.08	—	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 PB FAC FB REMOVE FB SIMPLE	$5,810,084.00	$8,300,120.00	$7,055,102.00–$7,719,111.60	—	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 PB FB REMOVE FB SIMPLE	$5,817,084.00	$8,310,120.00	$73.53–$289.08	—	30%
Short arm cast (elbow to hand) CPT 29075 PB FAC CAST APPLICATION	$5,816,352.50	$8,309,075.00	$44.54–$7,727,439.75	2062436% above	30%
Short arm cast (elbow to hand) CPT 29075 PB PRO FEE CAST APPLICATION	$5,830,352.50	$8,329,075.00	$43.55–$181.32	2067401% above	30%
Short arm cast (elbow to hand) inpatient CPT 29075 PB FAC CAST APPLICATION	$5,816,352.50	$8,309,075.00	$7,062,713.75–$7,727,439.75	—	30%
Short arm cast (elbow to hand) inpatient CPT 29075 PB PRO FEE CAST APPLICATION	$5,830,352.50	$8,329,075.00	$43.55–$181.32	—	30%
Short arm splint (forearm and hand) CPT 29125 ED FF SPLINT ARM SHORT	$706,387.50	$1,009,125.00	$28.55–$938,486.25	405870% above	30%
Short arm splint (forearm and hand) CPT 29125 TX SPLINT SHORT ARM	$853,387.50	$1,219,125.00	$29.98–$145.24	490353% above	30%
Short arm splint (forearm and hand) inpatient CPT 29125 ED FF SPLINT ARM SHORT	$706,387.50	$1,009,125.00	$857,756.25–$938,486.25	—	30%
Short arm splint (forearm and hand) inpatient CPT 29125 TX SPLINT SHORT ARM	$853,387.50	$1,219,125.00	$29.98–$145.24	—	30%
Short leg splint (calf to foot) CPT 29515 ED FF SPLINT LEG SHORT	$706,660.50	$1,009,515.00	$35.68–$938,848.95	298384% above	30%
Short leg splint (calf to foot) CPT 29515 TX SPLINT SHORT LEG	$853,660.50	$1,219,515.00	$36.90–$154.68	360475% above	30%
Short leg splint (calf to foot) CPT 29515 ER PF ANKLE SPLINT	$853,678.00	$1,219,540.00	$36.90–$154.68	360482% above	30%
Short leg splint (calf to foot) inpatient CPT 29515 ED FF SPLINT LEG SHORT	$706,660.50	$1,009,515.00	$858,087.75–$938,848.95	—	30%
Short leg splint (calf to foot) inpatient CPT 29515 TX SPLINT SHORT LEG	$853,660.50	$1,219,515.00	$36.90–$154.68	—	30%
Short leg splint (calf to foot) inpatient CPT 29515 ER PF ANKLE SPLINT	$853,678.00	$1,219,540.00	$36.90–$154.68	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED REP SIMPLE <2.5 12001	$701,400.70	$1,002,001.00	$32.98–$931,860.93	256654% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED PRO REP SIMPLE <2.5 12001	$709,531.20	$1,013,616.00	$34.34–$283.36	259630% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PB FAC REP SIMPLE <2.5 12001	$5,818,400.70	$8,312,001.00	$32.98–$7,730,160.93	2129778% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PB REP SIMPLE <2.5 12001	$5,825,400.70	$8,322,001.00	$34.34–$283.36	2132340% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ED REP SIMPLE <2.5 12001	$701,400.70	$1,002,001.00	$851,700.85–$931,860.93	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ED PRO REP SIMPLE <2.5 12001	$709,531.20	$1,013,616.00	$34.34–$283.36	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PB FAC REP SIMPLE <2.5 12001	$5,818,400.70	$8,312,001.00	$7,065,200.85–$7,730,160.93	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PB REP SIMPLE <2.5 12001	$5,825,400.70	$8,322,001.00	$34.34–$283.36	—	30%
Skin biopsy, punch, one lesion CPT 11104 OP PUNCH BIOPSY SUBCUTANEOUS TISSUE	$847,770.00	$1,211,100.00	$28.95–$271.58	217556% above	30%
Skin biopsy, punch, one lesion CPT 11104 RHC PUNCH BIOPSY	$5,678,402.10	$8,112,003.00	$33.47–$7,544,162.79	1457770% above	30%
Skin biopsy, punch, one lesion CPT 11104 PB PUNCH BIOPSY SKIN SINGLE LESION	$5,810,032.20	$8,300,046.00	$33.47–$7,719,042.78	1491564% above	30%
Skin biopsy, punch, one lesion CPT 11104 PB PUNCH BIOPSY SUBCUTANEOUS TISSUE AND/	$5,824,039.90	$8,320,057.00	$28.95–$271.58	1495161% above	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 OP PUNCH BIOPSY SUBCUTANEOUS TISSUE	$847,770.00	$1,211,100.00	$28.95–$271.58	—	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 RHC PUNCH BIOPSY	$5,678,402.10	$8,112,003.00	$6,895,202.55–$7,544,162.79	—	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 PB PUNCH BIOPSY SKIN SINGLE LESION	$5,810,032.20	$8,300,046.00	$7,055,039.10–$7,719,042.78	—	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 PB PUNCH BIOPSY SUBCUTANEOUS TISSUE AND/	$5,824,039.90	$8,320,057.00	$28.95–$271.58	—	30%
Skin tag removal, up to 15 tags CPT 11200 EXC LESIONS (SKIN TAGS) TO 15	$847,840.00	$1,211,200.00	$49.19–$170.22	440336% above	30%
Skin tag removal, up to 15 tags CPT 11200 PB FAC EXC LESION (SKINTAG) UP TO 15	$5,810,840.00	$8,301,200.00	$52.91–$7,720,116.00	3018518% above	30%
Skin tag removal, up to 15 tags CPT 11200 PB EXC LESIONS(SKINTAGS) UP TO 15	$5,824,028.00	$8,320,040.00	$49.19–$170.22	3025369% above	30%
Skin tag removal, up to 15 tags inpatient CPT 11200 EXC LESIONS (SKIN TAGS) TO 15	$847,840.00	$1,211,200.00	$49.19–$170.22	—	30%
Skin tag removal, up to 15 tags inpatient CPT 11200 PB FAC EXC LESION (SKINTAG) UP TO 15	$5,810,840.00	$8,301,200.00	$7,056,020.00–$7,720,116.00	—	30%
Skin tag removal, up to 15 tags inpatient CPT 11200 PB EXC LESIONS(SKINTAGS) UP TO 15	$5,824,028.00	$8,320,040.00	$49.19–$170.22	—	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ED LUMBAR PUNCTURE	$701,589.00	$1,002,270.00	$47.50–$932,111.10	71055% above	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PF LUMBAR PUNCTURE	$848,589.00	$1,212,270.00	$46.63–$308.08	85964% above	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ED LUMBAR PUNCTURE	$701,589.00	$1,002,270.00	$851,929.50–$932,111.10	—	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PF LUMBAR PUNCTURE	$848,589.00	$1,212,270.00	$46.63–$308.08	—	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED REP-SIMPLE 2.6-7.5 12002	$701,401.40	$1,002,002.00	$43.56–$931,861.86	271288% above	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED PRO REP SIMPLE 2.6-7.5 12002	$709,536.80	$1,013,624.00	$44.84–$301.02	274435% above	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PB FAC REPAIR SIMPLE 2.6 - 7.5	$5,811,401.40	$8,302,002.00	$43.56–$7,720,861.86	2248459% above	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PB PRO FEE REPAIR SIMPLE 2.6 - 7.5	$5,825,401.40	$8,322,002.00	$44.84–$301.02	2253876% above	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ED REP-SIMPLE 2.6-7.5 12002	$701,401.40	$1,002,002.00	$851,701.70–$931,861.86	—	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ED PRO REP SIMPLE 2.6-7.5 12002	$709,536.80	$1,013,624.00	$44.84–$301.02	—	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PB FAC REPAIR SIMPLE 2.6 - 7.5	$5,811,401.40	$8,302,002.00	$7,056,701.70–$7,720,861.86	—	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PB