Hospital Pittsburgh, PA

Armstrong County Memorial Hospital

Armstrong County Memorial Hospital in Kittanning, PA publishes cash prices for 341 common procedures listed here, from its own machine-readable price file updated Mar 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 308 of 336 procedures and above it for 28. By typical cash price it ranks #8 of 102 Pennsylvania hospitals and #3 of 22 hospitals in the Pittsburgh, PA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1 Nolte Dr, Kittanning, PA 16201 Collected Sep 27, 2026 Source price file

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN-COMBINED	$769.50	$2,565.00	$122.65–$2,565.00	59% below	70%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN-COMBINED	$769.50	$2,565.00	$2,308.50	—	70%
Abdominal X-ray, 2 views CPT 74019 XRAY EXAM ABDOMEN 2 VIEWS	$120.30	$401.00	$18.13–$401.00	63% below	70%
Abdominal X-ray, 2 views inpatient CPT 74019 XRAY EXAM ABDOMEN 2 VIEWS	$120.30	$401.00	$360.90	—	70%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT MIN 3 VIEWS	$97.50	$325.00	$16.89–$325.00	72% below	70%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LT MIN 3 VIEWS	$97.50	$325.00	$16.89–$325.00	72% below	70%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RT MIN 3 VIEWS	$97.50	$325.00	$292.50	—	70%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LT MIN 3 VIEWS	$97.50	$325.00	$292.50	—	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI SCREENING	$126.90	$423.00	$40.10–$423.00	73% below	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 PHYSIOLOGIC STUDY SINGLE LEVEL	$126.90	$423.00	$40.10–$423.00	73% below	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 PHYSIOLOGIC STUDY SINGLE LEVEL	$126.90	$423.00	$380.70	—	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ABI SCREENING	$126.90	$423.00	$380.70	—	70%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT EXTREMITY UPPER UNENHANCED	$568.80	$1,896.00	$86.94–$1,896.00	54% below	70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT EXTREMITY UPPER UNENHANCED	$568.80	$1,896.00	$1,706.40	—	70%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM, FLUORO, & FILM	$194.40	$648.00	$24.75–$648.00	58% below	70%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGRAM, FLUORO, & FILM	$194.40	$648.00	$583.20	—	70%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN (WHOLE BODY)	$388.50	$1,295.00	$67.65–$1,295.00	72% below	70%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN (WHOLE BODY)	$388.50	$1,295.00	$1,165.50	—	70%
Breast ultrasound, complete, one breast CPT 76641 US BREAST UNILATERL COMPLETE	$165.00	$550.00	$58.77–$550.00	69% below	70%
Breast ultrasound, complete, one breast one side CPT 76641 ADAGIO US BREAST COMPLETE RT	$165.00	$550.00	$58.77–$550.00	69% below	70%
Breast ultrasound, complete, one breast one side CPT 76641 ADAGIO US BREAST COMPLETE LT	$165.00	$550.00	$58.77–$550.00	69% below	70%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST UNILATERL COMPLETE	$165.00	$550.00	$495.00	—	70%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 ADAGIO US BREAST COMPLETE RT	$165.00	$550.00	$495.00	—	70%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 ADAGIO US BREAST COMPLETE LT	$165.00	$550.00	$495.00	—	70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED	$165.00	$550.00	$45.03–$550.00	64% below	70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ADAGIO US BREAST LIMITED RT	$165.00	$550.00	$45.03–$550.00	64% below	70%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ADAGIO US BREAST LIMITED RT	$165.00	$550.00	$495.00	—	70%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED	$165.00	$550.00	$495.00	—	70%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD/PEL W & WO CONTRA	$1,053.60	$3,512.00	$339.81–$3,512.00	57% below	70%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD/PEL W & WO CONTRA	$1,053.60	$3,512.00	$3,160.80	—	70%
CT angiography (CTA) of the head CPT 70496 HEAD CT ANGIOGRAPHY COMBINED	$352.50	$1,175.00	$170.85–$1,175.00	78% below	70%
CT angiography (CTA) of the head inpatient CPT 70496 HEAD CT ANGIOGRAPHY COMBINED	$352.50	$1,175.00	$1,057.50	—	70%
CT angiography (CTA) of the neck CPT 70498 NECK CT ANGIOGRAPHY COMBINED	$319.20	$1,064.00	$170.85–$1,064.00	81% below	70%
CT angiography (CTA) of the neck inpatient CPT 70498 NECK CT ANGIOGRAPHY COMBINED	$319.20	$1,064.00	$957.60	—	70%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO OF THE CHEST	$440.10	$1,467.00	$170.85–$1,467.00	77% below	70%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO OF THE CHEST	$440.10	$1,467.00	$1,320.30	—	70%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS W/O CONTRAST	$784.50	$2,615.00	$111.18–$2,615.00	62% below	70%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD AND PELVIS W/O CONTRAST	$784.50	$2,615.00	$2,353.50	—	70%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS W CONTRAST	$1,027.80	$3,426.00	$212.00–$3,426.00	66% below	70%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD AND PELVIS W CONTRAST	$1,027.80	$3,426.00	$3,083.40	—	70%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD AND PELVIS W/O & W CONT	$1,196.70	$3,989.00	$280.17–$3,989.00	60% below	70%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAM	$1,196.70	$3,989.00	$280.17–$3,989.00	60% below	70%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD AND PELVIS W/O & W CONT	$1,196.70	$3,989.00	$3,590.10	—	70%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT UROGRAM	$1,196.70	$3,989.00	$3,590.10	—	70%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN ENHANCED	$591.60	$1,972.00	$99.00–$1,972.00	64% below	70%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN ENHANCED	$591.60	$1,972.00	$1,774.80	—	70%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN UNENHANCED	$503.70	$1,679.00	$85.25–$1,679.00	57% below	70%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN UNENHANCED	$503.70	$1,679.00	$1,511.10	—	70%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL UNENHANCED	$453.90	$1,513.00	$85.25–$1,513.00	60% below	70%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL UNENHANCED	$453.90	$1,513.00	$1,361.70	—	70%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN UNENHANCED	$374.10	$1,247.00	$85.25–$1,247.00	65% below	70%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN UNENHANCED	$374.10	$1,247.00	$1,122.30	—	70%
CT scan of the head with contrast CPT 70460 CT BRAIN ENHANCED	$505.50	$1,685.00	$88.00–$1,685.00	62% below	70%
CT scan of the head with contrast inpatient CPT 70460 CT BRAIN ENHANCED	$505.50	$1,685.00	$1,516.50	—	70%
CT scan of the head without and with contrast CPT 70470 CT BRAIN COMBINED	$923.40	$3,078.00	$110.00–$3,078.00	45% below	70%
CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN COMBINED	$923.40	$3,078.00	$2,770.20	—	70%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE UNENHANCED	$567.90	$1,893.00	$96.91–$1,893.00	55% below	70%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE UNENHANCED	$567.90	$1,893.00	$1,703.70	—	70%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE UNENHANCED	$567.90	$1,893.00	$91.41–$1,893.00	55% below	70%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE UNENHANCED	$567.90	$1,893.00	$1,703.70	—	70%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS ENHANCED	$321.00	$1,070.00	$95.15–$1,070.00	81% below	70%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS ENHANCED	$321.00	$1,070.00	$963.00	—	70%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID SCANS BILATERAL	$398.70	$1,329.00	$90.06–$1,329.00	—	70%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID SCANS BILATERAL	$398.70	$1,329.00	$1,196.10	—	70%
Chest CT scan without and with contrast CPT 71270 CT THORAX COMBINED	$946.80	$3,156.00	$113.85–$3,156.00	43% below	70%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX COMBINED	$946.80	$3,156.00	$2,840.40	—	70%
Chest X-ray, 2 views CPT 71046 VA CHEST 2 VIEW	$94.20	$314.00	$16.34–$314.00	71% below	70%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEW	$94.20	$314.00	$16.34–$314.00	71% below	70%
Chest X-ray, 2 views inpatient CPT 71046 VA CHEST 2 VIEW	$94.20	$314.00	$282.60	—	70%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEW	$94.20	$314.00	$282.60	—	70%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW (PORTABLE)	$103.80	$346.00	$8.92–$346.00	45% below	70%
Chest X-ray, single view CPT 71045 1 VIEW CHEST DIS DET FBLP	$103.80	$346.00	$8.92–$346.00	45% below	70%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$103.80	$346.00	$8.92–$346.00	45% below	70%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW	$103.80	$346.00	$311.40	—	70%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW (PORTABLE)	$103.80	$346.00	$311.40	—	70%
Chest X-ray, single view inpatient CPT 71045 1 VIEW CHEST DIS DET FBLP	$103.80	$346.00	$311.40	—	70%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT	$96.60	$322.00	$12.65–$322.00	66% below	70%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT	$96.60	$322.00	$12.65–$322.00	66% below	70%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT	$96.60	$322.00	$289.80	—	70%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT	$96.60	$322.00	$289.80	—	70%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM COMPLETE	$116.40	$388.00	$53.90–$388.00	85% below	70%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEUM COMPLETE	$116.40	$388.00	$349.20	—	70%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE MINERAL DENSITY AXIAL	$214.80	$716.00	$57.13–$716.00	22% below	70%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE MINERAL DENSITY AXIAL	$214.80	$716.00	$644.40	—	70%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE MINERAL DENSITY PERIPHER	$88.80	$296.00	$19.45–$296.00	47% below	70%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE MINERAL DENSITY PERIPHER	$88.80	$296.00	$266.40	—	70%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 THORAX UN CT LOW DOSE 71250	$268.20	$894.00	$91.41–$894.00	76% below	70%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX UNENHANCED	$268.20	$894.00	$91.41–$894.00	76% below	70%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 THORAX UN CT LOW DOSE 71250	$268.20	$894.00	$804.60	—	70%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX UNENHANCED	$268.20	$894.00	$804.60	—	70%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX ENHANCED	$923.40	$3,078.00	$96.25–$3,078.00	37% below	70%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX ENHANCED	$923.40	$3,078.00	$2,770.20	—	70%
Diagnostic mammogram, both breasts both sides CPT 77066 ADAGIO DIG MAM DX BI INC CAD	$175.80	$586.00	$90.64–$586.00	—	70%
Diagnostic mammogram, both breasts both sides CPT 77066 VA DIG MAMMO DX BI INC CAD	$175.80	$586.00	$90.64–$586.00	—	70%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL MAMMO DX BILAT INC CAD	$175.80	$586.00	$90.64–$586.00	—	70%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 VA DIG MAMMO DX BI INC CAD	$175.80	$586.00	$527.40	—	70%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 ADAGIO DIG MAM DX BI INC CAD	$175.80	$586.00	$527.40	—	70%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIGITAL MAMMO DX BILAT INC CAD	$175.80	$586.00	$527.40	—	70%
Diagnostic mammogram, one breast one side CPT 77065 DIG MAMMO DX UNI LT INC CAD	$117.90	$393.00	$71.16–$393.00	61% below	70%
Diagnostic mammogram, one breast one side CPT 77065 DIG MAMMO DX UNI RT INC CAD	$117.90	$393.00	$71.16–$393.00	61% below	70%
Diagnostic mammogram, one breast one side CPT 77065 ADAGIO DIG MAM DX LT INC CAD	$117.90	$393.00	$71.16–$393.00	61% below	70%
Diagnostic mammogram, one breast one side CPT 77065 ADAGIO DIG MAM DX RT INC CAD	$117.90	$393.00	$71.16–$393.00	61% below	70%
Diagnostic mammogram, one breast inpatient one side CPT 77065 ADAGIO DIG MAM DX RT INC CAD	$117.90	$393.00	$353.70	—	70%
Diagnostic mammogram, one breast inpatient one side CPT 77065 ADAGIO DIG MAM DX LT INC CAD	$117.90	$393.00	$353.70	—	70%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIG MAMMO DX UNI RT INC CAD	$117.90	$393.00	$353.70	—	70%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIG MAMMO DX UNI LT INC CAD	$117.90	$393.00	$353.70	—	70%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DOPPLER ARTERIAL PERIPHERAL BI	$242.70	$809.00	$77.26–$809.00	—	70%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DOPPLER ARTERIAL PERIPHERAL BI	$242.70	$809.00	$728.10	—	70%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DOPPLER VENOUS LOWER BILATERAL	$375.90	$1,253.00	$85.58–$1,253.00	—	70%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DOPPLER VENOUS UPPER BILATERAL	$375.90	$1,253.00	$85.58–$1,253.00	—	70%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DOPPLER VENOUS UPPER BILATERAL	$375.90	$1,253.00	$1,127.70	—	70%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DOPPLER VENOUS LOWER BILATERAL	$375.90	$1,253.00	$1,127.70	—	70%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMPLETE W/SPEC C FLOW	$913.80	$3,046.00	$107.95–$3,046.00	52% below	70%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMPLETE W/SPEC C FLOW	$913.80	$3,046.00	$2,741.40	—	70%
