Hospital Salem, OH

East Liverpool City Hospital

East Liverpool City Hospital in East Liverpool, OH publishes cash prices for 261 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 254 of 258 procedures and above it for 4. By typical cash price it ranks #1 of 116 Ohio hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

425 West Fifth Street East Liverpool, OH 43920 Collected Sep 27, 2026 Source price file (330) 385-7200

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 360096 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named East Liverpool City Hospital in East Liverpool, OH:

  • Jul 21, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

ProcedureCash price List priceInsurers payvs OhioOff list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE BILATERAL (MIN 3 V) - 73610 - 3240009 $81.00 $765.93 $17.97–$764.09 — 89%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE BILATERAL (MIN 3 V) - 73610 - 3220009 $81.00 $779.68 $17.97–$764.09 — 90%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LEFT (MIN 3 V) - 73610 - 3240008 $81.00 $765.93 $17.97–$764.09 75% below 89%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RIGHT (MIN 3 V) $81.00 $765.93 $17.97–$764.09 75% below 89%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LEFT (MIN 3 V) - 73610 - 3220008 $81.00 $765.93 $17.97–$764.09 75% below 89%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RIGHT (MIN 3 V) $81.00 $765.93 $17.97–$764.09 75% below 89%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 BILAT 1-2 LVL DOPPLER WAVEFORM $125.00 $745.36 $122.75–$730.45 — 83%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 QUANTAFLO VASC SCREEN-LIMITED $125.00 $532.40 $122.75–$730.45 74% below 77%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS (SINGLE CONTRAST) $165.00 $1,412.18 $44.05–$1,383.94 62% below 88%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS $165.00 $1,008.70 $44.05–$1,383.94 62% below 84%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY $376.00 $2,372.26 $146.68–$2,324.81 76% below 84%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILATERAL $98.00 $1,000.83 $43.56–$980.81 — 90%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LEFT COMPLETE $98.00 $1,000.83 $43.56–$980.81 68% below 90%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RIGHT COMPLETE $98.00 $1,000.83 $43.56–$980.81 68% below 90%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILATERAL LIMITED $81.00 $1,281.89 $33.72–$1,256.25 — 94%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LEFT LIMITED $81.00 $693.00 $33.72–$1,256.25 80% below 88%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RIGHT LIMITED $81.00 $693.00 $33.72–$1,256.25 80% below 88%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS WO CONTRAST $224.00 $4,736.43 $67.92–$4,641.70 86% below 95%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY $328.00 $6,059.00 $144.46–$5,937.82 83% below 95%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W CONTRAST $328.00 $6,059.00 $144.46–$5,937.82 83% below 95%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS WO/W CON $328.00 $7,175.60 $163.16–$7,032.09 84% below 95%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST $165.00 $3,678.57 $113.72–$3,605.00 85% below 96%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST $165.00 $3,082.88 $63.00–$3,021.22 84% below 95%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST $165.00 $3,362.00 $113.72–$3,294.76 85% below 95%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US DOPPLER CAROTID BILATERAL $224.00 $1,787.50 $201.85–$1,751.75 — 87%
Chest X-ray, 2 views both sides CPT 71046 CHEST DECUTITUS BILAT (2V) $81.00 $311.50 $14.77–$522.85 — 74%
Chest X-ray, 2 views CPT 71046 CHEST (1V) $81.00 $311.50 $14.77–$522.85 69% below 74%
Chest X-ray, 2 views CPT 71046 CHEST (2V) - 71046 - 3240084 $81.00 $533.52 $14.77–$522.85 69% below 85%
Chest X-ray, 2 views CPT 71046 CHEST (2V) - 71046 - 3220084 $81.00 $533.52 $14.77–$522.85 69% below 85%
Chest X-ray, single view CPT 71045 APICAL LORDOTIC VIEW - 71045 - 3220013 $81.00 $311.50 $11.07–$427.38 62% below 74%
Chest X-ray, single view CPT 71045 APICAL LORDOTIC VIEW - 71045 - 3240013 $81.00 $311.50 $11.07–$427.38 62% below 74%
Chest X-ray, single view CPT 71045 CHEST AP ONLY (1V) - 71045 - 3220085 $81.00 $436.10 $11.07–$427.38 62% below 81%
Chest X-ray, single view CPT 71045 CHEST EXPIRATION (1V) $81.00 $311.50 $11.07–$427.38 62% below 74%
Chest X-ray, single view CPT 71045 CHEST AP ONLY (1V) - 71045 - 3240085 $81.00 $349.00 $11.07–$427.38 62% below 77%
Chest X-ray, single view CPT 71045 XRAY EXAM CHEST 1 VIEW $81.00 $431.00 $11.07–$427.38 62% below 81%
Chest X-ray, single view one side CPT 71045 CHEST DECUBITUS UNILAT (1V) $81.00 $311.50 $11.07–$427.38 62% below 74%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL $98.00 $1,199.00 $47.01–$1,175.02 85% below 92%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE $98.00 $1,056.56 $47.01–$1,175.02 85% below 91%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA,AXIAL SKELETON $98.00 $787.57 $18.95–$771.82 78% below 88%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA,APPENDICULAR SKELETON $81.00 $311.50 $14.27–$305.27 68% below 74%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB,DETAILED,SINGLE FETUS $224.00 $1,613.92 $56.60–$1,581.64 74% below 86%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST $165.00 $3,370.50 $74.57–$3,303.09 85% below 95%
Diagnostic mammogram, both breasts CPT 77066 MG MAM DIAG IMPLANT W CAD $101.00 $658.33 $69.63–$645.16 58% below 85%
Diagnostic mammogram, both breasts CPT 77066 MG DIG MAM DIAG BIL W CAD $101.00 $658.33 $69.63–$645.16 58% below 85%
Diagnostic mammogram, one breast one side CPT 77065 MG MAM DIAG IMPL LT CAD $78.00 $399.81 $55.62–$513.35 76% below 80%
Diagnostic mammogram, one breast one side CPT 77065 MG MAM DIAG UNI RT W CAD $78.00 $523.83 $55.62–$513.35 76% below 85%
Diagnostic mammogram, one breast one side CPT 77065 MG MAM DIAG IMPL RT CAD $78.00 $523.83 $55.62–$513.35 76% below 85%
Diagnostic mammogram, one breast one side CPT 77065 MG MAM DIAG UNI LT W CAD $78.00 $523.83 $55.62–$513.35 76% below 85%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL LOW EXTREM BILAT $224.00 $1,656.50 $201.85–$1,623.37 — 86%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS UPP EXTREMITY BILAT $224.00 $1,916.00 $201.85–$1,877.68 — 88%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS LOW EXTREM BILATERAL $224.00 $1,916.00 $201.85–$1,877.68 — 88%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM COMPLETE $514.00 $3,482.43 $474.64–$3,412.78 70% below 85%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SCAN (HIDA) $376.00 $2,497.25 $167.59–$2,447.31 75% below 85%
Knee X-ray, 3 views both sides CPT 73562 KNEE BILATERAL (3V) - 73562 - 3240156 $81.00 $1,713.03 $20.43–$1,734.34 — 95%
Knee X-ray, 3 views both sides CPT 73562 KNEE BILATERAL (3V) - 73562 - 3220156 $81.00 $1,769.73 $20.43–$1,734.34 — 95%
Knee X-ray, 3 views one side CPT 73562 KNEE RIGHT (3V) - 73562 - 3220154 $81.00 $884.86 $20.43–$1,734.34 76% below 91%
Knee X-ray, 3 views one side CPT 73562 KNEE LEFT (3V) - 73562 - 3220155 $81.00 $884.86 $20.43–$1,734.34 76% below 91%
Knee X-ray, 3 views one side CPT 73562 KNEE RIGHT (3V) - 73562 - 3240154 $81.00 $856.51 $20.43–$1,734.34 76% below 91%
Knee X-ray, 3 views one side CPT 73562 KNEE LEFT (3V) - 73562 - 3240155 $81.00 $856.51 $20.43–$1,734.34 76% below 91%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX $98.00 $932.89 $37.90–$1,083.41 82% below 89%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER $98.00 $1,105.52 $37.90–$1,083.41 82% below 91%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS $98.00 $903.00 $37.90–$1,083.41 82% below 89%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALL BLADDER SCREENING $98.00 $1,105.52 $37.90–$1,083.41 82% below 91%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN $98.00 $932.89 $37.90–$1,083.41 82% below 89%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED $98.00 $1,105.52 $37.90–$1,083.41 82% below 91%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CA SCREEN $98.00 $555.95 $57.83–$544.83 63% below 82%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI ANKLE BILAT WO CONTRAST $224.00 $2,919.02 $92.29–$5,230.64 — 92%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LWR EXT JNT W/O CONT BILAT $224.00 $2,635.85 $92.29–$5,230.64 — 92%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI KNEE BILATERAL W/O CONT $224.00 $3,267.43 $92.29–$5,230.64 — 93%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JNT W/O CONTRAST $224.00 $2,669.40 $92.29–$5,230.64 84% below 92%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE LEFT WO CONTRAST $224.00 $5,337.39 $92.29–$5,230.64 84% below 96%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE RIGHT WO CONTRAST $224.00 $5,337.39 $92.29–$5,230.64 84% below 96%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE RIGHT WO CONTRAST $224.00 $5,337.39 $92.29–$5,230.64 84% below 96%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP LEFT WO CONTRAST $224.00 $5,337.39 $92.29–$5,230.64 84% below 96%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE LEFT WO CONTRAST $224.00 $5,337.39 $92.29–$5,230.64 84% below 96%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP RIGHT WO CONTRAST $224.00 $5,337.39 $92.29–$5,230.64 84% below 96%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE LEFT WO/W CONTRAST $328.00 $1,929.40 $188.76–$1,890.81 86% below 83%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE RIGHT WO/W CONTRAST $328.00 $1,929.40 $188.76–$1,890.81 86% below 83%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE LEFT WO/W CONTRAST $328.00 $1,929.40 $188.76–$1,890.81 86% below 83%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE RIGHT WO/W CONTRAST $328.00 $1,929.40 $188.76–$1,890.81 86% below 83%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP RIGHT WO/W CONTRAST $328.00 $1,929.40 $188.76–$1,890.81 86% below 83%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP LEFT WO/W CONTRAST $328.00 $1,929.40 $188.76–$1,890.81 86% below 83%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST-MRCP $224.00 $3,975.00 $84.90–$3,895.50 86% below 94%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST $224.00 $3,615.27 $84.90–$3,895.50 86% below 94%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W CONTRAST $328.00 $4,733.77 $156.27–$4,792.65 84% below 93%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO/W CONTRAST $328.00 $4,890.46 $156.27–$4,792.65 84% below 93%
MRI of the brain, no contrast dye CPT 70551 MRI IAC WO CONTRAST $224.00 $1,508.88 $84.41–$3,876.88 84% below 85%
MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY WO CONTRAST $224.00 $2,952.00 $84.41–$3,876.88 84% below 92%
MRI of the brain, no contrast dye CPT 70551 MRI HEAD/BRAIN WO CONTRAST $224.00 $3,956.00 $84.41–$3,876.88 84% below 94%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WO/W CONTRAST $328.00 $4,596.26 $140.52–$5,803.56 84% below 93%
MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY WO/W CONTRAST $328.00 $4,474.17 $140.52–$5,803.56 84% below 93%
MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD/BRAIN WO/W CONTRAST $328.00 $5,922.00 $140.52–$5,803.56 84% below 94%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO CONTRAST $224.00 $3,946.70 $81.21–$3,867.77 83% below 94%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WO/W CONTRAST $328.00 $5,097.32 $141.02–$4,995.37 85% below 94%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WO CONTRAST $224.00 $3,991.80 $80.72–$3,911.96 84% below 94%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE WO/W CONTRA $328.00 $5,750.00 $141.51–$5,635.00 85% below 94%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE WO CONTRAST $224.00 $3,991.80 $80.97–$3,911.96 84% below 94%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO/W CONTRAST $328.00 $4,653.60 $155.54–$4,560.53 83% below 93%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST $224.00 $3,561.57 $106.56–$3,490.34 84% below 94%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI UPR EXT JNT W/O CONT BILAT $224.00 $2,635.85 $92.53–$5,936.17 — 92%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST LEFT WO CONTRAST $224.00 $4,926.80 $92.53–$5,936.17 82% below 95%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER LEFT WO CONTRAST $224.00 $6,057.32 $92.53–$5,936.17 82% below 96%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW LEFT WO CONTRAST $224.00 $3,463.66 $92.53–$5,936.17 82% below 94%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW RIGHT WO CONTRAST $224.00 $3,463.66 $92.53–$5,936.17 82% below 94%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST RIGHT WO CONTRAST $224.00 $3,463.66 $92.53–$5,936.17 82% below 94%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER RIGHT WO CONTRAST $224.00 $4,926.80 $92.53–$5,936.17 82% below 95%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERFUSION COMP $1,218.00 $8,605.66 $229.37–$8,433.55 67% below 86%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMITED OR FOLLOW UP $98.00 $1,056.56 $16.73–$1,035.43 77% below 91%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMPLETE $98.00 $1,290.00 $46.76–$1,264.20 79% below 92%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB_>14 WKS_SINGLE FETUS $98.00 $1,298.61 $56.85–$1,272.64 81% below 92%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB_<14 WKS_ SINGLE FETUS $98.00 $980.00 $45.28–$960.40 80% below 90%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB,LIMITED,1 OR MORE FETUS $98.00 $787.57 $32.24–$771.82 79% below 88%
Screening mammogram, both breasts CPT 77067 MG MAM SCRN IMPLANT W CAD $83.00 $460.86 $58.82–$522.45 52% below 82%
Screening mammogram, both breasts CPT 77067 MG DIG MAM SCRN BIL W CAD $83.00 $533.11 $58.82–$522.45 52% below 84%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER BILATERAL (MIN 2 V) $81.00 $832.76 $16.49–$816.10 — 90%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER BILATERAL (MIN2V) $81.00 $806.08 $16.49–$816.10 — 90%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LEFT (MIN 2 V) $81.00 $832.76 $16.49–$816.10 76% below 90%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RIGHT (MIN 2V) $81.00 $806.08 $16.49–$816.10 76% below 90%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LEFT (MIN2V) $81.00 $806.08 $16.49–$816.10 76% below 90%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RIGHT (MIN 2 V) $81.00 $832.76 $16.49–$816.10 76% below 90%
Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BARIUM SWALLOW $165.00 $796.52 $63.49–$780.59 67% below 79%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL PELVIS $98.00 $988.44 $55.62–$968.67 82% below 90%
Transvaginal ultrasound during pregnancy CPT 76817 US OB_TRANSVAGINAL $98.00 $886.63 $36.42–$868.90 79% below 89%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE $98.00 $1,475.00 $50.45–$1,445.50 83% below 93%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR $98.00 $972.04 $44.79–$952.60 81% below 90%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE NECK $98.00 $1,039.71 $53.40–$1,018.92 82% below 91%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID $98.00 $1,039.71 $53.40–$1,018.92 82% below 91%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI SERIES W/O AIR CONTRA $165.00 $1,008.70 $54.14–$988.53 71% below 84%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI (SINGLE CONTRAST) $165.00 $1,008.70 $54.14–$988.53 71% below 84%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GASTROGRAFIN STUDY W/KUB - 74240 - 3220128 $165.00 $1,008.70 $54.14–$988.53 71% below 84%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UPP EXTREMITY RIGHT $98.00 $1,144.42 $96.45–$1,266.02 87% below 91%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LOWER EXTREM LEFT $98.00 $1,291.86 $96.45–$1,266.02 87% below 92%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LOW EXTREM RIGHT $98.00 $1,291.86 $96.45–$1,266.02 87% below 92%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UPP EXTREMITY LEFT $98.00 $1,291.86 $96.45–$1,266.02 87% below 92%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST COMPLETE BILAT (MIN 3V) - 73110 - 3220626 $81.00 $844.16 $20.92–$827.28 — 90%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST COMPLETE BILAT (MIN 3V) - 73110 - 3240626 $81.00 $817.11 $20.92–$827.28 — 90%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMPLETE RIGHT (MIN 3V) $81.00 $817.11 $20.92–$827.28 76% below 90%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMPLETE RIGHT (MIN 3 V) $81.00 $844.16 $20.92–$827.28 76% below 90%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMPLETE LT (MIN3V) $81.00 $844.16 $20.92–$827.28 76% below 90%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMPLETE LT (MIN 3V) $81.00 $817.11 $20.92–$827.28 76% below 90%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RIGHT (2-3 V) - 73502 - 3240138 $81.00 $311.50 $23.63–$614.72 74% below 74%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LEFT (2-3V) - 73502 - 3240139 $81.00 $627.27 $23.63–$614.72 74% below 87%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LEFT (2-3V) - 73502 - 3240129 $81.00 $311.50 $23.63–$614.72 74% below 74%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RIGHT (2-3 V) - 73502 - 3220138 $81.00 $627.27 $23.63–$614.72 74% below 87%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LEFT (2-3 V) $81.00 $627.27 $23.63–$614.72 74% below 87%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN (KUB) - 74018 - 3220000 $81.00 $475.00 $13.78–$465.50 67% below 83%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN-UPRIGHT (1 V) $81.00 $475.00 $13.78–$465.50 67% below 83%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN (KUB) - 74018 - 3240000 $81.00 $475.00 $13.78–$465.50 67% below 83%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE BILATERAL (2 V) - 73600 - 3220012 $81.00 $660.84 $15.75–$647.62 — 88%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE BILATERAL (2 V) - 73600 - 3240012 $81.00 $639.67 $15.75–$647.62 — 87%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RIGHT (2 V) - 73600 - 3240010 $81.00 $311.50 $15.75–$647.62 69% below 74%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LEFT (2 V) - 73600 - 3220011 $81.00 $505.43 $15.75–$647.62 69% below 84%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RIGHT (2 V) - 73600 - 3220010 $81.00 $505.43 $15.75–$647.62 69% below 84%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LEFT (2 V) - 73600 - 3240011 $81.00 $348.06 $15.75–$647.62 69% below 77%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RIGHT INDEX (MIN 2 V) $81.00 $647.02 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT RING (MIN 2 V) $81.00 $647.02 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT INDEX (MIN 2V) $81.00 $626.29 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RIGHT THUMB (MIN 2 V) $81.00 $647.02 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RIGHT MIDDLE (MIN 2V) $81.00 $626.29 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RIGHT INDEX (MIN 2V) $81.00 $626.29 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT THUMB (MIN 2V) $81.00 $626.29 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT THUMB (MIN 2 V) $81.00 $647.02 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT MIDDLE (MIN 2V) $81.00 $626.29 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT INDEX (MIN 2 V) $81.00 $647.02 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RIGHT THUMB (MIN 2V) $81.00 $626.29 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RIGHT RING (MIN 2 V) $81.00 $647.02 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RIGHT MIDDLE (MIN 2 V) $81.00 $647.02 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RIGHT LITTLE (MIN 2 V) $81.00 $647.02 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT RING (MIN 2V) $81.00 $626.29 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT MIDDLE (MIN 2 V) $81.00 $647.02 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT LITTLE (MIN 2V) $81.00 $626.29 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RIGHT RING (MIN 2V) $81.00 $626.29 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RIGHT LITTLE (MIN 2V) $81.00 $626.29 $20.18–$634.08 67% below 87%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT LITTLE (MIN 2 V) $81.00 $647.02 $20.18–$634.08 67% below 87%
X-ray of the foot, 2 views both sides CPT 73620 FOOT BILATERAL (2 V) $81.00 $711.17 $13.54–$696.95 — 89%
X-ray of the foot, 2 views both sides CPT 73620 FOOT BILATERAL (MIN 2V) $81.00 $688.38 $13.54–$696.95 — 88%
X-ray of the foot, 2 views one side CPT 73620 FOOT LEFT (2 V) $81.00 $414.27 $13.54–$696.95 65% below 80%
X-ray of the foot, 2 views one side CPT 73620 FOOT LEFT (2V) $81.00 $401.00 $13.54–$696.95 65% below 80%
X-ray of the foot, 2 views one side CPT 73620 FOOT RIGHT (2 V) $81.00 $495.00 $13.54–$696.95 65% below 84%
X-ray of the foot, 2 views one side CPT 73620 FOOT RIGHT (2V) $81.00 $401.00 $13.54–$696.95 65% below 80%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT BILATERAL (MIN 3V) $81.00 $756.50 $16.73–$765.91 — 89%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT BILATERAL (MIN 3 V) $81.00 $781.54 $16.73–$765.91 — 90%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RIGHT (MIN 3V) $81.00 $749.98 $16.73–$765.91 74% below 89%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LEFT (MIN 3 V) $81.00 $749.98 $16.73–$765.91 74% below 89%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LEFT (MIN 3V) $81.00 $749.98 $16.73–$765.91 74% below 89%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RIGHT (MIN 3 V) $81.00 $749.98 $16.73–$765.91 74% below 89%
X-ray of the hand, 3 or more views both sides CPT 73130 HAND BILATERAL (MIN 3V) $81.00 $794.29 $18.46–$804.17 — 90%
X-ray of the hand, 3 or more views both sides CPT 73130 HAND BILATERAL (MIN 3 V) $81.00 $820.58 $18.46–$804.17 — 90%
X-ray of the hand, 3 or more views one side CPT 73130 HAND RIGHT (MIN 3 V) $81.00 $820.58 $18.46–$804.17 76% below 90%
X-ray of the hand, 3 or more views one side CPT 73130 HAND LEFT (MIN 3V) $81.00 $794.29 $18.46–$804.17 76% below 90%
X-ray of the hand, 3 or more views one side CPT 73130 HAND LEFT (MIN 3 V) $81.00 $820.58 $18.46–$804.17 76% below 90%
X-ray of the hand, 3 or more views one side CPT 73130 HAND RIGHT (MIN 3V) $81.00 $794.29 $18.46–$804.17 76% below 90%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE BILATERAL (1 OR 2 V) - 73560 - 3240159 $81.00 $1,341.18 $16.73–$1,357.86 — 94%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE BILATERAL (1 OR 2 V) - 73560 - 3220159 $81.00 $1,385.57 $16.73–$1,357.86 — 94%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RIGHT (1 OR 2 V) $81.00 $714.09 $16.73–$1,357.86 70% below 89%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LEFT (1 OR 2 V) - 73560 - 3220158 $81.00 $714.09 $16.73–$1,357.86 70% below 89%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RIGHT (1 OR 2V) $81.00 $714.09 $16.73–$1,357.86 70% below 89%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LEFT (1 OR 2 V) - 73560 - 3240158 $81.00 $670.59 $16.73–$1,357.86 70% below 88%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE AP/LAT (2 OR 3V) $98.00 $787.57 $18.70–$771.82 67% below 88%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE AP/LAT (2 OR 3 V) $98.00 $787.57 $18.70–$771.82 67% below 88%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE W/OBLIQUES(MIN4V) $98.00 $977.00 $25.35–$957.46 77% below 90%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE W/OBLIQUES (MIN 4 $98.00 $977.00 $25.35–$957.46 77% below 90%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES (MIN 3V) - 70160 - 3220180 $81.00 $597.00 $18.95–$585.06 72% below 86%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES (MIN 3V) - 70160 - 3240180 $81.00 $597.00 $18.95–$585.06 72% below 86%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE AP/LAT(2 OR 3V) $81.00 $624.43 $18.46–$611.94 73% below 87%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE AP/LAT (2 OR 3V $81.00 $624.43 $18.46–$611.94 73% below 87%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS (1 OR 2V) $98.00 $562.55 $12.55–$771.82 60% below 83%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS (1 OR 2 V) $98.00 $787.57 $12.55–$771.82 60% below 88%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX (MIN2V) $81.00 $488.50 $15.50–$606.59 72% below 83%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX (MIN 2 V) $81.00 $618.97 $15.50–$606.59 72% below 87%

Lab tests

ProcedureCash price List priceInsurers payvs OhioOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALT $5.00 $108.70 $4.77–$122.50 82% below 95%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT - 84460 - 3000256 $5.00 $35.50 $4.77–$122.50 82% below 86%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT - 84460 - 3010256 $5.00 $66.24 $4.77–$122.50 82% below 92%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT)(SGPT) $5.00 $125.00 $4.77–$122.50 82% below 96%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT $5.00 $64.72 $4.66–$122.50 80% below 92%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST)(SGOT) $5.00 $125.00 $4.66–$122.50 80% below 96%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST $5.00 $103.00 $4.66–$122.50 80% below 95%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITS PANEL $47.00 $78.70 $11.33–$77.13 78% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Hymenoptera Profile 2 $5.00 $78.24 $2.35–$454.52 79% below 94%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, PEANUT, IgE $5.00 $16.30 $2.35–$454.52 79% below 69%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, MOLD $5.00 $156.48 $2.35–$454.52 79% below 97%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Milk $5.00 $78.24 $2.35–$454.52 79% below 94%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN G IGE $5.00 $47.79 $2.35–$454.52 79% below 90%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB/MUTTON (OVIS SPP) IGE $5.00 $37.77 $2.35–$454.52 79% below 87%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Basic $5.00 $97.80 $2.35–$454.52 79% below 95%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, SINGLE $5.00 $30.69 $2.35–$454.52 79% below 84%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile $5.00 $156.48 $2.35–$454.52 79% below 97%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE EXTRAC EA - 86003 - 3010637 $5.00 $111.47 $2.35–$454.52 79% below 96%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, SHELLFISH $5.00 $97.80 $2.35–$454.52 79% below 95%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Mini-Panel $5.00 $158.48 $2.35–$454.52 79% below 97%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE EXTRAC EA - 86003 - 3010633 $5.00 $230.00 $2.35–$454.52 79% below 98%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE EXTRAC EA - 86003 - 3010635 $5.00 $184.30 $2.35–$454.52 79% below 97%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA LC $5.00 $463.80 $2.35–$454.52 79% below 99%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Citrus $5.00 $65.20 $2.35–$454.52 79% below 92%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PANEL, FOOD-BERRY $5.00 $39.12 $2.35–$454.52 79% below 87%