PRO FEE REPAIR SIMPLE 2.6 - 7.5	$5,825,401.40	$8,322,002.00	$44.84–$301.02	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED REP FF SIMPLE 12011	$701,407.70	$1,002,011.00	$41.34–$931,870.23	254079% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED PRO REP SIMPLE 12011	$709,571.10	$1,013,673.00	$42.53–$301.02	257038% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PB DAC SIMPLE REPAIR	$5,810,840.70	$8,301,201.00	$41.34–$7,720,116.93	2105659% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PB PRO FEE SIMPLE REPAIR	$5,824,840.70	$8,321,201.00	$42.53–$301.02	2110732% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ED REP FF SIMPLE 12011	$701,407.70	$1,002,011.00	$851,709.35–$931,870.23	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ED PRO REP SIMPLE 12011	$709,571.10	$1,013,673.00	$42.53–$301.02	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 PB DAC SIMPLE REPAIR	$5,810,840.70	$8,301,201.00	$7,056,020.85–$7,720,116.93	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 PB PRO FEE SIMPLE REPAIR	$5,824,840.70	$8,321,201.00	$42.53–$301.02	—	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 OP TANGNTL BIOPSY SKIN SINGLE LESION	$847,771.40	$1,211,102.00	$22.81–$217.86	266495% above	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 RHC TANGNTL BIOPSY SKIN SINGLE LESION	$5,677,771.40	$8,111,102.00	$26.82–$7,543,324.86	1785363% above	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 PB TANGENITAL BIOPSY SKIN SINGLE LESION	$5,810,031.50	$8,300,045.00	$26.82–$7,719,041.85	1826954% above	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 OP TANGNTL BIOPSY SKIN SINGLE LESION	$847,771.40	$1,211,102.00	$22.81–$217.86	—	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 RHC TANGNTL BIOPSY SKIN SINGLE LESION	$5,677,771.40	$8,111,102.00	$6,894,436.70–$7,543,324.86	—	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 PB TANGENITAL BIOPSY SKIN SINGLE LESION	$5,810,031.50	$8,300,045.00	$7,055,038.25–$7,719,041.85	—	30%
Trigger point injections, 1 or 2 muscles CPT 20552 ED FAC TRIGGER POINT INJ1 TO 2	$700,386.40	$1,000,552.00	$26.58–$930,513.36	238127% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 ED PRO TRIGGER POINT INJ 1 TO 2	$714,386.40	$1,020,552.00	$26.65–$100.10	242889% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 RHC TRIGGER POINT INJ 1-2 MUSCLES	$5,678,438.50	$8,112,055.00	$26.58–$7,544,211.15	1931342% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 PB FAC TRIGGER POINT INJ 1 TO 2	$5,810,386.40	$8,300,552.00	$26.58–$7,719,513.36	1976222% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 PB TRIGGER POINT INJECTION - 1 TO 2 MUSC	$5,817,386.40	$8,310,552.00	$26.65–$100.10	1978603% above	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ED FAC TRIGGER POINT INJ1 TO 2	$700,386.40	$1,000,552.00	$850,469.20–$930,513.36	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ED PRO TRIGGER POINT INJ 1 TO 2	$714,386.40	$1,020,552.00	$26.65–$100.10	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 RHC TRIGGER POINT INJ 1-2 MUSCLES	$5,678,438.50	$8,112,055.00	$6,895,246.75–$7,544,211.15	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PB FAC TRIGGER POINT INJ 1 TO 2	$5,810,386.40	$8,300,552.00	$7,055,469.20–$7,719,513.36	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PB TRIGGER POINT INJECTION - 1 TO 2 MUSC	$5,817,386.40	$8,310,552.00	$26.65–$100.10	—	30%
Wart removal, up to 14 warts CPT 17110 CRYOTHERAPY	$851,977.00	$1,217,110.00	$44.58–$203.87	412980% above	30%
Wart removal, up to 14 warts CPT 17110 PB CRYOSURGERY FAC FEE	$5,811,197.70	$8,301,711.00	$47.01–$7,720,591.23	2817450% above	30%
Wart removal, up to 14 warts CPT 17110 PB CRYOSURGERY	$5,824,042.70	$8,320,061.00	$44.58–$203.87	2823678% above	30%
Wart removal, up to 14 warts inpatient CPT 17110 CRYOTHERAPY	$851,977.00	$1,217,110.00	$44.58–$203.87	—	30%
Wart removal, up to 14 warts inpatient CPT 17110 PB CRYOSURGERY FAC FEE	$5,811,197.70	$8,301,711.00	$7,056,454.35–$7,720,591.23	—	30%
Wart removal, up to 14 warts inpatient CPT 17110 PB CRYOSURGERY	$5,824,042.70	$8,320,061.00	$44.58–$203.87	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE WOUND SUBQ	$849,456.30	$1,213,509.00	$42.02–$244.50	227027% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PB DEBRIDEMENT WOUND SUBCUTANEOUS TISSUE	$5,824,042.00	$8,320,060.00	$42.02–$244.50	1557130% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE WOUND SUBQ	$849,456.30	$1,213,509.00	$42.02–$244.50	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PB DEBRIDEMENT WOUND SUBCUTANEOUS TISSUE	$5,824,042.00	$8,320,060.00	$42.02–$244.50	—	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
Blood transfusion (giving blood or blood components) CPT 36430 OPN INFUSE 1ST UNIT PRBCS	$501,501.00	$716,430.00	$27.32–$666,279.90	78444% above	30%
Blood transfusion (giving blood or blood components) CPT 36430 IP BLOOD TRANSFUSION	$851,501.00	$1,216,430.00	$32.03–$83.56	133260% above	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION OP	$2,804,501.00	$4,006,430.00	$27.32–$3,725,979.90	439133% above	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OPN INFUSE 1ST UNIT PRBCS	$501,501.00	$716,430.00	$608,965.50–$666,279.90	—	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 IP BLOOD TRANSFUSION	$851,501.00	$1,216,430.00	$32.03–$83.56	—	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION OP	$2,804,501.00	$4,006,430.00	$3,405,465.50–$3,725,979.90	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX CONT INITIAL	$4,497,230.50	$6,424,615.00	$5.17–$5,974,891.95	2137367% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT	$4,497,930.50	$6,425,615.00	$5.17–$5,975,821.95	2137700% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX SUBSEQUENT	$4,498,630.50	$6,426,615.00	$5.17–$5,976,751.95	2138032% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX INITIAL	$4,499,330.50	$6,427,615.00	$5.17–$5,977,681.95	2138365% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PB AEROSOL TREATMENT	$5,813,248.00	$8,304,640.00	$5.17–$7,723,315.20	2762851% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PB AEROSOL TX	$5,820,248.00	$8,314,640.00	$5.17–$7,732,615.20	2766178% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX CONT INITIAL	$4,497,230.50	$6,424,615.00	$5,460,922.75–$5,974,891.95	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TREATMENT	$4,497,930.50	$6,425,615.00	$5,461,772.75–$5,975,821.95	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX SUBSEQUENT	$4,498,630.50	$6,426,615.00	$5,462,622.75–$5,976,751.95	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX INITIAL	$4,499,330.50	$6,427,615.00	$5,463,472.75–$5,977,681.95	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PB AEROSOL TREATMENT	$5,813,248.00	$8,304,640.00	$7,058,944.00–$7,723,315.20	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PB AEROSOL TX	$5,820,248.00	$8,314,640.00	$7,067,444.00–$7,732,615.20	—	30%
