Hospital New York-Newark-Jersey City, NY-NJ

Bronx-Lebanon Hospital Center - Concourse Division

Listed in its price file as “Bronxcare Health System”.

Bronx-Lebanon Hospital Center - Concourse Division in Bronx, NY publishes cash prices for 377 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 276 of 374 procedures and above it for 90. By typical cash price it ranks #37 of 114 New York hospitals and #21 of 74 hospitals in the New York, NY area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1650 Grand Concourse Bronx, NY 10457-7679 Collected Sep 27, 2026 Source price file (212) 588-7000

Acute care hospital Emergency department CMS star rating 1 of 5 CCN 330009 · CMS hospital register NPI 1417027558

The price file shows no self-pay discount

For 1359 of the 1359 prices listed here, the cash price in Bronx-Lebanon Hospital Center - Concourse Division's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMPLETE 3+ VIEWS	$215.01	$215.01	$12.30–$193.51	14% above	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMPLETE 3+ VIEWS	$215.01	$215.01	$12.30–$193.51	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NONINVAS STDY-UP/LO EXTM ART 1	$297.53	$297.53	$18.72–$267.78	at median	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NONINVAS STDY-UP/LO EXTM ART 1	$297.53	$297.53	$18.72–$267.78	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS	$474.54	$474.54	$61.71–$596.03	41% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS	$474.54	$474.54	$61.71–$596.03	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING, WHOLE BODY	$949.04	$949.04	$57.49–$854.14	1% below	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING, WHOLE BODY	$949.04	$949.04	$57.49–$854.14	—	—
Breast ultrasound, complete, one breast CPT 76641 ULTRASND BREAST; COMPLETE UNIL	$289.61	$289.61	$50.45–$260.65	1% below	—
Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASND BREAST; COMPLETE UNIL	$289.61	$289.61	$50.45–$260.65	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY/CHEST W & W/O C	$474.54	$474.54	$124.87–$765.47	63% below	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/ CONTRAST; PE PROT	$474.54	$474.54	$124.87–$765.47	63% below	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/ CONTRAST; PE PROT	$474.54	$474.54	$124.87–$765.47	—	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY/CHEST W & W/O C	$474.54	$474.54	$124.87–$765.47	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$611.64	$611.64	$117.32–$550.48	43% below	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST	$611.64	$611.64	$117.32–$550.48	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST	$978.38	$978.38	$124.55–$880.54	37% below	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST	$978.38	$978.38	$124.55–$880.54	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS 1+SECTION/REGNS	$978.38	$978.38	$137.25–$880.54	45% below	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD&PELVIS 1+SECTION/REGNS	$978.38	$978.38	$137.25–$880.54	—	—
CT scan of the abdomen with contrast CPT 74160 ABDOMEN CT WITH CONTRAST	$474.54	$474.54	$87.69–$487.01	57% below	—
CT scan of the abdomen with contrast inpatient CPT 74160 ABDOMEN CT WITH CONTRAST	$474.54	$474.54	$87.69–$487.01	—	—
CT scan of the abdomen without contrast CPT 74150 ABDOMEN CT WITHOUT CONTRAST	$289.61	$289.61	$81.61–$359.36	66% below	—
CT scan of the abdomen without contrast inpatient CPT 74150 ABDOMEN CT WITHOUT CONTRAST	$289.61	$289.61	$81.61–$359.36	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 FACIAL BONES CT WITHOUT CONTRA	$289.61	$289.61	$58.58–$446.59	63% below	—
CT scan of the face and sinuses, no contrast dye CPT 70486 SINUSES CT WITHOUT CONTRAST	$289.61	$289.61	$58.58–$446.59	63% below	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 SINUSES CT WITHOUT CONTRAST	$289.61	$289.61	$58.58–$446.59	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 FACIAL BONES CT WITHOUT CONTRA	$289.61	$289.61	$58.58–$446.59	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST; STROKE P	$289.61	$289.61	$58.06–$299.21	64% below	—
CT scan of the head or brain, no contrast dye CPT 70450 BRAIN CT WITHOUT CONTRAST	$289.61	$289.61	$58.06–$299.21	64% below	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 BRAIN CT WITHOUT CONTRAST	$289.61	$289.61	$58.06–$299.21	—	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST; STROKE P	$289.61	$289.61	$58.06–$299.21	—	—
CT scan of the head with contrast CPT 70460 BRAIN CT WITH CONTRAST	$474.54	$474.54	$77.81–$462.76	49% below	—
CT scan of the head with contrast inpatient CPT 70460 BRAIN CT WITH CONTRAST	$474.54	$474.54	$77.81–$462.76	—	—
CT scan of the head without and with contrast CPT 70470 BRAIN CT WITH AND WITHOUT CONT	$474.54	$474.54	$87.17–$718.02	54% below	—
CT scan of the head without and with contrast inpatient CPT 70470 BRAIN CT WITH AND WITHOUT CONT	$474.54	$474.54	$87.17–$718.02	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR SPINE CT WITHOUT CONT	$289.61	$289.61	$68.39–$448.43	65% below	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 LUMBAR SPINE CT WITHOUT CONT	$289.61	$289.61	$68.39–$448.43	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CERVICAL SPINE CT WITHOUT CONT	$289.61	$289.61	$68.39–$448.43	67% below	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CERVICAL SPINE CT WITHOUT CONT	$289.61	$289.61	$68.39–$448.43	—	—
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS CT WITH CONTRAST	$474.54	$474.54	$79.72–$462.76	50% below	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS CT WITH CONTRAST	$474.54	$474.54	$79.72–$462.76	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 EXTRACRANIAL ARTERIES COMPLETE	$611.64	$611.64	$20.35–$550.48	2% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 EXTRACRANIAL ARTERIES COMPLETE	$611.64	$611.64	$20.35–$550.48	—	—
Chest X-ray, 2 views CPT 71046 RADIOLOGIC EXAM- CHEST;2 VIEWS	$215.01	$215.01	$15.12–$193.51	7% above	—
Chest X-ray, 2 views inpatient CPT 71046 RADIOLOGIC EXAM- CHEST;2 VIEWS	$215.01	$215.01	$15.12–$193.51	—	—
Chest X-ray, single view CPT 71045 RADIOLOGIC EXAM-CHEST; 1 VIEW	$215.01	$215.01	$12.23–$193.51	16% above	—
Chest X-ray, single view CPT 71045 CHEST 1 VIEW AP/ PA	$215.01	$215.01	$12.23–$193.51	16% above	—
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW AP/ PA	$215.01	$215.01	$12.23–$193.51	—	—
Chest X-ray, single view inpatient CPT 71045 RADIOLOGIC EXAM-CHEST; 1 VIEW	$215.01	$215.01	$12.23–$193.51	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ABDOMEN RETROPERITONEAL / COMP	$289.61	$289.61	$50.91–$260.65	28% below	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ABDOMEN RETROPERITONEAL / COMP	$289.61	$289.61	$50.91–$260.65	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY / BMD 1+ SIT	$289.61	$289.61	$13.68–$260.65	8% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY / BMD 1+ SIT	$289.61	$289.61	$13.68–$260.65	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 PREG UTERUS FETAL ANATOMIC EXA	$611.64	$611.64	$68.00–$345.78	8% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 PREG UTERUS FETAL ANATOMIC EXA	$611.64	$611.64	$68.00–$345.78	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHEST CT WITHOUT CONTRAST	$289.61	$289.61	$74.46–$448.43	65% below	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHEST CT WITHOUT CONTRAST	$289.61	$289.61	$74.46–$448.43	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHEST CT WITH CONTRAST	$474.54	$474.54	$80.24–$462.76	58% below	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CHEST CT WITH CONTRAST	$474.54	$474.54	$80.24–$462.76	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$106.04	$106.04	$60.89–$286.24	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI	$106.04	$106.04	$60.89–$286.24	—	—
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI	$85.76	$85.76	—	68% below	—
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD/UNI	$85.76	$85.76	—	68% below	—
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD/UNI	$85.76	$85.76	—	—	—
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI	$85.76	$85.76	—	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX SCAN LOWR EXTREM ART; C	$611.64	$611.64	$19.58–$550.48	27% above	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX SCAN LOWR EXTREM ART; C	$611.64	$611.64	$19.58–$550.48	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 EXTREMITY VEINS COMPLETE BILAT	$611.64	$611.64	$17.59–$550.48	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 EXTREMITY VEINS COMPLETE BILAT	$611.64	$611.64	$17.59–$550.48	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER,COMPLETE	$186.00	$186.00	$56.48–$2,422.00	83% below	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER,COMPLETE	$1,241.53	$1,241.53	$67.67–$2,422.00	15% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER,COMPLETE	$1,241.53	$1,241.53	$67.67–$2,422.00	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,002.30	$1,002.30	$50.39–$902.07	1% below	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,002.30	$1,002.30	$50.39–$902.07	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SPLIT POLYSOMONOGRAPHY	$2,444.68	$2,444.68	$46.51–$2,200.21	25% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PLYSMNGRPHY 4>ADD PRMTRS W/CPA	$2,444.68	$2,444.68	$19.11–$2,200.21	25% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PLYSMNGRPHY 4>ADD PRMTRS W/CPA	$2,444.68	$2,444.68	$19.11–$2,200.21	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SPLIT POLYSOMONOGRAPHY	$2,444.68	$2,444.68	$46.51–$2,200.21	—	—
Knee X-ray, 3 views CPT 73562 KNEE AP, LAT, OBL 3 VIEWS	$205.74	$205.74	$13.27–$185.17	16% above	—
Knee X-ray, 3 views inpatient CPT 73562 KNEE AP, LAT, OBL 3 VIEWS	$205.74	$205.74	$13.27–$185.17	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LIMITED (SINGLE ORGAN)	$289.61	$289.61	$40.05–$260.65	12% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LIMITED (SINGLE ORGAN)	$289.61	$289.61	$40.05–$260.65	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT FOR LUNG CANCER SC	$215.00	$215.00	$74.46–$264.47	51% below	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LOW DOSE CT FOR LUNG CANCER SC	$215.00	$215.00	$74.46–$264.47	—	—
MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST W/W/O CNTRST;CAD;UN	$243.76	$243.76	$16.68–$743.22	80% below	—
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI BREAST W/W/O CNTRST;CAD;UN	$243.76	$243.76	$16.68–$743.22	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 LOWER EXTREMITY JOINT WITHOUT	$611.64	$611.64	$93.46–$742.54	39% below	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 LOWER EXTREMITY JOINT WITHOUT	$611.64	$611.64	$93.46–$742.54	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 LOWER EXTREMITY JOINT MRI W&W/	$978.38	$978.38	$147.65–$1,323.00	43% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 LOWER EXTREMITY JOINT MRI W&W/	$978.38	$978.38	$147.65–$1,323.00	—	—
MRI of the abdomen without contrast CPT 74181 ABDOMEN MRI WITHOUT CONTRAST	$611.64	$611.64	$100.39–$752.24	41% below	—
MRI of the abdomen without contrast inpatient CPT 74181 ABDOMEN MRI WITHOUT CONTRAST	$611.64	$611.64	$100.39–$752.24	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN MRI WITH AND WITHOUT	$978.38	$978.38	$150.48–$1,327.00	41% below	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ABDOMEN MRI WITH AND WITHOUT	$978.38	$978.38	$150.48–$1,327.00	—	—
MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN MRV C-	$611.64	$611.64	$101.83–$752.47	41% below	—
MRI of the brain, no contrast dye CPT 70551 BRAIN MRI WITHOUT CONTRAST	$611.64	$611.64	$101.83–$752.47	41% below	—
MRI of the brain, no contrast dye CPT 70551 BRAIN/INTER AUDITORY CANAL MRI	$611.64	$611.64	$101.83–$752.47	41% below	—
MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN/INTER AUDITORY CANAL MRI	$611.64	$611.64	$101.83–$752.47	—	—
MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN MRI WITHOUT CONTRAST	$611.64	$611.64	$101.83–$752.47	—	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI-BRAIN MRV C-	$611.64	$611.64	$101.83–$752.47	—	—
MRI of the brain, with and without contrast dye CPT 70553 BRAIN MRI WITH AND WITHOUT CON	$978.38	$978.38	$157.00–$1,268.00	41% below	—
MRI of the brain, with and without contrast dye CPT 70553 BRAIN/INTER AUDITORY CANAL MRI	$978.38	$978.38	$157.00–$1,268.00	41% below	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN MRI WITH AND WITHOUT CON	$978.38	$978.38	$157.00–$1,268.00	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN/INTER AUDITORY CANAL MRI	$978.38	$978.38	$157.00–$1,268.00	—	—
MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE MRI WITHOUT CONT	$611.64	$611.64	$102.35–$752.86	46% below	—
MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR SPINE MRI WITHOUT CONT	$611.64	$611.64	$102.35–$752.86	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR SPINE MRI W&W/O CONTRA	$978.38	$978.38	$157.52–$1,268.00	41% below	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 LUMBAR SPINE MRI W&W/O CONTRA	$978.38	$978.38	$157.52–$1,268.00	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE MRI WITHOUT CO	$611.64	$611.64	$101.83–$762.90	40% below	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 THORACIC SPINE MRI WITHOUT CO	$611.64	$611.64	$101.83–$762.90	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL SPINE MRI W&W/O CONT	$978.38	$978.38	$157.52–$1,268.00	40% below	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CERVICAL SPINE MRI W&W/O CONT	$978.38	$978.38	$157.52–$1,268.00	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL SPINE MRI WITHOUT CO	$611.64	$611.64	$101.83–$762.97	39% below	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CERVICAL SPINE MRI WITHOUT CO	$611.64	$611.64	$101.83–$762.97	—	—
MRI of the pelvis without and with contrast CPT 72197 PELVIS MRI WITH AND WITHOUT	$978.38	$978.38	$150.48–$1,327.00	37% below	—
MRI of the pelvis without and with contrast inpatient CPT 72197 PELVIS MRI WITH AND WITHOUT	$978.38	$978.38	$150.48–$1,327.00	—	—
MRI of the pelvis, no contrast dye CPT 72195 PELVIS MRI WITHOUT CONTRAST	$611.64	$611.64	$100.91–$751.72	41% below	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 PELVIS MRI WITHOUT CONTRAST	$611.64	$611.64	$100.91–$751.72	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 UPPER EXTREMITTY JOINT WITHOU	$611.64	$611.64	$93.46–$742.54	49% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 UPPER EXTREMITTY JOINT WITHOU	$611.64	$611.64	$93.46–$742.54	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT, MULT	$3,279.74	$3,279.74	$108.19–$2,951.77	40% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT, MULT	$3,279.74	$3,279.74	$108.19–$2,951.77	—	—
OCT scan of the retina (optical coherence tomography) CPT 92134 SCANNG COMPTZD OPHTHLMC DX IMG	$68.00	$68.00	$20.53–$47.60	3% below	—
OCT scan of the retina (optical coherence tomography) CPT 92134 SCANNG COMPTZD OPHTHLMC DX IMG	$147.93	$147.93	$30.02–$144.04	110% above	—
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 SCANNG COMPTZD OPHTHLMC DX IMG	$147.93	$147.93	$30.02–$144.04	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 TUMOR IMAGE PET/CT SKUL-THIGH	$3,934.41	$3,934.41	$162.06–$3,540.97	2% above	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 TUMOR IMAGE PET/CT SKUL-THIGH	$3,934.41	$3,934.41	$162.06–$3,540.97	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELV B-SCAN W/IMAG DOC; LTD	$289.61	$289.61	$33.53–$260.65	7% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELV B-SCAN W/IMAG DOC; LTD	$289.61	$289.61	$33.53–$260.65	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS COMPLETE ULTRASOUND	$289.61	$289.61	$46.75–$260.65	28% below	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIS COMPLETE ULTRASOUND	$289.61	$289.61	$46.75–$260.65	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PREGNANT UTERUS >14 WEEKS / CO	$289.61	$289.61	$68.15–$343.51	17% below	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PREGNANT UTERUS >14 WEEKS / CO	$289.61	$289.61	$68.15–$343.51	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PREG UTERUS >1ST TRIM US	$289.61	$289.61	—	7% below	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PREGNANT UTERUS > 1ST TRIMESTE	$289.61	$289.61	—	7% below	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 PREG UTERUS >1ST TRIM US	$289.61	$289.61	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 PREGNANT UTERUS > 1ST TRIMESTE	$289.61	$289.61	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PREGNANT UTERUS/LIMITED/EVAL O	$289.61	$289.61	—	at median	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PREGNANT UTERUS/LIMITED/EVALUA	$289.61	$289.61	—	at median	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PREGNANT UTERUS/LIMITED/EVAL O	$289.61	$289.61	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PREGNANT UTERUS/LIMITED/EVALUA	$289.61	$289.61	—	—	—
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$81.18	$81.18	$52.35–$751.73	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD	$81.18	$81.18	$52.35–$751.73	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMP 2+ VIEWS	$215.01	$215.01	$13.27–$193.51	7% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER COMP 2+ VIEWS	$215.01	$215.01	$13.27–$193.51	—	—
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY, 4 OR MORE ADD	$2,343.26	$2,343.26	$101.16–$2,108.93	25% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY, 4 OR MORE ADD	$2,343.26	$2,343.26	$101.16–$2,108.93	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE	$1,283.41	$1,283.41	$25.43–$1,155.07	25% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE COMPLETE	$1,283.41	$1,283.41	$25.43–$1,155.07	—	—
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US	$289.61	$289.61	$47.27–$260.65	22% below	—
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US-OPD	$289.61	$289.61	$47.27–$260.65	22% below	—
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US	$289.61	$289.61	$47.27–$260.65	—	—
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US-OPD	$289.61	$289.61	$47.27–$260.65	—	—
Transvaginal ultrasound during pregnancy CPT 76817 PREG UTERUS/TRANSVAGINAL US	$289.61	$289.61	—	at median	—
Transvaginal ultrasound during pregnancy CPT 76817 PREGNANT UTERUS / TRANSVAGINAL	$289.61	$289.61	—	at median	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 PREGNANT UTERUS / TRANSVAGINAL	$289.61	$289.61	—	—	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 PREG UTERUS/TRANSVAGINAL US	$289.61	$289.61	—	—	—
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMPLETE US	$289.61	$289.61	$55.17–$260.65	35% below	—
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMPLETE US	$289.61	$289.61	$55.17–$260.65	—	—
