Hospital Rifle, CO

Aspen Valley Hospital District

Aspen Valley Hospital District in Aspen, CO publishes cash prices for 312 common procedures listed here, from its own machine-readable price file updated Mar 26, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Colorado median for 185 of 296 procedures and above it for 95. By typical cash price it ranks #13 of 37 Colorado hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

401 Castle Creek Rd, Aspen, CO 81611 Collected Sep 27, 2026 Source price file (970) 544-1261

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 061324 · CMS hospital register

The price file shows no self-pay discount

For 902 of the 902 prices listed here, the cash price in Aspen Valley Hospital District's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right	$451.00	$451.00	$161.80–$451.00	50% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Left	$451.00	$451.00	$161.80–$451.00	50% above	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Left	$451.00	$451.00	$161.80–$451.00	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right	$451.00	$451.00	$161.80–$451.00	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Abi (Ankle Brachial Indx 1lev)	$479.00	$479.00	$223.90–$479.00	64% below	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Abi (Ankle Brachial Indx 1lev)	$479.00	$479.00	$223.90–$479.00	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagram - Fl Esophagus Barium Swallow	$858.00	$858.00	$357.10–$858.00	11% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Esophagram - Fl Esophagus Barium Swallow	$858.00	$858.00	$357.10–$858.00	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone Imaging, Whole Body - NM Bone Whole Body	$1,863.00	$1,863.00	$754.24–$1,863.00	61% below	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Bone Imaging, Whole Body - NM Bone Whole Body	$1,863.00	$1,863.00	$754.24–$1,863.00	—	—
Breast ultrasound, complete, one breast CPT 76641 HC Cwcci Breast US-Compl Pf 76641	$73.00	$73.00	$39.42–$217.94	83% below	—
Breast ultrasound, complete, one breast one side CPT 76641 HC Ultrasound Breast Complete - US Breast Left Complete	$499.00	$499.00	$217.94–$499.00	15% above	—
Breast ultrasound, complete, one breast one side CPT 76641 HC Ultrasound Breast Complete - US Breast Right Complete	$499.00	$499.00	$217.94–$499.00	15% above	—
Breast ultrasound, complete, one breast inpatient CPT 76641 HC Cwcci Breast US-Compl Pf 76641	$73.00	$73.00	$39.42–$217.94	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC Ultrasound Breast Complete - US Breast Left Complete	$499.00	$499.00	$217.94–$499.00	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC Ultrasound Breast Complete - US Breast Right Complete	$499.00	$499.00	$217.94–$499.00	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC Ultrasound Breast Limited - US Breast Left Limited	$436.00	$436.00	$161.80–$436.00	1% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC Ultrasound Breast Limited - US Breast Right Limited	$436.00	$436.00	$161.80–$436.00	1% above	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC Ultrasound Breast Limited - US Breast Right Limited	$436.00	$436.00	$161.80–$436.00	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC Ultrasound Breast Limited - US Breast Left Limited	$436.00	$436.00	$161.80–$436.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio, Chest, Combo, Incl Image - CT Chest Angio W and WO IV Cont	$2,798.00	$2,798.00	$357.10–$2,798.00	2% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT Angio, Chest, Combo, Incl Image - CT Chest Angio W and WO IV Cont	$2,798.00	$2,798.00	$357.10–$2,798.00	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT Angio Hrt W/3d Image - CT Heart Coronary Angiogram	$2,229.00	$2,229.00	$357.10–$2,229.00	16% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT Angio Hrt W/3d Image - CT Heart Coronary Angiogram	$2,229.00	$2,229.00	$357.10–$2,229.00	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Coronary Calcium Score	$177.00	$177.00	$95.58–$177.00	45% below	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Coronary Calcium Score	$177.00	$177.00	$95.58–$177.00	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast - CT Abdomen Pelvis WO Contrast	$3,788.00	$3,788.00	$460.26–$3,788.00	33% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd & Pelvis W/O Contrast - CT Abdomen Pelvis WO Contrast	$3,788.00	$3,788.00	$460.26–$3,788.00	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast	$5,258.00	$5,258.00	$736.24–$5,258.00	16% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Enterography	$5,458.00	$5,458.00	$736.24–$5,458.00	21% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast	$5,258.00	$5,258.00	$736.24–$5,258.00	—	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Enterography	$5,458.00	$5,458.00	$736.24–$5,458.00	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W WO Contrast	$5,718.00	$5,718.00	$736.24–$5,718.00	18% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W WO Contrast	$5,718.00	$5,718.00	$736.24–$5,718.00	—	—
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Dye - CT Abdomen W Contrast	$2,661.00	$2,661.00	$357.10–$2,661.00	2% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W/Dye - CT Abdomen W Contrast	$2,661.00	$2,661.00	$357.10–$2,661.00	—	—
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Dye - CT Abdomen WO Contrast	$1,958.00	$1,958.00	$217.94–$1,958.00	3% below	—
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Dye - CT Abdomen WO Contrast	$1,958.00	$1,958.00	$217.94–$1,958.00	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Sinuses	$1,106.00	$1,106.00	$217.94–$1,106.00	21% below	—
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Facial Area W/O Contrast	$2,210.00	$2,210.00	$217.94–$2,210.00	58% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Sinuses	$1,106.00	$1,106.00	$217.94–$1,106.00	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Facial Area W/O Contrast	$2,210.00	$2,210.00	$217.94–$2,210.00	—	—
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Scan,Head/Brain,W/O Contrast Matl - CT Head WO Contrast	$2,252.00	$2,252.00	$217.94–$2,252.00	4% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Scan,Head/Brain,W/O Contrast Matl - CT Head WO Contrast	$2,252.00	$2,252.00	$217.94–$2,252.00	—	—
CT scan of the head with contrast CPT 70460 HC CT Scan Head Contrast - CT Head W Contrast	$3,617.00	$3,617.00	$357.10–$3,617.00	68% above	—
CT scan of the head with contrast inpatient CPT 70460 HC CT Scan Head Contrast - CT Head W Contrast	$3,617.00	$3,617.00	$357.10–$3,617.00	—	—
CT scan of the head without and with contrast CPT 70470 HC CT Scan Head Combo - CT Head W WO Contrast	$3,477.00	$3,477.00	$357.10–$3,477.00	at median	—
CT scan of the head without and with contrast inpatient CPT 70470 HC CT Scan Head Combo - CT Head W WO Contrast	$3,477.00	$3,477.00	$357.10–$3,477.00	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Scan,Lumbar Spine,W/O Contrast W/ Bw - CT Lumbar Spine WO Contrast	$1,029.00	$1,029.00	$217.94–$1,029.00	44% below	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Scan,Lumbar Spine,W/O Contrast - CT Lumbar Spine WO Contrast	$1,976.00	$1,976.00	$217.94–$1,976.00	8% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Scan,Lumbar Spine,W/O Contrast W/ Bw - CT Lumbar Spine WO Contrast	$1,029.00	$1,029.00	$217.94–$1,029.00	—	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Scan,Lumbar Spine,W/O Contrast - CT Lumbar Spine WO Contrast	$1,976.00	$1,976.00	$217.94–$1,976.00	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Scan,Cervical Spine,W/O Contrast W/ Bw - CT Cervical Spine WO Contrast	$1,029.00	$1,029.00	$217.94–$1,029.00	45% below	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Scan,Cervical Spine,W/O Contrast - CT Cervical Spine WO Contrast	$1,976.00	$1,976.00	$217.94–$1,976.00	5% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Scan,Cervical Spine,W/O Contrast W/ Bw - CT Cervical Spine WO Contrast	$1,029.00	$1,029.00	$217.94–$1,029.00	—	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Scan,Cervical Spine,W/O Contrast - CT Cervical Spine WO Contrast	$1,976.00	$1,976.00	$217.94–$1,976.00	—	—
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast	$2,602.00	$2,602.00	$357.10–$2,602.00	at median	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast	$2,602.00	$2,602.00	$357.10–$2,602.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Duplex Scan Extracranial,Bilat - Carotid Duplex	$535.00	$535.00	$288.90–$535.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Duplex Scan Extracranial,Bilat - Carotid Duplex	$535.00	$535.00	$288.90–$535.00	—	—
Chest X-ray, 2 views CPT 71046 HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views W/ Obliques	$380.00	$380.00	$161.80–$380.00	15% above	—
Chest X-ray, 2 views CPT 71046 Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$385.00	$385.00	$161.80–$385.00	17% above	—
Chest X-ray, 2 views inpatient CPT 71046 HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views W/ Obliques	$380.00	$380.00	$161.80–$380.00	—	—
Chest X-ray, 2 views inpatient CPT 71046 Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$385.00	$385.00	$161.80–$385.00	—	—
Chest X-ray, single view CPT 71045 Radiologic Exam Chest Single View - Xr Chest 1 View	$309.00	$309.00	$161.80–$309.00	8% above	—
Chest X-ray, single view CPT 71045 HC Radiologic Exam Chest Single View - Xr Chest Lateral Decubitus	$309.00	$309.00	$161.80–$309.00	8% above	—
Chest X-ray, single view inpatient CPT 71045 Radiologic Exam Chest Single View - Xr Chest 1 View	$309.00	$309.00	$161.80–$309.00	—	—
Chest X-ray, single view inpatient CPT 71045 HC Radiologic Exam Chest Single View - Xr Chest Lateral Decubitus	$309.00	$309.00	$161.80–$309.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,Retroperit, B-Scan/Real Time,Complete - US Retroperitoneum	$1,003.00	$1,003.00	$217.94–$1,003.00	25% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US,Retroperit, B-Scan/Real Time,Complete - US Retroperitoneum	$1,003.00	$1,003.00	$217.94–$1,003.00	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA Bone Density Axial - Xr Bone Density With Spect Lumbar	$628.00	$628.00	$217.94–$628.00	27% below	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA Bone Density Axial - Xr Bone Density With Spect Lumbar	$628.00	$628.00	$217.94–$628.00	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA Bone Density/Peripheral - Dexa Bone Density Extremity	$367.00	$367.00	$161.80–$367.00	41% below	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA Bone Density/Peripheral - Dexa Bone Density Extremity	$367.00	$367.00	$161.80–$367.00	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Scan,Thorax,W/O Contrast - CT Chest WO Contrast	$1,834.00	$1,834.00	$217.94–$1,834.00	at median	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Scan,Thorax,W/O Contrast - CT Chest WO Contrast	$1,834.00	$1,834.00	$217.94–$1,834.00	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC Cat Scan of Chest Contrast - CT Chest W Contrast	$2,927.00	$2,927.00	$357.10–$2,927.00	22% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC Cat Scan of Chest Contrast - CT Chest W Contrast	$2,927.00	$2,927.00	$357.10–$2,927.00	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral	$521.00	$521.00	$281.34–$521.00	—	—
Diagnostic mammogram, both breasts CPT 77066 HC Mammo-Diagnostic (Implants)	$521.00	$521.00	$281.34–$521.00	50% above	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral	$521.00	$521.00	$281.34–$521.00	—	—
Diagnostic mammogram, both breasts inpatient CPT 77066 HC Mammo-Diagnostic (Implants)	$521.00	$521.00	$281.34–$521.00	—	—
Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Left	$425.00	$425.00	$229.50–$425.00	17% above	—
Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Right	$425.00	$425.00	$229.50–$425.00	17% above	—
Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mg Breast Right Post Biopsy Clip	$434.00	$434.00	$234.36–$434.00	20% above	—
Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mg Breast Left Post Biopsy Clip	$434.00	$434.00	$234.36–$434.00	20% above	—
Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Additional Views Right	$434.00	$434.00	$234.36–$434.00	20% above	—
Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Additional Views Left	$434.00	$434.00	$234.36–$434.00	20% above	—
Diagnostic mammogram, one breast one side CPT 77065 HC Mammogram - Implant/Diag - Left	$450.00	$450.00	$243.00–$450.00	24% above	—
