Hospital Des Moines-West Des Moines, IA

Broadlawns Medical Center

Broadlawns Medical Center in Des Moines, IA publishes cash prices for 377 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 Iowa median for 210 of 374 procedures and above it for 157. By typical cash price it ranks #31 of 78 Iowa hospitals and #1 of 8 hospitals in the Des Moines, IA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1801 Hickman Road, Des Moines, IA 50314 Collected Sep 27, 2026 Source price file (515) 282-2200

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 160101 · CMS hospital register

The price file shows no self-pay discount

For 1510 of the 1510 prices listed here, the cash price in Broadlawns 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.

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 4 actions for a hospital named Broadlawns Medical Center in Des Moines, IA:

Sep 4, 2024 Warning notice
Dec 9, 2024 Corrective action plan requested
Feb 13, 2025 Case closed
Jun 9, 2026 Warning notice

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

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

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upr/L Xtremity Art 2 Levels	$238.00	$238.00	—	26% below	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 93922 Outside Testing Upr/L Xt	$358.00	$358.00	—	11% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Upr/L Xtremity Art 2 Levels	$238.00	$238.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 93922 Outside Testing Upr/L Xt	$358.00	$358.00	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Contrast X-Ray, Esophagus	$575.00	$575.00	—	57% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Contrast X-Ray, Esophagus	$575.00	$575.00	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 Bone Imaging, Whole Body	$1,959.00	$1,959.00	—	60% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone Imaging, Whole Body	$1,959.00	$1,959.00	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angiography, Chest	$2,122.00	$2,122.00	—	at median	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct Angiography, Chest	$2,122.00	$2,122.00	—	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cardiac Coronary	$1,468.00	$1,468.00	—	7% below	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Cardiac Coronary	$1,468.00	$1,468.00	—	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Calcium Score	$81.00	$81.00	—	8% below	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Calcium Score	$81.00	$81.00	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd & Pelvis W/O Contrast	$1,912.00	$1,912.00	—	32% below	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abd & Pelvis W/O Contrast	$1,912.00	$1,912.00	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abdomen & Pelvis W/Contras	$3,014.00	$3,014.00	—	6% below	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abdomen & Pelvis W/Contras	$3,014.00	$3,014.00	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd & Pelvis 1+ Section	$3,014.00	$3,014.00	—	16% below	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abd & Pelvis 1+ Section	$3,014.00	$3,014.00	—	—	—
CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/Dye	$1,859.00	$1,859.00	—	10% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abdomen W/Dye	$1,859.00	$1,859.00	—	—	—
CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/O Dye	$1,087.00	$1,087.00	—	20% below	—
CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abdomen W/O Dye	$1,087.00	$1,087.00	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/O Dye	$1,087.00	$1,087.00	—	16% below	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Maxillofacial W/O Dye	$1,087.00	$1,087.00	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 Ct Head/Brain W/O Dye	$1,087.00	$1,087.00	—	21% below	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head/Brain W/O Dye	$1,087.00	$1,087.00	—	—	—
CT scan of the head with contrast CPT 70460 Ct Head/Brain W/Dye	$1,859.00	$1,859.00	—	21% above	—
CT scan of the head with contrast inpatient CPT 70460 Ct Head/Brain W/Dye	$1,859.00	$1,859.00	—	—	—
CT scan of the head without and with contrast CPT 70470 Ct Head/Brain W/O & W/Dye	$2,059.00	$2,059.00	—	14% above	—
CT scan of the head without and with contrast inpatient CPT 70470 Ct Head/Brain W/O & W/Dye	$2,059.00	$2,059.00	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Spine W/O Dye	$1,087.00	$1,087.00	—	28% below	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct Lumbar Spine W/O Dye	$1,087.00	$1,087.00	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Neck Spine W/O Dye	$1,087.00	$1,087.00	—	28% below	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Neck Spine W/O Dye	$1,087.00	$1,087.00	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis W/Dye	$1,859.00	$1,859.00	—	7% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis W/Dye	$1,859.00	$1,859.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Carotid Duplex Scan; Bilat	$787.00	$787.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Carotid Duplex Scan; Bilat	$787.00	$787.00	—	—	—
Chest X-ray, 2 views CPT 71046 Chest Two View	$400.00	$400.00	—	94% above	—
Chest X-ray, 2 views inpatient CPT 71046 Chest Two View	$400.00	$400.00	—	—	—
Chest X-ray, single view CPT 71045 Chest Single View	$400.00	$400.00	—	139% above	—
Chest X-ray, single view inpatient CPT 71045 Chest Single View	$400.00	$400.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Exam Abdo Back Wall Comp	$632.00	$632.00	—	3% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us Exam Abdo Back Wall Comp	$632.00	$632.00	—	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa Bone Density Axial Site	$511.00	$511.00	—	31% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa Bone Density Axial Site	$511.00	$511.00	—	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxa Bone Density Appen Site	$249.00	$249.00	—	at median	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dxa Bone Density Appen Site	$249.00	$249.00	—	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob Us Detailed Sngl Fetus	$747.00	$747.00	—	16% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ob Us Detailed Sngl Fetus	$747.00	$747.00	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Thorax W/O Dye	$1,087.00	$1,087.00	—	23% below	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Thorax W/O Dye	$1,087.00	$1,087.00	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Thorax W/Dye	$1,859.00	$1,859.00	—	3% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Thorax W/Dye	$1,859.00	$1,859.00	—	—	—
Diagnostic mammogram, both breasts CPT 77066 77066/G0204 Dx Mamm Incl Cadbi	$1,153.00	$1,153.00	—	240% above	—
Diagnostic mammogram, both breasts inpatient CPT 77066 77066/G0204 Dx Mamm Incl Cadbi	$1,153.00	$1,153.00	—	—	—
Diagnostic mammogram, one breast CPT 77065 Diagnosticmammographydigital	$549.00	$549.00	—	88% above	—
Diagnostic mammogram, one breast inpatient CPT 77065 Diagnosticmammographydigital	$549.00	$549.00	—	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 93925 Outside Testing Lwr Extr	$728.00	$728.00	—	at median	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 93925 Outside Testing Lwr Extr	$728.00	$728.00	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Ext Veins; Bilat	$787.00	$787.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Duplex Ext Veins; Bilat	$787.00	$787.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler, Complete	$2,538.00	$2,538.00	—	66% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte W/Doppler, Complete	$2,538.00	$2,538.00	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System Imaging	$1,978.00	$1,978.00	—	67% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary System Imaging	$1,978.00	$1,978.00	—	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unatt&Resp Efft	$465.00	$465.00	—	16% below	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Study Unatt&Resp Efft	$465.00	$465.00	—	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/> Yrs 4/> Param	$1,577.00	$1,577.00	—	50% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Pss W 4/> P W Cpap/Bipap	$2,610.00	$2,610.00	—	17% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 RCS 95811 Pss W 4/> P W Cpap/	$2,906.00	$2,906.00	—	8% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6/> Yrs 4/> Param	$1,577.00	$1,577.00	—	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Pss W 4/> P W Cpap/Bipap	$2,610.00	$2,610.00	—	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 RCS 95811 Pss W 4/> P W Cpap/	$2,906.00	$2,906.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo Exam Of Abdomen	$229.00	$229.00	—	54% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo Exam Of Abdomen	$229.00	$229.00	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Thorax Lung Cancer Scr C-	$491.00	$491.00	—	8% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct Thorax Lung Cancer Scr C-	$491.00	$491.00	—	—	—
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI	$1,996.00	$1,996.00	—	—	—
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST C-+ W/CAD BI	$1,996.00	$1,996.00	—	—	—
MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O Dye	$2,118.00	$2,118.00	—	2% above	—
MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O Dye	$2,118.00	$2,118.00	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/O & W/Dye	$3,434.00	$3,434.00	—	at median	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen W/O & W/Dye	$3,434.00	$3,434.00	—	—	—
MRI of the brain, no contrast dye CPT 70551 Mri Brain W/O Dye	$2,118.00	$2,118.00	—	7% below	—
MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain W/O Dye	$2,118.00	$2,118.00	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 Mri Brain W/O & W/Dye	$3,434.00	$3,434.00	—	5% below	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain W/O & W/Dye	$3,434.00	$3,434.00	—	—	—
MRI of the lower back, no contrast dye CPT 72148 Mri Lumbar Spine W/O Dye	$2,118.00	$2,118.00	—	12% below	—
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Lumbar Spine W/O Dye	$2,118.00	$2,118.00	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumbar Spine W/O & W/Dye	$3,434.00	$3,434.00	—	3% below	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Lumbar Spine W/O & W/Dye	$3,434.00	$3,434.00	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thoracic Spine W/O Dye	$2,118.00	$2,118.00	—	10% below	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri Thoracic Spine W/O Dye	$2,118.00	$2,118.00	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Neck Spine W/O & W/Dye	$3,434.00	$3,434.00	—	1% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Neck Spine W/O & W/Dye	$3,434.00	$3,434.00	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Neck Spine W/O Dye	$2,118.00	$2,118.00	—	7% below	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri Neck Spine W/O Dye	$2,118.00	$2,118.00	—	—	—
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/O & W/Dye	$3,434.00	$3,434.00	—	6% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis W/O & W/Dye	$3,434.00	$3,434.00	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/O Dye	$2,118.00	$2,118.00	—	3% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis W/O Dye	$2,118.00	$2,118.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Joint Upr Extrem W/O Dye	$727.00	$727.00	—	68% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Joint Upr Extrem W/O Dye	$727.00	$727.00	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht Muscle Image Spect, Mult	$4,668.00	$4,668.00	—	67% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht Muscle Image Spect, Mult	$4,668.00	$4,668.00	—	—	—
OCT scan of the retina (optical coherence tomography) CPT 92134 Cptr Ophth Dx Img Post Segmt	$165.00	$165.00	—	at median	—
OCT scan of the retina (optical coherence tomography) CPT 92134 MSP 92134 Cptr Ophth Dx Img Po	$177.00	$177.00	—	7% above	—
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Cptr Ophth Dx Img Post Segmt	$165.00	$165.00	—	—	—
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 MSP 92134 Cptr Ophth Dx Img Po	$177.00	$177.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Exam Pelvic Limited	$219.00	$219.00	—	38% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ED 76857 Us Exam Pelvic Limite	$426.00	$426.00	—	21% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Exam, Pelvic, Limited	$451.00	$451.00	—	28% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Exam Pelvic Limited	$219.00	$219.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ED 76857 Us Exam Pelvic Limite	$426.00	$426.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Exam, Pelvic, Limited	$451.00	$451.00	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Exam, Pelvic, Complete	$624.00	$624.00	—	15% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Exam, Pelvic, Complete	$624.00	$624.00	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob Us >/= 14 Wks, Sngl Fetus	$260.00	$260.00	—	53% below	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob Us >/= 14 Wks, Sngl Fetus	$260.00	$260.00	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 Wks Single Fetus	$270.00	$270.00	—	41% below	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob Us < 14 Wks, Single Fetus	$624.00	$624.00	—	36% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 Wks Single Fetus	$270.00	$270.00	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob Us < 14 Wks, Single Fetus	$624.00	$624.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US Limited Fetus(s)	$241.00	$241.00	—	29% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob Us, Limited, Fetuss	$451.00	$451.00	—	32% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US Limited Fetus(s)	$241.00	$241.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob Us, Limited, Fetuss	$451.00	$451.00	—	—	—
Screening mammogram, both breasts both sides CPT 77067 77067/G0202 Scr Ma Bi Inc Cad	$344.00	$344.00	—	—	—
Screening mammogram, both breasts CPT 77067 Scrn Mammo Dir Digital - Bil	$220.00	$220.00	—	28% below	—
Screening mammogram, both breasts inpatient both sides CPT 77067 77067/G0202 Scr Ma Bi Inc Cad	$344.00	$344.00	—	—	—
Screening mammogram, both breasts inpatient CPT 77067 Scrn Mammo Dir Digital - Bil	$220.00	$220.00	—	—	—
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/> Yrs 4/> Param	$1,577.00	$1,577.00	—	45% below	—
Sleep study in a lab (polysomnography) CPT 95810 Pss W 4/> Param W Tech	$2,563.00	$2,563.00	—	11% below	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/> Yrs 4/> Param	$1,577.00	$1,577.00	—	—	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 Pss W 4/> Param W Tech	$2,563.00	$2,563.00	—	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Complete	$1,630.00	$1,630.00	—	8% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Tte Complete	$1,630.00	$1,630.00	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Cine/Vid X-Ray, Throat/Esoph	$575.00	$575.00	—	41% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Cine/Vid X-Ray, Throat/Esoph	$575.00	$575.00	—	—	—
Transvaginal pelvic ultrasound CPT 76830 Transvaginal US Non-OB	$246.00	$246.00	—	53% below	—
Transvaginal pelvic ultrasound CPT 76830 Transvaginal Us, Non-Ob	$624.00	$624.00	—	19% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal US Non-OB	$246.00	$246.00	—	—	—
Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal Us, Non-Ob	$624.00	$624.00	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal US Obstetric	$251.00	$251.00	—	45% below	—
Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal Us, Obstetric	$451.00	$451.00	—	1% below	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Transvaginal US Obstetric	$251.00	$251.00	—	—	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Transvaginal Us, Obstetric	$451.00	$451.00	—	—	—
Ultrasound of the abdomen, complete CPT 76700 Us Exam, Abdom, Complete	$624.00	$624.00	—	10% below	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Us Exam, Abdom, Complete	$624.00	$624.00	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 Us Exam, Scrotum	$624.00	$624.00	—	15% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us Exam, Scrotum	$624.00	$624.00	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Exam Of Head And Neck	$624.00	$624.00	—	34% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Exam Of Head And Neck	$624.00	$624.00	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-Ray Exam, Upper Gi Tract	$847.00	$847.00	—	98% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-Ray Exam, Upper Gi Tract	$847.00	$847.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Extremity Study	$216.00	$216.00	—	67% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DIG 93971 Duplex Ext Veins; Un	$345.00	$345.00	—	47% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Ext Veins; Unil/Limit	$382.00	$382.00	—	41% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Extremity Study	$216.00	$216.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DIG 93971 Duplex Ext Veins; Un	$345.00	$345.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex Ext Veins; Unil/Limit	$382.00	$382.00	—	—	—
X-ray of the abdomen, 1 view CPT 74018 Abdomen One View	$400.00	$400.00	—	123% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen One View	$400.00	$400.00	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-Ray Exam Of Lower Spine	$321.00	$321.00	—	12% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-Ray Exam Of Lower Spine	$321.00	$321.00	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 Lumbar Spine 5 View	$142.00	$142.00	—	60% below	—
X-ray of the lower back, 4 or more views CPT 72110 X-Ray Exam Of Lower Spine	$494.00	$494.00	—	40% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbar Spine 5 View	$142.00	$142.00	—	—	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-Ray Exam Of Lower Spine	$494.00	$494.00	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-Ray Exam Of Thoracic Spine	$321.00	$321.00	—	27% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-Ray Exam Of Thoracic Spine	$321.00	$321.00	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones 3 Views	$103.00	$103.00	—	50% below	—
