Hospital Las Vegas, NM

Alta Vista Regional Hospital

Listed in its price file as “San Miguel Hospital Corporation”.

Alta Vista Regional Hospital in Las Vegas, NM publishes cash prices for 223 common procedures listed here, from its own machine-readable price file updated Apr 16, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New Mexico median for 163 of 222 procedures and below it for 45. By typical cash price it ranks #8 of 11 New Mexico hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

104 LEGION DRIVE,LAS VEGAS,NM,87701-4804 Collected Sep 27, 2026 Source price file (505) 426-3930

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 321312 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE	$374.82	$749.64	$73.12–$749.64	13% above	50%
Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS CR	$374.82	$749.64	$73.12–$749.64	13% above	50%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-RAY EXAM OF ANKLE	$374.82	$749.64	$73.12–$749.64	—	50%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS CR	$374.82	$749.64	$73.12–$749.64	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI-EXT ARTERIAL LTD	$416.18	$832.37	$65.05–$832.37	at median	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$416.18	$832.37	$65.05–$832.37	at median	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$416.18	$832.37	$65.05–$832.37	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NI-EXT ARTERIAL LTD	$416.18	$832.37	$65.05–$832.37	—	50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST	$374.82	$749.64	$85.78–$749.64	27% below	50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 FL-ESOPHAGUS	$374.82	$749.64	$85.78–$749.64	27% below	50%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST	$374.82	$749.64	$85.78–$749.64	—	50%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FL-ESOPHAGUS	$374.82	$749.64	$85.78–$749.64	—	50%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY	$1,802.49	$3,604.99	$242.48–$3,604.99	45% above	50%
Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN BODY	$1,802.49	$3,604.99	$242.48–$3,604.99	45% above	50%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-BONE SCAN BODY	$1,802.49	$3,604.99	$242.48–$3,604.99	—	50%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING WHOLE BODY	$1,802.49	$3,604.99	$242.48–$3,604.99	—	50%
Breast ultrasound, complete, one breast CPT 76641 US-BREAST COMPLETE	$264.34	$528.68	$74.01–$528.68	47% below	50%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$264.34	$528.68	$74.01–$528.68	47% below	50%
Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASOUND BREAST COMPLETE	$264.34	$528.68	$74.01–$528.68	—	50%
Breast ultrasound, complete, one breast inpatient CPT 76641 US-BREAST COMPLETE	$264.34	$528.68	$74.01–$528.68	—	50%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$264.34	$528.68	$74.01–$528.68	19% below	50%
Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST LIMITED	$264.34	$528.68	$74.01–$528.68	19% below	50%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-BREAST LIMITED	$264.34	$528.68	$74.01–$528.68	—	50%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED	$264.34	$528.68	$74.01–$528.68	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$3,431.32	$6,862.64	$333.66–$6,862.64	51% above	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST	$3,431.32	$6,862.64	$333.66–$6,862.64	51% above	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST	$3,431.32	$6,862.64	$333.66–$6,862.64	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST	$3,431.32	$6,862.64	$333.66–$6,862.64	—	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO	$4,000.05	$8,000.11	$185.92–$8,000.11	34% above	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$4,000.05	$8,000.11	$185.92–$8,000.11	34% above	50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST	$4,000.05	$8,000.11	$185.92–$8,000.11	—	50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD PELVIS WO	$4,000.05	$8,000.11	$185.92–$8,000.11	—	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W	$4,903.77	$9,807.54	$287.54–$9,807.54	24% above	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST	$4,903.77	$9,807.54	$287.54–$9,807.54	24% above	50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS W	$4,903.77	$9,807.54	$287.54–$9,807.54	—	50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CONTRAST	$4,903.77	$9,807.54	$287.54–$9,807.54	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO	$5,623.92	$11,247.85	$320.57–$11,247.85	37% above	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$5,623.92	$11,247.85	$320.57–$11,247.85	37% above	50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$5,623.92	$11,247.85	$320.57–$11,247.85	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD PELVIS WWO	$5,623.92	$11,247.85	$320.57–$11,247.85	—	50%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$3,056.83	$6,113.66	$291.09–$6,113.66	45% above	50%
CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W	$3,056.83	$6,113.66	$291.09–$6,113.66	45% above	50%
CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN W	$3,056.83	$6,113.66	$291.09–$6,113.66	—	50%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST	$3,056.83	$6,113.66	$291.09–$6,113.66	—	50%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$2,437.06	$4,874.13	$191.17–$4,874.13	37% above	50%
CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO	$2,437.06	$4,874.13	$191.17–$4,874.13	37% above	50%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$2,437.06	$4,874.13	$191.17–$4,874.13	—	50%
CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WO	$2,437.06	$4,874.13	$191.17–$4,874.13	—	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO	$2,213.19	$4,426.38	$191.17–$4,426.38	69% above	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$2,213.19	$4,426.38	$191.17–$4,426.38	69% above	50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O DYE	$2,213.19	$4,426.38	$191.17–$4,426.38	—	50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL WO	$2,213.19	$4,426.38	$191.17–$4,426.38	—	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$2,213.19	$4,426.38	$191.17–$4,426.38	47% above	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO	$2,213.19	$4,426.38	$191.17–$4,426.38	47% above	50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O DYE	$2,213.19	$4,426.38	$191.17–$4,426.38	—	50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD WO	$2,213.19	$4,426.38	$191.17–$4,426.38	—	50%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE	$2,415.66	$4,831.33	$291.09–$4,831.33	30% above	50%
CT scan of the head with contrast CPT 70460 CT-HEAD W	$2,415.66	$4,831.33	$291.09–$4,831.33	30% above	50%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/DYE	$2,415.66	$4,831.33	$291.09–$4,831.33	—	50%
CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W	$2,415.66	$4,831.33	$291.09–$4,831.33	—	50%
CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO	$3,255.19	$6,510.38	$326.85–$6,510.38	59% above	50%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$3,255.19	$6,510.38	$326.85–$6,510.38	59% above	50%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$3,255.19	$6,510.38	$326.85–$6,510.38	—	50%
CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD WWO	$3,255.19	$6,510.38	$326.85–$6,510.38	—	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO	$2,031.69	$4,063.39	$191.17–$4,063.39	5% above	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$2,031.69	$4,063.39	$191.17–$4,063.39	5% above	50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMB SPINE WO	$2,031.69	$4,063.39	$191.17–$4,063.39	—	50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O DYE	$2,031.69	$4,063.39	$191.17–$4,063.39	—	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO	$3,179.46	$6,358.93	$191.17–$6,358.93	54% above	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$3,179.46	$6,358.93	$191.17–$6,358.93	54% above	50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERV SPINE WO	$3,179.46	$6,358.93	$191.17–$6,358.93	—	50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT NECK SPINE W/O DYE	$3,179.46	$6,358.93	$191.17–$6,358.93	—	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$1,846.93	$3,693.87	$291.09–$3,693.87	6% below	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W	$1,846.93	$3,693.87	$291.09–$3,693.87	6% below	50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W	$1,846.93	$3,693.87	$291.09–$3,693.87	—	50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/DYE	$1,846.93	$3,693.87	$291.09–$3,693.87	—	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$2,824.71	$5,649.43	$151.97–$11,298.86	—	50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CRAN DPLX SCN BIL	$2,824.71	$5,649.43	$151.97–$11,298.86	316% above	50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN	$2,824.71	$5,649.43	$151.97–$11,298.86	316% above	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$2,824.71	$5,649.43	$151.97–$11,298.86	—	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CAROTID DPLX SCAN	$2,824.71	$5,649.43	$151.97–$11,298.86	—	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CRAN DPLX SCN BIL	$2,824.71	$5,649.43	$151.97–$11,298.86	—	50%
Chest X-ray, 2 views CPT 71046 CH-CHEST 2V CR	$327.50	$655.00	$60.87–$655.00	23% above	50%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$327.50	$655.00	$60.87–$655.00	23% above	50%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$327.50	$655.00	$60.87–$655.00	—	50%
Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V CR	$327.50	$655.00	$60.87–$655.00	—	50%
Chest X-ray, single view CPT 71045 CH-CHEST 1V CR	$249.87	$499.74	$51.62–$499.74	4% above	50%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$249.87	$499.74	$51.62–$499.74	4% above	50%
Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V CR	$249.87	$499.74	$51.62–$499.74	—	50%
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW	$249.87	$499.74	$51.62–$499.74	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$467.49	$934.98	$95.34–$934.98	12% below	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN LIMITED	$467.49	$934.98	$95.34–$934.98	12% below	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-ABDOMEN LIMITED	$467.49	$934.98	$95.34–$934.98	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP	$467.49	$934.98	$95.34–$934.98	—	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL	$252.71	$505.42	$70.75–$505.42	30% below	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$252.71	$505.42	$70.75–$505.42	30% below	50%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL	$252.71	$505.42	$70.75–$505.42	—	50%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY AXIAL	$252.71	$505.42	$70.75–$505.42	—	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA PERIPHERAL	$150.49	$300.99	$28.53–$300.99	at median	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR	$150.49	$300.99	$28.53–$300.99	at median	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA PERIPHERAL	$150.49	$300.99	$28.53–$300.99	—	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENSITY APPENDICULR	$150.49	$300.99	$28.53–$300.99	—	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST DIAG WO	$1,997.55	$3,995.10	$191.17–$3,995.10	17% above	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C-	$1,997.55	$3,995.10	$191.17–$3,995.10	17% above	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DX C-	$1,997.55	$3,995.10	$191.17–$3,995.10	—	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST DIAG WO	$1,997.55	$3,995.10	$191.17–$3,995.10	—	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+	$2,595.08	$5,190.17	$291.09–$5,190.17	24% above	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST DIAG W	$2,595.08	$5,190.17	$291.09–$5,190.17	24% above	50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DX C+	$2,595.08	$5,190.17	$291.09–$5,190.17	—	50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST DIAG W	$2,595.08	$5,190.17	$291.09–$5,190.17	—	50%