Elbow X-ray, 2 views one side CPT 73070 ELBOW LIMIT LT 2 VIEW	$81.60	$272.00	$12.65–$272.00	72% below	70%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS RT	$81.60	$272.00	$12.65–$272.00	72% below	70%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LIMIT LT 2 VIEW	$81.60	$272.00	$244.80	—	70%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS RT	$81.60	$272.00	$244.80	—	70%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOWS COMP LT MN 3 VWS	$99.90	$333.00	$12.65–$333.00	68% below	70%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMP RT MN 3 VWS	$99.90	$333.00	$12.65–$333.00	68% below	70%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMP RT MN 3 VWS	$99.90	$333.00	$299.70	—	70%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOWS COMP LT MN 3 VWS	$99.90	$333.00	$299.70	—	70%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT, SELLA, EAR, P.FOSSA	$457.50	$1,525.00	$101.83–$1,525.00	58% below	70%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT, SELLA, EAR, P.FOSSA	$457.50	$1,525.00	$1,372.50	—	70%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMP MN 3 VWS	$97.50	$325.00	$24.75–$325.00	76% below	70%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMP MN 3 VWS	$97.50	$325.00	$292.50	—	70%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RT 2 VIEW	$87.30	$291.00	$12.65–$291.00	68% below	70%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LT 2 VIEW	$87.30	$291.00	$12.65–$291.00	68% below	70%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM LT 2 VIEW	$87.30	$291.00	$261.90	—	70%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM RT 2 VIEW	$87.30	$291.00	$261.90	—	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY W GALLBL IF PRES	$534.00	$1,780.00	$235.92–$1,780.00	61% below	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY W GALLBL IF PRES	$534.00	$1,780.00	$1,602.00	—	70%
Hand X-ray, 2 views one side CPT 73120 HAND RT 2 VIEW	$88.80	$296.00	$11.00–$296.00	68% below	70%
Hand X-ray, 2 views one side CPT 73120 HAND LT 2 VIEW	$88.80	$296.00	$11.00–$296.00	68% below	70%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND RT 2 VIEW	$88.80	$296.00	$266.40	—	70%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND LT 2 VIEW	$88.80	$296.00	$266.40	—	70%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCIS LT	$87.30	$291.00	$12.65–$291.00	64% below	70%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCIS RT	$87.30	$291.00	$12.65–$291.00	64% below	70%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OS CALCIS RT	$87.30	$291.00	$261.90	—	70%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OS CALCIS LT	$87.30	$291.00	$261.90	—	70%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 4 CH SLEEP MONITOR UNATTENDED	$329.40	$1,098.00	$106.45–$1,098.00	39% below	70%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 4 CH SLEEP MONITOR UNATTENDED	$329.40	$1,098.00	$988.20	—	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP DISORDER W/CPAP	$842.40	$2,808.00	$312.45–$2,808.00	73% below	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP DISORDER W/CPAP	$842.40	$2,808.00	$2,527.20	—	70%
Knee X-ray, 3 views one side CPT 73562 KNEE LT 3 VIEW MIN	$85.80	$286.00	$18.15–$286.00	75% below	70%
Knee X-ray, 3 views one side CPT 73562 KNEE RT 3 VIEW MIN	$85.80	$286.00	$18.15–$286.00	75% below	70%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE RT 3 VIEW MIN	$85.80	$286.00	$257.40	—	70%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE LT 3 VIEW MIN	$85.80	$286.00	$257.40	—	70%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMP RT 4 VIEW MIN	$103.50	$345.00	$24.15–$345.00	77% below	70%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMP LT 4 VIEWS MIN	$123.60	$412.00	$24.15–$412.00	72% below	70%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMP RT 4 VIEW MIN	$103.50	$345.00	$310.50	—	70%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMP LT 4 VIEWS MIN	$123.60	$412.00	$370.80	—	70%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT EXTREMITY LOWER UNENHANCED	$431.10	$1,437.00	$86.94–$1,437.00	59% below	70%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT EXTREMITY LOWER UNENHANCED	$431.10	$1,437.00	$1,293.30	—	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LIMITED	$195.00	$650.00	$41.25–$650.00	72% below	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LIMITED	$195.00	$650.00	$585.00	—	70%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREM NON VAS R TIME LIMIT	$88.80	$296.00	$8.63–$296.00	75% below	70%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREM NON VAS R TIME LIMIT	$88.80	$296.00	$266.40	—	70%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C	$466.20	$1,554.00	$80.72–$1,554.00	75% above	70%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CANCER SCR C	$466.20	$1,554.00	$1,398.60	—	70%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA/FIBULA 2 VIEWS RT	$102.00	$340.00	$17.04–$340.00	68% below	70%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIAL/FIBULA 2 VIEWS LT	$102.00	$340.00	$17.04–$340.00	68% below	70%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIAL/FIBULA 2 VIEWS LT	$102.00	$340.00	$306.00	—	70%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA/FIBULA 2 VIEWS RT	$102.00	$340.00	$306.00	—	70%
MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIO HEAD UNENHANCED	$726.00	$2,420.00	$232.41–$2,420.00	59% below	70%
MR angiography (MRA) of the head without contrast CPT 70544 MRA OF HEAD UNENHANCED	$726.00	$2,420.00	$232.41–$2,420.00	59% below	70%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR ANGIO HEAD UNENHANCED	$726.00	$2,420.00	$2,178.00	—	70%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA OF HEAD UNENHANCED	$726.00	$2,420.00	$2,178.00	—	70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 VISIONARIE KNEE LT	$525.00	$1,750.00	$232.41–$1,750.00	70% below	70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 VISIONARIE KNEE RT	$525.00	$1,750.00	$232.41–$1,750.00	70% below	70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JOINT LOWER EXT LT UNE	$1,072.80	$3,576.00	$232.41–$3,576.00	39% below	70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JOINT LOWER EXT RT UNE	$1,072.80	$3,576.00	$232.41–$3,576.00	39% below	70%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 VISIONARIE KNEE LT	$525.00	$1,750.00	$1,575.00	—	70%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 VISIONARIE KNEE RT	$525.00	$1,750.00	$1,575.00	—	70%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANY JOINT LOWER EXT RT UNE	$1,072.80	$3,576.00	$3,218.40	—	70%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANY JOINT LOWER EXT LT UNE	$1,072.80	$3,576.00	$3,218.40	—	70%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXTREM JOINT COMBINED	$1,198.20	$3,994.00	$339.81–$3,994.00	68% below	70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOW EXTREM JOINT COMBINED	$1,198.20	$3,994.00	$3,594.60	—	70%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN UNENHANCED	$1,010.10	$3,367.00	$232.41–$3,367.00	49% below	70%
MRI of the abdomen without contrast CPT 74181 MRCP UNENHANCED	$1,010.10	$3,367.00	$232.41–$3,367.00	49% below	70%
MRI of the abdomen without contrast inpatient CPT 74181 MRCP UNENHANCED	$1,010.10	$3,367.00	$3,030.30	—	70%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN UNENHANCED	$1,010.10	$3,367.00	$3,030.30	—	70%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN COMBINED	$881.10	$2,937.00	$339.81–$2,937.00	76% below	70%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN COMBINED	$881.10	$2,937.00	$2,643.30	—	70%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN UNENHANCED	$743.40	$2,478.00	$232.41–$2,478.00	58% below	70%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN UNENHANCED	$743.40	$2,478.00	$2,230.20	—	70%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN COMBINED	$1,059.00	$3,530.00	$295.90–$3,530.00	63% below	70%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN COMBINED	$1,059.00	$3,530.00	$3,177.00	—	70%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINAL CANAL LUMBAR UNENHA	$743.40	$2,478.00	$205.92–$2,478.00	58% below	70%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINAL CANAL LUMBAR UNENHA	$743.40	$2,478.00	$2,230.20	—	70%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINAL CANAL LUMBAR COMBIN	$1,059.00	$3,530.00	$295.90–$3,530.00	68% below	70%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINAL CANAL LUMBAR COMBIN	$1,059.00	$3,530.00	$3,177.00	—	70%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINAL CANAL THORACIC UNEN	$743.40	$2,478.00	$205.92–$2,478.00	64% below	70%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINAL CANAL THORACIC UNEN	$743.40	$2,478.00	$2,230.20	—	70%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINAL CANAL CERV COMBINED	$1,072.80	$3,576.00	$295.90–$3,576.00	62% below	70%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINAL CANAL CERV COMBINED	$1,072.80	$3,576.00	$3,218.40	—	70%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINAL CANAL CERVICAL UNEN	$743.40	$2,478.00	$232.41–$2,478.00	58% below	70%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINAL CANAL CERVICAL UNEN	$743.40	$2,478.00	$2,230.20	—	70%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS COMBINED	$900.00	$3,000.00	$294.26–$3,000.00	75% below	70%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS COMBINED	$900.00	$3,000.00	$2,700.00	—	70%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS UNENHANCED	$555.30	$1,851.00	$232.41–$1,851.00	71% below	70%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS UNENHANCED	$555.30	$1,851.00	$1,665.90	—	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JOINT UPPER EXT LT UNE	$1,072.80	$3,576.00	$232.41–$3,576.00	49% below	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JOINT UPPER EXT RT UNE	$1,072.80	$3,576.00	$232.41–$3,576.00	49% below	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ANY JOINT UPPER EXT RT UNE	$1,072.80	$3,576.00	$3,218.40	—	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ANY JOINT UPPER EXT LT UNE	$1,072.80	$3,576.00	$3,218.40	—	70%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C SPINE 4 OR 5 VIEWS	$132.60	$442.00	$29.15–$442.00	72% below	70%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C SPINE 4 OR 5 VIEWS	$132.60	$442.00	$397.80	—	70%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK ENHANCED	$285.00	$950.00	$90.75–$950.00	79% below	70%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK ENHANCED	$285.00	$950.00	$855.00	—	70%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK UNENHANCED	$245.10	$817.00	$86.90–$817.00	77% below	70%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK UNENHANCED	$245.10	$817.00	$735.30	—	70%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$107.40	$358.00	$11.00–$358.00	59% below	70%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$107.40	$358.00	$322.20	—	70%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCAR SPECT W/WALL MULTIPLE	$1,196.70	$3,989.00	$306.17–$3,989.00	72% below	70%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCAR SPECT W/WALL MULTIPLE	$1,196.70	$3,989.00	$3,590.10	—	70%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PYLARIFY PET/CT SKULL/THIGH	$1,350.30	$4,501.00	$500.00–$4,501.00	80% below	70%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 CU64 PET/CT SKULL/THIGH 78815	$1,350.30	$4,501.00	$500.00–$4,501.00	80% below	70%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 TUMOR IMAG PET/CT, SKULL-THIGH	$2,869.80	$9,566.00	$500.00–$9,566.00	58% below	70%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PYLARIFY PET/CT SKULL/THIGH	$1,350.30	$4,501.00	$4,050.90	—	70%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 CU64 PET/CT SKULL/THIGH 78815	$1,350.30	$4,501.00	$4,050.90	—	70%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 TUMOR IMAG PET/CT, SKULL-THIGH	$2,869.80	$9,566.00	$8,609.40	—	70%
Pelvic CT scan without contrast CPT 72192 CYSTOGRAM IN CT	$283.20	$944.00	$74.25–$944.00	74% below	70%
Pelvic CT scan without contrast CPT 72192 CT PELVIS UNENHANCED	$283.20	$944.00	$74.25–$944.00	74% below	70%