Allergy blood test, specific IgE, per allergen CPT 86003 ALFOODFISH $5.00 $114.10 $2.35–$454.52 79% below 96%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA $5.00 $296.53 $2.35–$454.52 79% below 98%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE MULTIALLG SCR $5.00 $18.93 $2.35–$454.52 79% below 74%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF (BOS SPP) IGE $5.00 $33.77 $2.35–$454.52 79% below 85%
Allergy blood test, specific IgE, per allergen CPT 86003 C002-IgE PENICILLIYL V $5.00 $16.30 $2.35–$454.52 79% below 69%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT IgE $5.00 $16.30 $2.35–$454.52 79% below 69%
Allergy blood test, specific IgE, per allergen CPT 86003 VENISON, IGE $5.00 $57.80 $2.35–$454.52 79% below 91%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Grain $5.00 $78.24 $2.35–$454.52 79% below 94%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Vegetable II $5.00 $117.36 $2.35–$454.52 79% below 96%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS, PERENNIAL $5.00 $247.76 $2.35–$454.52 79% below 98%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK (SUS SPP) IGE $5.00 $33.77 $2.35–$454.52 79% below 85%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN V IGE $5.00 $28.02 $2.35–$454.52 79% below 82%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY $12.00 $222.50 $4.38–$218.05 79% below 95%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS $12.00 $30.40 $4.38–$218.05 79% below 61%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES IGG/IGA $12.00 $50.60 $4.38–$218.05 79% below 76%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES - 86038 - 3021230 $12.00 $26.10 $1.76–$509.60 78% below 54%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA FLUID $12.00 $65.71 $1.76–$509.60 78% below 82%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT $12.00 $12.20 $1.76–$509.60 78% below 2%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA, RFLX TO 11 BIOMARKER PROF $12.00 $14.10 $1.76–$509.60 78% below 15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES - 86038 - 3001180 $12.00 $14.10 $1.76–$509.60 78% below 15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES LC52029 $12.00 $520.00 $1.76–$509.60 78% below 98%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CTD CASCADE $12.00 $125.00 $1.76–$509.60 78% below 90%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PRO BNP $39.00 $296.00 $21.11–$290.08 73% below 87%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PEPTIDE $39.00 $146.60 $21.11–$290.08 73% below 73%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEV 4 PTH GR/MICRO $49.00 $592.50 $48.08–$580.65 73% below 92%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK $49.00 $592.50 $48.08–$580.65 73% below 92%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VP $9.00 $40.92 $3.55–$40.10 39% below 78%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD COLL - OUTSIDE TESTING $9.00 $29.87 $3.55–$40.10 39% below 70%
Blood lead test CPT 83655 ASSAY OF LEAD $12.00 $40.31 $2.35–$205.80 70% below 70%
Blood lead test CPT 83655 LEAD - 83655 - 3005740 $12.00 $16.30 $2.35–$205.80 70% below 26%
Blood lead test CPT 83655 LEAD - 83655 - 3010451 $12.00 $85.00 $2.35–$205.80 70% below 86%
Blood lead test CPT 83655 LEAD,BLOOD $12.00 $210.00 $2.35–$205.80 70% below 94%
Blood lead test CPT 83655 URINE, LEAD $12.00 $18.69 $2.35–$205.80 70% below 36%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CORD BLOOD WORK-UP $125.00 $55.72 $2.69–$274.11 156% above -124%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RH TYPE $125.00 $19.45 $2.69–$274.11 156% above -543%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO $125.00 $279.70 $2.69–$274.11 156% above 55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RHOGAM SCREEN $125.00 $279.70 $2.69–$274.11 156% above 55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $5.00 $137.33 $4.66–$134.58 88% below 96%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN GENE NAA $37.00 $228.00 $26.83–$223.44 72% below 84%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE $37.00 $186.35 $26.83–$223.44 72% below 80%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE REVOGEN $37.00 $186.35 $26.83–$223.44 72% below 80%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFF $37.00 $186.35 $26.83–$223.44 72% below 80%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 $20.00 $16.00 $2.30–$16.00 70% below -25%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125 $20.00 $23.50 $3.38–$23.50 79% below 15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 NOVEL CORONAVIRUS, NAA 2019 $51.00 $256.55 $7.39–$251.42 64% below 80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAG PANEL SONIC $51.00 $70.00 $7.39–$251.42 64% below 27%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAGNOSTIC PANEL LC $51.00 $51.31 $7.39–$251.42 64% below 1%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB $51.00 $256.55 $7.39–$251.42 64% below 80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE - 87491 - 3062230 $35.00 $63.40 $4.65–$217.56 62% below 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE - 87491 - 3062232 $35.00 $75.00 $4.65–$217.56 62% below 53%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 NUCLEIC ACID CHLAMYDIA TRACH $35.00 $85.00 $4.65–$217.56 62% below 59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE - 87491 - 3062235 $35.00 $63.40 $4.65–$217.56 62% below 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE - 87491 - 3061660 $35.00 $32.30 $4.65–$217.56 62% below -8%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE - 87491 - 3061501 $35.00 $85.00 $4.65–$217.56 62% below 59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA_NUCLEIC ACD AMP $35.00 $222.00 $4.65–$217.56 62% below 84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE $35.00 $57.58 $4.65–$217.56 62% below 39%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA NUC ACD $35.00 $80.55 $4.65–$217.56 62% below 57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA - 87491 - 3002138 $35.00 $118.33 $4.65–$217.56 62% below 70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA - 87491 - 3062531 $35.00 $45.00 $4.65–$217.56 62% below 22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA, NAA $35.00 $93.00 $4.65–$217.56 62% below 62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE - 87491 - 3062237 $35.00 $75.00 $4.65–$217.56 62% below 53%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $13.00 $263.00 $12.05–$257.74 75% below 95%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL/ADD $13.00 $263.00 $12.05–$257.74 75% below 95%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CT w/AUTO DIFF $7.00 $150.00 $6.99–$147.00 80% below 95%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CT NO DIFF $6.00 $114.00 $5.82–$111.72 81% below 95%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER $10.00 $202.65 $9.98–$198.60 86% below 95%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE $22.00 $25.00 $3.60–$25.00 78% below 12%
Estradiol blood test CPT 82670 Estradiol, Sensitive $27.00 $122.20 $2.88–$164.64 74% below 78%
Estradiol blood test CPT 82670 ESTRADIOL $27.00 $20.00 $2.88–$164.64 74% below -35%
Estradiol blood test CPT 82670 FREE ESTRADIOL, SERUM $27.00 $168.00 $2.88–$164.64 74% below 84%
FSH (follicle-stimulating hormone) test CPT 83001 FSH $18.00 $16.00 $2.30–$73.42 79% below -13%
FSH (follicle-stimulating hormone) test CPT 83001 FSH, Pediatric $18.00 $74.92 $2.30–$73.42 79% below 76%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN,FECAL $19.00 $275.00 $17.67–$269.50 87% below 93%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $13.00 $200.00 $12.27–$196.00 83% below 94%
Folate (folic acid) blood test CPT 82746 FOLIC ACID $14.00 $192.00 $13.23–$188.16 79% below 93%
Free T3 thyroid hormone test CPT 84481 FREE T3 $16.00 $16.00 $2.30–$16.00 77% below —
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 $9.00 $172.00 $8.12–$168.56 78% below 95%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 BY DIALYSIS $9.00 $130.30 $8.12–$168.56 78% below 93%
Free testosterone test CPT 84402 TESTOSTERONE FREE - 84402 - 3010546 $25.00 $16.30 $1.88–$92.48 73% below -53%
Free testosterone test CPT 84402 TESTOSTERONE FREE - 84402 - 3007840 $25.00 $13.04 $1.88–$92.48 73% below -92%