Ultrasound of the scrotum and testicles CPT 76870 SCROTUM US	$289.61	$289.61	$43.41–$260.65	18% below	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTUM US	$289.61	$289.61	$43.41–$260.65	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HEAD/SOFT TISS ULTRASND	$289.61	$289.61	—	13% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HEAD/SOFT TISSUE ULTRASOUND___	$289.61	$289.61	—	13% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 NECK/ SOFT TISSUE ULTRASOUND	$289.61	$289.61	—	13% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HEAD/SOFT TISSUE ULTRASOUND___	$289.61	$289.61	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HEAD/SOFT TISS ULTRASND	$289.61	$289.61	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 NECK/ SOFT TISSUE ULTRASOUND	$289.61	$289.61	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GASTROINTESTINAL TRACT	$474.54	$474.54	—	13% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GASTROINTESTIN TRACT/KUB	$474.54	$474.54	—	13% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GASTROINTESTINAL TRACT	$474.54	$474.54	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GASTROINTESTIN TRACT/KUB	$474.54	$474.54	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXTREMITY VEINS LIMITED UNILAT	$289.61	$289.61	$46.22–$260.65	20% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXTREMITY VEINS LIMITED UNILAT	$289.61	$289.61	$46.22–$260.65	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST COMPLETE 3+ VIEWS	$215.01	$215.01	$12.30–$193.51	12% above	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST COMPLETE 3+ VIEWS	$215.01	$215.01	$12.30–$193.51	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$215.01	$215.01	$15.64–$217.21	7% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$215.01	$215.01	$15.64–$217.21	—	—
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN AP/ KUB 1 VIEW	$215.01	$215.01	$12.75–$193.51	7% above	—
X-ray of the abdomen, 1 view CPT 74018 RADIOLOGIC EXAM-ABDOM; 1 VIEWS	$215.01	$215.01	$12.75–$217.21	7% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 RADIOLOGIC EXAM-ABDOM; 1 VIEWS	$215.01	$215.01	$12.75–$217.21	—	—
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN AP/ KUB 1 VIEW	$215.01	$215.01	$12.75–$193.51	—	—
X-ray of the ankle, 2 views CPT 73600 ANKLE AP / LAT 2 VIEWS	$215.01	$215.01	$11.32–$193.51	32% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE AP / LAT 2 VIEWS	$215.01	$215.01	$11.32–$193.51	—	—
X-ray of the finger(s), 2 or more views CPT 73140 FINGERS 2+ VIEWS	$215.01	$215.01	$9.93–$193.51	26% above	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGERS 2+ VIEWS	$215.01	$215.01	$9.93–$193.51	—	—
X-ray of the foot, 2 views CPT 73620 FOOT AP / LAT 2 VIEWS	$215.01	$215.01	$10.80–$193.51	22% above	—
X-ray of the foot, 2 views inpatient CPT 73620 FOOT AP / LAT 2 VIEWS	$215.01	$215.01	$10.80–$193.51	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMPLETE 3+ VIEWS	$215.01	$215.01	$11.78–$193.51	20% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMPLETE 3+ VIEWS	$215.01	$215.01	$11.78–$193.51	—	—
X-ray of the hand, 3 or more views CPT 73130 HAND 3+ VIEWS	$215.01	$215.01	$12.30–$193.51	7% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND 3+ VIEWS	$215.01	$215.01	$12.30–$193.51	—	—
X-ray of the knee, 1 or 2 views CPT 73560 KNEE AP / LAT 1-2 VIEWS	$215.01	$215.01	$11.83–$193.51	7% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE AP / LAT 1-2 VIEWS	$215.01	$215.01	$11.83–$193.51	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY-L SPINE 2/3 VIEW	$289.61	$289.61	$15.64–$260.65	5% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XRAY-L SPINE 2/3 VIEW	$289.61	$289.61	$15.64–$260.65	—	—
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE OBLIQUE COMPLETE	$289.61	$289.61	$18.01–$260.65	4% below	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE OBLIQUE COMPLETE	$289.61	$289.61	$18.01–$260.65	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE AP / LAT 2 VIEW	$289.61	$289.61	$14.20–$260.65	29% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE AP / LAT 2 VIEW	$289.61	$289.61	$14.20–$260.65	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3+ VIEWS	$215.01	$215.01	$11.78–$193.51	19% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES 3+ VIEWS	$215.01	$215.01	$11.78–$193.51	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2-3 VIEWS	$215.01	$215.01	$15.64–$193.51	7% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2-3 VIEWS	$215.01	$215.01	$15.64–$193.51	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEW	$289.61	$289.61	$12.30–$260.65	29% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1-2 VIEW	$289.61	$289.61	$12.30–$260.65	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM / COCCYX 2+ VIEWS	$215.01	$215.01	$12.30–$193.51	17% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM / COCCYX 2+ VIEWS	$215.01	$215.01	$12.30–$193.51	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Allergy blood test, specific IgE, per allergen CPT 86003 RAST TEST (QUANTITATIVE)	$11.48	$11.48	—	21% below	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST TEST (QUANTITATIVE)	$11.48	$11.48	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (SCREEN)	$26.60	$26.60	—	40% below	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA (SCREEN)	$26.60	$26.60	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP	$86.37	$86.37	—	30% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$86.37	$86.37	—	30% below	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$86.37	$86.37	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO-BNP	$86.37	$86.37	—	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL.	$18.61	$18.61	—	69% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL.	$18.61	$18.61	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL IV	$132.24	$132.24	—	9% below	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH LEVEL IV	$132.24	$132.24	—	—	—
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$22.70	$22.70	—	63% below	—
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$22.70	$22.70	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCT-COLLEC SPECM	$6.60	$6.60	—	55% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$6.60	$6.60	—	55% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE RTINE	$6.60	$6.60	—	55% below	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCT-COLLEC SPECM	$6.60	$6.60	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$6.60	$6.60	—	—	—
Blood lead test CPT 83655 LEAD SERUM	$26.64	$26.64	—	38% below	—
Blood lead test CPT 83655 LEAD UR	$26.64	$26.64	—	38% below	—
Blood lead test inpatient CPT 83655 LEAD SERUM	$26.64	$26.64	—	—	—
Blood lead test inpatient CPT 83655 LEAD UR	$26.64	$26.64	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE	$297.53	$297.53	—	95% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE	$297.53	$297.53	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$11.40	$11.40	—	57% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$11.40	$11.40	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9...	$45.78	$45.78	—	39% below	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9...	$45.78	$45.78	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 INFECT AGENT DETCT NUCLEIC ACD	$112.88	$112.88	—	25% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 INFECT AGENT DETCT NUCLEIC ACD	$112.88	$112.88	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPLIF NA PROBE	$77.20	$77.20	—	8% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMPLIF NA PROBE	$77.20	$77.20	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$29.46	$29.46	—	56% below	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$29.46	$29.46	—	—	—
Complete blood count (CBC) with differential CPT 85025 CBC ROUTINE	$17.09	$17.09	—	55% below	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC ROUTINE	$17.09	$17.09	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$23.23	$23.23	—	71% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$23.23	$23.23	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$48.91	$48.91	—	40% below	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$48.91	$48.91	—	—	—
Estradiol blood test CPT 82670 ESTRADIOL (E2)	$61.47	$61.47	—	37% below	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL (E2)	$61.47	$61.47	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM	$40.88	$40.88	—	40% below	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH SERUM	$40.88	$40.88	—	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN LAB	$29.99	$29.99	—	46% below	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LAB	$29.99	$29.99	—	—	—
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$32.34	$32.34	—	40% below	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM	$32.34	$32.34	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 THYROXINE	$19.84	$19.84	—	59% below	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 THYROXINE	$19.84	$19.84	—	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLER 4 SAMP	$28.31	$28.31	—	44% below	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLER 4 SAMP	$28.31	$28.31	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA AMPLIF NA PROBE	$77.20	$77.20	—	16% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA AMPLIF NA PROBE	$77.20	$77.20	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION NA/QUAN;1	$187.22	$187.22	—	18% below	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 DETECTION NA/QUAN;1	$187.22	$187.22	—	—	—
HIV-1 and HIV-2 antibody test CPT 86703 EIA-H/A-1/H/A-2 AB	$30.16	$30.16	—	39% below	—
HIV-1 and HIV-2 antibody test CPT 86703 RAPID TEST EIA -1/-2 AB	$30.16	$30.16	—	39% below	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 RAPID TEST EIA -1/-2 AB	$30.16	$30.16	—	—	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 EIA-H/A-1/H/A-2 AB	$30.16	$30.16	—	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 PAPILLOMAVIRUS AMPLIF NA PROBE	$77.20	$77.20	—	at median	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 PAPILLOMAVIRUS AMPLIF NA PROBE	$77.20	$77.20	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$21.36	$21.36	—	41% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$21.36	$21.36	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 EIA ANTI-HBS	$23.63	$23.63	—	40% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 EIA ANTI-HBS	$23.63	$23.63	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 EIA FOR HBSAG	$22.73	$22.73	—	39% below	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 EIA FOR HBSAG	$22.73	$22.73	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB-2	$31.39	$31.39	—	41% below	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB-2	$31.39	$31.39	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP-C NA QUAN	$94.25	$94.25	—	28% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C GENOTYPING	$94.25	$94.25	—	28% below	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C GENOTYPING	$94.25	$94.25	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP-C NA QUAN	$94.25	$94.25	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1-AB	$29.02	$29.02	—	17% below	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1-AB	$29.02	$29.02	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 1/2 IGG HERPESELECT	$42.57	$42.57	—	23% below	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1/2 IGG HERPESELECT	$42.57	$42.57	—	—	—
Insulin blood test CPT 83525 INSULIN	$25.15	$25.15	—	40% below	—
Insulin blood test inpatient CPT 83525 INSULIN	$25.15	$25.15	—	—	—
Iron blood test (serum iron) CPT 83540 IRON	$14.23	$14.23	—	45% below	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$14.23	$14.23	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 UNSATURATED IRON BINDING CAPAC	$19.23	$19.23	—	49% below	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY TOTAL	$19.23	$19.23	—	49% below	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 UNSATURATED IRON BINDING CAPAC	$19.23	$19.23	—	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY TOTAL	$19.23	$19.23	—	—	—
LH (luteinizing hormone) test CPT 83002 LH SERUM	$40.74	$40.74	—	40% below	—
LH (luteinizing hormone) test inpatient CPT 83002 LH SERUM	$40.74	$40.74	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$15.16	$15.16	—	46% below	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$15.16	$15.16	—	—	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL W/PRO	$17.97	$17.97	—	70% below	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL W/PRO	$17.97	$17.97	—	—	—
Magnesium blood test CPT 83735 MAGNESIUM SERUM	$14.74	$14.74	—	40% below	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM	$14.74	$14.74	—	—	—
Measles (rubeola) antibody test CPT 86765 MEASLES AB IGG	$28.34	$28.34	—	37% below	—
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB IGG	$28.34	$28.34	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SPOT TEST	$11.40	$11.40	—	65% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SPOT TEST	$11.40	$11.40	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPEC ANTIGEN	$40.46	$40.46	—	38% below	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPEC ANTIGEN	$40.46	$40.46	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 GYN CYTOLOGY THIN PREP	$44.57	$44.57	—	37% below	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 GYN CYTOLOGY THIN PREP	$44.57	$44.57	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH (INTACT)	$90.82	$90.82	—	30% below	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH (INTACT)	$90.82	$90.82	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT	$13.22	$13.22	—	42% below	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT	$13.22	$13.22	—	—	—
Progesterone blood test CPT 84144 PROGESTERONE SERUM	$45.89	$45.89	—	46% below	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE SERUM	$45.89	$45.89	—	—	—
Prolactin blood test CPT 84146 PROLACTIN SERUM	$42.64	$42.64	—	40% below	—
Prolactin blood test inpatient CPT 84146 PROLACTIN SERUM	$42.64	$42.64	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT/PTT	$9.44	$9.44	$4.46–$35.51	41% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMB TIME	$9.44	$9.44	—	41% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$9.44	$9.44	—	41% below	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$9.44	$9.44	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/PTT	$9.44	$9.44	$4.46–$35.51	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 DIRECT GROUP A TEST	$36.37	$36.37	—	9% below	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 DIRECT GROUP A TEST	$36.37	$36.37	—	—	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$12.47	$12.47	—	40% below	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$12.47	$12.47	—	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGG	$31.66	$31.66	—	26% below	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGG	$31.66	$31.66	—	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS	$27.08	$27.08	—	28% below	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS	$27.08	$27.08	—	—	—
Stool ova and parasites exam CPT 87177 PARASITE IDENT	$19.58	$19.58	—	40% below	—
Stool ova and parasites exam CPT 87177 ASPIRATE FOR O&P	$19.58	$19.58	—	40% below	—
Stool ova and parasites exam inpatient CPT 87177 ASPIRATE FOR O&P	$19.58	$19.58	—	—	—
Stool ova and parasites exam inpatient CPT 87177 PARASITE IDENT	$19.58	$19.58	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL.	$9.64	$9.64	—	26% below	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL.	$9.64	$9.64	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILLIS SCREEN	$9.39	$9.39	—	40% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SPINAL FLUIDS	$9.39	$9.39	—	40% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SPINAL FLUIDS	$9.39	$9.39	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILLIS SCREEN	$9.39	$9.39	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$136.36	$136.36	—	9% below	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE	$136.36	$136.36	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$56.78	$56.78	—	35% below	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$56.78	$56.78	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI TPO	$32.01	$32.01	—	39% below	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI TPO	$32.01	$32.01	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$36.96	$36.96	—	50% below	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$36.96	$36.96	—	—	—
Uric acid blood test CPT 84550 URIC ACID	$9.94	$9.94	—	58% below	—
Uric acid blood test inpatient CPT 84550 URIC ACID	$9.94	$9.94	—	—	—
Urinalysis with microscope exam, automated CPT 81001 UA DIP STICK/TABLET; AUTO W/MI	$6.97	$6.97	—	74% below	—
Urinalysis with microscope exam, automated inpatient CPT 81001 UA DIP STICK/TABLET; AUTO W/MI	$6.97	$6.97	—	—	—
Urinalysis without microscope exam, manual CPT 81002 UA DIP STIK/TABLT;WO MICRO NON	$7.66	$7.66	—	26% below	—
Urine culture for bacteria, with colony count CPT 87086 BACT CULTURE-URINE;QUAN COUNT	$17.75	$17.75	—	53% below	—
Urine culture for bacteria, with colony count inpatient CPT 87086 BACT CULTURE-URINE;QUAN COUNT	$17.75	$17.75	—	—	—
Urine pregnancy test, read by color change CPT 81025 PREGNANCY (URINE) VISUAL COLR	$18.94	$18.94	—	28% below	—
Urine pregnancy test, read by color change CPT 81025 PREGNANCY (URINE)	$18.94	$18.94	—	28% below	—
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY (URINE)	$18.94	$18.94	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$33.18	$33.18	—	40% below	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$33.18	$33.18	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25-HYDROXY LEVEL	$65.12	$65.12	—	27% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25-HYDROXY LEVEL	$65.12	$65.12	—	—	—
Zinc blood test CPT 84630 ZINC BLOOD	$25.06	$25.06	—	26% below	—
Zinc blood test inpatient CPT 84630 ZINC BLOOD	$25.06	$25.06	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$33.11	$33.11	—	40% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE	$33.11	$33.11	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 ADENOIDECTOMY, PRIMARY; UNDER AGE 12	$631.00	$631.00	$182.62–$441.70	84% below	—
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REM ADENOIDS;PRIMARY; UNDER 12	$7,753.72	$7,753.72	$1,428.00–$6,978.35	102% above	—
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 REM ADENOIDS;PRIMARY; UNDER 12	$7,753.72	$7,753.72	$1,428.00–$6,978.35	—	—
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRODESIS, ANTERIOR INTERBODY, INCLUDI	$5,268.00	$5,268.00	$1,528.34–$3,687.60	65% below	—
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 NECK SPINE FUSE/REM; BEL C2	$33,210.86	$33,210.86	$1,428.00–$29,889.77	118% above	—
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 NECK SPINE FUSE/REM; BEL C2	$33,210.86	$33,210.86	$1,428.00–$29,889.77	—	—
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE	$2,894.00	$2,894.00	$853.01–$2,025.80	63% below	—
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHSCPY AIDED ACL REPR/AUG/RE	$17,131.83	$17,131.83	$1,428.00–$15,418.65	119% above	—
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHSCPY AIDED ACL REPR/AUG/RE	$17,131.83	$17,131.83	$1,428.00–$15,418.65	—	—