X-ray of the nasal bones, 3 or more views CPT 70160 X-Ray Exam Of Nasal Bones	$321.00	$321.00	—	57% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones 3 Views	$103.00	$103.00	—	—	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-Ray Exam Of Nasal Bones	$321.00	$321.00	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-Ray Exam Of Neck Spine	$321.00	$321.00	—	28% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-Ray Exam Of Neck Spine	$321.00	$321.00	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 X-Ray Exam Of Pelvis	$321.00	$321.00	—	62% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-Ray Exam Of Pelvis	$321.00	$321.00	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-Ray Exam Of Tailbone	$321.00	$321.00	—	45% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-Ray Exam Of Tailbone	$321.00	$321.00	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Amino (Alt) (Sgpt)	$28.00	$28.00	—	34% below	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Amino (Alt) (Sgpt)	$28.00	$28.00	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (Ast) (Sgot)	$26.00	$26.00	—	34% below	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (Ast) (Sgot)	$26.00	$26.00	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$197.00	$197.00	—	14% below	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$197.00	$197.00	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige	$26.00	$26.00	—	33% below	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige	$26.00	$26.00	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibody	$65.00	$65.00	—	7% below	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp Antibody	$65.00	$65.00	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies	$61.00	$61.00	—	16% below	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies	$61.00	$61.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay Of Natriuretic Peptide	$160.00	$160.00	—	2% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay Of Natriuretic Peptide	$160.00	$160.00	—	—	—
Basic metabolic panel (blood test) CPT 80048 Metabolic Panel Total Ca	$41.00	$41.00	—	51% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 Metabolic Panel Total Ca	$41.00	$41.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue Exam By Pathologist	$176.00	$176.00	—	1% below	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue Exam By Pathologist	$176.00	$176.00	—	—	—
Blood culture for bacteria CPT 87040 Blood Culture For Bacteria	$54.00	$54.00	—	38% below	—
Blood culture for bacteria inpatient CPT 87040 Blood Culture For Bacteria	$54.00	$54.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PLA 36415 Routine Venipunct	$21.00	$21.00	—	6% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 EYE 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COC 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CITY UC 36415 Routine Venipunc	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ENT 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ENDO 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 FHC 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 WHC 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 GER 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 URO 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 UCI 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 TWC 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SURG 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPE 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PUL 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 GI 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ID 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 IM 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 IPC 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 NEU 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 OBH Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ONC 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ORTH 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PGC 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ASM 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 POD 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PMC 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PED 36415 Routine Venipunct	$22.00	$22.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Routine Venipuncture	$28.00	$28.00	—	41% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DWN 36415 Routine Venipunct	$28.00	$28.00	—	41% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 EAST 36415 Rtn Venipunct	$28.00	$28.00	—	41% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture	$28.00	$28.00	—	41% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CAN 36415 Routine Venipunct	$28.00	$28.00	—	41% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CAR 36415 Routine Venipunct	$28.00	$28.00	—	41% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CITY 36415 Routine Venipunctur	$28.00	$28.00	—	41% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 East UC 36415 Routine Venipunc	$30.00	$30.00	—	52% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PLA 36415 Routine Venipunct	$21.00	$21.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 IM 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 OBH Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 TWC 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SURG 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPE 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ASM 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PUL 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 POD 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 GI 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ID 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 IPC 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ORTH 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 NEU 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PGC 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 UCI 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PMC 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ONC 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PED 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COC 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 EYE 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CITY UC 36415 Routine Venipunc	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ENT 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ENDO 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 WHC 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 FHC 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 URO 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 GER 36415 Routine Venipunct	$22.00	$22.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 EAST 36415 Rtn Venipunct	$28.00	$28.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CITY 36415 Routine Venipunctur	$28.00	$28.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipuncture	$28.00	$28.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 Routine Venipuncture	$28.00	$28.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CAR 36415 Routine Venipunct	$28.00	$28.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DWN 36415 Routine Venipunct	$28.00	$28.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CAN 36415 Routine Venipunct	$28.00	$28.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 East UC 36415 Routine Venipunc	$30.00	$30.00	—	—	—
Blood glucose (sugar) test CPT 82947 Assay Glucose Blood Quant	$20.00	$20.00	—	40% below	—
Blood glucose (sugar) test inpatient CPT 82947 Assay Glucose Blood Quant	$20.00	$20.00	—	—	—
Blood lead test CPT 83655 Assay Of Lead	$61.00	$61.00	—	16% above	—
Blood lead test inpatient CPT 83655 Assay Of Lead	$61.00	$61.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic Gonadotropin Assay	$37.00	$37.00	—	40% below	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic Gonadotropin Assay	$37.00	$37.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Serologic Abo	$247.00	$247.00	—	332% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Serologic Abo	$247.00	$247.00	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$26.00	$26.00	—	55% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$26.00	$26.00	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe	$166.00	$166.00	—	54% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Amplified Probe	$166.00	$166.00	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay Tumor Ca 19-9	$100.00	$100.00	—	4% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunoassay Tumor Ca 19-9	$100.00	$100.00	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay Tumor Ca 125	$100.00	$100.00	—	13% below	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunoassay Tumor Ca 125	$100.00	$100.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$109.00	$109.00	—	5% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$109.00	$109.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd Trach Dna Amp Probe	$166.00	$166.00	—	67% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd Trach Dna Amp Probe	$166.00	$166.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$66.00	$66.00	—	23% below	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$66.00	$66.00	—	—	—
Complete blood count (CBC) with differential CPT 85025 Complete Cbc W/Auto Diff Wbc	$38.00	$38.00	—	38% below	—
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Cbc W/Auto Diff Wbc	$38.00	$38.00	—	—	—
Complete blood count (CBC), no differential CPT 85027 Complete Cbc Automated	$34.00	$34.00	—	24% below	—
Complete blood count (CBC), no differential inpatient CPT 85027 Complete Cbc Automated	$34.00	$34.00	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 Comprehen Metabolic Panel	$54.00	$54.00	—	55% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen Metabolic Panel	$54.00	$54.00	—	—	—
D-dimer blood test (blood clot marker) CPT 85379 Fibrin Degradation Quant	$39.00	$39.00	—	54% below	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin Degradation Quant	$39.00	$39.00	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone	$107.00	$107.00	—	4% below	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone	$107.00	$107.00	—	—	—
Estradiol blood test CPT 82670 Assay Of Estradiol	$133.00	$133.00	—	2% above	—
Estradiol blood test inpatient CPT 82670 Assay Of Estradiol	$133.00	$133.00	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 Assay Of Gonadotropin (Fsh)	$90.00	$90.00	—	11% below	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Assay Of Gonadotropin (Fsh)	$90.00	$90.00	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 Assay For Calprotectin Fecal	$64.00	$64.00	—	60% below	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Assay For Calprotectin Fecal	$64.00	$64.00	—	—	—
Ferritin blood test (iron stores) CPT 82728 Assay Of Ferritin	$67.00	$67.00	—	24% below	—
Ferritin blood test (iron stores) inpatient CPT 82728 Assay Of Ferritin	$67.00	$67.00	—	—	—
Folate (folic acid) blood test CPT 82746 Assay Of Folic Acid Serum	$72.00	$72.00	—	19% below	—
Folate (folic acid) blood test inpatient CPT 82746 Assay Of Folic Acid Serum	$72.00	$72.00	—	—	—
Free T3 thyroid hormone test CPT 84481 Free Assay (Ft-3)	$81.00	$81.00	—	24% below	—
Free T3 thyroid hormone test inpatient CPT 84481 Free Assay (Ft-3)	$81.00	$81.00	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay Of Free Thyroxine	$37.00	$37.00	—	43% below	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay Of Free Thyroxine	$37.00	$37.00	—	—	—
Free testosterone test CPT 84402 Assay Of Free Testosterone	$120.00	$120.00	—	13% above	—
Free testosterone test inpatient CPT 84402 Assay Of Free Testosterone	$120.00	$120.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Test	$25.00	$25.00	—	31% below	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Test	$25.00	$25.00	—	—	—
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test (Gtt)	$52.00	$52.00	—	38% below	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test (Gtt)	$52.00	$52.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.Gonorrhoeae Dna Amp Prob	$166.00	$166.00	—	83% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.Gonorrhoeae Dna Amp Prob	$166.00	$166.00	—	—	—
H. pylori stool antigen test CPT 87338 Hpylori Stool Ia	$60.00	$60.00	—	46% below	—
H. pylori stool antigen test inpatient CPT 87338 Hpylori Stool Ia	$60.00	$60.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv Ultrasensiti Pcr	$367.00	$367.00	—	36% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Quant&Revrse Trnscrpj	$394.00	$394.00	—	46% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv Ultrasensiti Pcr	$367.00	$367.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Quant&Revrse Trnscrpj	$394.00	$394.00	—	—	—
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/Hiv-2 1 Result Antbdy	$49.00	$49.00	—	1% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/Hiv-2 1 Result Antbdy	$49.00	$49.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab	$77.00	$77.00	—	3% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab	$77.00	$77.00	—	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv High-Risk Types	$166.00	$166.00	—	75% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv High-Risk Types	$166.00	$166.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobin Test	$51.00	$51.00	—	16% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated Hemoglobin Test	$51.00	$51.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Antibody	$55.00	$55.00	—	19% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Antibody	$55.00	$55.00	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Ia	$49.00	$49.00	—	25% below	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Ia	$49.00	$49.00	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab Test	$69.00	$69.00	—	11% below	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab Test	$69.00	$69.00	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Revrs Trnscrpj	$200.00	$200.00	—	22% below	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Revrs Trnscrpj	$200.00	$200.00	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Type 1 Test	$65.00	$65.00	—	3% below	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Type 1 Test	$65.00	$65.00	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Type 2 Test	$35.00	$35.00	—	39% below	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Type 2 Test	$35.00	$35.00	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein HS	$41.00	$41.00	—	47% below	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein HS	$41.00	$41.00	—	—	—
Homocysteine blood test CPT 83090 Assay Of Homocystine	$81.00	$81.00	—	15% below	—
Homocysteine blood test inpatient CPT 83090 Assay Of Homocystine	$81.00	$81.00	—	—	—
Insulin blood test CPT 83525 Assay Of Insulin	$58.00	$58.00	—	24% below	—
Insulin blood test inpatient CPT 83525 Assay Of Insulin	$58.00	$58.00	—	—	—
Iron blood test (serum iron) CPT 83540 Assay Of Iron	$34.00	$34.00	—	17% below	—
Iron blood test (serum iron) inpatient CPT 83540 Assay Of Iron	$34.00	$34.00	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Test	$37.00	$37.00	—	24% below	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Test	$37.00	$37.00	—	—	—
Kidney function blood test panel CPT 80069 Renal Function Panel	$41.00	$41.00	—	53% below	—
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$41.00	$41.00	—	—	—
LH (luteinizing hormone) test CPT 83002 Assay Of Gonadotropin (Lh)	$89.00	$89.00	—	4% below	—
LH (luteinizing hormone) test inpatient CPT 83002 Assay Of Gonadotropin (Lh)	$89.00	$89.00	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 Assay Of Lipase	$35.00	$35.00	—	46% below	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay Of Lipase	$35.00	$35.00	—	—	—
Liver function blood test panel CPT 80076 Hepatic Function Panel	$39.00	$39.00	—	54% below	—
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$39.00	$39.00	—	—	—
Lyme disease antibody test CPT 86618 Lyme Disease Antibody	$81.00	$81.00	—	8% below	—
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibody	$81.00	$81.00	—	—	—
Magnesium blood test CPT 83735 Assay Of Magnesium	$34.00	$34.00	—	30% below	—
Magnesium blood test inpatient CPT 83735 Assay Of Magnesium	$34.00	$34.00	—	—	—
Measles (rubeola) antibody test CPT 86765 Rubeola Antibody	$64.00	$64.00	—	17% above	—
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Antibody	$64.00	$64.00	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antibody Screen	$26.00	$26.00	—	46% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Antibody Screen	$26.00	$26.00	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa; Free	$69.00	$69.00	—	29% below	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa; Free	$69.00	$69.00	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 84153 Assay Of Psa Total	$89.00	$89.00	—	8% below	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 Assay Of Psa Total	$89.00	$89.00	—	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath C/V Auto Fluid Redo	$125.00	$125.00	—	60% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopath C/V Auto Fluid Redo	$125.00	$125.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Lab P3000/ 88142 Pap Smear	$54.00	$54.00	—	7% below	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Lab P3000/ 88142 Pap Smear	$54.00	$54.00	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 Assay Of Parathormone	$194.00	$194.00	—	10% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay Of Parathormone	$194.00	$194.00	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial	$26.00	$26.00	—	42% below	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial	$26.00	$26.00	—	—	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal Chrmoml Aneuploidy	$1,348.00	$1,348.00	—	85% above	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Fetal Chrmoml Aneuploidy	$1,348.00	$1,348.00	—	—	—
Progesterone blood test CPT 84144 Assay Of Progesterone	$100.00	$100.00	—	3% above	—
Progesterone blood test inpatient CPT 84144 Assay Of Progesterone	$100.00	$100.00	—	—	—
Prolactin blood test CPT 84146 Assay Of Prolactin	$93.00	$93.00	—	7% below	—
Prolactin blood test inpatient CPT 84146 Assay Of Prolactin	$93.00	$93.00	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time;	$17.00	$17.00	—	48% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$19.00	$19.00	—	42% below	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time;	$17.00	$17.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$19.00	$19.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$40.00	$40.00	—	45% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$40.00	$40.00	—	—	—
