Colquitt Regional Medical Center
Listed in its price file as “Hospital Authority of Colquitt County”.
Colquitt Regional Medical Center in Moultrie, GA publishes cash prices for 388 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Georgia median for 224 of 382 procedures and above it for 153. By typical cash price it ranks #21 of 61 Georgia hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
3131 S Main St Moultrie, GA 31768-6925 Collected Sep 27, 2026 Source price file (229) 985-3420
Acute care hospital No emergency department CMS star rating 4 of 5 CCN 110105 · CMS hospital register
The price file shows no self-pay discount
For 1814 of the 1814 prices listed here, the cash price in Colquitt Regional Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 LEFT ANKLE - 4 VIEWS | $348.00 | $348.00 | $8.23–$348.00 | 33% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 RIGHT ANKLE - 4 VIEWS | $348.00 | $348.00 | $8.23–$348.00 | 33% above | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 LEFT ANKLE - 4 VIEWS | $348.00 | $348.00 | $8.23–$348.00 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 RIGHT ANKLE - 4 VIEWS | $348.00 | $348.00 | $8.23–$348.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LIMITED LEA | $291.00 | $291.00 | $15.54–$291.00 | 48% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $291.00 | $291.00 | $15.54–$291.00 | 48% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $291.00 | $291.00 | $15.54–$291.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 LIMITED LEA | $291.00 | $291.00 | $15.54–$291.00 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 BA SWALLOW - POST LAPBAND | $672.00 | $672.00 | $21.74–$672.00 | 113% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW | $672.00 | $672.00 | $21.74–$672.00 | 113% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 GASTROGRAFIN SWALLOW | $672.00 | $672.00 | $21.74–$672.00 | 113% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 GASTROGRAFIN SWALLOW | $672.00 | $672.00 | $21.74–$672.00 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BA SWALLOW - POST LAPBAND | $672.00 | $672.00 | $21.74–$672.00 | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BARIUM SWALLOW | $672.00 | $672.00 | $21.74–$672.00 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 WHOLE BODY SCAN I131 | $2,301.00 | $2,301.00 | $40.18–$2,301.00 | 112% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 WHOLE BODY BONE | $2,301.00 | $2,301.00 | $40.18–$2,301.00 | 112% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 WHOLE BODY SCAN I131 | $2,301.00 | $2,301.00 | $40.18–$2,301.00 | — | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 WHOLE BODY BONE | $2,301.00 | $2,301.00 | $40.18–$2,301.00 | — | — |
| Breast ultrasound, complete, one breast both sides CPT 76641 BILATERAL BREAST ULTRASOU | $711.00 | $711.00 | $33.32–$711.00 | — | — |
| Breast ultrasound, complete, one breast CPT 76641 BREAST WITHOUT ASP - RIGH | $711.00 | $711.00 | $33.32–$711.00 | 86% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT LIMITED | $356.00 | $356.00 | $33.32–$356.00 | 7% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LT LIMITED | $356.00 | $356.00 | $33.32–$356.00 | 7% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST WITHOUT ASP - LEFT | $711.00 | $711.00 | $33.32–$711.00 | 86% above | — |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 BILATERAL BREAST ULTRASOU | $711.00 | $711.00 | $33.32–$711.00 | — | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 BREAST WITHOUT ASP - RIGH | $711.00 | $711.00 | $33.32–$711.00 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LT LIMITED | $356.00 | $356.00 | $33.32–$356.00 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RT LIMITED | $356.00 | $356.00 | $33.32–$356.00 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 BREAST WITHOUT ASP - LEFT | $711.00 | $711.00 | $33.32–$711.00 | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RT LIMITED | $356.00 | $356.00 | $31.09–$356.00 | 7% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LT LIMITED | $356.00 | $356.00 | $31.09–$356.00 | 7% below | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST RT LIMITED | $356.00 | $356.00 | $31.09–$356.00 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LT LIMITED | $356.00 | $356.00 | $31.09–$356.00 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA OF THORACIC AORTA | $2,042.00 | $2,042.00 | $66.36–$2,042.00 | 10% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHEST ANGIOGRAPHY | $2,042.00 | $2,042.00 | $66.36–$2,042.00 | 10% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA OF THORACIC AORTA | $2,042.00 | $2,042.00 | $66.36–$2,042.00 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT CHEST ANGIOGRAPHY | $2,042.00 | $2,042.00 | $66.36–$2,042.00 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART-CORONARIES ALONE | $3,642.00 | $3,642.00 | $81.86–$3,642.00 | 186% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART-CORONARIES/CARDI | $3,642.00 | $3,642.00 | $81.86–$3,642.00 | 186% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART-CORO CA SCOR M | $3,642.00 | $3,642.00 | $81.86–$3,642.00 | 186% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART-CORONARIES/CALCI | $3,642.00 | $3,642.00 | $81.86–$3,642.00 | 186% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT HEART-CORONARIES ALONE | $3,642.00 | $3,642.00 | $81.86–$3,642.00 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT HEART-CORONARIES/CALCI | $3,642.00 | $3,642.00 | $81.86–$3,642.00 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT HEART-CORO CA SCOR M | $3,642.00 | $3,642.00 | $81.86–$3,642.00 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT HEART-CORONARIES/CARDI | $3,642.00 | $3,642.00 | $81.86–$3,642.00 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART-CALCIUM SCORING | $614.00 | $614.00 | $19.58–$614.00 | 514% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART-CALCIUM SCORING | $614.00 | $614.00 | $19.58–$614.00 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT RENAL STONE SEARCH | $2,450.00 | $2,450.00 | $75.29–$2,450.00 | 10% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONTRAS | $2,450.00 | $2,450.00 | $75.29–$2,450.00 | 10% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD&PELVIS W/O CONTRAS | $2,450.00 | $2,450.00 | $75.29–$2,450.00 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT RENAL STONE SEARCH | $2,450.00 | $2,450.00 | $75.29–$2,450.00 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/ CONTRAST | $6,124.00 | $6,124.00 | $78.94–$6,124.00 | 93% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD&PELVIS W/ CONTRAST | $6,124.00 | $6,124.00 | $78.94–$6,124.00 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&W/O CONTR | $6,175.00 | $6,175.00 | $87.37–$6,175.00 | 97% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD&PELVIS W&W/O CONTR | $6,175.00 | $6,175.00 | $87.37–$6,175.00 | — | — |
| CT scan of the abdomen with contrast CPT 74160 ABDOMEN W/CONTRAST | $2,959.00 | $2,959.00 | $59.27–$2,959.00 | 72% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT RENAL W CONTRAST | $2,959.00 | $2,959.00 | $59.27–$2,959.00 | 72% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 ABDOMEN W/CONTRAST | $2,959.00 | $2,959.00 | $59.27–$2,959.00 | — | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT RENAL W CONTRAST | $2,959.00 | $2,959.00 | $59.27–$2,959.00 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT RENAL WO CONTRAST | $2,450.00 | $2,450.00 | $55.65–$2,450.00 | 81% above | — |
| CT scan of the abdomen without contrast CPT 74150 ABDOMEN W/O CONTRAST | $2,450.00 | $2,450.00 | $55.65–$2,450.00 | 81% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 ABDOMEN W/O CONTRAST | $2,450.00 | $2,450.00 | $55.65–$2,450.00 | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT RENAL WO CONTRAST | $2,450.00 | $2,450.00 | $55.65–$2,450.00 | — | — |
| CT scan of the face and sinuses, no contrast dye both sides CPT 70486 TMJ BI WO CONTRAST | $2,507.00 | $2,507.00 | $53.34–$2,507.00 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 LTD CT SINUSES | $2,507.00 | $2,507.00 | $53.34–$2,507.00 | 112% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES | $2,507.00 | $2,507.00 | $53.34–$2,507.00 | 112% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES | $2,507.00 | $2,507.00 | $53.34–$2,507.00 | 112% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient both sides CPT 70486 TMJ BI WO CONTRAST | $2,507.00 | $2,507.00 | $53.34–$2,507.00 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES | $2,507.00 | $2,507.00 | $53.34–$2,507.00 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 LTD CT SINUSES | $2,507.00 | $2,507.00 | $53.34–$2,507.00 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES | $2,507.00 | $2,507.00 | $53.34–$2,507.00 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD (BRAIN) | $2,540.00 | $2,540.00 | $39.52–$2,540.00 | 84% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD (BRAIN) | $2,540.00 | $2,540.00 | $39.52–$2,540.00 | — | — |
| CT scan of the head with contrast CPT 70460 HEAD WITH CONTRAST | $2,647.00 | $2,647.00 | $53.00–$2,647.00 | 67% above | — |
| CT scan of the head with contrast inpatient CPT 70460 HEAD WITH CONTRAST | $2,647.00 | $2,647.00 | $53.00–$2,647.00 | — | — |
| CT scan of the head without and with contrast CPT 70470 HEAD WITH & W/O CONTRAST | $3,256.00 | $3,256.00 | $59.27–$3,256.00 | 73% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 HEAD WITH & W/O CONTRAST | $3,256.00 | $3,256.00 | $59.27–$3,256.00 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE | $3,186.00 | $3,186.00 | $54.34–$3,186.00 | 107% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE | $3,186.00 | $3,186.00 | $54.34–$3,186.00 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE | $3,247.00 | $3,247.00 | $54.34–$3,247.00 | 152% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE | $3,247.00 | $3,247.00 | $54.34–$3,247.00 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 PELVIS WITH CONTRAST | $3,166.00 | $3,166.00 | $54.34–$3,166.00 | 95% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS WITH CONTRAST | $3,166.00 | $3,166.00 | $54.34–$3,166.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTIDS | $1,095.00 | $1,095.00 | $31.31–$1,095.00 | 44% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTIDS | $1,095.00 | $1,095.00 | $31.31–$1,095.00 | — | — |
| Chest X-ray, 2 views CPT 71046 CHEST WITH FLUOROSCOPY | $299.00 | $299.00 | $9.92–$299.00 | 3% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $299.00 | $299.00 | $9.92–$299.00 | 3% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST-LATERAL DECUBITUS V | $299.00 | $299.00 | $9.92–$299.00 | 3% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS | $299.00 | $299.00 | $9.92–$299.00 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST WITH FLUOROSCOPY | $299.00 | $299.00 | $9.92–$299.00 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST-LATERAL DECUBITUS V | $299.00 | $299.00 | $9.92–$299.00 | — | — |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $299.00 | $299.00 | $8.33–$299.00 | 39% above | — |
| Chest X-ray, single view CPT 71045 APICAL LORDOTIC CHEST | $299.00 | $299.00 | $8.33–$299.00 | 39% above | — |
| Chest X-ray, single view CPT 71045 PORTABLE CHEST | $299.00 | $299.00 | $8.33–$299.00 | 39% above | — |
| Chest X-ray, single view inpatient CPT 71045 PORTABLE CHEST | $299.00 | $299.00 | $8.33–$299.00 | — | — |
| Chest X-ray, single view inpatient CPT 71045 APICAL LORDOTIC CHEST | $299.00 | $299.00 | $8.33–$299.00 | — | — |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW | $299.00 | $299.00 | $8.33–$299.00 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $553.00 | $553.00 | $34.91–$553.00 | 9% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP | $553.00 | $553.00 | $34.91–$553.00 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY STUDY | $681.00 | $681.00 | $9.25–$681.00 | 67% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY STUDY | $681.00 | $681.00 | $9.25–$681.00 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS | $453.00 | $453.00 | $90.62–$453.00 | 16% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US DETAILED SNGL FETUS | $453.00 | $453.00 | $90.62–$453.00 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX | $1,962.00 | $1,962.00 | $54.34–$1,962.00 | 52% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX | $1,962.00 | $1,962.00 | $54.34–$1,962.00 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH CONTRAST | $2,042.00 | $2,042.00 | $57.96–$2,042.00 | 31% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH CONTRAST | $2,042.00 | $2,042.00 | $57.96–$2,042.00 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $301.00 | $301.00 | $45.82–$301.00 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MM Û BILATERAL MAG VIEWS | $306.00 | $306.00 | $45.82–$306.00 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMOGRAMS BILATERAL | $450.00 | $450.00 | $45.82–$450.00 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI | $301.00 | $301.00 | $45.82–$301.00 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM Û BILATERAL MAG VIEWS | $306.00 | $306.00 | $45.82–$306.00 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMOGRAMS BILATERAL | $450.00 | $450.00 | $45.82–$450.00 | — | — |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $181.00 | $181.00 | $37.18–$217.39 | 48% below | — |
| Diagnostic mammogram, one breast CPT 77065 STEREO BR BX CONF MAMMO | $264.00 | $264.00 | $37.18–$264.00 | 24% below | — |
| Diagnostic mammogram, one breast CPT 77065 MAMMOGRAM - ADD'L VIEWS | $306.00 | $306.00 | $37.18–$306.00 | 12% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAMS UNILATERAL/DIG | $306.00 | $306.00 | $37.18–$306.00 | 12% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC RIGHT | $306.00 | $306.00 | $37.18–$306.00 | 12% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAG SPOT LEFT | $306.00 | $306.00 | $37.18–$306.00 | 12% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAG SPOT RIGHT | $306.00 | $306.00 | $37.18–$306.00 | 12% below | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI | $181.00 | $181.00 | $37.18–$217.39 | — | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 STEREO BR BX CONF MAMMO | $264.00 | $264.00 | $37.18–$264.00 | — | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 MAMMOGRAM - ADD'L VIEWS | $306.00 | $306.00 | $37.18–$306.00 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOSTIC RIGHT | $306.00 | $306.00 | $37.18–$306.00 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAMS UNILATERAL/DIG | $306.00 | $306.00 | $37.18–$306.00 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAG SPOT RIGHT | $306.00 | $306.00 | $37.18–$306.00 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAG SPOT LEFT | $306.00 | $306.00 | $37.18–$306.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LE ART/BPG; BILAT | $842.00 | $842.00 | $30.66–$842.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX LE ART/BPG; BILAT | $842.00 | $842.00 | $30.66–$842.00 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 LOWER EXTREMITY VENOUS | $1,102.00 | $1,102.00 | $34.91–$1,102.00 | 9% below | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXT VENOUS DOPPLER W/REFL | $1,102.00 | $1,102.00 | $34.91–$1,102.00 | 9% below | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 UPPER EXTREMITY VENOUS | $1,170.00 | $1,170.00 | $34.91–$1,170.00 | 3% below | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXT VENOUS DOPPLER W/REFL | $1,102.00 | $1,102.00 | $34.91–$1,102.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 LOWER EXTREMITY VENOUS | $1,102.00 | $1,102.00 | $34.91–$1,102.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 UPPER EXTREMITY VENOUS | $1,170.00 | $1,170.00 | $34.91–$1,170.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 COMPLETE ECHOCARDIOGRAM | $2,238.00 | $2,238.00 | $64.25–$2,238.00 | 22% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 COMPLETE ECHOCARDIOGRAM | $2,238.00 | $2,238.00 | $64.25–$2,238.00 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA SCAN | $2,258.00 | $2,258.00 | $31.26–$2,258.00 | 94% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HIDA SCAN | $2,258.00 | $2,258.00 | $31.26–$2,258.00 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HST2 | $660.00 | $660.00 | $145.43–$660.00 | at median | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HST2 | $660.00 | $660.00 | $145.43–$660.00 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CPAP M.D. INTERP. | $521.00 | $521.00 | $196.42–$1,541.73 | 84% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CPAP TITRATION | $4,062.00 | $4,062.00 | $196.42–$4,062.00 | 24% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CPAP M.D. INTERP. | $521.00 | $521.00 | $196.42–$1,541.73 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CPAP TITRATION | $4,062.00 | $4,062.00 | $196.42–$4,062.00 | — | — |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $107.00 | $107.00 | $8.89–$143.35 | 60% below | — |
| Knee X-ray, 3 views inpatient CPT 73562 X-RAY EXAM OF KNEE 3 | $107.00 | $107.00 | $8.89–$143.35 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PANCREAS | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | 149% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 URINARY BLADDER ULTRASOUN | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | 149% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABD FLUID LOC | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | 149% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 UPPER ABD | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | 149% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 APPENDIX ULTRASOUND | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | 149% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SPLEEN | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | 149% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 GALL BLADDER | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | 149% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PYLORUS ULTRASOUND | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | 149% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIVER | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | 149% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PARACENTESIS ABD W/IMAGE DIAGN | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | 149% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PANCREAS | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 URINARY BLADDER ULTRASOUN | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 UPPER ABD | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 SPLEEN | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PYLORUS ULTRASOUND | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PARACENTESIS ABD W/IMAGE DIAGN | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 LIVER | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 GALL BLADDER | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 APPENDIX ULTRASOUND | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABD FLUID LOC | $1,220.00 | $1,220.00 | $27.69–$1,220.00 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE STUDY | $344.00 | $344.00 | $46.97–$344.00 | 30% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LOW DOSE STUDY | $344.00 | $344.00 | $46.97–$344.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LEFT ANKLE | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | 46% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LEFT HIP | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | 46% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LEFT KNEE | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | 46% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI RIGHT ANKLE | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | 46% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI RIGHT HIP | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | 46% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI RIGHT KNEE | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | 46% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LEFT KNEE | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RIGHT ANKLE | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LEFT HIP | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LEFT ANKLE | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RIGHT KNEE | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RIGHT HIP | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI RIGHT HIP W/O&W CONTR | $2,726.00 | $2,726.00 | $84.28–$2,726.00 | at median | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LEFT HIP W/O&W CONTRA | $2,726.00 | $2,726.00 | $84.28–$2,726.00 | at median | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI RIGHT HIP W/O&W CONTR | $2,726.00 | $2,726.00 | $84.28–$2,726.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LEFT HIP W/O&W CONTRA | $2,726.00 | $2,726.00 | $84.28–$2,726.00 | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI:ABDOMEN | $3,589.00 | $3,589.00 | $74.77–$3,589.00 | 91% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI:ABDOMEN | $3,589.00 | $3,589.00 | $74.77–$3,589.00 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O & W/ CONT | $4,355.00 | $4,355.00 | $91.53–$4,355.00 | 51% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/O & W/ CONT | $4,355.00 | $4,355.00 | $91.53–$4,355.00 | — | — |