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY, SHOULDER, SURGICAL; WITH RO	$3,176.00	$3,176.00	$933.12–$2,223.20	62% below	—
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ROTATOR CUFF REP ARTHRSCPY	$17,131.83	$17,131.83	$1,428.00–$15,418.65	103% above	—
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ROTATOR CUFF REP ARTHRSCPY	$17,131.83	$17,131.83	$1,428.00–$15,418.65	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CL TX DSTL FIB FX WO MANIP	$548.00	$548.00	$226.35–$2,531.00	5% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACT	$880.00	$880.00	$268.14–$616.00	68% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CL TX DSTL FIB FX WO MANIP	$548.00	$548.00	$226.35–$2,531.00	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TX METATARSAL FX; WO MANIP	$547.99	$547.99	$226.35–$2,500.00	20% above	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLSD TX MT FX W/O MANIP	$548.00	$548.00	$226.35–$2,500.00	20% above	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TREATMENT OF METATARSAL FRACTURE;	$622.00	$622.00	$189.15–$435.40	36% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLSD TX MT FX W/O MANIP	$548.00	$548.00	$226.35–$2,500.00	—	—
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION, HALLUX VALGUS (BUNIONIECTOMY)	$1,480.00	$1,480.00	$760.69–$1,300.61	61% below	—
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 BUNION CORRECT W MTRSLBONE INC	$8,003.57	$8,003.57	$1,428.00–$7,203.21	108% above	—
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 BUNION CORRECT W MTRSLBONE INC	$8,003.57	$8,003.57	$1,428.00–$7,203.21	—	—
Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION, HALLUX VALGUS (BUNIONIECTOMY)	$1,407.00	$1,407.00	$429.05–$984.90	63% below	—
Bunion correction with removal of part of the big toe joint CPT 28292 KELLER/MCBRIDE/MAYO BUNION COR	$8,003.57	$8,003.57	$1,428.00–$7,203.21	108% above	—
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 KELLER/MCBRIDE/MAYO BUNION COR	$8,003.57	$8,003.57	$1,428.00–$7,203.21	—	—
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$8,185.95	$8,185.95	$1,428.00–$7,367.36	22% above	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$8,185.95	$8,185.95	$1,428.00–$7,367.36	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE EXT CARDIOVERS	$299.00	$299.00	$63.72–$2,422.00	63% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE EXT CARDIOVERS	$1,493.43	$1,493.43	$196.00–$2,446.00	86% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERS ELEC-CONVER ARRHY;	$1,493.43	$1,493.43	$196.00–$2,446.00	86% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTIVE EXT CARDIOVERS	$1,493.43	$1,493.43	$196.00–$2,446.00	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERS ELEC-CONVER ARRHY;	$1,493.43	$1,493.43	$196.00–$2,446.00	—	—
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN	$1,318.00	$1,318.00	$388.09–$922.60	43% below	—
Carpal tunnel release, open surgery CPT 64721 NEUROLASTY MEDIAN NERVE AT CAR	$5,143.77	$5,143.77	$1,428.00–$4,629.39	123% above	—
Carpal tunnel release, open surgery inpatient CPT 64721 NEUROLASTY MEDIAN NERVE AT CAR	$5,143.77	$5,143.77	$1,428.00–$4,629.39	—	—
Cataract surgery with lens implant CPT 66984 EXTRACAPSULAR CATARACT REMOVAL WITH INSE	$1,537.00	$1,537.00	$450.33–$1,075.90	43% below	—
Cataract surgery with lens implant CPT 66984 EXTRACAPSULAR CATARACT REMV IO	$6,006.94	$6,006.94	$1,428.00–$5,406.25	123% above	—
Cataract surgery with lens implant inpatient CPT 66984 EXTRACAPSULAR CATARACT REMV IO	$6,006.94	$6,006.94	$1,428.00–$5,406.25	—	—
Cervical biopsy CPT 57500 BIOPSY OF CERVIX, SINGLE OR MULTIPLE, OR	$221.00	$221.00	$136.97–$230.36	85% below	—
Cervical biopsy CPT 57500 BX SINGLE/MX/LOC EXC LES W/WO	$1,683.46	$1,683.46	$709.03–$2,500.00	15% above	—
Cervical biopsy CPT 57500 BX SINGLE/MX/LOC EXC LES W/WO	$2,164.46	$2,164.46	$709.03–$2,500.00	47% above	—
Cervical biopsy inpatient CPT 57500 BX SINGLE/MX/LOC EXC LES W/WO	$2,164.46	$2,164.46	$709.03–$2,500.00	—	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 OLDER THAN 28 DAYS OF AGE	$569.00	$569.00	$166.86–$398.30	82% below	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRC NO CLAMP/DORSL SLIT; NOT	$5,246.38	$5,246.38	$1,112.68–$4,721.74	69% above	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRC NO CLAMP/DORSL SLIT; NOT	$5,246.38	$5,246.38	$1,112.68–$4,721.74	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION, USING CLAMP OR OTHER DEVIC	$273.00	$273.00	$83.24–$191.10	89% below	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONAL BLOCK	$4,567.61	$4,567.61	$1,112.68–$4,110.85	88% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRC USING CLAMP/OTH DEVICE; N	$4,765.38	$4,765.38	$1,112.68–$4,288.84	97% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W REGIONAL BLCK	$5,246.38	$5,246.38	$1,112.68–$4,721.74	116% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONAL BLOCK	$4,567.61	$4,567.61	$1,112.68–$4,110.85	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W REGIONAL BLCK	$5,246.38	$5,246.38	$1,112.68–$4,721.74	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TX FX RADIUS AND ULNA	$548.00	$548.00	$226.35–$2,500.00	at median	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT OF DISTAL RADIAL FRACTU	$1,001.00	$1,001.00	$298.27–$700.70	83% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TX FX RADIUS AND ULNA	$548.00	$548.00	$226.35–$2,500.00	—	—
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY, FLEXIBLE, DIAGNOSTIC	$718.00	$718.00	$218.93–$505.56	49% below	—
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY FLEX; W/REMV LES-S	$3,237.01	$3,237.01	$930.84–$2,913.31	132% above	—
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY WITH POLYPECTOMY	$3,237.01	$3,237.01	$930.84–$2,913.31	132% above	—
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY WITH POLYPECTOMY	$3,237.01	$3,237.01	$930.84–$2,913.31	—	—
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY FLEX; W/REMV LES-S	$3,237.01	$3,237.01	$930.84–$2,913.31	—	—
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY, FLEXIBLE, DIAGNOSTIC	$568.00	$568.00	$173.17–$486.40	59% below	—
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$2,756.01	$2,756.01	$930.84–$2,531.00	98% above	—
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY FLEX; W/BX 1/MX	$3,237.01	$3,237.01	$930.84–$2,913.31	132% above	—
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY	$2,756.01	$2,756.01	$930.84–$2,531.00	—	—
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY FLEX; W/BX 1/MX	$3,237.01	$3,237.01	$930.84–$2,913.31	—	—
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY, FLEXIBLE, DIAGNOSTIC	$524.00	$524.00	$80.03–$377.59	69% below	—
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLEX; DX-SEP PROC	$2,590.34	$2,590.34	$877.24–$2,531.00	53% above	—
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLEX; DX-SEP PROC	$2,590.34	$2,590.34	$877.24–$2,531.00	—	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY OF THE CERVIX INCLUDING UPPER	$466.00	$466.00	$142.01–$351.89	88% below	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY; W/LOOP ELECTRD EXC	$6,971.91	$6,971.91	$1,428.00–$6,274.72	85% above	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 CERVICAL COLPOSCOPY;LEEP;W BX	$7,452.91	$7,452.91	$1,428.00–$6,707.62	98% above	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 CERVICAL COLPOSCOPY;LEEP;W BX	$7,452.91	$7,452.91	$1,428.00–$6,707.62	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY OF THE CERVIX INCLUDING UPPER	$391.00	$391.00	$119.21–$273.70	41% below	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOP W/BX-CERV/ENDO CERV	$748.11	$748.11	$307.92–$2,500.00	13% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOP W/BX CERV ENDOCRV CU	$748.11	$748.11	$307.92–$2,500.00	13% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLP CERVIX W BX & CURETT	$1,229.11	$1,229.11	$307.92–$2,500.00	85% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOP; W/BX-CERV &/ENDOCER	$1,229.11	$1,229.11	$307.92–$2,500.00	85% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOP; W/BX-CERV &/ENDOCER	$1,229.11	$1,229.11	$307.92–$2,500.00	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLP CERVIX W BX & CURETT	$1,229.11	$1,229.11	$307.92–$2,500.00	—	—
Complex cataract surgery with lens implant CPT 66982 EXTRACAPSULAR CATARACT REMOVAL WITH INSE	$2,105.00	$2,105.00	$616.51–$1,473.50	22% below	—
Complex cataract surgery with lens implant CPT 66982 CATARACT SURGERY COMPLEX	$6,006.94	$6,006.94	$1,428.00–$5,406.25	123% above	—
Complex cataract surgery with lens implant inpatient CPT 66982 CATARACT SURGERY COMPLEX	$6,006.94	$6,006.94	$1,428.00–$5,406.25	—	—
Coronary stent placement, one artery CPT 92928 PERQ INTRACARD STNT W ANGIOPLS	$1,712.00	$1,712.00	$299.49–$24,455.61	88% below	—
Coronary stent placement, one artery CPT 92928 PERQ INTRACARD STNT W ANGIOPLS	$27,172.90	$27,172.90	$1,428.00–$24,455.61	95% above	—
Coronary stent placement, one artery CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL	$27,172.90	$27,172.90	$1,428.00–$24,455.61	95% above	—
Coronary stent placement, one artery inpatient CPT 92928 PERQ INTRACARD STNT W ANGIOPLS	$27,172.90	$27,172.90	$1,428.00–$24,455.61	—	—
Coronary stent placement, one artery inpatient CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL	$27,172.90	$27,172.90	$1,428.00–$24,455.61	—	—
Cystoscopy with ureteral stent placement CPT 52332 CYSTOURETHROSCOPY, WITH INSERTION OF IND	$442.00	$442.00	$134.52–$447.77	89% below	—
Cystoscopy with ureteral stent placement CPT 52332 CYST W INS OF INDWELLING URETE	$8,657.21	$8,657.21	$1,428.00–$7,791.49	111% above	—
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYST W INS OF INDWELLING URETE	$8,657.21	$8,657.21	$1,428.00–$7,791.49	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE)	$228.00	$228.00	$159.60–$356.04	84% below	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY (SEP PROC)	$1,527.61	$1,527.61	$655.67–$4,193.06	6% above	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY (SEPART PROC	$2,008.61	$2,008.61	$655.67–$4,193.06	39% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY (SEPART PROC	$2,008.61	$2,008.61	$655.67–$4,193.06	—	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE, DIAGNOSTIC AND/O	$689.00	$689.00	$210.06–$482.30	82% below	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILAT & CURET DX &/OR THERAP (	$7,452.91	$7,452.91	$1,428.00–$6,707.62	98% above	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILAT & CURET DX &/OR THERAP (	$7,452.91	$7,452.91	$1,428.00–$6,707.62	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION (EG, LASER SURGERY, ELECTROS	$160.00	$160.00	$48.74–$112.00	39% below	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTROY BENIGN/PRELG LESION	$450.46	$450.46	$192.16–$2,500.00	73% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUC BEN/PREMALIG LES; 1 LE	$477.20	$477.20	$192.16–$2,500.00	83% above	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 TYMPANOSTOMY (REQUIRING INSERTION OF VEN	$471.00	$471.00	$137.04–$329.70	73% below	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 TYMPANOSTOMY W GEN ANESTH	$4,076.42	$4,076.42	$1,428.00–$3,668.78	133% above	—
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 TYMPANOSTOMY W GEN ANESTH	$4,076.42	$4,076.42	$1,428.00–$3,668.78	—	—
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY (REQUIRING INSERTION OF VEN	$391.00	$391.00	$119.23–$273.70	64% below	—
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY(REQ INSERTION)	$1,202.28	$1,202.28	$254.87–$2,500.00	11% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$147.93	$147.93	$58.71–$2,500.00	22% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$147.93	$147.93	$58.71–$2,500.00	22% above	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 RMV IMPACTD EAR WAX; UNILAT; I	$147.93	$147.93	$58.71–$2,500.00	22% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI	$147.93	$147.93	$58.71–$2,500.00	—	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 RMV IMPACTD EAR WAX; UNILAT; I	$147.93	$147.93	$58.71–$2,500.00	—	—
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRU	$94.00	$94.00	$28.43–$65.80	28% below	—
Earwax removal with instruments, one ear CPT 69210 IMPACTED CERUMEN REMOVAL	$147.93	$147.93	$58.71–$2,500.00	14% above	—
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACT CERUMEN 1/BOTH	$147.93	$147.93	$58.71–$2,500.00	14% above	—
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACT CERUMEN 1/BOTH	$147.93	$147.93	$58.71–$2,500.00	14% above	—
Earwax removal with instruments, one ear CPT 69210 REM IMACTED EAR WAX 1-2 EARS	$147.93	$147.93	$58.71–$2,500.00	14% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMACTED EAR WAX 1-2 EARS	$147.93	$147.93	$58.71–$2,500.00	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACT CERUMEN 1/BOTH	$147.93	$147.93	$58.71–$2,500.00	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 IMPACTED CERUMEN REMOVAL	$147.93	$147.93	$58.71–$2,500.00	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL SAMPLING (BIOPSY) WITH OR WI	$184.00	$184.00	$89.59–$151.91	60% below	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX WO CERV DILAT	$452.67	$452.67	$191.27–$2,500.00	2% below	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMET BX W/WO ENDOCRV BX-SEP	$452.67	$452.67	$191.27–$2,500.00	2% below	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$470.16	$470.16	$191.27–$2,500.00	2% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMET BX W/WO ENDOCRV BX-SEP	$933.67	$933.67	$191.27–$2,500.00	103% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BX WO CERV DILAT	$452.67	$452.67	$191.27–$2,500.00	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMET BX W/WO ENDOCRV BX-SEP	$933.67	$933.67	$191.27–$2,500.00	—	—
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NASAL/SINUS ENDOSCOPY, SURGICAL; TOTAL	$931.00	$931.00	$276.97–$651.70	87% below	—
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NASAL ENDO W ETHMOIDECTOMY;TOT	$15,956.59	$15,956.59	$1,428.00–$14,360.93	118% above	—
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 NASAL ENDO W ETHMOIDECTOMY;TOT	$15,956.59	$15,956.59	$1,428.00–$14,360.93	—	—
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NASAL/SINUS ENDOSCOPY, SURGICAL WITH FRO	$1,091.00	$1,091.00	$322.26–$763.70	86% below	—
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NASL/SINUS ENDO W FRONTL SINUS	$15,956.59	$15,956.59	$516.52–$14,360.93	106% above	—
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 NASL/SINUS ENDO W FRONTL SINUS	$15,956.59	$15,956.59	$516.52–$14,360.93	—	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MA	$519.00	$519.00	$152.75–$363.30	88% below	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 NASAL ENDO W MAXILL ANTROSTOMY	$8,714.85	$8,714.85	$1,428.00–$7,843.37	100% above	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 NASAL ENDO W MAXILL ANTROSTOMY	$8,714.85	$8,714.85	$1,428.00–$7,843.37	—	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MA	$767.00	$767.00	$226.19–$536.90	90% below	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 NASL ENDO W MA;W REM TISUE MAX	$15,956.59	$15,956.59	$516.52–$14,360.93	106% above	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 NASL ENDO W MA;W REM TISUE MAX	$15,956.59	$15,956.59	$516.52–$14,360.93	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC	$304.00	$304.00	$92.67–$289.28	72% below	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$2,167.61	$2,167.61	$663.77–$2,500.00	103% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 NJX INTERLAMINAR CRV/THRC	$2,167.61	$2,167.61	$663.77–$2,500.00	—	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 INTRAVITREAL INJECTION OF A PHARMACOLOGI	$257.00	$257.00	$78.29–$242.40	64% below	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 INTRAVITREAL INJECTION OF DRUG	$825.90	$825.90	$320.66–$2,500.00	15% above	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 INTRAVITREAL INJ PHARMACOLOGIC	$1,306.90	$1,306.90	$320.66–$2,500.00	82% above	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJ DRUG;INTRAVITREAL	$1,306.90	$1,306.90	$320.66–$2,500.00	82% above	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INJ DRUG;INTRAVITREAL	$1,306.90	$1,306.90	$320.66–$2,500.00	—	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INTRAVITREAL INJ PHARMACOLOGIC	$1,306.90	$1,306.90	$320.66–$2,500.00	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION(S), DIAGNOSTIC OR THERAPEUTIC	$258.00	$258.00	$78.43–$190.20	87% below	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ TX/DX PARAVERT FCT JNT L/S	$2,666.92	$2,666.92	$698.89–$2,531.00	33% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ TX/DX PARAVERT FCT JNT L/S	$2,666.92	$2,666.92	$698.89–$2,531.00	—	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 INITIAL REPAIR OF SLIDING HERNIA OF ABDOMEN,	$1,721.00	$1,721.00	$364.73–$1,204.70	77% below	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$9,348.68	$9,348.68	$1,428.00–$8,413.81	27% above	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 RPR AA HRN 1ST 3-10 RDC	$9,348.68	$9,348.68	$1,428.00–$8,413.81	—	—
First repair of a front abdominal hernia larger than 10 cm CPT 49595 INITIAL REPAIR OF SLIDING HERNIA OF ABDOMEN,	$2,313.00	$2,313.00	$490.37–$1,619.10	69% below	—
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST>10 RDC	$9,348.68	$9,348.68	$1,428.00–$8,413.81	27% above	—
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 RPR AA HRN 1ST>10 RDC	$9,348.68	$9,348.68	$1,428.00–$8,413.81	—	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$679.60	$679.60	$441.74–$5,538.49	84% below	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 INITIAL REPAIR OF SLIDING HERNIA OF ABDOMEN,	$1,028.00	$1,028.00	$217.86–$719.60	75% below	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$679.60	$679.60	$441.74–$5,538.49	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY, FLEXIBLE; DIAGNOSTIC, WIT	$164.00	$164.00	$114.80–$277.95	88% below	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY FLEX; DX-SEP PRO	$2,590.34	$2,590.34	$877.24–$2,531.00	91% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY FLEX; DX-SEP PRO	$2,590.34	$2,590.34	$877.24–$2,531.00	—	—
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY	$1,995.00	$1,995.00	$589.93–$1,396.50	68% below	—
Gallbladder removal, laparoscopic CPT 47562 LAP SURG; CHOLECYSTECTOMY	$13,930.52	$13,930.52	$1,428.00–$12,537.47	126% above	—
Gallbladder removal, laparoscopic inpatient CPT 47562 LAP SURG; CHOLECYSTECTOMY	$13,930.52	$13,930.52	$1,428.00–$12,537.47	—	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY W	$2,169.00	$2,169.00	$641.86–$1,518.30	67% below	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP;CHOLECYSTECTOMY W CHOLANGI	$13,930.52	$13,930.52	$1,428.00–$12,537.47	112% above	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAP;CHOLECYSTECTOMY W CHOLANGI	$13,930.52	$13,930.52	$1,428.00–$12,537.47	—	—