Chemotherapy IV infusion, first hour CPT 96413 OPN CHEMO IV UP TO 1 HR	$501,489.10	$716,413.00	$83.92–$666,264.09	80577% above	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 OPN CHEMO IV UP TO 1 HR	$501,489.10	$716,413.00	$608,951.05–$666,264.09	—	30%
Critical care, first 30 to 74 minutes CPT 99291 ED CRITICAL 30-74MINUTES	$704,915.40	$1,007,022.00	$154.06–$936,530.46	52693% above	30%
Critical care, first 30 to 74 minutes CPT 99291 ER VISIT CRITICAL 30-74MIN	$853,503.70	$1,219,291.00	$152.19–$593.62	63821% above	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED CRITICAL 30-74MINUTES	$704,915.40	$1,007,022.00	$855,968.70–$936,530.46	—	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER VISIT CRITICAL 30-74MIN	$853,503.70	$1,219,291.00	$152.19–$593.62	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG PEDIATRIC	$4,482,103.50	$6,403,005.00	$4.18–$5,954,794.65	3693434% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG EMERGENCY ROOM	$4,482,104.20	$6,403,006.00	$4.18–$5,954,795.58	3693435% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ADULT	$4,482,210.60	$6,403,158.00	$4.18–$5,954,936.94	3693522% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PB EKG	$5,819,103.50	$8,313,005.00	$4.18–$7,731,094.65	4795206% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG PEDIATRIC	$4,482,103.50	$6,403,005.00	$5,442,554.25–$5,954,794.65	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG EMERGENCY ROOM	$4,482,104.20	$6,403,006.00	$5,442,555.10–$5,954,795.58	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ADULT	$4,482,210.60	$6,403,158.00	$5,442,684.30–$5,954,936.94	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 PB EKG	$5,819,103.50	$8,313,005.00	$7,066,054.25–$7,731,094.65	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED FEE ROOM LEVEL 1	$700,049.00	$1,000,070.00	$8.37–$930,065.10	479386% above	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT BRIEF	$853,496.70	$1,219,281.00	$8.45–$62.51	584487% above	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED FEE ROOM LEVEL 1	$700,049.00	$1,000,070.00	$850,059.50–$930,065.10	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT BRIEF	$853,496.70	$1,219,281.00	$8.45–$62.51	—	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED FEE ROOM LEVEL 2	$700,049.70	$1,000,071.00	$30.52–$930,066.03	257271% above	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LIMITED	$853,497.40	$1,219,282.00	$31.26–$82.50	313686% above	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED FEE ROOM LEVEL 2	$700,049.70	$1,000,071.00	$850,060.35–$930,066.03	—	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LIMITED	$853,497.40	$1,219,282.00	$31.26–$82.50	—	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED FEE ROOM LEVEL 3	$706,498.10	$1,009,283.00	$52.17–$938,633.19	147394% above	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT INTERMEDIATE	$853,498.10	$1,219,283.00	$53.80–$142.26	178083% above	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED FEE ROOM LEVEL 3	$706,498.10	$1,009,283.00	$857,890.55–$938,633.19	—	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT INTERMEDIATE	$853,498.10	$1,219,283.00	$53.80–$142.26	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED FEE ROOM LEVEL 4	$700,050.40	$1,000,072.00	$88.84–$930,066.96	109798% above	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT EXTENDED	$853,498.80	$1,219,284.00	$91.72–$242.62	133887% above	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED FEE ROOM LEVEL 4	$700,050.40	$1,000,072.00	$850,061.20–$930,066.96	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT EXTENDED	$853,498.80	$1,219,284.00	$91.72–$242.62	—	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED FEE ROOM LEVEL 5	$700,051.10	$1,000,073.00	$128.71–$930,067.89	73667% above	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT COMPREHENSIVE	$853,499.50	$1,219,285.00	$132.46–$350.82	89837% above	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED FEE ROOM LEVEL 5	$700,051.10	$1,000,073.00	$850,062.05–$930,067.89	—	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT COMPREHENSIVE	$853,499.50	$1,219,285.00	$132.46–$350.82	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 EMS IV FLUIDS <1 HR	$424,452.00	$606,360.00	$21.16–$563,914.80	178617% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OPN IV FLUIDS UP TO 1 HR	$501,452.00	$716,360.00	$21.16–$666,214.80	211038% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED IV INFUS HYDRAT 1ST HR	$700,546.00	$1,000,780.00	$21.16–$930,725.40	294867% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OP IV SERVICES 96360	$851,452.00	$1,216,360.00	$21.16–$1,131,214.80	358406% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PB ADMIN OF IV FLUIDS UPTO 1 HR	$5,814,452.00	$8,306,360.00	$21.16–$7,724,914.80	2448090% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 EMS IV FLUIDS <1 HR	$424,452.00	$606,360.00	$515,406.00–$563,914.80	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OPN IV FLUIDS UP TO 1 HR	$501,452.00	$716,360.00	$608,906.00–$666,214.80	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED IV INFUS HYDRAT 1ST HR	$700,546.00	$1,000,780.00	$850,663.00–$930,725.40	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OP IV SERVICES 96360	$851,452.00	$1,216,360.00	$1,033,906.00–$1,131,214.80	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 PB ADMIN OF IV FLUIDS UPTO 1 HR	$5,814,452.00	$8,306,360.00	$7,060,406.00–$7,724,914.80	—	30%
IV infusion of a medicine, first hour CPT 96365 EMS IV INFUSION 1ST TO 1HR	$420,000.70	$600,001.00	$41.10–$558,000.93	157795% above	30%
IV infusion of a medicine, first hour CPT 96365 OPN IV MED UP TO 1 HR	$501,455.50	$716,365.00	$41.10–$666,219.45	188417% above	30%
IV infusion of a medicine, first hour CPT 96365 ED IV INFUS DRUG 1HR	$704,455.50	$1,006,365.00	$41.10–$935,919.45	264733% above	30%
IV infusion of a medicine, first hour CPT 96365 OP IV SERVICES 96365	$851,455.50	$1,216,365.00	$41.10–$1,131,219.45	319996% above	30%
IV infusion of a medicine, first hour CPT 96365 PB ADMIN OF IV MED UPTO 1 HR	$5,814,455.50	$8,306,365.00	$41.10–$7,724,919.45	2185786% above	30%