Diagnostic mammogram, both breasts both sides CPT 77066 BR-DIG MAMMO BILAT	$421.81	$843.63	$100.07–$1,946.83	—	50%
Diagnostic mammogram, both breasts both sides CPT 77066 BR-DIG MAMMO BI GG	$551.60	$1,103.20	$100.07–$1,946.83	—	50%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$551.60	$1,103.20	$100.07–$1,946.83	—	50%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BR-DIG MAMMO BILAT	$421.81	$843.63	$100.07–$1,946.83	—	50%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI	$551.60	$1,103.20	$100.07–$1,946.83	—	50%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BR-DIG MAMMO BI GG	$551.60	$1,103.20	$100.07–$1,946.83	—	50%
Diagnostic mammogram, one breast CPT 77065 BR-DIG MAMMO UNI GG	$340.30	$680.61	$77.98–$1,361.22	37% above	50%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI	$340.30	$680.61	$77.98–$1,361.22	37% above	50%
Diagnostic mammogram, one breast one side CPT 77065 BR-DIG MAMMO UNILAT	$340.30	$680.61	$77.98–$1,361.22	37% above	50%
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI	$340.30	$680.61	$77.98–$1,361.22	—	50%
Diagnostic mammogram, one breast inpatient CPT 77065 BR-DIG MAMMO UNI GG	$340.30	$680.61	$77.98–$1,361.22	—	50%
Diagnostic mammogram, one breast inpatient one side CPT 77065 BR-DIG MAMMO UNILAT	$340.30	$680.61	$77.98–$1,361.22	—	50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 NI-LW EXT DPX ART BI	$1,388.49	$2,776.99	$151.97–$2,776.99	—	50%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY	$1,388.49	$2,776.99	$151.97–$2,776.99	30% above	50%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 NI-LW EXT DPX ART BI	$1,388.49	$2,776.99	$151.97–$2,776.99	—	50%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 LOWER EXTREMITY STUDY	$1,388.49	$2,776.99	$151.97–$2,776.99	—	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$578.61	$1,157.22	$151.97–$1,157.22	39% below	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 US-EXT VEINS DPLX WC	$578.61	$1,157.22	$151.97–$1,157.22	39% below	50%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US-EXT VEINS DPLX WC	$578.61	$1,157.22	$151.97–$1,157.22	—	50%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY	$578.61	$1,157.22	$151.97–$1,157.22	—	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI-TTE 2D W DOPP	$2,679.86	$5,359.73	$441.95–$15,617.86	74% above	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US-TTE 2D W DOPP WO	$5,129.06	$10,258.13	$441.95–$15,617.86	233% above	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$5,129.06	$10,258.13	$441.95–$15,617.86	233% above	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI-TTE 2D W DOPP	$2,679.86	$5,359.73	$441.95–$15,617.86	—	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US-TTE 2D W DOPP WO	$5,129.06	$10,258.13	$441.95–$15,617.86	—	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE	$5,129.06	$10,258.13	$441.95–$15,617.86	—	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,366.28	$2,732.56	$276.77–$2,732.56	at median	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY SYS	$1,366.28	$2,732.56	$276.77–$2,732.56	at median	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-HEPATOBILIARY SYS	$1,366.28	$2,732.56	$276.77–$2,732.56	—	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,366.28	$2,732.56	$276.77–$2,732.56	—	50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED WITHOUT TIMES	$682.69	$1,365.39	$158.82–$1,365.39	139% above	50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT	$682.69	$1,365.39	$158.82–$1,365.39	139% above	50%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTENDED WITHOUT TIMES	$682.69	$1,365.39	$158.82–$1,365.39	—	50%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATT&RESP EFFT	$682.69	$1,365.39	$158.82–$1,365.39	—	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY	$2,395.32	$4,790.64	$670.68–$4,790.64	19% above	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM	$2,395.32	$4,790.64	$670.68–$4,790.64	19% above	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM	$2,395.32	$4,790.64	$670.68–$4,790.64	—	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY	$2,395.32	$4,790.64	$670.68–$4,790.64	—	50%
Knee X-ray, 3 views both sides CPT 73562 LE-KNEE 3VWS BI CR	$720.18	$1,440.37	$81.73–$2,286.55	—	50%
Knee X-ray, 3 views CPT 73562 LE-KNEE 3V CR	$423.09	$846.18	$81.73–$2,286.55	17% above	50%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3	$423.09	$846.18	$81.73–$2,286.55	17% above	50%
Knee X-ray, 3 views inpatient both sides CPT 73562 LE-KNEE 3VWS BI CR	$720.18	$1,440.37	$81.73–$2,286.55	—	50%
Knee X-ray, 3 views inpatient CPT 73562 X-RAY EXAM OF KNEE 3	$423.09	$846.18	$81.73–$2,286.55	—	50%
Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V CR	$423.09	$846.18	$81.73–$2,286.55	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$270.78	$541.57	$75.81–$541.57	41% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO	$270.78	$541.57	$75.81–$541.57	41% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN	$270.78	$541.57	$75.81–$541.57	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LTD WO	$270.78	$541.57	$75.81–$541.57	—	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-LUNG LOWDSE SC WO	$219.72	$439.44	$61.52–$439.44	33% below	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C-	$219.72	$439.44	$61.52–$439.44	33% below	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-LUNG LOWDSE SC WO	$219.72	$439.44	$61.52–$439.44	—	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CANCER SCR C-	$219.72	$439.44	$61.52–$439.44	—	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$3,139.95	$6,279.90	$342.54–$6,279.90	90% above	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR-LW JOINT WO	$3,139.95	$6,279.90	$342.54–$6,279.90	90% above	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$3,139.95	$6,279.90	$342.54–$6,279.90	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR-LW JOINT WO	$3,139.95	$6,279.90	$342.54–$6,279.90	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$4,021.77	$8,043.54	$524.71–$8,043.54	47% above	50%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR-LW JOINT WWO	$4,021.77	$8,043.54	$524.71–$8,043.54	47% above	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR-LW JOINT WWO	$4,021.77	$8,043.54	$524.71–$8,043.54	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$4,021.77	$8,043.54	$524.71–$8,043.54	—	50%
MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN WO	$2,907.03	$5,814.06	$342.54–$5,814.06	20% above	50%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,907.03	$5,814.06	$342.54–$5,814.06	20% above	50%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,907.03	$5,814.06	$342.54–$5,814.06	—	50%
MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN WO	$2,907.03	$5,814.06	$342.54–$5,814.06	—	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN WWO	$3,973.71	$7,947.42	$524.71–$7,947.42	34% above	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR	$3,973.71	$7,947.42	$524.71–$7,947.42	34% above	50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN WWO	$3,973.71	$7,947.42	$524.71–$7,947.42	—	50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W/O CNTR FLWD CNTR	$3,973.71	$7,947.42	$524.71–$7,947.42	—	50%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE	$3,909.50	$7,819.00	$342.54–$7,819.00	104% above	50%
MRI of the brain, no contrast dye CPT 70551 MR-BRAIN WO	$3,909.50	$7,819.00	$342.54–$7,819.00	104% above	50%
MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN WO	$3,909.50	$7,819.00	$342.54–$7,819.00	—	50%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN STEM W/O DYE	$3,909.50	$7,819.00	$342.54–$7,819.00	—	50%
MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN WWO	$4,530.08	$9,060.17	$524.71–$9,060.17	26% above	50%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE	$4,530.08	$9,060.17	$524.71–$9,060.17	26% above	50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN WWO	$4,530.08	$9,060.17	$524.71–$9,060.17	—	50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM W/O & W/DYE	$4,530.08	$9,060.17	$524.71–$9,060.17	—	50%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE	$3,909.50	$7,819.00	$342.54–$7,819.00	92% above	50%
MRI of the lower back, no contrast dye CPT 72148 MR-LUMB SPINE WO	$3,909.50	$7,819.00	$342.54–$7,819.00	92% above	50%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR-LUMB SPINE WO	$3,909.50	$7,819.00	$342.54–$7,819.00	—	50%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O DYE	$3,909.50	$7,819.00	$342.54–$7,819.00	—	50%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$4,530.08	$9,060.17	$524.71–$9,060.17	58% above	50%
MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMB SPINE WWO	$4,530.08	$9,060.17	$524.71–$9,060.17	58% above	50%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-LUMB SPINE WWO	$4,530.08	$9,060.17	$524.71–$9,060.17	—	50%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$4,530.08	$9,060.17	$524.71–$9,060.17	—	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE	$3,909.50	$7,819.00	$342.54–$7,819.00	76% above	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-THOR SPINE WO	$3,909.50	$7,819.00	$342.54–$7,819.00	76% above	50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI CHEST SPINE W/O DYE	$3,909.50	$7,819.00	$342.54–$7,819.00	—	50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR-THOR SPINE WO	$3,909.50	$7,819.00	$342.54–$7,819.00	—	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE	$4,530.08	$9,060.17	$524.71–$9,060.17	61% above	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-CERV SPINE WWO	$4,530.08	$9,060.17	$524.71–$9,060.17	61% above	50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI NECK SPINE W/O & W/DYE	$4,530.08	$9,060.17	$524.71–$9,060.17	—	50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-CERV SPINE WWO	$4,530.08	$9,060.17	$524.71–$9,060.17	—	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE	$3,909.50	$7,819.00	$342.54–$7,819.00	88% above	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-CERV SPINE WO	$3,909.50	$7,819.00	$342.54–$7,819.00	88% above	50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR-CERV SPINE WO	$3,909.50	$7,819.00	$342.54–$7,819.00	—	50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI NECK SPINE W/O DYE	$3,909.50	$7,819.00	$342.54–$7,819.00	—	50%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE	$4,691.40	$9,382.80	$524.71–$9,382.80	51% above	50%
MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS WWO	$4,691.40	$9,382.80	$524.71–$9,382.80	51% above	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS WWO	$4,691.40	$9,382.80	$524.71–$9,382.80	—	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O & W/DYE	$4,691.40	$9,382.80	$524.71–$9,382.80	—	50%
MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS WO	$3,553.95	$7,107.90	$342.54–$7,107.90	79% above	50%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE	$3,553.95	$7,107.90	$342.54–$7,107.90	79% above	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O DYE	$3,553.95	$7,107.90	$342.54–$7,107.90	—	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS WO	$3,553.95	$7,107.90	$342.54–$7,107.90	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$3,139.95	$6,279.90	$342.54–$6,279.90	88% above	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JOINT WO	$3,139.95	$6,279.90	$342.54–$6,279.90	88% above	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR-UPPER JOINT WO	$3,139.95	$6,279.90	$342.54–$6,279.90	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$3,139.95	$6,279.90	$342.54–$6,279.90	—	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$1,896.31	$3,792.63	$530.96–$3,792.63	25% below	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCRD SPECT MULT	$1,896.31	$3,792.63	$530.96–$3,792.63	25% below	50%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM-MYOCRD SPECT MULT	$1,896.31	$3,792.63	$530.96–$3,792.63	—	50%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT	$1,896.31	$3,792.63	$530.96–$3,792.63	—	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$395.88	$791.77	$61.22–$791.77	4% below	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU	$395.88	$791.77	$61.22–$791.77	4% below	50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS NON OB FU	$395.88	$791.77	$61.22–$791.77	—	50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED	$395.88	$791.77	$61.22–$791.77	—	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$395.88	$791.77	$95.34–$791.77	26% below	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB	$395.88	$791.77	$95.34–$791.77	26% below	50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS NON OB	$395.88	$791.77	$95.34–$791.77	—	50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE	$395.88	$791.77	$95.34–$791.77	—	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS	$644.44	$1,288.89	$95.34–$1,288.89	25% above	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG	$644.44	$1,288.89	$95.34–$1,288.89	25% above	50%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >/= 14 WKS SNGL FETUS	$644.44	$1,288.89	$95.34–$1,288.89	—	50%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PELVIS PREG	$644.44	$1,288.89	$95.34–$1,288.89	—	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S)	$439.52	$879.05	$61.22–$879.05	7% below	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-PELVIS PREG LTD	$439.52	$879.05	$61.22–$879.05	7% below	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-PELVIS PREG LTD	$439.52	$879.05	$61.22–$879.05	—	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS(S)	$439.52	$879.05	$61.22–$879.05	—	50%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$295.19	$590.39	$82.44–$1,180.78	—	50%
Screening mammogram, both breasts both sides CPT 77067 BR-DIG MAMMO SCRN BI	$295.19	$590.39	$82.44–$1,180.78	—	50%
Screening mammogram, both breasts CPT 77067 BR-DIG MAMMO SCRN UN	$295.19	$590.39	$82.44–$1,180.78	9% above	50%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD	$295.19	$590.39	$82.44–$1,180.78	—	50%
Screening mammogram, both breasts inpatient both sides CPT 77067 BR-DIG MAMMO SCRN BI	$295.19	$590.39	$82.44–$1,180.78	—	50%
Screening mammogram, both breasts inpatient CPT 77067 BR-DIG MAMMO SCRN UN	$295.19	$590.39	$82.44–$1,180.78	—	50%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 UE-SHOULDER 2V BI CR	$654.99	$1,309.99	$70.25–$1,964.99	—	50%
Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS CR	$327.50	$655.00	$70.25–$1,964.99	12% above	50%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER	$327.50	$655.00	$70.25–$1,964.99	12% above	50%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 UE-SHOULDER 2V BI CR	$654.99	$1,309.99	$70.25–$1,964.99	—	50%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-RAY EXAM OF SHOULDER	$327.50	$655.00	$70.25–$1,964.99	—	50%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS CR	$327.50	$655.00	$70.25–$1,964.99	—	50%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY SLEEP STUDY	$2,147.53	$4,295.07	$601.30–$4,295.07	16% above	50%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM	$2,147.53	$4,295.07	$601.30–$4,295.07	16% above	50%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY SLEEP STUDY	$2,147.53	$4,295.07	$601.30–$4,295.07	—	50%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM 6/> YRS 4/> PARAM	$2,147.53	$4,295.07	$601.30–$4,295.07	—	50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 FL-MOD BA SWALLOW	$275.43	$550.86	$77.12–$550.86	45% below	50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+	$275.43	$550.86	$77.12–$550.86	45% below	50%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-RAY XM SWLNG FUNCJ C+	$275.43	$550.86	$77.12–$550.86	—	50%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL-MOD BA SWALLOW	$275.43	$550.86	$77.12–$550.86	—	50%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$293.82	$587.65	$82.27–$587.65	42% below	50%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL	$293.82	$587.65	$82.27–$587.65	42% below	50%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US NON-OB	$293.82	$587.65	$82.27–$587.65	—	50%
Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL	$293.82	$587.65	$82.27–$587.65	—	50%
Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV	$293.82	$587.65	$61.22–$587.65	34% below	50%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC	$293.82	$587.65	$61.22–$587.65	34% below	50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-PLV PRG TRNSV	$293.82	$587.65	$61.22–$587.65	—	50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC	$293.82	$587.65	$61.22–$587.65	—	50%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$512.76	$1,025.52	$95.34–$1,025.52	22% below	50%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO	$512.76	$1,025.52	$95.34–$1,025.52	22% below	50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMP WO	$512.76	$1,025.52	$95.34–$1,025.52	—	50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOM COMPLETE	$512.76	$1,025.52	$95.34–$1,025.52	—	50%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$512.76	$1,025.52	$95.34–$1,025.52	2% below	50%
Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM	$512.76	$1,025.52	$95.34–$1,025.52	2% below	50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US EXAM SCROTUM	$512.76	$1,025.52	$95.34–$1,025.52	—	50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM	$512.76	$1,025.52	$95.34–$1,025.52	—	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS	$512.76	$1,025.52	$95.34–$1,025.52	12% above	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$512.76	$1,025.52	$95.34–$1,025.52	12% above	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK	$512.76	$1,025.52	$95.34–$1,025.52	—	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-HEAD NECK SFT TIS	$512.76	$1,025.52	$95.34–$1,025.52	—	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-UPPER GI SINGLE	$989.10	$1,978.20	$85.78–$1,978.20	48% above	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$989.10	$1,978.20	$85.78–$1,978.20	48% above	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$989.10	$1,978.20	$85.78–$1,978.20	—	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL-UPPER GI SINGLE	$989.10	$1,978.20	$85.78–$1,978.20	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$521.83	$1,043.66	$95.34–$1,043.66	27% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-EXT VEINS DPX LTD	$521.83	$1,043.66	$95.34–$1,043.66	27% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY STUDY	$521.83	$1,043.66	$95.34–$1,043.66	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US-EXT VEINS DPX LTD	$521.83	$1,043.66	$95.34–$1,043.66	—	50%
Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS CR	$327.50	$655.00	$58.15–$655.00	12% above	50%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST	$327.50	$655.00	$58.15–$655.00	12% above	50%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-RAY EXAM OF WRIST	$327.50	$655.00	$58.15–$655.00	—	50%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 UE-WRIST 3V PLUS CR	$327.50	$655.00	$58.15–$655.00	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$322.70	$645.41	$59.58–$645.41	31% above	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V CR	$322.70	$645.41	$59.58–$645.41	31% above	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$322.70	$645.41	$59.58–$645.41	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V CR	$322.70	$645.41	$59.58–$645.41	—	50%
X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW	$249.87	$499.74	$60.87–$499.74	1% above	50%
X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW CR	$249.87	$499.74	$60.87–$499.74	1% above	50%
X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW CR	$249.87	$499.74	$60.87–$499.74	—	50%
X-ray of the abdomen, 1 view inpatient CPT 74018 RADEX ABDOMEN 1 VIEW	$249.87	$499.74	$60.87–$499.74	—	50%
X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V CR	$152.38	$304.77	$42.66–$304.77	26% below	50%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE	$152.38	$304.77	$42.66–$304.77	26% below	50%
X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V CR	$152.38	$304.77	$42.66–$304.77	—	50%
X-ray of the ankle, 2 views inpatient CPT 73600 X-RAY EXAM OF ANKLE	$152.38	$304.77	$42.66–$304.77	—	50%
X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS CR	$249.87	$499.74	$58.15–$499.74	11% above	50%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S)	$249.87	$499.74	$58.15–$499.74	11% above	50%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-RAY EXAM OF FINGER(S)	$249.87	$499.74	$58.15–$499.74	—	50%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS CR	$249.87	$499.74	$58.15–$499.74	—	50%
X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V CR	$165.00	$330.00	$46.20–$330.00	27% below	50%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT	$165.00	$330.00	$46.20–$330.00	27% below	50%
X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V CR	$165.00	$330.00	$46.20–$330.00	—	50%
X-ray of the foot, 2 views inpatient CPT 73620 X-RAY EXAM OF FOOT	$165.00	$330.00	$46.20–$330.00	—	50%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT	$374.82	$749.64	$58.15–$749.64	28% above	50%
X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS CR	$374.82	$749.64	$58.15–$749.64	28% above	50%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS CR	$374.82	$749.64	$58.15–$749.64	—	50%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-RAY EXAM OF FOOT	$374.82	$749.64	$58.15–$749.64	—	50%
X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V CR	$327.50	$655.00	$58.15–$655.00	12% above	50%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND	$327.50	$655.00	$58.15–$655.00	12% above	50%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-RAY EXAM OF HAND	$327.50	$655.00	$58.15–$655.00	—	50%
X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V CR	$327.50	$655.00	$58.15–$655.00	—	50%
X-ray of the knee, 1 or 2 views both sides CPT 73560 LE-KNEE 1TO2V BI CR	$654.99	$1,309.99	$58.15–$1,964.99	—	50%