Rapid flu test (influenza antigen) CPT 87804 Influenza Ia W Do	$58.00	$58.00	—	25% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Ia W Do	$58.00	$58.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Group A Strep Screen	$58.00	$58.00	—	16% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 ED 87880 Rpd Grp A Strep Scrn	$58.00	$58.00	—	16% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Assay W/Optic	$60.00	$60.00	—	20% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Group A Strep Screen	$58.00	$58.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 ED 87880 Rpd Grp A Strep Scrn	$58.00	$58.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Assay W/Optic	$60.00	$60.00	—	—	—
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody	$69.00	$69.00	—	17% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody	$69.00	$69.00	—	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Rbc Sed Rate Automated	$17.00	$17.00	—	49% below	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Rbc Sed Rate Automated	$17.00	$17.00	—	—	—
Stool ova and parasites exam CPT 87177 Ova And Parasites Smears	$45.00	$45.00	—	8% below	—
Stool ova and parasites exam inpatient CPT 87177 Ova And Parasites Smears	$45.00	$45.00	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Feces	$19.00	$19.00	—	43% below	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Feces	$19.00	$19.00	—	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Bld Fhg Qual 1-3	$76.00	$76.00	—	32% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Bld Fhg Qual 1-3	$76.00	$76.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Non-Trep Qual	$23.00	$23.00	—	53% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Test Non-Trep Qual	$23.00	$23.00	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb Test, Cell Immun Measure	$288.00	$288.00	—	83% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tb Test, Cell Immun Measure	$288.00	$288.00	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 Assay Of Total Testosterone	$121.00	$121.00	—	17% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay Of Total Testosterone	$121.00	$121.00	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibody Each	$70.00	$70.00	—	7% below	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Antibody Each	$70.00	$70.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay Thyroid Stim Hormone	$81.00	$81.00	—	16% below	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay Thyroid Stim Hormone	$81.00	$81.00	—	—	—
Trichomonas test (NAAT) CPT 87661 Lab 87661 Trichomonas Vaginali	$161.00	$161.00	—	74% above	—
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Amplif	$161.00	$161.00	—	74% above	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Amplif	$161.00	$161.00	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 Lab 87661 Trichomonas Vaginali	$161.00	$161.00	—	—	—
Uric acid blood test CPT 84550 Assay Of Blood/Uric Acid	$24.00	$24.00	—	34% below	—
Uric acid blood test inpatient CPT 84550 Assay Of Blood/Uric Acid	$24.00	$24.00	—	—	—
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W/Scope	$18.00	$18.00	—	57% below	—
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto W/Scope	$18.00	$18.00	—	—	—
Urinalysis without microscope exam, automated CPT 81003 ED 81003 Urine Dipstick Auto	$13.00	$13.00	—	49% below	—
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick Only	$13.00	$13.00	—	49% below	—
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Scope	$14.00	$14.00	—	46% below	—
Urinalysis without microscope exam, automated inpatient CPT 81003 ED 81003 Urine Dipstick Auto	$13.00	$13.00	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick Only	$13.00	$13.00	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto W/O Scope	$14.00	$14.00	—	—	—
Urine culture for bacteria, with colony count CPT 87086 Urine Culture/Colony Count	$39.00	$39.00	—	33% below	—
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture/Colony Count	$39.00	$39.00	—	—	—
Urine pregnancy test, read by color change CPT 81025 ECT 81025 Hcg Qual	$32.00	$32.00	—	24% below	—
Urine pregnancy test, read by color change CPT 81025 ED 81025 Hcg Qual	$32.00	$32.00	—	24% below	—
Urine pregnancy test, read by color change CPT 81025 Hcg, Urine, Qualitative	$32.00	$32.00	—	24% below	—
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test	$33.00	$33.00	—	21% below	—
Urine pregnancy test, read by color change inpatient CPT 81025 ECT 81025 Hcg Qual	$32.00	$32.00	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 Hcg, Urine, Qualitative	$32.00	$32.00	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 ED 81025 Hcg Qual	$32.00	$32.00	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test	$33.00	$33.00	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12	$73.00	$73.00	—	13% below	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12	$73.00	$73.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy	$141.00	$141.00	—	12% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy	$141.00	$141.00	—	—	—
Zinc blood test CPT 84630 Assay Of Zinc	$58.00	$58.00	—	10% above	—
Zinc blood test inpatient CPT 84630 Assay Of Zinc	$58.00	$58.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Lab 84702 Beta Hcg Quantative	$70.00	$70.00	—	21% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic Gonadotropin Test	$73.00	$73.00	—	18% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Lab 84702 Beta Hcg Quantative	$70.00	$70.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic Gonadotropin Test	$73.00	$73.00	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Removal Of Adenoids 1' <12 Yr	$624.00	$624.00	—	59% below	—
Adenoid removal (adenoidectomy), child under 12 CPT 42830 OR 42830 Removal Of Adenoids 1	$12,002.00	$12,002.00	—	681% above	—
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 Removal Of Adenoids 1' <12 Yr	$624.00	$624.00	—	—	—
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 OR 42830 Removal Of Adenoids 1	$12,002.00	$12,002.00	—	—	—
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Neck Spine Fuse&Remov Bel C2	$4,799.00	$4,799.00	—	at median	—
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 OR 22551 Neck Spine Fuse&R	$35,806.00	$35,806.00	—	649% above	—
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 Neck Spine Fuse&Remov Bel C2	$4,799.00	$4,799.00	—	—	—
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 OR 22551 Neck Spine Fuse&R	$35,806.00	$35,806.00	—	—	—
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 OR 44960 Appendectomy Rupture/	$2,137.00	$2,137.00	—	26% above	—
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy	$2,536.00	$2,536.00	—	49% above	—
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 OR 44960 Appendectomy Rupture/	$2,137.00	$2,137.00	—	—	—
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 Appendectomy	$2,536.00	$2,536.00	—	—	—
Appendectomy, open surgery CPT 44950 Appendectomy:	$1,856.00	$1,856.00	—	37% above	—
Appendectomy, open surgery CPT 44950 OR 44950 Appendectomy:	$10,047.00	$10,047.00	—	640% above	—
Appendectomy, open surgery inpatient CPT 44950 Appendectomy:	$1,856.00	$1,856.00	—	—	—
Appendectomy, open surgery inpatient CPT 44950 OR 44950 Appendectomy:	$10,047.00	$10,047.00	—	—	—
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee Arthroscopy/Surgery	$2,845.00	$2,845.00	—	at median	—
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 OR 29888 Arthroscopically Aide	$19,779.00	$19,779.00	—	595% above	—
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Knee Arthroscopy/Surgery	$2,845.00	$2,845.00	—	—	—
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 OR 29888 Arthroscopically Aide	$19,779.00	$19,779.00	—	—	—
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Rotator Cuff Rep Arthroscopy	$3,110.00	$3,110.00	—	1% above	—
Arthroscopic rotator cuff repair of the shoulder CPT 29827 OR 29827 Arthroscop Rotator Cu	$19,779.00	$19,779.00	—	541% above	—
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Rotator Cuff Rep Arthroscopy	$3,110.00	$3,110.00	—	—	—
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 OR 29827 Arthroscop Rotator Cu	$19,779.00	$19,779.00	—	—	—
Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Migraine	$646.00	$646.00	—	65% above	—
Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv Musc Migraine	$646.00	$646.00	—	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion both sides CPT 19081 mm Stereotactic Biopsy Bi	$776.00	$776.00	—	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Lesion Strtctc	$2,437.00	$2,437.00	—	16% below	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient both sides CPT 19081 mm Stereotactic Biopsy Bi	$776.00	$776.00	—	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast 1st Lesion Strtctc	$2,437.00	$2,437.00	—	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 OR 27786 Trtmnt Of Ankle Fract	$745.00	$745.00	—	73% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 MSP 27786 Trtmnt Of Ankle Frac	$745.00	$745.00	—	73% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment Of Ankle Fracture	$854.00	$854.00	—	98% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 MSP 27786 Trtmnt Of Ankle Frac	$745.00	$745.00	—	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 OR 27786 Trtmnt Of Ankle Fract	$745.00	$745.00	—	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Treatment Of Ankle Fracture	$854.00	$854.00	—	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat Metatarsal Fracture	$607.00	$607.00	—	63% above	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cl Tx Metatarsal Fx; Wo Manip	$607.00	$607.00	—	63% above	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 OR 28470 Treat Metatarsal Frac	$686.00	$686.00	—	84% above	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 ED 28470 Cl Tx Metatarsal Fx;	$686.00	$686.00	—	84% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treat Metatarsal Fracture	$607.00	$607.00	—	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Cl Tx Metatarsal Fx; Wo Manip	$607.00	$607.00	—	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 ED 28470 Cl Tx Metatarsal Fx;	$686.00	$686.00	—	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 OR 28470 Treat Metatarsal Frac	$686.00	$686.00	—	—	—
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction Of Bunion	$1,520.00	$1,520.00	—	14% below	—
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 OR 28296 Bunion Rpr, Austin/Ch	$8,943.00	$8,943.00	—	407% above	—
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Correction Of Bunion	$1,520.00	$1,520.00	—	—	—
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 OR 28296 Bunion Rpr, Austin/Ch	$8,943.00	$8,943.00	—	—	—
Bunion correction with removal of part of the big toe joint CPT 28292 Correction Of Bunion	$1,751.00	$1,751.00	—	2% above	—
Bunion correction with removal of part of the big toe joint CPT 28292 OR 28292 Bunion Repair, Mcbrid	$8,943.00	$8,943.00	—	423% above	—
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 Correction Of Bunion	$1,751.00	$1,751.00	—	—	—
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 OR 28292 Bunion Repair, Mcbrid	$8,943.00	$8,943.00	—	—	—
Cardiac catheterization with coronary angiogram CPT 93458 93458 Outside Test L Hrt Arter	$9,158.00	$9,158.00	—	15% below	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 93458 Outside Test L Hrt Arter	$9,158.00	$9,158.00	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electric, Ext	$324.00	$324.00	—	61% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, Elective	$324.00	$324.00	—	61% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 ICU 92960 Cardioversion	$1,775.00	$1,775.00	—	114% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED 92960 Cardioversion, Elec	$1,775.00	$1,775.00	—	114% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 MSP 92960 Cardioversion	$1,775.00	$1,775.00	—	114% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 OR 92960 Cardioversion	$1,775.00	$1,775.00	—	114% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, Elective	$324.00	$324.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Electric, Ext	$324.00	$324.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 OR 92960 Cardioversion	$1,775.00	$1,775.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED 92960 Cardioversion, Elec	$1,775.00	$1,775.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ICU 92960 Cardioversion	$1,775.00	$1,775.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 MSP 92960 Cardioversion	$1,775.00	$1,775.00	—	—	—
Carpal tunnel release, open surgery CPT 64721 Carpal Tunnel Surgery	$1,273.00	$1,273.00	—	27% below	—
Carpal tunnel release, open surgery CPT 64721 OR 64721 Neuroplasty, Transpos	$5,546.00	$5,546.00	—	220% above	—
Carpal tunnel release, open surgery inpatient CPT 64721 Carpal Tunnel Surgery	$1,273.00	$1,273.00	—	—	—
Carpal tunnel release, open surgery inpatient CPT 64721 OR 64721 Neuroplasty, Transpos	$5,546.00	$5,546.00	—	—	—
Cataract surgery with lens implant CPT 66984 Cataract Surg W/Iol 1 Stage E	$1,882.00	$1,882.00	—	63% below	—
Cataract surgery with lens implant CPT 66984 OR 66984 Cataract Surg W/Iol 1	$6,559.00	$6,559.00	—	28% above	—
Cataract surgery with lens implant inpatient CPT 66984 Cataract Surg W/Iol 1 Stage E	$1,882.00	$1,882.00	—	—	—
Cataract surgery with lens implant inpatient CPT 66984 OR 66984 Cataract Surg W/Iol 1	$6,559.00	$6,559.00	—	—	—
Cervical biopsy CPT 57500 Biopsy Of Cervix	$220.00	$220.00	—	41% below	—
Cervical biopsy CPT 57500 OR 57500 Cone Biopsy Cervix	$2,004.00	$2,004.00	—	439% above	—
Cervical biopsy inpatient CPT 57500 Biopsy Of Cervix	$220.00	$220.00	—	—	—
Cervical biopsy inpatient CPT 57500 OR 57500 Cone Biopsy Cervix	$2,004.00	$2,004.00	—	—	—
Cesarean delivery, including prenatal and postpartum care CPT 59510 OR 59510 Routine C-Section	$3,580.00	$3,580.00	—	4% below	—
Cesarean delivery, including prenatal and postpartum care CPT 59510 FBC 59510 Rout Ob/Ap/C-S/Pp	$3,580.00	$3,580.00	—	4% below	—
Cesarean delivery, including prenatal and postpartum care CPT 59510 Cesarean Delivery	$7,512.00	$7,512.00	—	101% above	—
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OR 59510 Routine C-Section	$3,580.00	$3,580.00	—	—	—
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 FBC 59510 Rout Ob/Ap/C-S/Pp	$3,580.00	$3,580.00	—	—	—
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Cesarean Delivery	$7,512.00	$7,512.00	—	—	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 Days Or Older	$581.00	$581.00	—	35% below	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 OR 54161 Circumcision,Not Clam	$5,655.00	$5,655.00	—	532% above	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circum 28 Days Or Older	$581.00	$581.00	—	—	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 OR 54161 Circumcision,Not Clam	$5,655.00	$5,655.00	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Regionl Block	$285.00	$285.00	—	78% below	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 NSY 54150 Circumcision Using C	$341.00	$341.00	—	73% below	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 OR 54150 Circumcision Clamp Ne	$5,655.00	$5,655.00	—	341% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision W/Regionl Block	$285.00	$285.00	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 NSY 54150 Circumcision Using C	$341.00	$341.00	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 OR 54150 Circumcision Clamp Ne	$5,655.00	$5,655.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 MSP 25600 Cltx Dstl Radial Fx/	$686.00	$686.00	—	61% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Ed 25600 Cl Dist Rad Fx W/O Ma	$686.00	$686.00	—	61% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Clsd Distal Rad Fx W/O Manip	$957.00	$957.00	—	125% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat Fracture Radius/Ulna	$957.00	$957.00	—	125% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Ed 25600 Cl Dist Rad Fx W/O Ma	$686.00	$686.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 MSP 25600 Cltx Dstl Radial Fx/	$686.00	$686.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Clsd Distal Rad Fx W/O Manip	$957.00	$957.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treat Fracture Radius/Ulna	$957.00	$957.00	—	—	—
Colonoscopy with polyp removal CPT 45385 Lesion Removal Colonoscopy	$889.00	$889.00	—	38% below	—
Colonoscopy with polyp removal CPT 45385 OR 45385 Colonscopy, Rem Polyp	$3,275.00	$3,275.00	—	127% above	—
Colonoscopy with polyp removal inpatient CPT 45385 Lesion Removal Colonoscopy	$889.00	$889.00	—	—	—
Colonoscopy with polyp removal inpatient CPT 45385 OR 45385 Colonscopy, Rem Polyp	$3,275.00	$3,275.00	—	—	—
Colonoscopy with tissue sample CPT 45380 Colonoscopy And Biopsy	$750.00	$750.00	—	46% below	—
Colonoscopy with tissue sample CPT 45380 OR 45380 Colonoscopy, W/Biopsy	$3,275.00	$3,275.00	—	134% above	—
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy And Biopsy	$750.00	$750.00	—	—	—
Colonoscopy with tissue sample inpatient CPT 45380 OR 45380 Colonoscopy, W/Biopsy	$3,275.00	$3,275.00	—	—	—
Colonoscopy, diagnostic CPT 45378 Diagnostic Colonoscopy	$628.00	$628.00	—	46% below	—
Colonoscopy, diagnostic CPT 45378 OR 45378 Colonoscopy Scrn/Diag	$2,507.00	$2,507.00	—	115% above	—
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic Colonoscopy	$628.00	$628.00	—	—	—
Colonoscopy, diagnostic inpatient CPT 45378 OR 45378 Colonoscopy Scrn/Diag	$2,507.00	$2,507.00	—	—	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx Of Cervix W/Scope, Leep	$466.00	$466.00	—	37% below	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 OR 57460 Colposcopy Leep Proce	$8,286.00	$8,286.00	—	1019% above	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Bx Of Cervix W/Scope, Leep	$466.00	$466.00	—	—	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 OR 57460 Colposcopy Leep Proce	$8,286.00	$8,286.00	—	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx/Curett Of Cervix W/Scope	$392.00	$392.00	—	14% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 OR 57454 Colposcopy W Bx/Bx Ce	$891.00	$891.00	—	160% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Bx/Curett Of Cervix W/Scope	$392.00	$392.00	—	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 OR 57454 Colposcopy W Bx/Bx Ce	$891.00	$891.00	—	—	—
Complex cataract surgery with lens implant CPT 66982 Cataract Surgery Complex	$2,343.00	$2,343.00	—	49% below	—
Complex cataract surgery with lens implant CPT 66982 OR 66982 Cataract Surg W/Iol 1	$6,559.00	$6,559.00	—	44% above	—
Complex cataract surgery with lens implant inpatient CPT 66982 Cataract Surgery Complex	$2,343.00	$2,343.00	—	—	—
Complex cataract surgery with lens implant inpatient CPT 66982 OR 66982 Cataract Surg W/Iol 1	$6,559.00	$6,559.00	—	—	—
Cystoscopy with ureteral stent placement CPT 52332 Cyst W Ins Of Indwelling Uret	$454.00	$454.00	—	73% below	—