| MRI of the brain, no contrast dye CPT 70551 ATTEMPTED MRI BRAIN | $3,556.00 | $3,556.00 | $69.48–$3,556.00 | 112% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI: BRAIN(INCLUDING BRAI | $3,556.00 | $3,556.00 | $69.48–$3,556.00 | 112% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI: BRAIN(INCLUDING BRAI | $3,556.00 | $3,556.00 | $69.48–$3,556.00 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 ATTEMPTED MRI BRAIN | $3,556.00 | $3,556.00 | $69.48–$3,556.00 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 IACS/PITUITARY | $3,859.00 | $3,859.00 | $110.66–$3,859.00 | 37% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WITH & W/O CONT | $3,859.00 | $3,859.00 | $110.66–$3,859.00 | 37% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WITH & W/O CONT | $3,859.00 | $3,859.00 | $110.66–$3,859.00 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 IACS/PITUITARY | $3,859.00 | $3,859.00 | $110.66–$3,859.00 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI:SPINAL AND CONT:LUMBA | $3,589.00 | $3,589.00 | $69.48–$3,589.00 | 102% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI:SPINAL AND CONT:LUMBA | $3,589.00 | $3,589.00 | $69.48–$3,589.00 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR W & W/O CONTRAST | $3,898.00 | $3,898.00 | $110.66–$3,898.00 | 35% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 LUMBAR W & W/O CONTRAST | $3,898.00 | $3,898.00 | $110.66–$3,898.00 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC & CONTENTS | $3,323.00 | $3,323.00 | $74.77–$3,323.00 | 87% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 THORACIC & CONTENTS | $3,323.00 | $3,323.00 | $74.77–$3,323.00 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL W & W/O CONTRAST | $3,898.00 | $3,898.00 | $120.21–$3,898.00 | 48% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CERVICAL W & W/O CONTRAST | $3,898.00 | $3,898.00 | $120.21–$3,898.00 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI:SPINAL AND CONT; CERV | $3,589.00 | $3,589.00 | $74.77–$3,589.00 | 104% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE - INCO | $3,589.00 | $3,589.00 | $74.77–$3,589.00 | 104% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE - INCO | $3,589.00 | $3,589.00 | $74.77–$3,589.00 | — | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI:SPINAL AND CONT; CERV | $3,589.00 | $3,589.00 | $74.77–$3,589.00 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O WITH CONT | $3,265.00 | $3,265.00 | $91.53–$3,265.00 | 13% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O WITH CONT | $3,265.00 | $3,265.00 | $91.53–$3,265.00 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS | $2,939.00 | $2,939.00 | $58.65–$2,939.00 | 62% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 SACRUM W/O CO | $2,939.00 | $2,939.00 | $58.65–$2,939.00 | 62% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS | $2,939.00 | $2,939.00 | $58.65–$2,939.00 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 SACRUM W/O CO | $2,939.00 | $2,939.00 | $58.65–$2,939.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RIGHT WRIST W/O CONTRAST | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | 69% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI LEFT SHOULDER | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | 69% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RIGHT SHOULDER | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | 69% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RIGHT ELBOW | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | 69% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI LEFT WRIST W/O CONTRAST | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | 69% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI LEFT ELBOW | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | 69% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RIGHT SHOULDER | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RIGHT ELBOW | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LEFT ELBOW | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LEFT SHOULDER | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LEFT WRIST W/O CONTRAST | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RIGHT WRIST W/O CONTRAST | $2,616.00 | $2,616.00 | $65.11–$2,616.00 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 STRESS TEST PHARM W CARDI | $7,580.00 | $7,580.00 | $55.60–$7,580.00 | 113% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL SPECT MULTI STUDIES | $7,580.00 | $7,580.00 | $55.60–$7,580.00 | 113% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL SPECT MULTI STUDIES | $7,580.00 | $7,580.00 | $55.60–$7,580.00 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 STRESS TEST PHARM W CARDI | $7,580.00 | $7,580.00 | $55.60–$7,580.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 MON.TUMOR RESP-TRTMT;BR | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 TUMOR IMAGINGPETMETABOL | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 THYROID CANCER | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 THYROID CA RESTAGING (PS | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 TESTICULAR CANCER | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 TESTICULAR CA RESTAGING | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 SOFT TISSUE SARCOMA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 SOFT TISS SARCOMA RESTAG | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 SMALL CELL LUNG CANCER | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 SM CELL LUNG CA RESTAGIN | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 SINGLE PULM NODULE RESTA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 RE-STAGING; NSCLC | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 RESTAGING COLORECTAL | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 RESTAG.LOCOREG.RECUR BR | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 RESTAG.ESOPHAGEAL CA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 REGSING.PULM.NODULE | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 REGRESTAG.HEAD&NECK | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 REGINIT.HEAD&NECK | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PROSTATE CANCER | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PROSTATE CA RESTAGING (P | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PANCREATIC CANCER PET SCA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PANCREATIC CA RESTAGING | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 OVARIAN CANCER | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 OVARIAN CA RESTAGING (PS | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 MYELOMA PET SCAN | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 MEYLOMA CA RESTAGING (PS | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 IS DIS.METSBREAST | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 INIT.STAG.ESOPHAGEAL | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 INIT.STAG.COLORECTAL | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 INIT.STAG. MELANOMA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 INIT.STAG. LYMPHOMA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 INIT. STAGING;NSCLC | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 IMAG.META.PRE-SURG EVAL R | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 DIAGNOSIS MELANOMA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 DIAGNOSIS LYMPHOMA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 DIAG;NON-SMALL CELL | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 DIAG.ESOPHAGEAL CAN. | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 DIAG.COLORECTAL CAN. | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 CERVICAL CANCER | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 CERVICAL CA RESTAGING (P | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | 194% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 SMALL CELL LUNG CANCER | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 TUMOR IMAGINGPETMETABOL | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 THYROID CANCER | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 IS DIS.METSBREAST | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 THYROID CA RESTAGING (PS | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 CERVICAL CANCER | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 TESTICULAR CANCER | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 INIT.STAG.ESOPHAGEAL | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 TESTICULAR CA RESTAGING | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 SOFT TISSUE SARCOMA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 INIT.STAG.COLORECTAL | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 SOFT TISS SARCOMA RESTAG | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 CERVICAL CA RESTAGING (P | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 INIT.STAG. MELANOMA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 SM CELL LUNG CA RESTAGIN | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 SINGLE PULM NODULE RESTA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 INIT.STAG. LYMPHOMA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 RE-STAGING; NSCLC | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 RESTAGING COLORECTAL | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 INIT. STAGING;NSCLC | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 RESTAG.LOCOREG.RECUR BR | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 RESTAG.ESOPHAGEAL CA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 IMAG.META.PRE-SURG EVAL R | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 REGSING.PULM.NODULE | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 REGRESTAG.HEAD&NECK | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 DIAGNOSIS MELANOMA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 REGINIT.HEAD&NECK | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PROSTATE CANCER | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 DIAGNOSIS LYMPHOMA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PROSTATE CA RESTAGING (P | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PANCREATIC CANCER PET SCA | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 DIAG;NON-SMALL CELL | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PANCREATIC CA RESTAGING | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 OVARIAN CANCER | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 DIAG.ESOPHAGEAL CAN. | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 OVARIAN CA RESTAGING (PS | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 MYELOMA PET SCAN | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 DIAG.COLORECTAL CAN. | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 MON.TUMOR RESP-TRTMT;BR | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 MEYLOMA CA RESTAGING (PS | $10,367.00 | $10,367.00 | $116.81–$10,367.00 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIV LIMITED US | $304.00 | $304.00 | $18.10–$304.00 | 23% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIV LIMITED US | $304.00 | $304.00 | $18.10–$304.00 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC | $748.00 | $748.00 | $32.60–$748.00 | 24% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC | $748.00 | $748.00 | $32.60–$748.00 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 COMP FETAL STUDY (OB SONO | $576.00 | $576.00 | $47.10–$576.00 | 1% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 COMP FETAL STUDY (OB SONO | $576.00 | $576.00 | $47.10–$576.00 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $251.00 | $251.00 | $39.06–$251.00 | 53% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS | $251.00 | $251.00 | $39.06–$251.00 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB-LIMITED EXAMINATION | $344.00 | $344.00 | $30.98–$344.00 | at median | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB-LIMITED EXAMINATION | $344.00 | $344.00 | $30.98–$344.00 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $181.00 | $181.00 | $34.59–$222.85 | — | — |
| Screening mammogram, both breasts CPT 77067 POST/MASTECT DIGIT SCREEN | $221.00 | $221.00 | $34.59–$222.85 | 7% below | — |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMO-SELF REFE | $297.00 | $297.00 | $34.59–$297.00 | 25% above | — |
| Screening mammogram, both breasts CPT 77067 SCR MAMMO INCL CAD SINGLE | $301.00 | $301.00 | $34.59–$301.00 | 27% above | — |
| Screening mammogram, both breasts CPT 77067 DIGITAL BASELINE MAMMOGRA | $306.00 | $306.00 | $34.59–$306.00 | 29% above | — |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAM - CC | $317.00 | $317.00 | $34.59–$317.00 | 34% above | — |
| Screening mammogram, both breasts CPT 77067 BREASTEST DIG MAMMO HEALT | $357.00 | $357.00 | $34.59–$357.00 | 51% above | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD | $181.00 | $181.00 | $34.59–$222.85 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 POST/MASTECT DIGIT SCREEN | $221.00 | $221.00 | $34.59–$222.85 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 SCREENING MAMMO-SELF REFE | $297.00 | $297.00 | $34.59–$297.00 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 SCR MAMMO INCL CAD SINGLE | $301.00 | $301.00 | $34.59–$301.00 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 DIGITAL BASELINE MAMMOGRA | $306.00 | $306.00 | $34.59–$306.00 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 SCREENING MAMMOGRAM - CC | $317.00 | $317.00 | $34.59–$317.00 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 BREASTEST DIG MAMMO HEALT | $357.00 | $357.00 | $34.59–$357.00 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 3 VIEWS | $443.00 | $443.00 | $8.56–$443.00 | 28% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2 VIEWS | $443.00 | $443.00 | $8.56–$443.00 | 28% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 LEFT SHOULDER - 3 VIEWS | $443.00 | $443.00 | $8.56–$443.00 | 28% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 RIGHT SHOULDER - 3 VIEWS | $443.00 | $443.00 | $8.56–$443.00 | 28% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 LEFT SHOULDER - 2 VIEWS | $443.00 | $443.00 | $8.56–$443.00 | 28% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 RIGHT SHOULDER - 2 VIEWS | $443.00 | $443.00 | $8.56–$443.00 | 28% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER 3 VIEWS | $443.00 | $443.00 | $8.56–$443.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER 2 VIEWS | $443.00 | $443.00 | $8.56–$443.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 RIGHT SHOULDER - 3 VIEWS | $443.00 | $443.00 | $8.56–$443.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 LEFT SHOULDER - 3 VIEWS | $443.00 | $443.00 | $8.56–$443.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 LEFT SHOULDER - 2 VIEWS | $443.00 | $443.00 | $8.56–$443.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 RIGHT SHOULDER - 2 VIEWS | $443.00 | $443.00 | $8.56–$443.00 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLSOMNOGRAM M.D. INTERP | $521.00 | $521.00 | $183.23–$1,541.73 | 83% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 INCOMPLETE SLEEP STUDY | $1,519.00 | $1,519.00 | $183.23–$1,541.73 | 50% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLSOMNOGRAM | $3,345.00 | $3,345.00 | $183.23–$3,345.00 | 9% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLSOMNOGRAM M.D. INTERP | $521.00 | $521.00 | $183.23–$1,541.73 | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 INCOMPLETE SLEEP STUDY | $1,519.00 | $1,519.00 | $183.23–$1,541.73 | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLSOMNOGRAM | $3,345.00 | $3,345.00 | $183.23–$3,345.00 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW - MODIFIED | $658.00 | $658.00 | $25.04–$658.00 | 10% below | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 BARIUM SWALLOW - MODIFIED | $658.00 | $658.00 | $25.04–$658.00 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL-PELVIC ULTRA | $676.00 | $676.00 | $32.60–$676.00 | 32% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL-PELVIC ULTRA | $676.00 | $676.00 | $32.60–$676.00 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL OB ULTRASOUN | $702.00 | $702.00 | $34.98–$702.00 | 75% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL OB ULTRASOUN | $702.00 | $702.00 | $34.98–$702.00 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ABDOMEN | $1,312.00 | $1,312.00 | $37.87–$1,312.00 | 64% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 COMPLETE ABDOMEN | $1,312.00 | $1,312.00 | $37.87–$1,312.00 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR SCAN | $649.00 | $649.00 | $30.28–$649.00 | 17% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 TESTICULAR SCAN | $649.00 | $649.00 | $30.28–$649.00 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID SONOGRAM | $613.00 | $613.00 | $26.36–$613.00 | 1% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 PARATHYROID ULTRASOUND | $613.00 | $613.00 | $26.36–$613.00 | 1% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 NECK - SONOGRAM | $613.00 | $613.00 | $26.36–$613.00 | 1% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HEAD - SOFT TISSUE ONLY | $613.00 | $613.00 | $26.36–$613.00 | 1% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 THYROID SONOGRAM | $613.00 | $613.00 | $26.36–$613.00 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 NECK - SONOGRAM | $613.00 | $613.00 | $26.36–$613.00 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HEAD - SOFT TISSUE ONLY | $613.00 | $613.00 | $26.36–$613.00 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 PARATHYROID ULTRASOUND | $613.00 | $613.00 | $26.36–$613.00 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W GASTROGRAFIN | $905.00 | $905.00 | $32.60–$905.00 | 84% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI SERIES | $905.00 | $905.00 | $32.60–$905.00 | 84% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 BA SWALLOW W UPPER GI SER | $905.00 | $905.00 | $32.60–$905.00 | 84% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI WITH SBFT | $1,659.00 | $1,659.00 | $32.60–$1,659.00 | 238% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 BA SWALLOW W UPPER GI SER | $905.00 | $905.00 | $32.60–$905.00 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W GASTROGRAFIN | $905.00 | $905.00 | $32.60–$905.00 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI SERIES | $905.00 | $905.00 | $32.60–$905.00 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI WITH SBFT | $1,659.00 | $1,659.00 | $32.60–$1,659.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 72 HR POST OP VENOUS REFL | $1,102.00 | $1,102.00 | $23.07–$1,102.00 | 74% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 INTRAOPERATIVE VENOUS REF | $1,102.00 | $1,102.00 | $23.07–$1,102.00 | 74% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 UPPER EXTREMITY VENOUS | $1,102.00 | $1,102.00 | $23.07–$1,102.00 | 74% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER LE LEFT | $1,102.00 | $1,102.00 | $23.07–$1,102.00 | 74% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER LE RIGHT | $1,102.00 | $1,102.00 | $23.07–$1,102.00 | 74% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 UPPER EXTREMITY VENOUS | $1,102.00 | $1,102.00 | $23.07–$1,102.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 72 HR POST OP VENOUS REFL | $1,102.00 | $1,102.00 | $23.07–$1,102.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 INTRAOPERATIVE VENOUS REF | $1,102.00 | $1,102.00 | $23.07–$1,102.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DOPPLER LE LEFT | $1,102.00 | $1,102.00 | $23.07–$1,102.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DOPPLER LE RIGHT | $1,102.00 | $1,102.00 | $23.07–$1,102.00 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 4 VIEWS | $341.00 | $341.00 | $8.23–$341.00 | 44% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 LEFT WRISTS - 4 VIEWS | $341.00 | $341.00 | $8.23–$341.00 | 44% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 RIGHT WRISTS - 4 VIEWS | $341.00 | $341.00 | $8.23–$341.00 | 44% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST 4 VIEWS | $341.00 | $341.00 | $8.23–$341.00 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 RIGHT WRISTS - 4 VIEWS | $341.00 | $341.00 | $8.23–$341.00 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 LEFT WRISTS - 4 VIEWS | $341.00 | $341.00 | $8.23–$341.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 OPERATIVE HIP | $1,234.00 | $1,234.00 | $10.17–$1,234.00 | 472% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 RIGHT HIP | $364.00 | $364.00 | $10.17–$364.00 | 69% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 LEFT HIP | $364.00 | $364.00 | $10.17–$364.00 | 69% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 OPERATIVE HIP | $1,234.00 | $1,234.00 | $10.17–$1,234.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RIGHT HIP | $364.00 | $364.00 | $10.17–$364.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 LEFT HIP | $364.00 | $364.00 | $10.17–$364.00 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN (KUB) | $212.00 | $212.00 | $8.33–$212.00 | 26% below | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN (KUB) | $212.00 | $212.00 | $8.33–$212.00 | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 RIGHT ANKLE 2 VIEWS | $287.00 | $287.00 | $7.90–$287.00 | 42% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 LEFT ANKLE 2 VIEWS | $287.00 | $287.00 | $7.90–$287.00 | 42% above | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 LEFT ANKLE 2 VIEWS | $287.00 | $287.00 | $7.90–$287.00 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 RIGHT ANKLE 2 VIEWS | $287.00 | $287.00 | $7.90–$287.00 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGERS | $296.00 | $296.00 | $6.58–$296.00 | 62% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 RIGHT 3RD FINGER | $296.00 | $296.00 | $6.58–$296.00 | 62% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 LEFT 3RD FINGER | $296.00 | $296.00 | $6.58–$296.00 | 62% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 LEFT 4TH FINGER | $296.00 | $296.00 | $6.58–$296.00 | 62% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 LEFT 5TH FINGER | $296.00 | $296.00 | $6.58–$296.00 | 62% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 LEFT INDEX FINGER | $296.00 | $296.00 | $6.58–$296.00 | 62% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 LEFT THUMB | $296.00 | $296.00 | $6.58–$296.00 | 62% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 RIGHT 4TH FINGER | $296.00 | $296.00 | $6.58–$296.00 | 62% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 RIGHT 5TH FINGER | $296.00 | $296.00 | $6.58–$296.00 | 62% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 RIGHT INDEX FINGER | $296.00 | $296.00 | $6.58–$296.00 | 62% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 RIGHT THUMB | $296.00 | $296.00 | $6.58–$296.00 | 62% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGERS | $296.00 | $296.00 | $6.58–$296.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 RIGHT INDEX FINGER | $296.00 | $296.00 | $6.58–$296.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 RIGHT 5TH FINGER | $296.00 | $296.00 | $6.58–$296.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 RIGHT 4TH FINGER | $296.00 | $296.00 | $6.58–$296.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 LEFT 3RD FINGER | $296.00 | $296.00 | $6.58–$296.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 LEFT 4TH FINGER | $296.00 | $296.00 | $6.58–$296.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 RIGHT 3RD FINGER | $296.00 | $296.00 | $6.58–$296.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 LEFT 5TH FINGER | $296.00 | $296.00 | $6.58–$296.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 LEFT INDEX FINGER | $296.00 | $296.00 | $6.58–$296.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 LEFT THUMB | $296.00 | $296.00 | $6.58–$296.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 RIGHT THUMB | $296.00 | $296.00 | $6.58–$296.00 | — | — |