Diagnostic mammogram, one breast one side CPT 77065 HC Mammogram - Implant/Diag - Right	$450.00	$450.00	$243.00–$450.00	24% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Right	$425.00	$425.00	$229.50–$425.00	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Left	$425.00	$425.00	$229.50–$425.00	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mg Breast Right Post Biopsy Clip	$434.00	$434.00	$234.36–$434.00	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Additional Views Right	$434.00	$434.00	$234.36–$434.00	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Additional Views Left	$434.00	$434.00	$234.36–$434.00	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mg Breast Left Post Biopsy Clip	$434.00	$434.00	$234.36–$434.00	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammogram - Implant/Diag - Left	$450.00	$450.00	$243.00–$450.00	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammogram - Implant/Diag - Right	$450.00	$450.00	$243.00–$450.00	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Duplex Lo Extrem Art Bilat - Cv US Doppler Arterial Legs Bilateral	$2,376.00	$2,376.00	$460.26–$2,376.00	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Duplex Lo Extrem Art Bilat - Cv US Doppler Arterial Legs Bilateral	$2,376.00	$2,376.00	$460.26–$2,376.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Upper Extremity Dvt	$2,182.00	$2,182.00	$460.26–$2,182.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Lower Extremity Dvt	$2,182.00	$2,182.00	$460.26–$2,182.00	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Upper Extremity Dvt	$2,182.00	$2,182.00	$460.26–$2,182.00	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Lower Extremity Dvt	$2,182.00	$2,182.00	$460.26–$2,182.00	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W/Doppler Complete - Tte Complete	$1,578.00	$1,578.00	$852.12–$1,578.00	63% below	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Tte W/Doppler Complete - Tte Complete	$1,578.00	$1,578.00	$852.12–$1,578.00	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary Syst Imaging Including Gallbladder - NM Liver Function	$1,642.00	$1,642.00	$754.24–$1,642.00	63% below	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Hepatobiliary Syst Imaging Including Gallbladder - NM Liver Function	$1,642.00	$1,642.00	$754.24–$1,642.00	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysomnography(Eeg),W/Cpap-Tc	$3,774.00	$3,774.00	$1,839.64–$3,774.00	51% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysomnography(Eeg),W/Cpap-Tc	$3,774.00	$3,774.00	$1,839.64–$3,774.00	—	—
Knee X-ray, 3 views one side CPT 73562 X-Ray Knee 3 View - Xr Knee 3 Views Right	$402.00	$402.00	$161.80–$402.00	33% above	—
Knee X-ray, 3 views one side CPT 73562 X-Ray Knee 3 View - Xr Knee 3 Views Left	$402.00	$402.00	$161.80–$402.00	33% above	—
Knee X-ray, 3 views inpatient one side CPT 73562 X-Ray Knee 3 View - Xr Knee 3 Views Right	$402.00	$402.00	$161.80–$402.00	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 X-Ray Knee 3 View - Xr Knee 3 Views Left	$402.00	$402.00	$161.80–$402.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Abdomen Limited	$803.00	$803.00	$217.94–$803.00	3% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 CHG US, ABDOMEN LIMITED - Facility Fee	$803.00	$803.00	$217.94–$803.00	3% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 CHG US, ABDOMEN LIMITED - Facility Fee	$803.00	$803.00	$217.94–$803.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, Abdomen Limited - US Abdomen Limited	$803.00	$803.00	$217.94–$803.00	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Chest Low-Dose Scrn No Cont	$179.00	$179.00	$96.66–$179.00	42% below	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Chest Low-Dose Scrn No Cont	$179.00	$179.00	$96.66–$179.00	—	—
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI Brst Bilat W/O and W Cont	$3,279.00	$3,279.00	$1,770.66–$3,279.00	—	—
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI Brst Bilat W/O and W Cont	$3,279.00	$3,279.00	$1,770.66–$3,279.00	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lower Ext,Joint W/O Contra Lt	$3,759.00	$3,759.00	$460.26–$3,759.00	165% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lower Ext,Joint W/O Contra Rt	$3,759.00	$3,759.00	$460.26–$3,759.00	165% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lower Ext,Joint W/O Contra Lt	$3,759.00	$3,759.00	$460.26–$3,759.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lower Ext,Joint W/O Contra Rt	$3,759.00	$3,759.00	$460.26–$3,759.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, Joint of Leg. Combo - MR Hip Left W and WO IV Contrast	$4,918.00	$4,918.00	$736.24–$4,918.00	177% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, Joint of Leg. Combo - MR Hip Right W and WO IV Contrast	$4,918.00	$4,918.00	$736.24–$4,918.00	177% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, Joint of Leg. Combo - MR Knee Left W and WO IV Contrast	$4,918.00	$4,918.00	$736.24–$4,918.00	177% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, Joint of Leg. Combo - MR Knee Right W and WO IV Contrast	$4,918.00	$4,918.00	$736.24–$4,918.00	177% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, Joint of Leg. Combo - MR Knee Left W and WO IV Contrast	$4,918.00	$4,918.00	$736.24–$4,918.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, Joint of Leg. Combo - MR Hip Left W and WO IV Contrast	$4,918.00	$4,918.00	$736.24–$4,918.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, Joint of Leg. Combo - MR Hip Right W and WO IV Contrast	$4,918.00	$4,918.00	$736.24–$4,918.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, Joint of Leg. Combo - MR Knee Right W and WO IV Contrast	$4,918.00	$4,918.00	$736.24–$4,918.00	—	—
MRI of the abdomen without contrast CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast	$3,453.00	$3,453.00	$460.26–$3,453.00	17% above	—
MRI of the abdomen without contrast CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast Mrcp	$3,453.00	$3,453.00	$460.26–$3,453.00	17% above	—
MRI of the abdomen without contrast CPT 74181 HC MRI Urogram W/O Contrast - Abdomen	$3,453.00	$3,453.00	$460.26–$3,453.00	17% above	—
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Urogram W/O Contrast - Abdomen	$3,453.00	$3,453.00	$460.26–$3,453.00	—	—
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast Mrcp	$3,453.00	$3,453.00	$460.26–$3,453.00	—	—
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast	$3,453.00	$3,453.00	$460.26–$3,453.00	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, Abdomen, Combo - MRI Abdomen W WO Contrast	$4,919.00	$4,919.00	$736.24–$4,919.00	18% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Urogram W/ and W/O Contrast - Abdomen	$4,919.00	$4,919.00	$736.24–$4,919.00	18% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, Abdomen, Combo - MRI Abdomen W WO Contrast Mrcp	$4,919.00	$4,919.00	$736.24–$4,919.00	18% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Urogram W/ and W/O Contrast - Abdomen	$4,919.00	$4,919.00	$736.24–$4,919.00	—	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI, Abdomen, Combo - MRI Abdomen W WO Contrast	$4,919.00	$4,919.00	$736.24–$4,919.00	—	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI, Abdomen, Combo - MRI Abdomen W WO Contrast Mrcp	$4,919.00	$4,919.00	$736.24–$4,919.00	—	—
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain - MRI Brain WO Contrast	$3,886.00	$3,886.00	$460.26–$3,886.00	6% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain - MRI Brain WO Contrast	$3,886.00	$3,886.00	$460.26–$3,886.00	—	—
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Combo - MRI Brain W WO Contrast	$4,277.00	$4,277.00	$736.24–$4,277.00	3% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain Combo - MRI Brain W WO Contrast	$4,277.00	$4,277.00	$736.24–$4,277.00	—	—
MRI of the lower back, no contrast dye CPT 72148 HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast	$3,537.00	$3,537.00	$460.26–$3,537.00	11% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast	$3,537.00	$3,537.00	$460.26–$3,537.00	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, Lumbar Spine Combo - MRI Lumbar Spine W WO Contrast	$4,110.00	$4,110.00	$736.24–$4,110.00	10% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI, Lumbar Spine Combo - MRI Lumbar Spine W WO Contrast	$4,110.00	$4,110.00	$736.24–$4,110.00	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, Dorsal Spine - MRI Thoracic Spine WO Contrast	$3,537.00	$3,537.00	$460.26–$3,537.00	4% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI, Dorsal Spine - MRI Thoracic Spine WO Contrast	$3,537.00	$3,537.00	$460.26–$3,537.00	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, Cerv Spine Combo - MRI Cervical Spine W WO Contrast	$4,110.00	$4,110.00	$736.24–$4,110.00	14% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI, Cerv Spine Combo - MRI Cervical Spine W WO Contrast	$4,110.00	$4,110.00	$736.24–$4,110.00	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, Cerv Spine - MRI Cervical Spine WO Contrast	$3,386.00	$3,386.00	$460.26–$3,386.00	3% below	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI, Cerv Spine - MRI Cervical Spine WO Contrast	$3,386.00	$3,386.00	$460.26–$3,386.00	—	—
MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis With and WO Contras	$4,919.00	$4,919.00	$736.24–$4,919.00	2% above	—
MRI of the pelvis without and with contrast CPT 72197 HC MRI Urogram W/ and W/O Contrast - Pelvis	$4,919.00	$4,919.00	$736.24–$4,919.00	2% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Urogram W/ and W/O Contrast - Pelvis	$4,919.00	$4,919.00	$736.24–$4,919.00	—	—
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Pelvis With and WO Contras	$4,919.00	$4,919.00	$736.24–$4,919.00	—	—
MRI of the pelvis, no contrast dye CPT 72195 HC MRI, Pelvis, W/O Contrast - MRI Pelvis WO Contrast	$4,065.00	$4,065.00	$460.26–$4,065.00	12% above	—
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Urogram W/O Contrast - Pelvis	$4,065.00	$4,065.00	$460.26–$4,065.00	12% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI, Pelvis, W/O Contrast - MRI Pelvis WO Contrast	$4,065.00	$4,065.00	$460.26–$4,065.00	—	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Urogram W/O Contrast - Pelvis	$4,065.00	$4,065.00	$460.26–$4,065.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, Joint Upper Extrem - MR Shoulder Right WO IV Contrast	$4,122.00	$4,122.00	$460.26–$4,122.00	307% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, Joint Upper Extrem - MR Wrist Left WO IV Contrast	$4,122.00	$4,122.00	$460.26–$4,122.00	307% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, Joint Upper Extrem - MR Elbow Right WO IV Contrast	$4,122.00	$4,122.00	$460.26–$4,122.00	307% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, Joint Upper Extrem - MR Elbow Left WO IV Contrast	$4,122.00	$4,122.00	$460.26–$4,122.00	307% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, Joint Upper Extrem - MR Shoulder Left WO IV Contrast	$4,122.00	$4,122.00	$460.26–$4,122.00	307% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, Joint Upper Extrem - MR Wrist Right WO IV Contrast	$4,122.00	$4,122.00	$460.26–$4,122.00	307% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, Joint Upper Extrem - MR Wrist Left WO IV Contrast	$4,122.00	$4,122.00	$460.26–$4,122.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, Joint Upper Extrem - MR Shoulder Right WO IV Contrast	$4,122.00	$4,122.00	$460.26–$4,122.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, Joint Upper Extrem - MR Shoulder Left WO IV Contrast	$4,122.00	$4,122.00	$460.26–$4,122.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, Joint Upper Extrem - MR Elbow Right WO IV Contrast	$4,122.00	$4,122.00	$460.26–$4,122.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, Joint Upper Extrem - MR Elbow Left WO IV Contrast	$4,122.00	$4,122.00	$460.26–$4,122.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, Joint Upper Extrem - MR Wrist Right WO IV Contrast	$4,122.00	$4,122.00	$460.26–$4,122.00	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Ht Muscle Image Spect Mult - NM Heart Perfusion Spect Stress & Rest	$2,694.00	$2,694.00	$1,454.76–$2,694.00	77% below	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Ht Muscle Image Spect Mult - NM Heart Perfusion Spect Stress & Rest	$2,694.00	$2,694.00	$1,454.76–$2,694.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US,Pelvic (Non-OB) Limited	$612.00	$612.00	$217.94–$612.00	34% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US,Pelvic (Non-OB) Limited	$612.00	$612.00	$217.94–$612.00	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Echo,Pelvic (Nonobstetric) - US Pelvis	$907.00	$907.00	$217.94–$907.00	5% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC Echo,Pelvic (Nonobstetric) - US Pelvis	$907.00	$907.00	$217.94–$907.00	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC Chg US, OB >/= 14 Wks, Sngl Fetus	$1,192.00	$1,192.00	$217.94–$1,192.00	29% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Chg US, OB >/= 14 Wks, Sngl Fetus	$1,192.00	$1,192.00	$217.94–$1,192.00	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC Chg US, OB < 14 Wks, Single Fetus	$1,154.00	$1,154.00	$217.94–$1,154.00	66% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC Chg US, OB < 14 Wks, Single Fetus	$1,154.00	$1,154.00	$217.94–$1,154.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Chg US,Pregnant Uterus,Limited, 1/> Fetuses	$859.00	$859.00	$217.94–$859.00	98% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Chg US,Pregnant Uterus,Limited, 1/> Fetuses	$859.00	$859.00	$217.94–$859.00	—	—
Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral	$517.00	$517.00	$279.18–$517.00	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral	$517.00	$517.00	$279.18–$517.00	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right	$506.00	$506.00	$161.80–$506.00	68% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Left	$506.00	$506.00	$161.80–$506.00	68% above	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right	$506.00	$506.00	$161.80–$506.00	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Left	$506.00	$506.00	$161.80–$506.00	—	—
Sleep study in a lab (polysomnography) CPT 95810 HC Polysomnography(Eeg),Limt/Tech	$3,193.00	$3,193.00	$1,724.22–$3,193.00	23% below	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysomnography(Eeg),Limt/Tech	$3,193.00	$3,193.00	$1,724.22–$3,193.00	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech	$1,944.00	$1,944.00	$357.10–$1,944.00	224% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech	$1,944.00	$1,944.00	$357.10–$1,944.00	—	—
Transvaginal pelvic ultrasound CPT 76830 HC US,Transvag (Non-Obstetric)	$1,028.00	$1,028.00	$217.94–$1,028.00	38% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US,Transvag (Non-Obstetric)	$1,028.00	$1,028.00	$217.94–$1,028.00	—	—