Cystoscopy with ureteral stent placement CPT 52332 OR 52332 Cystourethroscopy Wit	$9,710.00	$9,710.00	—	468% above	—
Cystoscopy with ureteral stent placement inpatient CPT 52332 Cyst W Ins Of Indwelling Uret	$454.00	$454.00	—	—	—
Cystoscopy with ureteral stent placement inpatient CPT 52332 OR 52332 Cystourethroscopy Wit	$9,710.00	$9,710.00	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$363.00	$363.00	—	58% below	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 OR 52000 Cystourethroscopy (Se	$1,818.00	$1,818.00	—	111% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy	$363.00	$363.00	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 OR 52000 Cystourethroscopy (Se	$1,818.00	$1,818.00	—	—	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation And Curettage	$690.00	$690.00	—	20% below	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and Currettage	$4,891.00	$4,891.00	—	470% above	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 OR 58120 D&C (Non-Ob)	$8,286.00	$8,286.00	—	866% above	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation And Curettage	$690.00	$690.00	—	—	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation and Currettage	$4,891.00	$4,891.00	—	—	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 OR 58120 D&C (Non-Ob)	$8,286.00	$8,286.00	—	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Premalg Lesion	$161.00	$161.00	—	9% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 OR 17000 Destruct Premalg Lesi	$568.00	$568.00	—	283% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct Premalg Lesion	$161.00	$161.00	—	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 OR 17000 Destruct Premalg Lesi	$568.00	$568.00	—	—	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create Eardrum Opening	$471.00	$471.00	—	78% below	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 OR 69436 Tympanostomy W/Tube,G	$4,272.00	$4,272.00	—	100% above	—
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Create Eardrum Opening	$471.00	$471.00	—	—	—
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 OR 69436 Tympanostomy W/Tube,G	$4,272.00	$4,272.00	—	—	—
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Or 69433 Tympanostomy W/Tube,L	$1,481.00	$1,481.00	—	268% above	—
Ear tube placement (tympanostomy) with local anesthesia, one ear one side CPT 69433 Tympanostomy Local; Unilateral	$590.00	$590.00	—	47% above	—
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Or 69433 Tympanostomy W/Tube,L	$1,481.00	$1,481.00	—	—	—
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient one side CPT 69433 Tympanostomy Local; Unilateral	$590.00	$590.00	—	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax Uni	$119.00	$119.00	—	76% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 ED 69209 Remove Impacted Ear	$177.00	$177.00	—	162% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 OR 69209 Remove Impacted Ear W	$177.00	$177.00	—	162% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove Impacted Ear Wax Uni	$119.00	$119.00	—	—	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 ED 69209 Remove Impacted Ear	$177.00	$177.00	—	—	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 OR 69209 Remove Impacted Ear W	$177.00	$177.00	—	—	—
Earwax removal with instruments, one ear CPT 69210 Removal Of Impacted Cerumen	$97.00	$97.00	—	6% below	—
Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax	$97.00	$97.00	—	6% below	—
Earwax removal with instruments, one ear CPT 69210 ED 69210 Ear Irrigation	$177.00	$177.00	—	71% above	—
Earwax removal with instruments, one ear CPT 69210 OR 69210 Microscopy Removal Ce	$177.00	$177.00	—	71% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 Removal Of Impacted Cerumen	$97.00	$97.00	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impacted Ear Wax	$97.00	$97.00	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 OR 69210 Microscopy Removal Ce	$177.00	$177.00	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 ED 69210 Ear Irrigation	$177.00	$177.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx Wo Cervical Dil	$249.00	$249.00	—	2% below	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy Of Uterus Lining	$293.00	$293.00	—	15% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 OR 58100 Endometrial Bx W/O C	$538.00	$538.00	—	111% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Bx Wo Cervical Dil	$249.00	$249.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy Of Uterus Lining	$293.00	$293.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 OR 58100 Endometrial Bx W/O C	$538.00	$538.00	—	—	—
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Removal Of Ethmoid Sinus	$1,155.00	$1,155.00	—	13% above	—
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 OR 31255 Nasal Endo W/Ethmoid,	$18,390.00	$18,390.00	—	1704% above	—
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 Removal Of Ethmoid Sinus	$1,155.00	$1,155.00	—	—	—
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 OR 31255 Nasal Endo W/Ethmoid,	$18,390.00	$18,390.00	—	—	—
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Sinus Endoscopy, Surgical	$1,453.00	$1,453.00	—	13% above	—
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 OR 31276 Nas/Sin End Surg W/Fr	$18,390.00	$18,390.00	—	1332% above	—
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 Sinus Endoscopy, Surgical	$1,453.00	$1,453.00	—	—	—
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 OR 31276 Nas/Sin End Surg W/Fr	$18,390.00	$18,390.00	—	—	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Nasal End Surg.Maxillary Antro	$576.00	$576.00	—	at median	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 OR 31256 Nasal End Surg. W/Max	$9,782.00	$9,782.00	—	1598% above	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 Nasal End Surg.Maxillary Antro	$576.00	$576.00	—	—	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 OR 31256 Nasal End Surg. W/Max	$9,782.00	$9,782.00	—	—	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy, Maxillary Sinus	$917.00	$917.00	—	60% below	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 OR 31267 Nasal/Sinus Antrostom	$18,390.00	$18,390.00	—	705% above	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Endoscopy, Maxillary Sinus	$917.00	$917.00	—	—	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 OR 31267 Nasal/Sinus Antrostom	$18,390.00	$18,390.00	—	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/Thrc	$722.00	$722.00	—	41% below	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx Interlaminar Crv/Thrc	$722.00	$722.00	—	—	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 Intravitreal Injection Of Drug	$888.00	$888.00	—	44% above	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 ED 67028 Intravitreal Inj Drug	$1,008.00	$1,008.00	—	64% above	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 MSP 67028 Injection Eye Drug	$1,008.00	$1,008.00	—	64% above	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 ICU 67028 Injection Eye Drug	$1,008.00	$1,008.00	—	64% above	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 OR 67028 Intravitreal Inj Drug	$1,008.00	$1,008.00	—	64% above	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Intravitreal Injection Of Drug	$888.00	$888.00	—	—	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 ED 67028 Intravitreal Inj Drug	$1,008.00	$1,008.00	—	—	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 OR 67028 Intravitreal Inj Drug	$1,008.00	$1,008.00	—	—	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 ICU 67028 Injection Eye Drug	$1,008.00	$1,008.00	—	—	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 MSP 67028 Injection Eye Drug	$1,008.00	$1,008.00	—	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Paravert F Jnt L/S 1 Lev	$1,564.00	$1,564.00	—	22% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Paravert F Jnt L/S 1 Lev	$1,564.00	$1,564.00	—	—	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$1,623.00	$1,623.00	—	34% below	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 OR 49593 RPR AA HRN 1ST 3-10 R	$10,764.00	$10,764.00	—	337% above	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 RPR AA HRN 1ST 3-10 RDC	$1,623.00	$1,623.00	—	—	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 OR 49593 RPR AA HRN 1ST 3-10 R	$10,764.00	$10,764.00	—	—	—
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC	$2,182.00	$2,182.00	—	3% below	—
First repair of a front abdominal hernia larger than 10 cm CPT 49595 OR 49595 RPR AA HRN 1ST > 10 R	$10,764.00	$10,764.00	—	377% above	—
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 RPR AA HRN 1ST > 10 RDC	$2,182.00	$2,182.00	—	—	—
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 OR 49595 RPR AA HRN 1ST > 10 R	$10,764.00	$10,764.00	—	—	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$969.00	$969.00	—	55% below	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 OR 49591 RPR AA HRN 1ST < 3 CM	$10,764.00	$10,764.00	—	398% above	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$969.00	$969.00	—	—	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 OR 49591 RPR AA HRN 1ST < 3 CM	$10,764.00	$10,764.00	—	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic Sigmoidoscopy	$189.00	$189.00	—	75% below	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 OR 45330 Sigmoidoscopy Flex Di	$2,507.00	$2,507.00	—	225% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic Sigmoidoscopy	$189.00	$189.00	—	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 OR 45330 Sigmoidoscopy Flex Di	$2,507.00	$2,507.00	—	—	—
Gallbladder removal, laparoscopic CPT 47562 Laparoscopic Cholecystectomy	$1,910.00	$1,910.00	—	6% below	—
Gallbladder removal, laparoscopic CPT 47562 OR 47562 Lap Cholecystectomy	$15,978.00	$15,978.00	—	683% above	—
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopic Cholecystectomy	$1,910.00	$1,910.00	—	—	—
Gallbladder removal, laparoscopic inpatient CPT 47562 OR 47562 Lap Cholecystectomy	$15,978.00	$15,978.00	—	—	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo Cholecystectomy/Graph	$2,077.00	$2,077.00	—	at median	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 OR 47563 Lap Cholecysyst/Chola	$15,978.00	$15,978.00	—	672% above	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Laparo Cholecystectomy/Graph	$2,077.00	$2,077.00	—	—	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 OR 47563 Lap Cholecysyst/Chola	$15,978.00	$15,978.00	—	—	—
Gallbladder removal, open surgery through a larger incision CPT 47600 OR 47600 Cholecystectomy	$2,626.00	$2,626.00	—	23% above	—
Gallbladder removal, open surgery through a larger incision CPT 47600 Removal Of Gallbladder	$3,089.00	$3,089.00	—	44% above	—
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 OR 47600 Cholecystectomy	$2,626.00	$2,626.00	—	—	—
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Removal Of Gallbladder	$3,089.00	$3,089.00	—	—	—
Hammertoe correction surgery CPT 28285 Repair Of Hammertoe	$1,133.00	$1,133.00	—	52% below	—
Hammertoe correction surgery CPT 28285 Hammertoe Op One Toe	$5,503.00	$5,503.00	—	135% above	—
Hammertoe correction surgery CPT 28285 OR 28285 Hammertoe Operation	$8,943.00	$8,943.00	—	282% above	—
Hammertoe correction surgery inpatient CPT 28285 Repair Of Hammertoe	$1,133.00	$1,133.00	—	—	—
Hammertoe correction surgery inpatient CPT 28285 Hammertoe Op One Toe	$5,503.00	$5,503.00	—	—	—
Hammertoe correction surgery inpatient CPT 28285 OR 28285 Hammertoe Operation	$8,943.00	$8,943.00	—	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation Of Hemorrhoid(s)	$546.00	$546.00	—	16% below	—
Hemorrhoid banding (rubber band ligation) CPT 46221 OR 46221 Hemorrhoidectomy By S	$2,507.00	$2,507.00	—	285% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation Of Hemorrhoid(s)	$546.00	$546.00	—	—	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 OR 46221 Hemorrhoidectomy By S	$2,507.00	$2,507.00	—	—	—
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy	$1,049.00	$1,049.00	—	9% below	—
Hemorrhoidectomy (internal and external), one area CPT 46255 OR 46255 Hemorrhoidectomy, Int	$7,715.00	$7,715.00	—	566% above	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Hemorrhoidectomy	$1,049.00	$1,049.00	—	—	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 OR 46255 Hemorrhoidectomy, Int	$7,715.00	$7,715.00	—	—	—
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Conv To Tot Hip Arthropl	$4,835.00	$4,835.00	—	15% above	—
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 OR 27132 Conv To Tot Hip Arthr	$6,304.00	$6,304.00	—	50% above	—
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 Conv To Tot Hip Arthropl	$4,835.00	$4,835.00	—	—	—
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 OR 27132 Conv To Tot Hip Arthr	$6,304.00	$6,304.00	—	—	—
Hysterectomy through an abdominal incision (total) CPT 58150 Total Hysterectomy	$2,978.00	$2,978.00	—	11% above	—
Hysterectomy through an abdominal incision (total) CPT 58150 OR 58150 Hysterectomy, Total A	$3,580.00	$3,580.00	—	34% above	—
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Total Hysterectomy	$2,978.00	$2,978.00	—	—	—
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 OR 58150 Hysterectomy, Total A	$3,580.00	$3,580.00	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter for Hyterography	$162.00	$162.00	—	51% below	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hysterogr/Sis Contr/Saline Inj	$167.00	$167.00	—	50% below	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter For Hysterography	$513.00	$513.00	—	54% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 OR 58340 Catheter for Hyterogr	$513.00	$513.00	—	54% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheter for Hyterography	$162.00	$162.00	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hysterogr/Sis Contr/Saline Inj	$167.00	$167.00	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 OR 58340 Catheter for Hyterogr	$513.00	$513.00	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheter For Hysterography	$513.00	$513.00	—	—	—
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy; W Endometrial Ab	$4,390.00	$4,390.00	—	13% above	—
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Ablation	$7,948.00	$7,948.00	—	105% above	—
Hysteroscopy with endometrial ablation CPT 58563 OR 58563 Hysteroscopy; W Endom	$13,924.00	$13,924.00	—	259% above	—
Hysteroscopy with endometrial ablation inpatient CPT 58563 Hysteroscopy; W Endometrial Ab	$4,390.00	$4,390.00	—	—	—
Hysteroscopy with endometrial ablation inpatient CPT 58563 Hysteroscopy Ablation	$7,948.00	$7,948.00	—	—	—
Hysteroscopy with endometrial ablation inpatient CPT 58563 OR 58563 Hysteroscopy; W Endom	$13,924.00	$13,924.00	—	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy, Biopsy	$4,859.00	$4,859.00	—	37% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 OR 58558 Hysteroscope W/Bx End	$8,286.00	$8,286.00	—	134% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy, Biopsy	$4,859.00	$4,859.00	—	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 OR 58558 Hysteroscope W/Bx End	$8,286.00	$8,286.00	—	—	—
IUD insertion (the device itself billed separately) CPT 58300 Insert Intrauterine Device	$179.00	$179.00	—	32% below	—
IUD insertion (the device itself billed separately) CPT 58300 OR 58300 Insert Iud	$217.00	$217.00	—	17% below	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert Intrauterine Device	$179.00	$179.00	—	—	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 OR 58300 Insert Iud	$217.00	$217.00	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Absc; Smpl Or Sgl	$303.00	$303.00	—	22% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage Of Skin Abscess	$308.00	$308.00	—	24% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 Abcess Incision & Dr	$309.00	$309.00	—	24% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abcess Simple/Single	$309.00	$309.00	—	24% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 MSP 10060 I & D Abscess	$567.00	$567.00	—	128% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 ED 10060 I&D Abcess Simple/Sgl	$567.00	$567.00	—	128% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 OR 10060 Abscess I&D Simple/S	$567.00	$567.00	—	128% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 ICU 10060 I&D Absc; Smpl Or Sg	$567.00	$567.00	—	128% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Absc; Smpl Or Sgl	$303.00	$303.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage Of Skin Abscess	$308.00	$308.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abcess Simple/Single	$309.00	$309.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Abcess Incision & Dr	$309.00	$309.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ED 10060 I&D Abcess Simple/Sgl	$567.00	$567.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 MSP 10060 I & D Abscess	$567.00	$567.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ICU 10060 I&D Absc; Smpl Or Sg	$567.00	$567.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 OR 10060 Abscess I&D Simple/S	$567.00	$567.00	—	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp I/Hern Init Reduc >5 Yr	$1,515.00	$1,515.00	—	at median	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 OR 49505 Hernia Rep +5Yrs Inca	$10,047.00	$10,047.00	—	565% above	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Prp I/Hern Init Reduc >5 Yr	$1,515.00	$1,515.00	—	—	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 OR 49505 Hernia Rep +5Yrs Inca	$10,047.00	$10,047.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection Trigger Point	$127.00	$127.00	—	49% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Sgl Tendon Shth Or Ligamen	$130.00	$130.00	—	48% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath/Ligament	$449.00	$449.00	—	81% above	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 OR 20550 Inj Tendon Sheath/Lig	$826.00	$826.00	—	233% above	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ED 20550 Inj Sgl Tendon Shth O	$826.00	$826.00	—	233% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection Trigger Point	$127.00	$127.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Sgl Tendon Shth Or Ligamen	$130.00	$130.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Tendon Sheath/Ligament	$449.00	$449.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 OR 20550 Inj Tendon Sheath/Lig	$826.00	$826.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ED 20550 Inj Sgl Tendon Shth O	$826.00	$826.