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE $25.00 $94.37 $1.88–$92.48 73% below 74%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE $12.00 $203.35 $4.32–$199.28 79% below 94%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE 3 SPEC $12.00 $30.00 $4.32–$199.28 79% below 60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB - 87591 - 3062236 $35.00 $63.40 $4.65–$115.98 62% below 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB - 87591 - 3062238 $35.00 $75.00 $4.65–$115.98 62% below 53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB - 87591 - 3010562 $35.00 $57.58 $4.65–$115.98 62% below 39%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB - 87591 - 3062227 $35.00 $85.00 $4.65–$115.98 62% below 59%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB - 87591 - 3062233 $35.00 $75.00 $4.65–$115.98 62% below 53%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB - 87591 - 3061502 $35.00 $85.00 $4.65–$115.98 62% below 59%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONOCOCCUS_NUCLEIC ACD AMP $35.00 $45.00 $4.65–$115.98 62% below 22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC NUC ACD $35.00 $118.35 $4.65–$115.98 62% below 70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC,NAA $35.00 $93.00 $4.65–$115.98 62% below 62%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB - 87591 - 3061661 $35.00 $32.30 $4.65–$115.98 62% below -8%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB - 87591 - 3062231 $35.00 $63.40 $4.65–$115.98 62% below 45%
H. pylori antibody blood test CPT 86677 H. PYLORI IgA $16.00 $46.44 $3.28–$45.51 77% below 66%
H. pylori antibody blood test CPT 86677 H. PYLORI IgG $16.00 $22.80 $3.28–$45.51 77% below 30%
H. pylori antibody blood test CPT 86677 H. PYLORI IgM $16.00 $22.80 $3.28–$45.51 77% below 30%
H. pylori stool antigen test CPT 87338 H.PYLORI AG,STOOL $14.00 $140.00 $14.09–$137.20 79% below 90%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA BY PCR $85.00 $300.00 $43.20–$294.00 75% below 72%
HIV-1 and HIV-2 antibody test CPT 86703 RAPID HIV 1/2 $13.00 $168.00 $13.44–$164.64 78% below 92%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 PANEL 083935 $24.00 $34.75 $5.00–$191.70 63% below 31%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB $24.00 $195.61 $5.00–$191.70 63% below 88%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK $35.00 $382.10 $10.80–$374.46 69% below 91%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA HIGH RISK $35.00 $116.00 $10.80–$374.46 69% below 70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT - 87624 - 3061053 $35.00 $105.00 $10.80–$374.46 69% below 67%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT - 87624 - 3062239 $35.00 $75.00 $10.80–$374.46 69% below 53%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT - 87624 - 3002005 $35.00 $105.00 $10.80–$374.46 69% below 67%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT - 87624 - 3062234 $35.00 $75.00 $10.80–$374.46 69% below 53%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV-HIGH RISK $35.00 $382.10 $10.80–$374.46 69% below 91%
HPV test for high-risk types, one combined (pooled) result CPT 87624 LIQUID BASED PAP SMEAR $35.00 $93.00 $10.80–$374.46 69% below 62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN (A1C) $9.00 $149.00 $1.64–$146.02 79% below 94%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C WITH EAG ESTIMATION $9.00 $92.16 $1.64–$146.02 79% below 90%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C $9.00 $11.40 $1.64–$146.02 79% below 21%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP. B. SURFACE AB $10.00 $25.00 $3.60–$25.00 79% below 60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG $10.00 $11.75 $1.69–$11.75 78% below 15%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS AB $14.00 $25.95 $3.74–$25.95 78% below 46%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA,QNT RFX GENOTYPE $42.00 $275.00 $36.00–$293.03 78% below 85%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITUS C VIRAL RNA BY bDNA $42.00 $267.16 $36.00–$293.03 78% below 84%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DX (VIRAL LOAD) $42.00 $250.00 $36.00–$293.03 78% below 83%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPTIMAX $42.00 $299.01 $36.00–$293.03 78% below 86%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA,QUANT. $42.00 $250.00 $36.00–$293.03 78% below 83%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGG $13.00 $37.50 $5.40–$167.98 78% below 65%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM ANITBODIES $13.00 $171.41 $5.40–$167.98 78% below 92%
Herpes blood test, HSV-2 antibody CPT 86696 HSV II IGG $19.00 $37.50 $5.40–$36.75 71% below 49%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO CRP $12.00 $34.60 $4.98–$33.91 80% below 65%
Homocysteine blood test CPT 83090 URINE HOMOCYSTEINE $17.00 $206.72 $7.20–$202.59 78% below 92%
Homocysteine blood test CPT 83090 HOMOCYSTEINE PLASMA $17.00 $50.00 $7.20–$202.59 78% below 66%
Insulin blood test CPT 83525 INSULIN TOTAL $11.00 $152.00 $1.94–$148.96 79% below 93%
Insulin blood test CPT 83525 INSULIN - 83525 - 3005440 $11.00 $13.48 $1.94–$148.96 79% below 18%
Insulin blood test CPT 83525 INSULIN - 83525 - 3005472 $11.00 $15.96 $1.94–$148.96 79% below 31%
Insulin blood test CPT 83525 INSULIN (5 SPECIMENS) $11.00 $19.95 $1.94–$148.96 79% below 45%
Insulin blood test CPT 83525 INSULIN RESP. TO GLU $11.00 $26.06 $1.94–$148.96 79% below 58%
Iron blood test (serum iron) CPT 83540 IRON_ SERUM $6.00 $123.12 $5.82–$120.66 82% below 95%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY $8.00 $122.00 $7.87–$119.56 79% below 93%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone, Pediatric $18.00 $84.72 $1.88–$83.03 81% below 79%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE $18.00 $13.04 $1.88–$83.03 81% below -38%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $6.00 $162.00 $6.20–$158.76 88% below 96%
Lyme disease antibody test CPT 86618 LYME DISEASE Abs, TOTAL $17.00 $75.00 $5.58–$73.50 78% below 77%
Lyme disease antibody test CPT 86618 LYME DISEASE ABS, IgM $17.00 $38.73 $5.58–$73.50 78% below 56%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODIES $17.00 $69.83 $5.58–$73.50 78% below 76%
Lyme disease antibody test CPT 86618 LYME WB REFLEX CHARGE $17.00 $50.00 $5.58–$73.50 78% below 66%
Magnesium blood test CPT 83735 URINE MAGNESIUM / 24 HRS $6.00 $13.04 $1.88–$113.68 81% below 54%
Magnesium blood test CPT 83735 MAGNESIUM - 83735 - 3008872 $6.00 $33.50 $1.88–$113.68 81% below 82%
Magnesium blood test CPT 83735 MAGNESIUM - 83735 - 3005960 $6.00 $116.00 $1.88–$113.68 81% below 95%
Magnesium blood test CPT 83735 MAGNESIUM RBC $6.00 $25.00 $1.88–$113.68 81% below 76%
Magnesium blood test CPT 83735 MAGNESIUM (SEND OUT) $6.00 $116.00 $1.88–$113.68 81% below 95%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES IgM $12.00 $29.96 $2.05–$29.96 77% below 60%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IgG ANTIBODY $12.00 $14.25 $2.05–$29.96 77% below 16%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL $47.00 $453.86 $26.42–$444.78 76% below 90%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY PSA FREE LC $18.00 $120.00 $16.55–$167.95 78% below 85%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE $18.00 $171.38 $16.55–$167.95 78% below 89%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC $18.00 $206.99 $12.95–$202.85 77% below 91%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL $18.00 $206.99 $12.95–$202.85 77% below 91%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY PSA TOTAL LC $18.00 $120.00 $12.95–$202.85 77% below 85%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (SCREEN) $18.00 $159.00 $12.95–$202.85 77% below 89%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA,ULTRASENSITIVE $18.00 $89.92 $12.95–$202.85 77% below 80%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO - 88175 - 3002533 $26.00 $88.75 $9.10–$102.90 72% below 71%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP IMAGE GUIDED $26.00 $100.00 $9.10–$102.90 72% below 74%
Pap test (liquid-based, automated screening with review) CPT 88175 IGP, rfx Aptima HPV ASCU $26.00 $100.00 $9.10–$102.90 72% below 74%
Pap test (liquid-based, automated screening with review) CPT 88175 IGP,rfx Apt HPV ASCU,16/18,45 $26.00 $100.00 $9.10–$102.90 72% below 74%
Pap test (liquid-based, automated screening with review) CPT 88175 IGP,rfx Aptima HPV all pth $26.00 $100.00 $9.10–$102.90 72% below 74%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO - 88175 - 3002237 $26.00 $75.00 $9.10–$102.90 72% below 65%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO - 88175 - 3002235 $26.00 $63.20 $9.10–$102.90 72% below 59%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO - 88175 - 3002004 $26.00 $105.00 $9.10–$102.90 72% below 75%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO - 88175 - 3002236 $26.00 $75.00 $9.10–$102.90 72% below 65%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO - 88175 - 3002234 $26.00 $63.20 $9.10–$102.90 72% below 59%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO - 88175 - 3001223 $26.00 $105.00 $9.10–$102.90 72% below 75%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO - 88175 - 3002233 $26.00 $93.00 $9.10–$102.90 72% below 72%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LIQUID BASE PAP SMEAR - 88142 - 3100022 $20.00 $144.00 $4.79–$141.12 78% below 86%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER $20.00 $33.24 $4.79–$141.12 78% below 40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LIQUID BASE PAP SMEAR - 88142 - 3100127 $20.00 $144.00 $4.79–$141.12 78% below 86%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP $20.00 $68.40 $4.79–$141.12 78% below 71%