Transvaginal ultrasound during pregnancy CPT 76817 HC Chg US,Pregnant Uterus,Transvaginal	$944.00	$944.00	$217.94–$944.00	21% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC Chg US,Pregnant Uterus,Transvaginal	$944.00	$944.00	$217.94–$944.00	—	—
Ultrasound of the abdomen, complete CPT 76700 HC Ultrasound, Abdomen Complete	$1,050.00	$1,050.00	$217.94–$1,050.00	13% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 HC Ultrasound, Abdomen Complete	$1,050.00	$1,050.00	$217.94–$1,050.00	—	—
Ultrasound of the scrotum and testicles CPT 76870 HC Chg Echo,Scrotum & Contents	$822.00	$822.00	$217.94–$822.00	5% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC Chg Echo,Scrotum & Contents	$822.00	$822.00	$217.94–$822.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC Chg US, Head/Neck/Thy Tissues,Real Time	$803.00	$803.00	$217.94–$803.00	at median	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, Head/Neck Tissues,Real Time - US Head Neck Soft Tissue	$803.00	$803.00	$217.94–$803.00	at median	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, Head/Neck Tissues,Real Time - US Head Neck Soft Tissue	$803.00	$803.00	$217.94–$803.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC Chg US, Head/Neck/Thy Tissues,Real Time	$803.00	$803.00	$217.94–$803.00	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Upper GI With Kub	$1,116.00	$1,116.00	$357.10–$1,116.00	17% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-Ray Upper GI Delay W/O Kub - Fl Upper GI Without Kub	$1,139.00	$1,139.00	$357.10–$1,139.00	19% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Upper GI With Kub	$1,116.00	$1,116.00	$357.10–$1,116.00	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-Ray Upper GI Delay W/O Kub - Fl Upper GI Without Kub	$1,139.00	$1,139.00	$357.10–$1,139.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Extrem Venous,Uni or Ltd - US Doppler Venous Arm Left	$1,172.00	$1,172.00	$217.94–$1,172.00	12% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Extrem Venous,Uni or Ltd - US Doppler Venous Arm Right	$1,172.00	$1,172.00	$217.94–$1,172.00	12% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Extrem Venous,Uni or Ltd - Cv US Doppler Venous Leg Left	$1,172.00	$1,172.00	$217.94–$1,172.00	12% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Extrem Venous,Uni or Ltd - Cv US Doppler Venous Leg Right	$1,172.00	$1,172.00	$217.94–$1,172.00	12% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Duplex Extrem Venous,Uni or Ltd - US Doppler Venous Arm Right	$1,172.00	$1,172.00	$217.94–$1,172.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Duplex Extrem Venous,Uni or Ltd - US Doppler Venous Arm Left	$1,172.00	$1,172.00	$217.94–$1,172.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Duplex Extrem Venous,Uni or Ltd - Cv US Doppler Venous Leg Right	$1,172.00	$1,172.00	$217.94–$1,172.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Duplex Extrem Venous,Uni or Ltd - Cv US Doppler Venous Leg Left	$1,172.00	$1,172.00	$217.94–$1,172.00	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Left	$451.00	$451.00	$161.80–$451.00	50% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right	$451.00	$451.00	$161.80–$451.00	50% above	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right	$451.00	$451.00	$161.80–$451.00	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Left	$451.00	$451.00	$161.80–$451.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 or 3 Vw Right	$394.00	$394.00	$161.80–$394.00	31% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 or 3 Vw Left	$394.00	$394.00	$161.80–$394.00	31% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 or 3 Vw Left	$394.00	$394.00	$161.80–$394.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 or 3 Vw Right	$394.00	$394.00	$161.80–$394.00	—	—
X-ray of the abdomen, 1 view CPT 74018 Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View	$415.00	$415.00	$161.80–$415.00	45% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View	$415.00	$415.00	$161.80–$415.00	—	—
X-ray of the ankle, 2 views CPT 73600 HC Ankle- Stress, 1 View	$373.00	$373.00	$161.80–$373.00	24% above	—
X-ray of the ankle, 2 views one side CPT 73600 X-Ray Ankle 2 Vw - Xr Ankle 2 Views Left	$373.00	$373.00	$161.80–$373.00	24% above	—
X-ray of the ankle, 2 views one side CPT 73600 X-Ray Ankle 2 Vw - Xr Ankle 2 Views Right	$373.00	$373.00	$161.80–$373.00	24% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 HC Ankle- Stress, 1 View	$373.00	$373.00	$161.80–$373.00	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 X-Ray Ankle 2 Vw - Xr Ankle 2 Views Left	$373.00	$373.00	$161.80–$373.00	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 X-Ray Ankle 2 Vw - Xr Ankle 2 Views Right	$373.00	$373.00	$161.80–$373.00	—	—
X-ray of the finger(s), 2 or more views CPT 73140 HC Finger/Stress View	$163.00	$163.00	$88.02–$163.00	41% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 X-Ray Exam of Finger(S) - Xr Fingers 2+ Views Right	$355.00	$355.00	$161.80–$355.00	28% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 X-Ray Exam of Finger(S) - Xr Fingers 2+ Views Left	$355.00	$355.00	$161.80–$355.00	28% above	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Finger/Stress View	$163.00	$163.00	$88.02–$163.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 X-Ray Exam of Finger(S) - Xr Fingers 2+ Views Right	$355.00	$355.00	$161.80–$355.00	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 X-Ray Exam of Finger(S) - Xr Fingers 2+ Views Left	$355.00	$355.00	$161.80–$355.00	—	—
X-ray of the foot, 2 views both sides CPT 73620 HC X-Ray Foot 2 Vw - Xr Foot 1-2 Views Bilateral	$374.00	$374.00	$161.80–$374.00	—	—
X-ray of the foot, 2 views one side CPT 73620 X-Ray Foot 2 Vw - Xr Foot 1-2 Views Left	$374.00	$374.00	$161.80–$374.00	24% above	—
X-ray of the foot, 2 views one side CPT 73620 X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right	$374.00	$374.00	$161.80–$374.00	24% above	—
X-ray of the foot, 2 views inpatient both sides CPT 73620 HC X-Ray Foot 2 Vw - Xr Foot 1-2 Views Bilateral	$374.00	$374.00	$161.80–$374.00	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 X-Ray Foot 2 Vw - Xr Foot 1-2 Views Left	$374.00	$374.00	$161.80–$374.00	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right	$374.00	$374.00	$161.80–$374.00	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right	$451.00	$451.00	$161.80–$451.00	50% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-Ray Foot 3+ Vw - Xr Foot 3+ Views Left	$451.00	$451.00	$161.80–$451.00	50% above	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right	$451.00	$451.00	$161.80–$451.00	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 X-Ray Foot 3+ Vw - Xr Foot 3+ Views Left	$451.00	$451.00	$161.80–$451.00	—	—
X-ray of the hand, 3 or more views one side CPT 73130 X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right	$445.00	$445.00	$161.80–$445.00	48% above	—
X-ray of the hand, 3 or more views one side CPT 73130 X-Ray Hand 3+ Vw - Xr Hand 3+ Views Left	$445.00	$445.00	$161.80–$445.00	48% above	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right	$445.00	$445.00	$161.80–$445.00	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 X-Ray Hand 3+ Vw - Xr Hand 3+ Views Left	$445.00	$445.00	$161.80–$445.00	—	—
X-ray of the knee, 1 or 2 views both sides CPT 73560 HC X-Ray Knee 1 or 2 View - Xr Knee 1-2 Views Bilat	$394.00	$394.00	$161.80–$394.00	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 X-Ray Knee 1 or 2 View - Xr Knee 1-2 Views Right	$361.00	$361.00	$161.80–$361.00	20% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 X-Ray Knee 1 or 2 View - Xr Knee 1-2 Views Left	$366.00	$366.00	$161.80–$366.00	22% above	—
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 HC X-Ray Knee 1 or 2 View - Xr Knee 1-2 Views Bilat	$394.00	$394.00	$161.80–$394.00	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-Ray Knee 1 or 2 View - Xr Knee 1-2 Views Right	$361.00	$361.00	$161.80–$361.00	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-Ray Knee 1 or 2 View - Xr Knee 1-2 Views Left	$366.00	$366.00	$161.80–$366.00	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views	$573.00	$573.00	$217.94–$573.00	at median	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views	$573.00	$573.00	$217.94–$573.00	—	—
X-ray of the lower back, 4 or more views CPT 72110 X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views	$899.00	$899.00	$217.94–$899.00	31% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views	$899.00	$899.00	$217.94–$899.00	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views	$584.00	$584.00	$217.94–$584.00	55% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views	$584.00	$584.00	$217.94–$584.00	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 X-Ray Nasal Bones - Xr Nasal Bones	$529.00	$529.00	$161.80–$529.00	73% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-Ray Nasal Bones - Xr Nasal Bones	$529.00	$529.00	$161.80–$529.00	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radex Spine Cervical 2 or 3 Views - Xr Cervical Spine 2-3 Views	$493.00	$493.00	$161.80–$493.00	at median	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Radex Spine Cervical 2 or 3 Views - Xr Cervical Spine 2-3 Views	$493.00	$493.00	$161.80–$493.00	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views	$525.00	$525.00	$217.94–$525.00	47% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views	$525.00	$525.00	$217.94–$525.00	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views	$542.00	$542.00	$161.80–$542.00	24% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views	$542.00	$542.00	$161.80–$542.00	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt)	$86.00	$86.00	$46.44–$86.00	19% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) - Acc Exp/Source	$86.00	$86.00	$46.44–$86.00	19% below	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) - Acc Exp/Source	$86.00	$86.00	$46.44–$86.00	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt)	$86.00	$86.00	$46.44–$86.00	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot)	$85.00	$85.00	$45.90–$85.00	59% below	—
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot) - Acc Exp/Source	$85.00	$85.00	$45.90–$85.00	59% below	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot) - Acc Exp/Source	$85.00	$85.00	$45.90–$85.00	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot)	$85.00	$85.00	$45.90–$85.00	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Hepatitis Panel,Acute - Bundled Charge	$463.00	$463.00	$250.02–$463.00	39% below	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Hepatitis Panel,Acute - Bundled Charge	$463.00	$463.00	$250.02–$463.00	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Birch Ige - Bir	$32.00	$32.00	$17.28–$32.00	55% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Crude Allergen Extract Each - Beets	$32.00	$32.00	$17.28–$32.00	55% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Horse Dander Ige - Hors	$32.00	$32.00	$17.28–$32.00	55% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Crude Allergen Extract Each - Oreg	$32.00	$32.00	$17.28–$32.00	55% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Oyster Ige	$32.00	$32.00	$17.28–$32.00	55% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Penicillium Ige	$32.00	$32.00	$17.28–$32.00	55% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige Crude Allergen Extract Each - Esyc	$32.00	$32.00	$17.28–$32.00	55% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige Crude Allergen Extract Each - Fcurv	$70.00	$70.00	$37.80–$70.00	1% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Crab Ige	$84.00	$84.00	$45.36–$84.00	19% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Lobster Ige	$84.00	$84.00	$45.36–$84.00	19% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Codfish Ige	$84.00	$84.00	$45.36–$84.00	19% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Tuna Ige	$84.00	$84.00	$45.36–$84.00	19% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige	$84.00	$84.00	$45.36–$84.00	19% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Shrimp Ige	$84.00	$84.00	$45.36–$84.00	19% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Oyster Ige	$32.00	$32.00	$17.28–$32.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Birch Ige - Bir	$32.00	$32.00	$17.28–$32.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Crude Allergen Extract Each - Oreg	$32.00	$32.00	$17.28–$32.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige Crude Allergen Extract Each - Esyc	$32.00	$32.00	$17.28–$32.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Crude Allergen Extract Each - Beets	$32.00	$32.00	$17.28–$32.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Horse Dander Ige - Hors	$32.00	$32.00	$17.28–$32.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Penicillium Ige	$32.00	$32.00	$17.28–$32.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige Crude Allergen Extract Each - Fcurv	$70.00	$70.00	$37.80–$70.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Crab Ige	$84.00	$84.00	$45.36–$84.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Tuna Ige	$84.00	$84.00	$45.36–$84.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Lobster Ige	$84.00	$84.00	$45.36–$84.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Specific Ige	$84.00	$84.00	$45.36–$84.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Codfish Ige	$84.00	$84.00	$45.36–$84.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Shrimp Ige	$84.00	$84.00	$45.36–$84.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Antibody - CCP	$54.00	$54.00	$29.16–$54.00	75% below	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide Antibdy	$190.00	$190.00	$102.60–$190.00	13% below	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Antibody - CCP	$54.00	$54.00	$29.16–$54.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide Antibdy	$190.00	$190.00	$102.60–$190.00	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies - Ana (Antinuclear Antibodies)	$190.00	$190.00	$102.60–$190.00	37% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Ana (W/Ana2 Casc)	$190.00	$190.00	$102.60–$190.00	37% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies - Ana (Antinuclear Antibodies)	$190.00	$190.00	$102.60–$190.00	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Ana (W/Ana2 Casc)	$190.00	$190.00	$102.60–$190.00	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp)	$294.00	$294.00	$158.76–$294.00	53% below	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp)	$294.00	$294.00	$158.76–$294.00	—	—