Hammertoe correction surgery CPT 28285 CORRECTION, HAMMERTOE (EG, INTERPHALANGE	$1,125.00	$1,125.00	$342.95–$787.50	71% below	—
Hammertoe correction surgery CPT 28285 HAMMERTOE; CORRECT ONE TOE	$8,003.57	$8,003.57	$1,428.00–$7,203.21	108% above	—
Hammertoe correction surgery inpatient CPT 28285 HAMMERTOE; CORRECT ONE TOE	$8,003.57	$8,003.57	$1,428.00–$7,203.21	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BA	$565.00	$565.00	$172.02–$395.50	48% below	—
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$2,590.34	$2,590.34	$712.00–$2,904.14	140% above	—
Hemorrhoid banding (rubber band ligation) CPT 46221 INT LIGAT HEMORRHOID(S);W RUB	$2,590.34	$2,590.34	$712.00–$2,904.14	140% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 INT LIGAT HEMORRHOID(S);W RUB	$2,590.34	$2,590.34	$712.00–$2,904.14	—	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 LIGATION OF HEMORRHOID(S)	$2,590.34	$2,590.34	$712.00–$2,904.14	—	—
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL,	$1,053.00	$1,053.00	$320.95–$737.10	68% below	—
Hemorrhoidectomy (internal and external), one area CPT 46255 REM INT&EXT HEMORRHOID;SING	$6,974.98	$6,974.98	$1,428.00–$6,277.48	115% above	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 REM INT&EXT HEMORRHOID;SING	$6,974.98	$6,974.98	$1,428.00–$6,277.48	—	—
Hysterectomy through an abdominal incision (total) CPT 58150 ABDOMINAL HYSTERECTOMY	$2,680.38	$2,680.38	$1,007.79–$5,242.73	48% below	—
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL ABDOMINAL HSTERECTOMY	$2,697.17	$2,697.17	$1,007.79–$5,242.73	48% below	—
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL ABDOMINAL HYSTERECTOMY (CORPUS AND	$2,986.00	$2,986.00	$878.66–$2,090.20	42% below	—
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOTAL ABDOMINAL HSTERECTOMY	$2,697.17	$2,697.17	$1,007.79–$5,242.73	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH&INJ CONTR/SALIN;HYSTEROS/	$123.44	$123.44	$56.82–$2,531.00	60% below	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETERIZATION AND INTRODUCTION OF SALI	$169.00	$169.00	$118.30–$361.70	45% below	—
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY, SURGICAL; WITH ENDOMETRIAL	$717.00	$717.00	$501.90–$3,125.78	88% below	—
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCPY;W ENODMET ALBATION	$12,200.58	$12,200.58	$1,428.00–$10,980.52	109% above	—
Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCPY;W ENODMET ALBATION	$12,200.58	$12,200.58	$1,428.00–$10,980.52	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, SURGICAL; WITH SAMPLING (B	$675.00	$675.00	$472.50–$1,972.36	84% below	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCPY SURG; W/BX &/ POLY	$6,971.91	$6,971.91	$1,428.00–$6,274.72	62% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY;W BX ENDOM/POLYPE	$7,452.91	$7,452.91	$1,428.00–$6,707.62	74% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY;W BX ENDOM/POLYPE	$7,452.91	$7,452.91	$1,428.00–$6,707.62	—	—
IUD insertion (the device itself billed separately) CPT 58300 INSRT INTRAUTERINE DEVICE	$99.88	$99.88	$59.93–$2,500.00	64% below	—
IUD insertion (the device itself billed separately) CPT 58300 INSERT IUD	$99.88	$99.88	$59.93–$2,500.00	64% below	—
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF INTRAUTERINE DEVICE (IUD)	$129.00	$129.00	$47.02–$90.30	53% below	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT IUD	$99.88	$99.88	$59.93–$2,500.00	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCESS (EG, CA	$311.00	$311.00	$94.67–$217.70	22% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SKIN ABSCESS-SIMPLE	$477.20	$477.20	$192.16–$2,500.00	20% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS; SIMPL/SNGL	$477.20	$477.20	$192.16–$2,500.00	20% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ASBC;SIMPLE/SINGLE	$958.20	$958.20	$192.16–$2,500.00	141% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SKIN ABSCESS-SIMPLE	$477.20	$477.20	$192.16–$2,500.00	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ASBC;SIMPLE/SINGLE	$958.20	$958.20	$192.16–$2,500.00	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INITIAL INGUINAL HERNIA, AGE 5 YE	$1,584.00	$1,584.00	$466.96–$1,108.80	62% below	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPR INIT ING HERNIA 5YR/MORE;	$8,941.78	$8,941.78	$1,428.00–$8,047.60	114% above	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPR INIT ING HERNIA 5YR/MORE;	$8,941.78	$8,941.78	$1,428.00–$8,047.60	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION(S); SINGLE TENDON SHEATH, OR L	$112.00	$112.00	$34.00–$78.40	77% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ; TENDON SHEATH LIG GANG CY	$694.12	$694.12	$284.28–$2,500.00	43% above	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SINGL TENDON SHEATH/LIG	$1,175.12	$1,175.12	$284.28–$2,500.00	141% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SINGL TENDON SHEATH/LIG	$1,175.12	$1,175.12	$284.28–$2,500.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS, ASPIRATION AND/OR INJECT	$133.00	$133.00	$40.39–$93.10	72% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP-MAJOR JT/BURSA	$694.12	$694.12	$284.28–$2,500.00	46% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS/ASPIR/INJ; MAJO	$694.12	$694.12	$284.28–$2,500.00	46% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/	$1,175.12	$1,175.12	$284.28–$2,500.00	146% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP-MAJOR JT/BURSA	$694.12	$694.12	$284.28–$2,500.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/	$1,175.12	$1,175.12	$284.28–$2,500.00	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION, DRUG-DELIVERY IMPLANT(IE, BIO	$184.00	$184.00	$88.26–$151.10	33% below	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 IMPLANON INSERTION	$297.53	$297.53	$122.61–$2,500.00	9% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT	$297.53	$297.53	$122.61–$2,500.00	9% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSRT IMPLNT CONTRACEPTIVE CAP	$778.53	$778.53	$122.61–$2,500.00	185% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSRT IMPLNT CONTRACEPTIVE CAP	$778.53	$778.53	$122.61–$2,500.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS, ASPIRATION AND/OR INJECT	$106.00	$106.00	$32.26–$74.20	73% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCEN ASPIR&/INJ; INTERMED	$694.12	$694.12	$284.28–$2,500.00	77% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP INTERMED JT/BURSA	$694.12	$694.12	$284.28–$2,500.00	77% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTERM JNT/BURSA	$1,175.12	$1,175.12	$284.28–$2,500.00	200% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASP INTERMED JT/BURSA	$694.12	$694.12	$284.28–$2,500.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTERM JNT/BURSA	$1,175.12	$1,175.12	$284.28–$2,500.00	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS, ASPIRATION AND/OR INJECT	$104.00	$104.00	$31.43–$72.80	75% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP-SM JT/BURSA/GANGLION	$694.12	$694.12	$284.28–$2,500.00	66% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIR&/INJ; SM	$694.12	$694.12	$284.28–$2,500.00	66% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASPIR&/INJ; SM	$694.12	$694.12	$284.28–$2,500.00	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP-SM JT/BURSA/GANGLION	$694.12	$694.12	$284.28–$2,500.00	—	—
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISC	$2,056.00	$2,056.00	$601.83–$1,439.20	46% below	—
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHOSC KNEE; W MEN REP MEDLAT	$8,003.57	$8,003.57	$1,428.00–$7,203.21	108% above	—
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTHOSC KNEE; W MEN REP MEDLAT	$8,003.57	$8,003.57	$1,428.00–$7,203.21	—	—
Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISC	$1,625.00	$1,625.00	$474.13–$1,137.50	58% below	—
Knee arthroscopy with meniscus trim CPT 29881 ARTHRSCPY/SRGRY KNEE	$8,003.57	$8,003.57	$1,428.00–$7,203.21	108% above	—
Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHRSCPY/SRGRY KNEE	$8,003.57	$8,003.57	$1,428.00–$7,203.21	—	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISC	$1,687.00	$1,687.00	$492.11–$1,180.90	56% below	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHRSCPY/SRGRY	$8,003.57	$8,003.57	$1,428.00–$7,203.21	108% above	—
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 KNEE ARTHRSCPY/SRGRY	$8,003.57	$8,003.57	$1,428.00–$7,203.21	—	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROSCOPY, KNEE, SURGICAL; DEBRIDEMENT	$1,861.00	$1,861.00	$544.24–$1,302.70	52% below	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 SCOPE KNEE SURG; DEBRID/SHAVE	$8,003.57	$8,003.57	$1,428.00–$7,203.21	108% above	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 SCOPE KNEE SURG; DEBRID/SHAVE	$8,003.57	$8,003.57	$1,428.00–$7,203.21	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, SURGICAL, APPENDECTOMY	$1,818.00	$1,818.00	$536.89–$1,272.60	74% below	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPROSCOPYL APPENDECTOMY	$13,930.52	$13,930.52	$1,428.00–$12,537.47	102% above	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPROSCOPYL APPENDECTOMY	$13,930.52	$13,930.52	$1,428.00–$12,537.47	—	—
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY, SURGICAL, ESOPHAGOGASTRIC F	$3,240.00	$3,240.00	$960.68–$2,268.00	70% below	—
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAP ESOPHOGOGASTRIC FUNDOPLAST	$24,155.57	$24,155.57	$1,428.00–$21,740.01	122% above	—
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAP ESOPHOGOGASTRIC FUNDOPLAST	$24,155.57	$24,155.57	$1,428.00–$21,740.01	—	—
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTER	$2,376.00	$2,376.00	$699.80–$1,663.20	77% below	—
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 LAP TTL HYSTRCTMY, UTRUS <250G	$24,636.57	$24,636.57	$1,428.00–$22,172.91	135% above	—
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 LAP TTL HYSTRCTMY, UTRUS <250G	$24,636.57	$24,636.57	$1,428.00–$22,172.91	—	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTER	$2,677.00	$2,677.00	$788.62–$1,873.90	68% below	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAP TTL HYST W REM TUB/OVRY;<2	$24,155.57	$24,155.57	$1,428.00–$21,740.01	191% above	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 LAP TTL HYST W REM TUB/OVRY;<2	$24,155.57	$24,155.57	$1,428.00–$21,740.01	—	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPAROSCOPY, SURGICAL; REPAIR INITIAL IN	$1,313.00	$1,313.00	$385.64–$919.10	81% below	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP;INIT ING HERNIA REPAIR	$13,930.52	$13,930.52	$1,428.00–$12,537.47	102% above	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP;INIT ING HERNIA REPAIR	$13,930.52	$13,930.52	$1,428.00–$12,537.47	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPAROSCOPY, SURGICAL; REPAIR RECURRENT	$1,714.00	$1,714.00	$503.85–$1,199.80	75% below	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPAROSCP;REP RECUR INGUIN HER	$13,930.52	$13,930.52	$1,428.00–$12,537.47	102% above	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAPAROSCP;REP RECUR INGUIN HER	$13,930.52	$13,930.52	$1,428.00–$12,537.47	—	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY, SURGICAL; WITH REMOVAL OF A	$1,917.00	$1,917.00	$566.41–$1,341.90	72% below	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAP;W REM ADNEXAL STRUCTURES	$13,930.52	$13,930.52	$1,428.00–$12,537.47	102% above	—
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAP;W REM ADNEXAL STRUCTURES	$13,930.52	$13,930.52	$1,428.00–$12,537.47	—	—
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEEVE GASTRECTOMY	$2,880.78	$2,880.78	$1,121.22–$4,605.68	78% below	—
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTI	$3,323.00	$3,323.00	$990.68–$2,326.10	75% below	—
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 LAP SLEEEVE GASTRECTOMY	$2,880.78	$2,880.78	$1,121.22–$4,605.68	—	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 DISCISSION OF SECONDARY MEMBRANOUS CATAR	$890.00	$890.00	$271.23–$623.00	at median	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG LASER CAPSULOTOMY	$1,339.14	$1,339.14	$557.92–$2,531.00	50% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, A	$439.00	$439.00	$133.71–$307.30	26% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOS SCLP&/TRUNK; < 2.5	$919.16	$919.16	$314.00–$2,500.00	56% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5CM/<	$942.87	$942.87	$314.00–$2,500.00	60% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WOUND REP S/A/TR/EXT;2.5	$1,400.16	$1,400.16	$314.00–$2,500.00	137% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOS SCLP&/TRUNK; < 2.5	$919.16	$919.16	$314.00–$2,500.00	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD WOUND REP S/A/TR/EXT;2.5	$1,400.16	$1,400.16	$314.00–$2,500.00	—	—
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$8,185.95	$8,185.95	$1,428.00–$7,367.36	21% above	—
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$8,185.95	$8,185.95	$1,428.00–$7,367.36	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC	$282.00	$282.00	$85.81–$285.46	81% below	—
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$2,167.61	$2,167.61	$663.77–$2,500.00	45% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC	$2,167.61	$2,167.61	$663.77–$2,500.00	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID;	$316.00	$316.00	$96.26–$271.61	78% below	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANS LUM/SAC 1 LVL	$2,666.92	$2,666.92	$698.89–$2,531.00	84% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANS LUM/SAC 1 LVL	$2,666.92	$2,666.92	$698.89–$2,531.00	—	—
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LAMINOTOMY (HEMILAMINECTOMY), WITH DECOM	$2,831.00	$2,831.00	$863.14–$1,981.70	67% below	—
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISC SURGERY	$17,131.83	$17,131.83	$1,428.00–$15,418.65	103% above	—
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 LOW BACK DISC SURGERY	$17,131.83	$17,131.83	$1,428.00–$15,418.65	—	—
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAMINECTOMY, FACETECTOMY AND FORAMINOTOM	$3,419.00	$3,419.00	$989.18–$2,393.30	60% below	—
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAMNCTMY/FCTCTMY/FRMNTMY UNI/B	$17,131.83	$17,131.83	$1,428.00–$15,418.65	103% above	—
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 LAMNCTMY/FCTCTMY/FRMNTMY UNI/B	$17,131.83	$17,131.83	$1,428.00–$15,418.65	—	—
Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYL	$1,995.00	$1,995.00	$588.49–$1,396.50	53% below	—
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$8,873.56	$8,873.56	$1,428.00–$7,986.20	108% above	—
Lumpectomy (partial mastectomy) inpatient CPT 19301 PARTIAL MASTECTOMY	$8,873.56	$8,873.56	$1,428.00–$7,986.20	—	—
Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY, SIMPLE, COMPLETE	$2,891.00	$2,891.00	$853.77–$2,023.70	61% below	—
Mastectomy (total removal of the breast) CPT 19303 MASTEC SIMPL COMPLT	$15,188.97	$15,188.97	$1,428.00–$13,670.07	107% above	—
Mastectomy (total removal of the breast) inpatient CPT 19303 MASTEC SIMPL COMPLT	$15,188.97	$15,188.97	$1,428.00–$13,670.07	—	—
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISSED ABORTION, COMPLETED	$1,189.00	$1,189.00	$362.39–$832.30	70% below	—
Miscarriage treatment with D&C, first trimester CPT 59820 TX MISSED AB CMPL SURG; 1ST TR	$7,452.91	$7,452.91	$916.36–$6,707.62	89% above	—
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 TX MISSED AB CMPL SURG; 1ST TR	$7,452.91	$7,452.91	$916.36–$6,707.62	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION, BENIGN LESION INCLUDING MARGIN	$248.00	$248.00	$75.50–$173.60	77% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BEN LES TRUNK/ARMS/LEGS; 0	$1,653.06	$1,653.06	$675.31–$2,531.00	53% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TRNK/EXTREM B9 & MARGIN;	$2,134.06	$2,134.06	$675.31–$2,531.00	98% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TRNK/EXTREM B9 & MARGIN;	$2,134.06	$2,134.06	$675.31–$2,531.00	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION, OTHER BENIGN LESION INCLUDING	$314.00	$314.00	$95.48–$219.80	69% below	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BEN LES FACE EAR LIP;0.5CM	$1,653.06	$1,653.06	$675.31–$2,531.00	64% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BEN LES FCE EAR LIP;0.5 CM	$2,134.06	$2,134.06	$675.31–$2,531.00	112% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BEN LES FCE EAR LIP;0.5 CM	$2,134.06	$2,134.06	$675.31–$2,531.00	—	—
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE, PARTIAL OR COMPL	$151.00	$151.00	$98.81–$169.53	53% below	—
Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLAT PART/CMPL SMPL	$477.20	$477.20	$192.16–$2,500.00	47% above	—
Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLATE SMPL-1	$477.20	$477.20	$192.16–$2,500.00	47% above	—
Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLAT PART/CMPL SMPL;	$958.20	$958.20	$192.16–$2,500.00	196% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL PLATE SMPL-1	$477.20	$477.20	$192.16–$2,500.00	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL PLAT PART/CMPL SMPL;	$958.20	$958.20	$192.16–$2,500.00	—	—
Occipital nerve block (injection for headaches) CPT 64405 INJECTION, ANESTHETIC AGENT(S) AND/OR STERIOD;	$158.00	$158.00	$48.08–$110.60	62% below	—
Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH GREATER OCCIPITAL N	$1,175.12	$1,175.12	$284.28–$2,500.00	184% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH GREATER OCCIPITAL N	$1,175.12	$1,175.12	$284.28–$2,500.00	—	—
Pacemaker implant (dual chamber) CPT 33208 INSERTION OF NEW OR REPLACEMENT OF PERMA	$1,517.00	$1,517.00	$457.09–$1,061.90	88% below	—
Pacemaker implant (dual chamber) CPT 33208 INSERT OF PERMNT PACEMAKER, VE	$28,603.26	$28,603.26	$1,428.00–$25,742.93	131% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT OF PERMNT PACEMAKER, VE	$28,603.26	$28,603.26	$1,428.00–$25,742.93	—	—
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS (DIAGNOSTIC OR TH	$297.00	$297.00	$90.28–$327.53	79% below	—
Paracentesis with imaging guidance CPT 49083 ABDMINAL PARACNTESIS W IMAGE	$2,151.73	$2,151.73	$750.31–$2,531.00	52% above	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS;DX/TX;W IMG G	$2,632.73	$2,632.73	$750.31–$2,531.00	86% above	—
Paracentesis with imaging guidance inpatient CPT 49083 ABDMINAL PARACNTESIS W IMAGE	$2,151.73	$2,151.73	$750.31–$2,531.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS;DX/TX;W IMG G	$2,632.73	$2,632.73	$750.31–$2,531.00	—	—
Partial knee replacement (one compartment) CPT 27446 ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU;	$3,413.00	$3,413.00	$1,008.28–$2,389.10	78% below	—
Partial knee replacement (one compartment) CPT 27446 ARTHRPLSTY KNEE, C&P; MED.LAT	$33,691.86	$33,691.86	$1,428.00–$30,322.67	121% above	—