Parathyroid hormone (PTH) blood test CPT 83970 BIOINTACT PARATHYROID HORMONE $41.00 $228.35 $32.88–$326.34 70% below 82%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT $41.00 $333.00 $32.88–$326.34 70% below 88%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTTMX $6.00 $100.01 $5.41–$118.09 83% below 94%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT ACT PARTIAL THROMBO TIME $6.00 $120.50 $5.41–$118.09 83% below 95%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERNIT 21 PLUS W/SCA $759.00 $1,800.00 $232.54–$1,764.00 48% below 58%
Progesterone blood test CPT 84144 PROGESTERONE $20.00 $13.48 $1.94–$13.48 72% below -48%
Prolactin blood test CPT 84146 PROLACTIN $19.00 $13.04 $1.88–$13.04 77% below -46%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME - 85610 - 3007000 $4.00 $90.00 $3.86–$88.20 83% below 96%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME - 85610 - 3000311 $4.00 $67.30 $3.86–$88.20 83% below 94%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS $12.00 $53.34 $7.68–$52.27 79% below 78%
Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA B $16.00 $149.00 $7.94–$146.02 76% below 89%
Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA A $16.00 $149.00 $7.94–$146.02 76% below 89%
Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA A/B $16.00 $55.11 $7.94–$146.02 76% below 71%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN $16.00 $172.06 $14.88–$168.62 72% below 91%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT LC5202 $5.00 $520.00 $1.73–$509.60 84% below 99%
Rheumatoid factor (RF) test CPT 86431 BODY FLUID RHEUMATOID HEMAGL. $5.00 $20.60 $1.73–$509.60 84% below 76%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR $5.00 $12.00 $1.73–$509.60 84% below 58%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QNT $5.00 $30.40 $1.73–$509.60 84% below 84%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT $5.00 $222.50 $1.73–$509.60 84% below 98%
Rheumatoid factor (RF) test CPT 86431 RF ISOTPES IGG,A,M QUANT LC $5.00 $314.45 $1.73–$509.60 84% below 98%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IgG ANTIBODY $14.00 $329.71 $1.76–$323.12 59% below 96%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IgM ANTIBODY $14.00 $30.55 $1.76–$323.12 59% below 54%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IgG $14.00 $12.20 $1.76–$323.12 59% below -15%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE SMEARS - 87177 - 3010610 $8.00 $9.60 $1.00–$13.73 80% below 17%
Stool ova and parasites exam CPT 87177 O & P RESULTS $8.00 $13.73 $1.00–$13.73 80% below 42%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE SMEARS - 87177 - 3010620 $8.00 $6.49 $1.00–$13.73 80% below -23%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREENING $4.00 $59.30 $3.94–$58.11 84% below 93%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCCULT STOOL TESTING $4.00 $59.30 $3.94–$58.11 84% below 93%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD IMMUNOASSAY $15.00 $143.00 $14.33–$140.14 70% below 90%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VENEREAL DISEASE RESEARCH LAB $4.00 $24.72 $1.00–$24.72 79% below 84%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL - CEREBROSPINAL FLUID $4.00 $13.04 $1.00–$24.72 79% below 69%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN $4.00 $6.52 $1.00–$24.72 79% below 39%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GOLD $61.00 $200.00 $28.80–$196.00 45% below 70%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL - 84403 - 3007820 $25.00 $33.25 $2.35–$93.72 71% below 25%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE $25.00 $95.63 $2.35–$93.72 71% below 74%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL - 84403 - 3010547 $25.00 $16.30 $2.35–$93.72 71% below -53%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE $25.00 $49.06 $2.35–$93.72 71% below 49%
Thyroid peroxidase (TPO) antibody test CPT 86376 TPO Abs $14.00 $29.10 $3.52–$104.27 76% below 52%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB $14.00 $24.45 $3.52–$104.27 76% below 43%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH $14.00 $106.40 $3.52–$104.27 76% below 87%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOM ANTIBODY $14.00 $62.45 $3.52–$104.27 76% below 78%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE $16.00 $211.92 $15.12–$207.68 77% below 92%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS $35.00 $135.00 $4.65–$233.53 59% below 74%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF - 87661 - 3061503 $35.00 $85.00 $4.65–$233.53 59% below 59%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF - 87661 - 3062228 $35.00 $85.00 $4.65–$233.53 59% below 59%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS, NAA $35.00 $118.30 $4.65–$233.53 59% below 70%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF - 87661 - 3061656 $35.00 $238.30 $4.65–$233.53 59% below 85%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF - 87661 - 3062229 $35.00 $93.00 $4.65–$233.53 59% below 62%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF - 87661 - 3061662 $35.00 $32.30 $4.65–$233.53 59% below -8%
Urinalysis without microscope exam, manual CPT 81002 REDUCING SUB $3.00 $12.30 $1.77–$51.50 81% below 76%
Urinalysis without microscope exam, manual CPT 81002 URINE pH / 24 HRS $3.00 $52.55 $1.77–$51.50 81% below 94%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE - 87086 - 3067140 $8.00 $181.50 $7.26–$177.87 85% below 96%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE - 87086 - 3066520 $8.00 $51.09 $7.26–$177.87 85% below 84%
Urine pregnancy test, read by color change CPT 81025 URINE PRENANCY TEST $8.00 $189.60 $7.75–$185.81 82% below 96%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST $8.00 $189.60 $7.75–$185.81 82% below 96%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY $8.00 $189.60 $7.75–$185.81 82% below 96%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $15.00 $192.50 $13.57–$188.65 79% below 92%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D_25 HYDROXYL $29.00 $312.50 $5.76–$306.25 63% below 91%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY_D2+D3 $29.00 $40.00 $5.76–$306.25 63% below 28%
Zinc blood test CPT 84630 ZINC, WHOLE BLOOD - 84630 - 3008950 $11.00 $21.40 $3.08–$122.50 74% below 49%
Zinc blood test CPT 84630 ZINC,RBC $11.00 $100.00 $3.08–$122.50 74% below 89%
Zinc blood test CPT 84630 Zinc, Whole Blood - 84630 - 3008949 $11.00 $125.00 $3.08–$122.50 74% below 91%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG_ QUANT $15.00 $20.00 $2.88–$25.59 78% below 25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 ALPHA-FETOPROTEIN B-hCG $15.00 $25.59 $2.88–$25.59 78% below 41%

Surgery and procedures

ProcedureCash price List priceInsurers payvs OhioOff list
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery - 29888 - OR36029888 $6,831.00 $5,882.42 $1,764.73–$5,882.42 13% below -16%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Sho arthrs srg rt8tr cuf rpr $6,831.00 $7,976.30 $2,392.89–$7,976.30 77% below 14%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Cor hlx vlgs dstl mtar osteo $3,080.00 $2,941.85 $882.56–$2,941.85 7% below -5%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion electric ext $622.00 $1,198.17 $359.45–$3,611.72 70% below 48%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION/DEFIBRILLATION $622.00 $3,685.43 $359.45–$3,611.72 70% below 83%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION PROCEDURE $622.00 $2,632.45 $359.45–$3,611.72 70% below 76%
Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery $1,838.00 $3,047.21 $914.16–$2,986.27 75% below 40%
Cataract surgery with lens implant CPT 66984 Xcapsl ctrc rmvl w/o ecp $2,172.00 $2,804.29 $841.29–$2,804.29 32% below 23%
Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal - 45385 - OR36045385 $1,126.00 $1,435.07 $430.52–$1,435.07 66% below 22%
Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy $1,126.00 $1,598.27 $479.48–$1,598.27 66% below 30%
Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy $875.00 $1,404.78 $421.43–$1,404.78 68% below 38%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx of cervix w/scope leep $3,047.00 $2,790.05 $837.02–$2,790.05 21% below -9%