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total - Bundled Charge	$205.00	$205.00	$110.70–$205.00	27% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel Calcium Total - Bundled Charge	$205.00	$205.00	$110.70–$205.00	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path,Level IV - Lab Surg Path,Level IV	$400.00	$400.00	$99.52–$400.00	35% below	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path,Level IV - Lab Surg Path,Level IV	$400.00	$400.00	$99.52–$400.00	—	—
Blood culture for bacteria CPT 87040 HC Culture, Blood	$276.00	$276.00	$149.04–$276.00	17% below	—
Blood culture for bacteria inpatient CPT 87040 HC Culture, Blood	$276.00	$276.00	$149.04–$276.00	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Venous Blood,Venipuncture - Bundle Charge	$52.00	$52.00	$28.08–$52.00	13% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Chg Collection Venous Blood,Venipuncture - Draw Charge	$52.00	$52.00	$28.08–$52.00	13% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC External Lab Kit Draw Fee	$100.00	$100.00	$54.00–$100.00	68% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Chg Collection Venous Blood,Venipuncture - Draw Charge	$52.00	$52.00	$28.08–$52.00	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Collection Venous Blood,Venipuncture - Bundle Charge	$52.00	$52.00	$28.08–$52.00	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC External Lab Kit Draw Fee	$100.00	$100.00	$54.00–$100.00	—	—
Blood glucose (sugar) test CPT 82947 HC Glucose, Plasma	$72.00	$72.00	$38.88–$72.00	59% below	—
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose, Plasma	$72.00	$72.00	$38.88–$72.00	—	—
Blood lead test CPT 83655 HC Lead (W/Hvy Metals Scrn)	$190.00	$190.00	$102.60–$190.00	28% below	—
Blood lead test CPT 83655 HC Assay of Lead - Lead Blood	$190.00	$190.00	$102.60–$190.00	28% below	—
Blood lead test inpatient CPT 83655 HC Lead (W/Hvy Metals Scrn)	$190.00	$190.00	$102.60–$190.00	—	—
Blood lead test inpatient CPT 83655 HC Assay of Lead - Lead Blood	$190.00	$190.00	$102.60–$190.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Pregnancy Test, Serum	$115.00	$115.00	$62.10–$115.00	50% below	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Pregnancy Test, Serum	$115.00	$115.00	$62.10–$115.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Abo Grp	$63.00	$63.00	$34.02–$223.90	55% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Abo/Rh Type	$63.00	$63.00	$34.02–$223.90	55% below	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Abo Grp	$63.00	$63.00	$34.02–$223.90	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Serologic Abo - Abo/Rh Type	$63.00	$63.00	$34.02–$223.90	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Prot'n (W/Prom-Ibd)	$111.00	$111.00	$59.94–$111.00	64% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein - C-Reactive Protein	$111.00	$111.00	$59.94–$111.00	64% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein - C-Reactive Protein	$111.00	$111.00	$59.94–$111.00	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Prot'n (W/Prom-Ibd)	$111.00	$111.00	$59.94–$111.00	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff, Amplif Probe Pcr	$478.00	$478.00	$258.12–$478.00	13% below	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C Diff, Amplif Probe Pcr	$478.00	$478.00	$258.12–$478.00	—	—
CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9	$179.00	$179.00	$96.66–$179.00	46% below	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9	$179.00	$179.00	$96.66–$179.00	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay, Tumor Antigen, Ca 125 - Ca 125	$175.00	$175.00	$94.50–$175.00	47% below	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassay, Tumor Antigen, Ca 125 - Ca 125	$175.00	$175.00	$94.50–$175.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid19 Abbott ID - POC Swab	$232.00	$232.00	$125.28–$232.00	72% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Sars-Cov-2 Rt Pcr	$232.00	$232.00	$125.28–$232.00	72% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Sars-Cov-2 Rt Pcr - Mayo	$244.00	$244.00	$131.76–$244.00	80% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid19 Abbott ID - POC Swab	$232.00	$232.00	$125.28–$232.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 HC Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Sars-Cov-2 Rt Pcr	$232.00	$232.00	$125.28–$232.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 HC Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Sars-Cov-2 Rt Pcr - Mayo	$244.00	$244.00	$131.76–$244.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr	$166.00	$166.00	$89.64–$166.00	65% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr	$166.00	$166.00	$89.64–$166.00	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Bundled Charge - Lmpp	$169.00	$169.00	$91.26–$169.00	15% below	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Bundled Charge	$244.00	$244.00	$131.76–$244.00	23% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel - Bundled Charge - Lmpp	$169.00	$169.00	$91.26–$169.00	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel - Bundled Charge	$244.00	$244.00	$131.76–$244.00	—	—
Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc & Auto Diff Wbc - Additional Charge	$119.00	$119.00	$64.26–$119.00	33% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 HC Complete Cbc & Auto Diff Wbc - Additional Charge	$119.00	$119.00	$64.26–$119.00	—	—
Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Cbc	$87.00	$87.00	$46.98–$87.00	56% below	—
Complete blood count (CBC), no differential inpatient CPT 85027 HC Complete Cbc - Cbc	$87.00	$87.00	$46.98–$87.00	—	—
Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Panel,Comprehensive - Bundled Charge	$253.00	$253.00	$136.62–$253.00	19% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Metabolic Panel,Comprehensive - Bundled Charge	$253.00	$253.00	$136.62–$253.00	—	—
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Dgradj Products D-Dimer Quantitative - Aathr	$63.00	$63.00	$34.02–$63.00	85% below	—
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative	$152.00	$152.00	$82.08–$152.00	64% below	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Fibrin Dgradj Products D-Dimer Quantitative - Aathr	$63.00	$63.00	$34.02–$63.00	—	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative	$152.00	$152.00	$82.08–$152.00	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate - Dhea-Sulfate	$185.00	$185.00	$99.90–$185.00	70% below	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dehydroepiandrosterone-Sulfate - Dhea-Sulfate	$185.00	$185.00	$99.90–$185.00	—	—
Estradiol blood test CPT 82670 HC Assay of Estradiol - Estradiol	$174.00	$174.00	$93.96–$174.00	61% below	—
Estradiol blood test CPT 82670 HC Estradiol (W/Estr-Free)	$174.00	$174.00	$93.96–$174.00	61% below	—
Estradiol blood test inpatient CPT 82670 HC Estradiol (W/Estr-Free)	$174.00	$174.00	$93.96–$174.00	—	—
Estradiol blood test inpatient CPT 82670 HC Assay of Estradiol - Estradiol	$174.00	$174.00	$93.96–$174.00	—	—
FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin (Fsh) - Fsh	$282.00	$282.00	$152.28–$282.00	5% below	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Gonadotropin (Fsh) - Fsh	$282.00	$282.00	$152.28–$282.00	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin Fecal	$356.00	$356.00	$192.24–$356.00	19% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin Fecal	$356.00	$356.00	$192.24–$356.00	—	—
Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin - Ferritin	$211.00	$211.00	$113.94–$211.00	3% below	—
Ferritin blood test (iron stores) inpatient CPT 82728 HC Assay of Ferritin - Ferritin	$211.00	$211.00	$113.94–$211.00	—	—
Folate (folic acid) blood test CPT 82746 HC Blood Folic Acid Serum - Folate	$235.00	$235.00	$126.90–$235.00	at median	—
Folate (folic acid) blood test inpatient CPT 82746 HC Blood Folic Acid Serum - Folate	$235.00	$235.00	$126.90–$235.00	—	—
Free T3 thyroid hormone test CPT 84481 HC Assay of Triiodothyronine T3 Free - T3fr	$106.00	$106.00	$57.24–$106.00	76% below	—
Free T3 thyroid hormone test CPT 84481 HC Triiodothyronine Free Assay (Ft-3) - T3 Free	$253.00	$253.00	$136.62–$253.00	42% below	—
Free T3 thyroid hormone test inpatient CPT 84481 HC Assay of Triiodothyronine T3 Free - T3fr	$106.00	$106.00	$57.24–$106.00	—	—
Free T3 thyroid hormone test inpatient CPT 84481 HC Triiodothyronine Free Assay (Ft-3) - T3 Free	$253.00	$253.00	$136.62–$253.00	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine - T4 Free	$141.00	$141.00	$76.14–$141.00	11% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Free T4 (W/Thyr Func Cascade)	$141.00	$141.00	$76.14–$141.00	11% below	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Assay of Free Thyroxine - T4 Free	$141.00	$141.00	$76.14–$141.00	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Free T4 (W/Thyr Func Cascade)	$141.00	$141.00	$76.14–$141.00	—	—
Free testosterone test CPT 84402 HC Assay of Testosterone - Testosterone Total Free	$66.00	$66.00	$35.64–$66.00	89% below	—
Free testosterone test CPT 84402 HC Testosterone (W/Free,Bioav)	$66.00	$66.00	$35.64–$66.00	89% below	—
Free testosterone test CPT 84402 HC Testosterone #2 (W/Free,Bioav)	$66.00	$66.00	$35.64–$66.00	89% below	—
Free testosterone test inpatient CPT 84402 HC Testosterone #2 (W/Free,Bioav)	$66.00	$66.00	$35.64–$66.00	—	—
Free testosterone test inpatient CPT 84402 HC Testosterone (W/Free,Bioav)	$66.00	$66.00	$35.64–$66.00	—	—
Free testosterone test inpatient CPT 84402 HC Assay of Testosterone - Testosterone Total Free	$66.00	$66.00	$35.64–$66.00	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel - Bundled Charge	$625.00	$625.00	$337.50–$625.00	52% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel - Bundled Charge	$625.00	$625.00	$337.50–$625.00	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose-Gestational Screen	$87.00	$87.00	$46.98–$87.00	56% below	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose-Gestational Screen	$87.00	$87.00	$46.98–$87.00	—	—
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) - Gtt 2 Hour	$115.00	$115.00	$62.10–$115.00	16% below	—
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) - Bundled Charge	$115.00	$115.00	$62.10–$115.00	16% below	—
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test (Gtt) - Gtt 2 Hour	$115.00	$115.00	$62.10–$115.00	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test (Gtt) - Bundled Charge	$115.00	$115.00	$62.10–$115.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.Gonorrhoeae, Dna, Amp Prob - Gc Dna Pcr	$164.00	$164.00	$88.56–$164.00	52% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.Gonorrhoeae, Dna, Amp Prob - Gc Dna Pcr	$164.00	$164.00	$88.56–$164.00	—	—
H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Igg	$160.00	$160.00	$86.40–$160.00	32% below	—
H. pylori antibody blood test inpatient CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Igg	$160.00	$160.00	$86.40–$160.00	—	—
H. pylori stool antigen test CPT 87338 HC Iaad Ia Hpylori Stool - H Pylori Antigen Stool	$316.00	$316.00	$170.64–$316.00	13% below	—
H. pylori stool antigen test inpatient CPT 87338 HC Iaad Ia Hpylori Stool - H Pylori Antigen Stool	$316.00	$316.00	$170.64–$316.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant by Pcr	$693.00	$693.00	$374.22–$693.00	16% below	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant by Pcr	$693.00	$693.00	$374.22–$693.00	—	—
HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv-1/Hiv-2, Single Assay - POCT Hiv-1 and Hiv-2 Antibodies	$177.00	$177.00	$95.58–$177.00	46% below	—
HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source)	$177.00	$177.00	$95.58–$177.00	46% below	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source)	$177.00	$177.00	$95.58–$177.00	—	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Hiv-1/Hiv-2, Single Assay - POCT Hiv-1 and Hiv-2 Antibodies	$177.00	$177.00	$95.58–$177.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test - Hemoglobin A1c	$152.00	$152.00	$82.08–$152.00	2% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test - POCT Glycated Hemoglobin, Total	$153.00	$153.00	$82.62–$153.00	2% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Glycosylated Hemoglobin Test - Hemoglobin A1c	$152.00	$152.00	$82.08–$152.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Glycosylated Hemoglobin Test - POCT Glycated Hemoglobin, Total	$153.00	$153.00	$82.62–$153.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surf Antibody Hbsab - Phepu	$94.00	$94.00	$50.76–$94.00	45% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis BS Ab, Qual	$260.00	$260.00	$140.40–$260.00	51% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody	$260.00	$260.00	$140.40–$260.00	51% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surf Antibody Hbsab - Phepu	$94.00	$94.00	$50.76–$94.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody	$260.00	$260.00	$140.40–$260.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis BS Ab, Qual	$260.00	$260.00	$140.40–$260.00	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Iaad Ia Hepatitis B Surface Antigen - Chsbp	$28.00	$28.00	$15.12–$28.00	82% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Iaad Ia Hepatitis B Surface Antigen - Ahep	$69.00	$69.00	$37.26–$69.00	57% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Phepu	$89.00	$89.00	$48.06–$89.00	44% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Antigen	$153.00	$153.00	$82.62–$153.00	4% below	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Iaad Ia Hepatitis B Surface Antigen - Chsbp	$28.00	$28.00	$15.12–$28.00	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Iaad Ia Hepatitis B Surface Antigen - Ahep	$69.00	$69.00	$37.26–$69.00	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Phepu	$89.00	$89.00	$48.06–$89.00	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Antigen	$153.00	$153.00	$82.62–$153.00	—	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody - Ahep	$95.00	$95.00	$51.30–$95.00	54% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody - Phepu	$124.00	$124.00	$66.96–$124.00	40% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody	$139.00	$139.00	$75.06–$139.00	32% below	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody - Ahep	$95.00	$95.00	$51.30–$95.00	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Antibody - Phepu	$124.00	$124.00	$66.96–$124.00	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody	$139.00	$139.00	$75.06–$139.00	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr	$693.00	$693.00	$374.22–$693.00	128% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr	$693.00	$693.00	$374.22–$693.00	—	—
Herpes blood test, HSV-1 antibody CPT 86695 Antibody Herpes Smplx Type 1 - Trchg	$101.00	$101.00	$54.54–$101.00	4% below	—
Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Test, Type 1 - Hsv 1 Igg Antibody	$137.00	$137.00	$73.98–$137.00	30% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Antibody Herpes Smplx Type 1 - Trchg	$101.00	$101.00	$54.54–$101.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Herpes Simplex Test, Type 1 - Hsv 1 Igg Antibody	$137.00	$137.00	$73.98–$137.00	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody	$131.00	$131.00	$70.74–$131.00	2% below	—
Herpes blood test, HSV-2 antibody CPT 86696 Antibody Herpes Smplx Type 2 - Trchg	$149.00	$149.00	$80.46–$149.00	12% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody	$131.00	$131.00	$70.74–$131.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Antibody Herpes Smplx Type 2 - Trchg	$149.00	$149.00	$80.46–$149.00	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein,High Sensitivity - High Sensitivity Crp	$115.00	$115.00	$62.10–$115.00	45% below	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein,High Sensitivity - High Sensitivity Crp	$115.00	$115.00	$62.10–$115.00	—	—
Homocysteine blood test CPT 83090 HC Assay of Homocystine - Homocysteine Total	$252.00	$252.00	$136.08–$252.00	7% below	—
Homocysteine blood test inpatient CPT 83090 HC Assay of Homocystine - Homocysteine Total	$252.00	$252.00	$136.08–$252.00	—	—
Insulin blood test CPT 83525 HC Assay of Insulin,Total - Insulin, Fasting	$181.00	$181.00	$97.74–$181.00	1% below	—
Insulin blood test inpatient CPT 83525 HC Assay of Insulin,Total - Insulin, Fasting	$181.00	$181.00	$97.74–$181.00	—	—
Iron blood test (serum iron) CPT 83540 HC Assay of Iron - Iron	$80.00	$80.00	$43.20–$80.00	65% below	—
Iron blood test (serum iron) inpatient CPT 83540 HC Assay of Iron - Iron	$80.00	$80.00	$43.20–$80.00	—	—
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test - Iron + Transferrin + Tibc	$80.00	$80.00	$43.20–$80.00	58% below	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Test - Iron + Transferrin + Tibc	$80.00	$80.00	$43.20–$80.00	—	—
Kidney function blood test panel CPT 80069 HC Renal Function Panel - Bundled Charge	$393.00	$393.00	$212.22–$393.00	at median	—
Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel - Bundled Charge	$393.00	$393.00	$212.22–$393.00	—	—
LH (luteinizing hormone) test CPT 83002 HC Gonadotropin (Lh) - Luteinizing Hormone	$282.00	$282.00	$152.28–$282.00	5% below	—
LH (luteinizing hormone) test inpatient CPT 83002 HC Gonadotropin (Lh) - Luteinizing Hormone	$282.00	$282.00	$152.28–$282.00	—	—
Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase - Lipase	$124.00	$124.00	$66.96–$124.00	55% below	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Assay of Lipase - Lipase	$124.00	$124.00	$66.96–$124.00	—	—
Liver function blood test panel CPT 80076 HC Hepatic Function Panel - Bundled Charge	$156.00	$156.00	$84.24–$156.00	44% below	—
Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel - Bundled Charge	$156.00	$156.00	$84.24–$156.00	—	—
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - POCT Lyme Disease Antibodies (Borrelia Burg)	$177.00	$177.00	$95.58–$177.00	34% below	—
Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Antibody - POCT Lyme Disease Antibodies (Borrelia Burg)	$177.00	$177.00	$95.58–$177.00	—	—
Magnesium blood test CPT 83735 Assay of Magnesium - Magru	$18.00	$18.00	$9.72–$18.00	83% below	—
Magnesium blood test CPT 83735 HC Magnesium, Serum or Urine	$115.00	$115.00	$62.10–$115.00	7% above	—
Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium 24hr Urine	$115.00	$115.00	$62.10–$115.00	7% above	—
Magnesium blood test CPT 83735 HC Assay of Magnesium - 80283	$121.00	$121.00	$65.34–$121.00	13% above	—
Magnesium blood test inpatient CPT 83735 Assay of Magnesium - Magru	$18.00	$18.00	$9.72–$18.00	—	—
Magnesium blood test inpatient CPT 83735 HC Magnesium, Serum or Urine	$115.00	$115.00	$62.10–$115.00	—	—
Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium - Magnesium 24hr Urine	$115.00	$115.00	$62.10–$115.00	—	—
Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium - 80283	$121.00	$121.00	$65.34–$121.00	—	—
Measles (rubeola) antibody test CPT 86765 HC Rubeola - Rubeola Antibody Igg	$136.00	$136.00	$73.44–$136.00	10% below	—
Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola - Rubeola Antibody Igg	$136.00	$136.00	$73.44–$136.00	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antibodies,Screen - Mononucleosis Screen	$85.00	$85.00	$45.90–$85.00	76% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Antibodies,Screen - Mononucleosis Screen	$85.00	$85.00	$45.90–$85.00	—	—
Obstetric blood test panel CPT 80055 HC Obstetric Panel - Bundled Charge	$508.00	$508.00	$274.32–$508.00	30% below	—
Obstetric blood test panel inpatient CPT 80055 HC Obstetric Panel - Bundled Charge	$508.00	$508.00	$274.32–$508.00	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa ,Free (W/Psa Free W Total)	$44.00	$44.00	$23.76–$44.00	85% below	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Psa ,Free (W/Psa Free W Total)	$44.00	$44.00	$23.76–$44.00	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa Total and Free	$267.00	$267.00	$144.18–$267.00	9% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa	$267.00	$267.00	$144.18–$267.00	9% below	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen,Total - Psa Total and Free	$267.00	$267.00	$144.18–$267.00	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen,Total - Psa	$267.00	$267.00	$144.18–$267.00	—	—
Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone - Pth Intact	$379.00	$379.00	$204.66–$379.00	36% below	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Assay of Parathormone - Pth Intact	$379.00	$379.00	$204.66–$379.00	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial Plasma/Whole Blood - Aathr	$37.00	$37.00	$19.98–$37.00	86% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood - Flupv	$60.00	$60.00	$32.40–$60.00	77% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Aptt	$105.00	$105.00	$56.70–$105.00	59% below	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplastin Time Partial Plasma/Whole Blood - Aathr	$37.00	$37.00	$19.98–$37.00	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood - Flupv	$60.00	$60.00	$32.40–$60.00	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplas Time Partial - Aptt	$105.00	$105.00	$56.70–$105.00	—	—
Progesterone blood test CPT 84144 HC Assay of Progesterone - Progesterone	$234.00	$234.00	$126.36–$234.00	6% below	—
Progesterone blood test inpatient CPT 84144 HC Assay of Progesterone - Progesterone	$234.00	$234.00	$126.36–$234.00	—	—
Prolactin blood test CPT 84146 HC Assay of Prolactin - Prolactin	$270.00	$270.00	$145.80–$270.00	13% below	—
Prolactin blood test inpatient CPT 84146 HC Assay of Prolactin - Prolactin	$270.00	$270.00	$145.80–$270.00	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Aathr	$27.00	$27.00	$14.58–$27.00	66% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Protime-Inr	$80.00	$80.00	$43.20–$80.00	at median	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time - Aathr	$27.00	$27.00	$14.58–$27.00	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time - Protime-Inr	$80.00	$80.00	$43.20–$80.00	—	—
Rapid flu test (influenza antigen) CPT 87804 Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu	$172.00	$172.00	$92.88–$172.00	27% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu	$172.00	$172.00	$92.88–$172.00	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a Assay W/Optic - Rapid Strep a Screen	$186.00	$186.00	$100.44–$186.00	22% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a Assay W/Optic - Rapid Strep a Screen	$186.00	$186.00	$100.44–$186.00	—	—
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor, Quant - Rheumatoid Factor	$89.00	$89.00	$48.06–$89.00	9% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor, Quant - Rheumatoid Factor	$89.00	$89.00	$48.06–$89.00	—	—
Rubella antibody test (immunity check) CPT 86762 HC Rubella Ab, Igg	$107.00	$107.00	$57.78–$107.00	54% below	—
Rubella antibody test (immunity check) CPT 86762 Antibody Rubella - Trchg	$110.00	$110.00	$59.40–$110.00	52% below	—
Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Ab, Igg	$107.00	$107.00	$57.78–$107.00	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Antibody Rubella - Trchg	$110.00	$110.00	$59.40–$110.00	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC Sed Rate, Auto - Sedimentation Rate, Automated	$64.00	$64.00	$34.56–$64.00	38% below	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC Sed Rate, Auto - Sedimentation Rate, Automated	$64.00	$64.00	$34.56–$64.00	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis,Volume, Count, Motility, Diff - Semen Analysis	$168.00	$168.00	$90.72–$168.00	12% below	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC Semen Analysis,Volume, Count, Motility, Diff - Semen Analysis	$168.00	$168.00	$90.72–$168.00	—	—
Stool ova and parasites exam CPT 87177 Ova&Parasites Direct Smears Concentration & ID - Ope	$28.00	$28.00	$15.12–$28.00	92% below	—
Stool ova and parasites exam CPT 87177 HC Ova and Parasites Smears - Ova and Parasite Examination	$133.00	$133.00	$71.82–$133.00	63% below	—
Stool ova and parasites exam inpatient CPT 87177 Ova&Parasites Direct Smears Concentration & ID - Ope	$28.00	$28.00	$15.12–$28.00	—	—
Stool ova and parasites exam inpatient CPT 87177 HC Ova and Parasites Smears - Ova and Parasite Examination	$133.00	$133.00	$71.82–$133.00	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult,by Peroxid,Feces,Single, Colorectal Screen - Occult Bld	$57.00	$57.00	$30.78–$57.00	1% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Feces - POCT Occult Blood Stool	$63.00	$63.00	$34.02–$63.00	9% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Blood Occult,by Peroxid,Feces,Single, Colorectal Screen - Occult Bld	$57.00	$57.00	$30.78–$57.00	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Feces - POCT Occult Blood Stool	$63.00	$63.00	$34.02–$63.00	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Occult Blood, Immunochemical	$216.00	$216.00	$116.64–$216.00	117% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Occult Blood, Immunochemical	$216.00	$216.00	$116.64–$216.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp	$179.00	$179.00	$96.66–$179.00	42% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl CSF	$179.00	$179.00	$96.66–$179.00	42% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp	$179.00	$179.00	$96.66–$179.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl CSF	$179.00	$179.00	$96.66–$179.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test, Cell Mediated Antigen Response,Gamma Interfron - TB Test	$280.00	$280.00	$151.20–$280.00	51% below	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB Test, Cell Mediated Antigen Response,Gamma Interfron - TB Test	$280.00	$280.00	$151.20–$280.00	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone - Testosterone	$383.00	$383.00	$206.82–$383.00	5% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testost,Total (W/Testo Fr/Ttl)	$383.00	$383.00	$206.82–$383.00	5% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone,Tot (W/Free,Bioa)	$383.00	$383.00	$206.82–$383.00	5% below	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Assay of Total Testosterone - Testosterone	$383.00	$383.00	$206.82–$383.00	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testost,Total (W/Testo Fr/Ttl)	$383.00	$383.00	$206.82–$383.00	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testosterone,Tot (W/Free,Bioa)	$383.00	$383.00	$206.82–$383.00	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody - Thyroid Peroxidase Antibody	$225.00	$225.00	$121.50–$225.00	27% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Liver/Kidney Microsome Type 1	$225.00	$225.00	$121.50–$225.00	27% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibody - Thyroid Peroxidase Antibody	$225.00	$225.00	$121.50–$225.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Liver/Kidney Microsome Type 1	$225.00	$225.00	$121.50–$225.00	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Tsh (Newborn Scrn)	$43.00	$43.00	$23.22–$43.00	84% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone	$256.00	$256.00	$138.24–$256.00	5% below	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Tsh (Newborn Scrn)	$43.00	$43.00	$23.22–$43.00	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone	$256.00	$256.00	$138.24–$256.00	—	—