| X-ray of the foot, 2 views CPT 73620 FOOT 2V | $308.00 | $308.00 | $7.90–$308.00 | 66% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2V | $308.00 | $308.00 | $7.90–$308.00 | — | — |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT BILATERAL | $689.00 | $689.00 | $8.23–$689.00 | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 LEFT FOOT | $351.00 | $351.00 | $8.23–$351.00 | 34% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 RIGHT FOOT | $351.00 | $351.00 | $8.23–$351.00 | 34% above | — |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT BILATERAL | $689.00 | $689.00 | $8.23–$689.00 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 LEFT FOOT | $351.00 | $351.00 | $8.23–$351.00 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 RIGHT FOOT | $351.00 | $351.00 | $8.23–$351.00 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HAND | $348.00 | $348.00 | $8.23–$348.00 | 32% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 RIGHT HAND | $348.00 | $348.00 | $8.23–$348.00 | 32% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 LEFT HAND | $348.00 | $348.00 | $8.23–$348.00 | 32% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND | $348.00 | $348.00 | $8.23–$348.00 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 LEFT HAND | $348.00 | $348.00 | $8.23–$348.00 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 RIGHT HAND | $348.00 | $348.00 | $8.23–$348.00 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 2 VIEWS | $295.00 | $295.00 | $8.23–$295.00 | 60% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 LEFT KNEE - 2 VIEWS | $295.00 | $295.00 | $8.23–$295.00 | 60% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 RIGHT KNEE - 2 VIEWS | $295.00 | $295.00 | $8.23–$295.00 | 60% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 LEFT PATELLA | $295.00 | $295.00 | $8.23–$295.00 | 60% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 RIGHT PATELLA | $295.00 | $295.00 | $8.23–$295.00 | 60% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 2 VIEWS | $295.00 | $295.00 | $8.23–$295.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 RIGHT KNEE - 2 VIEWS | $295.00 | $295.00 | $8.23–$295.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 RIGHT PATELLA | $295.00 | $295.00 | $8.23–$295.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 LEFT PATELLA | $295.00 | $295.00 | $8.23–$295.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 LEFT KNEE - 2 VIEWS | $295.00 | $295.00 | $8.23–$295.00 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 3 VIEWS | $462.00 | $462.00 | $10.53–$462.00 | 35% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE - 2 VIEWS | $462.00 | $462.00 | $10.53–$462.00 | 35% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 3 VIEWS | $462.00 | $462.00 | $10.53–$462.00 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE - 2 VIEWS | $462.00 | $462.00 | $10.53–$462.00 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE 5 VIEWS | $963.00 | $963.00 | $14.49–$963.00 | 90% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE KYPHOPLASTY | $963.00 | $963.00 | $14.49–$963.00 | 90% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE 5 VIEWS | $963.00 | $963.00 | $14.49–$963.00 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE KYPHOPLASTY | $963.00 | $963.00 | $14.49–$963.00 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $86.00 | $86.00 | $10.53–$176.35 | 73% below | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $86.00 | $86.00 | $10.53–$176.35 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES | $320.00 | $320.00 | $8.23–$320.00 | 47% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES | $320.00 | $320.00 | $8.23–$320.00 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE - 3 VIEWS | $476.00 | $476.00 | $10.53–$476.00 | 13% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE - 2 VIEWS | $476.00 | $476.00 | $10.53–$476.00 | 13% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE - 3 VIEWS | $476.00 | $476.00 | $10.53–$476.00 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE - 2 VIEWS | $476.00 | $476.00 | $10.53–$476.00 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS (JUDET VIEWS) | $378.00 | $378.00 | $8.23–$378.00 | 56% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS XRAY | $378.00 | $378.00 | $8.23–$378.00 | 56% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS XRAY | $378.00 | $378.00 | $8.23–$378.00 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS (JUDET VIEWS) | $378.00 | $378.00 | $8.23–$378.00 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX | $398.00 | $398.00 | $8.23–$398.00 | 39% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX | $398.00 | $398.00 | $8.23–$398.00 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $35.00 | $35.00 | $5.30–$35.00 | 21% below | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) | $91.00 | $91.00 | $5.30–$91.00 | 107% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT | $35.00 | $35.00 | $5.30–$35.00 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) | $91.00 | $91.00 | $5.30–$91.00 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $30.00 | $30.00 | $5.18–$30.00 | 17% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) | $95.00 | $95.00 | $5.18–$95.00 | 164% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT | $30.00 | $30.00 | $5.18–$30.00 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) | $95.00 | $95.00 | $5.18–$95.00 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL I | $135.00 | $135.00 | $47.63–$135.00 | 62% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ABC PROFILE | $533.00 | $533.00 | $47.63–$533.00 | 48% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL I | $135.00 | $135.00 | $47.63–$135.00 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ABC PROFILE | $533.00 | $533.00 | $47.63–$533.00 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EGG WHITE | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PIGWEED (W14) | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EGG YOLK | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SHRIMP | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ELM (T8) | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PORK | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SHEEP SORRE | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PISTACHIO NUT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE FORMALDEHYDE | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SESAME SEED | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GARLIC | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GLUTEN | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE RAST FOOD P | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HAZEL NUT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HICK/PECAN TREE | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE RAGWEED (W1) | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HOUSE DUST | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PED PANEL | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE JOHNSON GRASS | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE POTATO | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE JUNE GRASS (G8) | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE A. ALTERNATA (M6) | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE LATEX (K82) | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PECAN NUT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE LETTUCE | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE A. FUMIGATUS (M3) | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MACADAMIA NUT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PEANUT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MAPLE LEAF | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ALMOND NUT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MELONS | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE OUTDOOR MOLD | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MILK | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE APPLE | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MOLDS | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE OAT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MOUNTAIN JU | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BAHIA GRASS (G17) | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MUSTARD | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE NUT MIX GROUP | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE NETTLE | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE OAK (T7) | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BEEF | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BERMUDA GRASS | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-E5 PROFILE 2 | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BRAZIL NUT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE C. HERBARUM (M2) | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-E1 PROFILE 2 | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CARROT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CASHEW NUT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EA | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CAT DANDER | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CEREAL GROUP | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WHEAT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CHESTNUT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WALNUT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CHICKEN MEAT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CLAM | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE COCKROACH | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE TOMATO | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE COCONUT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CODFISH | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE TIM GRASS | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CORN | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CRAB | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SOYBEAN | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE D. FARINAE (D2) | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PINE NUT | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE DOG DANDER | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SILVER BIRCH | $75.00 | $75.00 | $5.22–$75.00 | 102% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE EGG WHITE | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-E5 PROFILE 2 | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-E1 PROFILE 2 | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE EA | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WHEAT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WALNUT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE TOMATO | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE TIM GRASS | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SOYBEAN | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SILVER BIRCH | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SHRIMP | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SHEEP SORRE | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SESAME SEED | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE RAST FOOD P | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE RAGWEED (W1) | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE POTATO | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE A. ALTERNATA (M6) | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE A. FUMIGATUS (M3) | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ALMOND NUT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE APPLE | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BAHIA GRASS (G17) | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BEEF | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BERMUDA GRASS | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BRAZIL NUT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE C. HERBARUM (M2) | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CARROT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CASHEW NUT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CAT DANDER | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CEREAL GROUP | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CHESTNUT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CHICKEN MEAT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CLAM | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE COCKROACH | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE COCONUT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CODFISH | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CORN | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CRAB | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE D. FARINAE (D2) | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE DOG DANDER | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PINE NUT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE EGG YOLK | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PORK | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PISTACHIO NUT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ELM (T8) | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE FORMALDEHYDE | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GARLIC | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GLUTEN | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HAZEL NUT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HICK/PECAN TREE | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HOUSE DUST | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE JOHNSON GRASS | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE JUNE GRASS (G8) | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE LATEX (K82) | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE LETTUCE | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MACADAMIA NUT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MAPLE LEAF | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MELONS | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MILK | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MOLDS | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MOUNTAIN JU | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MUSTARD | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE NETTLE | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE NUT MIX GROUP | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE OAK (T7) | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE OAT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE OUTDOOR MOLD | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PEANUT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PECAN NUT | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PED PANEL | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PIGWEED (W14) | $75.00 | $75.00 | $5.22–$75.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPT | $68.00 | $68.00 | $12.95–$68.00 | 47% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPT | $68.00 | $68.00 | $12.95–$68.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $39.00 | $39.00 | $12.09–$39.00 | 58% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR AB QT | $82.00 | $82.00 | $12.09–$82.00 | 12% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR AB QT. | $176.00 | $176.00 | $12.09–$176.00 | 88% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA LUPUS PROFILE | $176.00 | $176.00 | $12.09–$176.00 | 88% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $39.00 | $39.00 | $12.09–$39.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR AB QT | $82.00 | $82.00 | $12.09–$82.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA LUPUS PROFILE | $176.00 | $176.00 | $12.09–$176.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR AB QT. | $176.00 | $176.00 | $12.09–$176.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP | $173.00 | $173.00 | $39.26–$173.00 | 28% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $184.00 | $184.00 | $39.26–$184.00 | 36% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO-BNP | $173.00 | $173.00 | $39.26–$173.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $184.00 | $184.00 | $39.26–$184.00 | — | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL/AST | $48.00 | $48.00 | $8.46–$48.00 | 41% below | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $278.00 | $278.00 | $8.46–$278.00 | 239% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL/AST | $48.00 | $48.00 | $8.46–$48.00 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $278.00 | $278.00 | $8.46–$278.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH GROSS & EXA | $297.00 | $297.00 | $28.52–$297.00 | 213% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH GROSS & EXA | $297.00 | $297.00 | $28.52–$297.00 | — | — |
| Blood culture for bacteria CPT 87040 CULTURE: BLOOD BACTERIA | $91.00 | $91.00 | $10.32–$91.00 | 14% above | — |
| Blood culture for bacteria CPT 87040 CULTURE: BLOOD | $162.00 | $162.00 | $10.32–$162.00 | 102% above | — |
| Blood culture for bacteria inpatient CPT 87040 CULTURE: BLOOD BACTERIA | $91.00 | $91.00 | $10.32–$91.00 | — | — |
| Blood culture for bacteria inpatient CPT 87040 CULTURE: BLOOD | $162.00 | $162.00 | $10.32–$162.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAWING | $12.00 | $12.00 | $8.57–$14.14 | 4% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 CARDIOLOGY VENIPUNCTURE | $20.00 | $20.00 | $8.57–$20.00 | 60% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $20.00 | $20.00 | $8.57–$20.00 | 60% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE CHARGE | $20.00 | $20.00 | $8.57–$20.00 | 60% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAWING | $12.00 | $12.00 | $8.57–$14.14 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CARDIOLOGY VENIPUNCTURE | $20.00 | $20.00 | $8.57–$20.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE CHARGE | $20.00 | $20.00 | $8.57–$20.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $20.00 | $20.00 | $8.57–$20.00 | — | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM | $58.00 | $58.00 | $3.93–$58.00 | 58% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM | $58.00 | $58.00 | $3.93–$58.00 | — | — |
| Blood lead test CPT 83655 LEAD | $48.00 | $48.00 | $10.50–$48.00 | 31% below | — |
| Blood lead test CPT 83655 LEAD QT | $206.00 | $206.00 | $10.50–$206.00 | 196% above | — |
| Blood lead test inpatient CPT 83655 LEAD | $48.00 | $48.00 | $10.50–$48.00 | — | — |
| Blood lead test inpatient CPT 83655 LEAD QT | $206.00 | $206.00 | $10.50–$206.00 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST BLOOD (HC | $32.00 | $32.00 | $7.52–$32.00 | 76% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM | $172.00 | $172.00 | $7.52–$172.00 | 27% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST BLOOD (HC | $32.00 | $32.00 | $7.52–$32.00 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM | $172.00 | $172.00 | $7.52–$172.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP & RH PROFILE | $21.00 | $21.00 | $3.94–$191.58 | 68% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO-BLOOD TYPE R-H FACTOR | $35.00 | $35.00 | $3.94–$191.58 | 47% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 DIALYSIS ABO | $87.00 | $87.00 | $3.94–$191.58 | 31% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TYPE; ABO | $187.00 | $187.00 | $3.94–$191.58 | 181% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP & RH PROFILE | $21.00 | $21.00 | $3.94–$191.58 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO-BLOOD TYPE R-H FACTOR | $35.00 | $35.00 | $3.94–$191.58 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 DIALYSIS ABO | $87.00 | $87.00 | $3.94–$191.58 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TYPE; ABO | $187.00 | $187.00 | $3.94–$191.58 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $43.00 | $43.00 | $5.18–$43.00 | 69% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN (CRP) | $100.00 | $100.00 | $5.18–$100.00 | 28% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 RHEUMATOID PROFILE B- CRP | $100.00 | $100.00 | $5.18–$100.00 | 28% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $43.00 | $43.00 | $5.18–$43.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 RHEUMATOID PROFILE B- CRP | $100.00 | $100.00 | $5.18–$100.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN (CRP) | $100.00 | $100.00 | $5.18–$100.00 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFFICILE MOLECULAR | $287.00 | $287.00 | $37.27–$287.00 | 223% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFFICILE MOLECULAR | $287.00 | $287.00 | $37.27–$287.00 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $286.00 | $286.00 | $20.81–$286.00 | 226% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $286.00 | $286.00 | $20.81–$286.00 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $266.00 | $266.00 | $20.81–$266.00 | 89% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $266.00 | $266.00 | $20.81–$266.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2, AMP PROBE | $254.00 | $254.00 | $51.31–$254.00 | 107% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV02, NAA AMP PROBE | $254.00 | $254.00 | $51.31–$254.00 | 107% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2, AMP PROBE | $254.00 | $254.00 | $51.31–$254.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV02, NAA AMP PROBE | $254.00 | $254.00 | $51.31–$254.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS | $181.00 | $181.00 | $25.90–$181.00 | 141% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH AMP PROBE | $230.00 | $230.00 | $25.90–$230.00 | 207% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS | $181.00 | $181.00 | $25.90–$181.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH AMP PROBE | $230.00 | $230.00 | $25.90–$230.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE PANEL | $85.00 | $85.00 | $13.39–$85.00 | 1% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 EXE PROF D - LIPID PROFIL | $262.00 | $262.00 | $13.39–$262.00 | 212% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $262.00 | $262.00 | $13.39–$262.00 | 212% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 EP66-LIPID PROFILE | $262.00 | $262.00 | $13.39–$262.00 | 212% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE PANEL | $85.00 | $85.00 | $13.39–$85.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 EXE PROF D - LIPID PROFIL | $262.00 | $262.00 | $13.39–$262.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 EP66-LIPID PROFILE | $262.00 | $262.00 | $13.39–$262.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $262.00 | $262.00 | $13.39–$262.00 | — | — |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF PROFILE | $34.00 | $34.00 | $7.77–$34.00 | 48% below | — |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFFERENTIAL AUTO | $34.00 | $34.00 | $7.77–$34.00 | 48% below | — |
| Complete blood count (CBC) with differential CPT 85025 EP66-CBC | $178.00 | $178.00 | $7.77–$178.00 | 173% above | — |
| Complete blood count (CBC) with differential CPT 85025 CBC | $178.00 | $178.00 | $7.77–$178.00 | 173% above | — |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF | $178.00 | $178.00 | $7.77–$178.00 | 173% above | — |
| Complete blood count (CBC) with differential CPT 85025 EXE PROF E - CBC | $178.00 | $178.00 | $7.77–$178.00 | 173% above | — |
| Complete blood count (CBC) with differential CPT 85025 EXE PROF D - CBC | $178.00 | $178.00 | $7.77–$178.00 | 173% above | — |
| Complete blood count (CBC) with differential CPT 85025 EXE PROF C - CBC | $178.00 | $178.00 | $7.77–$178.00 | 173% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF PROFILE | $34.00 | $34.00 | $7.77–$34.00 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFFERENTIAL AUTO | $34.00 | $34.00 | $7.77–$34.00 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC | $178.00 | $178.00 | $7.77–$178.00 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 EXE PROF C - CBC | $178.00 | $178.00 | $7.77–$178.00 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 EXE PROF D - CBC | $178.00 | $178.00 | $7.77–$178.00 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 EXE PROF E - CBC | $178.00 | $178.00 | $7.77–$178.00 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF | $178.00 | $178.00 | $7.77–$178.00 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 EP66-CBC | $178.00 | $178.00 | $7.77–$178.00 | — | — |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFFERENTIAL AUTO | $34.00 | $34.00 | $6.47–$34.00 | 29% below | — |
| Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFF | $156.00 | $156.00 | $6.47–$156.00 | 228% above | — |
| Complete blood count (CBC), no differential CPT 85027 ANEMIA PROF II - CBC W/O | $156.00 | $156.00 | $6.47–$156.00 | 228% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFFERENTIAL AUTO | $34.00 | $34.00 | $6.47–$34.00 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFF | $156.00 | $156.00 | $6.47–$156.00 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 ANEMIA PROF II - CBC W/O | $156.00 | $156.00 | $6.47–$156.00 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREH. METABOLIC PANEL/ | $59.00 | $59.00 | $10.56–$59.00 | 44% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC P | $344.00 | $344.00 | $10.56–$344.00 | 227% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREH. METABOLIC PANEL/ | $59.00 | $59.00 | $10.56–$59.00 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC P | $344.00 | $344.00 | $10.56–$344.00 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT. | $138.00 | $138.00 | $10.18–$138.00 | 30% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $175.00 | $175.00 | $10.18–$175.00 | 65% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT. | $138.00 | $138.00 | $10.18–$138.00 | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT | $175.00 | $175.00 | $10.18–$175.00 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $172.00 | $172.00 | $22.23–$172.00 | at median | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $172.00 | $172.00 | $22.23–$172.00 | — | — |
| Estradiol blood test CPT 82670 ESTRADIAL PANEL | $100.00 | $100.00 | $27.94–$100.00 | 6% below | — |
| Estradiol blood test CPT 82670 ESTRADIOL (E2) | $334.00 | $334.00 | $27.94–$334.00 | 212% above | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIAL PANEL | $100.00 | $100.00 | $27.94–$100.00 | — | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL (E2) | $334.00 | $334.00 | $27.94–$334.00 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $114.00 | $114.00 | $18.58–$114.00 | 26% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM | $210.00 | $210.00 | $18.58–$210.00 | 37% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM OR URINE PROFI | $210.00 | $210.00 | $18.58–$210.00 | 37% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $114.00 | $114.00 | $18.58–$114.00 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH SERUM | $210.00 | $210.00 | $18.58–$210.00 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH SERUM OR URINE PROFI | $210.00 | $210.00 | $18.58–$210.00 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN | $297.00 | $297.00 | $19.63–$297.00 | 20% below | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN | $297.00 | $297.00 | $19.63–$297.00 | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $169.00 | $169.00 | $13.63–$169.00 | 16% above | — |
| Ferritin blood test (iron stores) CPT 82728 ANEMIA PROF II - FERRITIN | $169.00 | $169.00 | $13.63–$169.00 | 16% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $169.00 | $169.00 | $13.63–$169.00 | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 ANEMIA PROF II - FERRITIN | $169.00 | $169.00 | $13.63–$169.00 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID; SERUM | $49.00 | $49.00 | $14.70–$49.00 | 71% below | — |
| Folate (folic acid) blood test CPT 82746 FOLATES RBC PROFILE | $133.00 | $133.00 | $14.70–$133.00 | 20% below | — |
| Folate (folic acid) blood test CPT 82746 FOLATES PROFILE | $133.00 | $133.00 | $14.70–$133.00 | 20% below | — |
| Folate (folic acid) blood test CPT 82746 ANEMIA PROFILE II - FOLAT | $133.00 | $133.00 | $14.70–$133.00 | 20% below | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID; SERUM | $49.00 | $49.00 | $14.70–$49.00 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATES PROFILE | $133.00 | $133.00 | $14.70–$133.00 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATES RBC PROFILE | $133.00 | $133.00 | $14.70–$133.00 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 ANEMIA PROFILE II - FOLAT | $133.00 | $133.00 | $14.70–$133.00 | — | — |
| Free T3 thyroid hormone test CPT 84481 FREE T-3 | $138.00 | $138.00 | $16.94–$138.00 | 24% below | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $307.00 | $307.00 | $16.94–$307.00 | 70% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T-3 | $138.00 | $138.00 | $16.94–$138.00 | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $307.00 | $307.00 | $16.94–$307.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, FREE, DIRECT DIALYSIS | $192.00 | $192.00 | $9.02–$192.00 | 39% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $192.00 | $192.00 | $9.02–$192.00 | 39% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4, FREE, DIRECT DIALYSIS | $192.00 | $192.00 | $9.02–$192.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $192.00 | $192.00 | $9.02–$192.00 | — | — |
| Free testosterone test CPT 84402 TESTOSTERONE PROFILE | $146.00 | $146.00 | $25.47–$146.00 | 37% below | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $297.00 | $297.00 | $25.47–$297.00 | 29% above | — |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE PROFILE | $146.00 | $146.00 | $25.47–$146.00 | — | — |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $297.00 | $297.00 | $25.47–$297.00 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $111.00 | $111.00 | $97.68–$111.00 | 66% below | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $111.00 | $111.00 | $97.68–$111.00 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HOUR POSTPRAND | $67.00 | $67.00 | $4.75–$67.00 | 14% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HOUR POSTPRAND | $67.00 | $67.00 | $4.75–$67.00 | 14% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1 HOUR POSTPRAND | $67.00 | $67.00 | $4.75–$67.00 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HOUR POSTPRAND | $67.00 | $67.00 | $4.75–$67.00 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (G | $88.00 | $88.00 | $12.87–$88.00 | 13% below | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT GLUCOSE 3 SPECIMENS | $91.00 | $91.00 | $12.87–$91.00 | 10% below | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST (G | $88.00 | $88.00 | $12.87–$88.00 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT GLUCOSE 3 SPECIMENS | $91.00 | $91.00 | $12.87–$91.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAEA | $181.00 | $181.00 | $22.49–$181.00 | 141% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE AMP PROB | $201.00 | $201.00 | $22.49–$201.00 | 168% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAEA | $181.00 | $181.00 | $22.49–$181.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE AMP PROB | $201.00 | $201.00 | $22.49–$201.00 | — | — |
| H. pylori antibody blood test CPT 86677 H. PYLORI IGG QUAL. | $209.00 | $209.00 | $16.85–$209.00 | 133% above | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIB | $209.00 | $209.00 | $16.85–$209.00 | 133% above | — |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI ANTIB | $209.00 | $209.00 | $16.85–$209.00 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IGG QUAL. | $209.00 | $209.00 | $16.85–$209.00 | — | — |
| H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN STOOL | $184.00 | $184.00 | $14.38–$184.00 | 7% above | — |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN STOOL | $184.00 | $184.00 | $14.38–$184.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QT BY BDNA | $372.00 | $372.00 | $59.33–$372.00 | 44% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QT BY BDNA | $372.00 | $372.00 | $59.33–$372.00 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $39.00 | $39.00 | $13.71–$39.00 | 42% below | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $39.00 | $39.00 | $13.71–$39.00 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 ANTIGEN AND ANTIB | $155.00 | $155.00 | $24.08–$155.00 | 48% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV SCREENING | $165.00 | $165.00 | $24.08–$165.00 | 57% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 ANTIGEN AND ANTIB | $155.00 | $155.00 | $24.08–$155.00 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV SCREENING | $165.00 | $165.00 | $24.08–$165.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK | $113.00 | $113.00 | $19.16–$113.00 | at median | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK | $113.00 | $113.00 | $19.16–$113.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN (AIC) | $48.00 | $48.00 | $9.71–$48.00 | 52% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN | $116.00 | $116.00 | $9.71–$116.00 | 16% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN (AIC) | $48.00 | $48.00 | $9.71–$48.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN | $116.00 | $116.00 | $9.71–$116.00 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIB | $72.00 | $72.00 | $10.74–$72.00 | 11% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF ANTIBODY | $156.00 | $156.00 | $10.74–$156.00 | 92% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIB | $72.00 | $72.00 | $10.74–$72.00 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF ANTIBODY | $156.00 | $156.00 | $10.74–$156.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF ANTIGEN( | $49.00 | $49.00 | $10.33–$49.00 | 16% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS HBSAG | $134.00 | $134.00 | $10.33–$134.00 | 129% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIG | $134.00 | $134.00 | $10.33–$134.00 | 129% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG W/REFLEX NEUTRALIZA | $134.00 | $134.00 | $10.33–$134.00 | 129% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG PRENATAL PROFILE | $134.00 | $134.00 | $10.33–$134.00 | 129% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF ANTIGEN( | $49.00 | $49.00 | $10.33–$49.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG W/REFLEX NEUTRALIZA | $134.00 | $134.00 | $10.33–$134.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS HBSAG | $134.00 | $134.00 | $10.33–$134.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIG | $134.00 | $134.00 | $10.33–$134.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG PRENATAL PROFILE | $134.00 | $134.00 | $10.33–$134.00 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $250.00 | $250.00 | $10.50–$250.00 | 79% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $250.00 | $250.00 | $10.50–$250.00 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT | $323.00 | $323.00 | $42.84–$323.00 | 64% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT | $323.00 | $323.00 | $42.84–$323.00 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES I IGG | $212.00 | $212.00 | $13.19–$212.00 | 120% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES I IGM | $212.00 | $212.00 | $13.19–$212.00 | 120% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 TORCH HERPES 1&2 IGM | $212.00 | $212.00 | $13.19–$212.00 | 120% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 TORCH HERPES 1&2 IGM | $212.00 | $212.00 | $13.19–$212.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES I IGG | $212.00 | $212.00 | $13.19–$212.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES I IGM | $212.00 | $212.00 | $13.19–$212.00 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES II IGM | $206.00 | $206.00 | $19.35–$206.00 | 114% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES II IGG | $206.00 | $206.00 | $19.35–$206.00 | 114% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 IGM IFA | $206.00 | $206.00 | $19.35–$206.00 | 114% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $350.00 | $350.00 | $19.35–$350.00 | 263% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 IGM IFA | $206.00 | $206.00 | $19.35–$206.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES II IGM | $206.00 | $206.00 | $19.35–$206.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES II IGG | $206.00 | $206.00 | $19.35–$206.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $350.00 | $350.00 | $19.35–$350.00 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN (HS C | $135.00 | $135.00 | $12.95–$135.00 | 47% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN (HS C | $135.00 | $135.00 | $12.95–$135.00 | — | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $285.00 | $285.00 | $17.92–$285.00 | 1% below | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $285.00 | $285.00 | $17.92–$285.00 | — | — |
| Insulin blood test CPT 83525 INSULIN; TOTAL SERUM | $79.00 | $79.00 | $11.43–$79.00 | 21% above | — |
| Insulin blood test CPT 83525 INSULIN | $164.00 | $164.00 | $11.43–$164.00 | 151% above | — |
| Insulin blood test inpatient CPT 83525 INSULIN; TOTAL SERUM | $79.00 | $79.00 | $11.43–$79.00 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN | $164.00 | $164.00 | $11.43–$164.00 | — | — |
| Iron blood test (serum iron) CPT 83540 IRON | $39.00 | $39.00 | $6.47–$39.00 | 17% below | — |
| Iron blood test (serum iron) CPT 83540 ANEMIA PROFILE II - TOTAL | $76.00 | $76.00 | $6.47–$76.00 | 63% above | — |
| Iron blood test (serum iron) CPT 83540 IRON TOTAL | $76.00 | $76.00 | $6.47–$76.00 | 63% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $39.00 | $39.00 | $6.47–$39.00 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL | $76.00 | $76.00 | $6.47–$76.00 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 ANEMIA PROFILE II - TOTAL | $76.00 | $76.00 | $6.47–$76.00 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY TI | $49.00 | $49.00 | $8.74–$49.00 | 64% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 ANEMIA PROF II - IRON BIN | $91.00 | $91.00 | $8.74–$91.00 | 34% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $91.00 | $91.00 | $8.74–$91.00 | 34% below | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY TI | $49.00 | $49.00 | $8.74–$49.00 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 ANEMIA PROF II - IRON BIN | $91.00 | $91.00 | $8.74–$91.00 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $91.00 | $91.00 | $8.74–$91.00 | — | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $289.00 | $289.00 | $8.68–$289.00 | 132% above | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $289.00 | $289.00 | $8.68–$289.00 | — | — |
| LH (luteinizing hormone) test CPT 83002 LH | $82.00 | $82.00 | $18.52–$82.00 | 4% below | — |
| LH (luteinizing hormone) test CPT 83002 LH SERUM OR URINE PROFIL | $247.00 | $247.00 | $18.52–$247.00 | 191% above | — |
| LH (luteinizing hormone) test CPT 83002 LH SERUM | $247.00 | $247.00 | $18.52–$247.00 | 191% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $82.00 | $82.00 | $18.52–$82.00 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LH SERUM OR URINE PROFIL | $247.00 | $247.00 | $18.52–$247.00 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LH SERUM | $247.00 | $247.00 | $18.52–$247.00 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $88.00 | $88.00 | $6.89–$88.00 | 29% below | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $88.00 | $88.00 | $6.89–$88.00 | — | — |
| Liver function blood test panel CPT 80076 LIVER PROFILE A | $49.00 | $49.00 | $8.17–$49.00 | 54% below | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL/LI | $97.00 | $97.00 | $8.17–$97.00 | 9% below | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $225.00 | $225.00 | $8.17–$225.00 | 111% above | — |
| Liver function blood test panel inpatient CPT 80076 LIVER PROFILE A | $49.00 | $49.00 | $8.17–$49.00 | — | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL/LI | $97.00 | $97.00 | $8.17–$97.00 | — | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $225.00 | $225.00 | $8.17–$225.00 | — | — |
| Lyme disease antibody test CPT 86618 LYME TITER | $151.00 | $151.00 | $17.03–$151.00 | 94% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODIES | $259.00 | $259.00 | $17.03–$259.00 | 232% above | — |
| Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI IGG | $259.00 | $259.00 | $17.03–$259.00 | 232% above | — |
| Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI IGM | $259.00 | $259.00 | $17.03–$259.00 | 232% above | — |
| Lyme disease antibody test inpatient CPT 86618 LYME TITER | $151.00 | $151.00 | $17.03–$151.00 | — | — |
| Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI IGM | $259.00 | $259.00 | $17.03–$259.00 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODIES | $259.00 | $259.00 | $17.03–$259.00 | — | — |
| Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI IGG | $259.00 | $259.00 | $17.03–$259.00 | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $27.00 | $27.00 | $6.70–$27.00 | 57% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM ASSAY | $84.00 | $84.00 | $6.70–$84.00 | 32% above | — |
| Magnesium blood test CPT 83735 URINE MAGNESIUM | $289.00 | $289.00 | $6.70–$289.00 | 355% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $289.00 | $289.00 | $6.70–$289.00 | 355% above | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $27.00 | $27.00 | $6.70–$27.00 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM ASSAY | $84.00 | $84.00 | $6.70–$84.00 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE | $289.00 | $289.00 | $6.70–$289.00 | — | — |
| Magnesium blood test inpatient CPT 83735 URINE MAGNESIUM | $289.00 | $289.00 | $6.70–$289.00 | — | — |
| Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) ANTIBOD | $105.00 | $105.00 | $12.88–$105.00 | 73% above | — |
| Measles (rubeola) antibody test CPT 86765 MMR IGG RUBEOLA ABY | $233.00 | $233.00 | $12.88–$233.00 | 283% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES CF Q | $233.00 | $233.00 | $12.88–$233.00 | 283% above | — |
| Measles (rubeola) antibody test CPT 86765 MEASLES(RUBEOLA) ANTIBOD | $233.00 | $233.00 | $12.88–$233.00 | 283% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES IGG | $233.00 | $233.00 | $12.88–$233.00 | 283% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) ANTIBOD | $105.00 | $105.00 | $12.88–$105.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODIES IGG | $233.00 | $233.00 | $12.88–$233.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES(RUBEOLA) ANTIBOD | $233.00 | $233.00 | $12.88–$233.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MMR IGG RUBEOLA ABY | $233.00 | $233.00 | $12.88–$233.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODIES CF Q | $233.00 | $233.00 | $12.88–$233.00 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT-(HETEROPHILE ANI | $34.00 | $34.00 | $5.18–$34.00 | 57% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS ANTIBODY SC | $59.00 | $59.00 | $5.18–$59.00 | 26% below | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSPOT-(HETEROPHILE ANI | $34.00 | $34.00 | $5.18–$34.00 | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS ANTIBODY SC | $59.00 | $59.00 | $5.18–$59.00 | — | — |
| Obstetric blood test panel CPT 80055 PRENATAL PANEL | $100.00 | $100.00 | $29.48–$100.00 | 14% below | — |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $133.00 | $133.00 | $29.48–$133.00 | 14% above | — |
| Obstetric blood test panel inpatient CPT 80055 PRENATAL PANEL | $100.00 | $100.00 | $29.48–$100.00 | — | — |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $133.00 | $133.00 | $29.48–$133.00 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $91.00 | $91.00 | $18.39–$91.00 | 31% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $100.00 | $100.00 | $18.39–$100.00 | 24% below | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $91.00 | $91.00 | $18.39–$91.00 | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA | $100.00 | $100.00 | $18.39–$100.00 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC AN | $72.00 | $72.00 | $18.39–$72.00 | 58% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA | $91.00 | $91.00 | $18.39–$91.00 | 47% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ANNUAL SCREEN | $232.00 | $232.00 | $18.39–$232.00 | 36% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (PROSTATE SPECIFIC AN | $72.00 | $72.00 | $18.39–$72.00 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA | $91.00 | $91.00 | $18.39–$91.00 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ANNUAL SCREEN | $232.00 | $232.00 | $18.39–$232.00 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID PROFILE C | $215.00 | $215.00 | $41.28–$215.00 | 5% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE (PTH) | $215.00 | $215.00 | $41.28–$215.00 | 5% below | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID PROFILE C | $215.00 | $215.00 | $41.28–$215.00 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE (PTH) | $215.00 | $215.00 | $41.28–$215.00 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $46.00 | $46.00 | $6.01–$46.00 | 5% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TI | $101.00 | $101.00 | $6.01–$101.00 | 130% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBIN TIME | $101.00 | $101.00 | $6.01–$101.00 | 130% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $46.00 | $46.00 | $6.01–$46.00 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TI | $101.00 | $101.00 | $6.01–$101.00 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBIN TIME | $101.00 | $101.00 | $6.01–$101.00 | — | — |
| Progesterone blood test CPT 84144 PROGESTERONE LEVEL | $56.00 | $56.00 | $20.86–$56.00 | 66% below | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $178.00 | $178.00 | $20.86–$178.00 | 7% above | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE LEVEL | $56.00 | $56.00 | $20.86–$56.00 | — | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $178.00 | $178.00 | $20.86–$178.00 | — | — |
| Prolactin blood test CPT 84146 PROLACTIN | $310.00 | $310.00 | $19.38–$310.00 | 63% above | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $310.00 | $310.00 | $19.38–$310.00 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT) | $39.00 | $39.00 | $4.29–$39.00 | 3% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $62.00 | $62.00 | $4.29–$62.00 | 63% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME (PT) | $39.00 | $39.00 | $4.29–$39.00 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $62.00 | $62.00 | $4.29–$62.00 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN CONFIRMATION | $37.00 | $37.00 | $12.04–$37.00 | 48% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 QUICKTOX MULT DRUG DIPCAR | $39.00 | $39.00 | $12.04–$39.00 | 45% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 SINGLE DRUG CLASSEACH DR | $46.00 | $46.00 | $12.04–$46.00 | 35% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $54.00 | $54.00 | $12.04–$54.00 | 24% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN CONFIRMATION | $37.00 | $37.00 | $12.04–$37.00 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 QUICKTOX MULT DRUG DIPCAR | $39.00 | $39.00 | $12.04–$39.00 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 SINGLE DRUG CLASSEACH DR | $46.00 | $46.00 | $12.04–$46.00 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $54.00 | $54.00 | $12.04–$54.00 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA NASAL SWAB | $48.00 | $48.00 | $15.83–$48.00 | 34% below | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA NASAL SWAB | $48.00 | $48.00 | $15.83–$48.00 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ANTIGEN SCREEN | $133.00 | $133.00 | $15.83–$133.00 | 75% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ANTIGEN SCREEN | $133.00 | $133.00 | $15.83–$133.00 | — | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT. | $93.00 | $93.00 | $5.67–$93.00 | 17% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR FLUID | $149.00 | $149.00 | $5.67–$149.00 | 87% above | — |