X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V CR	$327.50	$655.00	$58.15–$1,964.99	40% above	50%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2	$654.99	$1,309.99	$58.15–$1,964.99	180% above	50%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 LE-KNEE 1TO2V BI CR	$654.99	$1,309.99	$58.15–$1,964.99	—	50%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 LE-KNEE 1 TO 2V CR	$327.50	$655.00	$58.15–$1,964.99	—	50%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-RAY EXAM OF KNEE 1 OR 2	$654.99	$1,309.99	$58.15–$1,964.99	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$327.50	$655.00	$80.29–$655.00	2% above	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V CR	$327.50	$655.00	$80.29–$655.00	2% above	50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V CR	$327.50	$655.00	$80.29–$655.00	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$327.50	$655.00	$80.29–$655.00	—	50%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$491.23	$982.47	$93.08–$982.47	6% above	50%
X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS CR	$491.23	$982.47	$93.08–$982.47	6% above	50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SP-LS SPNE 4VPLUS CR	$491.23	$982.47	$93.08–$982.47	—	50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$491.23	$982.47	$93.08–$982.47	—	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW CR	$327.50	$655.00	$65.95–$655.00	at median	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$327.50	$655.00	$65.95–$655.00	at median	50%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$327.50	$655.00	$65.95–$655.00	—	50%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SP-T SPINE 2 VIEW CR	$327.50	$655.00	$65.95–$655.00	—	50%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES	$327.50	$655.00	$58.15–$655.00	15% above	50%
X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES CR	$327.50	$655.00	$58.15–$655.00	15% above	50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-RAY EXAM OF NASAL BONES	$327.50	$655.00	$58.15–$655.00	—	50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HE-NASAL BONES CR	$327.50	$655.00	$58.15–$655.00	—	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW CR	$249.87	$499.74	$69.96–$499.74	11% below	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$249.87	$499.74	$69.96–$499.74	11% below	50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$249.87	$499.74	$69.96–$499.74	—	50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW CR	$249.87	$499.74	$69.96–$499.74	—	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS	$287.74	$575.48	$55.91–$575.48	14% above	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS CR	$287.74	$575.48	$55.91–$575.48	14% above	50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY EXAM OF PELVIS	$287.74	$575.48	$55.91–$575.48	—	50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LE-PELVIS CR	$287.74	$575.48	$55.91–$575.48	—	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V CR	$287.74	$575.48	$58.15–$575.48	1% below	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE	$287.74	$575.48	$58.15–$575.48	1% below	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SP-SCRM COCCYX 2V CR	$287.74	$575.48	$58.15–$575.48	—	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-RAY EXAM SACRUM TAILBONE	$287.74	$575.48	$58.15–$575.48	—	50%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT	$111.94	$223.88	$5.30–$223.88	35% above	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT)	$111.94	$223.88	$5.30–$223.88	35% above	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO (ALT) (SGPT)	$111.94	$223.88	$5.30–$223.88	—	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT	$111.94	$223.88	$5.30–$223.88	—	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT)	$111.94	$223.88	$5.18–$223.88	152% above	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST	$111.94	$223.88	$5.18–$223.88	152% above	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST	$111.94	$223.88	$5.18–$223.88	—	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST) (SGOT)	$111.94	$223.88	$5.18–$223.88	—	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$367.09	$734.18	$47.63–$734.18	11% above	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANE	$367.09	$734.18	$47.63–$734.18	11% above	50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANE	$367.09	$734.18	$47.63–$734.18	—	50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$367.09	$734.18	$47.63–$734.18	—	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT	$280.00	$560.00	$5.22–$560.00	786% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$280.00	$560.00	$5.22–$560.00	786% above	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT	$280.00	$560.00	$5.22–$560.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$280.00	$560.00	$5.22–$560.00	—	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$123.46	$246.93	$12.95–$246.93	96% above	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$123.46	$246.93	$12.95–$246.93	—	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$120.98	$241.97	$12.08–$241.97	11% above	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$120.98	$241.97	$12.08–$241.97	11% above	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES	$120.98	$241.97	$12.08–$241.97	—	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$120.98	$241.97	$12.08–$241.97	—	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$360.50	$721.01	$38.44–$721.01	120% above	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$360.50	$721.01	$38.44–$721.01	120% above	50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$360.50	$721.01	$38.44–$721.01	—	50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$360.50	$721.01	$38.44–$721.01	—	50%
Basic metabolic panel (blood test) CPT 80048 BASIC METABO CA TOTA	$204.94	$409.89	$8.39–$409.89	53% above	50%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PNL TOTAL CA	$204.94	$409.89	$8.39–$409.89	53% above	50%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PNL TOTAL CA	$204.94	$409.89	$8.39–$409.89	—	50%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABO CA TOTA	$204.94	$409.89	$8.39–$409.89	—	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$210.70	$421.40	$26.63–$421.40	29% above	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS LVL4	$210.70	$421.40	$26.63–$421.40	29% above	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS LVL4	$210.70	$421.40	$26.63–$421.40	—	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST	$210.70	$421.40	$26.63–$421.40	—	50%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$149.80	$299.60	$10.32–$299.60	6% above	50%
Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTER	$149.80	$299.60	$10.32–$299.60	6% above	50%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA	$149.80	$299.60	$10.32–$299.60	—	50%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD BACTER	$149.80	$299.60	$10.32–$299.60	—	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE,ROUTINE	$31.28	$62.57	$2.82–$62.57	62% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$31.28	$62.57	$2.82–$62.57	62% above	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE,ROUTINE	$31.28	$62.57	$2.82–$62.57	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$31.28	$62.57	$2.82–$62.57	—	50%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$105.35	$210.71	$3.93–$210.71	155% above	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANT	$105.35	$210.71	$3.93–$210.71	155% above	50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUANT	$105.35	$210.71	$3.93–$210.71	—	50%
Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$105.35	$210.71	$3.93–$210.71	—	50%
Blood lead test CPT 83655 LEAD	$311.11	$622.23	$12.08–$622.23	340% above	50%
Blood lead test CPT 83655 ASSAY OF LEAD	$311.11	$622.23	$12.08–$622.23	340% above	50%
Blood lead test inpatient CPT 83655 ASSAY OF LEAD	$311.11	$622.23	$12.08–$622.23	—	50%
Blood lead test inpatient CPT 83655 LEAD	$311.11	$622.23	$12.08–$622.23	—	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$33.82	$67.65	$7.52–$197.65	62% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, QUAL	$65.00	$130.00	$7.52–$197.65	28% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$33.82	$67.65	$7.52–$197.65	—	50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, QUAL	$65.00	$130.00	$7.52–$197.65	—	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$107.01	$214.02	$2.99–$214.02	3% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$107.01	$214.02	$2.99–$214.02	3% above	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC ABO	$107.01	$214.02	$2.99–$214.02	—	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$107.01	$214.02	$2.99–$214.02	—	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$162.14	$324.28	$5.18–$324.28	83% above	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$162.14	$324.28	$5.18–$324.28	—	50%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$306.01	$612.02	$37.27–$612.02	113% above	50%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE	$306.01	$612.02	$37.27–$612.02	113% above	50%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE	$306.01	$612.02	$37.27–$612.02	—	50%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE	$306.01	$612.02	$37.27–$612.02	—	50%
CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG CA 19-9	$249.38	$498.77	$20.81–$498.77	45% above	50%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$249.38	$498.77	$20.81–$498.77	45% above	50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 TUMOR AG CA 19-9	$249.38	$498.77	$20.81–$498.77	—	50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$249.38	$498.77	$20.81–$498.77	—	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR AG CA 125	$249.38	$498.77	$20.81–$498.77	101% above	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$249.38	$498.77	$20.81–$498.77	101% above	50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR AG CA 125	$249.38	$498.77	$20.81–$498.77	—	50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMOR CA 125	$249.38	$498.77	$20.81–$498.77	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$171.99	$343.98	$51.31–$459.81	67% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 PRB	$171.99	$343.98	$51.31–$459.81	67% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$171.99	$343.98	$51.31–$459.81	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 PRB	$171.99	$343.98	$51.31–$459.81	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE	$140.00	$280.00	$35.09–$280.00	43% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP	$140.00	$280.00	$35.09–$280.00	43% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE	$140.00	$280.00	$35.09–$280.00	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP	$140.00	$280.00	$35.09–$280.00	—	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$162.97	$325.94	$13.39–$325.94	13% above	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$162.97	$325.94	$13.39–$325.94	—	50%
Complete blood count (CBC) with differential CPT 85025 CBC W-PLT AUTO COMPD	$90.53	$181.06	$7.72–$181.06	37% above	50%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$90.53	$181.06	$7.72–$181.06	37% above	50%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$90.53	$181.06	$7.72–$181.06	—	50%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W-PLT AUTO COMPD	$90.53	$181.06	$7.72–$181.06	—	50%
Complete blood count (CBC), no differential CPT 85027 CBC W-PLT	$64.20	$128.40	$6.37–$128.40	17% above	50%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$64.20	$128.40	$6.37–$128.40	17% above	50%
Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED	$64.20	$128.40	$6.37–$128.40	—	50%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W-PLT	$64.20	$128.40	$6.37–$128.40	—	50%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$226.34	$452.68	$10.56–$452.68	1% above	50%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL	$226.34	$452.68	$10.56–$452.68	1% above	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METAB PANEL	$226.34	$452.68	$10.56–$452.68	—	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL	$226.34	$452.68	$10.56–$452.68	—	50%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$65.03	$130.06	$10.18–$130.06	38% below	50%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANT	$65.03	$130.06	$10.18–$130.06	38% below	50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUANT	$65.03	$130.06	$10.18–$130.06	—	50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT	$65.03	$130.06	$10.18–$130.06	—	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$52.84	$105.69	$14.79–$105.69	57% below	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE	$52.84	$105.69	$14.79–$105.69	57% below	50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE	$52.84	$105.69	$14.79–$105.69	—	50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$52.84	$105.69	$14.79–$105.69	—	50%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$218.10	$436.21	$27.94–$436.21	67% above	50%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL	$218.10	$436.21	$27.94–$436.21	67% above	50%
Estradiol blood test inpatient CPT 82670 ASSAY OF TOTAL ESTRADIOL	$218.10	$436.21	$27.94–$436.21	—	50%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL	$218.10	$436.21	$27.94–$436.21	—	50%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM	$146.50	$293.01	$18.58–$293.01	58% above	50%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$146.50	$293.01	$18.58–$293.01	58% above	50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$146.50	$293.01	$18.58–$293.01	—	50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORM	$146.50	$293.01	$18.58–$293.01	—	50%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$515.23	$1,030.47	$19.63–$1,030.47	135% above	50%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$515.23	$1,030.47	$19.63–$1,030.47	135% above	50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$515.23	$1,030.47	$19.63–$1,030.47	—	50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$515.23	$1,030.47	$19.63–$1,030.47	—	50%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$111.94	$223.88	$13.63–$223.88	at median	50%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$111.94	$223.88	$13.63–$223.88	at median	50%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$111.94	$223.88	$13.63–$223.88	—	50%
Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN	$111.94	$223.88	$13.63–$223.88	—	50%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$123.46	$246.93	$14.70–$246.93	13% above	50%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM	$123.46	$246.93	$14.70–$246.93	13% above	50%
Folate (folic acid) blood test inpatient CPT 82746 ASSAY OF FOLIC ACID SERUM	$123.46	$246.93	$14.70–$246.93	—	50%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$123.46	$246.93	$14.70–$246.93	—	50%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$234.57	$469.15	$16.94–$469.15	95% above	50%
Free T3 thyroid hormone test CPT 84481 T3,FREE	$234.57	$469.15	$16.94–$469.15	95% above	50%
Free T3 thyroid hormone test inpatient CPT 84481 FREE ASSAY (FT-3)	$234.57	$469.15	$16.94–$469.15	—	50%
Free T3 thyroid hormone test inpatient CPT 84481 T3,FREE	$234.57	$469.15	$16.94–$469.15	—	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4, FREE	$192.60	$385.20	$9.02–$385.20	45% above	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$192.60	$385.20	$9.02–$385.20	45% above	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4, FREE	$192.60	$385.20	$9.02–$385.20	—	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE	$192.60	$385.20	$9.02–$385.20	—	50%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$197.53	$395.07	$25.47–$395.07	88% above	50%
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE	$197.53	$395.07	$25.47–$395.07	88% above	50%
Free testosterone test inpatient CPT 84402 ASSAY OF FREE TESTOSTERONE	$197.53	$395.07	$25.47–$395.07	—	50%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$197.53	$395.07	$25.47–$395.07	—	50%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$171.12	$342.25	$47.91–$342.25	23% below	50%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$171.12	$342.25	$47.91–$342.25	—	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$86.42	$172.84	$4.70–$172.84	117% above	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, POST DOSE	$86.42	$172.84	$4.70–$172.84	117% above	50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST	$86.42	$172.84	$4.70–$172.84	—	50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE, POST DOSE	$86.42	$172.84	$4.70–$172.84	—	50%
Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPEC	$148.15	$296.30	$12.87–$296.30	11% above	50%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$148.15	$296.30	$12.87–$296.30	11% above	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPEC	$148.15	$296.30	$12.87–$296.30	—	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$148.15	$296.30	$12.87–$296.30	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHO,DNA,AMPPR	$140.00	$280.00	$35.09–$280.00	43% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$140.00	$280.00	$35.09–$280.00	43% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHO,DNA,AMPPR	$140.00	$280.00	$35.09–$280.00	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB	$140.00	$280.00	$35.09–$280.00	—	50%
H. pylori antibody blood test CPT 86677 H PYLORI AB QL	$152.26	$304.53	$16.50–$304.53	25% above	50%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY	$152.26	$304.53	$16.50–$304.53	25% above	50%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI ANTIBODY	$152.26	$304.53	$16.50–$304.53	—	50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB QL	$152.26	$304.53	$16.50–$304.53	—	50%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA	$148.15	$296.30	$12.36–$296.30	8% above	50%
H. pylori stool antigen test CPT 87338 HPYLORI,STOOL,EIA	$148.15	$296.30	$12.36–$296.30	8% above	50%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL AG IA	$148.15	$296.30	$12.36–$296.30	—	50%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI,STOOL,EIA	$148.15	$296.30	$12.36–$296.30	—	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$539.92	$1,079.84	$85.10–$1,079.84	76% above	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1, DNA, QUANT	$539.92	$1,079.84	$85.10–$1,079.84	76% above	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1, DNA, QUANT	$539.92	$1,079.84	$85.10–$1,079.84	—	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$539.92	$1,079.84	$85.10–$1,079.84	—	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES	$240.25	$480.50	$35.09–$480.50	16% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT	$240.25	$480.50	$35.09–$480.50	16% above	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES	$240.25	$480.50	$35.09–$480.50	—	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HI-RISK TYP POOLED RSLT	$240.25	$480.50	$35.09–$480.50	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$44.72	$89.44	$9.71–$484.51	42% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$197.53	$395.07	$9.71–$484.51	155% above	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$44.72	$89.44	$9.71–$484.51	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$197.53	$395.07	$9.71–$484.51	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB	$240.34	$480.68	$10.73–$480.68	134% above	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$240.34	$480.68	$10.73–$480.68	134% above	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$240.34	$480.68	$10.73–$480.68	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB	$240.34	$480.68	$10.73–$480.68	—	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG	$254.31	$508.63	$10.33–$508.63	316% above	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$254.31	$508.63	$10.33–$508.63	316% above	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG	$254.31	$508.63	$10.33–$508.63	—	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA	$254.31	$508.63	$10.33–$508.63	—	50%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$260.90	$521.80	$14.27–$521.80	214% above	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$260.90	$521.80	$14.27–$521.80	—	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C,RNA,QUAN	$350.86	$701.72	$42.84–$701.72	48% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$350.86	$701.72	$42.84–$701.72	48% above	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$350.86	$701.72	$42.84–$701.72	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C,RNA,QUAN	$350.86	$701.72	$42.84–$701.72	—	50%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP TYPE 1	$275.73	$551.46	$13.19–$551.46	213% above	50%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$275.73	$551.46	$13.19–$551.46	213% above	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$275.73	$551.46	$13.19–$551.46	—	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP TYPE 1	$275.73	$551.46	$13.19–$551.46	—	50%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$275.73	$551.46	$19.35–$551.46	222% above	50%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP TYPE 2	$275.73	$551.46	$19.35–$551.46	222% above	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP TYPE 2	$275.73	$551.46	$19.35–$551.46	—	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$275.73	$551.46	$19.35–$551.46	—	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP,HIGHLY SENS	$162.14	$324.28	$12.95–$324.28	139% above	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$162.14	$324.28	$12.95–$324.28	139% above	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP,HIGHLY SENS	$162.14	$324.28	$12.95–$324.28	—	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS	$162.14	$324.28	$12.95–$324.28	—	50%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$133.33	$266.67	$17.92–$266.67	1% below	50%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$133.33	$266.67	$17.92–$266.67	1% below	50%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$133.33	$266.67	$17.92–$266.67	—	50%
Homocysteine blood test inpatient CPT 83090 ASSAY OF HOMOCYSTEINE	$133.33	$266.67	$17.92–$266.67	—	50%
Insulin blood test CPT 83525 INSULIN, TOTAL	$102.06	$204.12	$11.41–$204.12	36% above	50%
Insulin blood test CPT 83525 ASSAY OF INSULIN	$102.06	$204.12	$11.41–$204.12	36% above	50%
Insulin blood test inpatient CPT 83525 INSULIN, TOTAL	$102.06	$204.12	$11.41–$204.12	—	50%
Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN	$102.06	$204.12	$11.41–$204.12	—	50%
Iron blood test (serum iron) CPT 83540 IRON	$149.80	$299.60	$6.37–$299.60	107% above	50%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$149.80	$299.60	$6.37–$299.60	107% above	50%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$149.80	$299.60	$6.37–$299.60	—	50%
Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON	$149.80	$299.60	$6.37–$299.60	—	50%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT	$116.05	$232.11	$8.72–$232.11	64% above	50%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST	$116.05	$232.11	$8.72–$232.11	64% above	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT	$116.05	$232.11	$8.72–$232.11	—	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING TEST	$116.05	$232.11	$8.72–$232.11	—	50%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$158.85	$317.71	$8.68–$317.71	8% below	50%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$158.85	$317.71	$8.68–$317.71	—	50%