Partial knee replacement (one compartment) inpatient CPT 27446 ARTHRPLSTY KNEE, C&P; MED.LAT	$33,691.86	$33,691.86	$1,428.00–$30,322.67	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL AND NAIL MATRIX, PARTIA	$291.00	$291.00	$88.66–$203.70	60% below	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL/MATX PRT/COMP PRM REM	$919.16	$919.16	$382.73–$2,500.00	27% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL/MATRIX PART/COMPLT PE	$919.16	$919.16	$382.73–$2,500.00	27% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$1,400.16	$1,400.16	$382.73–$2,500.00	94% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL/MATX PRT/COMP PRM REM	$919.16	$919.16	$382.73–$2,500.00	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$1,400.16	$1,400.16	$382.73–$2,500.00	—	—
Prostate biopsy CPT 55700 BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGL	$370.00	$370.00	$112.72–$263.78	85% below	—
Prostate biopsy CPT 55700 BX PROS;NDLE/PUNCH ANY APPRCH	$4,765.38	$4,765.38	$1,428.00–$5,090.40	97% above	—
Prostate biopsy CPT 55700 BX PROS; NDLE/PUNCH 1/MX ANY A	$5,246.38	$5,246.38	$1,428.00–$5,090.40	116% above	—
Prostate biopsy inpatient CPT 55700 BX PROS; NDLE/PUNCH 1/MX ANY A	$5,246.38	$5,246.38	$1,428.00–$5,090.40	—	—
Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPAROSCOPY, SURGICAL PROSTATECTOMY, RET	$3,402.00	$3,402.00	$1,037.37–$2,381.40	67% below	—
Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPARO RADICAL PROSTATECTOMY	$24,155.57	$24,155.57	$1,428.00–$21,740.01	136% above	—
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 LAPARO RADICAL PROSTATECTOMY	$24,155.57	$24,155.57	$1,428.00–$21,740.01	—	—
Removal of a breast lump, open surgery CPT 19120 EXCISION OF CYST, FIBROADENOMA, OR OTHER	$1,264.00	$1,264.00	$385.42–$884.80	72% below	—
Removal of a breast lump, open surgery CPT 19120 REM BREAST LESION/ 1 OR MORE	$8,873.56	$8,873.56	$1,428.00–$7,986.20	96% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 REM BREAST LESION/ 1 OR MORE	$8,873.56	$8,873.56	$1,428.00–$7,986.20	—	—
Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL OF FOREIGN BODY, SU	$309.00	$309.00	$94.12–$216.30	52% below	—
Removal of a foreign object under the skin, simple CPT 10120 INCS & REMOV FB SUBQ TISS; SIM	$919.16	$919.16	$314.00–$2,500.00	43% above	—
Removal of a foreign object under the skin, simple CPT 10120 SIMPLE INC&RMVL SUBCU FB	$919.16	$919.16	$314.00–$2,500.00	43% above	—
Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SW - SIMPLE	$1,400.16	$1,400.16	$314.00–$2,500.00	117% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 SIMPLE INC&RMVL SUBCU FB	$919.16	$919.16	$314.00–$2,500.00	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC & REM FB SW - SIMPLE	$1,400.16	$1,400.16	$314.00–$2,500.00	—	—
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 TOTAL THYROID LOBECTOMY, UNILATERAL; WIT	$2,095.00	$2,095.00	$617.38–$1,466.50	70% below	—
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 TOTAL THYROID LOBECTOMY UNILAT	$13,930.52	$13,930.52	$1,428.00–$12,537.47	102% above	—
Removal of one lobe of the thyroid (lobectomy) inpatient one side CPT 60220 TOTAL THYROID LOBECTOMY UNILAT	$13,930.52	$13,930.52	$1,428.00–$12,537.47	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREEN COLONOSCOPY NOT HIGH RI	$2,590.34	$2,590.34	$784.00–$2,331.31	68% above	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 SCREEN COLONOSCOPY NOT HIGH RI	$2,590.34	$2,590.34	$784.00–$2,331.31	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCRN COLONOSCOPY;HIGH RISK PT	$2,590.34	$2,590.34	$160.22–$2,331.31	140% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 SCRN COLONOSCOPY;HIGH RISK PT	$2,590.34	$2,590.34	$160.22–$2,331.31	—	—
Septoplasty to straighten the nasal septum CPT 30520 SEPTOPLASTY OR SUBMUCOUS RESECTION, WITH	$1,990.00	$1,990.00	$590.10–$1,393.00	48% below	—
Septoplasty to straighten the nasal septum CPT 30520 SEPTOPLASTY/SUBMUCOUS RESECT	$7,753.72	$7,753.72	$1,428.00–$6,978.35	102% above	—
Septoplasty to straighten the nasal septum inpatient CPT 30520 SEPTOPLASTY/SUBMUCOUS RESECT	$7,753.72	$7,753.72	$1,428.00–$6,978.35	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE	$1,648.00	$1,648.00	$502.34–$1,153.60	64% below	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 RENAL LITHOTRIPSY-ESWL	$8,657.21	$8,657.21	$1,428.00–$7,791.49	88% above	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 RENAL LITHOTRIPSY-ESWL	$8,657.21	$8,657.21	$1,428.00–$7,791.49	—	—
Short arm cast (elbow to hand) CPT 29075 APPLICATION, CAST; ELBOW TO FINGER (SHOR	$186.00	$186.00	$74.23–$134.43	55% below	—
Short arm cast (elbow to hand) CPT 29075 APPLIC; ELBOW TO FINGER	$640.97	$640.97	$257.77–$2,500.00	56% above	—
Short arm cast (elbow to hand) CPT 29075 APPLY SHORT ARM CAST	$640.97	$640.97	$257.77–$2,500.00	56% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY SHORT ARM CAST	$640.97	$640.97	$257.77–$2,500.00	—	—
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM	$120.00	$120.00	$36.47–$84.00	42% below	—
Short arm splint (forearm and hand) CPT 29125 ORTHOTIC FABRICATION 8-22 MIN	$297.53	$297.53	$122.61–$2,500.00	44% above	—
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT	$297.53	$297.53	$122.61–$2,500.00	44% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 ORTHOTIC FABRICATION 8-22 MIN	$297.53	$297.53	$122.61–$2,500.00	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT	$297.53	$297.53	$122.61–$2,500.00	—	—
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNE	$173.00	$173.00	$52.64–$121.10	60% below	—
Short leg cast (below the knee) CPT 29405 APPLIC SHORT LEG CAST	$640.97	$640.97	$257.77–$2,500.00	48% above	—
Short leg cast (below the knee) CPT 29405 SHORT LEG CAST	$640.97	$640.97	$257.77–$2,500.00	48% above	—
Short leg cast (below the knee) inpatient CPT 29405 SHORT LEG CAST	$640.97	$640.97	$257.77–$2,500.00	—	—
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT (CALF TO	$146.00	$146.00	$44.43–$102.20	41% below	—
Short leg splint (calf to foot) CPT 29515 APPL SHORT LEG SPLINT	$375.23	$375.23	$151.24–$2,500.00	52% above	—
Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT	$375.23	$375.23	$151.24–$2,500.00	52% above	—
Short leg splint (calf to foot) inpatient CPT 29515 APPL SHORT LEG SPLINT	$375.23	$375.23	$151.24–$2,500.00	—	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 ARTHROSCOPY, SHOULDER, SURGICAL; DISTAL	$2,027.00	$2,027.00	$592.52–$1,418.90	47% below	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHLDR MUMFORD PROCEDURE	$8,003.57	$8,003.57	$1,428.00–$7,203.21	108% above	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 SHLDR MUMFORD PROCEDURE	$8,003.57	$8,003.57	$1,428.00–$7,203.21	—	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPR	$502.00	$502.00	$152.98–$470.66	88% below	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHLDR ARTHRSCP/SURGERY	$856.78	$856.78	$169.30–$4,683.38	79% below	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SHLDR ARTHRSCP/SURGERY	$856.78	$856.78	$169.30–$4,683.38	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF S	$132.00	$132.00	$82.07–$141.83	65% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 E. D. - SIMPL REPR SCLP&/TRUNK	$477.20	$477.20	$192.16–$2,500.00	26% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S)	$477.20	$477.20	$192.16–$2,500.00	26% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPL REPR SCLP&/TRUNK; < 2.5	$958.20	$958.20	$192.16–$2,500.00	153% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 E. D. - SIMPL REPR SCLP&/TRUNK	$477.20	$477.20	$192.16–$2,500.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPL REPR SCLP&/TRUNK; < 2.5	$958.20	$958.20	$192.16–$2,500.00	—	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLO	$134.00	$134.00	$93.80–$186.04	80% below	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$919.16	$919.16	$314.00–$2,500.00	34% above	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$931.51	$931.51	$314.00–$2,500.00	36% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$931.51	$931.51	$314.00–$2,500.00	—	—
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTA	$224.00	$224.00	$77.20–$156.80	35% below	—
Skin tag removal, up to 15 tags CPT 11200 REMV SKIN TAGS; TO & INCL 15 L	$477.20	$477.20	$192.16–$2,500.00	38% above	—
Skin tag removal, up to 15 tags CPT 11200 REMV SKIN TAGS; TO & INCL 15 L	$477.20	$477.20	$192.16–$2,500.00	38% above	—
Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS;15 LES OR LESS	$958.20	$958.20	$192.16–$2,500.00	178% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REMV SKIN TAGS; TO & INCL 15 L	$477.20	$477.20	$192.16–$2,500.00	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS;15 LES OR LESS	$958.20	$958.20	$192.16–$2,500.00	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC	$189.00	$189.00	$109.92–$220.34	83% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 DXTIC LUMB SPINAL PUNCT	$1,686.61	$1,686.61	$663.77–$2,531.00	50% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX SPINAL PUNCTURE - LUMBAR	$2,167.61	$2,167.61	$663.77–$2,531.00	92% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DXTIC LUMB SPINAL PUNCT	$1,686.61	$1,686.61	$663.77–$2,531.00	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX SPINAL PUNCTURE - LUMBAR	$2,167.61	$2,167.61	$663.77–$2,531.00	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF S	$174.00	$174.00	$98.73–$171.86	56% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE WND REP 2.5-7.5CM	$477.20	$477.20	$192.16–$2,500.00	21% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE WND REP 2.5-7.5CM	$477.20	$477.20	$192.16–$2,500.00	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF F	$164.00	$164.00	$98.15–$168.98	57% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPL REPR FACE&/MUCOUS; < 2.5	$477.20	$477.20	$192.16–$2,500.00	26% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 E. D.-SIMPL REPR FACE&/MUCOUS;	$477.20	$477.20	$192.16–$2,500.00	26% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMP RPR WND F/E/N/EL/MM;2.5CM	$958.20	$958.20	$192.16–$2,500.00	153% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 E. D.-SIMPL REPR FACE&/MUCOUS;	$477.20	$477.20	$192.16–$2,500.00	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMP RPR WND F/E/N/EL/MM;2.5CM	$958.20	$958.20	$192.16–$2,500.00	—	—
TURP (transurethral resection of the prostate) CPT 52601 TRANSURETHRAL ELECTROSURGICAL RESECTION	$2,083.00	$2,083.00	$613.80–$1,458.10	65% below	—
TURP (transurethral resection of the prostate) CPT 52601 TRANSUR ELECTR RESECT PROSTATE	$12,212.15	$12,212.15	$1,428.00–$10,990.94	103% above	—
TURP (transurethral resection of the prostate) inpatient CPT 52601 TRANSUR ELECTR RESECT PROSTATE	$12,212.15	$12,212.15	$1,428.00–$10,990.94	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN (EG, SHAVE, SCOOP	$107.00	$107.00	$74.90–$149.15	77% below	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$477.20	$477.20	$192.16–$2,500.00	3% above	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$958.20	$958.20	$192.16–$2,500.00	107% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES	$958.20	$958.20	$192.16–$2,500.00	—	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS, NEEDLE OR CATHETER, ASPIRAT	$303.00	$303.00	$92.12–$502.97	76% below	—
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA;W/IMAGING GUID	$1,920.50	$1,920.50	$602.97–$2,500.00	53% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA;W/IMAGING GUID	$1,920.50	$1,920.50	$602.97–$2,500.00	—	—
Tonsil and adenoid removal, age 12 or older CPT 42821 TONSILLECTOMY AND ADENOIDECTOMY; AGE 12	$897.00	$897.00	$261.00–$627.90	77% below	—
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOV TONSILS&ADENOIDS:12/<YRS	$7,753.72	$7,753.72	$1,428.00–$6,978.35	102% above	—
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 REMOV TONSILS&ADENOIDS:12/<YRS	$7,753.72	$7,753.72	$1,428.00–$6,978.35	—	—
Tonsil and adenoid removal, child under 12 CPT 42820 TONSILLECTOMY AND ADENOIDECTOMY; UNDER A	$859.00	$859.00	$250.11–$601.30	88% below	—
Tonsil and adenoid removal, child under 12 CPT 42820 REM TONSILS&ADENOIDS; UNDER 12	$13,998.59	$13,998.59	$1,428.00–$12,598.73	100% above	—
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 REM TONSILS&ADENOIDS; UNDER 12	$13,998.59	$13,998.59	$1,428.00–$12,598.73	—	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY, PRIMARY OR SECONDARY; AGE	$756.00	$756.00	$219.74–$529.20	80% below	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVE TONSILS; 12/<YRS	$7,753.72	$7,753.72	$1,428.00–$6,978.35	102% above	—
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 REMOVE TONSILS; 12/<YRS	$7,753.72	$7,753.72	$1,428.00–$6,978.35	—	—
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 TONSILLECTOMY, PRIMARY OR SECONDARY; UND	$793.00	$793.00	$230.67–$555.10	89% below	—
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOV TONSILS; UNDER 12 YEARS	$13,998.59	$13,998.59	$1,428.00–$12,598.73	100% above	—
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 REMOV TONSILS; UNDER 12 YEARS	$13,998.59	$13,998.59	$1,428.00–$12,598.73	—	—
Total hip replacement CPT 27130 ARTHROPLASTY, ACETABULAR AND PROXIMAL FE	$3,813.00	$3,813.00	$1,121.80–$2,669.10	75% below	—
Total hip replacement CPT 27130 TOTAL HIP ARTHROPL	$33,210.86	$33,210.86	$675.37–$29,889.77	118% above	—
Total hip replacement inpatient CPT 27130 TOTAL HIP ARTHROPL	$33,210.86	$33,210.86	$675.37–$29,889.77	—	—
Total knee replacement CPT 27447 ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU;	$3,806.00	$3,806.00	$1,120.49–$2,664.20	75% below	—
Total knee replacement CPT 27447 TOT KNEE ARTHROPLASTY	$33,210.86	$33,210.86	$1,428.00–$29,889.77	118% above	—
Total knee replacement inpatient CPT 27447 TOT KNEE ARTHROPLASTY	$33,210.86	$33,210.86	$1,428.00–$29,889.77	—	—
Total shoulder replacement CPT 23472 ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL	$4,277.00	$4,277.00	$1,261.81–$2,993.90	80% below	—
Total shoulder replacement CPT 23472 ARTHROPL GHJ TOT SHLDR REPL	$33,210.86	$33,210.86	$1,428.00–$29,889.77	54% above	—
Total shoulder replacement inpatient CPT 23472 ARTHROPL GHJ TOT SHLDR REPL	$33,210.86	$33,210.86	$1,428.00–$29,889.77	—	—
Total thyroid removal (thyroidectomy) CPT 60240 THYROIDECTOMY, TOTAL OR COMPLETE	$2,722.00	$2,722.00	$804.37–$1,905.40	61% below	—
Total thyroid removal (thyroidectomy) CPT 60240 THYROIDECTOMY TOTAL OR COMPLET	$13,930.52	$13,930.52	$1,428.00–$12,537.47	102% above	—
Total thyroid removal (thyroidectomy) inpatient CPT 60240 THYROIDECTOMY TOTAL OR COMPLET	$13,930.52	$13,930.52	$1,428.00–$12,537.47	—	—
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION (EG, FOR TRIGGER	$883.00	$883.00	$269.02–$661.67	53% below	—
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION	$4,181.55	$4,181.55	$1,428.00–$3,763.40	121% above	—
Trigger finger release surgery inpatient CPT 26055 TENDON SHEATH INCISION	$4,181.55	$4,181.55	$1,428.00–$3,763.40	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION(S); SINGLE OR MULTIPLE TRIGGER	$106.00	$106.00	$32.15–$74.20	75% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ 1 OR 2 MUSCL	$694.12	$694.12	$284.28–$2,500.00	66% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCLE	$694.12	$694.12	$284.28–$2,500.00	66% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCLES	$1,175.12	$1,175.12	$284.28–$2,500.00	181% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCLE	$694.12	$694.12	$284.28–$2,500.00	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCLES	$1,175.12	$1,175.12	$284.28–$2,500.00	—	—
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY, SURGICAL; WITH FULGURATION	$1,099.00	$1,099.00	$323.84–$769.30	84% below	—
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAP;W DESTRUCTION OVIDUCTS	$13,930.52	$13,930.52	$1,428.00–$12,537.47	102% above	—
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAP;W DESTRUCTION OVIDUCTS	$13,930.52	$13,930.52	$1,428.00–$12,537.47	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDI	$437.00	$437.00	$305.90–$1,594.86	81% below	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ENDO UGI;BALLOON DIL ESOPH 30>	$4,799.93	$4,799.93	$964.35–$4,319.94	114% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ENDO UGI;BALLOON DIL ESOPH 30>	$4,799.93	$4,799.93	$964.35–$4,319.94	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDI	$394.00	$394.00	$120.10–$425.59	75% below	—
Upper endoscopy (EGD) with biopsy CPT 43239 UGI W BX SING/MULTI	$2,632.73	$2,632.73	$870.07–$2,531.00	67% above	—
Upper endoscopy (EGD) with biopsy CPT 43239 UGI W BX; SING/MULTI	$2,632.73	$2,632.73	$870.07–$2,531.00	67% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UGI W BX; SING/MULTI	$2,632.73	$2,632.73	$870.07–$2,531.00	—	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UGI W BX SING/MULTI	$2,632.73	$2,632.73	$870.07–$2,531.00	—	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDI	$394.00	$394.00	$120.10–$453.50	64% below	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 UGI ENDO W SUBMUCOS INJ	$2,632.73	$2,632.73	$870.07–$2,531.00	137% above	—
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UGI ENDO W SUBMUCOS INJ	$2,632.73	$2,632.73	$870.07–$2,531.00	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDI	$554.00	$554.00	$168.92–$560.23	75% below	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD WITH POLYPECTOMY	$4,799.93	$4,799.93	$964.35–$4,319.94	114% above	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD WITH POLYPECTOMY	$4,799.93	$4,799.93	$964.35–$4,319.94	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDI	$472.00	$472.00	$143.68–$464.98	57% below	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UGI ENDO W GUIDE WIRE&DILATION	$2,632.73	$2,632.73	$870.07–$2,531.00	137% above	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 UGI ENDO W GUIDE WIRE&DILATION	$2,632.73	$2,632.73	$870.07–$2,531.00	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDI	$349.00	$349.00	$106.32–$332.77	69% below	—
Upper endoscopy (EGD), diagnostic CPT 43235 EGD, FLEX; DX, BRUSH/WASH	$2,026.11	$2,026.11	$870.07–$2,531.00	82% above	—
Upper endoscopy (EGD), diagnostic CPT 43235 UGI ENDO; DX W/WO CLCT SPECMN-	$2,632.73	$2,632.73	$870.07–$2,531.00	136% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD, FLEX; DX, BRUSH/WASH	$2,026.11	$2,026.11	$870.07–$2,531.00	—	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UGI ENDO; DX W/WO CLCT SPECMN-	$2,632.73	$2,632.73	$870.07–$2,531.00	—	—
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND	$1,105.00	$1,105.00	$327.57–$773.50	82% below	—
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTO W LITHTRIPSY	$12,212.15	$12,212.15	$1,428.00–$10,990.94	103% above	—
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTO W LITHTRIPSY	$12,212.15	$12,212.15	$1,428.00–$10,990.94	—	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$1,171.00	$1,171.00	$347.02–$819.70	81% below	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTOURTHRSCPY, URETR/PYELSCPY	$12,693.15	$12,693.15	$1,428.00–$11,423.84	111% above	—