IV infusion of a medicine, first hour inpatient CPT 96365 EMS IV INFUSION 1ST TO 1HR	$420,000.70	$600,001.00	$510,000.85–$558,000.93	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 OPN IV MED UP TO 1 HR	$501,455.50	$716,365.00	$608,910.25–$666,219.45	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 ED IV INFUS DRUG 1HR	$704,455.50	$1,006,365.00	$855,410.25–$935,919.45	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 OP IV SERVICES 96365	$851,455.50	$1,216,365.00	$1,033,910.25–$1,131,219.45	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 PB ADMIN OF IV MED UPTO 1 HR	$5,814,455.50	$8,306,365.00	$7,060,410.25–$7,724,919.45	—	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 EMS ADMINISTRATION INJECTION	$424,460.40	$606,372.00	$9.84–$563,925.96	606272% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OPN IM INJECTION	$501,460.40	$716,372.00	$9.84–$666,225.96	716272% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OPN SC INJECTION	$501,461.10	$716,373.00	$9.84–$666,226.89	716273% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED DRUG INJECTION	$700,547.40	$1,000,782.00	$9.84–$930,727.26	1000682% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED ANTIBIOTIC INJECTION	$700,551.60	$1,000,788.00	$9.84–$930,732.84	1000688% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP IV SERVICES 96372	$851,460.40	$1,216,372.00	$9.84–$1,131,225.96	1216272% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 RHC INJECTION	$5,677,006.30	$8,110,009.00	$9.84–$7,542,308.37	8109909% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PB FACILITY FEE INJECTION	$5,810,026.60	$8,300,038.00	$9.84–$7,719,035.34	8299938% above	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 EMS ADMINISTRATION INJECTION	$424,460.40	$606,372.00	$515,416.20–$563,925.96	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OPN IM INJECTION	$501,460.40	$716,372.00	$608,916.20–$666,225.96	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OPN SC INJECTION	$501,461.10	$716,373.00	$608,917.05–$666,226.89	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED DRUG INJECTION	$700,547.40	$1,000,782.00	$850,664.70–$930,727.26	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED ANTIBIOTIC INJECTION	$700,551.60	$1,000,788.00	$850,669.80–$930,732.84	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OP IV SERVICES 96372	$851,460.40	$1,216,372.00	$1,033,916.20–$1,131,225.96	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RHC INJECTION	$5,677,006.30	$8,110,009.00	$6,893,507.65–$7,542,308.37	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PB FACILITY FEE INJECTION	$5,810,026.60	$8,300,038.00	$7,055,032.30–$7,719,035.34	—	30%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-EDUCATION	$4,274,978.40	$6,107,112.00	$23.13–$5,679,614.16	5411265% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 PC PT THER 15MIN BAL CORD	$4,379,978.40	$6,257,112.00	$23.13–$5,819,114.16	5544176% above	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE-EDUCATION	$4,274,978.40	$6,107,112.00	$5,191,045.20–$5,679,614.16	—	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PC PT THER 15MIN BAL CORD	$4,379,978.40	$6,257,112.00	$5,318,545.20–$5,819,114.16	—	30%
New patient office visit, about 30 minutes CPT 99203 RT TELEHEALTH NEW PT LEVEL 3	$4,480,082.60	$6,400,118.00	$54.57–$224.34	6356430% above	30%
New patient office visit, about 30 minutes CPT 99203 RHC INTERMEDIATE NEW	$5,683,442.10	$8,119,203.00	$59.06–$7,550,858.79	8063808% above	30%
New patient office visit, about 30 minutes CPT 99203 TELEHEALTH NEW PATIENT LEVEL 3	$5,810,019.60	$8,300,028.00	$54.57–$224.34	8243401% above	30%
New patient office visit, about 30 minutes CPT 99203 PB NEW PATIENT VISIT 30 MINS	$5,830,442.10	$8,329,203.00	$54.57–$224.34	8272377% above	30%
New patient office visit, about 30 minutes inpatient CPT 99203 RT TELEHEALTH NEW PT LEVEL 3	$4,480,082.60	$6,400,118.00	$54.57–$224.34	—	30%
New patient office visit, about 30 minutes inpatient CPT 99203 RHC INTERMEDIATE NEW	$5,683,442.10	$8,119,203.00	$6,901,322.55–$7,550,858.79	—	30%
New patient office visit, about 30 minutes inpatient CPT 99203 TELEHEALTH NEW PATIENT LEVEL 3	$5,810,019.60	$8,300,028.00	$54.57–$224.34	—	30%
New patient office visit, about 30 minutes inpatient CPT 99203 PB NEW PATIENT VISIT 30 MINS	$5,830,442.10	$8,329,203.00	$54.57–$224.34	—	30%
New patient office visit, about 45 minutes CPT 99204 RT TELEHEALTH NEW PT LEVEL 4	$4,480,013.30	$6,400,019.00	$88.64–$340.02	6356332% above	30%
New patient office visit, about 45 minutes CPT 99204 RHC TH NEW PT LEVEL 3	$5,676,442.10	$8,109,203.00	$95.73–$7,541,558.79	8053876% above	30%
New patient office visit, about 45 minutes CPT 99204 RHC COMPRE MOD NEW	$5,683,442.80	$8,119,204.00	$95.73–$7,550,859.72	8063809% above	30%
New patient office visit, about 45 minutes CPT 99204 TELEHEALTH NEW PATIENT LEVEL 4	$5,810,020.30	$8,300,029.00	$88.64–$340.02	8243402% above	30%
New patient office visit, about 45 minutes CPT 99204 PB NEW PATIENT MODERATE	$5,816,442.80	$8,309,204.00	$95.73–$7,727,559.72	8252515% above	30%
New patient office visit, about 45 minutes CPT 99204 PB PRO FEE NEW PT LEVEL 4	$5,823,442.80	$8,319,204.00	$88.64–$340.02	8262447% above	30%
New patient office visit, about 45 minutes inpatient CPT 99204 RT TELEHEALTH NEW PT LEVEL 4	$4,480,013.30	$6,400,019.00	$88.64–$340.02	—	30%
New patient office visit, about 45 minutes inpatient CPT 99204 RHC TH NEW PT LEVEL 3	$5,676,442.10	$8,109,203.00	$6,892,822.55–$7,541,558.79	—	30%
New patient office visit, about 45 minutes inpatient CPT 99204 RHC COMPRE MOD NEW	$5,683,442.80	$8,119,204.00	$6,901,323.40–$7,550,859.72	—	30%
New patient office visit, about 45 minutes inpatient CPT 99204 TELEHEALTH NEW PATIENT LEVEL 4	$5,810,020.30	$8,300,029.00	$88.64–$340.02	—	30%
New patient office visit, about 45 minutes inpatient CPT 99204 PB NEW PATIENT MODERATE	$5,816,442.80	$8,309,204.00	$7,062,823.40–$7,727,559.72	—	30%
New patient office visit, about 45 minutes inpatient CPT 99204 PB PRO FEE NEW PT LEVEL 4	$5,823,442.80	$8,319,204.00	$88.64–$340.02	—	30%
New patient office visit, about 60 minutes CPT 99205 RT TELEHEALTH NEW PT LEVEL 5	$4,480,014.00	$6,400,020.00	$122.21–$455.72	3659145% above	30%
New patient office visit, about 60 minutes CPT 99205 TELEHEALTH NEW PATIENT LEVEL 5	$5,810,021.00	$8,300,030.00	$122.21–$455.72	4745486% above	30%
New patient office visit, about 60 minutes CPT 99205 PB PRO FEE NEW PT LEVEL 5	$5,816,443.50	$8,309,205.00	$122.21–$455.72	4750732% above	30%