Pelvic CT scan without contrast inpatient CPT 72192 CYSTOGRAM IN CT	$283.20	$944.00	$849.60	—	70%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS UNENHANCED	$283.20	$944.00	$849.60	—	70%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 U/S PELVIC LIMITED	$100.20	$334.00	$20.90–$334.00	78% below	70%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 U/S PELVIC LIMITED	$100.20	$334.00	$300.60	—	70%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 U/S PELVIC	$116.40	$388.00	$51.15–$388.00	80% below	70%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 U/S PELVIC	$116.40	$388.00	$349.20	—	70%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PREG COMP (BPD/PLAC)	$137.10	$457.00	$51.15–$457.00	79% below	70%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PREG COMP (BPD/PLAC)	$137.10	$457.00	$411.30	—	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PREGNANCY U/S 1ST TRIMESTER	$129.30	$431.00	$42.23–$431.00	77% below	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 PREGNANCY U/S 1ST TRIMESTER	$129.30	$431.00	$387.90	—	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PREGNANCY LIMITED	$218.10	$727.00	$42.90–$727.00	57% below	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PREGNANCY SONAR	$218.10	$727.00	$42.90–$727.00	57% below	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PREGNANCY LIMITED	$218.10	$727.00	$654.30	—	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PREGNANCY SONAR	$218.10	$727.00	$654.30	—	70%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2 VWS LT	$120.60	$402.00	$18.15–$402.00	64% below	70%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2 VWS RT	$120.60	$402.00	$18.15–$402.00	64% below	70%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2 VWS LT	$120.60	$402.00	$361.80	—	70%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2 VWS RT	$120.60	$402.00	$361.80	—	70%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LT W/PA CHEST	$132.30	$441.00	$18.15–$441.00	68% below	70%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RT W/PA CHEST	$132.30	$441.00	$18.15–$441.00	68% below	70%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS LT W/PA CHEST	$132.30	$441.00	$396.90	—	70%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS RT W/PA CHEST	$132.30	$441.00	$396.90	—	70%
Screening mammogram, both breasts both sides CPT 77067 ADAGIO DIG MAM SCRN BI INC CAD	$143.40	$478.00	$74.95–$478.00	—	70%
Screening mammogram, both breasts both sides CPT 77067 VA DIG MAMMO SCREEN BI INC CAD	$143.40	$478.00	$74.95–$478.00	—	70%
Screening mammogram, both breasts both sides CPT 77067 DIG MAMMO SCREEN BILAT INC CAD	$143.40	$478.00	$74.95–$478.00	—	70%
Screening mammogram, both breasts inpatient both sides CPT 77067 ADAGIO DIG MAM SCRN BI INC CAD	$143.40	$478.00	$430.20	—	70%
Screening mammogram, both breasts inpatient both sides CPT 77067 DIG MAMMO SCREEN BILAT INC CAD	$143.40	$478.00	$430.20	—	70%
Screening mammogram, both breasts inpatient both sides CPT 77067 VA DIG MAMMO SCREEN BI INC CAD	$143.40	$478.00	$430.20	—	70%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP LT MIN 2 VW	$112.80	$376.00	$18.15–$376.00	66% below	70%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP RT MIN 2 VW	$112.80	$376.00	$18.15–$376.00	66% below	70%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP LT MIN 2 VW	$112.80	$376.00	$338.40	—	70%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP RT MIN 2 VW	$112.80	$376.00	$338.40	—	70%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES COMP MIN 3 VWS	$97.50	$325.00	$24.75–$325.00	77% below	70%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES COMP MIN 3 VWS	$97.50	$325.00	$292.50	—	70%
Skull X-ray, fewer than 4 views CPT 70250 SKULL <4 VWS	$88.80	$296.00	$23.10–$296.00	75% below	70%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL <4 VWS	$88.80	$296.00	$266.40	—	70%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP DISORDER 1ST NIGHT	$842.40	$2,808.00	$168.61–$2,808.00	76% below	70%
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP DISORDER 1ST NIGHT	$842.40	$2,808.00	$2,527.20	—	70%
Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW WITH VI	$149.70	$499.00	$30.80–$499.00	75% below	70%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 BARIUM SWALLOW WITH VI	$149.70	$499.00	$449.10	—	70%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY EXAM FEMUR 2/> VIEWS LT	$75.60	$252.00	$18.75–$252.00	81% below	70%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY EXAM FEMUR 2/> VIEWS RT	$75.60	$252.00	$18.75–$252.00	81% below	70%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XRAY EXAM FEMUR 2/> VIEWS RT	$75.60	$252.00	$226.80	—	70%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XRAY EXAM FEMUR 2/> VIEWS LT	$75.60	$252.00	$226.80	—	70%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE, UNENHANCED	$567.90	$1,893.00	$99.66–$1,893.00	53% below	70%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE, UNENHANCED	$567.90	$1,893.00	$1,703.70	—	70%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) LT MIN 2 VIEWS	$71.40	$238.00	$9.90–$238.00	74% below	70%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) RT MIN 2 VIEWS	$71.40	$238.00	$9.90–$238.00	74% below	70%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) RT MIN 2 VIEWS	$71.40	$238.00	$214.20	—	70%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) LT MIN 2 VIEWS	$71.40	$238.00	$214.20	—	70%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND TRANSVAGINAL	$116.40	$388.00	$51.15–$388.00	79% below	70%
Transvaginal pelvic ultrasound inpatient CPT 76830 ULTRASOUND TRANSVAGINAL	$116.40	$388.00	$349.20	—	70%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL U/S FOR PREGNANCY	$133.50	$445.00	$58.33–$445.00	76% below	70%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL U/S FOR PREGNANCY	$133.50	$445.00	$400.50	—	70%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMP	$116.40	$388.00	$63.25–$388.00	87% below	70%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMP	$116.40	$388.00	$349.20	—	70%
Ultrasound of the scrotum and testicles CPT 76870 U/S SCROTUM	$114.90	$383.00	$48.40–$383.00	81% below	70%
Ultrasound of the scrotum and testicles inpatient CPT 76870 U/S SCROTUM	$114.90	$383.00	$344.70	—	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUES HEAD & NECK	$114.90	$383.00	$55.47–$383.00	80% below	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUES HEAD AND NECK	$114.90	$383.00	$55.47–$383.00	80% below	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUES HEAD & NECK (T	$114.90	$383.00	$55.47–$383.00	80% below	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUES HEAD & NECK (T	$114.90	$383.00	$344.70	—	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUES HEAD & NECK	$114.90	$383.00	$344.70	—	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUES HEAD AND NECK	$114.90	$383.00	$344.70	—	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 BAR SWALLOW WITH GI SERIES	$162.60	$542.00	$42.90–$542.00	73% below	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XRAY UPPER GI DELAY W/O KUB	$162.60	$542.00	$42.90–$542.00	73% below	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GASTROINTESTINAL TR (UGI	$162.60	$542.00	$42.90–$542.00	73% below	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI WITH GASTROGRAFIN	$162.60	$542.00	$42.90–$542.00	73% below	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XRAY UPPER GI DELAY W/O KUB	$162.60	$542.00	$487.80	—	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI WITH GASTROGRAFIN	$162.60	$542.00	$487.80	—	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GASTROINTESTINAL TR (UGI	$162.60	$542.00	$487.80	—	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 BAR SWALLOW WITH GI SERIES	$162.60	$542.00	$487.80	—	70%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2 VWS RT	$99.60	$332.00	$12.65–$332.00	63% below	70%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2 VWS LT	$99.60	$332.00	$12.65–$332.00	63% below	70%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2 VWS RT	$99.60	$332.00	$298.80	—	70%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2 VWS LT	$99.60	$332.00	$298.80	—	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DOPPLER VENOUS UPPER UNILATERA	$226.20	$754.00	$59.83–$754.00	66% below	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$226.20	$754.00	$59.83–$754.00	66% below	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DOPPLER VENOUS UPPER LT	$226.20	$754.00	$59.83–$754.00	66% below	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DOPPLER VENOUS LOWER RT	$226.20	$754.00	$59.83–$754.00	66% below	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DOPPLER VENOUS LOWER LT	$226.20	$754.00	$59.83–$754.00	66% below	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DOPPLER VENOUS UPPER RT	$226.20	$754.00	$59.83–$754.00	66% below	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY STUDY	$226.20	$754.00	$678.60	—	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DOPPLER VENOUS UPPER UNILATERA	$226.20	$754.00	$678.60	—	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DOPPLER VENOUS LOWER RT	$226.20	$754.00	$678.60	—	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DOPPLER VENOUS UPPER LT	$226.20	$754.00	$678.60	—	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DOPPLER VENOUS UPPER RT	$226.20	$754.00	$678.60	—	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DOPPLER VENOUS LOWER LT	$226.20	$754.00	$678.60	—	70%
Wrist X-ray, 2 views one side CPT 73100 WRIST LT 2 VIEWS	$76.20	$254.00	$12.65–$254.00	70% below	70%
Wrist X-ray, 2 views one side CPT 73100 WRIST RT 2 VIEWS	$76.20	$254.00	$12.65–$254.00	70% below	70%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LT 2 VIEWS	$76.20	$254.00	$228.60	—	70%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST RT 2 VIEWS	$76.20	$254.00	$228.60	—	70%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP LT MN 3 VW	$89.70	$299.00	$12.65–$299.00	72% below	70%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP RT MN 3 VWS	$89.70	$299.00	$12.65–$299.00	72% below	70%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMP LT MN 3 VW	$89.70	$299.00	$269.10	—	70%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMP RT MN 3 VWS	$89.70	$299.00	$269.10	—	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY EXAM HIP UNI 2-3 VIEWS LT	$75.60	$252.00	$24.60–$252.00	78% below	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY EXAM HIP UNI 2-3 VIEWS RT	$75.60	$252.00	$24.60–$252.00	78% below	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY EXAM HIP UNI 2-3 VIEWS LT	$75.60	$252.00	$226.80	—	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY EXAM HIP UNI 2-3 VIEWS RT	$75.60	$252.00	$226.80	—	70%
X-ray of the abdomen, 1 view CPT 74018 VA XRAY EXAM ABDOMEN 1 VIEW	$75.60	$252.00	$15.15–$252.00	74% below	70%
X-ray of the abdomen, 1 view CPT 74018 XRAY EXAM ABDOMEN 1 VIEW	$75.60	$252.00	$15.15–$252.00	74% below	70%
X-ray of the abdomen, 1 view inpatient CPT 74018 VA XRAY EXAM ABDOMEN 1 VIEW	$75.60	$252.00	$226.80	—	70%
X-ray of the abdomen, 1 view inpatient CPT 74018 XRAY EXAM ABDOMEN 1 VIEW	$75.60	$252.00	$226.80	—	70%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 2 VIEWS	$87.90	$293.00	$12.65–$293.00	74% below	70%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2 VIEWS	$87.90	$293.00	$12.65–$293.00	74% below	70%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LT 2 VIEWS	$87.90	$293.00	$263.70	—	70%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT 2 VIEWS	$87.90	$293.00	$263.70	—	70%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) RT MN 2 VWS	$78.60	$262.00	$9.90–$262.00	66% below	70%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) LT MN 2 VWS	$78.60	$262.00	$9.90–$262.00	66% below	70%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) RT MN 2 VWS	$78.60	$262.00	$235.80	—	70%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) LT MN 2 VWS	$78.60	$262.00	$235.80	—	70%
X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2 VIEWS	$87.90	$293.00	$11.00–$293.00	73% below	70%
X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2 VIEWS	$87.90	$293.00	$11.00–$293.00	73% below	70%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT 2 VIEWS	$87.90	$293.00	$263.70	—	70%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LT 2 VIEWS	$87.90	$293.00	$263.70	—	70%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LT MIN 3 VIEWS	$99.30	$331.00	$12.65–$331.00	73% below	70%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT MIN 3 VIEWS	$99.30	$331.00	$12.65–$331.00	73% below	70%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT RT MIN 3 VIEWS	$99.30	$331.00	$297.90	—	70%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LT MIN 3 VIEWS	$99.30	$331.00	$297.90	—	70%
X-ray of the hand, 3 or more views one side CPT 73130 HAND RT 3 VIEW MIN	$87.30	$291.00	$12.65–$291.00	71% below	70%
X-ray of the hand, 3 or more views one side CPT 73130 HAND LT 3 VIEW MIN	$87.30	$291.00	$12.65–$291.00	71% below	70%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND RT 3 VIEW MIN	$87.30	$291.00	$261.90	—	70%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND LT 3 VIEW MIN	$87.30	$291.00	$261.90	—	70%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RT 1 OR 2 VIEWS	$89.10	$297.00	$18.15–$297.00	68% below	70%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LT 1 OR 2 VIEWS	$89.10	$297.00	$18.15–$297.00	68% below	70%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LT 1 OR 2 VIEWS	$89.10	$297.00	$267.30	—	70%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE RT 1 OR 2 VIEWS	$89.10	$297.00	$267.30	—	70%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LS SPINE 2 OR 3 VWS	$97.50	$325.00	$22.06–$325.00	76% below	70%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LS SPINE 2 OR 3 VWS	$97.50	$325.00	$292.50	—	70%