Trichomonas test (NAAT) CPT 87661 HC Iadna Trichomonas Vaginalis Amplified Probe Tech - Fnsvg	$219.00	$219.00	$118.26–$219.00	199% above	—
Trichomonas test (NAAT) inpatient CPT 87661 HC Iadna Trichomonas Vaginalis Amplified Probe Tech - Fnsvg	$219.00	$219.00	$118.26–$219.00	—	—
Uric acid blood test CPT 84550 HC Assay of Uric Acid, Blood - Uric Acid	$77.00	$77.00	$41.58–$77.00	27% below	—
Uric acid blood test inpatient CPT 84550 HC Assay of Uric Acid, Blood - Uric Acid	$77.00	$77.00	$41.58–$77.00	—	—
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic	$96.00	$96.00	$51.84–$96.00	57% below	—
Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic	$96.00	$96.00	$51.84–$96.00	—	—
Urinalysis without microscope exam, automated CPT 81003 Urinalysis, Auto, W/O Scope - Urinalysis Chem Only	$52.00	$52.00	$28.08–$52.00	60% below	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis, Auto, W/O Scope - Urinalysis Chem Only	$52.00	$52.00	$28.08–$52.00	—	—
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test - Pregnancy Urine	$55.00	$55.00	$29.70–$55.00	46% below	—
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test - Pregnancy Urine	$55.00	$55.00	$29.70–$55.00	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 HC Vit B12 (W/B12/Folate Panel)	$261.00	$261.00	$140.94–$261.00	8% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12 - Vitamin B12	$261.00	$261.00	$140.94–$261.00	8% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Vit B12 (W/B12/Folate Panel)	$261.00	$261.00	$140.94–$261.00	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Vitamin B-12 - Vitamin B12	$261.00	$261.00	$140.94–$261.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Assay of Vit D,Calcifediol W Fractions, if Performed - Vitamin D 25	$212.00	$212.00	$114.48–$212.00	at median	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D, Total (Perf @ Avh)	$214.00	$214.00	$115.56–$214.00	1% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Assay of Vit D,Calcifediol W Fractions, if Performed - Vitamin D 25	$212.00	$212.00	$114.48–$212.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Vitamin D, Total (Perf @ Avh)	$214.00	$214.00	$115.56–$214.00	—	—
Zinc blood test CPT 84630 HC Assay of Zinc - Zinc	$178.00	$178.00	$96.12–$178.00	at median	—
Zinc blood test inpatient CPT 84630 HC Assay of Zinc - Zinc	$178.00	$178.00	$96.12–$178.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chorionic Gonadotropin, Quant - Hcg Quantitative Blood	$234.00	$234.00	$126.36–$234.00	51% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Chorionic Gonadotropin, Quant - Hcg Quantitative Blood	$234.00	$234.00	$126.36–$234.00	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 HC Removal of Adenoids	$1,255.00	$1,255.00	$677.70–$5,472.78	85% below	—
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 HC Removal of Adenoids	$1,255.00	$1,255.00	$677.70–$5,472.78	—	—
Balloon dilation of the maxillary sinus opening, one side CPT 31295 HC Sinus Endo W/ Balloon Dil	$9,772.00	$9,772.00	$5,276.88–$11,645.52	—	—
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 HC Sinus Endo W/ Balloon Dil	$9,772.00	$9,772.00	$5,276.88–$11,645.52	—	—
Botox injections for chronic migraine both sides CPT 64615 HC Muscle(S) Innervated by Facial, Trigeminal, Cervical Spinal and Accessory Nerves, Bilateral (Eg, for Chronic Migraine)	$865.00	$865.00	$467.10–$865.00	—	—
Botox injections for chronic migraine inpatient both sides CPT 64615 HC Muscle(S) Innervated by Facial, Trigeminal, Cervical Spinal and Accessory Nerves, Bilateral (Eg, for Chronic Migraine)	$865.00	$865.00	$467.10–$865.00	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast W Device 1st Lesion Stereotactic Guide	$2,752.00	$2,752.00	$1,486.08–$2,814.00	72% below	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Bx Breast W Device 1st Lesion Stereotactic Guide	$2,752.00	$2,752.00	$1,486.08–$2,814.00	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED RX DIST FIBULA FX - Facility Fee	$382.00	$382.00	$206.28–$412.38	31% below	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED RX DIST FIBULA FX - Facility Fee	$382.00	$382.00	$206.28–$412.38	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FX-METATARSAL; W/O MANIP, EA - Facility Fee	$297.00	$297.00	$160.38–$412.38	51% below	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 FX-METATARSAL; W/O MANIP, EA - Facility Fee	$297.00	$297.00	$160.38–$412.38	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, ELECTIVE;EXTERN - Facility Fee	$1,916.00	$1,916.00	$1,034.64–$1,916.00	50% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion, Elective;Extern	$1,924.00	$1,924.00	$1,038.96–$1,924.00	49% below	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION, ELECTIVE;EXTERN - Facility Fee	$1,916.00	$1,916.00	$1,034.64–$1,916.00	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion, Elective;Extern	$1,924.00	$1,924.00	$1,038.96–$1,924.00	—	—
Cataract surgery with lens implant CPT 66984 HC Cataract Surg W/Iol 1 Stage	$1,198.00	$1,198.00	$646.92–$4,158.32	81% below	—
Cataract surgery with lens implant CPT 66984 HC Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$4,432.00	$4,432.00	$2,393.28–$4,432.00	30% below	—
Cataract surgery with lens implant inpatient CPT 66984 HC Cataract Surg W/Iol 1 Stage	$1,198.00	$1,198.00	$646.92–$4,158.32	—	—
Cataract surgery with lens implant inpatient CPT 66984 HC Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$4,432.00	$4,432.00	$2,393.28–$4,432.00	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision, Newborn	$602.00	$602.00	$325.08–$3,585.98	48% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision, Newborn	$602.00	$602.00	$325.08–$3,585.98	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED RX DIST RAD/ULNA FX - Facility Fee	$418.00	$418.00	$225.72–$418.00	44% below	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED RX DIST RAD/ULNA FX - Facility Fee	$418.00	$418.00	$225.72–$418.00	—	—
Colonoscopy with polyp removal CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$2,402.00	$2,402.00	$1,297.08–$2,402.00	3% above	—
Colonoscopy with polyp removal inpatient CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$2,402.00	$2,402.00	$1,297.08–$2,402.00	—	—
Colonoscopy with tissue sample CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple	$2,112.00	$2,112.00	$1,140.48–$2,112.00	8% below	—
Colonoscopy with tissue sample inpatient CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple	$2,112.00	$2,112.00	$1,140.48–$2,112.00	—	—
Colonoscopy, diagnostic CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$1,760.00	$1,760.00	$950.40–$1,760.00	10% below	—
Colonoscopy, diagnostic inpatient CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$1,760.00	$1,760.00	$950.40–$1,760.00	—	—
Complex cataract surgery with lens implant CPT 66982 HC Cataract Surgery Complex	$1,615.00	$1,615.00	$872.10–$4,158.32	—	—
Complex cataract surgery with lens implant CPT 66982 HC Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp	$4,453.00	$4,453.00	$2,404.62–$4,453.00	—	—
Complex cataract surgery with lens implant inpatient CPT 66982 HC Cataract Surgery Complex	$1,615.00	$1,615.00	$872.10–$4,158.32	—	—
Complex cataract surgery with lens implant inpatient CPT 66982 HC Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp	$4,453.00	$4,453.00	$2,404.62–$4,453.00	—	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HC Create Eardrum Opening	$969.00	$969.00	$523.26–$2,705.58	37% below	—
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 HC Create Eardrum Opening	$969.00	$969.00	$523.26–$2,705.58	—	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT - Facility Fee	$164.00	$164.00	$88.56–$164.00	34% above	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT - Facility Fee	$164.00	$164.00	$88.56–$164.00	—	—
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT - Facility Fee	$154.00	$154.00	$83.16–$154.00	16% below	—
Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT - Facility Fee	$154.00	$154.00	$83.16–$154.00	—	—
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 HC Removal of Ethmoid Sinus	$3,423.00	$3,423.00	$1,848.42–$11,645.52	—	—
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 HC Removal of Ethmoid Sinus	$3,423.00	$3,423.00	$1,848.42–$11,645.52	—	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 HC Exploration Maxillary Sinus	$1,835.00	$1,835.00	$990.90–$6,196.04	—	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 HC Exploration Maxillary Sinus	$1,835.00	$1,835.00	$990.90–$6,196.04	—	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 HC Endoscopy Maxillary Sinus	$2,997.00	$2,997.00	$1,618.38–$11,645.52	71% below	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 HC Endoscopy Maxillary Sinus	$2,997.00	$2,997.00	$1,618.38–$11,645.52	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$1,733.00	$1,733.00	$935.82–$1,733.00	14% below	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$1,733.00	$1,733.00	$935.82–$1,733.00	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1st Level	$3,105.00	$3,105.00	$1,644.92–$3,105.00	2% below	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1st Level	$3,105.00	$3,105.00	$1,644.92–$3,105.00	—	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 HC Rpr Aa Hernia 1st 3-10 Cm Reducible	$2,849.00	$2,849.00	$1,538.46–$2,849.00	69% below	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 HC Rpr Aa Hernia 1st 3-10 Cm Reducible	$2,849.00	$2,849.00	$1,538.46–$2,849.00	—	—
First repair of a front abdominal hernia larger than 10 cm CPT 49595 HC Rpr Aa Hernia 1st > 10 Cm Reducible	$3,830.00	$3,830.00	$2,068.20–$3,830.00	64% below	—
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 HC Rpr Aa Hernia 1st > 10 Cm Reducible	$3,830.00	$3,830.00	$2,068.20–$3,830.00	—	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 HC Rpr Aa Hernia 1st < 3 Cm Reducible	$1,706.00	$1,706.00	$921.24–$1,706.00	78% below	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 HC Rpr Aa Hernia 1st < 3 Cm Reducible	$1,706.00	$1,706.00	$921.24–$1,706.00	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$710.00	$710.00	$383.40–$1,587.30	50% below	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$710.00	$710.00	$383.40–$1,587.30	—	—
Gallbladder removal, laparoscopic CPT 47562 HC Laparoscopy Surg Cholecystectomy	$4,462.00	$4,462.00	$2,409.48–$10,120.88	71% below	—
Gallbladder removal, laparoscopic inpatient CPT 47562 HC Laparoscopy Surg Cholecystectomy	$4,462.00	$4,462.00	$2,409.48–$10,120.88	—	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC Laps Surg Cholecystectomy W/Cholangiography	$4,843.00	$4,843.00	$2,615.22–$10,120.88	68% below	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC Laps Surg Cholecystectomy W/Cholangiography	$4,843.00	$4,843.00	$2,615.22–$10,120.88	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 HC Hemorrhoidectomy Internal Rubber Band Ligations	$1,199.00	$1,199.00	$647.46–$1,587.30	50% below	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC Hemorrhoidectomy Internal Rubber Band Ligations	$1,199.00	$1,199.00	$647.46–$1,587.30	—	—
Hemorrhoidectomy (internal and external), one area CPT 46255 HC Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$2,289.00	$2,289.00	$1,236.06–$4,886.78	32% below	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$2,289.00	$2,289.00	$1,236.06–$4,886.78	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 DRAIN SKIN ABSCESS SIMPLE - Facility Fee	$285.00	$285.00	$153.90–$359.10	3% below	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAIN SKIN ABSCESS SIMPLE - Facility Fee	$285.00	$285.00	$153.90–$359.10	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$3,023.00	$3,023.00	$1,632.42–$6,366.82	71% below	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$3,023.00	$3,023.00	$1,632.42–$6,366.82	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inj;Tendon Sheath,Ligament	$811.00	$811.00	$437.94–$811.00	15% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ;TENDON SHEATH,LIGAMENT - Facility Fee	$823.00	$823.00	$444.42–$823.00	14% below	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Inj;Tendon Sheath,Ligament	$811.00	$811.00	$437.94–$811.00	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ;TENDON SHEATH,LIGAMENT - Facility Fee	$823.00	$823.00	$444.42–$823.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US - Facility Fee	$103.00	$103.00	$55.62–$522.34	89% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$412.00	$412.00	$222.48–$522.34	55% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US - Facility Fee	$103.00	$103.00	$55.62–$522.34	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$412.00	$412.00	$222.48–$522.34	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US - Facility Fee	$84.00	$84.00	$45.36–$522.34	89% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$402.00	$402.00	$217.08–$522.34	49% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US - Facility Fee	$84.00	$84.00	$45.36–$522.34	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$402.00	$402.00	$217.08–$522.34	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US - Facility Fee	$71.00	$71.00	$38.34–$522.34	87% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$406.00	$406.00	$219.24–$522.34	26% below	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US - Facility Fee	$71.00	$71.00	$38.34–$522.34	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$406.00	$406.00	$219.24–$522.34	—	—