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inj Major Jnt/Bursa	$173.00	$173.00	—	51% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration/Inj Major Joint	$173.00	$173.00	—	51% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration/Injection	$174.00	$174.00	—	51% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inject, Joint/Bursa	$525.00	$525.00	—	48% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inject, Joint/Bursa	$525.00	$525.00	—	48% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ED 20610 Aspirat/Inj Major Jnt	$826.00	$826.00	—	133% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MSP 20610 Aspiration Knee Jnt	$826.00	$826.00	—	133% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OR 20610 Arthrocert Aspiration	$826.00	$826.00	—	133% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inj Major Jnt/Bursa	$1,331.00	$1,331.00	—	276% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inj Major Jnt/Bursa	$173.00	$173.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration/Inj Major Joint	$173.00	$173.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration/Injection	$174.00	$174.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inject, Joint/Bursa	$525.00	$525.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inject, Joint/Bursa	$525.00	$525.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 OR 20610 Arthrocert Aspiration	$826.00	$826.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ED 20610 Aspirat/Inj Major Jnt	$826.00	$826.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MSP 20610 Aspiration Knee Jnt	$826.00	$826.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inj Major Jnt/Bursa	$1,331.00	$1,331.00	—	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant	$332.00	$332.00	—	20% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 OR 11981 Insert Drug Implant	$357.00	$357.00	—	30% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert Drug Implant	$332.00	$332.00	—	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 OR 11981 Insert Drug Implant	$357.00	$357.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration/Inj Intermed Joint	$111.00	$111.00	—	64% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inject, Joint/Bursa	$449.00	$449.00	—	46% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration/Injection	$511.00	$511.00	—	66% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 MSP 20605 Drain/Inj Joint/Burs	$795.00	$795.00	—	159% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ED 20605 Aspirat/Inj Inter Jnt	$826.00	$826.00	—	169% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 OR 20605 Arthrocentesis Aspir/	$826.00	$826.00	—	169% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inj Inter Jnt/Bursa W/Us	$1,085.00	$1,085.00	—	253% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration/Inj Intermed Joint	$111.00	$111.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inject, Joint/Bursa	$449.00	$449.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration/Injection	$511.00	$511.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 MSP 20605 Drain/Inj Joint/Burs	$795.00	$795.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ED 20605 Aspirat/Inj Inter Jnt	$826.00	$826.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 OR 20605 Arthrocentesis Aspir/	$826.00	$826.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inj Inter Jnt/Bursa W/Us	$1,085.00	$1,085.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration/Injection	$106.00	$106.00	—	62% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inject Sm Jnt/Bursa	$117.00	$117.00	—	58% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inject, Joint/Bursa	$449.00	$449.00	—	63% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inj Small Joint/Bursa W/	$752.00	$752.00	—	172% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ED 20600 Drain/Inj Small Joint	$826.00	$826.00	—	199% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 OR 20600 Aspiration/Inj Small	$826.00	$826.00	—	199% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration/Injection	$106.00	$106.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inject Sm Jnt/Bursa	$117.00	$117.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inject, Joint/Bursa	$449.00	$449.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inj Small Joint/Bursa W/	$752.00	$752.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 OR 20600 Aspiration/Inj Small	$826.00	$826.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ED 20600 Drain/Inj Small Joint	$826.00	$826.00	—	—	—
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee Arthroscopy/Surgery	$2,010.00	$2,010.00	—	5% below	—
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 OR 29882 Arthroscopy, Knee, Su	$8,943.00	$8,943.00	—	323% above	—
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 Knee Arthroscopy/Surgery	$2,010.00	$2,010.00	—	—	—
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 OR 29882 Arthroscopy, Knee, Su	$8,943.00	$8,943.00	—	—	—
Knee arthroscopy with meniscus trim CPT 29881 Knee Arthroscopy/Surgery	$1,580.00	$1,580.00	—	35% below	—
Knee arthroscopy with meniscus trim CPT 29881 OR 29881 Arthroscopy, Knee, Su	$8,943.00	$8,943.00	—	270% above	—
Knee arthroscopy with meniscus trim inpatient CPT 29881 Knee Arthroscopy/Surgery	$1,580.00	$1,580.00	—	—	—
Knee arthroscopy with meniscus trim inpatient CPT 29881 OR 29881 Arthroscopy, Knee, Su	$8,943.00	$8,943.00	—	—	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee Arthroscopy/Surgery	$1,641.00	$1,641.00	—	26% below	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 OR 29880 Arthroscopy, Knee, Su	$8,943.00	$8,943.00	—	302% above	—
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Knee Arthroscopy/Surgery	$1,641.00	$1,641.00	—	—	—
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 OR 29880 Arthroscopy, Knee, Su	$8,943.00	$8,943.00	—	—	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee Arthroscopy/Surgery	$1,811.00	$1,811.00	—	1% above	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 OR 29877 Arthroscopy, Knee, Su	$8,943.00	$8,943.00	—	397% above	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Knee Arthroscopy/Surgery	$1,811.00	$1,811.00	—	—	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 OR 29877 Arthroscopy, Knee, Su	$8,943.00	$8,943.00	—	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy, Appendectomy	$1,744.00	$1,744.00	—	1% above	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 OR 44970 Laparosc;Appendectomy	$15,978.00	$15,978.00	—	825% above	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopy, Appendectomy	$1,744.00	$1,744.00	—	—	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 OR 44970 Laparosc;Appendectomy	$15,978.00	$15,978.00	—	—	—
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH Uterus 250 G Or Less	$3,245.00	$3,245.00	—	47% above	—
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 OR 58570 TLH Uters 250G Or Les	$28,125.00	$28,125.00	—	1174% above	—
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 TLH Uterus 250 G Or Less	$3,245.00	$3,245.00	—	—	—
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 OR 58570 TLH Uters 250G Or Les	$28,125.00	$28,125.00	—	—	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh W/T/O 250 G Or Less	$2,672.00	$2,672.00	—	at median	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 OR 58571 Tlh W/T/O 250 G Or Le	$25,874.00	$25,874.00	—	865% above	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Tlh W/T/O 250 G Or Less	$2,672.00	$2,672.00	—	—	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 OR 58571 Tlh W/T/O 250 G Or Le	$25,874.00	$25,874.00	—	—	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparo Hernia Repair Initial	$1,255.00	$1,255.00	—	2% above	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 OR 49650 Lap Repair Abdominal	$15,978.00	$15,978.00	—	1202% above	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Laparo Hernia Repair Initial	$1,255.00	$1,255.00	—	—	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 OR 49650 Lap Repair Abdominal	$15,978.00	$15,978.00	—	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laparo Hernia Repair Recur	$1,636.00	$1,636.00	—	16% above	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 OR 49651 Lap Repair Recurr. In	$15,978.00	$15,978.00	—	1031% above	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Laparo Hernia Repair Recur	$1,636.00	$1,636.00	—	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 OR 49651 Lap Repair Recurr. In	$15,978.00	$15,978.00	—	—	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy, Remove Adnexa	$1,920.00	$1,920.00	—	2% above	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 OR 58661 Lap Rem Adnexal Struc	$15,978.00	$15,978.00	—	751% above	—
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Laparoscopy, Remove Adnexa	$1,920.00	$1,920.00	—	—	—
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 OR 58661 Lap Rem Adnexal Struc	$15,978.00	$15,978.00	—	—	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 After Cataract Laser Surgery 1	$909.00	$909.00	—	33% above	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 OR 66821 After Cataract Laser	$1,557.00	$1,557.00	—	127% above	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 After Cataract Laser Surgery 1	$909.00	$909.00	—	—	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 OR 66821 After Cataract Laser	$1,557.00	$1,557.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Wnd Rpr <2.5Cm	$442.00	$442.00	—	24% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layer Closure Of Wounds	$442.00	$442.00	—	24% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd Wnd Repair S/A/T/Ext	$592.00	$592.00	—	66% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED 12031 Wnd Rpr Interm <2.5Cm	$1,092.00	$1,092.00	—	207% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 OR 12031 Intermed Rep, Scalp 2	$1,092.00	$1,092.00	—	207% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Wnd Rpr <2.5Cm	$442.00	$442.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Layer Closure Of Wounds	$442.00	$442.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intmd Wnd Repair S/A/T/Ext	$592.00	$592.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 OR 12031 Intermed Rep, Scalp 2	$1,092.00	$1,092.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ED 12031 Wnd Rpr Interm <2.5Cm	$1,092.00	$1,092.00	—	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac	$1,257.00	$1,257.00	—	6% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Interlaminar Lmbr/Sac	$1,257.00	$1,257.00	—	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 Njx Interlaminar Lmbr/Sac	$456.00	$456.00	—	41% below	—
Lower-back epidural injection, without imaging guidance CPT 62322 FBC 62322 Njx Interlaminar Lmb	$2,007.00	$2,007.00	—	161% above	—
Lower-back epidural injection, without imaging guidance CPT 62322 OR 62322 Njx Interlaminar Lmbr	$2,007.00	$2,007.00	—	161% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx Interlaminar Lmbr/Sac	$456.00	$456.00	—	—	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 FBC 62322 Njx Interlaminar Lmb	$2,007.00	$2,007.00	—	—	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 OR 62322 Njx Interlaminar Lmbr	$2,007.00	$2,007.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Foramen Epidural L/S	$1,600.00	$1,600.00	—	22% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Foramen Epidural L/S	$1,600.00	$1,600.00	—	—	—
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Low Back Disk Surgery	$2,769.00	$2,769.00	—	25% above	—
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 OR 63030 Lumbar Laminectomy	$19,779.00	$19,779.00	—	789% above	—
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 Low Back Disk Surgery	$2,769.00	$2,769.00	—	—	—
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 OR 63030 Lumbar Laminectomy	$19,779.00	$19,779.00	—	—	—
Lumbar laminectomy (spinal decompression), one level both sides CPT 63047 OR 63047 Laminectomy Uni/Bilat	$19,779.00	$19,779.00	—	—	—
Lumbar laminectomy (spinal decompression), one level CPT 63047 Removal Of Spinal Lamina	$3,135.00	$3,135.00	—	22% above	—
Lumbar laminectomy (spinal decompression), one level inpatient both sides CPT 63047 OR 63047 Laminectomy Uni/Bilat	$19,779.00	$19,779.00	—	—	—
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 Removal Of Spinal Lamina	$3,135.00	$3,135.00	—	—	—
Lumbar spinal fusion (posterior), one level CPT 22612 Arthrd Pst Tq 1ntrspc Lumbar	$4,169.00	$4,169.00	—	7% above	—
Lumbar spinal fusion (posterior), one level CPT 22612 OR 22612 Lumbar Spine Fusion	$35,806.00	$35,806.00	—	816% above	—
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 Arthrd Pst Tq 1ntrspc Lumbar	$4,169.00	$4,169.00	—	—	—
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 OR 22612 Lumbar Spine Fusion	$35,806.00	$35,806.00	—	—	—
Lumpectomy (partial mastectomy) CPT 19301 Partical Mastectomy	$1,910.00	$1,910.00	—	12% above	—
Lumpectomy (partial mastectomy) CPT 19301 OR 19301 Mastectomy, Partial	$9,972.00	$9,972.00	—	483% above	—
Lumpectomy (partial mastectomy) inpatient CPT 19301 Partical Mastectomy	$1,910.00	$1,910.00	—	—	—
Lumpectomy (partial mastectomy) inpatient CPT 19301 OR 19301 Mastectomy, Partial	$9,972.00	$9,972.00	—	—	—
Mastectomy (total removal of the breast) CPT 19303 Mast, Simple, Complete	$2,766.00	$2,766.00	—	18% above	—
Mastectomy (total removal of the breast) CPT 19303 OR 19303 Mastectomy Simple Com	$17,477.00	$17,477.00	—	647% above	—
Mastectomy (total removal of the breast) inpatient CPT 19303 Mast, Simple, Complete	$2,766.00	$2,766.00	—	—	—
Mastectomy (total removal of the breast) inpatient CPT 19303 OR 19303 Mastectomy Simple Com	$17,477.00	$17,477.00	—	—	—
Miscarriage treatment with D&C, first trimester CPT 59820 Care Of Miscarriage	$1,106.00	$1,106.00	—	2% below	—
Miscarriage treatment with D&C, first trimester CPT 59820 OR 59820 Tx,Missed Ab,1st Trim	$8,286.00	$8,286.00	—	636% above	—
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Care Of Miscarriage	$1,106.00	$1,106.00	—	—	—
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 OR 59820 Tx,Missed Ab,1st Trim	$8,286.00	$8,286.00	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-Ext B9Marg 0.5 < Cm	$244.00	$244.00	—	12% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Skin Lesion Removal, Trunk, Ar	$244.00	$244.00	—	12% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 OR 11400 Skin Les Rem, Trunk,	$1,966.00	$1,966.00	—	609% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ED 11400 Lesion Rem 0.5 Or <	$1,966.00	$1,966.00	—	609% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Skin Lesion Removal, Trunk, Ar	$244.00	$244.00	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Tr-Ext B9Marg 0.5 < Cm	$244.00	$244.00	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 OR 11400 Skin Les Rem, Trunk,	$1,966.00	$1,966.00	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 ED 11400 Lesion Rem 0.5 Or <	$1,966.00	$1,966.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Face-mm B9Marg 0.5 < Cm	$309.00	$309.00	—	30% below	—
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/<	$309.00	$309.00	—	30% below	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 OR 11440 Skin Les Rem, Face 0.	$1,966.00	$1,966.00	—	343% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 ED 11440 Exc Face-MM B9+Marg 0	$1,966.00	$1,966.00	—	343% above	—
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/<	$309.00	$309.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Face-mm B9Marg 0.5 < Cm	$309.00	$309.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 OR 11440 Skin Les Rem, Face 0.	$1,966.00	$1,966.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 ED 11440 Exc Face-MM B9+Marg 0	$1,966.00	$1,966.00	—	—	—
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail, Simple/Single	$161.00	$161.00	—	24% below	—
Nail removal (partial or complete), one nail CPT 11730 Removal Of Nail Plate	$308.00	$308.00	—	45% above	—
Nail removal (partial or complete), one nail CPT 11730 Nail Repair, Single	$400.00	$400.00	—	88% above	—
Nail removal (partial or complete), one nail CPT 11730 ED 11730 Avulsion Nail, Sim/Sg	$567.00	$567.00	—	166% above	—
Nail removal (partial or complete), one nail CPT 11730 OR 11730 Avulsion Of Nail Plat	$567.00	$567.00	—	166% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail, Simple/Single	$161.00	$161.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal Of Nail Plate	$308.00	$308.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Nail Repair, Single	$400.00	$400.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 OR 11730 Avulsion Of Nail Plat	$567.00	$567.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 ED 11730 Avulsion Nail, Sim/Sg	$567.00	$567.00	—	—	—
Occipital nerve block (injection for headaches) CPT 64405 Njx Aa&/Strd Gr Ocpl Nrv	$238.00	$238.00	—	41% below	—
Occipital nerve block (injection for headaches) CPT 64405 N Block Inj, Occipital	$536.00	$536.00	—	33% above	—
Occipital nerve block (injection for headaches) CPT 64405 OR 64405 Njx Aa&/Strd Gr Ocpl	$826.00	$826.00	—	104% above	—
Occipital nerve block (injection for headaches) CPT 64405 ED 64405Bl Njx Aa&/Strd Gr Ocp	$1,192.00	$1,192.00	—	195% above	—
Occipital nerve block (injection for headaches) CPT 64405 Inj Anesth ; Greater Occipita	$1,606.00	$1,606.00	—	297% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx Aa&/Strd Gr Ocpl Nrv	$238.00	$238.00	—	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 N Block Inj, Occipital	$536.00	$536.00	—	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 OR 64405 Njx Aa&/Strd Gr Ocpl	$826.00	$826.00	—	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 ED 64405Bl Njx Aa&/Strd Gr Ocp	$1,192.00	$1,192.00	—	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Inj Anesth ; Greater Occipita	$1,606.00	$1,606.00	—	—	—
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imaging	$1,567.00	$1,567.00	—	38% above	—
Paracentesis with imaging guidance CPT 49083 ED 49083 Abd Paracentesis W/Im	$2,556.00	$2,556.00	—	126% above	—
Paracentesis with imaging guidance CPT 49083 OR 49083 Abd Paracentesis W/Im	$2,556.00	$2,556.00	—	126% above	—
Paracentesis with imaging guidance CPT 49083 MSP 49083 Abd Paracentesis W/I	$2,556.00	$2,556.00	—	126% above	—
Paracentesis with imaging guidance CPT 49083 MSP 49083 ABD PARACENTESIS W/I	$2,628.00	$2,628.00	—	132% above	—
Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Imaging	$1,567.00	$1,567.00	—	—	—
Paracentesis with imaging guidance inpatient CPT 49083 OR 49083 Abd Paracentesis W/Im	$2,556.00	$2,556.00	—	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ED 49083 Abd Paracentesis W/Im	$2,556.00	$2,556.00	—	—	—