X-ray of the lower back, 4 or more views CPT 72110 LS SPINE MIN 4 VWS	$97.50	$325.00	$24.75–$325.00	79% below	70%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LS SPINE MIN 4 VWS	$97.50	$325.00	$292.50	—	70%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VWS	$97.50	$325.00	$22.21–$325.00	73% below	70%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VWS	$97.50	$325.00	$292.50	—	70%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMP MN 3 VWS	$97.50	$325.00	$12.65–$325.00	64% below	70%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMP MN 3 VWS	$97.50	$325.00	$292.50	—	70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C SPINE 3 VIEWS OR LESS	$114.60	$382.00	$18.15–$382.00	66% below	70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C SPINE 3 VIEWS OR LESS	$114.60	$382.00	$343.80	—	70%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VWS	$88.80	$296.00	$11.00–$296.00	70% below	70%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VWS	$88.80	$296.00	$266.40	—	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX MIN 2 VWS	$87.30	$291.00	$18.15–$291.00	73% below	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX MIN 2 VWS	$87.30	$291.00	$261.90	—	70%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
ACTH blood test CPT 82024 ACTH	$134.40	$448.00	$34.85–$448.00	31% below	70%
ACTH blood test inpatient CPT 82024 ACTH	$134.40	$448.00	$403.20	—	70%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT - REF LAB	$15.00	$50.00	$4.78–$50.00	60% below	70%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$15.00	$50.00	$4.78–$50.00	60% below	70%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT - REF LAB	$15.00	$50.00	$45.00	—	70%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$15.00	$50.00	$45.00	—	70%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$15.00	$50.00	$3.54–$50.00	59% below	70%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST - REF LAB	$15.00	$50.00	$3.54–$50.00	59% below	70%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$15.00	$50.00	$45.00	—	70%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST - REF LAB	$15.00	$50.00	$45.00	—	70%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL	$113.70	$379.00	$42.98–$379.00	63% below	70%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL	$113.70	$379.00	$341.10	—	70%
Albumin blood test CPT 82040 ALBUMIN, SERUM	$13.20	$44.00	$3.65–$44.00	59% below	70%
Albumin blood test CPT 82040 ALBUMIN	$13.20	$44.00	$3.65–$44.00	59% below	70%
Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM	$13.20	$44.00	$39.60	—	70%
Albumin blood test inpatient CPT 82040 ALBUMIN	$13.20	$44.00	$39.60	—	70%
Aldosterone blood test CPT 82088 ALDOSTERONE, SERUM	$103.80	$346.00	$26.00–$346.00	50% below	70%
Aldosterone blood test CPT 82088 ALDOSTERONE, URINE	$103.80	$346.00	$26.00–$346.00	50% below	70%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, URINE	$103.80	$346.00	$311.40	—	70%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, SERUM	$103.80	$346.00	$311.40	—	70%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$18.90	$63.00	$3.62–$63.00	49% below	70%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$18.90	$63.00	$56.70	—	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALERGEN SPECIFIC IGE	$28.20	$94.00	$4.71–$94.00	13% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, SINGLE	$28.20	$94.00	$4.71–$94.00	13% below	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALERGEN SPECIFIC IGE	$28.20	$94.00	$84.60	—	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, SINGLE	$28.20	$94.00	$84.60	—	70%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA 1 FETOPROTEIN	$59.70	$199.00	$15.07–$199.00	44% below	70%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA 1 FETOPROTEIN	$59.70	$199.00	$179.10	—	70%
Ammonia blood test CPT 82140 AMMONIA	$40.80	$136.00	$5.00–$136.00	53% below	70%
Ammonia blood test CPT 82140 ASSAY OF AMMONIA	$40.80	$136.00	$5.00–$136.00	53% below	70%
Ammonia blood test inpatient CPT 82140 AMMONIA	$40.80	$136.00	$122.40	—	70%
Ammonia blood test inpatient CPT 82140 ASSAY OF AMMONIA	$40.80	$136.00	$122.40	—	70%
Amylase blood test CPT 82150 AMYLASE	$30.90	$103.00	$5.00–$103.00	32% below	70%
Amylase blood test CPT 82150 AMYLASE, BODY FL	$30.90	$103.00	$5.00–$103.00	32% below	70%
Amylase blood test inpatient CPT 82150 AMYLASE	$30.90	$103.00	$92.70	—	70%
Amylase blood test inpatient CPT 82150 AMYLASE, BODY FL	$30.90	$103.00	$92.70	—	70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATD PEPTIDE AB	$62.10	$207.00	$11.68–$207.00	30% below	70%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATD PEPTIDE AB	$62.10	$207.00	$186.30	—	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR ANTIBODY	$43.80	$146.00	$10.34–$146.00	41% below	70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI NUCLEAR ANTIBODY	$43.80	$146.00	$131.40	—	70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$162.60	$542.00	$23.20–$542.00	18% below	70%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$162.60	$542.00	$487.80	—	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA CULTURE	$32.40	$108.00	$6.90–$108.00	47% below	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 DEF CULTURE OTHER	$32.40	$108.00	$6.90–$108.00	47% below	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LEGIONELLA CULTURE	$32.40	$108.00	$97.20	—	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 DEF CULTURE OTHER	$32.40	$108.00	$97.20	—	70%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$101.40	$338.00	$7.63–$338.00	2% above	70%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$101.40	$338.00	$304.20	—	70%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$24.90	$83.00	$4.53–$83.00	22% below	70%
Bilirubin blood test, total CPT 82247 BILIRUBIN	$24.90	$83.00	$4.53–$83.00	22% below	70%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN	$24.90	$83.00	$74.70	—	70%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$24.90	$83.00	$74.70	—	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO EXAM IV	$135.00	$450.00	$9.00–$450.00	32% below	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICROSCOPIC LEVEL IV	$135.00	$450.00	$9.00–$450.00	32% below	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$135.00	$450.00	$9.00–$450.00	32% below	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICRO EXAM IV	$135.00	$450.00	$405.00	—	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK	$135.00	$450.00	$405.00	—	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICROSCOPIC LEVEL IV	$135.00	$450.00	$405.00	—	70%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$38.10	$127.00	$9.31–$127.00	59% below	70%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$38.10	$127.00	$114.30	—	70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE MED ONC	$8.70	$29.00	$1.08–$29.70	42% below	70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$8.70	$29.00	$1.08–$29.70	42% below	70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE MED ONC	$8.70	$29.00	$26.10	—	70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$8.70	$29.00	$26.10	—	70%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$13.20	$44.00	$3.55–$44.00	51% below	70%
Blood glucose (sugar) test CPT 82947 GLUCOSE-REF LAB	$13.20	$44.00	$3.55–$44.00	51% below	70%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE-REF LAB	$13.20	$44.00	$39.60	—	70%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$13.20	$44.00	$39.60	—	70%
Blood lead test CPT 83655 LEAD	$43.80	$146.00	$10.00–$146.00	44% below	70%
Blood lead test CPT 83655 LEAD URINE	$43.80	$146.00	$10.00–$146.00	44% below	70%
Blood lead test inpatient CPT 83655 LEAD URINE	$43.80	$146.00	$131.40	—	70%
Blood lead test inpatient CPT 83655 LEAD	$43.80	$146.00	$131.40	—	70%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE	$28.20	$94.00	$5.78–$94.00	50% below	70%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE	$28.20	$94.00	$84.60	—	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TYPE, BLOOD	$105.00	$350.00	$4.12–$350.00	18% below	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPING	$105.00	$350.00	$4.12–$350.00	18% below	70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD TYPING	$105.00	$350.00	$315.00	—	70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TYPE, BLOOD	$105.00	$350.00	$315.00	—	70%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$10.80	$36.00	$3.56–$36.00	62% below	70%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$10.80	$36.00	$32.40	—	70%
C-peptide blood test CPT 84681 C-PEPTIDE	$73.50	$245.00	$18.78–$245.00	30% below	70%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$73.50	$245.00	$220.50	—	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$15.30	$51.00	$3.00–$51.00	60% below	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$15.30	$51.00	$45.90	—	70%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDUM DIFFICIL AMP PROBE	$105.60	$352.00	$33.63–$352.00	49% below	70%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDUM DIFFICIL AMP PROBE	$105.60	$352.00	$316.80	—	70%
CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE ANTIGEN 19-9	$99.90	$333.00	$15.70–$333.00	27% below	70%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CARBOHYDRATE ANTIGEN 19-9	$99.90	$333.00	$299.70	—	70%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125	$93.30	$311.00	$14.65–$311.00	29% below	70%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125	$93.30	$311.00	$279.90	—	70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19	$45.60	$152.00	$30.88–$163.17	50% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19	$45.60	$152.00	$136.80	—	70%
Calcium blood test, total CPT 82310 CALCUIM	$17.40	$58.00	$3.54–$58.00	48% below	70%
Calcium blood test, total inpatient CPT 82310 CALCUIM	$17.40	$58.00	$52.20	—	70%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINDEMBRYONIC ANTIGEN	$74.40	$248.00	$17.00–$248.00	28% below	70%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINDEMBRYONIC ANTIGEN	$74.40	$248.00	$223.20	—	70%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER IgG	$45.90	$153.00	$11.62–$153.00	49% below	70%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER IGG	$45.90	$153.00	$11.62–$153.00	49% below	70%
Chickenpox (varicella) immunity blood test CPT 86787 HERPES ZOSTER ANTIBODY IGG	$48.90	$163.00	$11.62–$163.00	46% below	70%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER IgG	$45.90	$153.00	$137.70	—	70%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER IGG	$45.90	$153.00	$137.70	—	70%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HERPES ZOSTER ANTIBODY IGG	$48.90	$163.00	$146.70	—	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH, PCR	$73.80	$246.00	$23.19–$246.00	62% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH, PCR	$73.80	$246.00	$221.40	—	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$27.30	$91.00	$12.08–$91.00	71% below	70%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$27.30	$91.00	$81.90	—	70%
Complete blood count (CBC) with differential CPT 85025 CBC & DIFFERENTIAL	$25.50	$85.00	$6.00–$85.00	49% below	70%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC & DIFFERENTIAL	$25.50	$85.00	$76.50	—	70%
Complete blood count (CBC), no differential CPT 85027 CBC	$22.80	$76.00	$4.70–$76.00	49% below	70%
Complete blood count (CBC), no differential CPT 85027 CBC - REF LAB	$22.80	$76.00	$4.70–$76.00	49% below	70%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC - REF LAB	$22.80	$76.00	$68.40	—	70%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$22.80	$76.00	$68.40	—	70%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$118.80	$396.00	$9.53–$396.00	4% below	70%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$118.80	$396.00	$356.40	—	70%
Cortisol blood test, total CPT 82533 CORTISOL	$58.20	$194.00	$12.00–$194.00	43% below	70%
Cortisol blood test, total CPT 82533 CORTISOL PLASMA BY RIA	$58.20	$194.00	$12.00–$194.00	43% below	70%
Cortisol blood test, total inpatient CPT 82533 CORTISOL PLASMA BY RIA	$58.20	$194.00	$174.60	—	70%
Cortisol blood test, total inpatient CPT 82533 CORTISOL	$58.20	$194.00	$174.60	—	70%
Creatine kinase (CK) blood test, total CPT 82550 CPK	$23.10	$77.00	$5.87–$77.00	51% below	70%
Creatine kinase (CK) blood test, total CPT 82550 CK	$23.10	$77.00	$5.87–$77.00	51% below	70%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$23.10	$77.00	$69.30	—	70%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK	$23.10	$77.00	$69.30	—	70%
Creatinine blood test CPT 82565 CREATININE, BEDSIDE	$18.00	$60.00	$3.70–$60.00	46% below	70%
Creatinine blood test CPT 82565 CREATININE, BLOOD	$18.00	$60.00	$3.70–$60.00	46% below	70%
Creatinine blood test inpatient CPT 82565 CREATININE, BEDSIDE	$18.00	$60.00	$54.00	—	70%