| Rheumatoid factor (RF) test CPT 86431 RA LUPUS PROFILE | $149.00 | $149.00 | $5.67–$149.00 | 87% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT. | $93.00 | $93.00 | $5.67–$93.00 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA LUPUS PROFILE | $149.00 | $149.00 | $5.67–$149.00 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR FLUID | $149.00 | $149.00 | $5.67–$149.00 | — | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN | $32.00 | $32.00 | $14.39–$32.00 | 56% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA PROFILE | $48.00 | $48.00 | $14.39–$48.00 | 33% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN QL | $55.00 | $55.00 | $14.39–$55.00 | 24% below | — |
| Rubella antibody test (immunity check) CPT 86762 MMR IGG RUBELLA ABY | $81.00 | $81.00 | $14.39–$81.00 | 12% above | — |
| Rubella antibody test (immunity check) CPT 86762 TORCH RUBELLA IGM | $81.00 | $81.00 | $14.39–$81.00 | 12% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG QT | $81.00 | $81.00 | $14.39–$81.00 | 12% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN | $32.00 | $32.00 | $14.39–$32.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA PROFILE | $48.00 | $48.00 | $14.39–$48.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN QL | $55.00 | $55.00 | $14.39–$55.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG QT | $81.00 | $81.00 | $14.39–$81.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 MMR IGG RUBELLA ABY | $81.00 | $81.00 | $14.39–$81.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 TORCH RUBELLA IGM | $81.00 | $81.00 | $14.39–$81.00 | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SPERM COUNT POST VASECTO | $187.00 | $187.00 | $7.61–$187.00 | 1% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SPERM COUNT POST VASECTO | $187.00 | $187.00 | $7.61–$187.00 | — | — |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $34.00 | $34.00 | $8.90–$34.00 | 65% below | — |
| Stool ova and parasites exam CPT 87177 O&P DIRECT SMEAR ID | $76.00 | $76.00 | $8.90–$76.00 | 22% below | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES | $34.00 | $34.00 | $8.90–$34.00 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 O&P DIRECT SMEAR ID | $76.00 | $76.00 | $8.90–$76.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCCULT | $19.00 | $19.00 | $4.24–$19.00 | 49% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCCULT-MCR | $19.00 | $19.00 | $4.24–$19.00 | 49% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD, FECAL, SCREENING | $34.00 | $34.00 | $4.24–$34.00 | 8% below | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HEMOCCULT | $19.00 | $19.00 | $4.24–$19.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HEMOCCULT-MCR | $19.00 | $19.00 | $4.24–$19.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD, FECAL, SCREENING | $34.00 | $34.00 | $4.24–$34.00 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $27.00 | $27.00 | $15.92–$27.00 | 74% below | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY TEST FOR BLOOD FECAL | $27.00 | $27.00 | $15.92–$27.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR PRENATAL PROFILE | $26.00 | $26.00 | $4.27–$26.00 | 30% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL/STS/RPR | $35.00 | $35.00 | $4.27–$35.00 | 6% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL | $58.00 | $58.00 | $4.27–$58.00 | 57% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $68.00 | $68.00 | $4.27–$68.00 | 84% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM | $106.00 | $106.00 | $4.27–$106.00 | 186% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR PRENATAL PROFILE | $26.00 | $26.00 | $4.27–$26.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL/STS/RPR | $35.00 | $35.00 | $4.27–$35.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUAL | $58.00 | $58.00 | $4.27–$58.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL | $68.00 | $68.00 | $4.27–$68.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM | $106.00 | $106.00 | $4.27–$106.00 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD | $313.00 | $313.00 | $61.98–$313.00 | 76% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD | $313.00 | $313.00 | $61.98–$313.00 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE LEVEL | $109.00 | $109.00 | $25.81–$109.00 | 37% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $390.00 | $390.00 | $25.81–$390.00 | 124% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE LEVEL | $109.00 | $109.00 | $25.81–$109.00 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $390.00 | $390.00 | $25.81–$390.00 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODIES | $46.00 | $46.00 | $14.55–$46.00 | 56% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROX ABY LUPUS P | $172.00 | $172.00 | $14.55–$172.00 | 65% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL A | $172.00 | $172.00 | $14.55–$172.00 | 65% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 SOLUBLE LIVER AG AUTOABS | $172.00 | $172.00 | $14.55–$172.00 | 65% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-MICROSOMAL AB P#08 | $172.00 | $172.00 | $14.55–$172.00 | 65% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $172.00 | $172.00 | $14.55–$172.00 | 65% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID ANTIBODIES | $46.00 | $46.00 | $14.55–$46.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB | $172.00 | $172.00 | $14.55–$172.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 SOLUBLE LIVER AG AUTOABS | $172.00 | $172.00 | $14.55–$172.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROX ABY LUPUS P | $172.00 | $172.00 | $14.55–$172.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL A | $172.00 | $172.00 | $14.55–$172.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-MICROSOMAL AB P#08 | $172.00 | $172.00 | $14.55–$172.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMO | $57.00 | $57.00 | $16.80–$57.00 | 64% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (THYROID STIM HORMONE | $253.00 | $253.00 | $16.80–$253.00 | 61% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMO | $57.00 | $57.00 | $16.80–$57.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (THYROID STIM HORMONE | $253.00 | $253.00 | $16.80–$253.00 | — | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA | $306.00 | $306.00 | $22.49–$306.00 | 237% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RNA | $306.00 | $306.00 | $22.49–$306.00 | — | — |
| Uric acid blood test CPT 84550 URIC ACID; BLOOD | $22.00 | $22.00 | $4.52–$22.00 | 70% below | — |
| Uric acid blood test CPT 84550 URIC ACID | $22.00 | $22.00 | $4.52–$22.00 | 70% below | — |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $27.00 | $27.00 | $4.52–$27.00 | 64% below | — |
| Uric acid blood test CPT 84550 RHEUMATOID PROF B - URIC | $100.00 | $100.00 | $4.52–$100.00 | 34% above | — |
| Uric acid blood test CPT 84550 URIC ACID SERUM | $100.00 | $100.00 | $4.52–$100.00 | 34% above | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID; BLOOD | $22.00 | $22.00 | $4.52–$22.00 | — | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $22.00 | $22.00 | $4.52–$22.00 | — | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD | $27.00 | $27.00 | $4.52–$27.00 | — | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID SERUM | $100.00 | $100.00 | $4.52–$100.00 | — | — |
| Uric acid blood test inpatient CPT 84550 RHEUMATOID PROF B - URIC | $100.00 | $100.00 | $4.52–$100.00 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 ROUTINE UA PRENATAL PROFI | $116.00 | $116.00 | $3.17–$116.00 | 181% above | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOP | $116.00 | $116.00 | $3.17–$116.00 | 181% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 ROUTINE UA PRENATAL PROFI | $116.00 | $116.00 | $3.17–$116.00 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICROSCOP | $116.00 | $116.00 | $3.17–$116.00 | — | — |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS WITH MICRO | $35.00 | $35.00 | $4.02–$35.00 | 13% above | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS WITH MICRO | $35.00 | $35.00 | $4.02–$35.00 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY | $47.00 | $47.00 | $2.25–$47.00 | 33% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICROSCOPY | $70.00 | $70.00 | $2.25–$70.00 | 98% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY | $47.00 | $47.00 | $2.25–$47.00 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/O MICROSCOPY | $70.00 | $70.00 | $2.25–$70.00 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS-MCR | $27.00 | $27.00 | $3.37–$27.00 | 47% below | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS | $27.00 | $27.00 | $3.37–$27.00 | 47% below | — |
| Urinalysis without microscope exam, manual CPT 81002 KETONE BODIES: URINE | $128.00 | $128.00 | $3.37–$128.00 | 151% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS | $27.00 | $27.00 | $3.37–$27.00 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS-MCR | $27.00 | $27.00 | $3.37–$27.00 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 KETONE BODIES: URINE | $128.00 | $128.00 | $3.37–$128.00 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 C & S URINE | $56.00 | $56.00 | $8.07–$56.00 | 17% below | — |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE: URINE | $153.00 | $153.00 | $8.07–$153.00 | 125% above | — |
| Urine culture for bacteria, with colony count CPT 87086 UA C&S PRENATAL PROFILE | $153.00 | $153.00 | $8.07–$153.00 | 125% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 C & S URINE | $56.00 | $56.00 | $8.07–$56.00 | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE: URINE | $153.00 | $153.00 | $8.07–$153.00 | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 UA C&S PRENATAL PROFILE | $153.00 | $153.00 | $8.07–$153.00 | — | — |
| Urine pregnancy test, read by color change CPT 81025 PREG TEST:URINE-FAMILY PL | $46.00 | $46.00 | $8.36–$46.00 | 41% below | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREG-MCR | $46.00 | $46.00 | $8.36–$46.00 | 41% below | — |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE (HC | $112.00 | $112.00 | $8.36–$112.00 | 43% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $112.00 | $112.00 | $8.36–$112.00 | 43% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG-MCR | $46.00 | $46.00 | $8.36–$46.00 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREG TEST:URINE-FAMILY PL | $46.00 | $46.00 | $8.36–$46.00 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE | $112.00 | $112.00 | $8.36–$112.00 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE (HC | $112.00 | $112.00 | $8.36–$112.00 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 PROFILE | $81.00 | $81.00 | $15.08–$81.00 | 30% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 LEVEL | $81.00 | $81.00 | $15.08–$81.00 | 30% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 ANEMIA PROFILE II - B-12 | $217.00 | $217.00 | $15.08–$217.00 | 88% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $217.00 | $217.00 | $15.08–$217.00 | 88% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 LEVEL | $81.00 | $81.00 | $15.08–$81.00 | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 PROFILE | $81.00 | $81.00 | $15.08–$81.00 | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $217.00 | $217.00 | $15.08–$217.00 | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 ANEMIA PROFILE II - B-12 | $217.00 | $217.00 | $15.08–$217.00 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D (25-HYDROXY) | $156.00 | $156.00 | $29.60–$156.00 | 35% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D (25-HYDROXY) | $156.00 | $156.00 | $29.60–$156.00 | — | — |
| Zinc blood test CPT 84630 ZINCSERUM OR PLASMA | $121.00 | $121.00 | $11.39–$121.00 | 14% above | — |
| Zinc blood test inpatient CPT 84630 ZINCSERUM OR PLASMA | $121.00 | $121.00 | $11.39–$121.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUATITATIVE BETA HCG | $92.00 | $92.00 | $8.47–$92.00 | 42% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TRIPLE MARKER - HCG | $239.00 | $239.00 | $8.47–$239.00 | 50% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUAD SCREEN HCG | $239.00 | $239.00 | $8.47–$239.00 | 50% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-CHAIN (HCG) QT. SER | $239.00 | $239.00 | $8.47–$239.00 | 50% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 QUATITATIVE BETA HCG | $92.00 | $92.00 | $8.47–$92.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 QUAD SCREEN HCG | $239.00 | $239.00 | $8.47–$239.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA-CHAIN (HCG) QT. SER | $239.00 | $239.00 | $8.47–$239.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 TRIPLE MARKER - HCG | $239.00 | $239.00 | $8.47–$239.00 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $795.00 | $795.00 | $161.03–$4,694.30 | 90% below | — |
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 REMOVAL OF ADENOIDS | $795.00 | $795.00 | $161.03–$4,694.30 | — | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 NECK SPINE FUSE&REMOV BEL C2 | $4,444.00 | $4,444.00 | $1,527.04–$21,529.33 | 9% above | — |
| Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 NECK SPINE FUSE&REMOV BEL C2 | $4,444.00 | $4,444.00 | $1,527.04–$21,529.33 | — | — |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY | $3,100.00 | $3,100.00 | $591.30–$3,100.00 | — | — |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 APPENDECTOMY | $3,100.00 | $3,100.00 | $591.30–$3,100.00 | — | — |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $2,468.00 | $2,468.00 | $481.67–$5,844.18 | — | — |
| Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY | $2,468.00 | $2,468.00 | $481.67–$5,844.18 | — | — |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 SINUS ENDO W/BALLOON DIL | $4,451.00 | $4,451.00 | $1,816.32–$10,208.68 | 72% below | — |
| Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 SINUS ENDO W/BALLOON DIL | $4,451.00 | $4,451.00 | $1,816.32–$10,208.68 | — | — |
| Botox injections for chronic migraine CPT 64615 BOTOX INJ FOR MIGRAINE | $861.00 | $861.00 | $127.90–$861.00 | 10% above | — |
| Botox injections for chronic migraine inpatient CPT 64615 BOTOX INJ FOR MIGRAINE | $861.00 | $861.00 | $127.90–$861.00 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 STEREO BR BX PROCEDURE | $3,026.00 | $3,026.00 | $609.83–$3,026.00 | 11% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 STEREO BR BX PROCEDURE | $3,026.00 | $3,026.00 | $609.83–$3,026.00 | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT CATH | $8,827.00 | $8,827.00 | $281.64–$8,827.00 | 11% below | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 ATTEMPTED LEFT HEART CATH | $4,257.00 | $4,257.00 | $281.64–$4,881.46 | 57% below | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT CATH | $8,827.00 | $8,827.00 | $281.64–$8,827.00 | — | — |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 ATTEMPTED LEFT HEART CATH | $4,257.00 | $4,257.00 | $281.64–$4,881.46 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,065.00 | $1,065.00 | $145.11–$1,065.00 | 57% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EXT. ELECTRICAL CARDIOVER | $1,484.00 | $1,484.00 | $145.11–$1,484.00 | 40% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSON ELECTRIC EX | $1,823.00 | $1,823.00 | $145.11–$1,823.00 | 26% below | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $1,065.00 | $1,065.00 | $145.11–$1,065.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 EXT. ELECTRICAL CARDIOVER | $1,484.00 | $1,484.00 | $145.11–$1,484.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSON ELECTRIC EX | $1,823.00 | $1,823.00 | $145.11–$1,823.00 | — | — |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $1,668.00 | $1,668.00 | $66.87–$1,668.00 | 82% above | — |
| Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX | $1,668.00 | $1,668.00 | $66.87–$1,668.00 | — | — |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVERY | $4,112.00 | $4,112.00 | $2,525.47–$4,112.00 | 68% below | — |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 CESAREAN DELIVERY | $4,112.00 | $4,112.00 | $2,525.47–$4,112.00 | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $1,187.00 | $1,187.00 | $183.93–$3,060.55 | 77% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUM 28 DAYS OR OLDER | $1,187.00 | $1,187.00 | $183.93–$3,060.55 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION PROCEDURE | $212.00 | $212.00 | $162.56–$3,060.55 | 86% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $399.00 | $399.00 | $162.56–$3,060.55 | 74% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION PROCEDURE | $212.00 | $212.00 | $162.56–$3,060.55 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $399.00 | $399.00 | $162.56–$3,060.55 | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE | $350.00 | $350.00 | $208.58–$1,031.81 | 86% below | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION NEONATE | $350.00 | $350.00 | $208.58–$1,031.81 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FRACTURE RADIUS/ULNA | $849.00 | $849.00 | $207.01–$849.00 | 18% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT FRACTURE RADIUS/ULNA | $849.00 | $849.00 | $207.01–$849.00 | — | — |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $2,151.00 | $2,151.00 | $423.22–$2,151.00 | 46% below | — |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/LESION REMOVAL | $2,151.00 | $2,151.00 | $423.22–$2,151.00 | — | — |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $1,778.00 | $1,778.00 | $331.45–$1,786.80 | 55% below | — |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY | $1,778.00 | $1,778.00 | $331.45–$1,786.80 | — | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,531.00 | $1,531.00 | $305.50–$1,531.00 | 62% below | — |
| Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,531.00 | $1,531.00 | $305.50–$1,531.00 | — | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP | $6,900.00 | $6,900.00 | $167.44–$6,900.00 | 114% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 BX OF CERVIX W/SCOPE LEEP | $6,900.00 | $6,900.00 | $167.44–$6,900.00 | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE | $742.00 | $742.00 | $93.80–$742.00 | 185% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 BX/CURETT OF CERVIX W/SCOPE | $742.00 | $742.00 | $93.80–$742.00 | — | — |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $1,072.00 | $1,072.00 | $628.90–$5,288.45 | 74% below | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSCOPY AND TREATMENT | $1,072.00 | $1,072.00 | $628.90–$5,288.45 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $478.00 | $478.00 | $143.23–$1,031.81 | 70% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY | $478.00 | $478.00 | $143.23–$1,031.81 | — | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $1,369.00 | $1,369.00 | $223.81–$4,665.28 | 64% below | — |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION AND CURETTAGE | $1,369.00 | $1,369.00 | $223.81–$4,665.28 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $165.00 | $165.00 | $45.47–$297.96 | 38% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALG LESION | $165.00 | $165.00 | $45.47–$297.96 | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $425.00 | $425.00 | $136.80–$2,290.43 | 79% below | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 CREATE EARDRUM OPENING | $425.00 | $425.00 | $136.80–$2,290.43 | — | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $425.00 | $425.00 | $109.37–$753.75 | 53% below | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 CREATE EARDRUM OPENING | $425.00 | $425.00 | $109.37–$753.75 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMAPCTED EAR WAX | $181.00 | $181.00 | $11.49–$181.00 | 21% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMAPCTED EAR WAX | $181.00 | $181.00 | $11.49–$181.00 | — | — |
| Earwax removal with instruments, one ear both sides CPT 69210 BILATERAL CERUMEN REMOVAL | $219.00 | $219.00 | $44.43–$219.00 | — | — |
| Earwax removal with instruments, one ear CPT 69210 EAR IRRIGATION | $134.00 | $134.00 | $44.43–$134.00 | 60% below | — |
| Earwax removal with instruments, one ear inpatient both sides CPT 69210 BILATERAL CERUMEN REMOVAL | $219.00 | $219.00 | $44.43–$219.00 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 EAR IRRIGATION | $134.00 | $134.00 | $44.43–$134.00 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $448.00 | $448.00 | $56.05–$448.00 | 5% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING | $448.00 | $448.00 | $56.05–$448.00 | — | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT | $1,592.00 | $1,592.00 | $452.27–$10,208.68 | 83% below | — |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT | $1,592.00 | $1,592.00 | $452.27–$10,208.68 | — | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL | $1,858.00 | $1,858.00 | $518.16–$10,208.68 | 72% below | — |
| Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 NSL/SINS NDSC FRNT TISS RMVL | $1,858.00 | $1,858.00 | $518.16–$10,208.68 | — | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $1,061.00 | $1,061.00 | $213.75–$5,500.52 | 84% below | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 EXPLORATION MAXILLARY SINUS | $1,061.00 | $1,061.00 | $213.75–$5,500.52 | — | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $876.00 | $876.00 | $340.55–$10,208.68 | 87% below | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 ENDOSCOPY MAXILLARY SINUS | $876.00 | $876.00 | $340.55–$10,208.68 | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CERVICAL/THORACIC EPIDURA | $1,126.00 | $1,126.00 | $225.48–$1,126.00 | 66% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CERVICAL/THORACIC EPIDURA | $1,126.00 | $1,126.00 | $225.48–$1,126.00 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET INJ L/S 1ST LEVEL L | $2,758.00 | $2,758.00 | $104.21–$2,758.00 | 9% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET INJ L/S 1ST LEVEL | $2,758.00 | $2,758.00 | $104.21–$2,758.00 | 9% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET INJ L/S 1ST LEVEL R | $2,758.00 | $2,758.00 | $104.21–$2,758.00 | 9% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET INJ L/S 1ST LEVEL B | $2,758.00 | $2,758.00 | $104.21–$2,758.00 | 9% below | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET INJ L/S 1ST LEVEL B | $2,758.00 | $2,758.00 | $104.21–$2,758.00 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET INJ L/S 1ST LEVEL R | $2,758.00 | $2,758.00 | $104.21–$2,758.00 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET INJ L/S 1ST LEVEL | $2,758.00 | $2,758.00 | $104.21–$2,758.00 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET INJ L/S 1ST LEVEL L | $2,758.00 | $2,758.00 | $104.21–$2,758.00 | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $515.00 | $515.00 | $78.69–$1,371.22 | 76% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $515.00 | $515.00 | $78.69–$1,371.22 | — | — |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $4,108.00 | $4,108.00 | $626.93–$8,600.05 | 75% below | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $4,108.00 | $4,108.00 | $626.93–$8,600.05 | — | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $4,363.00 | $4,363.00 | $674.39–$8,600.05 | 73% below | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $4,363.00 | $4,363.00 | $674.39–$8,600.05 | — | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER | $3,780.00 | $3,780.00 | $650.38–$3,780.00 | 82% below | — |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 REMOVAL OF GALLBLADDER | $3,780.00 | $3,780.00 | $650.38–$3,780.00 | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $718.00 | $718.00 | $112.39–$1,371.22 | 6% above | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 LIGATION OF HEMORRHOID(S) | $718.00 | $718.00 | $112.39–$1,371.22 | — | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $1,965.00 | $1,965.00 | $376.59–$4,239.63 | 70% below | — |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $1,965.00 | $1,965.00 | $376.59–$4,239.63 | — | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY | $4,485.00 | $4,485.00 | $831.50–$4,485.00 | 66% above | — |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOTAL HYSTERECTOMY | $4,485.00 | $4,485.00 | $831.50–$4,485.00 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTERO SALINE INFUSION | $91.00 | $91.00 | $80.08–$201.26 | 87% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $399.00 | $399.00 | $201.26–$399.00 | 41% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTERO SALINE INFUSION | $91.00 | $91.00 | $80.08–$201.26 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATHETER FOR HYSTEROGRAPHY | $399.00 | $399.00 | $201.26–$399.00 | — | — |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION | $4,961.00 | $4,961.00 | $336.97–$7,647.93 | 64% below | — |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY ABLATION | $4,961.00 | $4,961.00 | $336.97–$7,647.93 | — | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY | $1,046.00 | $1,046.00 | $254.79–$4,665.28 | 88% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY BIOPSY | $1,046.00 | $1,046.00 | $254.79–$4,665.28 | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $245.00 | $245.00 | $65.60–$245.00 | 45% below | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE | $245.00 | $245.00 | $65.60–$245.00 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL | $367.00 | $367.00 | $70.06–$367.00 | 39% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE | $408.00 | $408.00 | $70.06–$408.00 | 32% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D CYST/ABSCESS | $408.00 | $408.00 | $70.06–$408.00 | 32% below | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL | $367.00 | $367.00 | $70.06–$367.00 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SIMPLE | $408.00 | $408.00 | $70.06–$408.00 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D CYST/ABSCESS | $408.00 | $408.00 | $70.06–$408.00 | — | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $2,570.00 | $2,570.00 | $382.00–$5,844.18 | 69% below | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INIT REDUC >5 YR | $2,570.00 | $2,570.00 | $382.00–$5,844.18 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TENDON/SHEATH INJECTION | $626.00 | $626.00 | $66.01–$626.00 | 51% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJTENDONSHEATHLIGGAN | $626.00 | $626.00 | $66.01–$626.00 | 51% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJTENDONSHEATHLIGGAN | $626.00 | $626.00 | $66.01–$626.00 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TENDON/SHEATH INJECTION | $626.00 | $626.00 | $66.01–$626.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT INJ | $816.00 | $816.00 | $66.41–$816.00 | 10% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT INJ | $816.00 | $816.00 | $66.41–$816.00 | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE | $545.00 | $545.00 | $105.95–$545.00 | 86% below | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT DEVICE | $545.00 | $545.00 | $105.95–$545.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESISANKLEWRIS | $1,618.00 | $1,618.00 | $56.78–$1,618.00 | 115% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 MEDIUM JOINT INJECTION | $1,618.00 | $1,618.00 | $56.78–$1,618.00 | 115% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INTERMEDIATE BURSA INJ WO GUID | $1,618.00 | $1,618.00 | $56.78–$1,618.00 | 115% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 MEDIUM JOINT INJECTION | $1,618.00 | $1,618.00 | $56.78–$1,618.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INTERMEDIATE BURSA INJ WO GUID | $1,618.00 | $1,618.00 | $56.78–$1,618.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESISANKLEWRIS | $1,618.00 | $1,618.00 | $56.78–$1,618.00 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMALL BURSA INJ FINGERS & | $556.00 | $556.00 | $51.42–$556.00 | 8% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SMALL JOI | $556.00 | $556.00 | $51.42–$556.00 | 8% below | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SMALL JOI | $556.00 | $556.00 | $51.42–$556.00 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SMALL BURSA INJ FINGERS & | $556.00 | $556.00 | $51.42–$556.00 | — | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $2,817.00 | $2,817.00 | $472.59–$8,600.05 | 74% below | — |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY APPENDECTOMY | $2,817.00 | $2,817.00 | $472.59–$8,600.05 | — | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY | $5,074.00 | $5,074.00 | $984.69–$14,994.05 | 74% below | — |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAPAROSCOPY FUNDOPLASTY | $5,074.00 | $5,074.00 | $984.69–$14,994.05 | — | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $2,865.00 | $2,865.00 | $678.46–$14,994.05 | 79% below | — |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 TLH UTERUS 250 G OR LESS | $2,865.00 | $2,865.00 | $678.46–$14,994.05 | — | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $3,289.00 | $3,289.00 | $742.37–$14,994.05 | 76% below | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 TLH W/T/O 250 G OR LESS | $3,289.00 | $3,289.00 | $742.37–$14,994.05 | — | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $2,880.00 | $2,880.00 | $363.07–$8,600.05 | 74% below | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP ING HERNIA REPAIR INIT | $2,880.00 | $2,880.00 | $363.07–$8,600.05 | — | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $3,086.00 | $3,086.00 | $465.38–$8,600.05 | 76% below | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAP ING HERNIA REPAIR RECUR | $3,086.00 | $3,086.00 | $465.38–$8,600.05 | — | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $3,836.00 | $3,836.00 | $602.66–$8,600.05 | 59% below | — |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $3,836.00 | $3,836.00 | $602.66–$8,600.05 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIRS TO SCALP | $846.00 | $846.00 | $132.92–$846.00 | 14% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTERMEDIATE REPAIRS TO SCALP | $846.00 | $846.00 | $132.92–$846.00 | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $1,584.00 | $1,584.00 | $228.98–$4,881.46 | 80% below | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $1,584.00 | $1,584.00 | $228.98–$4,881.46 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 LUMBAR/SACRAL EPIDURAL | $1,195.00 | $1,195.00 | $221.31–$1,195.00 | 32% below | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 LUMBAR/SACRAL EPIDURAL | $1,195.00 | $1,195.00 | $221.31–$1,195.00 | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 LUMBAR EPIDURAL INJECTION | $1,017.00 | $1,017.00 | $141.49–$1,406.10 | 42% below | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 LUMBAR EPIDURAL INJECTION | $1,017.00 | $1,017.00 | $141.49–$1,406.10 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TFLE LUM/SAC 1ST LV | $1,843.00 | $1,843.00 | $185.76–$1,843.00 | 45% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LUMBAR NERVE ROOT INJFIR | $1,843.00 | $1,843.00 | $185.76–$1,843.00 | 45% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAMINAL EPIDURAL I | $1,843.00 | $1,843.00 | $185.76–$1,843.00 | 45% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORMAINAL EPIDURAL I | $1,843.00 | $1,843.00 | $185.76–$1,843.00 | 45% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LUMBAR NERVE INJ 1ST LEV | $1,843.00 | $1,843.00 | $185.76–$1,843.00 | 45% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAMINAL EPIDURAL | $2,086.00 | $2,086.00 | $185.76–$2,086.00 | 38% below | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 LUMBAR NERVE INJ 1ST LEV | $1,843.00 | $1,843.00 | $185.76–$1,843.00 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANSFORMAINAL EPIDURAL I | $1,843.00 | $1,843.00 | $185.76–$1,843.00 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANSFORAMINAL EPIDURAL I | $1,843.00 | $1,843.00 | $185.76–$1,843.00 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 LUMBAR NERVE ROOT INJFIR | $1,843.00 | $1,843.00 | $185.76–$1,843.00 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TFLE LUM/SAC 1ST LV | $1,843.00 | $1,843.00 | $185.76–$1,843.00 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANSFORAMINAL EPIDURAL | $2,086.00 | $2,086.00 | $185.76–$2,086.00 | — | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY | $6,578.00 | $6,578.00 | $856.62–$10,914.14 | 41% below | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 LOW BACK DISK SURGERY | $6,578.00 | $6,578.00 | $856.62–$10,914.14 | — | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 REMOVE SPINE LAMINA 1 LMBR | $8,169.00 | $8,169.00 | $1,024.44–$10,914.14 | 41% below | — |
| Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 REMOVE SPINE LAMINA 1 LMBR | $8,169.00 | $8,169.00 | $1,024.44–$10,914.14 | — | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 LUMBAR SPINE FUSION | $6,451.00 | $6,451.00 | $1,397.10–$36,131.09 | 46% below | — |
| Lumbar spinal fusion (posterior), one level inpatient CPT 22612 LUMBAR SPINE FUSION | $6,451.00 | $6,451.00 | $1,397.10–$36,131.09 | — | — |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $2,348.00 | $2,348.00 | $320.27–$5,672.37 | 70% below | — |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 PARTIAL MASTECTOMY | $2,348.00 | $2,348.00 | $320.27–$5,672.37 | — | — |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $3,141.00 | $3,141.00 | $683.72–$9,806.20 | 68% below | — |
| Mastectomy (total removal of the breast) inpatient CPT 19303 MAST SIMPLE COMPLETE | $3,141.00 | $3,141.00 | $683.72–$9,806.20 | — | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $1,603.00 | $1,603.00 | $283.54–$4,665.28 | 83% below | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE OF MISCARRIAGE | $1,603.00 | $1,603.00 | $283.54–$4,665.28 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $287.00 | $287.00 | $81.75–$1,070.80 | 54% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $287.00 | $287.00 | $81.75–$1,070.80 | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $332.00 | $332.00 | $94.96–$1,070.80 | 46% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $332.00 | $332.00 | $94.96–$1,070.80 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 SPL AVULSE NP; SGL | $286.00 | $286.00 | $59.34–$297.96 | 45% below | — |
| Nail removal (partial or complete), one nail CPT 11730 NAIL REMOVAL SIMPLE | $477.00 | $477.00 | $59.34–$477.00 | 7% below | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 SPL AVULSE NP; SGL | $286.00 | $286.00 | $59.34–$297.96 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL REMOVAL SIMPLE | $477.00 | $477.00 | $59.34–$477.00 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK-GREATER OCCIP | $940.00 | $940.00 | $96.04–$940.00 | 20% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 NERVE BLOCK-GREATER OCCIP | $940.00 | $940.00 | $96.04–$940.00 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 INS PACER DUAL, ATR, VENT LEAD | $27,295.00 | $27,295.00 | $574.17–$27,295.00 | 138% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INS PACER DUAL, ATR, VENT LEAD | $27,295.00 | $27,295.00 | $574.17–$27,295.00 | — | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS WITH IMAGING | $2,288.00 | $2,288.00 | $277.97–$2,288.00 | 57% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS WITH IMAGING | $2,288.00 | $2,288.00 | $277.97–$2,288.00 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REPAIR OR REMOVE TOENAIL | $1,049.00 | $1,049.00 | $127.85–$1,049.00 | 39% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REPAIR OR REMOVE TOENAIL | $1,049.00 | $1,049.00 | $127.85–$1,049.00 | — | — |
| Prostate biopsy CPT 55700 PROSTATE BIOPSY | $500.00 | $500.00 | $138.64–$3,060.55 | 82% below | — |
| Prostate biopsy inpatient CPT 55700 PROSTATE BIOPSY | $500.00 | $500.00 | $138.64–$3,060.55 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 RFA TX LUMBAR/SACRAL 1ST | $2,942.00 | $2,942.00 | $398.90–$2,965.91 | 29% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 RFA TX LUMBAR/SACRAL 1ST | $2,942.00 | $2,942.00 | $398.90–$2,965.91 | — | — |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $1,621.00 | $1,621.00 | $321.52–$5,672.37 | 76% below | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LESION | $1,621.00 | $1,621.00 | $321.52–$5,672.37 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY | $330.00 | $330.00 | $80.39–$615.57 | 66% below | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY | $330.00 | $330.00 | $80.39–$615.57 | — | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $3,543.00 | $3,543.00 | $638.54–$8,600.05 | 38% below | — |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 PARTIAL REMOVAL OF THYROID | $3,543.00 | $3,543.00 | $638.54–$8,600.05 | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $1,531.00 | $1,531.00 | $831.04–$1,531.00 | 27% below | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $1,531.00 | $1,531.00 | $831.04–$1,531.00 | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $1,531.00 | $1,531.00 | $320.18–$1,531.00 | 3% below | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $1,531.00 | $1,531.00 | $320.18–$1,531.00 | — | — |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $2,122.00 | $2,122.00 | $401.51–$4,694.30 | 74% below | — |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 REPAIR OF NASAL SEPTUM | $2,122.00 | $2,122.00 | $401.51–$4,694.30 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 BILATERAL LITHOTRIPSY | $17,217.00 | $17,217.00 | $654.19–$17,217.00 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY | $14,219.00 | $14,219.00 | $654.19–$14,219.00 | at median | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient both sides CPT 50590 BILATERAL LITHOTRIPSY | $17,217.00 | $17,217.00 | $654.19–$17,217.00 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY | $14,219.00 | $14,219.00 | $654.19–$14,219.00 | — | — |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $202.00 | $202.00 | $104.07–$395.85 | 82% below | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION OF FOREARM CAST | $202.00 | $202.00 | $104.07–$395.85 | — | — |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $160.00 | $160.00 | $67.95–$191.58 | 58% below | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT | $160.00 | $160.00 | $67.95–$191.58 | — | — |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $239.00 | $239.00 | $111.35–$395.85 | 71% below | — |
| Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST | $239.00 | $239.00 | $111.35–$395.85 | — | — |
| Short leg splint (calf to foot) CPT 29515 SPLINT/STRAP/CAST LEG/ANK | $316.00 | $316.00 | $75.56–$316.00 | 18% below | — |
| Short leg splint (calf to foot) inpatient CPT 29515 SPLINT/STRAP/CAST LEG/ANK | $316.00 | $316.00 | $75.56–$316.00 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR TO SCALP NECK | $477.00 | $477.00 | $109.07–$477.00 | 39% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/ | $612.00 | $612.00 | $109.07–$612.00 | 78% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR TO SCALP NECK | $477.00 | $477.00 | $109.07–$477.00 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/ | $612.00 | $612.00 | $109.07–$612.00 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY | $467.00 | $467.00 | $112.81–$615.57 | 17% below | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY | $467.00 | $467.00 | $112.81–$615.57 | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 < CM | $1,559.00 | $1,559.00 | $112.20–$1,559.00 | 146% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC TR-EXT MAL+MARG 0.5 < CM | $1,559.00 | $1,559.00 | $112.20–$1,559.00 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS | $473.00 | $473.00 | $52.02–$473.00 | 18% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS | $473.00 | $473.00 | $52.02–$473.00 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $924.00 | $924.00 | $112.65–$1,063.16 | 55% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE NEWBORN | $924.00 | $924.00 | $112.65–$1,063.16 | 55% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBATR PUNCTURE | $924.00 | $924.00 | $112.65–$1,063.16 | 55% below | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE NEWBORN | $924.00 | $924.00 | $112.65–$1,063.16 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE | $924.00 | $924.00 | $112.65–$1,063.16 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBATR PUNCTURE | $924.00 | $924.00 | $112.65–$1,063.16 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR TO SCALP NECK | $173.00 | $173.00 | $120.02–$297.96 | 55% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5 | $714.00 | $714.00 | $120.02–$714.00 | 86% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR TO SCALP NECK | $173.00 | $173.00 | $120.02–$297.96 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5 | $714.00 | $714.00 | $120.02–$714.00 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR TO FACE EARS | $477.00 | $477.00 | $116.07–$477.00 | 26% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SREP F/E/N/L/MM; 2.5CM/< | $697.00 | $697.00 | $116.07–$697.00 | 84% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR TO FACE EARS | $477.00 | $477.00 | $116.07–$477.00 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SREP F/E/N/L/MM; 2.5CM/< | $697.00 | $697.00 | $116.07–$697.00 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX, SQ OR MUC MEMBRANE | $118.00 | $118.00 | $89.74–$297.96 | 78% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SQ OR MUC MEMBRANE | $467.00 | $467.00 | $89.74–$467.00 | 13% below | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX, SQ OR MUC MEMBRANE | $118.00 | $118.00 | $89.74–$297.96 | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SQ OR MUC MEMBRANE | $467.00 | $467.00 | $89.74–$467.00 | — | — |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS | $1,400.00 | $1,400.00 | $578.50–$1,400.00 | 52% below | — |
| Thoracentesis with imaging guidance CPT 32555 INJ THORACENTESIS | $1,776.00 | $1,776.00 | $578.50–$1,776.00 | 40% below | — |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESISTHERA US G | $1,776.00 | $1,776.00 | $578.50–$1,776.00 | 40% below | — |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS WITH IMAGING | $1,776.00 | $1,776.00 | $578.50–$1,776.00 | 40% below | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS | $1,400.00 | $1,400.00 | $578.50–$1,400.00 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 INJ THORACENTESIS | $1,776.00 | $1,776.00 | $578.50–$1,776.00 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESISTHERA US G | $1,776.00 | $1,776.00 | $578.50–$1,776.00 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS WITH IMAGING | $1,776.00 | $1,776.00 | $578.50–$1,776.00 | — | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $1,534.00 | $1,534.00 | $284.62–$4,694.30 | 86% below | — |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 REMOVE TONSILS AND ADENOIDS | $1,534.00 | $1,534.00 | $284.62–$4,694.30 | — | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $1,316.00 | $1,316.00 | $252.81–$8,810.46 | 83% below | — |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 REMOVE TONSILS AND ADENOIDS | $1,316.00 | $1,316.00 | $252.81–$8,810.46 | — | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $1,360.00 | $1,360.00 | $240.90–$4,694.30 | 86% below | — |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 REMOVAL OF TONSILS | $1,360.00 | $1,360.00 | $240.90–$4,694.30 | — | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $1,009.00 | $1,009.00 | $223.66–$8,810.46 | 90% below | — |
| Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 REMOVAL OF TONSILS | $1,009.00 | $1,009.00 | $223.66–$8,810.46 | — | — |
| Total knee replacement CPT 27447 TOT KNEE ARTHROPLASTY | $3,574.00 | $3,574.00 | $1,473.52–$21,529.33 | 72% below | — |
| Total knee replacement inpatient CPT 27447 TOT KNEE ARTHROPLASTY | $3,574.00 | $3,574.00 | $1,473.52–$21,529.33 | — | — |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $4,709.00 | $4,709.00 | $920.12–$8,600.05 | 52% below | — |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 REMOVAL OF THYROID | $4,709.00 | $4,709.00 | $920.12–$8,600.05 | — | — |
| Trigger finger release surgery CPT 26055 TRIGGER FINGER INJECTION | $2,384.00 | $2,384.00 | $259.25–$2,384.00 | 46% below | — |