LH (luteinizing hormone) test CPT 83002 LEUTEINIZING HORMONE	$146.50	$293.01	$18.52–$293.01	23% above	50%
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH)	$146.50	$293.01	$18.52–$293.01	23% above	50%
LH (luteinizing hormone) test inpatient CPT 83002 LEUTEINIZING HORMONE	$146.50	$293.01	$18.52–$293.01	—	50%
LH (luteinizing hormone) test inpatient CPT 83002 ASSAY OF GONADOTROPIN (LH)	$146.50	$293.01	$18.52–$293.01	—	50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$213.17	$426.35	$6.89–$426.35	122% above	50%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$213.17	$426.35	$6.89–$426.35	122% above	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE	$213.17	$426.35	$6.89–$426.35	—	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$213.17	$426.35	$6.89–$426.35	—	50%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$249.38	$498.77	$8.17–$498.77	65% above	50%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$249.38	$498.77	$8.17–$498.77	65% above	50%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$249.38	$498.77	$8.17–$498.77	—	50%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$249.38	$498.77	$8.17–$498.77	—	50%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$133.33	$266.67	$17.03–$266.67	19% above	50%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$133.33	$266.67	$17.03–$266.67	19% above	50%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$133.33	$266.67	$17.03–$266.67	—	50%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$133.33	$266.67	$17.03–$266.67	—	50%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$144.03	$288.06	$6.70–$288.06	80% above	50%
Magnesium blood test CPT 83735 MAGNESIUM	$144.03	$288.06	$6.70–$288.06	80% above	50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$144.03	$288.06	$6.70–$288.06	—	50%
Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM	$144.03	$288.06	$6.70–$288.06	—	50%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$163.79	$327.58	$12.88–$327.58	145% above	50%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$163.79	$327.58	$12.88–$327.58	145% above	50%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY	$163.79	$327.58	$12.88–$327.58	—	50%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$163.79	$327.58	$12.88–$327.58	—	50%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREE	$111.94	$223.88	$5.18–$265.16	at median	50%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$111.94	$223.88	$5.18–$265.16	at median	50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODY SCREEN	$111.94	$223.88	$5.18–$265.16	—	50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREE	$111.94	$223.88	$5.18–$265.16	—	50%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$324.28	$648.57	$47.81–$648.57	at median	50%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$324.28	$648.57	$47.81–$648.57	—	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE	$317.70	$635.41	$18.39–$635.41	297% above	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$317.70	$635.41	$18.39–$635.41	297% above	50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA FREE	$317.70	$635.41	$18.39–$635.41	—	50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE	$317.70	$635.41	$18.39–$635.41	—	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL	$146.50	$293.01	$18.39–$293.01	35% above	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$146.50	$293.01	$18.39–$293.01	35% above	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL	$146.50	$293.01	$18.39–$293.01	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL	$146.50	$293.01	$18.39–$293.01	—	50%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$94.59	$189.19	$23.74–$189.19	5% above	50%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP DIAG AUTO MAN RS	$94.59	$189.19	$23.74–$189.19	5% above	50%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP DIAG AUTO MAN RS	$94.59	$189.19	$23.74–$189.19	—	50%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$94.59	$189.19	$23.74–$189.19	—	50%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE PTH	$688.06	$1,376.13	$41.28–$1,376.13	274% above	50%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$688.06	$1,376.13	$41.28–$1,376.13	274% above	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE PTH	$688.06	$1,376.13	$41.28–$1,376.13	—	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 ASSAY OF PARATHORMONE	$688.06	$1,376.13	$41.28–$1,376.13	—	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAST TIMEPTT	$90.17	$180.35	$6.01–$180.35	15% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$90.17	$180.35	$6.01–$180.35	15% above	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$90.17	$180.35	$6.01–$180.35	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLAST TIMEPTT	$90.17	$180.35	$6.01–$180.35	—	50%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$174.49	$348.99	$20.86–$348.99	18% above	50%
Progesterone blood test CPT 84144 PROGESTERONE	$174.49	$348.99	$20.86–$348.99	18% above	50%
Progesterone blood test inpatient CPT 84144 ASSAY OF PROGESTERONE	$174.49	$348.99	$20.86–$348.99	—	50%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$174.49	$348.99	$20.86–$348.99	—	50%
Prolactin blood test CPT 84146 PROLACTIN	$149.80	$299.60	$19.38–$299.60	3% above	50%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN	$149.80	$299.60	$19.38–$299.60	3% above	50%
Prolactin blood test inpatient CPT 84146 ASSAY OF PROLACTIN	$149.80	$299.60	$19.38–$299.60	—	50%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$149.80	$299.60	$19.38–$299.60	—	50%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$51.85	$103.71	$4.28–$141.55	41% above	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$51.85	$103.71	$4.28–$141.55	—	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$60.50	$121.00	$11.55–$121.00	at median	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR	$60.50	$121.00	$11.55–$121.00	at median	50%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$60.50	$121.00	$11.55–$121.00	—	50%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR	$60.50	$121.00	$11.55–$121.00	—	50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$126.75	$253.50	$15.45–$307.39	183% above	50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W-OP	$126.75	$253.50	$15.45–$307.39	183% above	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W-OP	$126.75	$253.50	$15.45–$307.39	—	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC	$126.75	$253.50	$15.45–$307.39	—	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$48.83	$97.67	$15.45–$157.29	18% below	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W-OPTI	$48.83	$97.67	$15.45–$157.29	18% below	50%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W-OPTI	$48.83	$97.67	$15.45–$157.29	—	50%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC	$48.83	$97.67	$15.45–$157.29	—	50%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$61.72	$123.45	$5.67–$123.45	at median	50%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUAN	$61.72	$123.45	$5.67–$123.45	at median	50%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QUAN	$61.72	$123.45	$5.67–$123.45	—	50%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$61.72	$123.45	$5.67–$123.45	—	50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$110.31	$220.62	$14.39–$220.62	49% above	50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$110.31	$220.62	$14.39–$220.62	49% above	50%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$110.31	$220.62	$14.39–$220.62	—	50%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$110.31	$220.62	$14.39–$220.62	—	50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE, AUTOMATED	$83.13	$166.27	$2.68–$166.27	129% above	50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$83.13	$166.27	$2.68–$166.27	129% above	50%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE, AUTOMATED	$83.13	$166.27	$2.68–$166.27	—	50%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED	$83.13	$166.27	$2.68–$166.27	—	50%
Stool ova and parasites exam CPT 87177 OVA-PARASITES SMEARS	$231.28	$462.57	$8.90–$462.57	47% above	50%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$231.28	$462.57	$8.90–$462.57	47% above	50%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS	$231.28	$462.57	$8.90–$462.57	—	50%
Stool ova and parasites exam inpatient CPT 87177 OVA-PARASITES SMEARS	$231.28	$462.57	$8.90–$462.57	—	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$15.47	$30.95	$4.19–$197.22	49% below	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FECES 1-3	$83.13	$166.27	$4.19–$197.22	174% above	50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$15.47	$30.95	$4.19–$197.22	—	50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLD OCCULT FECES 1-3	$83.13	$166.27	$4.19–$197.22	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$90.53	$181.06	$4.27–$181.06	90% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, QUAL	$90.53	$181.06	$4.27–$181.06	90% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL	$90.53	$181.06	$4.27–$181.06	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, QUAL	$90.53	$181.06	$4.27–$181.06	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$217.93	$435.87	$61.02–$435.87	4% above	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IM MEAS	$217.93	$435.87	$61.02–$435.87	4% above	50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IM MEAS	$217.93	$435.87	$61.02–$435.87	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE	$217.93	$435.87	$61.02–$435.87	—	50%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$265.85	$531.70	$25.81–$531.70	148% above	50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$265.85	$531.70	$25.81–$531.70	148% above	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL	$265.85	$531.70	$25.81–$531.70	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$265.85	$531.70	$25.81–$531.70	—	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH	$353.91	$707.82	$14.55–$707.82	361% above	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB	$353.91	$707.82	$14.55–$707.82	361% above	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY EACH	$353.91	$707.82	$14.55–$707.82	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB	$353.91	$707.82	$14.55–$707.82	—	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$123.46	$246.93	$16.78–$246.93	18% above	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM TSH	$123.46	$246.93	$16.78–$246.93	18% above	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM TSH	$123.46	$246.93	$16.78–$246.93	—	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE	$123.46	$246.93	$16.78–$246.93	—	50%
Trichomonas test (NAAT) CPT 87661 T VAGINALIS AMP	$67.06	$134.12	$18.77–$134.12	8% below	50%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$67.06	$134.12	$18.77–$134.12	8% below	50%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$67.06	$134.12	$18.77–$134.12	—	50%
Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS AMP	$67.06	$134.12	$18.77–$134.12	—	50%
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID	$123.46	$246.93	$4.52–$246.93	118% above	50%
Uric acid blood test CPT 84550 URIC ACID, BLOOD	$123.46	$246.93	$4.52–$246.93	118% above	50%
Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD	$123.46	$246.93	$4.52–$246.93	—	50%
Uric acid blood test inpatient CPT 84550 ASSAY OF BLOOD/URIC ACID	$123.46	$246.93	$4.52–$246.93	—	50%