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTOURTHRSCPY, URETR/PYELSCPY	$12,693.15	$12,693.15	$1,428.00–$11,423.84	—	—
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY, UNILATERAL OR BILATERAL (SEPA	$667.00	$667.00	$203.36–$466.90	—	—
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 VASECT UNI/BIL-SEP PROC-POSTOP	$5,246.38	$5,246.38	$1,428.00–$4,721.74	31% above	—
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 VASECT UNI/BIL-SEP PROC-POSTOP	$5,246.38	$5,246.38	$1,428.00–$4,721.74	—	—
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS ABLATION THERAPY OF INCOMPETE	$809.00	$809.00	$566.30–$1,587.58	78% below	—
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVEN ALBATE THER;RF;1ST VEI	$8,086.64	$8,086.64	$1,428.00–$7,277.98	117% above	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVEN ALBATE THER;RF;1ST VEI	$8,086.64	$8,086.64	$1,428.00–$7,277.98	—	—
Wart removal, up to 14 warts CPT 17110 DESTRUCTION (EG, LASER SURGERY, ELECTROS	$200.00	$200.00	$97.64–$169.40	38% below	—
Wart removal, up to 14 warts CPT 17110 DESTRUCT WART MOLLUSC MILIA;UP	$477.20	$477.20	$192.16–$2,500.00	47% above	—
Wart removal, up to 14 warts CPT 17110 DESTR WART MOLLUSC/MILIA;UP 14	$477.20	$477.20	$192.16–$2,500.00	47% above	—
Wart removal, up to 14 warts CPT 17110 DESTRUCT LESION 1-14	$477.20	$477.20	$192.16–$2,500.00	47% above	—
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LES; UP TO 14	$958.20	$958.20	$192.16–$2,500.00	196% above	—
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LES; UP TO 14	$958.20	$958.20	$192.16–$2,500.00	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT; SKIN, AND SUBCUTANEOUS TISS	$175.00	$175.00	$112.11–$192.90	79% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT OF SKIN & SUBQ TIS	$919.16	$919.16	$382.73–$2,531.00	10% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRDMNT SUBQ TIS; 20 CM SQ OR	$919.16	$919.16	$382.73–$2,531.00	10% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID; SKIN & SUBQ TISS	$1,400.16	$1,400.16	$382.73–$2,531.00	68% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRDMNT SUBQ TIS; 20 CM SQ OR	$919.16	$919.16	$382.73–$2,531.00	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID; SKIN & SUBQ TISS	$1,400.16	$1,400.16	$382.73–$2,531.00	—	—
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPEN TREATMENT OF DISTAL RADIAL EXTRA-AR	$2,224.00	$2,224.00	$645.50–$1,556.80	74% below	—
Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL	$17,131.83	$17,131.83	$1,428.00–$15,418.65	103% above	—
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 TREAT FX RAD EXTRA-ARTICUL	$17,131.83	$17,131.83	$1,428.00–$15,418.65	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS	$127.00	$127.00	$33.13–$88.90	83% below	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPONENTS	$1,055.30	$1,055.30	$416.67–$2,531.00	41% above	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/COMP TRANSFUSION	$1,055.30	$1,055.30	$416.67–$2,531.00	41% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD/BLD COMPONENTS	$1,055.30	$1,055.30	$416.67–$2,531.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD/COMP TRANSFUSION	$1,055.30	$1,055.30	$416.67–$2,531.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 VAPOR INHAL DXTIC-SUBSQ	$25.00	$25.00	$7.05–$17.50	87% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 VEST THERAPY	$25.00	$25.00	$7.05–$17.50	87% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NONPRESS INHALA TX ACUT AIRWAY	$499.33	$499.33	$2.41–$2,422.00	165% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL MASK	$499.33	$499.33	$31.46–$449.40	165% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL/VAPOR INHALA; SUBSQT	$499.33	$499.33	$34.00–$449.40	165% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 VEST THERAPY	$499.33	$499.33	$34.00–$449.40	165% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 VAPOR INHAL DXTIC-SUBSQ	$499.33	$499.33	$34.00–$449.40	165% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL/VAPOR INHALA; SUBSQT	$499.33	$499.33	$34.00–$449.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 VEST THERAPY	$499.33	$499.33	$34.00–$449.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 VAPOR INHAL DXTIC-SUBSQ	$499.33	$499.33	$34.00–$449.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NONPRESS INHALA TX ACUT AIRWAY	$499.33	$499.33	$2.41–$2,422.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL MASK	$499.33	$499.33	$31.46–$449.40	—	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMOTX ADMIN IV; INFUSION TEC	$825.90	$825.90	$201.00–$743.31	35% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMOTX ADMIN IV; INFUSION TEC	$825.90	$825.90	$201.00–$743.31	—	—
Comprehensive eye exam by an eye doctor, new patient CPT 92004 OPHTH SERV: MED EXAM; COMP NEW	$433.82	$433.82	$60.00–$200.00	139% above	—
Comprehensive eye exam, returning patient CPT 92014 OPHTH SERV: MED EXAM; COMP EST	$433.82	$433.82	$56.00–$200.00	122% above	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE-HEARING TEST	$370.90	$370.90	$61.00–$333.81	91% above	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE E&M; 1ST 30-74 M	$595.00	$595.00	$80.44–$416.50	63% below	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE-1ST 30-74	$2,652.00	$2,652.00	$128.97–$2,386.80	63% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE-1ST 30-74	$2,652.00	$2,652.00	$128.97–$2,386.80	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG INCL RECORDING AWAKE&DROWS	$702.86	$702.86	$47.28–$632.57	5% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG INCL RECORDING AWAKE&DROWS	$702.86	$702.86	$47.28–$632.57	—	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ROUTINE ECG W I&R	$33.00	$33.00	$15.00–$32.00	46% below	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ROUTINE ECG W I&R	$33.00	$33.00	$15.00–$32.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING	$147.93	$147.93	$7.58–$133.14	7% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELETROCARDIOGRAM TRACING	$147.93	$147.93	$7.58–$158.07	7% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG W 12 LEADS TRACE ONLY NO I	$147.93	$147.93	$7.58–$133.14	7% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELETROCARDIOGRAM TRACING	$147.93	$147.93	$7.58–$158.07	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING	$147.93	$147.93	$7.58–$133.14	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG W 12 LEADS TRACE ONLY NO I	$147.93	$147.93	$7.58–$133.14	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 CPEP BRIEF EVALUATION E&M SF L	$33.00	$33.00	$7.64–$87.03	87% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMER DEPT VISIT E&M SELF LIMIT	$33.00	$33.00	$7.64–$87.03	87% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMER DEPT VISIT E&M SELF LIMIT	$640.00	$640.00	$87.27–$771.75	157% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 CPEP BRIEF EVALUATION E&M SF L	$1,225.00	$1,225.00	$71.90–$1,467.74	391% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMER DEPT VISIT E&M SELF LIMIT	$640.00	$640.00	$87.27–$771.75	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 CPEP BRIEF EVALUATION E&M SF L	$1,225.00	$1,225.00	$71.90–$1,467.74	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT E/M - LOW MODALITY SE	$770.00	$770.00	$128.97–$771.75	110% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 CPEP BRIEF EVALUATION E/M LOW	$1,225.00	$1,225.00	$132.46–$1,467.74	235% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT E/M - LOW MODALITY SE	$770.00	$770.00	$128.97–$771.75	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 CPEP BRIEF EVALUATION E/M LOW	$1,225.00	$1,225.00	$132.46–$1,467.74	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT E/M - MODERATOR SERVE	$916.00	$916.00	$128.97–$824.40	73% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 CPEP FULL EVAL E/M MOD SERVER	$1,225.00	$1,225.00	$220.50–$1,467.74	131% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT E/M - MODERATOR SERVE	$916.00	$916.00	$128.97–$824.40	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 CPEP FULL EVAL E/M MOD SERVER	$1,225.00	$1,225.00	$220.50–$1,467.74	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT E&M HIGH SEVER URGENT	$1,160.00	$1,160.00	$128.97–$1,044.00	40% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 CPEP FULL EVAL E/M HIGH SER UR	$1,225.00	$1,225.00	$220.50–$1,467.74	47% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT E&M HIGH SEVER URGENT	$1,160.00	$1,160.00	$128.97–$1,044.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 CPEP FULL EVAL E/M HIGH SER UR	$1,225.00	$1,225.00	$220.50–$1,467.74	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CPEP CRISIS OTRCH E/M HIGH SEV	$492.00	$492.00	$63.83–$344.40	58% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT E&M HIGH-SEVER SIG TH	$492.00	$492.00	$63.83–$344.40	58% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CPEP FULL EVAL E/M HIGH SEV SI	$1,225.00	$1,225.00	$220.50–$1,467.74	6% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT E&M HIGH-SEVER SIG TH	$1,487.00	$1,487.00	$128.97–$1,338.30	28% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CPEP FULL EVAL E/M HIGH SEV SI	$1,225.00	$1,225.00	$220.50–$1,467.74	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT E&M HIGH-SEVER SIG TH	$1,487.00	$1,487.00	$128.97–$1,338.30	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST W/TREADMILL; TR	$702.86	$702.86	$83.00–$632.57	29% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV STRESS TEST W/TREADMILL; TR	$702.86	$702.86	$83.00–$632.57	—	—
Eye exam, returning patient, intermediate CPT 92012 OPHTH SERV: MED EXAM; INTERM E	$327.00	$327.00	$39.00–$200.00	42% above	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSY THERAPY W/PT PRES	$262.69	$262.69	$75.00–$619.27	3% below	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHE	$275.00	$275.00	$83.79–$192.50	2% above	—
Family therapy with the patient, 50 minutes CPT 90847 FAM PSYCHOTHER W/PT PRES	$316.00	$316.00	$75.00–$619.27	17% above	—
Family therapy with the patient, 50 minutes CPT 90847 FAM PSYCHTHRPY W/PT PRES	$316.00	$316.00	$75.00–$619.27	17% above	—
Family therapy with the patient, 50 minutes CPT 90847 CHILD DT - COLLATERAL	$316.00	$316.00	$75.00–$619.27	17% above	—
Family therapy with the patient, 50 minutes CPT 90847 FAM PSYCHTHRPY W/PT PRES	$316.00	$316.00	$75.00–$619.27	17% above	—
Family therapy with the patient, 50 minutes CPT 90847 TELE 21-30FAM PSYCHT W/PT PRES	$316.00	$316.00	$75.00–$619.27	17% above	—
Family therapy with the patient, 50 minutes CPT 90847 TEL21-30FAM PSYCHT W/PT PRES	$316.00	$316.00	$75.00–$619.27	17% above	—
Family therapy with the patient, 50 minutes CPT 90847 CLINIC	$316.00	$316.00	$75.00–$619.27	17% above	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM PSYCHOTHER W/PT PRES	$316.00	$316.00	$75.00–$619.27	—	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM PSYCHTHRPY W/PT PRES	$316.00	$316.00	$75.00–$619.27	—	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 TEL21-30FAM PSYCHT W/PT PRES	$316.00	$316.00	$75.00–$619.27	—	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 TELE 21-30FAM PSYCHT W/PT PRES	$316.00	$316.00	$75.00–$619.27	—	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 CHILD DT - COLLATERAL	$316.00	$316.00	$75.00–$619.27	—	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 CLINIC	$316.00	$316.00	$75.00–$619.27	—	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM PSYCHTHRPY W/PT PRES	$316.00	$316.00	$75.00–$619.27	—	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY (WITHOUT THE PATIEN	$264.00	$264.00	$80.27–$184.80	2% above	—
Family therapy without the patient, 50 minutes CPT 90846 TEL21-30FAM PSYCHO WOPT PRES	$316.00	$316.00	$75.00–$330.34	22% above	—
Family therapy without the patient, 50 minutes CPT 90846 PSYCHOTHERAPY W/O PATIENT	$316.00	$316.00	$75.00–$330.34	22% above	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/O PT	$316.00	$316.00	$75.00–$330.34	22% above	—
Family therapy without the patient, 50 minutes CPT 90846 FAM PSYCHOTHERPY WO PT PRES	$316.00	$316.00	$75.00–$330.34	22% above	—
Family therapy without the patient, 50 minutes CPT 90846 FAM PSYCHOTHER W/O PT PRES	$316.00	$316.00	$75.00–$330.34	22% above	—
Family therapy without the patient, 50 minutes CPT 90846 CLINIC	$316.00	$316.00	$75.00–$330.34	22% above	—
Family therapy without the patient, 50 minutes CPT 90846 FAM PSYCHOTHERPY WO PT PRES	$316.00	$316.00	$75.00–$330.34	22% above	—
Family therapy without the patient, 50 minutes CPT 90846 TEL11-20 FAMPSYCH WO PT PRES	$316.00	$316.00	$75.00–$330.34	22% above	—
Family therapy without the patient, 50 minutes CPT 90846 TELE 11-20 FAMPSYCH WO PT PRES	$316.00	$316.00	$75.00–$330.34	22% above	—
Family therapy without the patient, 50 minutes CPT 90846 TELE 5-10 FAM PSYCH WO PT PRES	$316.00	$316.00	$75.00–$330.34	22% above	—
Family therapy without the patient, 50 minutes CPT 90846 TELE 21-30FAM PSYCHO WOPT PRES	$316.00	$316.00	$75.00–$330.34	22% above	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/O PT	$316.00	$316.00	$75.00–$330.34	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAM PSYCHOTHERPY WO PT PRES	$316.00	$316.00	$75.00–$330.34	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 CLINIC	$316.00	$316.00	$75.00–$330.34	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAM PSYCHOTHER W/O PT PRES	$316.00	$316.00	$75.00–$330.34	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAM PSYCHOTHERPY WO PT PRES	$316.00	$316.00	$75.00–$330.34	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 PSYCHOTHERAPY W/O PATIENT	$316.00	$316.00	$75.00–$330.34	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 TEL11-20 FAMPSYCH WO PT PRES	$316.00	$316.00	$75.00–$330.34	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 TEL21-30FAM PSYCHO WOPT PRES	$316.00	$316.00	$75.00–$330.34	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 TELE 11-20 FAMPSYCH WO PT PRES	$316.00	$316.00	$75.00–$330.34	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 TELE 21-30FAM PSYCHO WOPT PRES	$316.00	$316.00	$75.00–$330.34	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 TELE 5-10 FAM PSYCH WO PT PRES	$316.00	$316.00	$75.00–$330.34	—	—
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY (OTHER THAN OF A MUL	$66.00	$66.00	$19.84–$46.20	46% below	—
Group psychotherapy session CPT 90853 GROUP THERAPY NOT MULTIFAM	$300.00	$300.00	$19.84–$330.34	144% above	—
Group psychotherapy session CPT 90853 GROUP THERAPY NOT MULTI-FAM	$300.00	$300.00	$19.84–$330.34	144% above	—
Group psychotherapy session CPT 90853 GROUP PSYCHOTHER	$300.00	$300.00	$19.84–$330.34	144% above	—
Group psychotherapy session CPT 90853 GROUP THERAPY NOT MULTI-FAMILY	$300.00	$300.00	$19.84–$330.34	144% above	—
Group psychotherapy session CPT 90853 GROUP THERAPY NOT MULTIFAMILY	$300.00	$300.00	$19.84–$330.34	144% above	—
Group psychotherapy session CPT 90853 ALC/DRUG GRROUP COUNSELING H00	$300.00	$300.00	$19.84–$330.34	144% above	—
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY 60MIN	$316.00	$316.00	$19.84–$330.34	157% above	—
Group psychotherapy session CPT 90853 ALC/DRUG GROUP COUNSELING	$316.00	$316.00	$19.84–$330.34	157% above	—
Group psychotherapy session CPT 90853 CLINIC	$316.00	$316.00	$19.84–$330.34	157% above	—
Group psychotherapy session CPT 90853 CLINIC GROUP SESSION (7)	$316.00	$316.00	$19.84–$330.34	157% above	—
Group psychotherapy session inpatient CPT 90853 ALC/DRUG GRROUP COUNSELING H00	$300.00	$300.00	$19.84–$330.34	—	—
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY NOT MULTIFAM	$300.00	$300.00	$19.84–$330.34	—	—
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY NOT MULTI-FAM	$300.00	$300.00	$19.84–$330.34	—	—
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHER	$300.00	$300.00	$19.84–$330.34	—	—
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY NOT MULTI-FAMILY	$300.00	$300.00	$19.84–$330.34	—	—
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY NOT MULTIFAMILY	$300.00	$300.00	$19.84–$330.34	—	—
Group psychotherapy session inpatient CPT 90853 CLINIC	$316.00	$316.00	$19.84–$330.34	—	—
Group psychotherapy session inpatient CPT 90853 ALC/DRUG GROUP COUNSELING	$316.00	$316.00	$19.84–$330.34	—	—
Group psychotherapy session inpatient CPT 90853 CLINIC GROUP SESSION (7)	$316.00	$316.00	$19.84–$330.34	—	—
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY 60MIN	$316.00	$316.00	$19.84–$330.34	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS TX-1 HR	$540.85	$540.85	$71.00–$486.77	54% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS TX-1 HOUR	$540.85	$540.85	$71.00–$486.77	54% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION TX-1 HR	$550.84	$550.84	$71.00–$495.76	57% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUS TX-1 HOUR	$540.85	$540.85	$71.00–$486.77	—	—
IV infusion of a medicine, first hour CPT 96365 IV INFUS TX-ONE HOUR	$540.85	$540.85	$87.00–$486.77	27% above	—
IV infusion of a medicine, first hour CPT 96365 IV INFUS TX, ONE HR	$550.84	$550.84	$87.00–$495.76	29% above	—