| Trigger finger release surgery inpatient CPT 26055 TRIGGER FINGER INJECTION | $2,384.00 | $2,384.00 | $259.25–$2,384.00 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ-SINGLE/ | $626.00 | $626.00 | $62.46–$626.00 | 43% below | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ-SINGLE/ | $626.00 | $626.00 | $62.46–$626.00 | — | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY | $2,564.00 | $2,564.00 | $337.62–$8,600.05 | 70% below | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAPAROSCOPY TUBAL CAUTERY | $2,564.00 | $2,564.00 | $337.62–$8,600.05 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion both sides CPT 19083 US GUIDED RIGHT BREAST BI | $1,593.00 | $1,593.00 | $605.85–$2,474.26 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US GUIDED LEFT BREAST BIO | $1,593.00 | $1,593.00 | $605.85–$2,474.26 | 42% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient both sides CPT 19083 US GUIDED RIGHT BREAST BI | $1,593.00 | $1,593.00 | $605.85–$2,474.26 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US GUIDED LEFT BREAST BIO | $1,593.00 | $1,593.00 | $605.85–$2,474.26 | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $1,384.00 | $1,384.00 | $175.54–$2,873.62 | 70% below | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH EGD DILATION <30 MM | $1,384.00 | $1,384.00 | $175.54–$2,873.62 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $1,346.00 | $1,346.00 | $221.53–$1,362.09 | 4% below | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $1,346.00 | $1,346.00 | $221.53–$1,362.09 | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $1,316.00 | $1,316.00 | $263.05–$1,362.09 | 71% below | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $1,316.00 | $1,316.00 | $263.05–$1,362.09 | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $1,505.00 | $1,505.00 | $224.46–$2,873.62 | 67% below | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD REMOVE LESION SNARE | $1,505.00 | $1,505.00 | $224.46–$2,873.62 | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION | $1,276.00 | $1,276.00 | $191.08–$1,362.09 | 72% below | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD GUIDE WIRE INSERTION | $1,276.00 | $1,276.00 | $191.08–$1,362.09 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $1,146.00 | $1,146.00 | $214.11–$1,362.09 | 2% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $1,146.00 | $1,146.00 | $214.11–$1,362.09 | — | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $1,200.00 | $1,200.00 | $376.62–$7,758.60 | 91% below | — |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $1,200.00 | $1,200.00 | $376.62–$7,758.60 | — | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC DELIVERY | $4,244.00 | $4,244.00 | $2,394.42–$4,244.00 | 65% below | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 VBAC DELIVERY | $4,244.00 | $4,244.00 | $2,394.42–$4,244.00 | — | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTETRICAL CARE | $3,501.00 | $3,501.00 | $2,284.36–$3,501.00 | — | — |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OBSTETRICAL CARE | $3,501.00 | $3,501.00 | $2,284.36–$3,501.00 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $903.00 | $903.00 | $301.98–$3,060.55 | 74% below | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 REMOVAL OF SPERM DUCT(S) | $903.00 | $903.00 | $301.98–$3,060.55 | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $2,889.00 | $2,889.00 | $2,099.21–$4,915.30 | 63% below | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS RF 1ST VEIN | $2,889.00 | $2,889.00 | $2,099.21–$4,915.30 | — | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION, 1-14 | $473.00 | $473.00 | $46.07–$473.00 | 82% below | — |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION, 1-14 | $473.00 | $473.00 | $46.07–$473.00 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $180.00 | $180.00 | $65.70–$615.57 | 81% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN & SQ | $846.00 | $846.00 | $65.70–$846.00 | 8% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $180.00 | $180.00 | $65.70–$615.57 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN & SQ | $846.00 | $846.00 | $65.70–$846.00 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $949.00 | $949.00 | $36.21–$949.00 | 23% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANFUSION ADMIN | $949.00 | $949.00 | $36.21–$949.00 | 23% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANS OF BLOOD EACH | $949.00 | $949.00 | $36.21–$949.00 | 23% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION | $949.00 | $949.00 | $36.21–$949.00 | 23% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION ADMIN | $949.00 | $949.00 | $36.21–$949.00 | 23% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION ADMINISTRATIO | $949.00 | $949.00 | $36.21–$949.00 | 23% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSIONBLOOD OR COMP | $949.00 | $949.00 | $36.21–$949.00 | 23% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 2 UNITS | $2,104.00 | $2,104.00 | $36.21–$2,104.00 | 172% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSE MULTI UNITS | $2,104.00 | $2,104.00 | $36.21–$2,104.00 | 172% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION ADMINISTRATIO | $949.00 | $949.00 | $36.21–$949.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSIONBLOOD OR COMP | $949.00 | $949.00 | $36.21–$949.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $949.00 | $949.00 | $36.21–$949.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION ADMIN | $949.00 | $949.00 | $36.21–$949.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANS OF BLOOD EACH | $949.00 | $949.00 | $36.21–$949.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANFUSION ADMIN | $949.00 | $949.00 | $36.21–$949.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION | $949.00 | $949.00 | $36.21–$949.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSE MULTI UNITS | $2,104.00 | $2,104.00 | $36.21–$2,104.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION 2 UNITS | $2,104.00 | $2,104.00 | $36.21–$2,104.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION | $172.00 | $172.00 | $18.11–$315.98 | 9% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT | $1,394.00 | $1,394.00 | $18.11–$1,394.00 | 639% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION | $172.00 | $172.00 | $18.11–$315.98 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT | $1,394.00 | $1,394.00 | $18.11–$1,394.00 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO TREATMENT INFUSION | $647.00 | $647.00 | $158.63–$647.00 | 7% below | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO TREATMENT INFUSION | $647.00 | $647.00 | $158.63–$647.00 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $133.00 | $133.00 | $44.14–$239.96 | 66% below | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE HEARING TEST | $133.00 | $133.00 | $44.14–$239.96 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HOUR | $1,323.00 | $1,323.00 | $171.65–$1,323.00 | 43% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE | $2,413.00 | $2,413.00 | $171.65–$2,413.00 | 5% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST HOUR | $1,323.00 | $1,323.00 | $171.65–$1,323.00 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE | $2,413.00 | $2,413.00 | $171.65–$2,413.00 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG PROFESSIONAL FEE | $259.00 | $259.00 | $49.04–$462.10 | 62% below | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG - AWAKE/DROWSY | $804.00 | $804.00 | $49.04–$804.00 | 17% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG PROFESSIONAL FEE | $259.00 | $259.00 | $49.04–$462.10 | — | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG - AWAKE/DROWSY | $804.00 | $804.00 | $49.04–$804.00 | — | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $76.00 | $76.00 | $26.34–$76.00 | 204% above | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE | $76.00 | $76.00 | $26.34–$76.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY W/O INT | $46.00 | $46.00 | $16.43–$94.84 | 83% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $286.00 | $286.00 | $16.43–$286.00 | 6% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY W/O INT | $46.00 | $46.00 | $16.43–$94.84 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $286.00 | $286.00 | $16.43–$286.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER FOLLOW UP | $123.00 | $123.00 | $18.14–$123.90 | 45% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPTI VSIT LV 1 | $192.00 | $192.00 | $18.14–$192.00 | 14% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 | $336.00 | $336.00 | $18.14–$336.00 | 50% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 NC & REM FB SQ; SMPL | $902.00 | $902.00 | $18.14–$902.00 | 302% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER FOLLOW UP | $123.00 | $123.00 | $18.14–$123.90 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPTI VSIT LV 1 | $192.00 | $192.00 | $18.14–$192.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 | $336.00 | $336.00 | $18.14–$336.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 NC & REM FB SQ; SMPL | $902.00 | $902.00 | $18.14–$902.00 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT EXP PROB FOC | $134.00 | $134.00 | $28.35–$230.49 | 61% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT LV 2 | $304.00 | $304.00 | $28.35–$304.00 | 11% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 | $483.00 | $483.00 | $28.35–$483.00 | 42% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT EXP PROB FOC | $134.00 | $134.00 | $28.35–$230.49 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT LV 2 | $304.00 | $304.00 | $28.35–$304.00 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 | $483.00 | $483.00 | $28.35–$483.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LV 3 | $510.00 | $510.00 | $57.54–$510.00 | 21% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 | $716.00 | $716.00 | $57.54–$716.00 | 11% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LV 3 | $510.00 | $510.00 | $57.54–$510.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 | $716.00 | $716.00 | $57.54–$716.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT DETAILED | $252.00 | $252.00 | $88.42–$629.66 | 71% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPTI VSIT LV 4 | $901.00 | $901.00 | $88.42–$901.00 | 3% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 | $1,057.00 | $1,057.00 | $88.42–$1,057.00 | 21% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT DETAILED | $252.00 | $252.00 | $88.42–$629.66 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPTI VSIT LV 4 | $901.00 | $901.00 | $88.42–$901.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 | $1,057.00 | $1,057.00 | $88.42–$1,057.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT COMPREHENSIVE | $394.00 | $394.00 | $139.03–$904.38 | 67% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPTI VSIT LV 5 | $1,319.00 | $1,319.00 | $139.03–$1,319.00 | 9% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 | $1,486.00 | $1,486.00 | $139.03–$1,486.00 | 23% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT COMPREHENSIVE | $394.00 | $394.00 | $139.03–$904.38 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPTI VSIT LV 5 | $1,319.00 | $1,319.00 | $139.03–$1,319.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 | $1,486.00 | $1,486.00 | $139.03–$1,486.00 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $1,709.00 | $1,709.00 | $60.67–$1,709.00 | 157% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TESTING | $1,760.00 | $1,760.00 | $60.67–$1,760.00 | 164% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST | $1,709.00 | $1,709.00 | $60.67–$1,709.00 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TESTING | $1,760.00 | $1,760.00 | $60.67–$1,760.00 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $365.00 | $365.00 | $99.10–$365.00 | 78% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT 50 MIN | $365.00 | $365.00 | $99.10–$365.00 | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $365.00 | $365.00 | $145.70–$365.00 | 97% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $365.00 | $365.00 | $145.70–$365.00 | — | — |
| Group psychotherapy session CPT 90853 GROUP THERAPY NOT MULTI-FAMILY | $206.00 | $206.00 | $32.28–$206.00 | 43% below | — |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY NOT MULTI-FAMILY | $206.00 | $206.00 | $32.28–$206.00 | — | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 ECG MONIT/REPRT UP TO 48 HRS | $362.00 | $362.00 | $154.75–$362.00 | — | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 ECG MONIT/REPRT UP TO 48 HRS | $362.00 | $362.00 | $154.75–$362.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INI | $521.00 | $521.00 | $50.61–$521.00 | 70% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION THERAPY INITIAL | $521.00 | $521.00 | $50.61–$521.00 | 70% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION 1ST HR | $521.00 | $521.00 | $50.61–$521.00 | 70% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION 1ST HOUR | $521.00 | $521.00 | $50.61–$521.00 | 70% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION 1ST HOUR | $521.00 | $521.00 | $50.61–$521.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION 1ST HR | $521.00 | $521.00 | $50.61–$521.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INI | $521.00 | $521.00 | $50.61–$521.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION THERAPY INITIAL | $521.00 | $521.00 | $50.61–$521.00 | — | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY 1ST HOUR | $542.00 | $542.00 | $61.65–$542.00 | 79% above | — |
| IV infusion of a medicine, first hour CPT 96365 ADM OF INFUSION DRGS | $542.00 | $542.00 | $61.65–$542.00 | 79% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION - NOT CHEMO | $542.00 | $542.00 | $61.65–$542.00 | 79% above | — |
| IV infusion of a medicine, first hour CPT 96365 REMICADE ADM INFUSION 1ST | $542.00 | $542.00 | $61.65–$542.00 | 79% above | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY FISRT H | $542.00 | $542.00 | $61.65–$542.00 | 79% above | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY FIRST HO | $542.00 | $542.00 | $61.65–$542.00 | 79% above | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY 1ST HR | $542.00 | $542.00 | $61.65–$542.00 | 79% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY 1ST HOUR | $542.00 | $542.00 | $61.65–$542.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 ADM OF INFUSION DRGS | $542.00 | $542.00 | $61.65–$542.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY 1ST HR | $542.00 | $542.00 | $61.65–$542.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY FIRST HO | $542.00 | $542.00 | $61.65–$542.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 REMICADE ADM INFUSION 1ST | $542.00 | $542.00 | $61.65–$542.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION - NOT CHEMO | $542.00 | $542.00 | $61.65–$542.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY FISRT H | $542.00 | $542.00 | $61.65–$542.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 I.M. ADMINISTRATION FEE | $103.00 | $103.00 | $18.77–$111.33 | 31% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ/IM | $126.00 | $126.00 | $18.77–$126.00 | 60% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SC IM | $212.00 | $212.00 | $18.77–$212.00 | 169% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SCIM | $212.00 | $212.00 | $18.77–$212.00 | 169% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SCIM INJECTION | $212.00 | $212.00 | $18.77–$212.00 | 169% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SC OR IM | $212.00 | $212.00 | $18.77–$212.00 | 169% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM ANTIBIOTIC | $237.00 | $237.00 | $18.77–$237.00 | 201% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 I.M. ADMINISTRATION FEE | $103.00 | $103.00 | $18.77–$111.33 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ/IM | $126.00 | $126.00 | $18.77–$126.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SC IM | $212.00 | $212.00 | $18.77–$212.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SCIM INJECTION | $212.00 | $212.00 | $18.77–$212.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SCIM | $212.00 | $212.00 | $18.77–$212.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SC OR IM | $212.00 | $212.00 | $18.77–$212.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM ANTIBIOTIC | $237.00 | $237.00 | $18.77–$237.00 | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $365.00 | $365.00 | $134.65–$365.00 | 32% below | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $365.00 | $365.00 | $134.65–$365.00 | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $666.00 | $666.00 | $72.31–$666.00 | 26% below | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $666.00 | $666.00 | $72.31–$666.00 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REED (OP) | $215.00 | $215.00 | $34.91–$215.00 | 144% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUC/15 ( | $227.00 | $227.00 | $34.91–$227.00 | 158% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REED (IP) | $227.00 | $227.00 | $34.91–$227.00 | 158% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REED (OP) | $215.00 | $215.00 | $34.91–$215.00 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REED (IP) | $227.00 | $227.00 | $34.91–$227.00 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUC/15 ( | $227.00 | $227.00 | $34.91–$227.00 | — | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LV 3 | $80.00 | $80.00 | $70.40–$80.36 | 65% below | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PT LV 3 | $221.00 | $221.00 | $80.36–$221.00 | 4% below | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVE 3 | $258.00 | $258.00 | $80.36–$258.00 | 12% above | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT N | $258.00 | $258.00 | $80.36–$258.00 | 12% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PT OFV - LEVEL 3 | $258.00 | $258.00 | $80.36–$258.00 | 12% above | — |
| New patient office visit, about 30 minutes CPT 99203 PAIN CLINIC OP NEW PT 30 | $307.00 | $307.00 | $80.36–$307.00 | 34% above | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUT VISIT NEW LV III | $328.00 | $328.00 | $80.36–$328.00 | 43% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LV 3 | $80.00 | $80.00 | $70.40–$80.36 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT LV 3 | $221.00 | $221.00 | $80.36–$221.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT OFV - LEVEL 3 | $258.00 | $258.00 | $80.36–$258.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVE 3 | $258.00 | $258.00 | $80.36–$258.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT N | $258.00 | $258.00 | $80.36–$258.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 PAIN CLINIC OP NEW PT 30 | $307.00 | $307.00 | $80.36–$307.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUT VISIT NEW LV III | $328.00 | $328.00 | $80.36–$328.00 | — | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LV 4 | $80.00 | $80.00 | $70.40–$116.04 | 62% below | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PT LV 4 | $373.00 | $373.00 | $116.04–$373.00 | 78% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVE 4 | $494.00 | $494.00 | $116.04–$494.00 | 136% above | — |
| New patient office visit, about 45 minutes CPT 99204 OP PAIN CLINIC NEW 45 MIN | $542.00 | $542.00 | $116.04–$542.00 | 159% above | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT LV 4 | $549.00 | $549.00 | $116.04–$549.00 | 163% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PT OFV - LEVEL 4 | $549.00 | $549.00 | $116.04–$549.00 | 163% above | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OP NEW LV 4 | $583.00 | $583.00 | $116.04–$583.00 | 179% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LV 4 | $80.00 | $80.00 | $70.40–$116.04 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT LV 4 | $373.00 | $373.00 | $116.04–$373.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVE 4 | $494.00 | $494.00 | $116.04–$494.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OP PAIN CLINIC NEW 45 MIN | $542.00 | $542.00 | $116.04–$542.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT LV 4 | $549.00 | $549.00 | $116.04–$549.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT OFV - LEVEL 4 | $549.00 | $549.00 | $116.04–$549.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OP NEW LV 4 | $583.00 | $583.00 | $116.04–$583.00 | — | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LV 5 | $80.00 | $80.00 | $70.40–$143.98 | 70% below | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PT LV 5 | $486.00 | $486.00 | $143.98–$486.00 | 80% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PT OFV - LEVEL 5 | $562.00 | $562.00 | $143.98–$562.00 | 108% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVE 5 | $562.00 | $562.00 | $143.98–$562.00 | 108% above | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT LV 5 | $562.00 | $562.00 | $143.98–$562.00 | 108% above | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUT VISIT NEW LV V | $657.00 | $657.00 | $143.98–$657.00 | 143% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LV 5 | $80.00 | $80.00 | $70.40–$143.98 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT LV 5 | $486.00 | $486.00 | $143.98–$486.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT OFV - LEVEL 5 | $562.00 | $562.00 | $143.98–$562.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT LV 5 | $562.00 | $562.00 | $143.98–$562.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LEVE 5 | $562.00 | $562.00 | $143.98–$562.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUT VISIT NEW LV V | $657.00 | $657.00 | $143.98–$657.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LV 2 | $80.00 | $80.00 | $57.30–$80.00 | 57% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LV 2 | $148.00 | $148.00 | $57.30–$148.00 | 20% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPATIENT VISIT N | $170.00 | $170.00 | $57.30–$170.00 | 9% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEVE 2 | $170.00 | $170.00 | $57.30–$170.00 | 9% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT OFV - LEVEL 2 | $170.00 | $170.00 | $57.30–$170.00 | 9% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 TREATMENT ROOM LEVEL 2 | $391.00 | $391.00 | $57.30–$391.00 | 110% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LV 2 | $80.00 | $80.00 | $57.30–$80.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT LV 2 | $148.00 | $148.00 | $57.30–$148.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LEVE 2 | $170.00 | $170.00 | $57.30–$170.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT OFV - LEVEL 2 | $170.00 | $170.00 | $57.30–$170.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OUTPATIENT VISIT N | $170.00 | $170.00 | $57.30–$170.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 TREATMENT ROOM LEVEL 2 | $391.00 | $391.00 | $57.30–$391.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRIT THER BRIEF INI | $43.00 | $43.00 | $33.06–$54.55 | at median | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRIT THER BASIC INI | $84.00 | $84.00 | $33.06–$84.00 | 95% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRIT THER EXTEND IN | $125.00 | $125.00 | $33.06–$125.00 | 191% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRIT THER COMPRE IN | $164.00 | $164.00 | $33.06–$164.00 | 281% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTRIT THER BRIEF INI | $43.00 | $43.00 | $33.06–$54.55 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTRIT THER BASIC INI | $84.00 | $84.00 | $33.06–$84.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTRIT THER EXTEND IN | $125.00 | $125.00 | $33.06–$125.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTRIT THER COMPRE IN | $164.00 | $164.00 | $33.06–$164.00 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 20 MIN | $667.00 | $667.00 | $103.40–$667.00 | 346% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 20 MIN | $667.00 | $667.00 | $103.40–$667.00 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $361.00 | $361.00 | $103.40–$361.00 | 93% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $361.00 | $361.00 | $103.40–$361.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $361.00 | $361.00 | $103.40–$361.00 | 110% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $361.00 | $361.00 | $103.40–$361.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $361.00 | $361.00 | $103.40–$361.00 | 104% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $361.00 | $361.00 | $103.40–$361.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERPAY (IP) | $164.00 | $164.00 | $27.90–$164.00 | 68% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINS | $164.00 | $164.00 | $27.90–$164.00 | 68% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY/ 15 MIN (O | $164.00 | $164.00 | $27.90–$164.00 | 68% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY/15MIN (OP) | $164.00 | $164.00 | $27.90–$164.00 | 68% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERPAY (IP) | $164.00 | $164.00 | $27.90–$164.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY/15MIN (OP) | $164.00 | $164.00 | $27.90–$164.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY/ 15 MIN (O | $164.00 | $164.00 | $27.90–$164.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINS | $164.00 | $164.00 | $27.90–$164.