New patient office visit, about 60 minutes inpatient CPT 99205 RT TELEHEALTH NEW PT LEVEL 5	$4,480,014.00	$6,400,020.00	$122.21–$455.72	—	30%
New patient office visit, about 60 minutes inpatient CPT 99205 TELEHEALTH NEW PATIENT LEVEL 5	$5,810,021.00	$8,300,030.00	$122.21–$455.72	—	30%
New patient office visit, about 60 minutes inpatient CPT 99205 PB PRO FEE NEW PT LEVEL 5	$5,816,443.50	$8,309,205.00	$122.21–$455.72	—	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 RT TELEHEALTH NEW PT LEVEL 2	$4,480,011.90	$6,400,017.00	$31.00–$141.38	6892226% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 RHC TH NEW PT	$5,676,441.40	$8,109,202.00	$33.96–$7,541,557.86	8732887% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 RHC LIMITED NEW	$5,683,441.40	$8,119,202.00	$33.96–$7,550,857.86	8743656% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 TELEHEALTH NEW PATIENT LEVEL 2	$5,810,018.90	$8,300,027.00	$31.00–$141.38	8938391% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PB FACILITY NEW PT 20 MINUTES	$5,810,029.40	$8,300,042.00	$33.96–$7,719,039.06	8938407% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PB PRO FEE NEW PT 20 MN	$5,810,035.00	$8,300,050.00	$31.00–$141.38	8938415% above	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 RT TELEHEALTH NEW PT LEVEL 2	$4,480,011.90	$6,400,017.00	$31.00–$141.38	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 RHC TH NEW PT	$5,676,441.40	$8,109,202.00	$6,892,821.70–$7,541,557.86	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 RHC LIMITED NEW	$5,683,441.40	$8,119,202.00	$6,901,321.70–$7,550,857.86	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 TELEHEALTH NEW PATIENT LEVEL 2	$5,810,018.90	$8,300,027.00	$31.00–$141.38	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PB FACILITY NEW PT 20 MINUTES	$5,810,029.40	$8,300,042.00	$7,055,035.70–$7,719,039.06	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PB PRO FEE NEW PT 20 MN	$5,810,035.00	$8,300,050.00	$31.00–$141.38	—	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY	$4,275,014.10	$6,107,163.00	$69.40–$5,679,661.59	2310718% above	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION OBS	$4,281,900.70	$6,117,001.00	$69.40–$5,688,810.93	2314441% above	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PC PT EVAL HIGH	$4,380,014.10	$6,257,163.00	$69.40–$5,819,161.59	2367475% above	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH COMPLEXITY	$4,275,014.10	$6,107,163.00	$5,191,088.55–$5,679,661.59	—	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION OBS	$4,281,900.70	$6,117,001.00	$5,199,450.85–$5,688,810.93	—	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PC PT EVAL HIGH	$4,380,014.10	$6,257,163.00	$5,318,588.55–$5,819,161.59	—	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY	$4,275,012.70	$6,107,161.00	$69.40–$5,679,659.73	2310718% above	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PC PT EVAL LOW	$4,380,012.70	$6,257,161.00	$69.40–$5,819,159.73	2367474% above	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY	$4,275,012.70	$6,107,161.00	$5,191,086.85–$5,679,659.73	—	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PC PT EVAL LOW	$4,380,012.70	$6,257,161.00	$5,318,586.85–$5,819,159.73	—	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MODERATE COMPLEXITY	$4,275,013.40	$6,107,162.00	$69.40–$5,679,660.66	2120442% above	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PC PT EVAL MEDIUM	$4,380,013.40	$6,257,162.00	$69.40–$5,819,160.66	2172526% above	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MODERATE COMPLEXITY	$4,275,013.40	$6,107,162.00	$5,191,087.70–$5,679,660.66	—	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PC PT EVAL MEDIUM	$4,380,013.40	$6,257,162.00	$5,318,587.70–$5,819,160.66	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY	$4,274,998.00	$6,107,140.00	$18.70–$5,679,640.20	6679584% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PC PT MANUAL THERP 15 MIN	$4,379,998.00	$6,257,140.00	$18.70–$5,819,140.20	6843647% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY	$4,274,998.00	$6,107,140.00	$5,191,069.00–$5,679,640.20	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PC PT MANUAL THERP 15 MIN	$4,379,998.00	$6,257,140.00	$5,318,569.00–$5,819,140.20	—	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE	$4,274,977.00	$6,107,110.00	$20.18–$5,679,612.30	6063697% above	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PC PT THER CONTACT 15 MIN	$4,379,977.00	$6,257,110.00	$20.18–$5,819,112.30	6212633% above	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE	$4,274,977.00	$6,107,110.00	$5,191,043.50–$5,679,612.30	—	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PC PT THER CONTACT 15 MIN	$4,379,977.00	$6,257,110.00	$5,318,543.50–$5,819,112.30	—	30%
Preventive checkup, new patient aged 18–39 CPT 99385 RHC WELLNESS NEW 18-39	$5,683,569.50	$8,119,385.00	$66.94–$7,551,028.05	6889075% above	30%
Preventive checkup, new patient aged 18–39 CPT 99385 PB WELLNESS EXAM NEW PT 18-39 YRS OLD	$5,816,569.50	$8,309,385.00	$66.94–$7,727,728.05	7050287% above	30%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 RHC WELLNESS NEW 18-39	$5,683,569.50	$8,119,385.00	$6,901,477.25–$7,551,028.05	—	30%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PB WELLNESS EXAM NEW PT 18-39 YRS OLD	$5,816,569.50	$8,309,385.00	$7,062,977.25–$7,727,728.05	—	30%
Preventive checkup, new patient aged 40–64 CPT 99386 RHC WELL EXAM NEW 40-64	$5,683,570.20	$8,119,386.00	$81.21–$7,551,028.98	6314978% above	30%
Preventive checkup, new patient aged 40–64 CPT 99386 PB WELLNESS EXAM NEW PT 40-64 YRS OLD	$5,816,570.20	$8,309,386.00	$81.21–$7,727,728.98	6462756% above	30%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 RHC WELL EXAM NEW 40-64	$5,683,570.20	$8,119,386.00	$6,901,478.10–$7,551,028.98	—	30%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PB WELLNESS EXAM NEW PT 40-64 YRS OLD	$5,816,570.20	$8,309,386.00	$7,062,978.10–$7,727,728.98	—	30%
Preventive checkup, returning patient aged 18–39 CPT 99395 RHC WELL EXAM ESTAB 18-39	$5,683,576.50	$8,119,395.00	$61.28–$7,551,037.35	8644123% above	30%
Preventive checkup, returning patient aged 18–39 CPT 99395 PB WELLNESS ESTABLISHED 18-39 YRS OLD	$5,816,576.50	$8,309,395.00	$61.28–$7,727,737.35	8846404% above	30%
Preventive checkup, returning patient aged 18–39 CPT 99395 PB PREV MED EST PT 18-39 YRS	$5,830,576.50	$8,329,395.00	$56.62–$141.47	8867697% above	30%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 RHC WELL EXAM ESTAB 18-39	$5,683,576.50	$8,119,395.00	$6,901,485.75–$7,551,037.35	—	30%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PB WELLNESS ESTABLISHED 18-39 YRS OLD	$5,816,576.50	$8,309,395.00	$7,062,985.75–$7,727,737.35	—	30%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PB PREV MED EST PT 18-39 YRS	$5,830,576.50	$8,329,395.00	$56.62–$141.47	—	30%