Paracentesis with imaging guidance inpatient CPT 49083 MSP 49083 Abd Paracentesis W/I	$2,556.00	$2,556.00	—	—	—
Paracentesis with imaging guidance inpatient CPT 49083 MSP 49083 ABD PARACENTESIS W/I	$2,628.00	$2,628.00	—	—	—
Partial knee replacement (one compartment) CPT 27446 Arthropl Knee C&P; Medial Lat	$3,345.00	$3,345.00	—	6% above	—
Partial knee replacement (one compartment) CPT 27446 OR 27446 Arthroplasty Knee,Med	$35,806.00	$35,806.00	—	1031% above	—
Partial knee replacement (one compartment) inpatient CPT 27446 Arthropl Knee C&P; Medial Lat	$3,345.00	$3,345.00	—	—	—
Partial knee replacement (one compartment) inpatient CPT 27446 OR 27446 Arthroplasty Knee,Med	$35,806.00	$35,806.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent Nail Removal	$463.00	$463.00	—	7% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Perm Nail Removal	$482.00	$482.00	—	11% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed	$592.00	$592.00	—	37% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ED 11750 Perm Nail Removal	$1,092.00	$1,092.00	—	152% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 OR 11750 Permanent Nail Remov	$1,092.00	$1,092.00	—	152% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Permanent Nail Removal	$463.00	$463.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Perm Nail Removal	$482.00	$482.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal Of Nail Bed	$592.00	$592.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 OR 11750 Permanent Nail Remov	$1,092.00	$1,092.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ED 11750 Perm Nail Removal	$1,092.00	$1,092.00	—	—	—
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laparo Radical Prostatectomy	$4,229.00	$4,229.00	—	at median	—
Prostate removal (prostatectomy), laparoscopic CPT 55866 OR 55866 Laparo Radical Prosta	$28,125.00	$28,125.00	—	565% above	—
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Laparo Radical Prostatectomy	$4,229.00	$4,229.00	—	—	—
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 OR 55866 Laparo Radical Prosta	$28,125.00	$28,125.00	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumb/Sac Facet Jnt	$3,335.00	$3,335.00	—	52% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy Lumb/Sac Facet Jnt	$3,335.00	$3,335.00	—	—	—
Removal of a breast lump, open surgery CPT 19120 Removal Of Breast Lesion	$1,206.00	$1,206.00	—	14% below	—
Removal of a breast lump, open surgery CPT 19120 Removal Of Breast Lesion 1+	$6,090.00	$6,090.00	—	333% above	—
Removal of a breast lump, open surgery CPT 19120 OR 19120 Breast, Excision Of C	$9,972.00	$9,972.00	—	608% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 Removal Of Breast Lesion	$1,206.00	$1,206.00	—	—	—
Removal of a breast lump, open surgery inpatient CPT 19120 Removal Of Breast Lesion 1+	$6,090.00	$6,090.00	—	—	—
Removal of a breast lump, open surgery inpatient CPT 19120 OR 19120 Breast, Excision Of C	$9,972.00	$9,972.00	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 Fb Removal, Subq Tissue, Smpl	$305.00	$305.00	—	1% below	—
Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body	$305.00	$305.00	—	1% below	—
Removal of a foreign object under the skin, simple CPT 10120 Removal Of Foreign Body Simple	$477.00	$477.00	—	55% above	—
Removal of a foreign object under the skin, simple CPT 10120 ED 10120 Fb Rem Subq Tiss, Sim	$1,092.00	$1,092.00	—	254% above	—
Removal of a foreign object under the skin, simple CPT 10120 OR 10120 Fb Rem, Subq Tissues	$1,092.00	$1,092.00	—	254% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Fb Removal, Subq Tissue, Smpl	$305.00	$305.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove Foreign Body	$305.00	$305.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal Of Foreign Body Simple	$477.00	$477.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 OR 10120 Fb Rem, Subq Tissues	$1,092.00	$1,092.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 ED 10120 Fb Rem Subq Tiss, Sim	$1,092.00	$1,092.00	—	—	—
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial Removal Of Thyroid	$2,065.00	$2,065.00	—	22% above	—
Removal of one lobe of the thyroid (lobectomy) CPT 60220 OR 60220 Thyroidectomy, Total	$15,978.00	$15,978.00	—	846% above	—
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 Partial Removal Of Thyroid	$2,065.00	$2,065.00	—	—	—
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 OR 60220 Thyroidectomy, Total	$15,978.00	$15,978.00	—	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Scrn Colonoscopy Pt Not Hi Ri	$314.00	$314.00	—	70% below	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 OR G0121 Scrn Colonoscopy Pt	$2,507.00	$2,507.00	—	142% above	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Scrn Colonoscopy Pt Not Hi Ri	$314.00	$314.00	—	—	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 OR G0121 Scrn Colonoscopy Pt	$2,507.00	$2,507.00	—	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Scrn; Hi Risk Ind	$543.00	$543.00	—	50% below	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 OR G0105 Scrn Colonosc Hi Risk	$2,507.00	$2,507.00	—	129% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal Scrn; Hi Risk Ind	$543.00	$543.00	—	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 OR G0105 Scrn Colonosc Hi Risk	$2,507.00	$2,507.00	—	—	—
Septoplasty to straighten the nasal septum CPT 30520 Repair Of Nasal Septum	$2,013.00	$2,013.00	—	13% below	—
Septoplasty to straighten the nasal septum CPT 30520 OR 30520 Septoplasty	$7,459.00	$7,459.00	—	224% above	—
Septoplasty to straighten the nasal septum inpatient CPT 30520 Repair Of Nasal Septum	$2,013.00	$2,013.00	—	—	—
Septoplasty to straighten the nasal septum inpatient CPT 30520 OR 30520 Septoplasty	$7,459.00	$7,459.00	—	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy Extracorporeal Sh	$1,680.00	$1,680.00	—	50% below	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 OR 50590 Lithotripsy Extracorp	$9,710.00	$9,710.00	—	189% above	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsy Extracorporeal Sh	$1,680.00	$1,680.00	—	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 OR 50590 Lithotripsy Extracorp	$9,710.00	$9,710.00	—	—	—
Short arm cast (elbow to hand) CPT 29075 Application Of Forearm Cast	$179.00	$179.00	—	21% below	—
Short arm cast (elbow to hand) CPT 29075 OR 29075 Short Arm Cast Applic	$763.00	$763.00	—	236% above	—
Short arm cast (elbow to hand) CPT 29075 ED 29075 Short Arm Cast Applic	$763.00	$763.00	—	236% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 Application Of Forearm Cast	$179.00	$179.00	—	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 OR 29075 Short Arm Cast Applic	$763.00	$763.00	—	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 ED 29075 Short Arm Cast Applic	$763.00	$763.00	—	—	—
Short arm splint (forearm and hand) CPT 29125 Apply Forearm Splint	$195.00	$195.00	—	9% above	—
Short arm splint (forearm and hand) CPT 29125 ED 29125 Short Arm Splint Appl	$357.00	$357.00	—	100% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 Apply Forearm Splint	$195.00	$195.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 ED 29125 Short Arm Splint Appl	$357.00	$357.00	—	—	—
Short leg cast (below the knee) CPT 29405 Short Leg Cast Applic	$170.00	$170.00	—	29% below	—
Short leg cast (below the knee) CPT 29405 Apply Short Leg Cast	$737.00	$737.00	—	206% above	—
Short leg cast (below the knee) CPT 29405 ED 29405 Short Leg Cast Applic	$763.00	$763.00	—	217% above	—
Short leg cast (below the knee) CPT 29405 OR 29405 Short Leg Cast Applic	$763.00	$763.00	—	217% above	—
Short leg cast (below the knee) CPT 29405 MSP 29405 Short Leg Cast App	$763.00	$763.00	—	217% above	—
Short leg cast (below the knee) inpatient CPT 29405 Short Leg Cast Applic	$170.00	$170.00	—	—	—
Short leg cast (below the knee) inpatient CPT 29405 Apply Short Leg Cast	$737.00	$737.00	—	—	—
Short leg cast (below the knee) inpatient CPT 29405 OR 29405 Short Leg Cast Applic	$763.00	$763.00	—	—	—
Short leg cast (below the knee) inpatient CPT 29405 MSP 29405 Short Leg Cast App	$763.00	$763.00	—	—	—
Short leg cast (below the knee) inpatient CPT 29405 ED 29405 Short Leg Cast Applic	$763.00	$763.00	—	—	—
Short leg splint (calf to foot) CPT 29515 Application Lower Leg Splint	$243.00	$243.00	—	45% above	—
Short leg splint (calf to foot) CPT 29515 ED 29515 Apply Short Leg Splin	$447.00	$447.00	—	167% above	—
Short leg splint (calf to foot) inpatient CPT 29515 Application Lower Leg Splint	$243.00	$243.00	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 ED 29515 Apply Short Leg Splin	$447.00	$447.00	—	—	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Shoulder Arthroscopy/Surgery	$1,976.00	$1,976.00	—	2% below	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 OR 29824 Fusion Shoulder Joint	$8,943.00	$8,943.00	—	344% above	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Shoulder Arthroscopy/Surgery	$1,976.00	$1,976.00	—	—	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 OR 29824 Fusion Shoulder Joint	$8,943.00	$8,943.00	—	—	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shoulder Arthroscopy/Surgery	$501.00	$501.00	—	48% below	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 OR 29826 Arthroscopy Shoulder	$6,714.00	$6,714.00	—	596% above	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Shoulder Arthroscopy/Surgery	$501.00	$501.00	—	—	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 OR 29826 Arthroscopy Shoulder	$6,714.00	$6,714.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Superficial Wounds	$130.00	$130.00	—	43% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Wnd Rpr Incl Sclp <=2.5Cm	$130.00	$130.00	—	43% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 OR 12001 Simp Rep Scalp/Nec <+	$567.00	$567.00	—	148% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED 12001 Wnd Rpr, Sclp <=2.5Cm	$567.00	$567.00	—	148% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Wnd Rpr Incl Sclp <=2.5Cm	$130.00	$130.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair Superficial Wounds	$130.00	$130.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 OR 12001 Simp Rep Scalp/Nec <+	$567.00	$567.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ED 12001 Wnd Rpr, Sclp <=2.5Cm	$567.00	$567.00	—	—	—
Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion	$343.00	$343.00	—	32% above	—
Skin biopsy, punch, one lesion CPT 11104 OR 11104 Punch Bx Skin Single	$593.00	$593.00	—	128% above	—
Skin biopsy, punch, one lesion CPT 11104 MSP 11104 Pnch Bx Skn Sngl Les	$593.00	$593.00	—	128% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Skin Single Lesion	$343.00	$343.00	—	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 OR 11104 Punch Bx Skin Single	$593.00	$593.00	—	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 MSP 11104 Pnch Bx Skn Sngl Les	$593.00	$593.00	—	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Tr-Ext Mal+Marg 0.5 < Cm	$358.00	$358.00	—	11% below	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Tr-Ext Mlgmarg 0.5 < Cm	$1,066.00	$1,066.00	—	165% above	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 OR 11600 Exc Tr-Ext Mal+Marg 0	$1,966.00	$1,966.00	—	388% 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	$358.00	$358.00	—	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Tr-Ext Mlgmarg 0.5 < Cm	$1,066.00	$1,066.00	—	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 OR 11600 Exc Tr-Ext Mal+Marg 0	$1,966.00	$1,966.00	—	—	—
Skin tag removal, up to 15 tags CPT 11200 Lesion Rmvl, Skin <=15	$223.00	$223.00	—	30% above	—
Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tags	$223.00	$223.00	—	30% above	—
Skin tag removal, up to 15 tags CPT 11200 NSY 11200 Skin Lesion/Tag Remo	$567.00	$567.00	—	230% above	—
Skin tag removal, up to 15 tags CPT 11200 ED 11200 Lesion Rem Skin <=15	$567.00	$567.00	—	230% above	—
Skin tag removal, up to 15 tags CPT 11200 OR 11200 Skin Lesion Remov	$567.00	$567.00	—	230% above	—
Skin tag removal, up to 15 tags CPT 11200 OR 11200 Skin Lesion Removal,	$567.00	$567.00	—	230% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Of Skin Tags	$223.00	$223.00	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Lesion Rmvl, Skin <=15	$223.00	$223.00	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 OR 11200 Skin Lesion Remov	$567.00	$567.00	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 OR 11200 Skin Lesion Removal,	$567.00	$567.00	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 ED 11200 Lesion Rem Skin <=15	$567.00	$567.00	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 NSY 11200 Skin Lesion/Tag Remo	$567.00	$567.00	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture, Lumbar	$228.00	$228.00	—	53% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Fluid Tap, Diagnostic	$243.00	$243.00	—	50% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumbar Diagnos	$1,217.00	$1,217.00	—	150% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 MSP 62270 Spinal Puncture Lumb	$2,007.00	$2,007.00	—	313% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 MSP 62270 Spinal Punc,Lumb Dia	$2,007.00	$2,007.00	—	313% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 ED 62270 Spinal Puncture,Lumbr	$2,007.00	$2,007.00	—	313% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture, Lumbar	$228.00	$228.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Fluid Tap, Diagnostic	$243.00	$243.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture Lumbar Diagnos	$1,217.00	$1,217.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 MSP 62270 Spinal Puncture Lumb	$2,007.00	$2,007.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ED 62270 Spinal Puncture,Lumbr	$2,007.00	$2,007.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 MSP 62270 Spinal Punc,Lumb Dia	$2,007.00	$2,007.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Superficial Wounds	$172.00	$172.00	—	30% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Wnd Rpr Incl Sclp 2.6-7.5 Cm	$172.00	$172.00	—	30% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 OR 12002 Simp Rep Scalp/Nec 2.	$567.00	$567.00	—	131% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED 12002 Wnd Rpr,Sclp2.6-7.5Cm	$567.00	$567.00	—	131% 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 Wnd Rpr Incl Sclp 2.6-7.5 Cm	$172.00	$172.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Repair Superficial Wounds	$172.00	$172.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 OR 12002 Simp Rep Scalp/Nec 2.	$567.00	$567.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ED 12002 Wnd Rpr,Sclp2.6-7.5Cm	$567.00	$567.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Superficial Wounds	$161.00	$161.00	—	36% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Wnd Rpr Face/Head <2.5Cm	$161.00	$161.00	—	36% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 OR 12011 Repair Superfic. Wnds	$567.00	$567.00	—	126% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED 12011 Wnd Rpr Fac/Hd <2.5Cm	$567.00	$567.00	—	126% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 MSP 12011 Repair Superfic Wnds	$567.00	$567.00	—	126% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Wnd Rpr Face/Head <2.5Cm	$161.00	$161.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Repair Superficial Wounds	$161.00	$161.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ED 12011 Wnd Rpr Fac/Hd <2.5Cm	$567.00	$567.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 OR 12011 Repair Superfic. Wnds	$567.00	$567.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 MSP 12011 Repair Superfic Wnds	$567.00	$567.00	—	—	—
TURP (transurethral resection of the prostate) CPT 52601 Transur Electr Resection Of P	$2,513.00	$2,513.00	—	67% below	—
TURP (transurethral resection of the prostate) CPT 52601 OR 52601 Transur Electr Resect	$13,932.00	$13,932.00	—	81% above	—
TURP (transurethral resection of the prostate) inpatient CPT 52601 Transur Electr Resection Of P	$2,513.00	$2,513.00	—	—	—
TURP (transurethral resection of the prostate) inpatient CPT 52601 OR 52601 Transur Electr Resect	$13,932.00	$13,932.00	—	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Single Les	$328.00	$328.00	—	56% above	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 OR 11102 Tangntl Bx Skin Singl	$567.00	$567.00	—	170% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl Bx Skin Single Les	$328.00	$328.00	—	—	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 OR 11102 Tangntl Bx Skin Singl	$567.00	$567.00	—	—	—
Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/ Imaging	$1,207.00	$1,207.00	—	29% above	—
Thoracentesis with imaging guidance CPT 32555 ED 32555 Aspirate Pleura W/ Im	$1,831.00	$1,831.00	—	96% above	—
Thoracentesis with imaging guidance CPT 32555 MSP 32555 Aspirate Pleura W/ I	$1,886.00	$1,886.00	—	102% above	—
Thoracentesis with imaging guidance CPT 32555 OR 32555 Aspirate Pleura W/ Im	$1,886.00	$1,886.00	—	102% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate Pleura W/ Imaging	$1,207.00	$1,207.00	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 ED 32555 Aspirate Pleura W/ Im	$1,831.00	$1,831.00	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 OR 32555 Aspirate Pleura W/ Im	$1,886.00	$1,886.00	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 MSP 32555 Aspirate Pleura W/ I	$1,886.00	$1,886.00	—	—	—
Tonsil and adenoid removal, age 12 or older CPT 42821 T & A; Age 12 Or More	$896.00	$896.00	—	32% below	—
Tonsil and adenoid removal, age 12 or older CPT 42821 OR 42821 Tonsils & Adenoids12+	$7,459.00	$7,459.00	—	467% above	—
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 T & A; Age 12 Or More	$896.00	$896.00	—	—	—
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 OR 42821 Tonsils & Adenoids12+	$7,459.00	$7,459.00	—	—	—
Tonsil and adenoid removal, child under 12 CPT 42820 Remove Tonsils And Adenoids <	$857.00	$857.00	—	75% below	—
Tonsil and adenoid removal, child under 12 CPT 42820 OR 42820 Remove Tonsils And Ad	$14,787.00	$14,787.00	—	329% above	—
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Remove Tonsils And Adenoids <	$857.00	$857.00	—	—	—
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 OR 42820 Remove Tonsils And Ad	$14,787.00	$14,787.00	—	—	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal Of Tonsils	$751.00	$751.00	—	81% below	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 OR 42826 Tonsils,Prim/Sec 12+	$7,459.00	$7,459.00	—	92% above	—
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Removal Of Tonsils	$751.00	$751.00	—	—	—
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 OR 42826 Tonsils,Prim/Sec 12+	$7,459.00	$7,459.00	—	—	—