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF, INIT	$550.84	$550.84	$87.00–$495.76	29% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF, INIT	$550.84	$550.84	$87.00–$495.76	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP/PROPHYLACTIC/DX INJ; SU	$164.69	$164.69	$13.00–$148.22	65% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP/PROPHYLACTIC DX INJ SC/	$164.69	$164.69	$13.00–$148.22	65% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBCU/IM INJECT	$164.69	$164.69	$13.00–$148.22	65% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM ANTIBIOTIC	$164.69	$164.69	$13.00–$148.22	65% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJ ANTIBIOTIC	$164.69	$164.69	$13.00–$148.22	65% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBCU-IM INJECT	$167.76	$167.76	$13.00–$150.98	68% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ,SC/IM	$167.76	$167.76	$13.00–$150.98	68% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM ANTIBIOTIC	$164.69	$164.69	$13.00–$148.22	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP/PROPHYLACTIC/DX INJ; SU	$164.69	$164.69	$13.00–$148.22	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ,SC/IM	$167.76	$167.76	$13.00–$150.98	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 ALCOHOL AND/OR DRUG SCREENING	$300.00	$300.00	$121.55–$522.16	25% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 ALCOHOL OR DRUG ASSESSMENT	$300.00	$300.00	$121.55–$522.16	25% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 TEL21-30 PSYCH DIAG EVAL	$316.00	$316.00	$121.55–$522.16	32% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGC EVAL	$316.00	$316.00	$121.55–$522.16	32% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 EXTND ASSESMENT-75MIN	$316.00	$316.00	$121.55–$522.16	32% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL	$316.00	$316.00	$121.55–$522.16	32% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH; DX EVALUATION	$316.00	$316.00	$121.55–$522.16	32% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL	$316.00	$316.00	$121.55–$522.16	32% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 TELE 5-10 PSYCH DIAGNOSTC EVAL	$316.00	$316.00	$121.55–$522.16	32% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 TELE 21-30 PSYCH DIAG EVAL	$316.00	$316.00	$121.55–$522.16	32% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 TELE 11-20 PSYCH DIAGNOST EVAL	$316.00	$316.00	$121.55–$522.16	32% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION	$399.00	$399.00	$102.28–$279.30	66% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ALCOHOL AND/OR DRUG SCREENING	$300.00	$300.00	$121.55–$522.16	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ALCOHOL OR DRUG ASSESSMENT	$300.00	$300.00	$121.55–$522.16	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 TELE 21-30 PSYCH DIAG EVAL	$316.00	$316.00	$121.55–$522.16	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH; DX EVALUATION	$316.00	$316.00	$121.55–$522.16	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL	$316.00	$316.00	$121.55–$522.16	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGC EVAL	$316.00	$316.00	$121.55–$522.16	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC EVAL	$316.00	$316.00	$121.55–$522.16	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 EXTND ASSESMENT-75MIN	$316.00	$316.00	$121.55–$522.16	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 TEL21-30 PSYCH DIAG EVAL	$316.00	$316.00	$121.55–$522.16	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 TELE 11-20 PSYCH DIAGNOST EVAL	$316.00	$316.00	$121.55–$522.16	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 TELE 5-10 PSYCH DIAGNOSTC EVAL	$316.00	$316.00	$121.55–$522.16	—	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CONDUCT TEST;7-8 STUDIES	$702.86	$702.86	$94.00–$632.57	84% above	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CONDUCT TEST;7-8 STUDIES	$702.86	$702.86	$94.00–$632.57	—	—
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED 8-22 MIN	$75.46	$75.46	$28.75–$67.91	8% below	—
Neuromuscular re-education, 15 minutes CPT 97112 THERAP 1/> AREA/15 MIN; BALNC/	$75.46	$75.46	$28.75–$67.91	8% below	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 THERAP 1/> AREA/15 MIN; BALNC/	$75.46	$75.46	$28.75–$67.91	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED 8-22 MIN	$75.46	$75.46	$28.75–$67.91	—	—
New patient office visit, about 30 minutes CPT 99203 OFFICE OR OTHER OUTPATIENT VISIT FOR THE	$232.00	$232.00	$32.34–$163.01	13% above	—
New patient office visit, about 30 minutes CPT 99203 INT OFF/OP VISIT E/M 30MN	$373.00	$373.00	$56.93–$335.70	82% above	—
New patient office visit, about 30 minutes CPT 99203 OFC/OUTPT E&M NEW MOD-SEVER 30	$373.00	$373.00	$56.93–$335.70	82% above	—
New patient office visit, about 30 minutes CPT 99203 OUTPAT E/M NEW MOD SEVER 30MIN	$373.00	$373.00	$56.93–$335.70	82% above	—
New patient office visit, about 30 minutes CPT 99203 OUTPAT E/M NEW MOD-SEVER - 30	$373.00	$373.00	$56.93–$335.70	82% above	—
New patient office visit, about 30 minutes CPT 99203 OFC/OUTPT E&M NEW MOD-SEVER30	$573.00	$573.00	$56.93–$515.70	179% above	—
New patient office visit, about 30 minutes CPT 99203 CLINIC	$640.38	$640.38	$56.93–$576.34	212% above	—
New patient office visit, about 45 minutes CPT 99204 OFFICE OR OTHER OUTPATIENT VISIT FOR THE	$376.00	$376.00	$53.74–$263.20	26% above	—
New patient office visit, about 45 minutes CPT 99204 OFC/OUTPT E&M NEW MOD-HI 45 MI	$403.00	$403.00	$60.00–$362.70	35% above	—
New patient office visit, about 45 minutes CPT 99204 OUTPAT E/M NEW MODHI;45MIN	$403.00	$403.00	$60.00–$362.70	35% above	—
New patient office visit, about 45 minutes CPT 99204 OUTPAT E/M NEW MOD-HI - 45 MI	$403.00	$403.00	$60.00–$362.70	35% above	—
New patient office visit, about 45 minutes CPT 99204 INT OFF/OP VISIT E/M 45MN	$403.00	$403.00	$60.00–$362.70	35% above	—
New patient office visit, about 45 minutes CPT 99204 ESTABLISHED PATIENT; 10MIN	$542.00	$542.00	$60.00–$487.80	82% above	—
New patient office visit, about 45 minutes CPT 99204 ESTABLISHED PATIENT; 15MIN	$573.00	$573.00	$60.00–$515.70	92% above	—
New patient office visit, about 45 minutes CPT 99204 ESTABLISHED PATIENT 25MIN	$603.00	$603.00	$60.00–$542.70	102% above	—
New patient office visit, about 45 minutes CPT 99204 OFC/OUTPT E&M NEW MOD-HI 45MIN	$603.00	$603.00	$60.00–$542.70	102% above	—
New patient office visit, about 45 minutes CPT 99204 CLINIC	$640.38	$640.38	$60.00–$576.34	115% above	—
New patient office visit, about 60 minutes CPT 99205 INT OFF/OP VISIT E/M 60MN	$398.00	$398.00	$60.00–$358.20	22% above	—
New patient office visit, about 60 minutes CPT 99205 OUTPAT E/M NEW MOD-HI - 60 MI	$436.00	$436.00	$60.00–$392.40	34% above	—
New patient office visit, about 60 minutes CPT 99205 OUTPAT E/M NEW MODHI;60MIN	$436.00	$436.00	$60.00–$392.40	34% above	—
New patient office visit, about 60 minutes CPT 99205 OFC/OUTPT E&M NEW MOD-HI 60 MI	$436.00	$436.00	$60.00–$392.40	34% above	—
New patient office visit, about 60 minutes CPT 99205 OFFICE OR OTHER OUTPATIENT VISIT FOR THE	$511.00	$511.00	$69.91–$357.70	57% above	—
New patient office visit, about 60 minutes CPT 99205 OFC/OUTPT E&M NEW MOD-HI 60MIN	$636.00	$636.00	$60.00–$572.40	95% above	—
New patient office visit, about 60 minutes CPT 99205 CLINIC	$640.38	$640.38	$60.00–$576.34	96% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OR OTHER OUTPATIENT VISIT FOR THE	$133.00	$133.00	$21.07–$93.10	17% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPAT E/M NEW MINOR;10MIN	$325.00	$325.00	$38.90–$330.34	102% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFC/OUTPT E&M NEW MINOR 10 MIN	$325.00	$325.00	$38.90–$330.34	102% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPAT E/M NEW MINOR - 10 MIN	$325.00	$325.00	$38.90–$330.34	102% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 INT OFF/OP VISIT E/M 10MN	$325.00	$325.00	$38.90–$330.34	102% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFC/OUTPT E&M NEW LOW-MOD 20 M	$342.00	$342.00	$38.90–$330.34	112% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 INT OFF/OP VISIT E/M 20MN	$342.00	$342.00	$38.90–$330.34	112% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPAT E/M NEW LOW MOD 20MIN	$342.00	$342.00	$38.90–$330.34	112% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPAT E/M NEW LOW-MOD - 20 M	$342.00	$342.00	$38.90–$330.34	112% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFC/OUTPT E&M NEW MINOR 10MIN	$525.00	$525.00	$38.90–$472.50	226% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC	$640.38	$640.38	$38.90–$576.34	298% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION-TELEPHONE 11-20 MIN	$71.17	$71.17	$22.00–$64.05	31% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT NUTRITION THERAPY;EACH15M	$71.17	$71.17	$22.00–$64.05	31% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION-TELEPHONE 21-30 MIN	$71.17	$71.17	$22.00–$64.05	31% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION COUNSELING	$71.17	$71.17	$22.00–$64.05	31% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION TELEPHONE 5-10 MIN	$71.17	$71.17	$22.00–$64.05	31% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION TELEPHONE 5-10 MIN	$71.17	$71.17	$22.00–$64.05	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION COUNSELING	$71.17	$71.17	$22.00–$64.05	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION-TELEPHONE 11-20 MIN	$71.17	$71.17	$22.00–$64.05	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION-TELEPHONE 21-30 MIN	$71.17	$71.17	$22.00–$64.05	—	—
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 20 MIN	$212.01	$212.01	$86.60–$190.81	24% above	—
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30MIN	$212.01	$212.01	$86.60–$190.81	24% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 20 MIN	$212.01	$212.01	$86.60–$190.81	—	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30MIN	$212.01	$212.01	$86.60–$190.81	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$218.61	$218.61	$85.70–$219.05	21% below	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$218.61	$218.61	$85.70–$219.05	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$218.61	$218.61	$85.70–$196.75	21% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$218.61	$218.61	$85.70–$196.75	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$218.61	$218.61	$85.70–$196.75	9% below	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 TELE 5-10M PT EVAL MOD COM 30M	$218.61	$218.61	$85.70–$196.75	9% below	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 TELE 21-30M PT EVAL MOD COM30M	$218.61	$218.61	$85.70–$196.75	9% below	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$218.61	$218.61	$85.70–$196.75	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 TELE 21-30M PT EVAL MOD COM30M	$218.61	$218.61	$85.70–$196.75	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 TELE 5-10M PT EVAL MOD COM 30M	$218.61	$218.61	$85.70–$196.75	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 8 TO 22 MIN	$59.82	$59.82	$23.00–$63.76	28% below	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAP TECH-1/> REGIONS	$59.82	$59.82	$23.00–$63.76	28% below	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAP TECH-1/> REGIONS	$59.82	$59.82	$23.00–$63.76	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 8 TO 22 MIN	$59.82	$59.82	$23.00–$63.76	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE 8-22 MIN	$65.03	$65.03	$25.03–$63.76	14% below	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP 1/> AREAS/15 MIN; EXERC	$65.03	$65.03	$25.03–$63.76	14% below	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP 1/> AREAS/15 MIN; EXER	$65.03	$65.03	$25.03–$63.76	14% below	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP 1/> AREAS/15 MIN; EXERC	$65.03	$65.03	$25.03–$63.76	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP 1/> AREAS/15 MIN; EXER	$65.03	$65.03	$25.03–$63.76	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE 8-22 MIN	$65.03	$65.03	$25.03–$63.76	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL COMPREHENSIVE PREVENTIVE MEDICIN	$190.00	$190.00	$35.34–$133.00	6% below	—
Preventive checkup, new patient aged 18–39 CPT 99385 INIT PREVEN MEDS E&M NEW PT; 1	$373.00	$373.00	$128.97–$335.70	84% above	—
Preventive checkup, new patient aged 40–64 CPT 99386 INITIAL COMPREHENSIVE PREVENTIVE MEDICIN	$190.00	$190.00	$43.43–$133.00	19% below	—
Preventive checkup, new patient aged 40–64 CPT 99386 INIT PREVEN MEDS E&M NEW PT; 4	$373.00	$373.00	$128.97–$335.70	60% above	—
Preventive checkup, new patient aged 65 or older CPT 99387 INITIAL COMPREHENSIVE PREVENTIVE MEDICIN	$190.00	$190.00	$47.19–$133.00	26% below	—
Preventive checkup, new patient aged 65 or older CPT 99387 INIT PREVEN MEDS E&M NEW PT; 6	$373.00	$373.00	$128.97–$335.70	46% above	—
Preventive checkup, returning patient aged 18–39 CPT 99395 PERIODIC COMPREHENSIVE PREVENTIVE MEDICI	$190.00	$190.00	$31.39–$133.00	14% below	—
Preventive checkup, returning patient aged 18–39 CPT 99395 PREVEN MEDS E&M ESTAB PT; 18-3	$373.00	$373.00	$109.00–$335.70	70% above	—
Preventive checkup, returning patient aged 40–64 CPT 99396 PERIODIC COMPREHENSIVE PREVENTIVE MEDICI	$190.00	$190.00	$35.34–$133.00	24% below	—
Preventive checkup, returning patient aged 40–64 CPT 99396 PREVEN MEDS E&M ESTAB PT; 40-6	$373.00	$373.00	$120.00–$335.70	48% above	—
Preventive checkup, returning patient aged 65 or older CPT 99397 PERIODIC COMPREHENSIVE PREVENTIVE MEDICI	$190.00	$190.00	$39.48–$133.00	9% below	—
Preventive checkup, returning patient aged 65 or older CPT 99397 PREVEN MEDS E&M ESTAB PT; 65/>	$373.00	$373.00	$128.97–$335.70	79% above	—
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED	$316.00	$316.00	$141.19–$522.16	10% above	—
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS	$316.00	$316.00	$141.19–$522.16	10% above	—
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAGNOSTIC EVAL W/MED	$316.00	$316.00	$141.19–$522.16	10% above	—
Psychiatric evaluation with medical services CPT 90792 TEL21-30 PSYCH DIAGEVALW/MED	$316.00	$316.00	$141.19–$522.16	10% above	—
Psychiatric evaluation with medical services CPT 90792 TELE 11-20 PSYCH DIAGEVALW/MED	$316.00	$316.00	$141.19–$522.16	10% above	—
Psychiatric evaluation with medical services CPT 90792 TELE 21-30 PSYCH DIAGEVALW/MED	$316.00	$316.00	$141.19–$522.16	10% above	—
Psychiatric evaluation with medical services CPT 90792 TELE 5-10PSYCH DIAG EVAL W/MED	$316.00	$316.00	$141.19–$522.16	10% above	—
Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DIAGNOSTIC EVALUATION WITH	$463.00	$463.00	$110.41–$324.10	61% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 TEL21-30 PSYCH DIAGEVALW/MED	$316.00	$316.00	$141.19–$522.16	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRVCS	$316.00	$316.00	$141.19–$522.16	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED	$316.00	$316.00	$141.19–$522.16	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 TELE 5-10PSYCH DIAG EVAL W/MED	$316.00	$316.00	$141.19–$522.16	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 TELE 11-20 PSYCH DIAGEVALW/MED	$316.00	$316.00	$141.19–$522.16	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAGNOSTIC EVAL W/MED	$316.00	$316.00	$141.19–$522.16	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 TELE 21-30 PSYCH DIAGEVALW/MED	$316.00	$316.00	$141.19–$522.16	—	—
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCHOLOGICAL TESTING EVALUATION SERVICES	$298.00	$298.00	$55.38–$208.60	14% below	—
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST	$702.86	$702.86	$90.87–$632.57	104% above	—
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST	$702.86	$702.86	$90.87–$632.57	—	—
Psychotherapy for crisis, first 60 minutes CPT 90839 CRISIS INTERV/15 MIN	$76.74	$76.74	$57.56–$1,144.95	67% below	—
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX-CRISIS INITIAL 60-MIN	$316.00	$316.00	$138.29–$1,144.95	34% above	—
Psychotherapy for crisis, first 60 minutes CPT 90839 CRISIS INTERVENTION/PER HR	$350.00	$350.00	$106.66–$245.00	49% above	—
Psychotherapy for crisis, first 60 minutes CPT 90839 CRISIS INTERVENTION-PER 15MIN	$1,225.00	$1,225.00	$138.29–$1,144.95	421% above	—
Psychotherapy for crisis, first 60 minutes CPT 90839 CRISIS INTERVENTION;PER 15MIN	$1,225.00	$1,225.00	$138.29–$1,144.95	421% above	—
Psychotherapy for crisis, first 60 minutes CPT 90839 CRISIS INTERVENTION;PER HOUR	$1,225.00	$1,225.00	$138.29–$1,144.95	421% above	—
Psychotherapy for crisis, first 60 minutes CPT 90839 CRISIS INTERVENTION/PER HR	$1,225.00	$1,225.00	$138.29–$1,144.95	421% above	—
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCH TX CRISIS;INT'L 60 MIN	$1,225.00	$1,225.00	$138.29–$1,144.95	421% above	—
Psychotherapy for crisis, first 60 minutes CPT 90839 CRISIS INTERVENTION-PER HOUR	$1,225.00	$1,225.00	$138.29–$1,144.95	421% above	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 CRISIS INTERV/15 MIN	$76.74	$76.74	$57.56–$1,144.95	—	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX-CRISIS INITIAL 60-MIN	$316.00	$316.00	$138.29–$1,144.95	—	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 CRISIS INTERVENTION/PER HR	$1,225.00	$1,225.00	$138.29–$1,144.95	—	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCH TX CRISIS;INT'L 60 MIN	$1,225.00	$1,225.00	$138.29–$1,144.95	—	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 CRISIS INTERVENTION;PER HOUR	$1,225.00	$1,225.00	$138.29–$1,144.95	—	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 CRISIS INTERVENTION-PER 15MIN	$1,225.00	$1,225.00	$138.29–$1,144.95	—	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 CRISIS INTERVENTION;PER 15MIN	$1,225.00	$1,225.00	$138.29–$1,144.95	—	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 CRISIS INTERVENTION-PER HOUR	$1,225.00	$1,225.00	$138.29–$1,144.95	—	—
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY, 30 MINUTES WITH PATIENT	$185.00	$185.00	$50.58–$129.50	4% below	—
Psychotherapy session, 30 minutes CPT 90832 PSYCH TX; PT/FAM; 30M	$316.00	$316.00	$56.30–$330.34	64% above	—
Psychotherapy session, 30 minutes CPT 90832 PSYTX W/PT 5-10m	$316.00	$316.00	$56.30–$330.34	64% above	—
Psychotherapy session, 30 minutes CPT 90832 PSYCHTX;PT &/OR FAM;30 MINS	$316.00	$316.00	$56.30–$330.34	64% above	—
Psychotherapy session, 30 minutes CPT 90832 INDIV COUNSEL; BRIEF - 25 MIN	$316.00	$316.00	$56.30–$330.34	64% above	—
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 21-30m	$316.00	$316.00	$56.30–$330.34	64% above	—
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30M	$316.00	$316.00	$56.30–$330.34	64% above	—
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 11-20m	$316.00	$316.00	$56.30–$330.34	64% above	—
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30MIN	$338.69	$338.69	$56.30–$330.34	76% above	—
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 21-30min	$338.69	$338.69	$56.30–$330.34	76% above	—
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 11-20min	$338.69	$338.69	$56.30–$330.34	76% above	—
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 5-10min	$338.69	$338.69	$56.30–$330.34	76% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 11-20m	$316.00	$316.00	$56.30–$330.34	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W/PT 5-10m	$316.00	$316.00	$56.30–$330.34	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 INDIV COUNSEL; BRIEF - 25 MIN	$316.00	$316.00	$56.30–$330.34	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30M	$316.00	$316.00	$56.30–$330.34	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 21-30m	$316.00	$316.00	$56.30–$330.34	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHTX;PT &/OR FAM;30 MINS	$316.00	$316.00	$56.30–$330.34	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCH TX; PT/FAM; 30M	$316.00	$316.00	$56.30–$330.34	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30MIN	$338.69	$338.69	$56.30–$330.34	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 21-30min	$338.69	$338.69	$56.30–$330.34	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 5-10min	$338.69	$338.69	$56.30–$330.34	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 11-20min	$338.69	$338.69	$56.30–$330.34	—	—
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY, 45 MINUTES WITH PATIENT	$244.00	$244.00	$67.54–$170.80	4% below	—
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 M	$316.00	$316.00	$74.33–$425.03	24% above	—
Psychotherapy session, 45 minutes CPT 90834 PSYCH TX; PT/FAM; 45M	$316.00	$316.00	$74.33–$425.03	24% above	—
Psychotherapy session, 45 minutes CPT 90834 PSYCHTX;PT &/OR FAM;45 MINS	$316.00	$316.00	$74.33–$424.80	24% above	—