Preventive checkup, returning patient aged 40–64 CPT 99396 RHC WELLNESS EXAM	$5,677,000.70	$8,110,001.00	$66.45–$7,542,300.93	7620035% above	30%
Preventive checkup, returning patient aged 40–64 CPT 99396 PB PRO FEE WELLNESS EXAM 40-64 YRS OLD	$5,810,004.20	$8,300,006.00	$61.24–$154.58	7798563% above	30%
Preventive checkup, returning patient aged 40–64 CPT 99396 PB WELLNESS ESTABLISHED 40-64 YRS OLD	$5,816,577.20	$8,309,396.00	$66.45–$7,727,738.28	7807386% above	30%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 RHC WELLNESS EXAM	$5,677,000.70	$8,110,001.00	$6,893,500.85–$7,542,300.93	—	30%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PB PRO FEE WELLNESS EXAM 40-64 YRS OLD	$5,810,004.20	$8,300,006.00	$61.24–$154.58	—	30%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PB WELLNESS ESTABLISHED 40-64 YRS OLD	$5,816,577.20	$8,309,396.00	$7,062,986.60–$7,727,738.28	—	30%
Preventive checkup, returning patient aged 65 or older CPT 99397 RHC WELL EXAM ESTAB 65+	$5,683,577.90	$8,119,397.00	$69.65–$7,551,039.21	8482852% above	30%
Preventive checkup, returning patient aged 65 or older CPT 99397 PB WELL EXAM ESTABLISHED 65YRS+	$5,816,577.90	$8,309,397.00	$69.65–$7,727,739.21	8681360% above	30%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 RHC WELL EXAM ESTAB 65+	$5,683,577.90	$8,119,397.00	$6,901,487.45–$7,551,039.21	—	30%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PB WELL EXAM ESTABLISHED 65YRS+	$5,816,577.90	$8,309,397.00	$7,062,987.45–$7,727,739.21	—	30%
Psychotherapy session, 30 minutes CPT 90832 RHC COUNSELING 90832	$5,677,582.40	$8,110,832.00	$50.20–$7,543,073.76	3908735% above	30%
Psychotherapy session, 30 minutes inpatient CPT 90832 RHC COUNSELING 90832	$5,677,582.40	$8,110,832.00	$6,894,207.20–$7,543,073.76	—	30%
Psychotherapy session, 45 minutes CPT 90834 RHC COUNSELING 90834	$5,677,583.80	$8,110,834.00	$66.20–$7,543,075.62	3339655% above	30%
Psychotherapy session, 45 minutes inpatient CPT 90834 RHC COUNSELING 90834	$5,677,583.80	$8,110,834.00	$6,894,208.90–$7,543,075.62	—	30%
Psychotherapy session, 60 minutes CPT 90837 RHC COUNSELING 90837	$5,677,585.90	$8,110,837.00	$97.70–$7,543,078.41	2335298% above	30%
Psychotherapy session, 60 minutes inpatient CPT 90837 RHC COUNSELING 90837	$5,677,585.90	$8,110,837.00	$6,894,211.45–$7,543,078.41	—	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 PH TOBACCO COUNSELING 3 10 MINUTES	$4,760,028.70	$6,800,041.00	$8.61–$6,324,038.13	13222202% above	30%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 PH TOBACCO COUNSELING 3 10 MINUTES	$4,760,028.70	$6,800,041.00	$5,780,034.85–$6,324,038.13	—	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 RT TELEHEALTH ESTABLISHED LEVEL 5	$4,480,017.50	$6,400,025.00	$94.54–$366.76	6179234% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 RHC COMPREHEN ESTAB	$5,683,450.50	$8,119,215.00	$102.87–$7,550,869.95	7839142% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 TELEHEALTH ESTABLISHED PT LEVEL 5	$5,810,024.50	$8,300,035.00	$94.54–$366.76	8013727% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PB COMPREHENSIVE ESTABLISHED	$5,816,450.50	$8,309,215.00	$102.87–$7,727,569.95	8022590% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PB PRO FEE LEVEL 5	$5,823,450.50	$8,319,215.00	$94.54–$366.76	8032246% above	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 RT TELEHEALTH ESTABLISHED LEVEL 5	$4,480,017.50	$6,400,025.00	$94.54–$366.76	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 RHC COMPREHEN ESTAB	$5,683,450.50	$8,119,215.00	$6,901,332.75–$7,550,869.95	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TELEHEALTH ESTABLISHED PT LEVEL 5	$5,810,024.50	$8,300,035.00	$94.54–$366.76	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PB COMPREHENSIVE ESTABLISHED	$5,816,450.50	$8,309,215.00	$7,062,832.75–$7,727,569.95	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PB PRO FEE LEVEL 5	$5,823,450.50	$8,319,215.00	$94.54–$366.76	—	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PF OBSERVATION 99213	$853,449.10	$1,219,213.00	$43.30–$180.20	1219984% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RT TELEHEALTH ESTABLISHED LEVEL 3	$4,480,086.10	$6,400,123.00	$43.30–$180.20	6404598% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHC BUS DRIVER EXAM	$5,678,339.10	$8,111,913.00	$47.01–$7,544,079.09	8117611% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHC SPORTS PHYS	$5,678,346.10	$8,111,923.00	$47.01–$7,544,088.39	8117621% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHC DOT PHYS	$5,682,749.10	$8,118,213.00	$47.01–$7,549,938.09	8123916% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHC LIMITED EST	$5,683,449.10	$8,119,213.00	$47.01–$7,550,868.09	8124917% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHC PRE EMPLOYMENT PHYSICAL	$5,683,946.10	$8,119,923.00	$47.01–$7,551,528.39	8125627% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 TELEHEALTH ESTABLISHED PT LEVEL 3	$5,810,023.10	$8,300,033.00	$43.30–$180.20	8305866% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PB FACILITY 15 MINUTES	$5,810,030.10	$8,300,043.00	$47.01–$7,719,039.99	8305876% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PB DOT PHYSICAL	$5,810,033.60	$8,300,048.00	$47.01–$7,719,044.64	8305881% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PB BUS DRIVER DOT	$5,816,449.10	$8,309,213.00	$47.01–$7,727,568.09	8315052% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PB PRO FEE LEVEL 3	$5,823,449.10	$8,319,213.00	$43.30–$180.20	8325060% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PB PRE EMPLOYMENT PHYISICAL	$5,879,449.10	$8,399,213.00	$47.01–$7,811,268.09	8405117% above	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PF OBSERVATION 99213	$853,449.10	$1,219,213.00	$43.30–$180.20	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RT TELEHEALTH ESTABLISHED LEVEL 3	$4,480,086.10	$6,400,123.00	$43.30–$180.20	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RHC BUS DRIVER EXAM	$5,678,339.10	$8,111,913.00	$6,895,126.05–$7,544,079.09	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RHC SPORTS PHYS	$5,678,346.10	$8,111,923.00	$6,895,134.55–$7,544,088.39	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RHC DOT PHYS	$5,682,749.10	$8,118,213.00	$6,900,481.05–$7,549,938.09	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RHC