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsils, Prim/Sec <12 Yrs	$790.00	$790.00	—	39% below	—
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 OR 42825 Tonsils,Prim/Sec <12	$14,787.00	$14,787.00	—	1042% above	—
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 Tonsils, Prim/Sec <12 Yrs	$790.00	$790.00	—	—	—
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 OR 42825 Tonsils,Prim/Sec <12	$14,787.00	$14,787.00	—	—	—
Total hip replacement CPT 27130 Total Hip Arthroplasty	$4,070.00	$4,070.00	—	27% below	—
Total hip replacement CPT 27130 OR 27130 Arthroplasty Total Hi	$5,884.00	$5,884.00	—	5% above	—
Total hip replacement inpatient CPT 27130 Total Hip Arthroplasty	$4,070.00	$4,070.00	—	—	—
Total hip replacement inpatient CPT 27130 OR 27130 Arthroplasty Total Hi	$5,884.00	$5,884.00	—	—	—
Total knee replacement CPT 27447 Total Knee Arthroplasty	$4,342.00	$4,342.00	—	6% above	—
Total knee replacement CPT 27447 OR 27447 Arthroplasty Tot Knee	$5,994.00	$5,994.00	—	46% above	—
Total knee replacement inpatient CPT 27447 Total Knee Arthroplasty	$4,342.00	$4,342.00	—	—	—
Total knee replacement inpatient CPT 27447 OR 27447 Arthroplasty Tot Knee	$5,994.00	$5,994.00	—	—	—
Total shoulder replacement CPT 23472 Arthropl Ghj Tot Shldr Repl	$4,199.00	$4,199.00	—	3% above	—
Total shoulder replacement CPT 23472 OR 23472 Arthropl Ghj Tot Shld	$6,234.00	$6,234.00	—	53% above	—
Total shoulder replacement inpatient CPT 23472 Arthropl Ghj Tot Shldr Repl	$4,199.00	$4,199.00	—	—	—
Total shoulder replacement inpatient CPT 23472 OR 23472 Arthropl Ghj Tot Shld	$6,234.00	$6,234.00	—	—	—
Total thyroid removal (thyroidectomy) CPT 60240 Removal Of Thyroid	$2,672.00	$2,672.00	—	26% above	—
Total thyroid removal (thyroidectomy) CPT 60240 OR 60240 Thyroidectomy, Total	$15,978.00	$15,978.00	—	651% above	—
Total thyroid removal (thyroidectomy) inpatient CPT 60240 Removal Of Thyroid	$2,672.00	$2,672.00	—	—	—
Total thyroid removal (thyroidectomy) inpatient CPT 60240 OR 60240 Thyroidectomy, Total	$15,978.00	$15,978.00	—	—	—
Trigger finger release surgery CPT 26055 Tendon Sheath Incision	$854.00	$854.00	—	50% below	—
Trigger finger release surgery CPT 26055 OR 26055 Trigger Finger Releas	$4,399.00	$4,399.00	—	160% above	—
Trigger finger release surgery inpatient CPT 26055 Tendon Sheath Incision	$854.00	$854.00	—	—	—
Trigger finger release surgery inpatient CPT 26055 OR 26055 Trigger Finger Releas	$4,399.00	$4,399.00	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Sing/Mult Trig Pt .>=2	$113.00	$113.00	—	62% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Muscl	$117.00	$117.00	—	61% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point, 1/2 Muscl	$449.00	$449.00	—	49% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 OR 20552 Inj Trigger Point 1/2	$826.00	$826.00	—	174% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 ED20552 Inj Sn/Mul Trig Pt>=2	$826.00	$826.00	—	174% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Sing/Mult Trig Pt .>=2	$113.00	$113.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point 1/2 Muscl	$117.00	$117.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point, 1/2 Muscl	$449.00	$449.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ED20552 Inj Sn/Mul Trig Pt>=2	$826.00	$826.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 OR 20552 Inj Trigger Point 1/2	$826.00	$826.00	—	—	—
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy, Tubal Cautery	$1,099.00	$1,099.00	—	5% above	—
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 OR 58670 Lap W/Fulguration Ovi	$15,978.00	$15,978.00	—	1423% above	—
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 Laparoscopy, Tubal Cautery	$1,099.00	$1,099.00	—	—	—
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 OR 58670 Lap W/Fulguration Ovi	$15,978.00	$15,978.00	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesion Us Imag	$3,596.00	$3,596.00	—	73% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 OR 19083 Bx Breast 1st Lesion	$4,444.00	$4,444.00	—	113% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast 1st Lesion Us Imag	$3,596.00	$3,596.00	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 OR 19083 Bx Breast 1st Lesion	$4,444.00	$4,444.00	—	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph Endoscopy, Dilation	$3,045.00	$3,045.00	—	40% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 OR 43249 Esoph Egd Dilation <3	$5,130.00	$5,130.00	—	136% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esoph Endoscopy, Dilation	$3,045.00	$3,045.00	—	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 OR 43249 Esoph Egd Dilation <3	$5,130.00	$5,130.00	—	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 Upper Gi Endoscopy, Biopsy	$501.00	$501.00	—	64% below	—
Upper endoscopy (EGD) with biopsy CPT 43239 43239 Outside Test Egd Biopsy	$2,556.00	$2,556.00	—	84% above	—
Upper endoscopy (EGD) with biopsy CPT 43239 OR 43239 Egd, Biopsy And/Or Co	$2,556.00	$2,556.00	—	84% above	—
Upper endoscopy (EGD) with biopsy CPT 43239 ICU 43239 Egd W/Biopsy	$2,556.00	$2,556.00	—	84% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper Gi Endoscopy, Biopsy	$501.00	$501.00	—	—	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 ICU 43239 Egd W/Biopsy	$2,556.00	$2,556.00	—	—	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 OR 43239 Egd, Biopsy And/Or Co	$2,556.00	$2,556.00	—	—	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 Outside Test Egd Biopsy	$2,556.00	$2,556.00	—	—	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr Gi Scope W/Submuc Inj	$406.00	$406.00	—	56% below	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 OR 43236 Ugi W Submucos Inj	$2,556.00	$2,556.00	—	175% above	—
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Uppr Gi Scope W/Submuc Inj	$406.00	$406.00	—	—	—
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 OR 43236 Ugi W Submucos Inj	$2,556.00	$2,556.00	—	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Operative Upper Gi Endoscopy	$632.00	$632.00	—	46% below	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 OR 43251 Egd, Rem Lesions (Sna	$5,130.00	$5,130.00	—	334% above	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Operative Upper Gi Endoscopy	$632.00	$632.00	—	—	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 OR 43251 Egd, Rem Lesions (Sna	$5,130.00	$5,130.00	—	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Guide Wire Insertion	$1,201.00	$1,201.00	—	20% above	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 OR 43248 Egd Guide Wire Insert	$2,556.00	$2,556.00	—	156% above	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd Guide Wire Insertion	$1,201.00	$1,201.00	—	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 OR 43248 Egd Guide Wire Insert	$2,556.00	$2,556.00	—	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 Uppr Gi Endoscopy, Diagnosis	$425.00	$425.00	—	61% below	—
Upper endoscopy (EGD), diagnostic CPT 43235 ICU 43235 Egd	$2,556.00	$2,556.00	—	134% above	—
Upper endoscopy (EGD), diagnostic CPT 43235 OR 43235 Egd, Complex Diagnost	$2,556.00	$2,556.00	—	134% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Uppr Gi Endoscopy, Diagnosis	$425.00	$425.00	—	—	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ICU 43235 Egd	$2,556.00	$2,556.00	—	—	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 OR 43235 Egd, Complex Diagnost	$2,556.00	$2,556.00	—	—	—
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cysto W Lithotripsy	$1,144.00	$1,144.00	—	33% below	—
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 OR 52353 Cysto W/Lithotripsy	$13,932.00	$13,932.00	—	714% above	—
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cysto W Lithotripsy	$1,144.00	$1,144.00	—	—	—
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 OR 52353 Cysto W/Lithotripsy	$13,932.00	$13,932.00	—	—	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy	$1,213.00	$1,213.00	—	85% below	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 OR 52356 Cysto/Uretero W/Litho	$13,932.00	$13,932.00	—	72% above	—
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cysto/Uretero W/Lithotripsy	$1,213.00	$1,213.00	—	—	—
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 OR 52356 Cysto/Uretero W/Litho	$13,932.00	$13,932.00	—	—	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Vbac Delivery	$7,109.00	$7,109.00	—	76% above	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Vbac Delivery	$7,109.00	$7,109.00	—	—	—
Vaginal delivery, including prenatal and postpartum care CPT 59400 Obstetrical Care	$6,483.00	$6,483.00	—	73% above	—
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Obstetrical Care	$6,483.00	$6,483.00	—	—	—
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal Of Sperm Ducts	$671.00	$671.00	—	23% below	—
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 OR 55250 Vasectomy	$5,655.00	$5,655.00	—	551% above	—
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal Of Sperm Ducts	$671.00	$671.00	—	—	—
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 OR 55250 Vasectomy	$5,655.00	$5,655.00	—	—	—
Wart removal, up to 14 warts CPT 17110 Wart/Mole Removal	$196.00	$196.00	—	4% below	—
Wart removal, up to 14 warts CPT 17110 Wart Removal <15	$196.00	$196.00	—	4% below	—
Wart removal, up to 14 warts CPT 17110 Destruct B9 Lesion, 1-14	$308.00	$308.00	—	51% above	—
Wart removal, up to 14 warts CPT 17110 OR 17110 Wart Removal. <=14	$567.00	$567.00	—	179% above	—
Wart removal, up to 14 warts CPT 17110 ED 17110 Wart Removal <15	$567.00	$567.00	—	179% above	—
Wart removal, up to 14 warts inpatient CPT 17110 Wart Removal <15	$196.00	$196.00	—	—	—
Wart removal, up to 14 warts inpatient CPT 17110 Wart/Mole Removal	$196.00	$196.00	—	—	—
Wart removal, up to 14 warts inpatient CPT 17110 Destruct B9 Lesion, 1-14	$308.00	$308.00	—	—	—
Wart removal, up to 14 warts inpatient CPT 17110 OR 17110 Wart Removal. <=14	$567.00	$567.00	—	—	—
Wart removal, up to 14 warts inpatient CPT 17110 ED 17110 Wart Removal <15	$567.00	$567.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin/Tissue	$694.00	$694.00	—	63% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 MSP 11042 Debridement Skin	$1,092.00	$1,092.00	—	156% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ED 11042 Debride Skin, Subcuta	$1,092.00	$1,092.00	—	156% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 OR 11042 Debride Skin, Subcuta	$1,092.00	$1,092.00	—	156% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 OR 11042 Debride Stasis Ul	$1,092.00	$1,092.00	—	156% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Skin/Tissue	$694.00	$694.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 MSP 11042 Debridement Skin	$1,092.00	$1,092.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 OR 11042 Debride Skin, Subcuta	$1,092.00	$1,092.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 OR 11042 Debride Stasis Ul	$1,092.00	$1,092.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ED 11042 Debride Skin, Subcuta	$1,092.00	$1,092.00	—	—	—
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treat Fx Rad Extra-Articul	$2,157.00	$2,157.00	—	at median	—
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OR 25607 Orif Radial Fx, Dista	$19,779.00	$19,779.00	—	817% above	—
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Treat Fx Rad Extra-Articul	$2,157.00	$2,157.00	—	—	—
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 OR 25607 Orif Radial Fx, Dista	$19,779.00	$19,779.00	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Service	$681.00	$681.00	—	19% above	—
Blood transfusion (giving blood or blood components) CPT 36430 ED 36430 Autotransfusion	$1,255.00	$1,255.00	—	120% above	—
Blood transfusion (giving blood or blood components) CPT 36430 OR 36430 Transfusion Blood Or	$1,255.00	$1,255.00	—	120% above	—
Blood transfusion (giving blood or blood components) CPT 36430 MSP 36430 Transfusion	$1,255.00	$1,255.00	—	120% above	—
Blood transfusion (giving blood or blood components) CPT 36430 FBC 36430 Blood Transfusion	$1,255.00	$1,255.00	—	120% above	—
Blood transfusion (giving blood or blood components) CPT 36430 ICU 36430 Blood Transfusion	$1,255.00	$1,255.00	—	120% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Service	$681.00	$681.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED 36430 Autotransfusion	$1,255.00	$1,255.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 FBC 36430 Blood Transfusion	$1,255.00	$1,255.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ICU 36430 Blood Transfusion	$1,255.00	$1,255.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 MSP 36430 Transfusion	$1,255.00	$1,255.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OR 36430 Transfusion Blood Or	$1,255.00	$1,255.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RCS 946407676 Sputum Induction	$77.00	$77.00	—	33% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment	$323.00	$323.00	—	181% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RCS 94640 Cont Aerosol Subsq.D	$594.00	$594.00	—	418% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RCS 94640 Init Mdi Spacer-Aero	$594.00	$594.00	—	418% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RCS 94640 Aero-Mist Tent Subse	$594.00	$594.00	—	418% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RCS 94640 Airway Inhalation Tr	$594.00	$594.00	—	418% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RCS 946407676 Sputum Induction	$77.00	$77.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatment	$323.00	$323.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RCS 94640 Airway Inhalation Tr	$594.00	$594.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RCS 94640 Aero-Mist Tent Subse	$594.00	$594.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RCS 94640 Init Mdi Spacer-Aero	$594.00	$594.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RCS 94640 Cont Aerosol Subsq.D	$594.00	$594.00	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 Chemo, Iv Infusion, 1 Hr	$548.00	$548.00	—	1% above	—
Chemotherapy IV infusion, first hour CPT 96413 MSP 96413 Chemo Infusion Iv 1H	$1,008.00	$1,008.00	—	85% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo, Iv Infusion, 1 Hr	$548.00	$548.00	—	—	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 MSP 96413 Chemo Infusion Iv 1H	$1,008.00	$1,008.00	—	—	—
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye Exam, New Patient	$109.00	$109.00	—	58% below	—
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Eye Exam, New Patient	$109.00	$109.00	—	—	—
Comprehensive eye exam, returning patient CPT 92014 Eye Exam & Treatment 1+Visits	$109.00	$109.00	—	54% below	—
Comprehensive eye exam, returning patient CPT 92014 Eye Exam & Treatment	$196.00	$196.00	—	17% below	—
Comprehensive eye exam, returning patient inpatient CPT 92014 Eye Exam & Treatment 1+Visits	$109.00	$109.00	—	—	—
Comprehensive eye exam, returning patient inpatient CPT 92014 Eye Exam & Treatment	$196.00	$196.00	—	—	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Audiometry	$169.00	$169.00	—	68% above	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive Audiometry	$169.00	$169.00	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 Critical Care, 1st Hour	$644.00	$644.00	—	27% below	—
Critical care, first 30 to 74 minutes CPT 99291 Critical Care, 1st Hr	$646.00	$646.00	—	27% below	—
Critical care, first 30 to 74 minutes CPT 99291 MSP 99291 Crit Care E&M 1st Hr	$2,353.00	$2,353.00	—	167% above	—
Critical care, first 30 to 74 minutes CPT 99291 ICU 99291 Crit Care E/M 1st Hr	$2,353.00	$2,353.00	—	167% above	—
Critical care, first 30 to 74 minutes CPT 99291 ED Critical Care, 1st Hr	$2,353.00	$2,353.00	—	167% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care, 1st Hour	$644.00	$644.00	—	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care, 1st Hr	$646.00	$646.00	—	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED Critical Care, 1st Hr	$2,353.00	$2,353.00	—	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ICU 99291 Crit Care E/M 1st Hr	$2,353.00	$2,353.00	—	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 MSP 99291 Crit Care E&M 1st Hr	$2,353.00	$2,353.00	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 MSP 95816 EEG Awake And Drowsy	$929.00	$929.00	—	44% above	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Awake And Drowsy	$1,037.00	$1,037.00	—	61% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 MSP 95816 EEG Awake And Drowsy	$929.00	$929.00	—	—	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Awake And Drowsy	$1,037.00	$1,037.00	—	—	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 12 Lead Ekg; Global	$108.00	$108.00	—	11% above	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 12 Lead Ekg; Global	$108.00	$108.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 FBC 93005 Inpt Ekg	$89.00	$89.00	—	44% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 MSP 93005 Inpt Ekg	$89.00	$89.00	—	44% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electorcardiogram, Tracing	$96.00	$96.00	—	40% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED 12 Lead Ekg	$177.00	$177.00	—	11% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 MSP 93005 Inpt Ekg	$89.00	$89.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 FBC 93005 Inpt Ekg	$89.00	$89.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electorcardiogram, Tracing	$96.00	$96.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED 12 Lead Ekg	$177.00	$177.00	—	—	—
Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive Therapy	$881.00	$881.00	—	8% above	—