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EX. (OP) | $114.00 | $114.00 | $30.36–$114.00 | 29% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EX (IP) | $114.00 | $114.00 | $30.36–$114.00 | 29% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE 15 MINS (IP) | $175.00 | $175.00 | $30.36–$175.00 | 99% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE-15 MINUTES (OP) | $175.00 | $175.00 | $30.36–$175.00 | 99% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA | $175.00 | $175.00 | $30.36–$175.00 | 99% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EX. (OP) | $114.00 | $114.00 | $30.36–$114.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EX (IP) | $114.00 | $114.00 | $30.36–$114.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA | $175.00 | $175.00 | $30.36–$175.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 EXERCISE-15 MINUTES (OP) | $175.00 | $175.00 | $30.36–$175.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 EXERCISE 15 MINS (IP) | $175.00 | $175.00 | $30.36–$175.00 | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $520.00 | $520.00 | $79.15–$520.00 | 7% below | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VISIT NEW AGE 18-39 | $520.00 | $520.00 | $79.15–$520.00 | — | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $520.00 | $520.00 | $79.15–$520.00 | 19% below | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VISIT NEW AGE 40-64 | $520.00 | $520.00 | $79.15–$520.00 | — | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS | $266.00 | $266.00 | $79.15–$266.00 | 62% below | — |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INIT PM E/M NEW PAT 65+ YRS | $266.00 | $266.00 | $79.15–$266.00 | — | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39 | $328.00 | $328.00 | $79.15–$328.00 | 35% below | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREV VISIT EST AGE 18-39 | $328.00 | $328.00 | $79.15–$328.00 | — | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 | $258.00 | $258.00 | $79.15–$258.00 | 52% below | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV VISIT EST AGE 40-64 | $258.00 | $258.00 | $79.15–$258.00 | — | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR | $239.00 | $239.00 | $79.15–$239.00 | 58% below | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PER PM REEVAL EST PAT 65+ YR | $239.00 | $239.00 | $79.15–$239.00 | — | — |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $365.00 | $365.00 | $110.64–$365.00 | 84% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $365.00 | $365.00 | $110.64–$365.00 | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $365.00 | $365.00 | $145.70–$365.00 | 32% below | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $365.00 | $365.00 | $145.70–$365.00 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $365.00 | $365.00 | $55.88–$365.00 | 18% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30 MINUTES | $365.00 | $365.00 | $55.88–$365.00 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $365.00 | $365.00 | $71.86–$365.00 | 6% below | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINUTES | $365.00 | $365.00 | $71.86–$365.00 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $365.00 | $365.00 | $116.72–$365.00 | 42% below | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES | $365.00 | $365.00 | $116.72–$365.00 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBACCO COUNSELING | $124.00 | $124.00 | $11.04–$124.00 | 139% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOBACCO COUNSELING | $124.00 | $124.00 | $11.04–$124.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT LV 5 | $80.00 | $80.00 | $70.40–$98.13 | 70% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT LEVEL E (OT) | $263.00 | $263.00 | $98.13–$263.00 | 1% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT LEVEL 5 | $263.00 | $263.00 | $98.13–$263.00 | 1% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 | $297.00 | $297.00 | $98.13–$297.00 | 12% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PT LV 5 | $321.00 | $321.00 | $98.13–$321.00 | 21% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT OFV LEVEL 5 | $373.00 | $373.00 | $98.13–$373.00 | 41% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPATIENT LV 5 | $373.00 | $373.00 | $98.13–$373.00 | 41% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 OB OP | $878.00 | $878.00 | $98.13–$878.00 | 231% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT LV 5 | $80.00 | $80.00 | $70.40–$98.13 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT LEVEL E (OT) | $263.00 | $263.00 | $98.13–$263.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT LEVEL 5 | $263.00 | $263.00 | $98.13–$263.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL 5 | $297.00 | $297.00 | $98.13–$297.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PT LV 5 | $321.00 | $321.00 | $98.13–$321.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT OFV LEVEL 5 | $373.00 | $373.00 | $98.13–$373.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OUTPATIENT LV 5 | $373.00 | $373.00 | $98.13–$373.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL 5 OB OP | $878.00 | $878.00 | $98.13–$878.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT LV 3 | $80.00 | $80.00 | $42.74–$80.00 | 62% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PT LV 3 | $149.00 | $149.00 | $42.74–$149.00 | 30% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT LEVEL 3 | $162.00 | $162.00 | $42.74–$162.00 | 24% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT OFV LEVEL 3 | $268.00 | $268.00 | $42.74–$268.00 | 26% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT LV 3 | $268.00 | $268.00 | $42.74–$268.00 | 26% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 | $268.00 | $268.00 | $42.74–$268.00 | 26% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PAIN CLINIC OP FOLLOWUP 1 | $307.00 | $307.00 | $42.74–$307.00 | 45% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 OB OP | $436.00 | $436.00 | $42.74–$436.00 | 105% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT LV 3 | $80.00 | $80.00 | $42.74–$80.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PT LV 3 | $149.00 | $149.00 | $42.74–$149.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT LEVEL 3 | $162.00 | $162.00 | $42.74–$162.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPATIENT LV 3 | $268.00 | $268.00 | $42.74–$268.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT OFV LEVEL 3 | $268.00 | $268.00 | $42.74–$268.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL 3 | $268.00 | $268.00 | $42.74–$268.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PAIN CLINIC OP FOLLOWUP 1 | $307.00 | $307.00 | $42.74–$307.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL 3 OB OP | $436.00 | $436.00 | $42.74–$436.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PATIENT LV 4 | $80.00 | $80.00 | $65.85–$80.00 | 52% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PT LV 4 | $229.00 | $229.00 | $65.85–$229.00 | 36% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PATIENT LEVEL 4 | $263.00 | $263.00 | $65.85–$263.00 | 56% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPATIENT VISIT E | $285.00 | $285.00 | $65.85–$285.00 | 70% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 VISIT | $285.00 | $285.00 | $65.85–$285.00 | 70% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT OFV LEVEL 4 | $307.00 | $307.00 | $65.85–$307.00 | 83% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAIN CLINIC-EST PATIENT | $484.00 | $484.00 | $65.85–$484.00 | 188% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 OB OP | $544.00 | $544.00 | $65.85–$544.00 | 224% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PATIENT LV 4 | $80.00 | $80.00 | $65.85–$80.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PT LV 4 | $229.00 | $229.00 | $65.85–$229.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PATIENT LEVEL 4 | $263.00 | $263.00 | $65.85–$263.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL 4 VISIT | $285.00 | $285.00 | $65.85–$285.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPATIENT VISIT E | $285.00 | $285.00 | $65.85–$285.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT OFV LEVEL 4 | $307.00 | $307.00 | $65.85–$307.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PAIN CLINIC-EST PATIENT | $484.00 | $484.00 | $65.85–$484.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL 4 OB OP | $544.00 | $544.00 | $65.85–$544.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PT LV 2 | $76.00 | $76.00 | $31.15–$76.00 | 40% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PATIENT LV 2 | $80.00 | $80.00 | $31.15–$80.00 | 37% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PATIENT LEVEL 2 | $160.00 | $160.00 | $31.15–$160.00 | 25% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 INITIAL WOUND VISIT | $231.00 | $231.00 | $31.15–$231.00 | 81% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT OFV LEVEL 2 | $250.00 | $250.00 | $31.15–$250.00 | 96% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 | $250.00 | $250.00 | $31.15–$250.00 | 96% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPATIENT LV 2 | $250.00 | $250.00 | $31.15–$250.00 | 96% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PAIN CLINIC OP FOLLOWUP 1 | $268.00 | $268.00 | $31.15–$268.00 | 110% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 OB OP | $300.00 | $300.00 | $31.15–$300.00 | 135% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED TRACH CHANGE | $391.00 | $391.00 | $31.15–$391.00 | 207% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PT LV 2 | $76.00 | $76.00 | $31.15–$76.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PATIENT LV 2 | $80.00 | $80.00 | $31.15–$80.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PATIENT LEVEL 2 | $160.00 | $160.00 | $31.15–$160.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 INITIAL WOUND VISIT | $231.00 | $231.00 | $31.15–$231.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPATIENT LV 2 | $250.00 | $250.00 | $31.15–$250.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT OFV LEVEL 2 | $250.00 | $250.00 | $31.15–$250.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL 2 | $250.00 | $250.00 | $31.15–$250.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PAIN CLINIC OP FOLLOWUP 1 | $268.00 | $268.00 | $31.15–$268.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL 2 OB OP | $300.00 | $300.00 | $31.15–$300.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED TRACH CHANGE | $391.00 | $391.00 | $31.15–$391.00 | — | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT LV 3 | $401.00 | $401.00 | $105.53–$401.00 | 3% below | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT LV 3 | $401.00 | $401.00 | $105.53–$401.00 | — | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT LV 4 | $538.00 | $538.00 | $146.08–$538.00 | 11% below | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT LV 4 | $538.00 | $538.00 | $146.08–$538.00 | — | — |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMP | $551.00 | $551.00 | $172.00–$551.00 | 126% above | — |
| Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMP | $551.00 | $551.00 | $172.00–$551.00 | — | — |
| Speech therapy session, individual CPT 92507 LSVTX ONE HOUR | $219.00 | $219.00 | $78.18–$219.00 | 28% above | — |
| Speech therapy session, individual CPT 92507 SPCH/LANG THRPY PER VISIT | $227.00 | $227.00 | $78.18–$227.00 | 33% above | — |
| Speech therapy session, individual CPT 92507 SPEECH-LANG. TX | $227.00 | $227.00 | $78.18–$227.00 | 33% above | — |
| Speech therapy session, individual inpatient CPT 92507 LSVTX ONE HOUR | $219.00 | $219.00 | $78.18–$219.00 | — | — |
| Speech therapy session, individual inpatient CPT 92507 SPCH/LANG THRPY PER VISIT | $227.00 | $227.00 | $78.18–$227.00 | — | — |
| Speech therapy session, individual inpatient CPT 92507 SPEECH-LANG. TX | $227.00 | $227.00 | $78.18–$227.00 | — | — |
| Spirometry (breathing test) CPT 94010 EMPLOYMENT PFT | $121.00 | $121.00 | $11.93–$239.96 | 71% below | — |
| Spirometry (breathing test) CPT 94010 FVC - DISABILITY | $353.00 | $353.00 | $11.93–$353.00 | 15% below | — |
| Spirometry (breathing test) CPT 94010 BASIC SPIROMETRY IP | $385.00 | $385.00 | $11.93–$385.00 | 7% below | — |
| Spirometry (breathing test) CPT 94010 BASIC SPIROMETRY | $398.00 | $398.00 | $11.93–$398.00 | 4% below | — |
| Spirometry (breathing test) inpatient CPT 94010 EMPLOYMENT PFT | $121.00 | $121.00 | $11.93–$239.96 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 FVC - DISABILITY | $353.00 | $353.00 | $11.93–$353.00 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 BASIC SPIROMETRY IP | $385.00 | $385.00 | $11.93–$385.00 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 BASIC SPIROMETRY | $398.00 | $398.00 | $11.93–$398.00 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE & POST IP | $599.00 | $599.00 | $18.20–$599.00 | 17% below | — |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE & POST | $618.00 | $618.00 | $18.20–$618.00 | 14% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE & POST IP | $599.00 | $599.00 | $18.20–$599.00 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE & POST | $618.00 | $618.00 | $18.20–$618.00 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACT 15 MIN (I | $76.00 | $76.00 | $38.59–$76.00 | 3% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 TRANSFER (OP) | $76.00 | $76.00 | $38.59–$76.00 | 3% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 TRANSFER (IP) | $76.00 | $76.00 | $38.59–$76.00 | 3% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $76.00 | $76.00 | $38.59–$76.00 | 3% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACT 15MIN (OP | $76.00 | $76.00 | $38.59–$76.00 | 3% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY (IP) | $88.00 | $88.00 | $38.59–$88.00 | 12% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY (OP) | $88.00 | $88.00 | $38.59–$88.00 | 12% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TRANSFER (IP) | $76.00 | $76.00 | $38.59–$76.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACT 15 MIN (I | $76.00 | $76.00 | $38.59–$76.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TRANSFER (OP) | $76.00 | $76.00 | $38.59–$76.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES | $76.00 | $76.00 | $38.59–$76.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACT 15MIN (OP | $76.00 | $76.00 | $38.59–$76.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY (OP) | $88.00 | $88.00 | $38.59–$88.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY (IP) | $88.00 | $88.00 | $38.59–$88.00 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $87.00 | $87.00 | $16.10–$191.58 | 43% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPUTIC | $251.00 | $251.00 | $16.10–$251.00 | 66% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY | $87.00 | $87.00 | $16.10–$191.58 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPUTIC | $251.00 | $251.00 | $16.10–$251.00 | — | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVASCULAR STRESS TEST | $372.00 | $372.00 | $104.01–$372.00 | 66% below | — |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 CARDIOVASCULAR STRESS TEST | $372.00 | $372.00 | $104.01–$372.00 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ | $223.00 | $223.00 | $183.04–$223.00 | 51% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VAR VACCINE LIVE SUBQ | $223.00 | $223.00 | $183.04–$223.00 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $22.00 | $22.00 | $19.36–$22.00 | 69% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $22.00 | $22.00 | $19.36–$22.00 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM | $289.00 | $289.00 | $254.32–$301.92 | 74% below | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9VHPV VACCINE 2/3 DOSE IM | $289.00 | $289.00 | $254.32–$301.92 | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM | $133.00 | $133.00 | $117.04–$133.00 | 74% below | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A/HEP B VACC ADULT IM | $133.00 | $133.00 | $117.04–$133.00 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM | $96.00 | $96.00 | $73.91–$96.00 | 23% below | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPA VACCINE ADULT IM | $96.00 | $96.00 | $73.91–$96.00 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $96.00 | $96.00 | $73.89–$96.00 | 54% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $96.00 | $96.00 | $73.89–$96.00 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu Vacc HD (65yrs+) | $35.29 | $35.29 | $31.06–$77.07 | 79% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC HD (65YRS+) | $36.35 | $36.35 | $31.99–$77.07 | 79% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE QV HD VACCINE INJ | $234.00 | $234.00 | $77.07–$234.00 | 36% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Flu Vacc HD (65yrs+) | $35.29 | $35.29 | $31.06–$77.07 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC HD (65YRS+) | $36.35 | $36.35 | $31.99–$77.07 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE QV HD VACCINE INJ | $234.00 | $234.00 | $77.07–$234.00 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles/Mumps/Rubella Vac | $35.29 | $35.29 | $31.06–$97.11 | 90% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC | $36.35 | $36.35 | $31.99–$97.11 | 89% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II VACCINE; 0.5ML | $162.00 | $162.00 | $97.11–$162.00 | 53% below | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles/Mumps/Rubella Vac | $35.29 | $35.29 | $31.06–$97.11 | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC | $36.35 | $36.35 | $31.99–$97.11 | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II VACCINE; 0.5ML | $162.00 | $162.00 | $97.11–$162.00 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL | $35.29 | $35.29 | $31.06–$165.22 | 93% below | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL | $36.35 | $36.35 | $31.99–$165.22 | 93% below | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJ VACCIN | $286.00 | $286.00 | $165.22–$286.00 | 44% below | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL | $35.29 | $35.29 | $31.06–$165.22 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL | $36.35 | $36.35 | $31.99–$165.22 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL CONJ VACCIN | $286.00 | $286.00 | $165.22–$286.00 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal Group B Vac/PF | $35.29 | $35.29 | $31.06–$234.94 | 95% below | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GROUP B VAC/PF | $36.35 | $36.35 | $31.99–$234.94 | 95% below | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO 0.5ML INJ | $834.00 | $834.00 | $234.94–$834.00 | 25% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Meningococcal Group B Vac/PF | $35.29 | $35.29 | $31.06–$234.94 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GROUP B VAC/PF | $36.35 | $36.35 | $31.99–$234.94 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 BEXSERO 0.5ML INJ | $834.00 | $834.00 | $234.94–$834.00 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20/PF 0.5 ML SYRINGE | $249.00 | $249.00 | $219.12–$312.94 | 77% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20/PF 0.5 ML SYRINGE | $249.00 | $249.00 | $219.12–$312.94 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 1MG | $85.00 | $85.00 | $74.80–$140.15 | 82% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM | $187.00 | $187.00 | $140.15–$187.00 | 60% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNU-IMUNE INJ 0.5ML 1 DOS | $206.00 | $206.00 | $140.15–$206.00 | 56% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 1MG | $85.00 | $85.00 | $74.80–$140.15 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM | $187.00 | $187.00 | $140.15–$187.00 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNU-IMUNE INJ 0.5ML 1 DOS | $206.00 | $206.00 | $140.15–$206.00 | — | — |
| Rabies vaccine, one dose CPT 90675 IMOVAX RABIES 1 ML VIAL | $1,002.00 | $1,002.00 | $355.22–$1,002.00 | 2% below | — |
| Rabies vaccine, one dose inpatient CPT 90675 IMOVAX RABIES 1 ML VIAL | $1,002.00 | $1,002.00 | $355.22–$1,002.00 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr | $35.29 | $35.29 | $29.21–$35.29 | 75% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPHTHERIA TOXOIDS (TD) 0.5 ML SYR | $36.35 | $36.35 | $29.21–$36.35 | 74% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS & DIPHTHERIA TOX | $49.00 | $49.00 | $29.21–$49.00 | 65% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr | $35.29 | $35.29 | $29.21–$35.29 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPHTHERIA TOXOIDS (TD) 0.5 ML SYR | $36.35 | $36.35 | $29.21–$36.35 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS & DIPHTHERIA TOX | $49.00 | $49.00 | $29.21–$49.00 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphtheria/Tetanus/Acell Pertu | $35.29 | $35.29 | $31.06–$40.21 | 82% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA/TETANUS/ACELL PERTU | $36.35 | $36.35 | $31.99–$40.21 | 82% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIC (TDAP) 0.5ML SDS | $317.00 | $317.00 | $40.21–$317.00 | 60% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Diphtheria/Tetanus/Acell Pertu | $35.29 | $35.29 | $31.06–$40.21 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHERIA/TETANUS/ACELL PERTU | $36.35 | $36.35 | $31.99–$40.21 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIC (TDAP) 0.5ML SDS | $317.00 | $317.00 | $40.21–$317.00 | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vaccine | $35.29 | $35.29 | $31.06–$35.29 | 96% below | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE | $36.35 | $36.35 | $31.99–$36.35 | 95% below | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI | $264.00 | $264.00 | $232.32–$264.00 | 67% below | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhoid Vaccine | $35.29 | $35.29 | $31.06–$35.29 | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACCINE | $36.35 | $36.35 | $31.99–$36.35 | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHIM VI | $264.00 | $264.00 | $232.32–$264.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE <8YR PER DA | $46.00 | $46.00 | $40.48–$111.33 | 26% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE <18YR PER DA | $56.00 | $56.00 | $49.28–$111.33 | 10% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE ADULT PER D | $64.00 | $64.00 | $56.32–$111.33 | 3% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $68.00 | $68.00 | $59.84–$111.33 | 9% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINE <8YR PER DA | $46.00 | $46.00 | $40.48–$111.33 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINE <18YR PER DA | $56.00 | $56.00 | $49.28–$111.33 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINE ADULT PER D | $64.00 | $64.00 | $56.32–$111.33 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN | $68.00 | $68.00 | $59.84–$111.33 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VAC ADMIN EACH ADD'AL >8Y | $53.00 | $53.00 | $46.64–$53.00 | 41% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN OF EACH ADDL VACCIN | $91.00 | $91.00 | $80.08–$91.00 | 142% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VAC ADMIN EACH ADD'AL >8Y | $53.00 | $53.00 | $46.64–$53.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN OF EACH ADDL VACCIN | $91.00 | $91.00 | $80.08–$91.00 | — | — |
Source file: https://colquittregional.com/wp-content/uploads/580607088_hospital-authority-of-colquitt-county_standardcharges.csv