LIMITED EST	$5,683,449.10	$8,119,213.00	$6,901,331.05–$7,550,868.09	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RHC PRE EMPLOYMENT PHYSICAL	$5,683,946.10	$8,119,923.00	$6,901,934.55–$7,551,528.39	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TELEHEALTH ESTABLISHED PT LEVEL 3	$5,810,023.10	$8,300,033.00	$43.30–$180.20	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PB FACILITY 15 MINUTES	$5,810,030.10	$8,300,043.00	$7,055,036.55–$7,719,039.99	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PB DOT PHYSICAL	$5,810,033.60	$8,300,048.00	$7,055,040.80–$7,719,044.64	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PB BUS DRIVER DOT	$5,816,449.10	$8,309,213.00	$7,062,831.05–$7,727,568.09	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PB PRO FEE LEVEL 3	$5,823,449.10	$8,319,213.00	$43.30–$180.20	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PB PRE EMPLOYMENT PHYISICAL	$5,879,449.10	$8,399,213.00	$7,139,331.05–$7,811,268.09	—	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PF OBSERVATION 99214	$853,449.80	$1,219,214.00	$63.80–$257.74	1023589% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RT TELEHEALTH ESTABLISHED LEVEL 4	$4,480,086.80	$6,400,124.00	$63.80–$257.74	5373640% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PH ESTABLISHED PT 25 MINUTES	$4,760,009.80	$6,800,014.00	$63.80–$257.74	5709400% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHC INTERMEDIATE EST	$5,683,449.80	$8,119,214.00	$69.65–$7,550,869.02	6817040% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TELEHEALTH ESTABLISHED PT LEVEL 4	$5,810,023.80	$8,300,034.00	$63.80–$257.74	6968862% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PB INTERMEDIATE ESTABLISHED	$5,816,449.80	$8,309,214.00	$69.65–$7,727,569.02	6976570% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PB PRO FEE LEVEL 4	$5,823,449.80	$8,319,214.00	$63.80–$257.74	6984966% above	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PF OBSERVATION 99214	$853,449.80	$1,219,214.00	$63.80–$257.74	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 RT TELEHEALTH ESTABLISHED LEVEL 4	$4,480,086.80	$6,400,124.00	$63.80–$257.74	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PH ESTABLISHED PT 25 MINUTES	$4,760,009.80	$6,800,014.00	$63.80–$257.74	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 RHC INTERMEDIATE EST	$5,683,449.80	$8,119,214.00	$6,901,331.90–$7,550,869.02	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TELEHEALTH ESTABLISHED PT LEVEL 4	$5,810,023.80	$8,300,034.00	$63.80–$257.74	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PB INTERMEDIATE ESTABLISHED	$5,816,449.80	$8,309,214.00	$7,062,831.90–$7,727,569.02	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PB PRO FEE LEVEL 4	$5,823,449.80	$8,319,214.00	$63.80–$257.74	—	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RT TELEHEALTH ESTABLISHED LEVEL 2	$4,480,015.40	$6,400,022.00	$23.82–$111.70	7111036% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PH ESTABLISHED PT 10 MINUTES	$4,760,008.40	$6,800,012.00	$23.82–$111.70	7555469% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RHC BRIEF ESTAB	$5,683,448.40	$8,119,212.00	$25.35–$7,550,867.16	9021247% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RHC UNINSURED CLINIC VISIT	$5,683,453.30	$8,119,219.00	$25.35–$7,550,873.67	9021254% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TELEHEALTH ESTABLISHED PT LEVEL 2	$5,810,022.40	$8,300,032.00	$23.82–$111.70	9222158% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PB BRIEF ESTABLISHED	$5,816,448.40	$8,309,212.00	$25.35–$7,727,567.16	9232358% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PB UNINSURED CLINIC VISIT	$5,816,453.30	$8,309,219.00	$25.35–$7,727,573.67	9232366% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PB PRO FEE LEVEL 2	$5,823,448.40	$8,319,212.00	$23.82–$111.70	9243469% above	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RT TELEHEALTH ESTABLISHED LEVEL 2	$4,480,015.40	$6,400,022.00	$23.82–$111.70	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PH ESTABLISHED PT 10 MINUTES	$4,760,008.40	$6,800,012.00	$23.82–$111.70	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RHC BRIEF ESTAB	$5,683,448.40	$8,119,212.00	$6,901,330.20–$7,550,867.16	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RHC UNINSURED CLINIC VISIT	$5,683,453.30	$8,119,219.00	$6,901,336.15–$7,550,873.67	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TELEHEALTH ESTABLISHED PT LEVEL 2	$5,810,022.40	$8,300,032.00	$23.82–$111.70	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PB BRIEF ESTABLISHED	$5,816,448.40	$8,309,212.00	$7,062,830.20–$7,727,567.16	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PB UNINSURED CLINIC VISIT	$5,816,453.30	$8,309,219.00	$7,062,836.15–$7,727,573.67	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PB PRO FEE LEVEL 2	$5,823,448.40	$8,319,212.00	$23.82–$111.70	—	30%
Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION ROUTINE	$4,496,807.00	$6,424,010.00	$18.21–$5,974,329.30	2259602% above	30%
Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCTION ROUTINE	$4,496,807.00	$6,424,010.00	$5,460,408.50–$5,974,329.30	—	30%
Spirometry before and after a bronchodilator CPT 94060 PULMONARY BRONCHIAL	$4,496,842.00	$6,424,060.00	$25.84–$5,974,375.80	1284712% above	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 PULMONARY BRONCHIAL	$4,496,842.00	$6,424,060.00	$5,460,451.00–$5,974,375.80	—	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY	$4,275,271.00	$6,107,530.00	$24.86–$5,680,002.90	5588490% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 PC PT THERAPEUTIC ACTIVITY	$4,380,271.00	$6,257,530.00	$24.86–$5,819,502.90	5725744% above	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITY	$4,275,271.00	$6,107,530.00	$5,191,400.50–$5,680,002.90	—	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PC PT THERAPEUTIC ACTIVITY	$4,380,271.00	$6,257,530.00	$5,318,900.50–$5,819,502.90	—	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC BLEED	$2,804,199.30	$4,005,999.00	$61.53–$3,725,579.07	1863155% above	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC BLEED	$2,804,199.30	$4,005,999.00	$3,405,099.15–$3,725,579.07	—	30%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 NM STRESS TST ECG TRAC W SUPERV INTERP	$4,004,000.70	$5,720,001.00	$48.73–$5,319,600.93	492276% above	30%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 NM STRESS TEST	$4,027,110.50	$5,753,015.00	$48.73–$5,350,303.95	495118% above	30%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 