Complex cataract surgery with lens implant CPT 66982 Xcapsl ctrc rmvl cplx wo ecp $2,172.00 $2,790.05 $837.02–$2,790.05 17% below 22%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening $1,460.00 $2,790.05 $837.02–$2,734.25 62% below 48%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax uni $55.00 $2,790.05 $54.43–$2,790.05 64% below 98%
Earwax removal with instruments, one ear CPT 69210 RMV IMPACTED CERUMEN INSTR UNI $55.00 $278.30 $54.43–$391.30 64% below 80%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN $55.00 $391.30 $54.43–$391.30 64% below 86%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Exploration maxillary sinus $3,510.00 $4,286.51 $1,285.95–$4,286.51 30% below 18%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc $6,094.00 $5,144.51 $1,543.35–$5,144.51 82% below -18%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc $3,370.00 $3,967.02 $1,190.11–$3,967.02 83% below 15%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy $875.00 $1,198.17 $359.45–$1,198.17 66% below 27%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy $5,691.00 $4,511.99 $1,353.60–$4,511.99 67% below -26%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomygraph $5,691.00 $3,428.51 $1,028.55–$3,428.51 67% below -66%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s) $875.00 $2,790.05 $596.85–$2,790.05 55% below 69%
Hemorrhoidectomy (internal and external), one area CPT 46255 Remove int/ext hem 1 group $2,613.00 $4,186.05 $1,255.82–$4,186.05 76% below 38%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy $3,047.00 $2,881.26 $864.38–$2,881.26 68% below -6%
Incision and drainage of a simple or single skin abscess CPT 10060 I&d abscess simple/single $188.00 $2,790.05 $185.10–$2,734.25 50% below 93%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS SIMPLE/SINGLE $188.00 $902.90 $185.10–$2,734.25 50% below 79%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr $3,370.00 $5,428.40 $1,628.52–$5,393.17 68% below 38%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ER ARTHROCENT ASP/INJ JT MAJ $288.00 $1,237.40 $283.19–$2,790.05 59% below 77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT ASPIR-INJ JT MAJOR - 20610 - 3612758 $288.00 $1,237.40 $283.19–$2,790.05 59% below 77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT ASPIR-INJ JT MAJOR - 20610 - 3612759 $288.00 $1,237.40 $283.19–$2,790.05 59% below 77%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US - 20610 - 3612002 $288.00 $1,308.85 $283.19–$2,790.05 59% below 78%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us - 20610 - OR36020610 $288.00 $2,790.05 $283.19–$2,790.05 59% below 90%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us - 20605 - OR36020605 $288.00 $2,790.05 $283.19–$2,790.05 54% below 90%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIR/INJ JOINT/BURSA W/O US $288.00 $1,237.40 $283.19–$2,790.05 54% below 77%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US - 20600 - 4501771 $288.00 $1,308.85 $283.19–$1,308.85 42% below 78%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopysurgery - 29882 - $3,080.00 $4,706.71 $1,412.01–$4,706.71 18% below 35%
Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery - 29881 - OR36029881 $3,080.00 $4,572.51 $1,371.75–$4,572.51 57% below 33%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy $5,691.00 $4,343.86 $1,303.16–$4,343.86 67% below -31%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init $5,691.00 $4,661.12 $1,398.34–$4,661.12 77% below -22%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa $5,691.00 $3,706.63 $1,111.99–$3,706.63 74% below -54%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr satext 2.5 cm< $382.00 $1,395.02 $321.22–$1,367.12 29% below 73%
Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL LUMB/SAC W/O IMG $832.00 $2,994.05 $816.02–$2,994.05 49% below 72%
Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy $3,686.00 $3,488.05 $1,046.42–$3,488.05 75% below -6%
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/< $666.00 $2,790.05 $523.01–$2,734.25 51% below 76%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE $188.00 $1,235.15 $64.06–$1,210.45 41% below 85%
Nail removal (partial or complete), one nail CPT 11730 RMVL NAIL PATE PART/COMP SMPL $188.00 $882.25 $64.06–$1,210.45 41% below 79%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANES NRV GREATER OCCIPITAL $288.00 $1,237.40 $283.19–$1,237.40 71% below 77%
Paracentesis with imaging guidance CPT 49083 US PARACENTESIS $853.00 $3,807.75 $836.79–$4,049.31 50% below 78%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING $853.00 $4,131.95 $836.79–$4,049.31 50% below 79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL/NAIL MATRIX PERM RMVL $382.00 $1,570.40 $375.06–$1,538.99 51% below 76%
Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion $3,686.00 $2,790.05 $837.02–$2,790.05 6% below -32%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FOREIGN BODY SIMPLE $382.00 $1,570.40 $226.73–$2,734.25 41% below 76%
Removal of a foreign object under the skin, simple CPT 10120 I&R FOREIGN BODY SUBQ SMPL $382.00 $1,597.55 $226.73–$2,734.25 41% below 76%
Removal of a foreign object under the skin, simple CPT 10120 Inc&rmvl fb subq tiss smpl $382.00 $2,790.05 $226.73–$2,734.25 41% below 86%
Removal of a foreign object under the skin, simple CPT 10120 REMOV FOREIGN BODY (WOUNDCARE) $382.00 $2,198.56 $226.73–$2,734.25 41% below 83%
Short arm cast (elbow to hand) CPT 29075 APPLICATION FOREARM CAST $263.00 $1,199.55 $141.44–$1,199.55 8% below 78%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT $125.00 $545.15 $75.86–$534.25 57% below 77%
Short leg cast (below the knee) CPT 29405 Apply short leg cast $263.00 $2,033.48 $141.44–$2,033.48 27% below 87%
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT $152.00 $668.70 $75.86–$655.33 50% below 77%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Sho arthrs srg dstl claviclc $3,080.00 $3,940.51 $1,182.15–$3,940.51 13% below 22%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR LAC SMP SCLP<2.5 CM $188.00 $23.00 $6.90–$23.00 43% below -717%
Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion $382.00 $2,790.05 $375.06–$2,734.25 15% below 86%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS ANY AREA 15TAGS $188.00 $882.25 $185.10–$864.61 36% below 79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LUMBAR SPINAL PUNCTURE $664.00 $3,221.70 $651.25–$3,221.70 36% below 79%
Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging - 32555 - OR36032555 $590.00 $3,100.05 $578.75–$3,100.05 68% below 81%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING - 32555 - 4503076 $590.00 $2,760.20 $578.75–$3,100.05 68% below 79%
Tonsil and adenoid removal, age 12 or older CPT 42821 Remove tonsils and adenoids - 42821 - OR36042821 $3,121.00 $2,790.05 $837.02–$2,790.05 16% below -12%
Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids - 42820 - OR36042820 $5,573.00 $3,156.17 $946.85–$3,156.17 15% below -77%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils - 42826 - OR36042826 $3,121.00 $3,139.05 $941.72–$3,139.05 72% below 1%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Removal of tonsils - 42825 - OR36042825 $5,573.00 $2,790.05 $837.02–$2,790.05 5% below -100%
Total hip replacement CPT 27130 Total hip arthroplasty - 27130 - OR36027130 $12,086.00 $15,886.90 $4,090.24–$15,886.90 71% below 24%
Total knee replacement CPT 27447 Total knee arthroplasty $12,086.00 $14,121.40 $4,090.24–$14,121.40 74% below 14%
Trigger finger release surgery CPT 26055 Incise finger tendon sheath $1,513.00 $3,138.30 $941.49–$3,138.30 48% below 52%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGR PT INJ 1-2 MSC SNGL/MUL $288.00 $1,237.40 $283.19–$1,237.40 61% below 77%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy tubal cautery $5,691.00 $4,060.72 $1,218.22–$4,060.72 146% above -40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LES US IMG GUIDE $1,554.00 $6,877.50 $1,385.96–$6,877.50 51% below 77%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm $1,806.00 $1,198.17 $234.76–$1,198.17 51% below -51%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple $853.00 $1,251.12 $234.76–$1,251.12 70% below 32%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd remove lesion snare $1,806.00 $1,198.17 $234.76–$1,198.17 44% below -51%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash $853.00 $1,241.04 $234.76–$1,241.04 67% below 31%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUB Q >20 SQ CM - 11042 - 5100042 $382.00 $2,198.56 $321.22–$2,790.05 51% below 83%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Dbrdmt subq tis 1st 20sqcm/< $382.00 $2,790.05 $321.22–$2,790.05 51% below 86%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUB Q >20 SQ CM - 11042 - 5100211 $382.00 $2,198.56 $321.22–$2,790.05 51% below 83%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx dst rd xartc fx/epi sep $6,831.00 $7,059.42 $2,117.83–$7,059.42 18% below 3%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs OhioOff list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE $415.00 $1,940.20 $407.02–$1,940.20 64% below 79%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 1ST HOUR $415.00 $1,914.50 $407.02–$1,940.20 64% below 78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT $206.00 $919.80 $87.29–$938.84 15% above 78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION SUBSEQUENT $206.00 $958.00 $87.29–$938.84 15% above 78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT $206.00 $958.00 $87.29–$938.84 15% above 78%
Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY INFUSION 1st Hour $310.00 $1,441.90 $304.74–$1,413.06 58% below 79%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST 30-74 MIN. $777.00 $5,180.14 $92.33–$5,076.54 74% below 85%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG,AWAKE & DROWSY $203.00 $1,261.55 $199.21–$1,236.32 81% below 84%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM_12 LEAD $55.00 $397.46 $31.58–$389.51 70% below 86%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM,12 LEAD $55.00 $279.50 $31.58–$389.51 70% below 80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL I ED VISIT $79.00 $488.11 $20.00–$478.35 73% below 84%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL II ED VISIT $144.00 $895.72 $50.00–$877.81 72% below 84%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL III ED VISIT $256.00 $1,560.93 $92.33–$1,529.71 70% below 84%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV ED VISIT $392.00 $2,522.59 $92.33–$2,472.14 71% below 84%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E.D. VISIT LEVEL V $560.00 $3,677.10 $92.33–$3,603.56 64% below 85%
Exercise stress test, tracing only, the hospital charge CPT 93017 GRADED EXERCISE STRESS TEST $203.00 $1,766.17 $145.81–$1,730.85 77% below 89%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 FLUID HYDRATION UP TO 1 HOUR $200.00 $1,310.26 $196.24–$1,284.05 52% below 85%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER IV INFUS HYD INIT 31MIN-1HR $200.00 $935.90 $196.24–$1,284.05 52% below 79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF/HYDR INITIAL_ UP TO 1HR $200.00 $935.90 $196.24–$1,284.05 52% below 79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION_1 HOUR - OBS $200.00 $935.90 $196.24–$1,284.05 52% below 79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION,1 HOUR (5E) $200.00 $935.90 $196.24–$1,284.05 52% below 79%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY_ ONE HOUR $200.00 $935.90 $196.24–$1,284.05 54% below 79%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY,1 HOUR-o $200.00 $935.90 $196.24–$1,284.05 54% below 79%
IV infusion of a medicine, first hour CPT 96365 CHEMO INFUSION: < 15 MINUTES $200.00 $935.90 $196.24–$1,284.05 54% below 79%
IV infusion of a medicine, first hour CPT 96365 ER IV INFUS THPY/PROPH/DX INTL $200.00 $935.90 $196.24–$1,284.05 54% below 79%
IV infusion of a medicine, first hour CPT 96365 OBSERVED IV INFUSION 1ST HOUR $200.00 $1,310.26 $196.24–$1,284.05 54% below 85%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY_1 HOUR $200.00 $1,310.26 $196.24–$1,284.05 54% below 85%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBCUTANEOUS/INTRAMUSCULAR INJ - 96372 - 2601234 $67.00 $298.75 $61.18–$409.89 54% below 78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUB Q/IM INJECTION $67.00 $298.75 $61.18–$409.89 54% below 78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBCUTANEOUS IM INJECTION-OBS $67.00 $298.75 $61.18–$409.89 54% below 78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INTRAMUSCULAR INJ (ANTIBIOTIC) $67.00 $298.75 $61.18–$409.89 54% below 78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INTRAMUSCULAR INJ - 96372 - 3602406 $67.00 $298.75 $61.18–$409.89 54% below 78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION $67.00 $298.75 $61.18–$409.89 54% below 78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER THER/PRO/DX INJ SQ/IM $67.00 $298.75 $61.18–$409.89 54% below 78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBCUTANEOUS/INTRAMUSCULAR INJ - 96372 - 4503074 $67.00 $418.25 $61.18–$409.89 54% below 84%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INTRAMUSCULAR INJ - 96372 - 3603176 $67.00 $298.75 $61.18–$409.89 54% below 78%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE-ED MOV. BAL. ETC. $31.00 $185.00 $30.74–$185.22 71% below 83%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC. RE-ED - 15 MIN $31.00 $189.00 $30.74–$185.22 71% below 84%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT ADLT INT ASSESS EACH 15MIN $25.00 $96.91 $25.15–$96.91 62% below 74%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN - 97165 - 4340001 $96.00 $350.60 $94.37–$562.72 63% below 73%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN - 97165 - 4341001 $96.00 $362.20 $94.37–$562.72 63% below 73%
Occupational therapy evaluation, low complexity CPT 97165 EVALUATION (41-60 MIN.) $96.00 $574.20 $94.37–$562.72 63% below 83%
Occupational therapy evaluation, low complexity CPT 97165 EVALUATION (21-40 MIN.) $96.00 $390.25 $94.37–$562.72 63% below 75%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT eval high, 45 min $93.00 $544.96 $92.00–$864.03 69% below 83%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 EVALUATION_INITIAL $93.00 $881.66 $92.00–$864.03 69% below 89%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN - 97163 - 4341002 $93.00 $527.50 $92.00–$864.03 69% below 82%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN - 97163 - 4243000 $93.00 $544.96 $92.00–$864.03 69% below 83%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT eval low,20 min $93.00 $323.09 $91.98–$316.63 65% below 71%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN $93.00 $323.09 $91.98–$316.63 65% below 71%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN $93.00 $490.91 $91.99–$481.09 66% below 81%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT eval mod, 30 min $93.00 $490.85 $91.99–$481.09 66% below 81%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECHN. $26.00 $186.00 $26.06–$187.34 76% below 86%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH - 15 MIN $26.00 $191.16 $26.06–$187.34 76% below 86%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY TECH 1+REG 15MIN $26.00 $99.00 $26.06–$187.34 76% below 74%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 RESP MSC STREN/ENDUR THER E 15 $27.00 $113.64 $27.31–$171.75 76% below 76%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER.EXER.1/MORE AREA-15 MIN. $27.00 $175.25 $27.31–$171.75 76% below 85%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXER 1 MORE AREA-15 MIN. $27.00 $175.00 $27.31–$171.75 76% below 85%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION 3-10 MINUTES $35.00 $166.90 $34.56–$163.56 18% below 79%
Speech and language evaluation CPT 92523 EVAL SH LANG COMPREHEND/EXPRES - 92523 - 4302033 $217.00 $666.21 $95.02–$652.89 31% below 67%
Speech and language evaluation CPT 92523 EVAL SH LANG COMPREHEND/EXPRES - 92523 - 4302045 $217.00 $666.21 $95.02–$652.89 31% below 67%
Speech therapy session, individual CPT 92507 TREATMENT IND.>30 MIN $73.00 $664.28 $71.87–$650.99 68% below 89%
Spirometry before and after a bronchodilator CPT 94060 BRONCHODIALATOR CHALLENGE $351.00 $1,766.17 $171.90–$1,730.85 38% below 80%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES 15 W/O - 97530 - 4300395 $33.00 $173.47 $32.66–$170.91 73% below 81%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES 15 W/O - 97530 - 4201125 $33.00 $174.40 $32.66–$170.91 73% below 81%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY $125.00 $745.36 $47.99–$730.45 49% below 83%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY-LAB $125.00 $532.40 $47.99–$730.45 49% below 77%

Vaccines

ProcedureCash price List priceInsurers payvs OhioOff list
Rabies vaccine, one dose CPT 90675 Rabavert,Imovax $319.00 — — 67% below —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin, Hepatitis B $67.00 $298.75 $22.95–$409.89 67% above 78%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN_1ST VACC $67.00 $418.25 $22.95–$409.89 67% above 84%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin,Pneum/Med-S $67.00 $337.35 $22.95–$409.89 67% above 80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin,Influenza/Med-S $67.00 $337.35 $22.95–$409.89 67% above 80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin, Influenza $67.00 $189.40 $22.95–$409.89 67% above 65%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin,Hep/TDAP $67.00 $418.25 $22.95–$409.89 67% above 84%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin, Pneumo $67.00 $189.40 $22.95–$409.89 67% above 65%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM/ONE VACCINE $67.00 $298.75 $22.95–$409.89 67% above 78%

Source file: https://elch.org/wp-content/uploads/2026/09/1127LH_EastLiverpoolCityHospital_standardcharges.json