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm	$10,392.00	$10,392.00	$5,611.68–$10,392.00	—	—
Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm	$10,392.00	$10,392.00	$5,611.68–$10,392.00	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC Laparoscopic Appendectomy	$3,594.00	$3,594.00	$1,940.76–$10,120.88	32% below	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC Laparoscopic Appendectomy	$3,594.00	$3,594.00	$1,940.76–$10,120.88	—	—
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 HC Laps Surg Esopg/Gstr Fundoplasty	$6,683.00	$6,683.00	$3,608.82–$17,815.32	—	—
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 HC Laps Surg Esopg/Gstr Fundoplasty	$6,683.00	$6,683.00	$3,608.82–$17,815.32	—	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HC Laparoscopy Surg Rpr Initial Inguinal Hernia	$2,863.00	$2,863.00	$1,546.02–$10,120.88	at median	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HC Laparoscopy Surg Rpr Initial Inguinal Hernia	$2,863.00	$2,863.00	$1,546.02–$10,120.88	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 HC Laps Surg Rpr Recurrent Inguinal Hernia	$3,507.00	$3,507.00	$1,893.78–$10,120.88	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 HC Laps Surg Rpr Recurrent Inguinal Hernia	$3,507.00	$3,507.00	$1,893.78–$10,120.88	—	—
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy	$8,320.00	$8,320.00	$4,492.80–$8,320.00	—	—
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy	$8,320.00	$8,320.00	$4,492.80–$8,320.00	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM - Facility Fee	$364.00	$364.00	$196.56–$691.68	24% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM - Facility Fee	$364.00	$364.00	$196.56–$691.68	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,728.00	$1,728.00	$933.12–$1,728.00	8% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,728.00	$1,728.00	$933.12–$1,728.00	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level	$2,898.00	$2,898.00	$1,564.92–$2,898.00	at median	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level	$2,898.00	$2,898.00	$1,564.92–$2,898.00	—	—
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr	$8,334.00	$8,334.00	$4,500.36–$12,529.90	4% above	—
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr	$8,334.00	$8,334.00	$4,500.36–$12,529.90	—	—
Lumpectomy (partial mastectomy) CPT 19301 HC Mastectomy Partial	$3,496.00	$3,496.00	$1,887.84–$6,315.48	at median	—
Lumpectomy (partial mastectomy) inpatient CPT 19301 HC Mastectomy Partial	$3,496.00	$3,496.00	$1,887.84–$6,315.48	—	—
Mastectomy (total removal of the breast) CPT 19303 HC Mastectomy Simple Complete	$5,332.00	$5,332.00	$2,879.28–$11,067.88	at median	—
Mastectomy (total removal of the breast) inpatient CPT 19303 HC Mastectomy Simple Complete	$5,332.00	$5,332.00	$2,879.28–$11,067.88	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$458.00	$458.00	$247.32–$1,243.94	64% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$458.00	$458.00	$247.32–$1,243.94	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Les Face, Ears,Lid, to .5cm	$452.00	$452.00	$244.08–$1,243.94	51% below	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC Les Face, Ears,Lid, to .5cm	$452.00	$452.00	$244.08–$1,243.94	—	—
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE - Facility Fee	$326.00	$326.00	$176.04–$359.10	12% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE - Facility Fee	$326.00	$326.00	$176.04–$359.10	—	—
Occipital nerve block (injection for headaches) CPT 64405 HC Inject Nerv Blck,Great Occiptl	$754.00	$754.00	$407.16–$754.00	37% below	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Inject Nerv Blck,Great Occiptl	$754.00	$754.00	$407.16–$754.00	—	—
Paracentesis with imaging guidance CPT 49083 ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE - Facility Fee	$2,515.00	$2,515.00	$1,358.10–$2,515.00	64% above	—
Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W US Imaging Guidance	$2,550.00	$2,550.00	$1,377.00–$2,550.00	66% above	—
Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W CT Imaging Guidance	$4,179.00	$4,179.00	$1,619.20–$4,179.00	172% above	—
Paracentesis with imaging guidance inpatient CPT 49083 ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE - Facility Fee	$2,515.00	$2,515.00	$1,358.10–$2,515.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 HC Abdom Paracentesis Dx/Ther W US Imaging Guidance	$2,550.00	$2,550.00	$1,377.00–$2,550.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 HC Abdom Paracentesis Dx/Ther W CT Imaging Guidance	$4,179.00	$4,179.00	$1,619.20–$4,179.00	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED - Facility Fee	$265.00	$265.00	$143.10–$691.68	60% below	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED - Facility Fee	$265.00	$265.00	$143.10–$691.68	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Rhizotomy, L/S Facet,Single	$4,798.00	$4,798.00	$2,590.92–$4,798.00	5% below	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Rhizotomy, L/S Facet,Single	$4,798.00	$4,798.00	$2,590.92–$4,798.00	—	—
Removal of a breast lump, open surgery CPT 19120 HC Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$2,184.00	$2,184.00	$1,179.36–$6,315.48	2% below	—
Removal of a breast lump, open surgery inpatient CPT 19120 HC Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$2,184.00	$2,184.00	$1,179.36–$6,315.48	—	—
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SIMPLE - Facility Fee	$293.00	$293.00	$158.22–$691.68	9% below	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY SIMPLE - Facility Fee	$293.00	$293.00	$158.22–$691.68	—	—
Removal of one lobe of the thyroid (lobectomy) CPT 60220 HC Partial Removal of Thyroid	$4,326.00	$4,326.00	$2,336.04–$10,120.88	at median	—
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 HC Partial Removal of Thyroid	$4,326.00	$4,326.00	$2,336.04–$10,120.88	—	—
Septoplasty to straighten the nasal septum CPT 30520 HC Repair of Nasal Septum	$3,979.00	$3,979.00	$2,148.66–$5,472.78	9% above	—
Septoplasty to straighten the nasal septum inpatient CPT 30520 HC Repair of Nasal Septum	$3,979.00	$3,979.00	$2,148.66–$5,472.78	—	—
Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST - Facility Fee	$182.00	$182.00	$98.28–$482.34	60% below	—
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST - Facility Fee	$182.00	$182.00	$98.28–$482.34	—	—
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT,STATIC - Facility Fee	$298.00	$298.00	$160.92–$298.00	38% below	—
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT,STATIC - Facility Fee	$298.00	$298.00	$160.92–$298.00	—	—
Short leg cast (below the knee) CPT 29405 HC Apply Short Leg Cast	$408.00	$408.00	$146.46–$482.34	at median	—
Short leg cast (below the knee) inpatient CPT 29405 HC Apply Short Leg Cast	$408.00	$408.00	$146.46–$482.34	—	—
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT - Facility Fee	$295.00	$295.00	$159.30–$295.00	29% above	—
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT - Facility Fee	$295.00	$295.00	$159.30–$295.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RESUPERF WND BODY <2.5CM - Facility Fee	$218.00	$218.00	$117.72–$359.10	47% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RESUPERF WND BODY <2.5CM - Facility Fee	$218.00	$218.00	$117.72–$359.10	—	—
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion	$644.00	$644.00	$347.76–$691.68	19% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Skin Single Lesion	$644.00	$644.00	$347.76–$691.68	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<	$688.00	$688.00	$371.52–$1,243.94	67% below	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<	$688.00	$688.00	$371.52–$1,243.94	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture,Lumbar,Diagnostic	$1,912.00	$1,912.00	$1,032.48–$1,912.00	73% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC - Facility Fee	$1,913.00	$1,913.00	$1,033.02–$1,913.00	73% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture,Lumbar,Diagnostic	$1,912.00	$1,912.00	$1,032.48–$1,912.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC - Facility Fee	$1,913.00	$1,913.00	$1,033.02–$1,913.00	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RESUP NPTERF WND BODY 2.6-7.5 CM - Facility Fee	$290.00	$290.00	$156.60–$359.10	35% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RESUP NPTERF WND BODY 2.6-7.5 CM - Facility Fee	$290.00	$290.00	$156.60–$359.10	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RESUPERF WND FACE <2.5 CM - Facility Fee	$227.00	$227.00	$122.58–$359.10	41% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RESUPERF WND FACE <2.5 CM - Facility Fee	$227.00	$227.00	$122.58–$359.10	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Bx Skin Single Les	$254.00	$254.00	$137.16–$359.10	35% below	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Bx Skin Single Les	$254.00	$254.00	$137.16–$359.10	—	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING - Facility Fee	$2,152.00	$2,152.00	$1,083.24–$2,152.00	at median	—
Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging	$2,162.00	$2,162.00	$1,083.24–$2,162.00	at median	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING - Facility Fee	$2,152.00	$2,152.00	$1,083.24–$2,152.00	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging	$2,162.00	$2,162.00	$1,083.24–$2,162.00	—	—
Tonsil and adenoid removal, age 12 or older CPT 42821 HC Remove Tonsils Adenoids >12yo	$1,656.00	$1,656.00	$894.24–$5,472.78	80% below	—
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 HC Remove Tonsils Adenoids >12yo	$1,656.00	$1,656.00	$894.24–$5,472.78	—	—
Tonsil and adenoid removal, child under 12 CPT 42820 HC Remove Tonsils Adenoids <12yro	$1,562.00	$1,562.00	$843.48–$10,172.10	90% below	—
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 HC Remove Tonsils Adenoids <12yro	$1,562.00	$1,562.00	$843.48–$10,172.10	—	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 HC Removal of Tonsils > 12yr Old	$1,565.00	$1,565.00	$845.10–$5,472.78	81% below	—
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 HC Removal of Tonsils > 12yr Old	$1,565.00	$1,565.00	$845.10–$5,472.78	—	—
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy Primary/Secondary <Age 12	$1,542.00	$1,542.00	$832.68–$10,172.10	81% below	—
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 Tonsillectomy Primary/Secondary <Age 12	$1,542.00	$1,542.00	$832.68–$10,172.10	—	—
Total thyroid removal (thyroidectomy) CPT 60240 HC Thyroidectomy, Total or Complete	$5,574.00	$5,574.00	$3,009.96–$10,120.88	—	—
Total thyroid removal (thyroidectomy) inpatient CPT 60240 HC Thyroidectomy, Total or Complete	$5,574.00	$5,574.00	$3,009.96–$10,120.88	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJECT TRIGGER POINT, 1 OR 2 - Facility Fee	$530.00	$530.00	$286.20–$530.00	5% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 HC Inject Trigger Point, 1 or 2	$719.00	$719.00	$388.26–$719.00	42% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECT TRIGGER POINT, 1 OR 2 - Facility Fee	$530.00	$530.00	$286.20–$530.00	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inject Trigger Point, 1 or 2	$719.00	$719.00	$388.26–$719.00	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W Device 1st Lesion Ultrasound Guide	$2,829.00	$2,829.00	$1,527.66–$2,829.00	48% below	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast W Device 1st Lesion Ultrasound Guide	$2,829.00	$2,829.00	$1,527.66–$2,829.00	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC Egd Balloon Dilation Esophagus <30 Mm Diam	$1,655.00	$1,655.00	$893.70–$3,250.04	30% below	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC Egd Balloon Dilation Esophagus <30 Mm Diam	$1,655.00	$1,655.00	$893.70–$3,250.04	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Transoral Biopsy Single/Multiple	$1,646.00	$1,646.00	$888.84–$1,646.00	15% below	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC Egd Transoral Biopsy Single/Multiple	$1,646.00	$1,646.00	$888.84–$1,646.00	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC Egd Removal Tumor Polyp/Other Lesion Snare Tech	$1,851.00	$1,851.00	$999.54–$3,250.04	37% below	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC Egd Removal Tumor Polyp/Other Lesion Snare Tech	$1,851.00	$1,851.00	$999.54–$3,250.04	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic	$1,481.00	$1,481.00	$799.74–$1,619.20	24% below	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic	$1,481.00	$1,481.00	$799.74–$1,619.20	—	—
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$1,918.00	$1,918.00	$1,035.72–$3,585.98	—	—
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$1,918.00	$1,918.00	$1,035.72–$3,585.98	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM - Facility Fee	$76.00	$76.00	$41.04–$691.68	86% below	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM - Facility Fee	$76.00	$76.00	$41.04–$691.68	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Transfusion Blood/Blood Components	$173.00	$173.00	$93.42–$794.12	90% below	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Service	$1,336.00	$1,336.00	$721.44–$1,336.00	23% below	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transfusion Blood/Blood Components	$173.00	$173.00	$93.42–$794.12	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Service	$1,336.00	$1,336.00	$721.44–$1,336.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Rt Inhalation Treatment	$188.00	$188.00	$101.52–$375.76	63% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Inhalation Treatment - Subsequent	$188.00	$188.00	$101.52–$375.76	63% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Rt Inhalation Treatment	$188.00	$188.00	$101.52–$375.76	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC Rt Inhalation Treatment - Subsequent	$188.00	$188.00	$101.52–$375.76	—	—