NM STRESS TST ECG TRAC W SUPERV INTERP	$4,004,000.70	$5,720,001.00	$4,862,000.85–$5,319,600.93	—	30%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 NM STRESS TEST	$4,027,110.50	$5,753,015.00	$4,890,062.75–$5,350,303.95	—	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 VAC- COVID-19 mRNA Pfizer(COMIRNATY)	$2,100,880.60	$3,001,258.00	$2,250,943.50–$2,791,169.94	1395834% above	30%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 VAC- COVID-19 mRNA Pfizer(COMIRNATY)	$2,100,880.60	$3,001,258.00	$2,551,069.30–$2,791,169.94	—	30%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAC-Varicella Virus Live[1350unit/0.5mL]	$2,100,889.70	$3,001,271.00	$2,250,953.25–$2,791,182.03	860638% above	30%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VAC-Varicella Virus Live[1350unit/0.5mL]	$2,100,889.70	$3,001,271.00	$2,551,080.35–$2,791,182.03	—	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 VAC-Influenza LOW DOSE PFS[0.5ML] 25-26	$2,100,980.70	$3,001,401.00	$2,251,050.75–$2,791,302.93	10774160% above	30%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 VAC-Influenza LOW DOSE PFS[0.5ML] 25-26	$2,100,980.70	$3,001,401.00	$2,551,190.85–$2,791,302.93	—	30%
Hepatitis A vaccine, adult dose CPT 90632 OPN HEP A VACCINE ADULT DOSE INTRAMUSC	$497,000.70	$710,001.00	$532,500.75–$660,300.93	509644% above	30%
Hepatitis A vaccine, adult dose CPT 90632 VAC-Hepatitis A INJ ADULT[1440EL U/1mL]	$2,100,881.30	$3,001,259.00	$2,250,944.25–$2,791,170.87	2154650% above	30%
Hepatitis A vaccine, adult dose inpatient CPT 90632 OPN HEP A VACCINE ADULT DOSE INTRAMUSC	$497,000.70	$710,001.00	$603,500.85–$660,300.93	—	30%
Hepatitis A vaccine, adult dose inpatient CPT 90632 VAC-Hepatitis A INJ ADULT[1440EL U/1mL]	$2,100,881.30	$3,001,259.00	$2,551,070.15–$2,791,170.87	—	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC-Hepatitis B INJ[20MCG/ML](ENGERIX-B)	$2,100,882.00	$3,001,260.00	$2,250,945.00–$2,791,171.80	3159121% above	30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VAC-Hepatitis B INJ[20MCG/ML](ENGERIX-B)	$2,100,882.00	$3,001,260.00	$2,551,071.00–$2,791,171.80	—	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 VAC-Influenza HIGH DOSE PFS[0.5ML] 25-26	$2,100,883.40	$3,001,262.00	$2,250,946.50–$2,791,173.66	2489098% above	30%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 VAC-Influenza HIGH DOSE PFS[0.5ML] 25-26	$2,100,883.40	$3,001,262.00	$2,551,072.70–$2,791,173.66	—	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 OPN MMR ADMIN	$497,494.90	$710,707.00	$533,030.25–$660,957.51	426934% above	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 VAC-Measles,Mumps&Rubella Vac(M-M-R II)	$2,100,884.10	$3,001,263.00	$2,250,947.25–$2,791,174.59	1803234% above	30%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 OPN MMR ADMIN	$497,494.90	$710,707.00	$604,100.95–$660,957.51	—	30%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 VAC-Measles,Mumps&Rubella Vac(M-M-R II)	$2,100,884.10	$3,001,263.00	$2,551,073.55–$2,791,174.59	—	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 VAC-Pneumococcal 20 INJ [0.5mL](PREVNAR)	$2,100,886.20	$3,001,266.00	$2,250,949.50–$2,791,177.38	608412% above	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 VAC-Pneumococcal 20 INJ [0.5mL](PREVNAR)	$2,100,886.20	$3,001,266.00	$2,551,076.10–$2,791,177.38	—	30%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 VAC-RSV A&B Rcmb-NF(ABRYSVO)	$2,100,887.60	$3,001,268.00	$2,250,951.00–$2,791,179.24	775135% above	30%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 VAC-RSV A&B Rcmb-NF(ABRYSVO)	$2,100,887.60	$3,001,268.00	$2,551,077.80–$2,791,179.24	—	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 OPN ZOSTER VAC ADMIN	$497,525.00	$710,750.00	$533,062.50–$660,997.50	285015% above	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VAC-Zoster Vac Recombinant(SHINGRIX)	$2,100,890.40	$3,001,272.00	$2,250,954.00–$2,791,182.96	1203849% above	30%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 OPN ZOSTER VAC ADMIN	$497,525.00	$710,750.00	$604,137.50–$660,997.50	—	30%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VAC-Zoster Vac Recombinant(SHINGRIX)	$2,100,890.40	$3,001,272.00	$2,551,081.20–$2,791,182.96	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 VAC-Tetanus,Diptheria INJ[0.5ML]	$2,100,889.00	$3,001,270.00	$2,250,952.50–$2,791,181.10	4103199% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 VAC-Tetanus,Diptheria INJ[0.5ML]	$2,100,889.00	$3,001,270.00	$2,551,079.50–$2,791,181.10	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 VAC-Teta,Dipth,Pert INJ[0.5ML](BOOSTRIX)	$2,100,888.30	$3,001,269.00	$2,250,951.75–$2,791,180.17	4092008% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 VAC-Teta,Dipth,Pert INJ[0.5ML](BOOSTRIX)	$2,100,888.30	$3,001,269.00	$2,551,078.65–$2,791,180.17	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OPN IMMUNIZATION	$497,329.70	$710,471.00	$532,853.25–$660,738.03	863320% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED TETANUS INJECTION	$700,329.70	$1,000,471.00	$750,353.25–$930,438.03	1215750% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADM SINGLE	$847,329.70	$1,210,471.00	$907,853.25–$1,125,738.03	1470959% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PB VACCINE ADMINISTRATION	$5,810,034.30	$8,300,049.00	$6,225,036.75–$7,719,045.57	10086765% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 OPN IMMUNIZATION	$497,329.70	$710,471.00	$603,900.35–$660,738.03	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED TETANUS INJECTION	$700,329.70	$1,000,471.00	$850,400.35–$930,438.03	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADM SINGLE	$847,329.70	$1,210,471.00	$1,028,900.35–$1,125,738.03	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PB VACCINE ADMINISTRATION	$5,810,034.30	$8,300,049.00	$7,055,041.65–$7,719,045.57	—	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OPN IMMUNIZATION ADDL	$497,330.40	$710,472.00	$532,854.00–$660,738.96	1894492% above	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PB VACCINE ADMINISTRATION ADDITIONAL	$5,810,330.40	$8,300,472.00	$6,225,354.00–$7,719,438.96	22134492% above	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OPN IMMUNIZATION ADDL	$497,330.40	$710,472.00	$603,901.20–$660,738.96	—	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 PB VACCINE ADMINISTRATION ADDITIONAL	$5,810,330.40	$8,300,472.00	$7,055,401.20–$7,719,438.96	—	30%

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/8556/871759588_webster-memorial-hospital-inc_standardcharges.csv