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 21-30 m	$316.00	$316.00	$74.33–$425.03	24% above	—
Psychotherapy session, 45 minutes CPT 90834 PSYCH PT&/OR FAM 45 MIN 30 MIN	$316.00	$316.00	$74.33–$425.03	24% above	—
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 11-20 min	$338.69	$338.69	$74.33–$425.03	33% above	—
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 21-30 min	$338.69	$338.69	$74.33–$425.03	33% above	—
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 5-10 min	$338.69	$338.69	$74.33–$425.03	33% above	—
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MIN	$338.69	$338.69	$74.33–$425.03	33% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCH TX; PT/FAM; 45M	$316.00	$316.00	$74.33–$425.03	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHTX;PT &/OR FAM;45 MINS	$316.00	$316.00	$74.33–$424.80	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 M	$316.00	$316.00	$74.33–$425.03	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 21-30 m	$316.00	$316.00	$74.33–$425.03	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCH PT&/OR FAM 45 MIN 30 MIN	$316.00	$316.00	$74.33–$425.03	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 21-30 min	$338.69	$338.69	$74.33–$425.03	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 11-20 min	$338.69	$338.69	$74.33–$425.03	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MIN	$338.69	$338.69	$74.33–$425.03	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 5-10 min	$338.69	$338.69	$74.33–$425.03	—	—
Psychotherapy session, 60 minutes CPT 90837 PSYCHTX;PAT &/OR FAM;60 MINS	$316.00	$316.00	$109.74–$425.03	6% above	—
Psychotherapy session, 60 minutes CPT 90837 INTENSIVE OUTPT PSYCH PER DAY	$316.00	$316.00	$109.74–$425.03	6% above	—
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&/FAMILY 21-30MIN	$316.00	$316.00	$109.74–$425.03	6% above	—
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&/FAMILY 21-30 MINUTES	$316.00	$316.00	$109.74–$425.03	6% above	—
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY, 60 MINUTES WITH PATIENT	$360.00	$360.00	$100.81–$252.00	21% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 INTENSIVE OUTPT PSYCH PER DAY	$316.00	$316.00	$109.74–$425.03	—	—
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&/FAMILY 21-30MIN	$316.00	$316.00	$109.74–$425.03	—	—
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHTX;PAT &/OR FAM;60 MINS	$316.00	$316.00	$109.74–$425.03	—	—
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&/FAMILY 21-30 MINUTES	$316.00	$316.00	$109.74–$425.03	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE CESSATION COUNSEL	$33.00	$33.00	$10.04–$23.10	25% below	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKE 3-10MIN	$70.44	$70.44	$15.00–$72.82	60% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10MIN	$70.44	$70.44	$10.04–$72.82	60% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 INDIV SMKING CESS; 3-10MIN	$74.09	$74.09	$15.00–$72.82	68% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION 3-10 MIN	$74.09	$74.09	$10.04–$72.82	68% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION 3-10 MIN	$74.09	$74.09	$10.04–$72.82	—	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 INDIV SMKING CESS; 3-10MIN	$74.09	$74.09	$15.00–$72.82	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE OR OTHER OUTPATIENT VISIT FOR THE	$404.00	$404.00	$46.45–$282.80	60% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 P/P OFF/OP VIST E/M 40MIN	$436.00	$436.00	$60.00–$392.40	73% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OUTPT E/M ESTB MOD/HI 40M	$436.00	$436.00	$60.00–$392.40	73% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OUTPT E/M ESTB MOD/HI 40M	$436.00	$436.00	$60.00–$392.40	73% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OUTPAT E/M ESTAB MODHI;40MIN	$436.00	$436.00	$60.00–$392.40	73% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OUTPAT E/M ESTAB MOD-HI - 40	$436.00	$436.00	$60.00–$392.40	73% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFC/OUTPT E&M ESTAB MOD-HI 40	$436.00	$436.00	$60.00–$392.40	73% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 F/U OFF/OP VIST E/M 40MIN	$436.00	$436.00	$60.00–$392.40	73% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PAT E/M - 40MIN (PO)	$436.00	$436.00	$60.00–$392.40	73% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFC/OUTPT E&M ESTAB MOD-HI40	$636.00	$636.00	$60.00–$572.40	152% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC	$640.38	$640.38	$60.00–$576.34	154% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OUTPT E/M ESTB MOD/HI 40M	$436.00	$436.00	$60.00–$392.40	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OR OTHER OUTPATIENT VISIT FOR THE	$184.00	$184.00	$20.67–$131.96	at median	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPAT E/M ESTAB LOW-MOD - 15	$373.00	$373.00	$37.41–$335.70	103% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPAT E/M ESTAB LOW-MOD - 15	$373.00	$373.00	$37.41–$335.70	103% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPAT E/M ESTAB LOW MOD;15MIN	$373.00	$373.00	$37.41–$335.70	103% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFC/OUTPT E&M ESTAB LOW-MOD 15	$373.00	$373.00	$37.41–$335.70	103% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 F/U OFF/OP VIST E/M 15 MIN	$373.00	$373.00	$37.41–$335.70	103% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PAT E/M - 15MIN (PO)	$373.00	$373.00	$37.41–$335.70	103% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPT E/M ESTB LOW/MOD 15M	$373.00	$373.00	$37.41–$335.70	103% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPT E/M ESTB LOW/MOD 15	$373.00	$373.00	$37.41–$335.70	103% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 P/P OFF/OP VIST E/M 15 MIN	$373.00	$373.00	$37.41–$335.70	103% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFC/OUTPT E&M ESTAB LOW-MOD15	$573.00	$573.00	$37.41–$515.70	212% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC	$640.38	$640.38	$37.41–$576.34	249% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OUTPT E/M ESTB LOW/MOD 15M	$373.00	$373.00	$37.41–$335.70	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE OR OTHER OUTPATIENT VISIT FOR THE	$271.00	$271.00	$32.33–$189.70	28% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPAT E/M ESTAB MOD-HI - 25	$403.00	$403.00	$56.18–$362.70	90% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 F/U OFF/OP VIST E/M 25 MIN	$403.00	$403.00	$56.18–$362.70	90% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PAT E/M - 25MIN (PO)	$403.00	$403.00	$56.18–$362.70	90% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFC/OUTPT E&M ESTAB MOD-HI 25	$403.00	$403.00	$56.18–$362.70	90% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPAT E/M ESTAB MOD-HI - 25	$403.00	$403.00	$56.18–$362.70	90% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPT E/M ESTB MOD/HI 25M	$403.00	$403.00	$56.18–$362.70	90% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 2UTPAT E/M ESTAB MODHI;25MIN	$403.00	$403.00	$56.18–$362.70	90% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPT E/M ESTB MOD/HI 25	$403.00	$403.00	$56.18–$362.70	90% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 P/P OFF/OP VIST E/M 25 MIN	$403.00	$403.00	$56.18–$362.70	90% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFC/OUTPT E&M ESTAB MOD-HI25	$603.00	$603.00	$56.18–$542.70	184% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC	$640.38	$640.38	$56.18–$576.34	201% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OUTPT E/M ESTB MOD/HI 25M	$403.00	$403.00	$56.18–$362.70	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE OR OTHER OUTPATIENT VISIT FOR THE	$99.00	$99.00	$10.90–$69.30	23% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFC/OUTPT E&M ESTAB MINOR 10 M	$342.00	$342.00	$23.48–$330.34	165% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 F/U OFF/OP VIST E/M 10MIN	$342.00	$342.00	$23.48–$330.34	165% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFC/OUTPT E&M ESTB MINOR 10M	$342.00	$342.00	$23.48–$330.34	165% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OUTPAT E/M ESTAB MINOR - 10 M	$342.00	$342.00	$23.48–$330.34	165% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PAT E/M - 10MIN (PO)	$342.00	$342.00	$23.48–$330.34	165% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OUTPAT E/M ESTAB MINOR;10MIN	$342.00	$342.00	$23.48–$330.34	165% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 P/P OFF/OP VIST E/M 10MIN	$342.00	$342.00	$23.48–$330.34	165% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFC/OUTPT E&M ESTAB MINOR 10M	$542.00	$542.00	$23.48–$487.80	320% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC	$640.38	$640.38	$23.48–$576.34	396% above	—
Speech and language evaluation CPT 92523 EVAL SPEECH SOUND/LANG COMPREH	$505.03	$505.03	$58.42–$454.53	29% above	—
Speech and language evaluation CPT 92523 TELE 5-10 EVAL SPCH SOUND/LANG	$505.03	$505.03	$58.42–$454.53	29% above	—
Speech and language evaluation CPT 92523 TELE 21-30EVAL SPCHSND/LNG CMP	$505.03	$505.03	$58.42–$454.53	29% above	—
Speech and language evaluation CPT 92523 TELE 11-20EVAL SPCHSND/LNG COM	$505.03	$505.03	$58.42–$454.53	29% above	—
Speech and language evaluation CPT 92523 EVAL SPEECH SOUND/LANG COMPRE	$505.03	$505.03	$58.42–$454.53	29% above	—
Speech and language evaluation inpatient CPT 92523 EVAL SPEECH SOUND/LANG COMPREH	$505.03	$505.03	$58.42–$454.53	—	—
Speech and language evaluation inpatient CPT 92523 EVAL SPEECH SOUND/LANG COMPRE	$505.03	$505.03	$58.42–$454.53	—	—
Speech and language evaluation inpatient CPT 92523 TELE 11-20EVAL SPCHSND/LNG COM	$505.03	$505.03	$58.42–$454.53	—	—
Speech and language evaluation inpatient CPT 92523 TELE 21-30EVAL SPCHSND/LNG CMP	$505.03	$505.03	$58.42–$454.53	—	—
Speech and language evaluation inpatient CPT 92523 TELE 5-10 EVAL SPCH SOUND/LANG	$505.03	$505.03	$58.42–$454.53	—	—
Speech therapy session, individual CPT 92507 TELE 11-20M SPEECH/HEAR THER I	$167.93	$167.93	$4.75–$151.14	at median	—
Speech therapy session, individual CPT 92507 TELE 21-30M SPEECH/HEAR THER I	$167.93	$167.93	$4.75–$151.14	at median	—
Speech therapy session, individual CPT 92507 TELE 5-10M SPEECH/HEAR THER IN	$167.93	$167.93	$4.75–$151.14	at median	—
Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY,INDIV	$173.40	$173.40	$4.75–$156.06	3% above	—
Speech therapy session, individual inpatient CPT 92507 TELE 21-30M SPEECH/HEAR THER I	$167.93	$167.93	$4.75–$151.14	—	—
Speech therapy session, individual inpatient CPT 92507 TELE 5-10M SPEECH/HEAR THER IN	$167.93	$167.93	$4.75–$151.14	—	—
Speech therapy session, individual inpatient CPT 92507 TELE 11-20M SPEECH/HEAR THER I	$167.93	$167.93	$4.75–$151.14	—	—
Speech therapy session, individual inpatient CPT 92507 SPEECH/HEARING THERAPY,INDIV	$173.40	$173.40	$4.75–$156.06	—	—
Spirometry (breathing test) CPT 94010 SPIROMETRY	$370.90	$370.90	$8.42–$333.81	69% above	—
Spirometry (breathing test) CPT 94010 E.D. - SPIROMETRY	$370.90	$370.90	$40.00–$333.81	69% above	—
Spirometry (breathing test) CPT 94010 SPIROMTRY W/RECRD-VC-EXPIR FLO	$370.90	$370.90	$8.42–$333.81	69% above	—
Spirometry (breathing test) inpatient CPT 94010 E.D. - SPIROMETRY	$370.90	$370.90	$40.00–$333.81	—	—
Spirometry (breathing test) inpatient CPT 94010 SPIROMTRY W/RECRD-VC-EXPIR FLO	$370.90	$370.90	$8.42–$333.81	—	—
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$370.90	$370.90	$8.42–$333.81	—	—
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY W/BRONCHO	$702.86	$702.86	$9.79–$632.57	86% above	—
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPSM EVAL: SPIRO-BRONCH	$702.86	$702.86	$22.60–$632.57	86% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY W/BRONCHO	$702.86	$702.86	$9.79–$632.57	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPSM EVAL: SPIRO-BRONCH	$702.86	$702.86	$22.60–$632.57	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 TX ACTV DIR PT CNTC PROV-1UNIT	$84.04	$84.04	$31.65–$75.64	2% below	—
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES 8-22MIN	$84.04	$84.04	$31.65–$75.64	2% below	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES 8-22MIN	$84.04	$84.04	$31.65–$75.64	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TX ACTV DIR PT CNTC PROV-1UNIT	$84.04	$84.04	$31.65–$75.64	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC (SEPARATE PROCED	$286.00	$286.00	$29.88–$200.20	35% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAP (SEPART PROC	$297.53	$297.53	$13.42–$267.78	40% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAP (SEPART PROC	$297.53	$297.53	$13.42–$267.78	—	—
Treadmill or drug stress test with ECG, supervision and report CPT 93015 CV STRESS TST W/PHARM; INTRPT	$132.00	$132.00	$79.20–$211.18	62% below	—
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 CV STRESS TST W/PHARM; INTRPT	$132.00	$132.00	$79.20–$211.18	—	—
Visual field test, extended CPT 92083 VISUAL FIELD:30-2,24-2,30/60-2	$373.87	$373.87	$46.50–$200.00	11% above	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARS-COV-2 VAC 50MCG/0.5ML	$284.90	$284.90	$28.39–$256.41	39% above	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARS-COV-2 VAC 30MCG/0.3ML	$253.00	$253.00	$28.39–$227.70	16% above	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE-S	$283.93	$283.93	$116.57–$255.54	7% above	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE-S	$283.93	$283.93	$116.57–$255.54	7% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE	$283.93	$283.93	$8.85–$255.54	—	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE-S	$283.93	$283.93	$116.57–$255.54	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IM FLU CAVV NO PRESERV 3YR & >	$45.78	$45.78	$9.23–$54.94	59% above	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL - 9	$510.84	$510.84	$232.20–$954.91	at median	—
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A&B ADULT-IM CLINIC	$287.43	$287.43	$71.90–$258.69	27% above	—
Hepatitis A vaccine, adult dose CPT 90632 HEP A VACCINE ADULT-IM USE CLI	$167.90	$167.90	$28.39–$151.11	63% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCN ADULT-IM USE	$162.98	$162.98	$19.23–$146.68	82% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VAC ADULT-IM CLINIC	$162.98	$162.98	$28.39–$146.68	82% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VIRUS VACC IIV 65YR+	$117.41	$117.41	$28.39–$105.67	5% above	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC	$164.78	$164.78	$64.37–$148.30	22% above	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVESUBQ/JET CLINIC	$164.78	$164.78	$66.71–$148.30	22% above	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC LIVE	$164.78	$164.78	$66.71–$148.30	22% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE	$164.78	$164.78	$5.79–$148.30	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VAC	$164.78	$164.78	$64.37–$148.30	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC LIVE	$164.78	$164.78	$66.71–$148.30	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJ VACC, IM	$297.44	$297.44	$102.89–$267.70	46% above	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCOCCAL POLYSACCH VAC-	$324.83	$324.83	$101.18–$292.35	4% below	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO	$324.83	$324.83	$146.66–$409.50	4% below	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GROUP B VAC (BEX	$324.83	$324.83	$155.96–$680.80	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20	$677.62	$677.62	$58.90–$609.86	58% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX VACCINE	$277.71	$277.71	$120.12–$333.25	82% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE	$277.71	$277.71	$31.82–$333.25	—	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE-IM USE CLINIC	$850.87	$850.87	$58.90–$765.78	81% above	—
Rabies vaccine, one dose CPT 90675 IMOVAX RABIES VACC	$850.87	$850.87	$58.90–$765.78	81% above	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE-INTRADERMAL USE	$850.87	$850.87	$58.90–$765.78	81% above	—
Rabies vaccine, one dose CPT 90675 E. D. - RABIES VACCINE-IM USE	$850.87	$850.87	$58.90–$765.78	81% above	—
Rabies vaccine, one dose inpatient CPT 90675 IMOVAX RABIES VACC	$850.87	$850.87	$58.90–$765.78	—	—
Rabies vaccine, one dose inpatient CPT 90675 IMOVAX RABIES VACCINE	$850.87	$850.87	$58.90–$765.78	—	—
Rabies vaccine, one dose inpatient CPT 90675 E. D. - RABIES VACCINE-IM USE	$850.87	$850.87	$58.90–$765.78	—	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX IM	$377.43	$377.43	$39.30–$452.92	4% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUSDIPHTHER TOXOID ADLT	$182.42	$182.42	$25.04–$164.18	244% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD PRESERVATIVE FREE 7YR OR OL	$182.42	$182.42	$25.04–$164.18	244% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUSDIPHTHER TOXOID ADULT	$182.42	$182.42	$3.64–$164.18	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUSDIPHTHER TOXOID ADLT	$182.42	$182.42	$25.04–$164.18	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE LESS THAN 7YRS IM	$221.67	$221.67	$28.39–$199.50	299% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 IM TDAP VACCINE AGE 7YR	$221.67	$221.67	$28.39–$199.50	299% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS TOXOID/REDUCED DIPH	$221.67	$221.67	$28.39–$199.50	299% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS TOXOID/REDUCED DIPHTH	$221.67	$221.67	$28.39–$199.50	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS TOXOID/REDUCED DIPH	$221.67	$221.67	$28.39–$199.50	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE LESS THAN 7YRS IM	$221.67	$221.67	$28.39–$199.50	—	—
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE IM CLINIC	$233.24	$233.24	$84.73–$209.92	at median	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM	$13.23	$13.23	$7.94–$89.61	84% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF INFLUENZA VIRUS VACCI	$106.30	$106.30	$10.00–$95.67	26% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF PNEUMOCCAL VACCINE MC	$106.30	$106.30	$10.00–$95.67	26% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF HEPATITIS B VACCINE M	$106.30	$106.30	$10.00–$95.67	26% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMN PNEUMCOC VAC NO FEE SCHED	$106.30	$106.30	$7.36–$95.67	26% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION-1 VACCINE	$164.69	$164.69	$10.00–$148.22	96% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN; 1 VACCINE	$164.69	$164.69	$10.00–$148.22	96% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION-1 VACCINE	$164.69	$164.69	$10.00–$148.22	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN; EA ADDL CL	$4.40	$4.40	$2.64–$25.29	90% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION-EA ADDL	$4.40	$4.40	$2.64–$18.22	90% below	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION-EA ADDL	$4.40	$4.40	$2.64–$18.22	—	—

Source file: https://www.bronxcare.org/about-us/paying-for-care/charges/131974191_bronxcare-health-system-bronxcare-hospital-center-concourse_standardcharges.csv