Creatinine blood test inpatient CPT 82565 CREATININE, BLOOD	$18.00	$60.00	$54.00	—	70%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV SCREENING PER UNIT	$55.50	$185.00	$12.64–$185.00	31% below	70%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS ANITBODY	$55.50	$185.00	$12.64–$185.00	31% below	70%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS ANITBODY	$55.50	$185.00	$166.50	—	70%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV SCREENING PER UNIT	$55.50	$185.00	$166.50	—	70%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$38.70	$129.00	$9.09–$129.00	49% below	70%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$38.70	$129.00	$116.10	—	70%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$78.60	$262.00	$20.06–$262.00	35% below	70%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$78.60	$262.00	$235.80	—	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG(S) TEST, PRESUMPTIVE	$108.30	$361.00	$56.07–$361.00	39% below	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN QL PRESUMPTIVE	$108.30	$361.00	$56.07–$361.00	39% below	70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG(S) TEST, PRESUMPTIVE	$108.30	$361.00	$324.90	—	70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN QL PRESUMPTIVE	$108.30	$361.00	$324.90	—	70%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$41.70	$139.00	$6.33–$139.00	37% below	70%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$41.70	$139.00	$125.10	—	70%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS AB, IGM	$57.00	$190.00	$16.37–$190.00	44% below	70%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS AB, IGG	$57.00	$190.00	$16.37–$190.00	44% below	70%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIRUS AB, IGM	$57.00	$190.00	$171.00	—	70%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIRUS AB, IGG	$57.00	$190.00	$171.00	—	70%
Estradiol blood test CPT 82670 ESTRADIOL BY RIA	$95.70	$319.00	$21.50–$319.00	37% below	70%
Estradiol blood test CPT 82670 ESTRADIOL	$95.70	$319.00	$21.50–$319.00	37% below	70%
Estradiol blood test inpatient CPT 82670 ESTRADIOL BY RIA	$95.70	$319.00	$287.10	—	70%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$95.70	$319.00	$287.10	—	70%
FSH (follicle-stimulating hormone) test CPT 83001 FSH BY RIA SERUM	$56.70	$189.00	$16.76–$189.00	49% below	70%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH BY RIA SERUM	$56.70	$189.00	$170.10	—	70%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN	$86.70	$289.00	$17.71–$289.00	37% below	70%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN	$86.70	$289.00	$260.10	—	70%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (CPF)	$47.70	$159.00	$12.00–$159.00	45% below	70%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$47.70	$159.00	$12.00–$159.00	45% below	70%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$47.70	$159.00	$143.10	—	70%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN (CPF)	$47.70	$159.00	$143.10	—	70%
Fibrinogen blood test CPT 85384 FIBRINOGEN SCREENING	$35.40	$118.00	$8.77–$118.00	48% below	70%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN SCREENING	$35.40	$118.00	$106.20	—	70%
Folate (folic acid) blood test CPT 82746 FOLATE	$38.10	$127.00	$12.00–$127.00	56% below	70%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$38.10	$127.00	$114.30	—	70%
Free T3 thyroid hormone test CPT 84481 FREE T3	$60.90	$203.00	$15.28–$203.00	43% below	70%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$60.90	$203.00	$182.70	—	70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE	$44.40	$148.00	$8.00–$148.00	28% below	70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 BY EQUILIBRIUM	$44.40	$148.00	$8.00–$148.00	28% below	70%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE	$44.40	$148.00	$133.20	—	70%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 BY EQUILIBRIUM	$44.40	$148.00	$133.20	—	70%
Free testosterone test CPT 84402 TESTOSTERONE FREE ASSAY	$40.20	$134.00	$22.98–$134.00	69% below	70%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE ASSAY	$40.20	$134.00	$120.60	—	70%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP - REF LAB	$25.50	$85.00	$5.47–$85.00	46% below	70%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP	$25.50	$85.00	$5.47–$85.00	46% below	70%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP - REF LAB	$25.50	$85.00	$76.50	—	70%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP	$25.50	$85.00	$76.50	—	70%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOLA	$27.00	$90.00	$4.29–$90.00	29% below	70%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOLA	$27.00	$90.00	$81.00	—	70%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 SPECIMENS	$42.30	$141.00	$11.61–$141.00	48% below	70%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 SPECIMENS	$42.30	$141.00	$126.90	—	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMPLIFIED PROBE	$73.80	$246.00	$23.19–$246.00	60% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE AMPLIFIED PROBE	$73.80	$246.00	$221.40	—	70%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA	$14.70	$49.00	$9.80–$49.00	86% below	70%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL AG IA	$14.70	$49.00	$44.10	—	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV BY RNA	$399.60	$1,332.00	$76.79–$1,332.00	16% below	70%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV BY RNA	$399.60	$1,332.00	$1,198.80	—	70%
HIV-1 and HIV-2 antibody test CPT 86703 HIV ANITBODY	$91.20	$304.00	$12.37–$304.00	9% below	70%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV ANITBODY	$91.20	$304.00	$273.60	—	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 Ag AND HIV1/2 Ab	$30.90	$103.00	$21.73–$103.00	78% below	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 Ag AND HIV1/2 Ab	$30.90	$103.00	$92.70	—	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES	$89.70	$299.00	$31.66–$299.00	57% below	70%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES	$89.70	$299.00	$269.10	—	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCATED	$29.70	$99.00	$7.00–$99.00	45% below	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCATED	$29.70	$99.00	$89.10	—	70%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$14.70	$49.00	$2.14–$49.00	23% below	70%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$14.70	$49.00	$44.10	—	70%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY	$57.00	$190.00	$10.87–$190.00	41% below	70%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY	$57.00	$190.00	$171.00	—	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIB	$48.60	$162.00	$9.69–$162.00	40% below	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIB	$48.60	$162.00	$145.80	—	70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS SURFACAE AG	$45.90	$153.00	$9.32–$153.00	34% below	70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF ANTIGEN	$45.90	$153.00	$9.32–$153.00	34% below	70%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF ANTIGEN	$45.90	$153.00	$137.70	—	70%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS SURFACAE AG	$45.90	$153.00	$137.70	—	70%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$63.30	$211.00	$12.88–$211.00	41% below	70%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$63.30	$211.00	$189.90	—	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA, PCR	$202.50	$675.00	$38.65–$675.00	25% below	70%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA, PCR	$202.50	$675.00	$607.50	—	70%
Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY HERPES SIMPLEX 1	$25.80	$86.00	$11.90–$86.00	68% below	70%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 ANTIBODY HERPES SIMPLEX 1	$25.80	$86.00	$77.40	—	70%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES II AB, IgG	$93.30	$311.00	$16.05–$311.00	4% below	70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES II AB, IgG	$93.30	$311.00	$279.90	—	70%
High-sensitivity CRP (hs-CRP) test CPT 86141 hsCRP	$63.30	$211.00	$10.53–$211.00	14% below	70%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 hsCRP	$63.30	$211.00	$189.90	—	70%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$81.60	$272.00	$16.17–$272.00	32% below	70%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$81.60	$272.00	$244.80	—	70%
Insulin blood test CPT 83525 INSULIN RIA	$59.10	$197.00	$9.82–$197.00	11% below	70%
Insulin blood test inpatient CPT 83525 INSULIN RIA	$59.10	$197.00	$177.30	—	70%
Iron blood test (serum iron) CPT 83540 SERUM IRON	$83.40	$278.00	$4.81–$278.00	78% above	70%
Iron blood test (serum iron) inpatient CPT 83540 SERUM IRON	$83.40	$278.00	$250.20	—	70%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAP	$29.40	$98.00	$5.00–$98.00	53% below	70%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAP	$29.40	$98.00	$88.20	—	70%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$25.80	$86.00	$7.83–$86.00	68% below	70%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$25.80	$86.00	$77.40	—	70%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE LH	$50.40	$168.00	$16.71–$168.00	54% below	70%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE LH	$50.40	$168.00	$151.20	—	70%
Lactate (lactic acid) blood test CPT 83605 D-LACTATE	$48.90	$163.00	$8.00–$163.00	36% below	70%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$48.90	$163.00	$8.00–$163.00	36% below	70%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID, CSF	$48.90	$163.00	$8.00–$163.00	36% below	70%
Lactate (lactic acid) blood test inpatient CPT 83605 D-LACTATE	$48.90	$163.00	$146.70	—	70%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID, CSF	$48.90	$163.00	$146.70	—	70%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$48.90	$163.00	$146.70	—	70%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$21.30	$71.00	$4.37–$71.00	38% below	70%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE,BODY FL	$34.50	$115.00	$4.37–$115.00	at median	70%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$21.30	$71.00	$63.90	—	70%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE,BODY FL	$34.50	$115.00	$103.50	—	70%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, BODY FLUID	$25.50	$85.00	$5.00–$85.00	49% below	70%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$25.50	$85.00	$5.00–$85.00	49% below	70%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$25.50	$85.00	$76.50	—	70%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE, BODY FLUID	$25.50	$85.00	$76.50	—	70%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$21.30	$71.00	$7.37–$71.00	77% below	70%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$21.30	$71.00	$63.90	—	70%
Lyme disease antibody test CPT 86618 LYME DISEASE (BY ELISA)	$56.70	$189.00	$15.32–$189.00	40% below	70%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE (BY ELISA)	$56.70	$189.00	$170.10	—	70%
Magnesium blood test CPT 83735 MAGNESIIUM	$25.50	$85.00	$4.82–$85.00	38% below	70%
Magnesium blood test CPT 83735 MAGNESIUN URINE	$25.50	$85.00	$4.82–$85.00	38% below	70%
Magnesium blood test CPT 83735 MAGNESIUM, RBC	$25.50	$85.00	$4.82–$85.00	38% below	70%
Magnesium blood test CPT 83735 MAGNESIUM IN FECES	$69.60	$232.00	$4.82–$232.00	71% above	70%
Magnesium blood test inpatient CPT 83735 MAGNESIUN URINE	$25.50	$85.00	$76.50	—	70%
Magnesium blood test inpatient CPT 83735 MAGNESIIUM	$25.50	$85.00	$76.50	—	70%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC	$25.50	$85.00	$76.50	—	70%
Magnesium blood test inpatient CPT 83735 MAGNESIUM IN FECES	$69.60	$232.00	$208.80	—	70%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG,ELIS	$62.40	$208.00	$10.40–$208.00	24% below	70%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IgM	$62.40	$208.00	$10.40–$208.00	24% below	70%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGG,ELIS	$62.40	$208.00	$187.20	—	70%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IgM	$62.40	$208.00	$187.20	—	70%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$19.20	$64.00	$3.36–$64.00	51% below	70%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$19.20	$64.00	$57.60	—	70%
Mumps immunity blood test CPT 86735 MUMPS AB IGG IMMUNE STATUS	$42.60	$142.00	$9.55–$142.00	47% below	70%
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY	$42.60	$142.00	$9.55–$142.00	47% below	70%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANTIBODY	$42.60	$142.00	$127.80	—	70%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB IGG IMMUNE STATUS	$42.60	$142.00	$127.80	—	70%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$88.80	$296.00	$16.59–$296.00	5% below	70%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$88.80	$296.00	$266.40	—	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$65.10	$217.00	$16.59–$217.00	41% below	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPEC ANTIGEN	$65.10	$217.00	$16.59–$217.00	41% below	70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$65.10	$217.00	$195.30	—	70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPEC ANTIGEN	$65.10	$217.00	$195.30	—	70%
Pap test (liquid-based, automated screening with review) CPT 88175 AUTO PAP SMEAR DIAG W/MAN RE	$127.20	$424.00	$19.40–$424.00	41% above	70%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 AUTO PAP SMEAR DIAG W/MAN RE	$127.20	$424.00	$381.60	—	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER	$35.40	$118.00	$16.00–$118.00	42% below	70%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER	$35.40	$118.00	$106.20	—	70%