Chemotherapy IV infusion, first hour CPT 96413 HC Chemother, IV Infusion, 1 Hr	$1,250.00	$1,250.00	$621.50–$1,250.00	3% below	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemother, IV Infusion, 1 Hr	$1,250.00	$1,250.00	$621.50–$1,250.00	—	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE, E/M 30-74 MINUTES - Facility Fee	$4,476.00	$4,476.00	$1,385.36–$4,476.00	74% below	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE, E/M 30-74 MINUTES - Facility Fee	$4,476.00	$4,476.00	$1,385.36–$4,476.00	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg,W/Awake & Drowsy Record - Eeg Awake or Drowsy Portable	$810.00	$810.00	$437.40–$810.00	77% below	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg,W/Awake & Drowsy Record - Eeg Awake or Drowsy Portable	$810.00	$810.00	$437.40–$810.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram, Tracing	$312.00	$312.00	$111.32–$312.00	51% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram, Tracing	$312.00	$312.00	$111.32–$312.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB - Facility Fee	$681.00	$681.00	$145.20–$681.00	73% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB - Facility Fee	$681.00	$681.00	$145.20–$681.00	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY - Facility Fee	$963.00	$963.00	$263.18–$963.00	47% below	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY - Facility Fee	$963.00	$963.00	$263.18–$963.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY - Facility Fee	$1,199.00	$1,199.00	$463.20–$1,199.00	62% below	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY - Facility Fee	$1,199.00	$1,199.00	$463.20–$1,199.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY - Facility Fee	$2,040.00	$2,040.00	$727.48–$2,040.00	74% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY - Facility Fee	$2,040.00	$2,040.00	$727.48–$2,040.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC - Facility Fee	$2,527.00	$2,527.00	$1,044.24–$2,527.00	84% below	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC - Facility Fee	$2,527.00	$2,527.00	$1,044.24–$2,527.00	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Exercise or Chemical Stress Tst,Tracing - Stress Test Only	$705.00	$705.00	$380.70–$705.00	81% below	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiac Exercise or Chemical Stress Tst,Tracing - Stress Test Only	$705.00	$705.00	$380.70–$705.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion, Hydration, 31-60 Min	$261.00	$261.00	$140.94–$407.00	72% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infusion, Hydration, 31-60 Min	$261.00	$261.00	$140.94–$407.00	—	—
IV infusion of a medicine, first hour CPT 96365 IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour	$547.00	$547.00	$295.38–$547.00	39% below	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour	$547.00	$547.00	$295.38–$547.00	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection,Therap/Proph/Diagnost, Im or Subcut	$97.00	$97.00	$52.38–$123.94	53% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Neulasta Inj Kit W Chemo Infus	$98.00	$98.00	$52.92–$123.94	53% below	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection,Therap/Proph/Diagnost, Im or Subcut	$97.00	$97.00	$52.38–$123.94	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Neulasta Inj Kit W Chemo Infus	$98.00	$98.00	$52.92–$123.94	—	—
Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min	$140.00	$140.00	$75.60–$140.00	12% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min	$140.00	$140.00	$75.60–$146.46	12% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min	$140.00	$140.00	$75.60–$140.00	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min	$140.00	$140.00	$75.60–$146.46	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT FACILITY FEE - Facility Fee	$212.00	$212.00	$114.48–$212.00	49% below	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT FACILITY FEE - Facility Fee	$212.00	$212.00	$114.48–$212.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Med Nutr Ther, 1st, Indiv, Ea 15 Min	$84.00	$84.00	$45.36–$84.00	8% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Med Nutr Ther, 1st, Indiv, Ea 15 Min	$84.00	$84.00	$45.36–$84.00	—	—
Occupational therapy evaluation, low complexity CPT 97165 Ot Occupational Therapy Eval Low Complex 30 Mins	$314.00	$314.00	$169.56–$314.00	52% below	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Occupational Therapy Eval Low Complex 30 Mins	$314.00	$314.00	$169.56–$314.00	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Physical Therapy Evaluation High Complex 45 Mins	$321.00	$321.00	$146.46–$321.00	51% below	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Physical Therapy Evaluation High Complex 45 Mins	$321.00	$321.00	$146.46–$321.00	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Physical Therapy Evaluation Low Complex 20 Mins	$306.00	$306.00	$146.46–$306.00	53% below	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Physical Therapy Evaluation Low Complex 20 Mins	$306.00	$306.00	$146.46–$306.00	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Physical Therapy Evaluation Mod Complex 30 Mins	$315.00	$315.00	$146.46–$315.00	52% below	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Physical Therapy Evaluation Mod Complex 30 Mins	$315.00	$315.00	$146.46–$315.00	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THER TECH,1+REGIONS,EA 15 MIN - Facility Fee	$152.00	$152.00	$82.08–$152.00	22% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THER TECH,1+REGIONS,EA 15 MIN - Facility Fee	$152.00	$152.00	$82.08–$152.00	22% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THER TECH,1+REGIONS,EA 15 MIN - Facility Fee	$152.00	$152.00	$82.08–$152.00	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THER TECH,1+REGIONS,EA 15 MIN - Facility Fee	$152.00	$152.00	$82.08–$152.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Therapeutic Exercises	$140.00	$140.00	$75.60–$146.46	5% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Therapeutic Exercises	$140.00	$140.00	$75.60–$140.00	5% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Therapeutic Exercises	$140.00	$140.00	$75.60–$146.46	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Therapeutic Exercises	$140.00	$140.00	$75.60–$140.00	—	—
Psychiatric evaluation with medical services CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services	$603.00	$603.00	$267.26–$603.00	22% below	—
Psychiatric evaluation with medical services inpatient CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services	$603.00	$603.00	$267.26–$603.00	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E/M LEV 3 FACILITY - Facility Fee	$335.00	$335.00	$180.90–$335.00	13% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ER LEVEL 2 FACILITY FEE - Facility Fee	$367.00	$367.00	$198.18–$367.00	24% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E/M LEV 3 FACILITY - Facility Fee	$335.00	$335.00	$180.90–$335.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ER LEVEL 2 FACILITY FEE - Facility Fee	$367.00	$367.00	$198.18–$367.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ER LEVEL 3 FACILITY FEE - Facility Fee	$576.00	$576.00	$311.04–$576.00	88% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ER LEVEL 3 FACILITY FEE - Facility Fee	$576.00	$576.00	$311.04–$576.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PT FACILITY FEE - Facility Fee	$217.00	$217.00	$117.18–$217.00	8% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OP Level 2 Established Pt	$281.00	$281.00	$151.74–$281.00	20% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT BRIEF LEV2 30 MIN - Facility Fee	$380.00	$380.00	$205.20–$380.00	62% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Level 2 OB Facility Fee	$821.00	$821.00	$443.34–$821.00	249% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB PT FACILITY FEE - Facility Fee	$217.00	$217.00	$117.18–$217.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OP Level 2 Established Pt	$281.00	$281.00	$151.74–$281.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT BRIEF LEV2 30 MIN - Facility Fee	$380.00	$380.00	$205.20–$380.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Level 2 OB Facility Fee	$821.00	$821.00	$443.34–$821.00	—	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC Office Consultation New/Estab Patient 40 Min	$655.00	$655.00	$353.70–$655.00	212% above	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC Office Consultation New/Estab Patient 40 Min	$655.00	$655.00	$353.70–$655.00	—	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC Office Consultation New/Estab Patient 60 Min	$985.00	$985.00	$531.90–$985.00	227% above	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC Office Consultation New/Estab Patient 60 Min	$985.00	$985.00	$531.90–$985.00	—	—
Speech and language evaluation CPT 92523 HC Slp Eval Speech Sound Product Language Comprehension	$367.00	$367.00	$198.18–$367.00	3% below	—
Speech and language evaluation inpatient CPT 92523 HC Slp Eval Speech Sound Product Language Comprehension	$367.00	$367.00	$198.18–$367.00	—	—
Speech therapy session, individual CPT 92507 HC Slp Speech/Hearing Therapy, Individual	$328.00	$328.00	$177.12–$328.00	23% below	—
Speech therapy session, individual inpatient CPT 92507 HC Slp Speech/Hearing Therapy, Individual	$328.00	$328.00	$177.12–$328.00	—	—
Spirometry (breathing test) CPT 94010 HC Breathing Capacity Test - Office Spirometry	$256.00	$256.00	$138.24–$279.10	63% below	—
Spirometry (breathing test) inpatient CPT 94010 HC Breathing Capacity Test - Office Spirometry	$256.00	$256.00	$138.24–$279.10	—	—
Spirometry before and after a bronchodilator CPT 94060 HC Eval of Bronchospasm - Spirometry With Bronchodilator	$553.00	$553.00	$298.62–$553.00	4% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 HC Eval of Bronchospasm - Spirometry With Bronchodilator	$553.00	$553.00	$298.62–$553.00	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeut Actvity Direct Pt Contact Each 15 Min	$105.00	$105.00	$56.70–$146.46	15% below	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeut Actvity Direct Pt Contact Each 15 Min	$106.00	$106.00	$57.24–$106.00	14% below	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pt Therapeut Actvity Direct Pt Contact Each 15 Min	$105.00	$105.00	$56.70–$146.46	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Therapeut Actvity Direct Pt Contact Each 15 Min	$106.00	$106.00	$57.24–$106.00	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy	$207.00	$207.00	$111.78–$223.90	77% below	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy	$207.00	$207.00	$111.78–$223.90	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY	$574.35	$574.35	$310.15–$574.35	at median	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY	$574.35	$574.35	$310.15–$574.35	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$102.29	$102.29	$55.24–$102.29	30% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$102.29	$102.29	$55.24–$102.29	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY	$310.84	$310.84	$167.85–$310.84	47% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY	$310.84	$310.84	$167.85–$310.84	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$866.00	$866.00	$467.64–$866.00	8% below	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$866.00	$866.00	$467.64–$866.00	—	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$1,299.38	$1,299.38	$701.67–$1,299.38	28% below	—
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$1,299.38	$1,299.38	$701.67–$1,299.38	—	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$1,046.54	$1,046.54	$565.13–$1,046.54	50% below	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$1,046.54	$1,046.54	$565.13–$1,046.54	—	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSY	$826.64	$826.64	$446.39–$826.64	123% above	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSY	$826.64	$826.64	$446.39–$826.64	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vaccine Prsrv Free >7 Yrs, Im	$77.00	$77.00	$41.58–$77.00	77% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$213.73	$213.73	$115.41–$213.73	35% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Vaccine Prsrv Free >7 Yrs, Im	$77.00	$77.00	$41.58–$77.00	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$213.73	$213.73	$115.41–$213.73	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine >7 Yo, Im	$215.00	$215.00	$116.10–$215.00	32% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$242.08	$242.08	$130.72–$242.08	24% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine >7 Yo, Im	$215.00	$215.00	$116.10–$215.00	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$242.08	$242.08	$130.72–$242.08	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immuniz Admin,1 Single/Comb Vac/Toxoid	$106.00	$106.00	$57.24–$123.94	8% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immuniz Admin,1 Single/Comb Vac/Toxoid	$106.00	$106.00	$57.24–$123.94	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immuniz,Admin,Each Addl	$106.00	$106.00	$57.24–$106.00	24% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immuniz,Admin,Each Addl	$106.00	$106.00	$57.24–$106.00	—	—

Source file: https://aspen-valley-health-cms-hpt.s3.us-east-1.amazonaws.com/840720309_Aspen-Valley-Hospital-District_standardcharges.csv