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Electroconvulsive Therapy	$881.00	$881.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Visit	$96.00	$96.00	—	36% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED 99281 Emergency Visit,Lvl 1	$170.00	$170.00	—	140% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Visit	$96.00	$96.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED 99281 Emergency Visit,Lvl 1	$170.00	$170.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Visit	$182.00	$182.00	—	16% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED 99282 Emergency Visit, Leve	$298.00	$298.00	—	90% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Visit	$182.00	$182.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED 99282 Emergency Visit, Leve	$298.00	$298.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Visit	$275.00	$275.00	—	7% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED 99283 Emergency Visit, Leve	$463.00	$463.00	—	56% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Visit	$275.00	$275.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED 99283 Emergency Visit, Leve	$463.00	$463.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Visit	$516.00	$516.00	—	8% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED 99284 Emergency Visit, Leve	$736.00	$736.00	—	31% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Visit	$516.00	$516.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED 99284 Emergency Visit, Leve	$736.00	$736.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Visit	$758.00	$758.00	—	12% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED 99285 Emergency Visit, Leve	$1,106.00	$1,106.00	—	28% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Visit	$758.00	$758.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED 99285 Emergency Visit, Leve	$1,106.00	$1,106.00	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test Tracing Only	$454.00	$454.00	—	32% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 DIG 93017 Stress Tst Trac Only	$837.00	$837.00	—	24% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test Tracing Only	$454.00	$454.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 DIG 93017 Stress Tst Trac Only	$837.00	$837.00	—	—	—
Eye exam, returning patient, intermediate CPT 92012 Interm Eye Exam Est Pt	$85.00	$85.00	—	57% below	—
Eye exam, returning patient, intermediate inpatient CPT 92012 Interm Eye Exam Est Pt	$85.00	$85.00	—	—	—
Family therapy with the patient, 50 minutes CPT 90847 Family Therapy W Pt	$170.00	$170.00	—	27% below	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Therapy W Pt	$170.00	$170.00	—	—	—
Family therapy without the patient, 50 minutes CPT 90846 Family Therapy W/O Pt	$163.00	$163.00	—	28% below	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Therapy W/O Pt	$163.00	$163.00	—	—	—
Group psychotherapy session CPT 90853 Group Psychotherapy	$169.00	$169.00	—	24% below	—
Group psychotherapy session CPT 90853 CDP 90853 Grp Cd Counsel/Sess	$221.00	$221.00	—	1% below	—
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy	$169.00	$169.00	—	—	—
Group psychotherapy session inpatient CPT 90853 CDP 90853 Grp Cd Counsel/Sess	$221.00	$221.00	—	—	—
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Ecg Monit/Reprt Up To 48 Hours	$728.00	$728.00	—	79% above	—
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Ecg Monit/Reprt Up To 48 Hours	$728.00	$728.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Iv Infusion, Init	$351.00	$351.00	—	24% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED 96360 Hyd Iv Infusion, Init	$646.00	$646.00	—	129% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OR 96360 Iv Hydration 1st Hr	$646.00	$646.00	—	129% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 FBC 96360 Iv Hydration 1st Hr	$646.00	$646.00	—	129% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 MSP 96360 Hyd Iv Inf 31-60 Min	$646.00	$646.00	—	129% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration Iv Infusion, Init	$351.00	$351.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 FBC 96360 Iv Hydration 1st Hr	$646.00	$646.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 MSP 96360 Hyd Iv Inf 31-60 Min	$646.00	$646.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OR 96360 Iv Hydration 1st Hr	$646.00	$646.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED 96360 Hyd Iv Infusion, Init	$646.00	$646.00	—	—	—
IV infusion of a medicine, first hour CPT 96365 Ther/Proph/Diag Iv Inf, Init	$571.00	$571.00	—	81% above	—
IV infusion of a medicine, first hour CPT 96365 OR 96365 Ther/Proph/Diag Iv In	$646.00	$646.00	—	105% above	—
IV infusion of a medicine, first hour CPT 96365 MSP 96365 Infusion Admin 1st H	$646.00	$646.00	—	105% above	—
IV infusion of a medicine, first hour CPT 96365 FBC 96365 Ther/Proph/Diag Inf,	$646.00	$646.00	—	105% above	—
IV infusion of a medicine, first hour CPT 96365 ED 96365 Ther/Diag Iv Inf Init	$646.00	$646.00	—	105% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 Ther/Proph/Diag Iv Inf, Init	$571.00	$571.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 FBC 96365 Ther/Proph/Diag Inf,	$646.00	$646.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 MSP 96365 Infusion Admin 1st H	$646.00	$646.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 ED 96365 Ther/Diag Iv Inf Init	$646.00	$646.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 OR 96365 Ther/Proph/Diag Iv In	$646.00	$646.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Inj Sc/Im	$104.00	$104.00	—	15% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Inj, Sc/Im	$107.00	$107.00	—	19% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 FBC 96372 Ther/Proph/Diag Inj,	$197.00	$197.00	—	118% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OR 96372 Ther/Proph/Diag Inj,	$197.00	$197.00	—	118% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 MSP 96372 Ther/Proph/Diag Inj	$197.00	$197.00	—	118% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED 96372 Ther/Diag Inj Sc/Im	$197.00	$197.00	—	118% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Diag Inj Sc/Im	$104.00	$104.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Diag Inj, Sc/Im	$107.00	$107.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED 96372 Ther/Diag Inj Sc/Im	$197.00	$197.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 FBC 96372 Ther/Proph/Diag Inj,	$197.00	$197.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OR 96372 Ther/Proph/Diag Inj,	$197.00	$197.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MSP 96372 Ther/Proph/Diag Inj	$197.00	$197.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 COC Screeening 90791	$238.00	$238.00	—	6% below	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 CDP 90791 Psych Diagnostic Eva	$367.00	$367.00	—	44% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Evaluation	$400.00	$400.00	—	57% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 COC Screeening 90791	$238.00	$238.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 CDP 90791 Psych Diagnostic Eva	$367.00	$367.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Diagnostic Evaluation	$400.00	$400.00	—	—	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv Cndj Test 7-8 Studies	$774.00	$774.00	—	42% above	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nrv Cndj Test 7-8 Studies	$774.00	$774.00	—	—	—
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient Visit, New	$240.00	$240.00	—	50% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient Visit, New	$240.00	$240.00	—	—	—
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient Visit, New	$294.00	$294.00	—	20% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient Visit, New	$294.00	$294.00	—	—	—
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient Visit, New	$343.00	$343.00	—	8% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient Visit, New	$343.00	$343.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient Visit, New	$207.00	$207.00	—	107% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/Outpatient Visit, New	$207.00	$207.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Indiv In	$36.00	$36.00	—	16% below	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Indiv In	$36.00	$36.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Ea 15 Mins	$49.00	$49.00	—	49% below	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy Ea 15 Mins	$49.00	$49.00	—	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 Prev Visit, New, Age 18-39	$254.00	$254.00	—	29% above	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prev Visit, New, Age 18-39	$254.00	$254.00	—	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 Prev Visit, New, Age 40-64	$151.00	$151.00	—	27% below	—
Preventive checkup, new patient aged 40–64 CPT 99386 Prev Med New Pt 40-6	$297.00	$297.00	—	43% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Prev Visit, New, Age 40-64	$151.00	$151.00	—	—	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Prev Med New Pt 40-6	$297.00	$297.00	—	—	—
Preventive checkup, new patient aged 65 or older CPT 99387 Init Pm E/M, New Pat 65 Yrs	$323.00	$323.00	—	31% above	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Init Pm E/M, New Pat 65 Yrs	$323.00	$323.00	—	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 Prev Visit, Est, Age 18-39	$112.00	$112.00	—	32% below	—
Preventive checkup, returning patient aged 18–39 CPT 99395 Prev Med Est Pt 18-39	$219.00	$219.00	—	33% above	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Prev Visit, Est, Age 18-39	$112.00	$112.00	—	—	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Prev Med Est Pt 18-39	$219.00	$219.00	—	—	—
Preventive checkup, returning patient aged 40–64 CPT 99396 Prev Visit, Est, Age 40-64	$121.00	$121.00	—	35% below	—
Preventive checkup, returning patient aged 40–64 CPT 99396 Prev Med Est Pt 40-64	$241.00	$241.00	—	29% above	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Prev Visit, Est, Age 40-64	$121.00	$121.00	—	—	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Prev Med Est Pt 40-64	$241.00	$241.00	—	—	—
Preventive checkup, returning patient aged 65 or older CPT 99397 Per Pm Reeval Est Pat 65 Yr	$267.00	$267.00	—	26% above	—
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Per Pm Reeval Est Pat 65 Yr	$267.00	$267.00	—	—	—
Psychiatric evaluation with medical services CPT 90792 Psych Diag Eval W/Med Srvcs	$425.00	$425.00	—	81% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 Psych Diag Eval W/Med Srvcs	$425.00	$425.00	—	—	—
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psycl Tst Eval Phys/Qhp 1st	$350.00	$350.00	—	22% above	—
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Psycl Tst Eval Phys/Qhp 1st	$350.00	$350.00	—	—	—
Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx Crisis Initial 60 Min	$409.00	$409.00	—	53% above	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psytx Crisis Initial 60 Min	$409.00	$409.00	—	—	—
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy Individ 35 Min	$300.00	$300.00	—	76% above	—
Psychotherapy session, 30 minutes CPT 90832 CDP 90832 Psychothe Indivi 35	$367.00	$367.00	—	116% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy Individ 35 Min	$300.00	$300.00	—	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 CDP 90832 Psychothe Indivi 35	$367.00	$367.00	—	—	—
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy Individ 45 Min	$333.00	$333.00	—	49% above	—
Psychotherapy session, 45 minutes CPT 90834 CDP 90834 Psychother Indivi 45	$367.00	$367.00	—	64% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy Individ 45 Min	$333.00	$333.00	—	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 CDP 90834 Psychother Indivi 45	$367.00	$367.00	—	—	—
Psychotherapy session, 60 minutes CPT 90837 CDP 90837 Psychother Indivi 60	$367.00	$367.00	—	28% above	—
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy Individ 60 Min	$400.00	$400.00	—	40% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 CDP 90837 Psychother Indivi 60	$367.00	$367.00	—	—	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy Individ 60 Min	$400.00	$400.00	—	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav Chng Smoking 3-10 Min	$22.00	$22.00	—	40% below	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behav Chng Smoking 3-10 Min	$22.00	$22.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Visit, Est	$305.00	$305.00	—	30% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/Outpatient Visit, Est	$305.00	$305.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Visit, Est	$224.00	$224.00	—	89% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/Outpatient Visit, Est	$224.00	$224.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 New OB	$109.00	$109.00	—	34% below	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB 10/1/25 - NEW	$256.00	$256.00	—	56% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Visit, Est	$256.00	$256.00	—	56% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 New OB	$109.00	$109.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/Outpatient Visit, Est	$256.00	$256.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB 10/1/25 - NEW	$256.00	$256.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Return OB	$44.00	$44.00	—	44% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Visit, Est	$44.00	$44.00	—	44% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Visit,Est	$192.00	$192.00	—	145% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 C Section FU	$192.00	$192.00	—	145% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Return OB	$44.00	$44.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/Outpatient Visit, Est	$44.00	$44.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/Outpatient Visit,Est	$192.00	$192.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 C Section FU	$192.00	$192.00	—	—	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office Consultation	$162.00	$162.00	—	17% below	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office Consultation	$162.00	$162.00	—	—	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office Consultation	$258.00	$258.00	—	9% below	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office Consultation	$258.00	$258.00	—	—	—
Spirometry (breathing test) CPT 94010 Breathing Capacity Test	$298.00	$298.00	—	49% above	—
Spirometry (breathing test) CPT 94010 RCS 94010 Pt Tch-Perf Mtr-S/U	$442.00	$442.00	—	121% above	—
Spirometry (breathing test) CPT 94010 RCS 94010 Pft Screen (No Bk) E	$442.00	$442.00	—	121% above	—
Spirometry (breathing test) inpatient CPT 94010 Breathing Capacity Test	$298.00	$298.00	—	—	—
Spirometry (breathing test) inpatient CPT 94010 RCS 94010 Pft Screen (No Bk) E	$442.00	$442.00	—	—	—
Spirometry (breathing test) inpatient CPT 94010 RCS 94010 Pt Tch-Perf Mtr-S/U	$442.00	$442.00	—	—	—
Spirometry before and after a bronchodilator CPT 94060 Evaluation Of Wheezing	$552.00	$552.00	—	39% above	—
Spirometry before and after a bronchodilator CPT 94060 RCS 94060 Bronch Response Pre-	$837.00	$837.00	—	111% above	—
Spirometry before and after a bronchodilator CPT 94060 RCS 94060 Pft Screen With Bk E	$837.00	$837.00	—	111% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation Of Wheezing	$552.00	$552.00	—	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 RCS 94060 Bronch Response Pre-	$837.00	$837.00	—	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 RCS 94060 Pft Screen With Bk E	$837.00	$837.00	—	—	—
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 Tcranial Magn Stim Tx Plan	$788.00	$788.00	—	59% above	—
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 Tcranial Magn Stim Tx Plan	$788.00	$788.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy	$162.00	$162.00	—	18% below	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy	$162.00	$162.00	—	—	—
Visual field test, extended CPT 92083 Visual Field Examination(S)	$195.00	$195.00	—	20% above	—
Visual field test, extended CPT 92083 MSP 92083 Visual Field Examina	$357.00	$357.00	—	119% above	—
Visual field test, extended inpatient CPT 92083 Visual Field Examination(S)	$195.00	$195.00	—	—	—
Visual field test, extended inpatient CPT 92083 MSP 92083 Visual Field Examina	$357.00	$357.00	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vaccine No Preserv 3 & > I	$16.00	$16.00	—	26% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flu Vaccine No Preserv 3 & > I	$16.00	$16.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Flu Admin w/ Counseling	$19.68	$19.68	—	44% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Flu Admin	$21.00	$21.00	—	40% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MSP Flu Admin	$21.00	$21.00	—	40% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED Flu Admin	$21.00	$21.00	—	40% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin 1 Vaccine	$30.00	$30.00	—	14% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin, 1 Vaccine	$97.00	$97.00	—	177% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Adm; 1 Vaccine	$184.00	$184.00	—	426% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FBC 90471 Flu Vaccine Admin	$197.00	$197.00	—	463% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MSP 90471 Immun Admin 1 Vaccin	$197.00	$197.00	—	463% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED 90471 Immun Adm Single/Comb	$197.00	$197.00	—	463% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MSP 90471 Flu Vaccine Admin	$197.00	$197.00	—	463% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Flu Admin w/ Counseling	$19.68	$19.68	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED Flu Admin	$21.00	$21.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 MSP Flu Admin	$21.00	$21.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Flu Admin	$21.00	$21.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin 1 Vaccine	$30.00	$30.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin, 1 Vaccine	$97.00	$97.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Adm; 1 Vaccine	$184.00	$184.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FBC 90471 Flu Vaccine Admin	$197.00	$197.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED 90471 Immun Adm Single/Comb	$197.00	$197.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 MSP 90471 Immun Admin 1 Vaccin	$197.00	$197.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 MSP 90471 Flu Vaccine Admin	$197.00	$197.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Flu Admin w/ Counseling	$19.68	$19.68	—	32% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Flu Admin	$19.68	$19.68	—	32% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Adm; Ea Addtl Vac	$72.00	$72.00	—	150% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin, Each Add	$72.00	$72.00	—	150% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 MSP 90472 Immun Adm; Ea Add Va	$72.00	$72.00	—	150% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED 90472 Immun Admn 2+ Sgl/Cmb	$72.00	$72.00	—	150% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Flu Admin w/ Counseling	$19.68	$19.68	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Flu Admin	$19.68	$19.68	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ED 90472 Immun Admn 2+ Sgl/Cmb	$72.00	$72.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 MSP 90472 Immun Adm; Ea Add Va	$72.00	$72.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Admin, Each Add	$72.00	$72.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Adm; Ea Addtl Vac	$72.00	$72.00	—	—	—

Source file: https://HospitalPriceDisclosure.com/Default.aspx?ci=1VwSuyXntiJ*_*QU4uafbKPQ*-*