Parathyroid hormone (PTH) blood test CPT 83970 PTH FINE NEEDLE ASPIRATION	$69.00	$230.00	$37.25–$230.00	67% below	70%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$143.10	$477.00	$37.25–$477.00	32% below	70%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH FINE NEEDLE ASPIRATION	$69.00	$230.00	$207.00	—	70%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$143.10	$477.00	$429.30	—	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 PART THROMBOPLASTIN TIME	$27.30	$91.00	$4.52–$91.00	40% below	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT (CBB)	$27.30	$91.00	$4.52–$91.00	40% below	70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT (CBB)	$27.30	$91.00	$81.90	—	70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PART THROMBOPLASTIN TIME	$27.30	$91.00	$81.90	—	70%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$12.00	$40.00	$2.88–$40.00	68% below	70%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$12.00	$40.00	$36.00	—	70%
Potassium blood test CPT 84132 POTASSIUM	$13.20	$44.00	$2.95–$44.00	60% below	70%
Potassium blood test inpatient CPT 84132 POTASSIUM	$13.20	$44.00	$39.60	—	70%
Progesterone blood test CPT 84144 PROGESSTERONE	$73.80	$246.00	$17.00–$246.00	46% below	70%
Progesterone blood test inpatient CPT 84144 PROGESSTERONE	$73.80	$246.00	$221.40	—	70%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN	$19.80	$66.00	$17.49–$66.00	84% below	70%
Prolactin blood test CPT 84146 PROLACTIN	$75.90	$253.00	$17.49–$253.00	38% below	70%
Prolactin blood test inpatient CPT 84146 ASSAY OF PROLACTIN	$19.80	$66.00	$59.40	—	70%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$75.90	$253.00	$227.70	—	70%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROBIN TIME	$16.80	$56.00	$2.32–$56.00	43% below	70%
Prothrombin time (PT/INR) clotting test CPT 85610 PT (CBB)	$16.80	$56.00	$2.32–$56.00	43% below	70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROBIN TIME	$16.80	$56.00	$50.40	—	70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT (CBB)	$16.80	$56.00	$50.40	—	70%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA	$50.70	$169.00	$11.35–$169.00	8% below	70%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA	$50.70	$169.00	$152.10	—	70%
Renin blood test CPT 84244 RENIN BY RIA	$84.60	$282.00	$12.00–$282.00	45% below	70%
Renin blood test inpatient CPT 84244 RENIN BY RIA	$84.60	$282.00	$253.80	—	70%
Rh blood typing CPT 86901 RH FACTOR	$65.70	$219.00	$4.17–$219.00	23% above	70%
Rh blood typing inpatient CPT 86901 RH FACTOR	$65.70	$219.00	$197.10	—	70%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, QT	$10.50	$35.00	$5.12–$35.00	73% below	70%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$14.70	$49.00	$5.12–$49.00	62% below	70%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR, QT	$10.50	$35.00	$31.50	—	70%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$14.70	$49.00	$44.10	—	70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA BY IGM	$27.00	$90.00	$11.96–$90.00	68% below	70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IMMUNE STATUS	$45.30	$151.00	$11.96–$151.00	46% below	70%
Rubella antibody test (immunity check) CPT 86762 RUBELLAL, IgG	$45.30	$151.00	$11.96–$151.00	46% below	70%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA BY IGM	$27.00	$90.00	$81.00	—	70%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLAL, IgG	$45.30	$151.00	$135.90	—	70%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IMMUNE STATUS	$45.30	$151.00	$135.90	—	70%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SPERM COUNT - FERTILITY	$100.20	$334.00	$9.01–$334.00	5% above	70%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SPERM COUNT - FERTILITY	$100.20	$334.00	$300.60	—	70%
Sodium blood test CPT 84295 SODIUM	$17.40	$58.00	$4.34–$58.00	48% below	70%
Sodium blood test inpatient CPT 84295 SODIUM	$17.40	$58.00	$52.20	—	70%
Stool ova and parasites exam CPT 87177 PARASITE EXAM	$32.40	$108.00	$7.50–$108.00	47% below	70%
Stool ova and parasites exam inpatient CPT 87177 PARASITE EXAM	$32.40	$108.00	$97.20	—	70%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD (GUIAC)	$7.20	$24.00	$0.81–$24.00	65% below	70%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD (GUIAC)	$7.20	$24.00	$21.60	—	70%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD BY IA, FECAL	$16.20	$54.00	$2.80–$54.00	55% below	70%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD BY IA, FECAL	$16.20	$54.00	$48.60	—	70%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB	$32.40	$108.00	$11.95–$108.00	56% below	70%
Syphilis antibody test (Treponema pallidum) CPT 86780 ANTIBODY TREPONEMA PALLIDUM	$32.40	$108.00	$11.95–$108.00	56% below	70%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB	$32.40	$108.00	$97.20	—	70%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 ANTIBODY TREPONEMA PALLIDUM	$32.40	$108.00	$97.20	—	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL	$67.50	$225.00	$2.54–$225.00	139% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$67.50	$225.00	$2.54–$225.00	139% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$67.50	$225.00	$202.50	—	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL	$67.50	$225.00	$202.50	—	70%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS GOLD TEST	$62.70	$209.00	$55.92–$209.00	78% below	70%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TUBERCULOSIS GOLD TEST	$62.70	$209.00	$188.10	—	70%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$90.30	$301.00	$23.29–$301.00	45% below	70%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$90.30	$301.00	$270.90	—	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID PEROXIADASE AB	$48.60	$162.00	$7.91–$162.00	35% below	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICROSOME ABS	$48.60	$162.00	$7.91–$162.00	35% below	70%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID PEROXIADASE AB	$48.60	$162.00	$145.80	—	70%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER/KIDNEY MICROSOME ABS	$48.60	$162.00	$145.80	—	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$52.50	$175.00	$15.16–$175.00	46% below	70%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$52.50	$175.00	$157.50	—	70%
Total IgE blood test CPT 82785 IGE RIA	$59.10	$197.00	$14.85–$197.00	43% below	70%
Total IgE blood test inpatient CPT 82785 IGE RIA	$59.10	$197.00	$177.30	—	70%
Total cholesterol blood test CPT 82465 CHOLESTEROL (PART OF LPE)	$13.20	$44.00	$3.93–$44.00	58% below	70%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$13.20	$44.00	$3.93–$44.00	58% below	70%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL (PART OF LPE)	$13.20	$44.00	$39.60	—	70%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$13.20	$44.00	$39.60	—	70%
Total thyroxine (T4) blood test CPT 84436 T4	$27.30	$91.00	$5.21–$91.00	38% below	70%
Total thyroxine (T4) blood test inpatient CPT 84436 T4	$27.30	$91.00	$81.90	—	70%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$50.70	$169.00	$8.00–$169.00	49% below	70%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$50.70	$169.00	$152.10	—	70%
Transferrin blood test CPT 84466 TRANSFERRIN	$48.00	$160.00	$11.51–$160.00	47% below	70%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$48.00	$160.00	$144.00	—	70%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP/DNA	$92.70	$309.00	$31.66–$309.00	49% below	70%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMP/DNA	$92.70	$309.00	$278.10	—	70%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$13.20	$44.00	$5.18–$44.00	69% below	70%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$86.40	$288.00	$5.18–$288.00	102% above	70%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$13.20	$44.00	$39.60	—	70%
Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES	$86.40	$288.00	$259.20	—	70%
Troponin test, quantitative CPT 84484 TROPONIN T	$23.10	$77.00	$9.87–$77.00	72% below	70%
Troponin test, quantitative inpatient CPT 84484 TROPONIN T	$23.10	$77.00	$69.30	—	70%
Uric acid blood test CPT 84550 URIC ACID	$13.20	$44.00	$4.08–$44.00	61% below	70%
Uric acid blood test inpatient CPT 84550 URIC ACID	$13.20	$44.00	$39.60	—	70%
Urinalysis with microscope exam, automated CPT 81001 ROUTINE URINALYSIS	$15.00	$50.00	$2.45–$50.00	58% below	70%
Urinalysis with microscope exam, automated inpatient CPT 81001 ROUTINE URINALYSIS	$15.00	$50.00	$45.00	—	70%
Urinalysis without microscope exam, automated CPT 81003 URINALAYSIS W/O MICROSCOP	$10.20	$34.00	$2.03–$34.00	47% below	70%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALAYSIS W/O MICROSCOP	$10.20	$34.00	$30.60	—	70%
Urine culture for bacteria, with colony count CPT 87086 DEF CULTURE / URINE	$28.20	$94.00	$7.28–$94.00	53% below	70%
Urine culture for bacteria, with colony count inpatient CPT 87086 DEF CULTURE / URINE	$28.20	$94.00	$84.60	—	70%
Urine microalbumin (albumin) test CPT 82043 MICORALBUMIN, URINE	$55.50	$185.00	$5.22–$185.00	34% above	70%
Urine microalbumin (albumin) test inpatient CPT 82043 MICORALBUMIN, URINE	$55.50	$185.00	$166.50	—	70%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$38.10	$127.00	$13.00–$127.00	57% below	70%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$38.10	$127.00	$114.30	—	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D; 25 HYDROXY, TOTAL	$104.70	$349.00	$26.71–$349.00	30% below	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH	$104.70	$349.00	$26.71–$349.00	30% below	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH	$104.70	$349.00	$314.10	—	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D; 25 HYDROXY, TOTAL	$104.70	$349.00	$314.10	—	70%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN 1.25 DIHDYROXY	$133.20	$444.00	$34.74–$444.00	35% below	70%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN 1.25 DIHDYROXY	$133.20	$444.00	$399.60	—	70%
Zinc blood test CPT 84630 ZINC SERUM	$41.70	$139.00	$10.28–$139.00	41% below	70%
Zinc blood test inpatient CPT 84630 ZINC SERUM	$41.70	$139.00	$125.10	—	70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$48.90	$163.00	$13.58–$163.00	41% below	70%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE	$48.90	$163.00	$146.70	—	70%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$315.60	$1,052.00	$112.74–$1,052.00	36% below	70%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE	$315.60	$1,052.00	$946.80	—	70%
Cardiac catheterization with coronary angiogram CPT 93458 CATH PLACAE CA/CAN/INJ LCH	$4,487.70	$14,959.00	$3,157.74–$14,959.00	44% below	70%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CATH PLACAE CA/CAN/INJ LCH	$4,487.70	$14,959.00	$13,463.10	—	70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, ELECTIVE EXTERN	$530.10	$1,767.00	$95.70–$1,767.00	64% below	70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$530.10	$1,767.00	$95.70–$1,767.00	64% below	70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, ELECTIVE, EXTER	$530.10	$1,767.00	$95.70–$1,767.00	64% below	70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION, ELECTIVE, EXTER	$530.10	$1,767.00	$1,590.30	—	70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$530.10	$1,767.00	$1,590.30	—	70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION, ELECTIVE EXTERN	$530.10	$1,767.00	$1,590.30	—	70%
Coronary stent placement, one artery CPT 92928 PERC TCATH IC STENT W/ANG SING	$11,355.30	$37,851.00	$7,904.20–$37,851.00	41% below	70%
Coronary stent placement, one artery CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL	$11,355.30	$37,851.00	$7,904.20–$37,851.00	41% below	70%
Coronary stent placement, one artery inpatient CPT 92928 PERC TCATH IC STENT W/ANG SING	$11,355.30	$37,851.00	$34,065.90	—	70%