Urinalysis with microscope exam, automated CPT 81001 UA, AUTO W-SCOPE	$90.53	$181.06	$3.17–$181.06	44% above	50%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$90.53	$181.06	$3.17–$181.06	44% above	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE	$90.53	$181.06	$3.17–$181.06	—	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA, AUTO W-SCOPE	$90.53	$181.06	$3.17–$181.06	—	50%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$16.05	$32.11	$2.25–$127.59	31% below	50%
Urinalysis without microscope exam, automated CPT 81003 UA, AUTO, W-O SCOPE	$47.74	$95.48	$2.25–$127.59	106% above	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE	$16.05	$32.11	$2.25–$127.59	—	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA, AUTO, W-O SCOPE	$47.74	$95.48	$2.25–$127.59	—	50%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$11.46	$22.93	$3.29–$87.13	30% below	50%
Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W-O SCOPE	$32.10	$64.20	$3.29–$87.13	97% above	50%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$11.46	$22.93	$3.29–$87.13	—	50%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO W-O SCOPE	$32.10	$64.20	$3.29–$87.13	—	50%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$133.33	$266.67	$8.05–$266.67	36% above	50%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE-COLONY CT	$133.33	$266.67	$8.05–$266.67	36% above	50%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT	$133.33	$266.67	$8.05–$266.67	—	50%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE-COLONY CT	$133.33	$266.67	$8.05–$266.67	—	50%
Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QL	$23.50	$47.01	$6.58–$47.01	49% below	50%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$23.50	$47.01	$6.58–$47.01	49% below	50%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$23.50	$47.01	$6.58–$47.01	—	50%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QL	$23.50	$47.01	$6.58–$47.01	—	50%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$127.57	$255.15	$15.08–$255.15	at median	50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$127.57	$255.15	$15.08–$255.15	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$221.40	$442.80	$29.60–$442.80	46% above	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH	$221.40	$442.80	$29.60–$442.80	46% above	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$221.40	$442.80	$29.60–$442.80	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH	$221.40	$442.80	$29.60–$442.80	—	50%
Zinc blood test CPT 84630 ASSAY OF ZINC	$102.06	$204.12	$11.39–$204.12	44% above	50%
Zinc blood test CPT 84630 ZINC	$102.06	$204.12	$11.39–$204.12	44% above	50%
Zinc blood test inpatient CPT 84630 ZINC	$102.06	$204.12	$11.39–$204.12	—	50%
Zinc blood test inpatient CPT 84630 ASSAY OF ZINC	$102.06	$204.12	$11.39–$204.12	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$215.64	$431.29	$15.05–$431.29	26% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$215.64	$431.29	$15.05–$431.29	26% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN TEST	$215.64	$431.29	$15.05–$431.29	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$215.64	$431.29	$15.05–$431.29	—	50%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION	$638.69	$1,277.38	$178.83–$1,277.38	25% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$638.69	$1,277.38	$178.83–$1,277.38	25% below	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$638.69	$1,277.38	$178.83–$1,277.38	—	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION	$638.69	$1,277.38	$178.83–$1,277.38	—	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO	$433.51	$867.02	$121.38–$867.02	26% above	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO	$433.51	$867.02	$121.38–$867.02	—	50%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$1,595.67	$3,191.34	$446.78–$3,191.34	12% above	50%
Lower-back epidural injection, with imaging guidance CPT 62323 IR-DI L-S INJ W IM	$1,595.67	$3,191.34	$446.78–$3,191.34	12% above	50%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR-DI L-S INJ W IM	$1,595.67	$3,191.34	$446.78–$3,191.34	—	50%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC	$1,595.67	$3,191.34	$446.78–$3,191.34	—	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST	$416.47	$832.94	$116.61–$832.94	51% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$416.47	$832.94	$116.61–$832.94	51% below	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST	$416.47	$832.94	$116.61–$832.94	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LMBR SPI PNXR	$416.47	$832.94	$116.61–$832.94	—	50%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$429.64	$859.28	$223.33–$18,904.18	30% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 0 2 HRS	$730.86	$1,461.73	$223.33–$18,904.18	19% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$1,148.16	$2,296.33	$223.33–$18,904.18	87% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 2 4 HRS	$1,148.16	$2,296.33	$223.33–$18,904.18	87% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 4 6 HRS	$1,603.30	$3,206.60	$223.33–$18,904.18	161% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 6 8 HRS	$1,858.46	$3,716.93	$223.33–$18,904.18	202% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 8 10 HR	$2,124.31	$4,248.62	$223.33–$18,904.18	245% above	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD/BLD COMPNT	$429.64	$859.28	$223.33–$18,904.18	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 0 2 HRS	$730.86	$1,461.73	$223.33–$18,904.18	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 2 4 HRS	$1,148.16	$2,296.33	$223.33–$18,904.18	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$1,148.16	$2,296.33	$223.33–$18,904.18	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 4 6 HRS	$1,603.30	$3,206.60	$223.33–$18,904.18	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 6 8 HRS	$1,858.46	$3,716.93	$223.33–$18,904.18	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 8 10 HR	$2,124.31	$4,248.62	$223.33–$18,904.18	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT SUB	$92.50	$185.00	$125.72–$898.14	17% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$128.52	$257.05	$125.72–$898.14	15% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT INI	$147.37	$294.74	$125.72–$898.14	32% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMT SUB	$92.50	$185.00	$125.72–$898.14	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$128.52	$257.05	$125.72–$898.14	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMT INI	$147.37	$294.74	$125.72–$898.14	—	50%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$462.02	$924.05	$129.36–$924.05	14% below	50%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFU 1ST HR	$462.02	$924.05	$129.36–$924.05	14% below	50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR	$462.02	$924.05	$129.36–$924.05	—	50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFU 1ST HR	$462.02	$924.05	$129.36–$924.05	—	50%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$5,448.62	$10,897.25	$485.47–$10,897.25	168% above	50%
Critical care, first 30 to 74 minutes one side CPT 99291 CRITICAL CARE LT 74M	$5,448.62	$10,897.25	$485.47–$10,897.25	168% above	50%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR	$5,448.62	$10,897.25	$485.47–$10,897.25	—	50%
Critical care, first 30 to 74 minutes inpatient one side CPT 99291 CRITICAL CARE LT 74M	$5,448.62	$10,897.25	$485.47–$10,897.25	—	50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$1,916.89	$3,833.79	$158.82–$3,833.79	113% above	50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE DROWSY	$1,916.89	$3,833.79	$158.82–$3,833.79	113% above	50%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$1,916.89	$3,833.79	$158.82–$3,833.79	—	50%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE DROWSY	$1,916.89	$3,833.79	$158.82–$3,833.79	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$92.75	$185.51	$76.87–$825.08	45% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD ED STAFF	$92.75	$185.51	$76.87–$825.08	45% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI-EKG, 12 LEADS	$293.41	$586.83	$76.87–$825.08	75% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING	$92.75	$185.51	$76.87–$825.08	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD ED STAFF	$92.75	$185.51	$76.87–$825.08	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NI-EKG, 12 LEADS	$293.41	$586.83	$76.87–$825.08	—	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP	$257.60	$515.21	$52.10–$515.21	25% above	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF ED VISIT	$257.60	$515.21	$52.10–$515.21	25% above	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 BRIEF ED VISIT	$257.60	$515.21	$52.10–$515.21	—	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMR DPT VST MAYX REQ PHY/QHP	$257.60	$515.21	$52.10–$515.21	—	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED ED VISIT	$390.94	$781.89	$86.09–$781.89	37% above	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM	$390.94	$781.89	$86.09–$781.89	37% above	50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LIMITED ED VISIT	$390.94	$781.89	$86.09–$781.89	—	50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT SF MDM	$390.94	$781.89	$86.09–$781.89	—	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM	$936.64	$1,873.28	$137.38–$1,873.28	57% above	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE ED VIST	$936.64	$1,873.28	$137.38–$1,873.28	57% above	50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 INTERMEDIATE ED VIST	$936.64	$1,873.28	$137.38–$1,873.28	—	50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LOW MDM	$936.64	$1,873.28	$137.38–$1,873.28	—	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$1,106.18	$2,212.36	$218.71–$2,212.36	11% above	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED ED VISIT	$1,106.18	$2,212.36	$218.71–$2,212.36	11% above	50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$1,106.18	$2,212.36	$218.71–$2,212.36	—	50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EXTENDED ED VISIT	$1,106.18	$2,212.36	$218.71–$2,212.36	—	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 COMPREHENSIVE ED VST	$2,727.59	$5,455.19	$323.14–$5,455.19	95% above	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM	$2,727.59	$5,455.19	$323.14–$5,455.19	95% above	50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT HI MDM	$2,727.59	$5,455.19	$323.14–$5,455.19	—	50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 COMPREHENSIVE ED VST	$2,727.59	$5,455.19	$323.14–$5,455.19	—	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM-STRESS TEST	$908.28	$1,816.56	$233.19–$3,814.58	24% above	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI-STRESS TEST	$999.01	$1,998.02	$233.19–$3,814.58	37% above	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST TRACING ONLY	$999.01	$1,998.02	$233.19–$3,814.58	37% above	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM-STRESS TEST	$908.28	$1,816.56	$233.19–$3,814.58	—	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV STRESS TEST TRACING ONLY	$999.01	$1,998.02	$233.19–$3,814.58	—	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI-STRESS TEST	$999.01	$1,998.02	$233.19–$3,814.58	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$406.59	$813.18	$74.18–$3,781.12	27% above	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR	$504.53	$1,009.06	$74.18–$3,781.12	58% above	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT	$406.59	$813.18	$74.18–$3,781.12	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR	$504.53	$1,009.06	$74.18–$3,781.12	—	50%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$625.00	$1,250.00	$124.24–$3,750.00	55% above	50%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR	$625.00	$1,250.00	$124.24–$3,750.00	55% above	50%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT	$625.00	$1,250.00	$124.24–$3,750.00	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR	$625.00	$1,250.00	$124.24–$3,750.00	—	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM	$67.08	$134.16	$25.16–$552.16	40% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$73.25	$146.50	$25.16–$552.16	34% below	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM	$67.08	$134.16	$25.16–$552.16	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$73.25	$146.50	$25.16–$552.16	—	50%
Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN PT	$146.66	$293.33	$27.75–$879.99	23% above	50%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION	$146.66	$293.33	$27.75–$879.99	23% above	50%
Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN OT	$146.66	$293.33	$27.75–$879.99	23% above	50%
Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN PTA	$146.66	$293.33	$27.75–$879.99	23% above	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN PTA	$146.66	$293.33	$27.75–$879.99	—	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION	$146.66	$293.33	$27.75–$879.99	—	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN PT	$146.66	$293.33	$27.75–$879.99	—	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN OT	$146.66	$293.33	$27.75–$879.99	—	50%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$226.36	$452.72	$24.17–$452.72	at median	50%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW CMP OT	$226.36	$452.72	$24.17–$452.72	at median	50%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$226.36	$452.72	$24.17–$452.72	—	50%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW CMP OT	$226.36	$452.72	$24.17–$452.72	—	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH CMP PT	$369.97	$739.95	$67.61–$739.95	11% above	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$369.97	$739.95	$67.61–$739.95	11% above	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH CMP PT	$369.97	$739.95	$67.61–$739.95	—	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$369.97	$739.95	$67.61–$739.95	—	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW CMP PT	$369.97	$739.95	$22.31–$1,479.90	48% above	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$369.97	$739.95	$22.31–$1,479.90	48% above	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW CMP PT	$369.97	$739.95	$22.31–$1,479.90	—	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$369.97	$739.95	$22.31–$1,479.90	—	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$369.97	$739.95	$44.62–$1,479.90	53% above	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD CMP PT	$369.97	$739.95	$44.62–$1,479.90	53% above	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$369.97	$739.95	$44.62–$1,479.90	—	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD CMP PT	$369.97	$739.95	$44.62–$1,479.90	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15 MIN OT	$155.65	$311.31	$24.99–$945.03	27% above	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15 MIN PTA	$158.43	$316.86	$24.99–$945.03	29% above	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15 MIN PT	$158.43	$316.86	$24.99–$945.03	29% above	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS	$158.43	$316.86	$24.99–$945.03	29% above	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15 MIN OT	$155.65	$311.31	$24.99–$945.03	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 1/> REGIONS	$158.43	$316.86	$24.99–$945.03	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15 MIN PTA	$158.43	$316.86	$24.99–$945.03	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15 MIN PT	$158.43	$316.86	$24.99–$945.03	—	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN OT	$154.50	$309.00	$26.76–$938.99	40% above	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$154.50	$309.00	$26.76–$938.99	40% above	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PT	$154.50	$309.00	$26.76–$938.99	40% above	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PTA	$160.49	$320.99	$26.76–$938.99	46% above	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES	$154.50	$309.00	$26.76–$938.99	—	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PT	$154.50	$309.00	$26.76–$938.99	—	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN OT	$154.50	$309.00	$26.76–$938.99	—	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PTA	$160.49	$320.99	$26.76–$938.99	—	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$32.93	$65.86	$9.22–$65.86	at median	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHG SMOKE U 10	$32.93	$65.86	$9.22–$65.86	at median	50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHG SMOKE U 10	$32.93	$65.86	$9.22–$65.86	—	50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$32.93	$65.86	$9.22–$65.86	—	50%
Speech and language evaluation CPT 92523 EVAL SP SND PROD CMP	$514.77	$1,029.54	$115.54–$1,029.54	45% above	50%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$514.77	$1,029.54	$115.54–$1,029.54	45% above	50%
Speech and language evaluation inpatient CPT 92523 EVAL SP SND PROD CMP	$514.77	$1,029.54	$115.54–$1,029.54	—	50%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN	$514.77	$1,029.54	$115.54–$1,029.54	—	50%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV	$331.37	$662.74	$57.59–$662.74	56% above	50%
Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST	$331.37	$662.74	$57.59–$662.74	56% above	50%
Speech therapy session, individual inpatient CPT 92507 TX SP LANG VOICE COMM INDIV	$331.37	$662.74	$57.59–$662.74	—	50%
Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST	$331.37	$662.74	$57.59–$662.74	—	50%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$265.02	$530.05	$74.20–$530.05	5% above	50%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$265.02	$530.05	$74.20–$530.05	5% above	50%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$265.02	$530.05	$74.20–$530.05	—	50%
Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST	$265.02	$530.05	$74.20–$530.05	—	50%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$489.72	$979.44	$93.42–$979.44	18% above	50%
Spirometry before and after a bronchodilator CPT 94060 BRONCHO EVAL PRE/PST	$489.72	$979.44	$93.42–$979.44	18% above	50%
Spirometry before and after a bronchodilator inpatient CPT 94060 EVALUATION OF WHEEZING	$489.72	$979.44	$93.42–$979.44	—	50%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHO EVAL PRE/PST	$489.72	$979.44	$93.42–$979.44	—	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN OT	$146.66	$293.33	$27.72–$879.99	22% above	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN PT	$146.66	$293.33	$27.72–$879.99	22% above	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN PTA	$146.66	$293.33	$27.72–$879.99	22% above	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$146.66	$293.33	$27.72–$879.99	22% above	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES	$146.66	$293.33	$27.72–$879.99	—	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN OT	$146.66	$293.33	$27.72–$879.99	—	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN PTA	$146.66	$293.33	$27.72–$879.99	—	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN PT	$146.66	$293.33	$27.72–$879.99	—	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$207.40	$414.81	$77.21–$829.62	18% above	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT	$207.40	$414.81	$77.21–$829.62	18% above	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT	$207.40	$414.81	$77.21–$829.62	—	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$207.40	$414.81	$77.21–$829.62	—	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$83.47	$166.95	$16.67–$166.95	81% above	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVACC NO PRES OV3Y	$83.47	$166.95	$16.67–$166.95	81% above	50%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$83.47	$166.95	$16.67–$166.95	—	50%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUVACC NO PRES OV3Y	$83.47	$166.95	$16.67–$166.95	—	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE ADULT IM SYRINGE	$92.71	$185.42	$18.52–$185.42	34% below	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM	$92.71	$185.42	$18.52–$185.42	34% below	50%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPB VACCINE 3 DOSE ADULT IM	$92.71	$185.42	$18.52–$185.42	—	50%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE ADULT IM SYRINGE	$92.71	$185.42	$18.52–$185.42	—	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM	$69.54	$139.09	$13.89–$139.09	24% below	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VAC NOPRSV ANTIG	$69.54	$139.09	$13.89–$139.09	24% below	50%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VAC NOPRSV ANTIG	$69.54	$139.09	$13.89–$139.09	—	50%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 IIV NO PRSV INCREASED AG IM	$69.54	$139.09	$13.89–$139.09	—	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II INJ	$205.00	$410.00	$57.40–$410.00	21% above	50%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II INJ	$205.00	$410.00	$57.40–$410.00	—	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMO CONJ VAC 20IM	$628.12	$1,256.25	$175.87–$1,256.25	at median	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMO CONJ VAC 20IM	$628.12	$1,256.25	$175.87–$1,256.25	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM	$422.90	$845.81	$84.50–$845.81	138% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO-VAC 2YR-ADULT	$422.90	$845.81	$84.50–$845.81	138% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM	$422.90	$845.81	$84.50–$845.81	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMO-VAC 2YR-ADULT	$422.90	$845.81	$84.50–$845.81	—	50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM	$985.37	$1,970.75	$232.63–$1,970.75	33% above	50%
Rabies vaccine, one dose CPT 90675 RABIES VAC IM	$985.37	$1,970.75	$232.63–$1,970.75	33% above	50%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC IM	$985.37	$1,970.75	$232.63–$1,970.75	—	50%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM	$985.37	$1,970.75	$232.63–$1,970.75	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH/TET/ACPERT .5ML	$253.08	$506.17	$100.12–$715.17	112% above	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH/TET/ACPERT .5ML	$253.08	$506.17	$100.12–$715.17	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$47.74	$95.48	$25.16–$542.22	at median	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE	$114.41	$228.83	$25.16–$542.22	140% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$47.74	$95.48	$25.16–$542.22	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE	$114.41	$228.83	$25.16–$542.22	—	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC	$51.03	$102.07	$25.16–$199.28	60% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$51.03	$102.07	$25.16–$199.28	60% above	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD	$51.03	$102.07	$25.16–$199.28	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACC	$51.03	$102.07	$25.16–$199.28	—	50%

Source file: https://cea75026-66bc-472a-a0d7-7ec217c282dd.usrfiles.com/ugd/cea750_94493978988643ae88d1770dfb23e785.csv?dn=742930034_ALTA_VISTA_REGIONAL_HOSPITAL_standardcharges.csv