Coronary stent placement, one artery inpatient CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL	$11,355.30	$37,851.00	$34,065.90	—	70%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM CERUMEN W/IRRIGATION, UNI	$51.90	$173.00	$34.60–$173.00	60% below	70%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REM CERUMEN W/IRRIGATION, UNI	$51.90	$173.00	$155.70	—	70%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$53.10	$177.00	$8.71–$177.00	60% below	70%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX UNI	$53.10	$177.00	$159.30	—	70%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ INTERLAMINAR CRV/THRC W/IM	$581.10	$1,937.00	$98.12–$1,937.00	76% below	70%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ INTERLAMINAR CRV/THRC W/IM	$581.10	$1,937.00	$1,743.30	—	70%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 LUMB/SACR W/FLUORO SINGLE	$864.90	$2,883.00	$576.60–$2,883.00	38% below	70%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 LUMB/SACR W/FLUORO SINGLE	$864.90	$2,883.00	$2,594.70	—	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ PROC FOR HYSTEROSALPINGOGR	$224.10	$747.00	$57.20–$747.00	41% below	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH FOR SONOHYSTER/HYSTERO	$224.10	$747.00	$57.20–$747.00	41% below	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ PROC FOR HYSTEROSALPINGOGR	$224.10	$747.00	$672.30	—	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATH FOR SONOHYSTER/HYSTERO	$224.10	$747.00	$672.30	—	70%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS, SIMPLE/SINGLE	$193.20	$644.00	$25.85–$644.00	61% below	70%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION&DRAINAGE BY MD-SIMPLE	$193.20	$644.00	$25.85–$644.00	61% below	70%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$193.20	$644.00	$25.85–$644.00	61% below	70%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS, SIMPLE/SINGLE	$193.20	$644.00	$579.60	—	70%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION&DRAINAGE BY MD-SIMPLE	$193.20	$644.00	$579.60	—	70%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$193.20	$644.00	$579.60	—	70%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH LIG GANGLION	$348.60	$1,162.00	$35.20–$1,162.00	35% below	70%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH LIG GANGLION	$348.60	$1,162.00	$1,045.80	—	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$286.80	$956.00	$11.87–$956.00	39% below	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJ JNT/BURSA W/O US	$286.80	$956.00	$11.87–$956.00	39% below	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT INJECTION	$286.80	$956.00	$11.87–$956.00	39% below	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS,MAJ JT OR BURSA	$286.80	$956.00	$11.87–$956.00	39% below	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$286.80	$956.00	$860.40	—	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS,MAJ JT OR BURSA	$286.80	$956.00	$860.40	—	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT INJECTION	$286.80	$956.00	$860.40	—	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJ JNT/BURSA W/O US	$286.80	$956.00	$860.40	—	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS,WRIST,ELBOW,ANK	$286.80	$956.00	$11.63–$956.00	15% below	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTERMED JOINT	$286.80	$956.00	$11.63–$956.00	15% below	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$286.80	$956.00	$11.63–$956.00	15% below	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INTERMEDIATE JOINT INJECTION	$286.80	$956.00	$11.63–$956.00	15% below	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INTERMEDIATE JOINT INJECTION	$286.80	$956.00	$860.40	—	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INTERMED JOINT	$286.80	$956.00	$860.40	—	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS,WRIST,ELBOW,ANK	$286.80	$956.00	$860.40	—	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$286.80	$956.00	$860.40	—	70%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SMALL JOINT	$235.50	$785.00	$19.80–$785.00	43% below	70%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMALL JOINT INJECTION-F1	$235.50	$785.00	$19.80–$785.00	43% below	70%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS,SM JT OR BURSA	$235.50	$785.00	$19.80–$785.00	43% below	70%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SMALL JOINT INJECTION-F1	$235.50	$785.00	$706.50	—	70%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS,SM JT OR BURSA	$235.50	$785.00	$706.50	—	70%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SMALL JOINT	$235.50	$785.00	$706.50	—	70%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR INTMED S/A/T/EXT 2.5	$323.40	$1,078.00	$26.95–$1,078.00	48% below	70%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR INTMED S/A/T/EXT 2.5	$323.40	$1,078.00	$970.20	—	70%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ INTERLAMINAR LMBR/SAC	$581.10	$1,937.00	$89.45–$1,937.00	72% below	70%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ INTERLAMINAR LMBR/SAC W/IM	$581.10	$1,937.00	$89.45–$1,937.00	72% below	70%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ INTERLAMINAR LMBR/SAC	$581.10	$1,937.00	$1,743.30	—	70%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ INTERLAMINAR LMBR/SAC W/IM	$581.10	$1,937.00	$1,743.30	—	70%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LUMBO/SACRAL TRANSFORAM SINGLE	$768.60	$2,562.00	$104.54–$2,562.00	60% below	70%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 LUMBO/SACRAL TRANSFORAM SINGLE	$768.60	$2,562.00	$2,305.80	—	70%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE, SIMPLE	$173.10	$577.00	$75.05–$577.00	66% below	70%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE	$173.10	$577.00	$75.05–$577.00	66% below	70%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE	$173.10	$577.00	$519.30	—	70%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE, SIMPLE	$173.10	$577.00	$519.30	—	70%
Occipital nerve block (injection for headaches) CPT 64405 OCCIPITAL NERVE BLOCK	$297.00	$990.00	$38.50–$990.00	43% below	70%
Occipital nerve block (injection for headaches) inpatient CPT 64405 OCCIPITAL NERVE BLOCK	$297.00	$990.00	$891.00	—	70%
Pacemaker implant (dual chamber) CPT 33208 INSERT PERM PACER TRANSVENOUS	$10,568.10	$35,227.00	$509.38–$35,227.00	8% below	70%
Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT PERM PACER TRANSVENOUS	$10,568.10	$35,227.00	$31,704.30	—	70%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/ IMAGING	$782.70	$2,609.00	$92.76–$2,736.41	51% below	70%
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTICIS W/IMAG	$782.70	$2,609.00	$92.76–$2,736.41	51% below	70%
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTICIS W/IMAG	$782.70	$2,609.00	$2,348.10	—	70%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/ IMAGING	$782.70	$2,609.00	$2,348.10	—	70%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL/NAIL MATRIX	$568.50	$1,895.00	$187.04–$1,895.00	34% below	70%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL/NAIL MATRIX	$568.50	$1,895.00	$1,705.50	—	70%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCT/NEUR FACET L/S SING J	$1,625.10	$5,417.00	$1,083.40–$5,417.00	44% below	70%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTRUCT/NEUR FACET L/S SING J	$1,625.10	$5,417.00	$4,875.30	—	70%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY	$323.40	$1,078.00	$33.55–$1,078.00	38% below	70%
Removal of a foreign object under the skin, simple CPT 10120 INC AND REM OF FOR BODY SUBQ S	$323.40	$1,078.00	$33.55–$1,078.00	38% below	70%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY	$323.40	$1,078.00	$970.20	—	70%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC AND REM OF FOR BODY SUBQ S	$323.40	$1,078.00	$970.20	—	70%
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT	$125.40	$418.00	$28.60–$418.00	62% below	70%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$125.40	$418.00	$28.60–$418.00	62% below	70%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT	$125.40	$418.00	$376.20	—	70%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT	$125.40	$418.00	$376.20	—	70%
Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT	$131.70	$439.00	$38.50–$439.00	71% below	70%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLINT	$131.70	$439.00	$395.10	—	70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR SMPL S/N/AX/GEN/TRNK 2.5	$173.10	$577.00	$26.95–$577.00	66% below	70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR SMPL S/N/AX/GEN/TRNK 2.5	$173.10	$577.00	$519.30	—	70%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$323.40	$1,078.00	$44.47–$1,078.00	49% below	70%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$323.40	$1,078.00	$970.20	—	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DIAGNOSTIC SPINAL - LUMBAR	$581.10	$1,937.00	$46.20–$1,937.00	52% below	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$581.10	$1,937.00	$46.20–$1,937.00	52% below	70%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DIAGNOSTIC SPINAL - LUMBAR	$581.10	$1,937.00	$1,743.30	—	70%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LMBR SPI PNXR	$581.10	$1,937.00	$1,743.30	—	70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK 2.6-7.5	$173.10	$577.00	$39.05–$577.00	71% below	70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR SMP S/N/A/GEN/TRNK 2.6-7.5	$173.10	$577.00	$39.05–$577.00	71% below	70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR SMP S/N/A/GEN/TRNK 2.6-7.5	$173.10	$577.00	$519.30	—	70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR S/N/AX/GEN/TRNK 2.6-7.5	$173.10	$577.00	$519.30	—	70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR OF WOUND(2.5CM OR LESS)	$173.10	$577.00	$34.65–$577.00	67% below	70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR SMPL F/E/E/N/L/M 2.5	$173.10	$577.00	$34.65–$577.00	67% below	70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR SMPL F/E/E/N/L/M 2.5	$173.10	$577.00	$519.30	—	70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR OF WOUND(2.5CM OR LESS)	$173.10	$577.00	$519.30	—	70%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LESION	$173.10	$577.00	$35.45–$577.00	69% below	70%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LESION	$173.10	$577.00	$519.30	—	70%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS N/C ASP W GUIDE	$709.80	$2,366.00	$611.01–$2,366.00	52% below	70%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS N/C ASP W GUIDE	$709.80	$2,366.00	$2,129.40	—	70%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSC	$245.40	$818.00	$34.17–$818.00	51% below	70%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ SINGLE OR MULT TRIGGER POI	$245.40	$818.00	$34.17–$818.00	51% below	70%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSC	$245.40	$818.00	$736.20	—	70%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SINGLE OR MULT TRIGGER POI	$245.40	$818.00	$736.20	—	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$1,298.40	$4,328.00	$152.78–$4,328.00	64% below	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG	$1,298.40	$4,328.00	$3,895.20	—	70%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN SUB INITIAL 20CM<	$643.50	$2,145.00	$36.30–$2,145.00	39% below	70%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN SUB INITIAL 20CM<	$643.50	$2,145.00	$1,930.50	—	70%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION ADMIN	$434.10	$1,447.00	$30.62–$1,447.00	61% below	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$434.10	$1,447.00	$30.62–$1,447.00	61% below	70%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$434.10	$1,447.00	$30.62–$1,447.00	61% below	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN TRANSFUSION/RBC UN	$443.10	$1,477.00	$30.62–$1,477.00	60% below	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$443.10	$1,477.00	$30.62–$1,477.00	60% below	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD/BLD COMPNT	$434.10	$1,447.00	$1,302.30	—	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION ADMIN	$434.10	$1,447.00	$1,302.30	—	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE	$434.10	$1,447.00	$1,302.30	—	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$443.10	$1,477.00	$1,329.30	—	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN TRANSFUSION/RBC UN	$443.10	$1,477.00	$1,329.30	—	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEULIZER TREATMENT	$173.10	$577.00	$11.83–$577.00	14% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZPAP PET THERAPY	$173.10	$577.00	$11.83–$577.00	14% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN RX	$173.10	$577.00	$11.83–$577.00	14% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEULIZER TREATMENT	$173.10	$577.00	$519.30	—	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EZPAP PET THERAPY	$173.10	$577.00	$519.30	—	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HHN RX	$173.10	$577.00	$519.30	—	70%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN INFUSION 1 HR	$300.00	$1,000.00	$137.28–$1,000.00	61% below	70%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO HIGHLY CMPLX IV INF 1 HR	$300.00	$1,000.00	$137.28–$1,000.00	61% below	70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN INFUSION 1 HR	$300.00	$1,000.00	$900.00	—	70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO HIGHLY CMPLX IV INF 1 HR	$300.00	$1,000.00	$900.00	—	70%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE E&M FIRST 30-74	$766.20	$2,554.00	$103.94–$2,554.00	60% below	70%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST 30-74	$766.20	$2,554.00	$103.94–$2,554.00	60% below	70%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST 30-74	$766.20	$2,554.00	$2,298.60	—	70%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE E&M FIRST 30-74	$766.20	$2,554.00	$2,298.60	—	70%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$271.20	$904.00	$14.85–$904.00	65% below	70%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$271.20	$904.00	$813.60	—	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG STANDARD	$67.50	$225.00	$10.74–$225.00	63% below	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG EMERGENCY DEPARTMENT	$67.50	$225.00	$10.74–$225.00	63% below	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PEDIATRIC EKG W/O INTERP & RPT	$67.50	$225.00	$10.74–$225.00	63% below	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 PEDIATRIC EKG W/O INTERP & RPT	$67.50	$225.00	$202.50	—	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG STANDARD	$67.50	$225.00	$202.50	—	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG EMERGENCY DEPARTMENT	$67.50	$225.00	$202.50	—	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 MINOR	$109.80	$366.00	$17.81–$366.00	58% below	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL I ED MINOR	$109.80	$366.00	$17.81–$366.00	58% below	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 MINOR	$109.80	$366.00	$329.40	—	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL I ED MINOR	$109.80	$366.00	$329.40	—	70%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL II ED LOW SEVERITY	$165.30	$551.00	$29.54–$551.00	62% below	70%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 LOW	$165.30	$551.00	$29.54–$551.00	62% below	70%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL II ED LOW SEVERITY	$165.30	$551.00	$495.90	—	70%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 LOW	$165.30	$551.00	$495.90	—	70%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL III ED MOD. SEVERITY	$242.70	$809.00	$38.50–$809.00	67% below	70%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 MODERATE	$242.70	$809.00	$38.50–$809.00	67% below	70%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL III ED MOD. SEVERITY	$242.70	$809.00	$728.10	—	70%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 MODERATE	$242.70	$809.00	$728.10	—	70%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV ED HIGH SEVERITY	$382.20	$1,274.00	$55.00–$1,274.00	69% below	70%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 HIGH	$382.20	$1,274.00	$55.00–$1,274.00	69% below	70%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL IV ED HIGH SEVERITY	$382.20	$1,274.00	$1,146.60	—	70%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 HIGH	$382.20	$1,274.00	$1,146.60	—	70%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL V ED COMPLEX	$554.70	$1,849.00	$55.00–$1,849.00	65% below	70%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 COMPLEX	$554.70	$1,849.00	$55.00–$1,849.00	65% below	70%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 COMPLEX	$554.70	$1,849.00	$1,664.10	—	70%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL V ED COMPLEX	$554.70	$1,849.00	$1,664.10	—	70%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST - EXERCISE	$323.70	$1,079.00	$28.36–$1,079.00	66% below	70%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST - ISOTOPE EXERCISE	$323.70	$1,079.00	$28.36–$1,079.00	66% below	70%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST-ISOTOPE DRUG INDUC	$323.70	$1,079.00	$28.36–$1,079.00	66% below	70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST-ISOTOPE DRUG INDUC	$323.70	$1,079.00	$971.10	—	70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST - EXERCISE	$323.70	$1,079.00	$971.10	—	70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST - ISOTOPE EXERCISE	$323.70	$1,079.00	$971.10	—	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION, INIT	$172.80	$576.00	$36.53–$576.00	61% below	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION 1ST HR	$172.80	$576.00	$34.79–$576.00	61% below	70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION 1ST HR	$172.80	$576.00	$518.40	—	70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION, INIT	$172.80	$576.00	$518.40	—	70%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY NON-CHEMO 1 HR	$186.30	$621.00	$45.39–$621.00	59% below	70%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL HR	$186.30	$621.00	$43.23–$621.00	59% below	70%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL HOUR	$186.30	$621.00	$45.39–$621.00	59% below	70%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL HOUR	$186.30	$621.00	$558.90	—	70%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY NON-CHEMO 1 HR	$186.30	$621.00	$558.90	—	70%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL HR	$186.30	$621.00	$558.90	—	70%
IV push of a medicine, first drug CPT 96374 THER/PROPHDIAG/INJ IV PUSH	$186.30	$621.00	$34.12–$621.00	43% below	70%
IV push of a medicine, first drug CPT 96374 IV PUSH, EACH	$186.30	$621.00	$34.12–$621.00	43% below	70%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL	$186.30	$621.00	$34.12–$621.00	43% below	70%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH, EACH	$186.30	$621.00	$558.90	—	70%
IV push of a medicine, first drug inpatient CPT 96374 THER/PROPHDIAG/INJ IV PUSH	$186.30	$621.00	$558.90	—	70%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL	$186.30	$621.00	$558.90	—	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ;IM EACH	$58.50	$195.00	$14.67–$195.00	53% below	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$58.50	$195.00	$13.97–$195.00	53% below	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SUB Q INJECTION	$58.50	$195.00	$13.97–$195.00	53% below	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THERAPEUTIC ID,SQ,IM NON C	$58.50	$195.00	$13.97–$195.00	53% below	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ IM EACH	$58.50	$195.00	$13.97–$195.00	53% below	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ IM EACH CCU	$58.50	$195.00	$13.97–$195.00	53% below	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ IM EACH CCU	$58.50	$195.00	$175.50	—	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ;IM EACH	$58.50	$195.00	$175.50	—	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ IM EACH	$58.50	$195.00	$175.50	—	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THERAPEUTIC ID,SQ,IM NON C	$58.50	$195.00	$175.50	—	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SUB Q INJECTION	$58.50	$195.00	$175.50	—	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$58.50	$195.00	$175.50	—	70%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$271.20	$904.00	$64.89–$904.00	81% below	70%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TST 7-8 STUDIES	$271.20	$904.00	$64.89–$904.00	81% below	70%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CNDJ TST 7-8 STUDIES	$271.20	$904.00	$813.60	—	70%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$271.20	$904.00	$813.60	—	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUT THERAPY INDV INITIAL/15MIN	$28.80	$96.00	$19.20–$96.00	43% below	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUT THERAPY INDV INITIAL/15MIN	$28.80	$96.00	$86.40	—	70%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION 3-10 MINUTES	$25.80	$86.00	$17.20–$86.00	32% below	70%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOK CESS F/F INTERMED 3-10	$25.80	$86.00	$17.20–$86.00	32% below	70%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION 3-10 MINUTES	$25.80	$86.00	$77.40	—	70%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOK CESS F/F INTERMED 3-10	$25.80	$86.00	$77.40	—	70%
Spirometry (breathing test) CPT 94010 SIMPLE SPIROMETRY	$137.70	$459.00	$9.90–$459.00	57% below	70%
Spirometry (breathing test) inpatient CPT 94010 SIMPLE SPIROMETRY	$137.70	$459.00	$413.10	—	70%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY W/BRONCH	$271.20	$904.00	$12.54–$904.00	58% below	70%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY W/BRONCH	$271.20	$904.00	$813.60	—	70%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$104.70	$349.00	$11.00–$349.00	55% below	70%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$104.70	$349.00	$314.10	—	70%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC FLUAD (=/>65 YO)	$141.30	$471.00	$11.00–$471.00	15% below	70%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC FLUAD (=/>65 YO)	$141.30	$471.00	$423.90	—	70%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCOV2 VACC 30MCG/0.3ML TRIS	$263.70	$879.00	$44.00–$879.00	62% above	70%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCOV2 VACC 30MCG/0.3ML TRIS	$263.70	$879.00	$791.10	—	70%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE INJ	$276.47	$921.56	$11.00–$921.56	34% above	70%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE INJ	$276.47	$921.56	$829.40	—	70%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPTHPERTTETPOLI VAC.5MYSYR	$93.19	$310.64	$11.00–$310.64	12% above	70%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPTHPERTTETPOLI VAC.5MYSYR	$93.19	$310.64	$279.58	—	70%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHTETANUSAPERTUSS VAC	$43.64	$145.48	$11.00–$145.48	12% above	70%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTHTETANUSAPERTUSS VAC	$43.64	$145.48	$130.93	—	70%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP HEP B IPV VACCINE IM	$159.24	$530.80	$11.00–$530.80	92% above	70%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP HEP B IPV VACCINE IM	$159.24	$530.80	$477.72	—	70%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 INFLUENZA VAC FLUBLOK (=/>65 Y	$141.30	$471.00	$11.00–$471.00	371% above	70%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 INFLUENZA VAC FLUBLOK (=/>65 Y	$141.30	$471.00	$423.90	—	70%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE	$128.80	$429.32	$11.00–$429.32	58% above	70%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE	$128.80	$429.32	$386.39	—	70%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B ADULT 10MCG/ML VIAL	$51.30	$171.00	$11.00–$171.00	35% below	70%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B ADULT 10MCG/ML VIAL	$51.30	$171.00	$153.90	—	70%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEP B VACCINE RECOM 20MCG.5ML	$237.74	$792.48	$11.00–$792.48	37% above	70%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEP B VACCINE RECOM 20MCG.5ML	$237.74	$792.48	$713.23	—	70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B PED 5 MCG0.5ML VIAL	$41.96	$139.88	$11.00–$139.88	17% below	70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B PED 5 MCG0.5ML VIAL	$41.96	$139.88	$125.89	—	70%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILIS INF B VACCINE	$19.85	$66.16	$11.00–$66.16	40% below	70%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILIS INF B VACCINE	$19.85	$66.16	$59.54	—	70%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM	$141.30	$471.00	$11.00–$471.00	57% above	70%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 IIV NO PRSV INCREASED AG IM	$141.30	$471.00	$423.90	—	70%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLEMUMPSRUBELLA VACCINE 0	$140.57	$468.56	$11.00–$468.56	120% above	70%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLEMUMPSRUBELLA VACCINE 0	$140.57	$468.56	$421.70	—	70%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEAS MUMP RUBE VARI VAC 0.5 ML	$415.68	$1,385.60	$11.00–$1,385.60	234% above	70%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEAS MUMP RUBE VARI VAC 0.5 ML	$415.68	$1,385.60	$1,247.04	—	70%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL POLYSAC VAC	$254.28	$847.60	$11.00–$847.60	172% above	70%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL POLYSAC VAC	$254.28	$847.60	$762.84	—	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT VAC 0.5	$503.70	$1,679.00	$11.00–$1,679.00	56% above	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT VAC 0.5	$503.70	$1,679.00	$1,511.10	—	70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 0.5 ML	$225.60	$752.00	$11.00–$752.00	151% above	70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 0.5 ML	$225.60	$752.00	$676.80	—	70%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 0.5ML	$686.68	$2,288.92	$11.00–$2,288.92	881% above	70%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 0.5ML	$686.68	$2,288.92	$2,060.03	—	70%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 1ML SYRINGE	$591.90	$1,973.00	$11.00–$1,973.00	1% below	70%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 1ML SYRINGE	$591.90	$1,973.00	$1,775.70	—	70%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE	$147.77	$492.56	$11.00–$492.56	64% above	70%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE	$147.77	$492.56	$443.30	—	70%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOM IM CLINIC USE	$337.96	$1,126.52	$11.00–$1,126.52	25% above	70%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOM IM CLINIC USE	$337.96	$1,126.52	$1,013.87	—	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUSDIPHTHERIS TOXOIDS	$65.76	$219.20	$11.00–$219.20	18% above	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUSDIPHTHERIS TOXOIDS	$65.76	$219.20	$197.28	—	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUSDIP TOXOID PERTUS VAC	$71.66	$238.88	$11.00–$238.88	28% above	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUSDIP TOXOID PERTUS VAC	$71.66	$238.88	$214.99	—	70%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI VACCINE	$232.70	$775.68	$11.00–$775.68	180% above	70%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI VACCINE	$232.70	$775.68	$698.11	—	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM; ONE	$58.50	$195.00	$0.21–$195.00	9% below	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RABIES ADMINISTRATION	$58.50	$195.00	$0.21–$195.00	9% below	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$58.50	$195.00	$1.04–$195.00	9% below	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADM; ONE	$58.50	$195.00	$175.50	—	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$58.50	$195.00	$175.50	—	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 RABIES ADMINISTRATION	$58.50	$195.00	$175.50	—	70%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$25.20	$84.00	$0.49–$125.00	6% below	70%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM; EACH ADDITIO	$25.20	$84.00	$0.10–$84.00	6% below	70%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM; EACH ADDITIO	$25.20	$84.00	$75.60	—	70%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD	$25.20	$84.00	$75.60	—	70%

Source file: https://www.acmh.org/Files/Admin/250965237_Armstrong-County-Memorial-Hospital_standardcharges.csv